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The Medical Clinics of North America May 2021Comprehensive patient care requires an integrated approach that often includes different specialties. Of these specialties, Ophthalmology stands out with its variable... (Review)
Review
Comprehensive patient care requires an integrated approach that often includes different specialties. Of these specialties, Ophthalmology stands out with its variable pathologic conditions, unique tools, and special examination techniques, which are not part of the standard training of internal medicine or other specialties. The authors review prior studies focused on inpatient ophthalmology consultations, common reasons for inpatient ophthalmology consultation, and the recommended approach to the most common ocular complaints that could present to the inpatient provider. They also shed light on the basic ocular history and eye examination that should be obtained before requesting an ophthalmic evaluation.
Topics: Eye Diseases; Hospitalization; Humans; Ophthalmology; Patient Care; Referral and Consultation
PubMed: 33926647
DOI: 10.1016/j.mcna.2021.02.006 -
Annals of Internal Medicine Jul 2019
Topics: Family; Humans; Patient Care; Patient Care Team; Patient Simulation; Physician-Patient Relations; Students, Medical
PubMed: 31261404
DOI: 10.7326/M19-0395 -
The New England Journal of Medicine Mar 2024
Review
Topics: Humans; Digital Health; Telemedicine; Wearable Electronic Devices; Patient Care
PubMed: 38507754
DOI: 10.1056/NEJMra2307160 -
The Veterinary Clinics of North... Sep 2021Veterinary ethical dilemmas are common, complex, and unavoidable. Creating a transparent and deliberate approach to ethical issues empowers the entire veterinary team... (Review)
Review
Veterinary ethical dilemmas are common, complex, and unavoidable. Creating a transparent and deliberate approach to ethical issues empowers the entire veterinary team and reduces stress associated with these dilemmas. This article discusses ethical considerations and principles and propose use of the 4Es model and core communication skills to address ethical dilemmas in veterinary practice. It reviews literature defining ethical issues in practice and provides case examples to show the application of our proposed methods. The goal is to provide veterinary professionals with an approach they can use to frame and address their own ethical decisions.
Topics: Animals; Ethics, Clinical; Patient Care
PubMed: 34334164
DOI: 10.1016/j.cvsm.2021.05.003 -
Healthcare Policy = Politiques de Sante Aug 2020Each of canada's provinces and territories needs to modernize its basket of insured health services to reflect a broader conceptualization of healthcare. The narrow...
Each of canada's provinces and territories needs to modernize its basket of insured health services to reflect a broader conceptualization of healthcare. The narrow focus on hospital and physician services excludes multidisciplinary care models, such as those reflected by Family Health Teams in Ontario, Groupe de médecine de famille in Québec and primary care networks in Alberta. In these models, a wider range of services and supports is being used to respond to changing demographics and patterns of morbidity, and whose residents' care needs include social workers, mental health providers, personal support workers and dietitians.
Topics: Alberta; Canada; Delivery of Health Care; Humans; Ontario; Patient Care; Patient Care Team; Primary Health Care; Quebec
PubMed: 32813635
DOI: 10.12927/hcpol.2020.26295 -
Primary Care Sep 2019Hospice is a model of care that offers significant benefits to patients at the end of their lives, their families, and also to the primary care physicians who have... (Review)
Review
Hospice is a model of care that offers significant benefits to patients at the end of their lives, their families, and also to the primary care physicians who have diligently cared for their patients. As comprehensive care physicians, primary care physicians can benefit from a strong understanding of hospice and the Medicare Hospice Benefit. This article describes the history of hospice, palliative care versus hospice care, clinical appropriateness of the hospice patient, the regulatory guidelines of the Medicare Hospice Benefit, hospice reimbursement, primary care reimbursement, and employment opportunities in hospice.
Topics: Communication; Continuity of Patient Care; Hospice Care; Humans; Insurance, Health, Reimbursement; Interdisciplinary Communication; Palliative Care; Patient Care Team; Patient-Centered Care; Physicians, Primary Care; Primary Health Care; Prognosis; Quality of Life; Referral and Consultation; Time Factors; Truth Disclosure
PubMed: 31375183
DOI: 10.1016/j.pop.2019.04.002 -
The Medical Clinics of North America Jan 2021
Topics: Ambulatory Care; Humans; Patient Care; Patient-Centered Care
PubMed: 33246527
DOI: 10.1016/j.mcna.2020.10.007 -
The Hastings Center Report Jul 2019"Sit down," Mr. R demanded. "I've got something to say to you." I shot the medical student a querying glance as we simultaneously sunk into our chairs. He continued,...
"Sit down," Mr. R demanded. "I've got something to say to you." I shot the medical student a querying glance as we simultaneously sunk into our chairs. He continued, "You don't know me, and I got some things to tell you." I thought I knew Mr. R, and I certainly had some idea of what he was all about. But then he called to me. In his summoning, Mr. R arrested all my preconceived ideas about him. And as the medical student and I began to understand him better, we wanted to know more. We began to engage him more deeply. In the subsequent days, caring for him somehow felt easier, akin to the care one gives a distraught friend rather than a difficult patient.
Topics: Humans; Patient Care; Physician-Patient Relations; Trust
PubMed: 31429955
DOI: 10.1002/hast.1027 -
Journal of the American College of... Jan 2021
Topics: Cardiology; Humans; Outcome Assessment, Health Care; Patient Care; Societies, Medical
PubMed: 33384193
DOI: 10.1016/j.jacc.2020.12.001 -
Revista Brasileira de Enfermagem 2022To analyze the needs and facilitating and hindering elements related to transitional rehabilitation care. (Review)
Review
OBJECTIVE
To analyze the needs and facilitating and hindering elements related to transitional rehabilitation care.
METHODS
Integrative literature review oriented toward answering the question "What nursing interventions guarantee transitional rehabilitation care to dependent adult or elderly people when they return home after hospitalization?".
RESULTS
The patients did not participate much in the planning of hospital discharge and decision-making when they had to return home. Informal caretakers reported that professionals showed detachment during hospitalization and delayed guiding instructions. Health professionals mentioned lack of time to offer this care modality as a difficulty.
FINAL CONSIDERATIONS
Ensuring training, follow-up, and coordination between care levels is essential. Care integration can reduce hospital stay and the impact of post-discharge complications. Transitional care contributes to a sustainable health system, higher care quality, and client satisfaction.
Topics: Adult; Aftercare; Aged; Continuity of Patient Care; Humans; Patient Discharge; Patient Satisfaction; Transitional Care
PubMed: 35584420
DOI: 10.1590/0034-7167-2021-0399