¶ … Patient's History
The medical history of a patient is a crucial first step for the appropriate evaluation of the patient. It is a list of questions given to the patient or people who known the patient well with the intent of obtaining data that is useful in formulating a diagnosis and providing quality and appropriate medical care to the individual. Within this crucial step, one must be diligent about following a checklist or system in order to ensure that one gleans the appropriate information to assist in clinical diagnosis. The medical relevant complaints from a patient, for instance are called symptoms. Clinical Signals or Clinical Signs, however, are different and are described by medical personnel examining the patient. Within the rubric of a medical history, however, there are various levels of detail necessary depending on the circumstances. For instance, a paramedic might limit detail to critical information about drug interaction or allergies; a General Practitioner would want a more detailed medical history of the individual and the family in order to form a profile; and in many cases, a psychiatric history is usually quite long and detailed in order to process a template for a management plan (Tierney and Henderson, 2005).
Thus, the information obtained by a medical history is important in all aspects, particularly when the patient is in a new or emergency clinical situation. Together with a clinical examination, the medical history allows the medical staff to form both a diagnosis and treatment plan, or to make a provisional diagnosis and call in a specialist or order tests to clarify the original diagnosis. In addition, it is important to note that within a medical situation, patients will be at varying degrees of comfort and may or may not ask appropriate questions, or volunteer private information. For this reason, it is especially important that the medical history be thorough, yet sensitive. Research shows that, at times, patients may be more comfortable sharing personal information with the Nurse rather than...
Patient Centered Medical Homes (PCMH) are often confused as being actual "homes" for patients to be admitted in and given medical treatment and care. PCMH is actually a health care model based on which health care is provided to patients, under the supervision of physicians. The PCMH model of health care provides patients with continuous, comprehensive medical care, in order to increase the chances of achieving the goal of benefitting
Patient Centered Medical Homes In the 1960s, the medical home concept referred to as patient centered medical home was developed.In order to reform the healthcare in the U.S.; the patient centered medical homes are evolving as a centerpiece of efforts (Bates, 2010). Basically, PCMH can be defines as a primary care model that offers coordinated and comprehensive care to the patients in order to improve health outcomes. PCMH is also recognized
Patient History The patient's medical history involved a resected colorectal carcinoma at the age of 60, with no evidence of metastatic disease. Liver function was normal at the time of surgery. Three years later, the female patient was found to have serum bilirubin levels of 20 ?mol/L. The serum levels for aspartate aminotransferase (AST) and alkaline phosphatase (ALP) were 23 U/L and 820 U/L, respectively. Interpretation of the Laboratory Tests High serum levels
Patient histories can often provide a great deal of information about their condition and what the underlying causes may be. As such, taking an accurate patient history can be one of the most important aspects of a patient's visit to a medical facility. There are a number of factors that are important with respect to taking a patient's history, and they include one's ability to gain accurate information, one's
Patient Handoffs Majority of the medical errors take place in the patient's handoffs. A shift among the doctors is a common practice. There are a number of old patients who approach around 16 different doctors in a year, while young patients who are healthy refer to normal physicians and to specialists as well (Philibert, 2008). In a hospital normally, less attention is given to the patient by his primary doctor, while
Medical/Nursing Education Nurses are required to make many immediate decisions in their assigned duties. Unfortunately, in recent years, patient care has often been compromised as a nursing shortage crisis has escalated to epic proportions. Increased patient loads have resulted in often hasty nursing decisions as responsibilities and hours worked have increased. Although precious time must be spread thin to accommodate higher numbers of patients, nurses must exercise their morals through consistency
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