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May 2009, Volume 39 Number 5 , p 50 - 53


  • Lorraine Mancuso RN, MSN


Mancuso, Lorraine RN, MSN

WHEN SHE WAS ADMITTED to the hospital where I worked, Maria Costas, a Greek-speaking woman in her early 70s, was being treated aggressively for advanced metastatic bone, liver, and possibly brain cancer. She'd received outpatient chemotherapy the previous week and hadn't been able to walk due to a pathologic fracture of the femur.

Mrs. Costas was emaciated and severely anemic. As a Jehovah's Witness, she wouldn't accept blood products to treat the anemia. Reviewing her medical record, ...

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