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Managing Refusal of Medical Care in Older Adults - CIA

23 Treatment refusal can occur in the presence or absence of decision-making capacity. 24 The core elements of capacity are the ability to understand the information relevant to the decision, the ability to use or weigh that information as part of the decision-making process, and to communicate the decision. 25 Common law establishes that an adult is presumed to have the capacity to consent to or refuse medical treatment unless that presumption is rebutted. 26 However, capacity may be affected ...
New York United States New South Wales Switzerland General Eteläuomen Läi South Wales

News Scan for May 19, 2021

Study finds long-haul COVID-19 common, in even those with mild disease Long-haul COVID-19 was associated with severe or very severe symptoms, low income, and some age-groups, but was common even in those with mild symptoms, with a quarter of patients in that group having symptoms after 60 days, according to a Clinical Infectious Diseases study today that looked at adult Michigan patients. The researchers surveyed 593 Michigan adults who had a symptomatic COVID-19 diagnosis through mid-April 20...
United States Beltrami County University Of Minnesota Peter Larsen Nicholas Ingraham Minnesota Center
Source: umn.edu

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[Full text] Management of Sickle Cell Disease Complications Beyond Acute Chest Syn

Parvovirus –B19 is an erythrotropic virus that selectively targets human red blood cells and their precursors. 29 In patients with SCD, this can lead to life-threatening anemia due to abrupt cessation of erythropoiesis. Features are new or worsening signs of anemia, with an acute drop in hemoglobin and reticulocytopenia in the absence of blood loss or sequestration. Urgent recognition and transfusion are necessary to prevent circulatory failure and death. Splenic Complications Streptococcus p...
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