Internal medicine journal
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Internal medicine journal · Oct 2020
Ecologically enhanced healthcare at the Mater hospitals: the intersection between sustainable delivery, Pope Francis' care of the common home and indigenous land care in an era of climate challenges.
The changes we are causing to our global environment now threaten everyone's health. As such, health systems and professionals should consider environmental sustainability as part of good health and care. ⋯ High-quality healthcare depends on addressing the social and environmental determinants of health and disease, more so in rural and indigenous areas. The Mater Hospital's reconciling Francis' global holistic approach to local Aboriginal expertise addresses both needs at the same time.
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Internal medicine journal · Oct 2020
Patient factors affecting the proper completion of a Goals-Of-Care form in a general medicine hospital admission.
The goals-of-care (GOC) form is a resuscitation planning tool used to document informed decisions tailored for individual patients admitted to hospital. Proper and timely completion of the GOC form is essential for its effective utility. ⋯ The proper GOC form completion rates were suboptimal in general medicine admissions, particularly in younger patients with fewer comorbidities. Additional effort is needed to improve GOC completion in these patients and those whose primary spoken language is not English.