Wangensteen. Dr. Cave subscribes to the belief that "not to know the truth will cause the least mental anguish to many patients... ." Dr. Wangensteen, on the other hand, makes a strong plea for telling the truth, saying that the patient sooner or later guesses what is being hid from him and then loses trust in his physician and is bewildered and hurt by the insincere behavior of his friends and...

Marcia Stanhope, RN, DSN, FAAN, c Dr. Marcia Stanhope is currently Professor at the University of Kentucky College of Nursing, Lexington, Kentucky. She has been appointed to the Good Samaritan Foundation Chair and Professorship in Community Health Nursing. She has practiced community and home health nursing and has served as an administrator and consultant in home health, and she has been invol...

Looking forward to the Quality Assurance Performance Improvement (QAPI) program to be implemented and required in 2014, and as nursing home staff provide care for residents with increasingly complex health issues, knowledge of how to implement quality improvement (QI) is imperative. The nursing home administrator and director of nursing (DON) provide overall leadership, but it is the primary re...

Mortality and morbidity from trauma continues to be a serious, ubiquitous public health problem. Our short communication reports on the benefits of a dedicated lower limb trauma coordinator (LLTC) to the trauma service of a busy inner-London Plastics unit. This is based on a retrospective case-note based audit; performed 19 months prior to the introduction of the LLTC and for 16 months after. A...