Missouri medicine
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Finding health in folklore, herbs and supplements: the good, the bad & the ugly. Part II-- The ugly.
The dark 'bad' side of herbal and supplement use is not only in their direct adverse effects or toxicity, but in their potential for interactions with a variety of agents commonly used by mainstream practitioners. In the next issue, Part III--The Ugly--will focus on the distorted image of these hazardous herbal drifters.
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As dying patients adjust to the irreversible nature of their illness, their needs and focus of care changes. Spiritual issues may become a central concern for them, and addressing these issues can be key to relieving suffering. ⋯ In this article, we address the role of spirituality in end-of-life care, and discuss a format for spiritual assessment. We hope this will encourage more comprehensive patient-centered, end-of-life care.
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Hospice provides multidisciplinary care to dying patients with and without cancer. Most adults would prefer to be cared for in their home or that of a family member. This guide provides answers to the questions most commonly asked of physicians. Its goal is to facilitate a better understanding of what hospice does, who is eligible, physician roles, and how physicians can use hospice to help their patients.