Doctor insights on:
Critical Care Progress Note Template
Palliative care question: good reference guideline for end-stage COPD clinical/functional markers for poor response to CPR, and should recommend DNR?
COPD and DNR: I recommend going to uptodate and review what their recommendations are. This is the best source of good medical information I have found. When you read the sections on these issues you can also click on the reference to see the cited reference. ...Read more
Sticky issue: This is a huge question. On one hand, online records can be transmitted quickly when medically needed. This could save a life. On the other hand, this quick transmission can also allow breaches of privacy that are potentially painful, embarrassing, and invasive. Balancing these things is precarious! electronic records seems to be where we're going, so we need safeguards to do it well. ...Read moreSee 1 more doctor answer
Can a md. Deny medicare-paid hospice end-stage dementia patient physical therapy if patient's family requests it to maintain movement with new law?
Hmmm . . . : Could there maybe be a disagreement between this physician and your family about what's in the patient's best interests? This is a deep discussion that involves much thought and consideration, and which deserves scheduled time with your relative's doctor to go over treatment plans, prognosis, etc. Maybe such a discussion can resolve these issues? Doctors want to help, not hurt or harm. ...Read moreSee 1 more doctor answer
It will benefit you: Some health workers don't like electronic records, but they benefit patients. You can get electronic copies of your records. Is a law, and your right, although they can charge for this. http://www.hhs.gov/ocr/privacy/hipaa/understanding/consumers/medicalrecords.html. Electronic records also can remind doctors to do things that need to get done. ...Read moreSee 1 more doctor answer
What to expect at new patient appointment with family practice doctor? If health history is complex is writing out ahead of time advised?
See below.: Every doc is different, but yes. Please write out your story. Try organizing it by: medical issues / hospitalizations surgeries family history social history - alcohol, tobacco, etc. Medication list immunizations screening tests (colon, breast and cervical). ...Read moreSee 2 more doctor answers
Counting on your valuable support in seeking healthy living until the end of life.
No questions to ask.
Here they are.: No smoking, flu shot, pneumonia shot, breathing exercises, compliance with maintenance inhalers, prompt treatment for respiratory infections, avoidance of drugs that depress breathing, oxygen may be necessary, avoid beta blockers, monitor lung functio tests. ...Read moreSee 1 more doctor answer
Global health organisation warns families to prepare emergency family plan: what medicine and supplies.?
Six basic supplies: 1 water mke sure you have water for basic needs for 3 days 2 food non perishable for st least 3 days 3 first aid and supplies 4 clothing and beddings appropriate 5 tools and special items like flash lights and fresh batteries 6 battery powered communication devices and dont forget copies of important documents like drivers licence, passports. Prescription medicines and over the counter meds. ...Read more
Global health organisation warn families to prepare emergency family plan with medicine and supplies.?
Six basic supplies: 1 water mke sure you have water for basic needs for 3 days 2 food non perishable for st least 3 days 3 first aid and supplies 4 clothing and beddings appropriate 5 tools and special items like flash lights and fresh batteries 6 battery powered communication devices and dont forget copies of important documents like drivers licence, passports., list of phone numbers prescription medicines. ...Read more
A little unclear ??: Are you maybe asking whether primary care doctors treat people with mental health diagnoses differently from other patients? I'm not sure this is what you mean -- but if so, all patients should receive the same level of care. However, mental health issues do impact overall health and how able people are to participate in their care. Mental health needs consideration in the whole picture. ...Read more
Any advantage to allowing insurance company to assign a rn to manage one's ongoing medical care and decisions?
Yes: If well trained, caring, thoughtful, & beholden to his/her expertise can bring doctor's concerns to insurance company & get case moved along. Unfortunately, as I have observed, such nurses sometimes get fired for not adhering to common insurance company posture of knee-jerk denials and cost savings. In any case the nurse enlarges target for the doctor's advocacy. So yes, get one. ...Read moreSee 1 more doctor answer
Govt regulation: Emr is being introduced in a phased manner- cms guidelines. All hospitals and offices are to implement electronic records. There are so many technical difficulties with these programs, but they are getting better. As of now, most doctors have not embraced them as well. ...Read more
Often through social: workers, online communities or through office personnel. Support groups are everywhere and usually free. United Way in my area forms the connection hub to most, but County hotlines are very helpful. Some cities even have special phone lines for available services. San Diego has 211. Some psychologists form their own support groups out of existing patient pools. Be creative. ...Read more
Upon the completion of appropriate dental work and proper home care is advanced periodontitis curable?
Local DSS: Your local department of social services will have a complete list of regulations and features that an adult daycare should possess. You can also investigate if the ones you're looking at have been cited, and for what. The state dept of social services will also possess such a list of regulations, though they do not do the inspections themselves. ...Read more
Standard of care for terminally ill patients is the standard of care permitted to be lowered for terminally ill, bedridden patients? Thank you for your responses. Dnr and comfort care were not requested, in fact, we asked that they do their best [in the
Hello. : Hello. It shouldn't be. If anything, these patients may have more needs because of how they have been limited by their illness. ...Read more
Critical care nurses: Critical care nurses are very important because they have a unique skill set to take care of patients who are so ill that they require support of their basic life functions. Some of these patients rely on mechanical ventilators to help them breath, dialysis machines to replace the function of their kidneys and powerful intravenous medications to support their heart and blood pressure. ...Read moreSee 2 more doctor answers
Critical care nurse: A critical care nurse takes care of patients who are in the intensive care unit. These are the sickest patients in the hospital and have conditions that impair their life functions such as breathing, kidney function, blood pressure control and heart function. ...Read moreSee 1 more doctor answer
Hypermetabolic: Critically ill patients are typically hypermetabolic meaning they're requiring large amounts of energy to repair and maintain normal physiologic systems. This energy requires food to replenish or else muscle will be lost to provide energy stores. Even with feeding, many people have a net loss of weight and muscle mass with critical illnesses. ...Read moreSee 1 more doctor answer
ICU Pharmacist: A critical care pharmacist is a pharmacist who specializes in the critical care or ICU where the needs of the patient are different than the regular floor of the hospital. They assist the Intensivist by recommending dose adjustment, alternate medication options in addition to preparing the IV mixture of the medication. They are an integral part of the ICU treatment team. ...Read more
ICU: Hi. The intensive care unit may be run by various specialists: medical ICU is usually run by pulmonary critical care, cardiac ICU is run by cardiology, surgical ICU is run by anesthesiologists with surgical input, pediatric ICU and neonatal ICU are run by pediatric intensivists, neurological ICU is run by neurological intensivists. What ICU a patient ends up in depends on patient problem. ...Read moreSee 2 more doctor answers
Manage symptoms: Intensivists work with the obstetricians in a multidisciplinary, multispecialty collaborative practice team. Major treatment is to treat symptoms and manage preeclampsia. Specific treatment may include control of blood pressure, drugs for seizures. The only real treatment is delivery of the baby; the ICU team helps control the symptoms until the OB believes risk/benefit is in favor of delivery. ...Read moreSee 1 more doctor answer
No: Training in critical care is a must for rns who work there, but a special certification can be obtained (ccrn) which denotes advanced training and expertise. Rn's have to pass a special test to get this qualification and only a minority of critical care rn's have it. ...Read moreSee 1 more doctor answer
Please tell me if it is normal for critical care doctors to not update family member on a loved ones status?
Not usually: It really depends on which team is the primary team taking care of your loved one. Many times the critical care team is the primary team who is responsible for updating family members as well as providing care. Sometimes however the critical care team is only a consultant team and at the request of the primary team may give minor updates to the family if the primary team wants to take that role. ...Read moreSee 1 more doctor answer
ICU: Critical care specialists are trained to take care of the sickest patients in the hospital who require special expertise in complex management of multiple organ systems. They coordinate the care of other specialists and work as the leader of the team managing patients with life threatening illnesses. ...Read moreSee 1 more doctor answer
Critical care doc: If your child needs critical care treatment, he/she would presumably be cared for in an intensive care unit (icu), or more specifically a pediatric ICU (picu). The main physicians caring for your child there would be pediatric intensivists and/or surgical critical care specialists. There might be other specialists consulting on the case, too. There would also be ICU nurses and other therapists. ...Read moreSee 1 more doctor answer
What to do if I'm looking for tests for anesthesiology and critical care medicine in haad. is anybody knows about it?
Visit your doctor: Visit your physician see if he will refer you to an anesthesiologist for a consult. ...Read more