Painful ignorance

Article Abstract:

Many cancer nurses are very unwilling to use opioids for terminally ill patients, and this leaves the patients suffering unnecessarily, according to GP Lynette Moss. The general public understands little about the use of morphine, and prejudices against it are common. These prejudices can in some cases be shared by health workers too. This situation could be eased if more time were devoted to palliative care during the clinical training of health workers, according to Dame Cicely Saunders, a key figure in the UK's hospice movement.

Analysis, Usage, Terminal care, Opioids

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City of clouded hope: when the split between the rich and the poor is acute, semi-private health care becomes another means of marking the divide

Article Abstract:

The ABC Hospital in Mexico City is a high tech private centre catering to people with money and the outpatients' clinic is a charity financed by wealthy benefactors. The clinic offers primary, anti and postnatal care and emergency cases are often admitted and treated in the main hospital at no charge. The majority of problems are gastro-intenstinal or respiratory due to high pollution levels.

Hospitals, Mexico

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Practitioners make perfect

Article Abstract:

Trent Region is piloting a scheme introducing nurse practitioners. The scheme has succeeded in reducing the workload of junior doctors. Variations on the scheme are planned nationwide. The scheme includes nurse-led services involving pregnancy termination, outpatient services, cardiology day care, minor injuries and emergency psychiatric assessment.

Evaluation, Nurse practitioners

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