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If a competent adult refuses medical treatment, physicians and public officials must respect her decision. Coercive medical paternalism is a clear violation of the doctrine of informed consent, which protects patients' rights to make medical decisions even if a patient's choice endangers her health. The same reasons for rejecting medical paternalism in the doctor's office are also reasons to reject medical paternalism at the pharmacy, yet coercive medical paternalism persists in the form of premarket approval policies and prescription requirements for pharmaceuticals. In Pharmaceutical Freedom Jessica Flanigan defends patients' rights of self-medication. Flanigan argues that public officials should certify drugs instead of enforcing prohibitive pharmaceutical policies that disrespect people's rights to make intimate medical decisions and prevent patients from accessing potentially beneficial new therapies. This argument has revisionary implications for important and timely debates about medical paternalism, recreational drug legalization, human enhancement, prescription drug prices, physician assisted suicide, and pharmaceutical marketing. The need for reform is especially urgent as medical treatment becomes increasingly personalized and patients advocate for the right to try. The doctrine of informed consent revolutionized medicine in the twentieth century by empowering patients to make treatment decisions. Rights of self-medication are the next step.
When Dr. David Cundiff called me with a proposal to help research and write The Right Medicine I was intrigued but skep tical. His ideas for reform of the US health care system were visionary, radical, and highly original-but would they work? As a Wall Street analyst and long-time student of the health care system, I had my doubts. had read David's book on hospice care, Euthanasia Is Not the I Answer, and was impressed. And I had recently witnessed the slow death of my grandmother from the complications of Alzheimer's disease. Despite the fact that she was and had been suffering for years and despite the fact that her care was an extraordinary emotional and financial burden, nursing home administrators and physicians encouraged one last ditch treat ment after another, pulling her back each time from the brink of what would have been a merciful death. I knew that David was correct in his contention that hospice care and a more spar ing application of high technology medicine were major keys to improving health care. I also realized, after a decade of analyzing the health care industry, that a government-funded system along the lines of Canada's was probably the only way to rein in rampant infla tion and provide universal coverage. But David had other ideas, too. He argued that preventive care could dramatically cut both the incidence and costs associ ated with the most common causes of illness in America today.
Written especially for nurses in all disciplines and health care settings, this second edition of The Nurses's Role in Medication Safety focuses on the hands-on role nurses play in the delivery of care and their unique opportunity and responsibility to identify potential medication safety issues. Reflecting the contributions of several dozen nurses who provided new and updated content, this book includes strategies, examples, and advice on how to: * Develop effective medication reconciliation processes * Identify and address causes of medication errors * Encourage the reporting of medication errors in a safe and just culture * Apply human factors solutions to medication management issues and the implementation of programs to reduce medication errors * Use technology (such as smart pumps and computerized provider order entry) to improve medication safety * Recognize the special issues of medication safety in disciplines such as obstetrics, pediatrics, geriatrics, and oncology and within program settings beyond large urban hospitals, including long term care, behavioral health care, critical access hospitals, and ambulatory care and office-based surgery
The prescription drug market -- Proposed solutions for rising drug prices -- Measuring the value of prescription drugs -- Measuring drug value : whose job is it anyway? -- Institute for Clinical and Economic Review (ICER) -- Other US value assessment frameworks -- Do drugs for special populations warrant higher prices? -- Improving value measurement -- Aligning prices with value -- The path forward.
A comprehensive history of the concept of freedom of therapeutic choice in the United States that presents a compelling look at how persistent but evolving notions of a right to therapeutic choice have affected American policy and law from the Revolution through the Trump Era. Throughout American history, lawmakers have limited the range of treatments available to patients, often with the backing of the medical establishment. The country's history is also, however, brimming with social movements that have condemned such restrictions as violations of fundamental American liberties. This fierce conflict is one of the defining features of the social history of medicine in the United States. In Choose Your Medicine, Lewis A. Grossman presents a compelling look at how persistent but evolving notions of a right to therapeutic choice have affected American health policy, law, and regulation from the Revolution through the Trump Era. Grossman grounds his analysis in historical examples ranging from unschooled supporters of botanical medicine in the early nineteenth century to sophisticated cancer patient advocacy groups in the twenty-first. He vividly describes how activists and lawyers have resisted a wide variety of legal constraints on therapeutic choice, including medical licensing statutes, FDA limitations on unapproved drugs and alternative remedies, abortion restrictions, and prohibitions against medical marijuana and physician-assisted suicide. Grossman also considers the relationship between these campaigns for desired treatments and widespread opposition to state-compelled health measures such as vaccines and face masks. From the streets of San Francisco to the US Supreme Court, Choose Your Medicine examines an underexplored theme of American history, politics, and law that is more relevant today than ever.
Learn to avoid or to address medication errors by focusing on the five "rights" of nursing drug administration: the right patient, the right drug, the right dose, the right route, and the right time. Introductory chapter explains what drugs are and how they work, and the role of nurses in drug administration. Actual medication errors are interspersed throughout the text, presented as case examples, and supported by a comprehensive index, including court cases, drug names, and types of errors. Also offers several appendices, including dangerous drug interactions, antidotes for poisoning and overdose, common pharmacologic abbreviations, and a quick-reference conversion chart.
A life in medicine is something that many dream of but few achieve. The tests students face–both literal and figurative–just to get into medical school are designed to weed out the weak. InPlanning a Life in Medicine, the experts at The Princeton Review will help you succeed in a premedical program, score higher on the MCAT, meet the challenges of medical school, and ultimately flourish in your medical career. More than just a comprehensive plan for getting into medical school,Planning a Life in Medicineis a handbook that will help you to cultivate the skills and habits–such as compartmentalizing knowledge and improving concentration–that will help you along your “path of heart” and serve you well throughout your education and medical career.
THE #1 Drug Guide for nurses & other clinicians...always dependable, always up to date! Look for these outstanding features: Completely updated nursing-focused drug monographs featuring 3,500 generic, brand-name, and combination drugs in an easy A-to-Z format NEW 32 brand-new FDA-approved drugs in this edition, including the COVID-19 drug remdesivir—tabbed and conveniently grouped in a handy “NEW DRUGS” section for easy retrieval NEW Thousands of clinical updates—new dosages and indications, Black Box warnings, genetic-related information, adverse reactions, nursing considerations, clinical alerts, and patient teaching information Special focus on U.S. and Canadian drug safety issues and concerns Photoguide insert with images of 439 commonly prescribed tablets and capsules