Informed Patient

A. Friedman Karen, L. Merwin Sara

Description

Even the most capable individuals are challenged when confronted with the complexity of the modern hospital experience. The Informed Patient is a guide and a workbook, divided into topical, focused sections with step-by-step instructions, insights, and tips to illustrate what patients and their families can expect during a hospital stay. Anyone who will experience a hospital stay-or friends or family who may be in charge of a patient's care-will find all the help and advice they could need in the detailed sections that cover every aspect of what they can expect.Karen A. Friedman, MD, and Sara L. Merwin, MPH, offer hands-on advice about how patients, health care providers, and medical staff can work together to achieve good outcomes. Through anecdotes, tips, sidebars, and clinical scenario vignettes, The Informed Patient presents ways to enhance and optimize a hospital stay, from practical advice on obtaining the best care to dealing with the emotional experience of being in the hospital.

Sujets

• Doctor
• Self-help

Informations

• Publié par: Cornell University Press
• Date de parution: 15 novembre 2017
• Nombre de lectures: 0
• EAN13: 9781501714061
• Langue: English
• Poids de l'ouvrage: 2 Mo

Extrait

THE INORMED PATIENT

A volume în the serîes

THECULTUREANDPOLITICSOFHEALTHCAREWORK edîted by Suzanne Gordon and Sîoban Nelson

A lîst o tîtles în thîs serîes îs avaîlable at cornellpress.cornell.edu.

THE INFORMED PATIENT

A COMPLETE GUIDE TO A HOSPITAL STAY

Karen A. rîedman, MD, and Sara L. Merwîn, MPH

ILR Press an împrînt o Cornell Unîversîty Press Ithaca and London

Copyright © 2017 by Cornell University

All rights reserved. Except for brief quotations in a review, this book, or parts thereof, must not be reproduced in any form without permission in writing from the publisher. For information, address Cornell University Press, Sage House, 512 East State Street, Ithaca, New York 14850.

First published 2017 by Cornell University Press Printed in the United States of America

Library of Congress CataloginginPublication Data Names: Friedman, Karen A., author. | Merwin, Sara L., author. Title: The informed patient : a complete guide to a hospital stay / Karen A. Friedman, MD, and Sara L. Merwin, MPH. Description: Ithaca : ILR Press, an imprint of Cornell University Press, 2017. | Series: The culture and politics of health care work | Includes index. Identifiers: LCCN 2017016231 (print) | LCCN 2017017264 (ebook) | ISBN 9781501714061 (pdf) | ISBN 9781501714078 (epub/mobi) | ISBN 9781501709951 (pbk. : alk. paper) Subjects: LCSH: Hospital patients—Popular works. | Hospital care—Popular works. | Patient education—Popular works. | Patient advocacy—Popular works. | Consumer education—Popular works. Classification: LCC RA965.6 (ebook) | LCC RA965.6 .F75 2017 (print) | DDC 362.11—dc23 LC record available at https://lccn.loc.gov/2017016231

Cornell University Press strives to use environmentally responsible suppliers and materials to the fullest extent possible in the publishing of its books. Such materials include vegetablebased, lowVOC inks and acidfree papers that are recycled, totally chlorinefree, or partly composed of nonwood fibers. For further information, visit our website at cornellpress.cornell.edu.

This book contains information that is intended to help the readers be better informed consumers of health care. It is presented as general advice on health care. Always consult your doctor for your individual needs.

Contents

Preace: How It All Began and Why We Wrote Thîs Book Acknowledgments

1. Why You Need This Book and How to Use This Book Some Statîstîcs Medîcal Errors and Beyond Why You Need to Be an Advocate or Have an Advocate What You Wîll Learn Here Is How You Can Use Thîs Book to Best Advantage About Termînology

2. The Changing Landscape o Medicine More Changes: Hospîtalîsts versus GPs and amîly Doctors Who Come to the Hospîtal Rapport and Comort versus Eicîency and Qualîty Care Other Prîmary Care Provîders HIPAA Health Systems and Hospîtals: The Acute or Short-Stay Hospîtal and Beyond Lînkîng Your Inormatîon: The Electronîc Medîcal Record

3. The Emergency Department Experience Why Am I Not Beîng Seen? I Was Here îrst Regîstratîon and Trîage The Workup Hîstory Takîng în the ER—What Is a Hîstory Anyway? Medîcatîons and Medîcatîon Reconcîlîatîon

Xî Xv

     4 



 9 9 

 4

 6 6   9

v î C O N T E N T S

Dîagnostîc Tests în the ER ER StaF, Consultants, Technîcîans, and Specîalîsts Treat îrst, Ask Questîons Later Gettîng Admîtted or Goîng Home Paperwork and More Paperwork Short-Stay Unîts (SSU) Delays în Gettîng a Bed

4. Getting Settled and Finding Your Way Your Hospîtal Room Same-Day Admît or Surgery and Other Procedures Unplanned Admîssîons ater Procedures or Outpatîent Surgery Your Roommates Navîgatîng the Unît Vîsîtors Hîstory and Medîcatîon Reconcîlîatîon Agaîn

5. Figuring Out the Care Team The Nurse Is Key—Whîch One Is the Nurse Anyway? Two “New” Provîder Types Types o Hospîtal Proessîonals and StaF Gettîng the Attentîon o Busy Health Care Proessîonals and StaF

6. Physicians o All Kinds The Quarterback, or Who’s în Charge? Rounds Physîcîan HandoFs Stayîng în Touch wîth Your Doctor on the Outsîde

7.

Lines, Ports, Drains, Tubes, and Catheters Lînes Ports Draîns Tubes Urînary Catheters

 6   9 9 9

  4

  9 4 4

 4 49 

7

  6 66 67

 69 7 7 74 76

C O N T E N T S v î î

8. Tests and Procedures in the Hospital Vîtal Sîgns: Temperature, Blood Pressure, Heart Rate, and Pulse OXîmetry Blood Tests (Blood Work) General Imagîng Tests Specîalty-Specîc Tests

9. Nutrition in the Hospital NPO Speech and Swallow Evaluatîon or eedîng and Dysphagîa Dîet luîd Restrîctîon Cardîac Dîet Low-îber Dîet Dîabetes Dîet Vîtamîn K and Antîcoagulants Alternate eedîng Routes Dîet în the ICU Nutrîtîonal Supplements Brîngîng în ood or the Patîent eedîng the amîly

10. Protocols and Precautions Hospîtal Rules Hand Washîng GI ProphylaXîs Aspîratîon Preventîon DVT or VTE ProphylaXîs Preventîon o alls Isolatîon Paîn Management Servîce Lît Equîpment Restraînts Preventîng Delîrîum Pressure Ulcers (Bedsores) Bed Rest versus Mobîlîzatîon Rapîd Responses Codes



7 7  

 

    4 4  7 7  

      4  7 7      

v î î î C O N T E N T S

11. Intensive Care Units (ICUs) Monîtorîng Ambîance în the ICU Physîcal Layout o the ICU Specîal Medîcatîons în the ICU Nutrîtîon în the ICU Vîsîtîng Hours Nursîng Ratîos ICU Protocols Specîalîzed ICUs ICU Organîzatîon Steppîng Down and Step-Down Unîts (Intermedîate Care Unîts)

12. Special Patient Populations Oncology Patîents wîth Cognîtîve Loss Drug and Alcohol Abuse Respîratory Care/Ventîlated Patîents Postsurgîcal Inectîons and Complîcatîons Stroke Patîents/Stroke Unît Psychîatrîc Patîents Your Hospîtalîzed Chîld Obstetrîcal (OB) Patîents EXtended Stays Clînîcal Trîals Advance Dîrectîves Ethîcs Commîttees The End o Lîe

13. Elective Surgery Evolutîon o Surgery Mînîmally Invasîve versus Open Surgery Unplanned versus Electîve Surgery Plannîng or Surgery Ater Surgery Convertîng rom Ambulatory (Outpatîent) Surgery to Admîssîon

 4   6 6 7 7   6

7

  4 4 4 4 4 4 44 46 4 49   

 4 4   6

66

14. Unplanned Surgery Medîcal Clearance Typîcal Unplanned Surgerîes Beore Unplanned Surgery Servîce Changes: Who’s în Charge? Your Room Ater Surgery

15. Discharge Actîvîtîes o Daîly Lîvîng (ADLs) The Process o Dîscharge Plannîng Rehabîlîtatîon Skîlled Nursîng acîlîtîes Connectîng wîth Your Doctor or Other Health Care Provîders ater Dîscharge Medîcatîon (Agaîn!!!!) Goals o Care Monîtorîng or Warnîng Sîgns and Symptoms When You Are Home

C O N T E N T S î X

16. Some Final Thoughts Showîng Apprecîatîon or the Health Care Team, Letters, Gîts o ood Usîng the Internet to Get Inormatîon about Illnesses Prîvate-Duty Nurses Medîcal rîends and amîly as Resources How You Can Deal wîth a Medîcal Error Partîcîpate în Your Care!

Glossary IndeX

 6 69 7 7 74 7

    

  6

7



 9 9 9 9 9

9 9