The risks and benefits of human donor breast milk.

CME EDUCATIONAL OBJECTIVES: 1.Review the advantages and disadvantages of donor-banked milk over informal milk sharing.2.

The use and misuse of electronic patient data.

This article highlights patient privacy rights, briefly discusses a few of the many federal, state, and local regulatory laws protecting patient confidentiality and privacy electronically, and briefly reviews several case decisions in this area. Implications for infusion nurses also are presented.

Protecting physicians' rights in disciplinary actions by a medical board: a brief primer.

This article highlights the basic due process rights of the physician licensee in disciplinary matters before medical boards. It includes a discussion of the license as a property right, the concept of due process, and other concepts related to the rights of the physician licensee in disciplinary proceedings. Implications for the physician licensee are also presented.

Emerging legal issues for nurse managers.

This report identifies many of the emerging legal issues affecting nurse managers, including the current and future nurse shortage and telenursing. An in-depth analysis of a major emerging, trend, multistate licensure, includes a brief history of the development of the multistate licensure compact developed by the national council of state boards of nursing and reactions to the compact. Implications for the nurse manager are identified and discussed.

Thrush in the breastfeeding dyad: results of a survey on diagnosis and treatment.

Infection with Candida albicans in the breastfeeding dyad has been associated with extreme pain in the breastfeeding mother and may lead to premature weaning. There is presently a dearth of information on diagnosis, natural history, and treatment of this condition in the literature. Therefore, before such a trial was conducted, a survey was sent to experts in the field of lactation, the members of The Academy of Breastfeeding Medicine, on the diagnosis and treatment of thrush in the breastfeeding mother and baby.

Age discrimination and downsizing in home care.

This article is not to be viewed as a comprehensive review of the ADEA and the "older" nurse's rights when terminated from a position, nor can it be taken as specific legal advice. Rather, it should be viewed as a starting point from which the home healthcare nurse can begin to proactively deal with a job loss that is neither expected nor welcome.

Physician contracts. Business and legal challenges.

There is no doubt that PPMCs are here to stay, at least for the near future. This article in no way addresses all of the legal and clinical concerns that the CNE may have when facing an arrangement with a PPMC. Even so, if the CNE can help forge agreements with PPMCs that are legally reliable, that are fiscally sound, that can be managed efficiently, and that are supportive of quality patient care, he or she will have made an invaluable contribution to the future of healthcare delivery.

Sore nipples in breast-feeding women: a clinical trial of wound dressings vs conventional care.

Background: Sore nipples in breast-feeding mothers are a common cause of premature weaning, and are difficult to treat owing to recurrent trauma and exposure to the infant's oral flora.

Objective: To compare the safety and efficacy of a hydrogel moist wound dressing (Elasto-gel, Southwest Technologies Inc, Baltimore, Md) with the use of breast shells and lanolin cream in the treatment of maternal sore nipples associated with breast-feeding.

Design: Randomized controlled trial comparing the above treatments for sore nipples.