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Inpatient Care
Inpatient care is the care of patients whose condition requires admission to a hospital. Progress in modern medicine and the advent of comprehensive out-patient clinics ensure that patients are only admitted to a hospital when they are extremely ill or have severe physical trauma. Progress Patients enter inpatient care mainly from previous ambulatory care such as referral from a family doctor, or through emergency medicine departments. The patient formally becomes an " inpatient" at the writing of an admission note. Likewise, it is formally ended by writing a discharge note. Planning for patient discharge Health care professionals involved in rehabilitation are often involved in discharge planning for patients. When considering patient discharge, there are a number of factors to take into consideration: the patient's current state, their place of residence and the type of support available. When considering the patient's current state, although the patient may be eligible f ...
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Patient
A patient is any recipient of health care services that are performed by Health professional, healthcare professionals. The patient is most often Disease, ill or Major trauma, injured and in need of therapy, treatment by a physician, nurse, optometrist, dentist, veterinarian, or other health care provider. Etymology The word wikt:patient, patient originally meant 'one who suffers'. This English noun comes from the Latin word , the present participle of the deponent verb, , meaning , and akin to the Ancient Greek, Greek verb ( ) and its cognate noun (). This language has been construed as meaning that the role of patients is to passively accept and tolerate the suffering and treatments prescribed by the healthcare providers, without engaging in Shared decision-making in medicine, shared decision-making about their care. Outpatients and inpatients An outpatient (or out-patient) is a patient who attends an Outpatient clinic (hospital department), outpatient clinic with no ...
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Hospital De Jesús Nazareno
The Church and Hospital of Jesús Nazareno buildings are located in the historic center of Mexico City, in México, D. F., Mexico. The hospital is still in operation, housed in a Modernist building, located in front of the original one, and beside the former church. Both historic buildings and their courtyards are 17th-century Spanish colonial era architecture. History The Church and Hospital are supposedly located at the spot where Hernán Cortés and Moctezuma II met for the first time in 1519, which was then the beginning of the causeway leading to Iztapalapa. Cortés ordered the hospital built to tend to Aztec soldiers wounded fighting with the Spanish. In his last will, Cortés states that he wanted the hospital to be built for the sons of the Aztec warriors who had perished in battle during the Conquest of Tenochtitlan. This was not an institution for wounded Spanish soldiers. In 1646, the hospital was the site of the first autopsies performed on the American continent, pe ...
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Medical Observation
Medical observation is a medical service aimed at continued care of selected patients, usually for a period of 6 to 24 (sometimes more) hours, to determine their need for inpatient admission. This service is usually provided in emergency departments. A patient held for observation is not admitted to the hospital, though there are certain similarities: patients will be checked in, pertinent information from the patient or their representative can be taken, and nurse(s) and doctor(s) from the given department may visit and a physical exam and personal and family history, and basic blood and imaging tests be conducted, and a bracelet for the observation period be given to the patient. However, they are not admitted formally to the hospital as an inpatient. They may be assigned a bed on the hospital's patient floors outside of the ER or the department they arrived in, or in a dedicated observation unit. An EmPATH unit is a specialized type of hospital-based outpatient medical observa ...
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Medicaid
Medicaid is a government program in the United States that provides health insurance for adults and children with limited income and resources. The program is partially funded and primarily managed by U.S. state, state governments, which also have wide latitude in determining eligibility and benefits, but the federal government sets baseline standards for state Medicaid programs and provides a significant portion of their funding. States are not required to participate in the program, although all have since 1982. Medicaid was established in 1965, part of the Great Society set of programs during Presidency of Lyndon B. Johnson, President Lyndon B. Johnson’s Administration, and was significantly expanded by the Affordable Care Act (ACA), which was passed in 2010. In most states, any member of a household with income up to 138% of the federal Poverty line in the United States#Measures of poverty, poverty line qualifies for Medicaid coverage under the provisions of the ACA. A 201 ...
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Medicare (United States)
Medicare is a federal health insurance program in the United States for people age 65 or older and younger people with disabilities, including those with End Stage Renal Disease Program, end stage renal disease and amyotrophic lateral sclerosis (ALS or Lou Gehrig's disease). It started in 1965 under the Social Security Administration and is now administered by the Centers for Medicare and Medicaid Services (CMS). Medicare is divided into four parts: A, B, C and D. Part A covers hospital, skilled nursing, and hospice services. Part B covers outpatient services. Part D covers self-administered prescription drugs. Part C is an alternative that allows patients to choose private plans with different benefit structures that provide the same services as Parts A and B, usually with additional benefits. In 2022, Medicare provided health insurance for 65.0 million individuals—more than 57 million people aged 65 and older and about 8 million younger people. According to annual Medicare ...
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Paraná (state)
Paraná () is one of the 26 states of Brazil, in the Southern Region, Brazil, south of the country. It is bordered in the north by São Paulo (state), São Paulo state, in the east by the Atlantic Ocean, in the south by Santa Catarina state and the province of Misiones Province, Misiones, Argentina, and in the west by Mato Grosso do Sul and Paraguay, with the Paraná River as its western boundary. It is subdivided into List of municipalities in Paraná, 399 municipalities, and its capital is the city of Curitiba. Other major cities are Londrina, Maringá, Ponta Grossa, Cascavel, São José dos Pinhais and Foz do Iguaçu. The state is home to 5.4% of the Brazilian population and generates 6.2% of the Brazilian GDP. Crossed by the Tropic of Capricorn, Paraná has what is left of the araucaria forest, one of the most important subtropical forests in the world. At the border with Argentina is the National Park of Iguaçu, considered by UNESCO as a World Heritage Site. from there, at ...
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The New England Journal Of Medicine
''The New England Journal of Medicine'' (''NEJM'') is a weekly medical journal published by the Massachusetts Medical Society. Founded in 1812, the journal is among the most prestigious peer-reviewed medical journals. Its 2023 impact factor was 96.2, ranking it 2nd out of 168 journals in the category "Medicine, General & Internal". History In September 1811, Boston physician John Collins Warren, along with James Jackson, submitted a formal prospectus to establish the ''New England Journal of Medicine and Surgery and Collateral Branches of Science'' as a medical and philosophical journal. Subsequently, the first issue of the ''New England Journal of Medicine and Surgery and the Collateral Branches of Medical Science'' was published in January 1812. The journal was published quarterly. In 1823, another publication, the ''Boston Medical Intelligencer'', appeared under the editorship of Jerome V. C. Smith. The editors of the ''New England Journal of Medicine and Surgery and th ...
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Robert Wachter
Robert M. "Bob" Wachter is an academic physician and author. He is on the faculty of University of California, San Francisco, where he is chairman of the Department of Medicine, the Lynne and Marc Benioff Endowed Chair in Hospital Medicine, and the Holly Smith Distinguished Professor in Science and Medicine. He is generally regarded as the academic leader of the hospitalist movement, the fastest growing specialty in the history of modern medicine. He and a colleague, Lee Goldman, are known for coining the term "hospitalist" in a 1996 ''New England Journal of Medicine'' article. Education Wachter attended college and medical school at the University of Pennsylvania. He completed a residency and chief residency in internal medicine at UCSF, then was a Robert Wood Johnson Clinical Scholar in Health Policy, Ethics, and Epidemiology at Stanford University. He joined the faculty at UCSF in 1990. In 2011, Wachter studied patient safety and hospital medicine at Imperial College London ...
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Hospital Medicine
Hospital medicine is a medical specialty that exists in some countries as a branch of family medicine or internal medicine, dealing with the care of acutely ill hospitalized patients. Physicians whose primary professional focus is caring for hospitalized patients only while they are in the hospital are called hospitalists. Originating in the United States, this type of medical practice has extended into Australia and Canada. The vast majority of physicians who refer to themselves as hospitalists focus their practice upon hospitalized patients. Hospitalists are not necessarily required to have separate board certification in hospital medicine. The term ''hospitalist'' was first coined by Robert Wachter and Lee Goldman in a 1996 ''New England Journal of Medicine'' article. The scope of hospital medicine includes acute patient care, teaching, research, and executive leadership related to the delivery of hospital-based care. Hospital medicine, like emergency medicine, is a specia ...
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Grand Rounds
Grand rounds are a methodology of medical education and inpatient care, consisting of presenting the medical problems and treatment of a particular patient to an audience consisting of doctors, pharmacists, residents, and medical students. It was first conceived by clinicians as a way for junior colleagues to round on patients. The patient was traditionally present for the round and would answer questions; grand rounds have evolved with most sessions rarely having a patient present and being more like lectures. An actor portrays the patient in some instances. Grand rounds help doctors and other healthcare professionals keep up to date in important evolving areas which may be outside of their core practice. Most departments at major teaching hospitals will have their own specialized, often weekly, grand rounds. Attending grand rounds is also an important supplement to medical school and on-the-job resident training. Grand rounds can also be distinguished from rounds which is th ...
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General Practitioner
A general practitioner (GP) is a doctor who is a Consultant (medicine), consultant in general practice. GPs have distinct expertise and experience in providing whole person medical care, whilst managing the complexity, uncertainty and risk associated with the continuous care they provide. GPs work at the heart of their communities, striving to provide comprehensive and equitable care for everyone, taking into account their health care needs, stage of life and background. GPs work in, connect with and lead multidisciplinary teams that care for people and their families, respecting the context in which they live, aiming to ensure all of their physical health and mental health needs are met. They are trained to treat patients to levels of complexity that vary between countries. The term "primary care physician" is used in the United States. A core element in general practice is continuity of care, that bridges episodes of various illnesses over time. Greater continuity with a gen ...
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Nightingale School Of Nursing
The Florence Nightingale Faculty of Nursing, Midwifery & Palliative Care is an academic faculty within King's College London. The faculty is the world's first nursing school to be continuously connected to a fully serving hospital and medical school ( St. Thomas' Hospital). Established on 9 July 1860 by Florence Nightingale, the founder of modern nursing, it was a model for many similar training schools through the UK, Commonwealth and other countries for the latter half of the 19th century. It is primarily concerned with the education of people to become nurses and midwives. It also carries out nursing research, continuing professional development and postgraduate programmes. The Faculty forms part of the Waterloo campus on the South Bank of the River Thames and is now one of the largest faculties in the university. The school is ranked as the number one faculty for nursing in London and in the United Kingdom whilst third in the world rankings and belongs to one of the lead ...
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