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Explore chapters and articles related to this topic
Sensors and the Internet of Things
Published in Connie White Delaney, Charlotte A. Weaver, Joyce Sensmeier, Lisiane Pruinelli, Patrick Weber, Nursing and Informatics for the 21st Century – Embracing a Digital World, 3rd Edition, Book 3, 2022
The IoT will also change where care is provided. Historically, diagnosis and treatment of disease conditions were provided where providers and medical equipment were available such as in hospitals and outpatient clinics. However, with data streaming to providers via the IoT, advances in telehealth, self-administered tests and home monitoring equipment will allow patients to remain in their homes for much of their care. This transition from a hospital-centric model to an outpatient model already is and will continue to have a profound impact on nursing practice.
Introduction
Published in Janet Thomas, Understanding and Supporting Professional Carers, 2021
As my career developed I found that colleagues had a habit of seeking my support in times of stress. I also gained a reputation for being sympathetic and approachable in my clinical work. Patients have subtle ways of getting what they want from the NHS. Outpatient clinics may often seem to be badly organised, but the disorganisation allows patients to manipulate the system so that they are often able to see the doctor who best suits them. In my experience the patients who wanted time to talk over their fears and explore their treatment options would ask to see me, whereas the patients who wanted a detailed exposition of the latest research chose another colleague.
Emergency medicine
Published in Roy Palmer, Diana Wetherill, Medicine for Lawyers, 2020
The emergency medicine department is often confused with other hospital facilities, such as the outpatient clinic. In an emergency medicine department, due to the way it is staffed, a patient will not get a long consultation with a senior doctor in the same way that they might in an outpatient clinic. In general, emergency medicine department doctors are discouraged from making referrals direct to outpatient clinics in other specialties, as this may duplicate the work of the GP. Also, this would cut the GP out of the information loop and a major player in the provision of healthcare is left unaware of what is happening to their patient.
Prevalence and consequences of concurrent dizziness on disability and quality of life in patients with long-lasting neck pain
Published in Physiotherapy Theory and Practice, 2023
Mari K. Knapstad, Tove Ask, Jan S. Skouen, Frederik K. Goplen, Stein Helge G. Nordahl
The outpatient clinic is a secondary care clinic that admits patients from primary care physicians presenting with long-lasting musculoskeletal and neck disorders who are either on sick-leave or at risk of sick-leave absence. Patients with long-lasting neck pain (> 3 months) as their primary complaint were consecutively recruited from August 2017 to July 2018. These patients could have either idiopathic or traumatic origin. Age range of participants was 18–67 years. Exclusion criteria was severe disease such as fractures or cancer, language barriers associated with completing self-reported questionnaires or inability to undergo the physical tests (e.g. high pain intensity or nausea). The participants were divided into two groups: neck pain with dizziness (NPD) and neck pain without dizziness (NP). The participants were given oral and written information and gave their written consent. The project was given ethical approval by the Regional Committee for Health and Medical Research Ethics of South-Eastern Norway (REK 2017/783).
Reducing inappropriate polypharmacy for older patients at specialist outpatient clinics: a systematic review
Published in Current Medical Research and Opinion, 2023
Louise Clarkson, Laura Hart, Alfred K. Lam, Tien K. Khoo
Specialist outpatient clinics are an additional type of setting to review for inappropriate medication use, especially for older patients who often suffer from co-morbidity and are at significant risk of polypharmacy. Deprescribing for hospital inpatients may not be an aspect of focus during acute admission and, in primary care, general practitioners might be reluctant to cease medications prescribed elsewhere. A specialist outpatient clinic provides a setting for experts to appraise medical conditions that might change the risk-benefit profile of existing medications. The evidence for deprescribing interventions in outpatient clinics is very limited; however, the addition of a pharmacist and use of validated medication assessment tools appear to be enablers. The most effective way to incorporate a deprescribing intervention has not been established and requires more research, but it might involve a multidisciplinary clinic that includes a pharmacist or a targeted pharmacist-led, physician-implemented intervention. It is also possible that the existence of a specific polypharmacy service could help to break the lack of intervention for patients with high medication burdens. Further research is warranted to confirm whether this approach is effective, the changes can be maintained, and that this approach translates to clinical benefit.
Does the Andersen Behavioral Model for health services use predict how health impacts college students’ academic performance?
Published in Journal of American College Health, 2022
The role of enabling characteristics in examining USCs, such as receipt of health information, distance from care, wait times, and social support to the health of college students has been examined in some previous studies. Students typically use the Internet for knowledge attainment on health topics to create healthy lifestyles and as a preventive measure against chronic diseases.25 In a study on outpatient clinics, students typically waited an average of 28 days before getting an appointment and had to wait one hour or more after their appointment time to be seen, and longer wait times negatively correlated with quality care.26 One study found that time and proximity to health facilities were not significant determinants of health service utilization.27 Having a social support network, such as a mother or father, has been shown to improve the quality of life and mental health of college students.28 Open parent-child communication encourages productive conversations and allows parents to promote healthy behaviors among their child.29,30 Students with such support that utilize on-campus counseling centers and health centers have also been linked to better academic achievement.31