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Questions for institutions to consider regarding PAD include the following: Should institutions gather data on cases of PAD for review? Do institutions have an obligation to seek out inadequacies in palliative care and pursue ways to remedy them? Do institutions have a role in ensuring continuity of care, and should they support the provision of good end-of-life care with human resources? How will they handle the logistics of PAD, from referrals and transfers to billing? How will institutions support an environment that allows open discussion of differences of opinion while fostering tolerance on the part of employees, patients and families, health care professionals, and the community? How will they deal with cases of abuse, instances of PAD that diverge from criteria of eligibility, or the discovery of unreported cases of PAD? in a deep, philosophical-ethical sense or in terms of the of relevant and interested parties and perspectives.
It is to this improved Bach-Xagelschmidt lamp I especially wish to call attention, chiefly because no mention of it is to be foimd in American literature.
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