Health-care Preparation: Early, Uncomfortable, Necessary

Public health advisories linked with reduction of codeine dispensing to postpartum women | EurekAlert! Science News

Locked in an inaccessible drawer for "safekeeping," or long forgotten and outdated, these documents are rarely available when necessary. The result is family members often mental health make difficult care decisions about nutrition, palliative care, and perhaps, ultimately, organ donation while influenced by emotion and forced to speculate about personal preferences. The problem is conversations about end-of-life care can be just as difficult as the decisions. I resorted to e-mail to communicate with family members because they preferred to avoid a conversation that was "morbid" and "premature." When we finally sat down, the discrepancies between what we each considered a "good death" were staggering and seemingly influenced by age, experience, and trust in medicine. And though my family members still might not understand some of my choices, they understand how important respecting those choices is to me. For the original version including any health problems exercises supplementary images or learn more video, visit

Departments of Social Services across North Carolina now are responsible for the guardianship of individuals with mental health issues, a service previously handled by mental health providers. Since the state has moved to a managed care system, where local management entities contract with private providers to deliver services, the state said its a conflict of interest for those groups to serve as guardians. Social services was the only organization that could provide the service, attorney Julia Petrasso, who works with Pitt Countys guardianship program, said. For the complete article, please pick up a copy of The Daily Reflector. Current home delivery and electronic edition subscribers may log in to access this article at no charge. To become a subscriber, please click here or contact Customer Service at (252) 329-9505. For the original version including any supplementary images or video, visit

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Food and Drug Administration (FDA) and Health Canada were associated with significant reductions in the rate of dispensing of codeine to postpartum women, according to a visit the site study in the May 12 issue of JAMA. Some patients are ultra-rapid metabolizers of codeine, with prevalence ranging from 2 percent to 40 percent. Nursing mothers who take codeine may be putting their infant at risk if they carry the gene variants for elevated activity of an enzyme that metabolizes codeine to morphine. High levels of morphine in breast milk may lead to infant death from a drug-induced respiratory problem. The U.S. FDA released a public health advisory in August 2007 warning about the potentially life-threatening adverse effects in infants of breast-feeding mothers taking codeine. Health Canada published a similar advisory in October 2008, according to background information in the article. For the original version including any supplementary images or video, visit

Health series 2: Treating a Stroke - News - The Daily Guide - Waynesville, MO - St. Robert, MO

Kurle spectrum health said. It's rewarding to provide patients with state-of-the-art, patient-centered care that enables recovery. To support stroke awareness, Dr. Kurle covered what stroke patients and their loved ones can expect at the hospital. The first step, he said, is a rapid evaluation. When patients with stroke symptoms arrive at the Lake Regional Emergency Department, they receive an evaluation from either an ED physician or a neurologist on average within five minutes of arrival, Dr. Kurle said. For the original version including any supplementary images or video, visit