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The hospice philosophy was founded on a mission to provide comprehensive and holistic services to individuals at the end of life. Hospice interdisciplinary teams work together to offer therapies such as spiritual services, comfort care, and massage therapy to meet patients' physical, psychological, emotional, and spiritual needs. Although the hospice philosophy is guided toward patient-centered care, limited research has examined how patients understand holistic care services. Through a social constructionist lens and qualitative interviews, we examined hospice patients' understandings of holistic care and argue that these perceptions of care are constructed through the biomedical model of medicine.

Educators deal with the many dynamic functions and applications of the human brain on a dally basis. The theoretical research of the biology and functionality of the human brain is [...]

Initial validation for a measure of positive expectancies for drinking and driving for use with adolescents and young adults (PEDD - Y) is constructed and presented. The results provide initial evidence for the use of the PEDD-Y in evaluating drinking and driving risk in adolescents and college students.

Objective  This study aimed to compare neonatal and maternal outcomes between immediate and delayed prophylactic antibiotic administration after previable prelabor premature rupture of membranes (PROM) less than 24 weeks of gestation. Study Design  Retrospective cohort study of singleton pregnancies with PROM between 16 0/7 and 23 6/7 weeks of gestational age conducted at a single tertiary care referral center between June 2011 and December 2015. Patients with multiple gestations, fetal anomalies, those who elected augmentation, or with a contradiction to expectant management, such as suspected intra-amniotic infection or stillbirth, were excluded from the study. We compared pregnancy characteristics, maternal complications, and neonatal outcomes between women who received a course of antibiotics within 24 hours of PROM and women who received antibiotics after 24 hours of PROM. The primary outcome was neonatal survival to hospital discharge. Secondary outcomes included gestational age at delivery, time from PROM to delivery, neonatal birth weight, days in the neonatal intensive care unit (NICU), composite adverse neonatal outcomes, and maternal morbidity. Results  Ninety-four women met inclusion criteria, 57 (61%) received antibiotics within 24 hours of PROM and 37 (39%) received antibiotics 24 hours after PROM. Baseline maternal characteristics were similar in both groups. The mean gestational age at PROM was similar between groups at 20.8 ± 2.3 weeks in the immediate antibiotics group and 20.6 ± 2.1 weeks in the delayed antibiotics group (p  = 0.48). Compared with delayed antibiotic administration, immediate antibiotic administration was not associated with a significant difference in latency time from PROM to delivery, rate of stillbirth, days in an ICU, or adverse neonatal outcomes. Maternal outcomes also did not differ significantly between groups. Neonatal birth weight was lower in the immediate antibiotics group (p  = 0.012). Conclusion  Our data suggest that there is no maternal or neonatal benefit to immediate administration of latency antibiotics compared with delayed administration. Key Points Adverse neonatal outcomes did not differ based on timing of latency antibiotics for previable PROM. Maternal outcomes did not differ based on timing of latency antibiotics for previable PROM. Neonatal birth weight was lower in infants that received immediate antibiotics after previable PROM. [ABSTRACT FROM AUTHOR]

In this article, I tell the story of an interview encounter I had in a previous study with a hospice patient. Even though I had prepared for our interaction, Meredith corrected me for all my false steps. I offer my account of the tense beginning of our interview and Meredith’s lectures, which transitioned into an invitational moment and a marked change in our interaction. While I cannot know what was inside Meredith’s mind that day, I read this experience as a lesson in research methods. As such I advocate for restructuring the way we, as health communication researchers, gather patient-centered data. I contend that we must not only allow, but encourage and facilitate patients’ narratives through narrative interviewing. The findings from the current ethnography are offered for use as rationale in future narrative interview studies. [ABSTRACT FROM PUBLISHER]

The hospice philosophy was founded on a mission to provide comprehensive and holistic services to individuals at the end of life. Hospice interdisciplinary teams work together to offer therapies such as spiritual services, comfort care, and massage therapy to meet patients' physical, psychological, emotional, and spiritual needs. Although the hospice philosophy is guided toward patient-centered care, limited research has examined how patients understand holistic care services. Through a social constructionist lens and qualitative interviews, we examined hospice patients' understandings of holistic care and argue that these perceptions of care are constructed through the biomedical model of medicine.