Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
10 Cards in this Set
- Front
- Back
|
Medically Complex Patients
|
Patients who have several comorbid
conditions often with cardiopulmonary overlay that significantly compromises their ability to function |
|
|
Comorbidities
|
COPD ARF CRF
Pneumonia/ Double pneumoonia CHF DM HTN ESRD |
|
|
Disease Pathogenesis
|
Acute Illness if often caught early
lead to lesser problems or minimal Impairments. example- TIA, angina, |
|
|
Disease Pathogenesis
|
When the problems of acute Illness
are not resolved it may lead to chronic state. Example - acute Airway diseases acute renal failure |
|
|
Disease Pathogenesis
|
Chronic Illness puts our body in a DEMAND state means needing
attention/monitoring/maintainance Frequent Labs Frequent consults Frequent Therapy /Interventions Frequent Hospitalisations Poly pharmacy may be required One drug to offset the Adverse effects of the other. For example Cancer and chemo patients are often on Morphine and Ondasetron |
|
|
Disease Pathogenesis
|
A disease may have its own way of
Onset Duration Course- Remission/Relapse/Exacerbation Acute =subacute= chronic = end -stage/terminal |
|
|
Disease Management
|
Chronic Illness = Demand state=
May need Skilled Nursing Skilled Rehab Special challenges in tx Low tolerance Low Motivation Refusals Little -documented/measurable outcomes |
|
|
Medically Complex Patient - Management
|
Very ill or critical patients don't make too
great of a Progress. Hence Documentation of Improvement is done in small increments pt will decrease his fall risk by 50 %by following safety precautions 50% of the time pt will attempt to walk the length of the( parelell bars/bed to bathroom) x 3 reps with minimal assist |
|
|
Medically complex Patient - Management
|
Need to Understand the disease process
Incubation period (If Infectious) Mode of onset Duration of illness complications treatment recieved Past status/current status current difficulties/ problems/impairments prognosis /goals/outcomes |
|
|
The ERA of Managed care
|
Case management is the best way
to deal with the management of the medically complex; |
