Children with Medical Complexity in the Emergency Department

Children with Medical Complexity in the Emergency Department
Author: Audrey Kamzan
Publisher: Springer
Total Pages: 0
Release: 2024-10-28
Genre: Medical
ISBN: 9783031625169
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Emergency medicine (EM) physicians practicing in the community are often the first providers to care for acutely ill children with medical complexity (CMC) as they arrive to their local emergency departments, which are often outside of major cities and may be in underserved areas. While many of these patients are ultimately transferred to tertiary care facilities at major medical centers such as theirs, EM physicians play a critical role in acutely stabilizing these patients prior to transfer or discharge home. This is despite often not having received specific education in this patient population during their training. The purpose of this text is to provide an educational tool for physicians and other health care providers in the acute care of CMC. Comprised of clinical cases, it is a valuable resource for both early learners (e.g., pediatric residents, emergency medicine residents) as well as providers in practice who may see these patients regularly in the ED but did not receive extensive training on the care of CMC. Each chapter includes figures/tables/illustrations to aid in learning and ends with a summary in the form of 3-5 Take-Away Pearls. Edited by three board-certified pediatric hospitalists, Children with Medical Complexity in the Emergency Department serves to help equip emergency medicine practitioners to provide optimal care for the most vulnerable and medically fragile patients in the communities they serve in order to enhance patient outcomes and provide a better experience for the patients’ families. Chapter authors have been recruited from the pediatrics and emergency medicine fields, including generalists as well as subspecialty experts in the areas of transplant medicine, gastroenterology, nephrology, and many more.

Emergency Care for Children

Emergency Care for Children
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 360
Release: 2007-05-08
Genre: Medical
ISBN: 0309133769
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Children represent a special challenge for emergency care providers, because they have unique medical needs in comparison to adults. For decades, policy makers and providers have recognized the special needs of children, but the system has been slow to develop an adequate response to their needs. This is in part due to inadequacies within the broader emergency care system. Emergency Care for Children examines the challenges associated with the provision of emergency services to children and families and evaluates progress since the publication of the Institute of Medicine report Emergency Medical Services for Children (1993), the first comprehensive look at pediatric emergency care in the United States. This new book offers an analysis of: • The role of pediatric emergency services as an integrated component of the overall health system. • System-wide pediatric emergency care planning, preparedness, coordination, and funding. • Pediatric training in professional education. • Research in pediatric emergency care. Emergency Care for Children is one of three books in the Future of Emergency Care series. This book will be of particular interest to emergency health care providers, professional organizations, and policy makers looking to address the pediatric deficiencies within their emergency care systems.

ICF

ICF
Author: Olaf Kraus de Camargo
Publisher: Mac Keith Press
Total Pages: 0
Release: 2019-03-25
Genre: Medical
ISBN: 9781911612049
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From time to time in the field of healthcare, an exciting new development emerges to challenge and potentially transform thinking and behaviour. The International Classification of Functioning, Disability and Health (ICF) and its framework is undoubtedly one of these transformative resources and is increasingly widely used in the field of childhood disability. This accessible handbook introduces the ICF to professionals working with children with disabilities and their families. It contains an overview of the elements of the ICF but focusses on practical applications, including how the ICF framework can be used with children, families and carers to formulate health and management goals. The Appendices contain case studies for individuals and interdisciplinary teams to work through and discuss, alongside other resources, and a copy of an ICF code set for children and youth is available to download online. Importantly, the book includes a chapter written by a parent of a child with impairments, illustrating the potential diverse applications of the ICF framework. The ICF’s relationship with patient-reported outcome measures (PROMs) and future alternatives to the current ICF framework are also examined. Clinicians, paediatricians and other healthcare providers in neurodisability, community-based health professionals, policy makers and the families and carers of children with disabilities will find this title an indispensable resource.

Health Care for People with Intellectual and Developmental Disabilities across the Lifespan

Health Care for People with Intellectual and Developmental Disabilities across the Lifespan
Author: I. Leslie Rubin
Publisher: Springer
Total Pages: 0
Release: 2016-05-10
Genre: Medical
ISBN: 9783319180953
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This book provides a broad overview of quality health care for people with intellectual and developmental disabilities (IDD). It focuses on providing the reader a practical approach to dealing with the health and well-being of people with IDD in general terms as well as in dealing with specific conditions. In addition, it offers the reader a perspective from many different points of view in the health care delivery system as well as in different parts of the world. This is the 3rd , and much expanded edition, of a text that was first published in 1989 (Lea and Fibiger). The second edition was published in 2006 (Paul Brookes) and has been used as a formal required text in training programs for physicians, nurses and nurse practitioners as well as by administrators who are responsible for programs serving people with IDD. This book is considered the “Bible” in the field of health care for people with IDD since 1989 when the first edition came out.

Pediatric Acute Care

Pediatric Acute Care
Author: Beth Nachtsheim Bolick
Publisher: Elsevier Health Sciences
Total Pages: 1282
Release: 2020-06-20
Genre: Medical
ISBN: 0323755828
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**Selected for Doody's Core Titles® 2024 in Critical Care** Stay up-to-date on the latest evidence and clinical practice in pediatric acute care with the definitive textbook in the field. Now in its second edition, Pediatric Acute Care: A Guide for Interprofessional Practice takes an evidence-based, interprofessional approach to pediatric acute care as it exemplifies the depth and diversity that's needed for the dynamic healthcare environments in which acutely ill children receive care. Coverage includes how to work with the pediatric patient and family, major acute care disorders and their management, emergency preparedness, common acute care procedures, and much more. With contributions from more than 200 practicing clinicians and academic experts, it represents a wide variety of disciplines including medicine, nursing, pharmacy, child life, nutrition, law, integrative medicine, education, public health, and psychology, among others. The second edition also features the addition of new physician and nurse practitioner co-editors as well as extensive content updates including updated evidence-based content throughout the text, the integration of the 2016 IPEC Core Competencies for Interprofessional Collaborative Practice, a new full-color design, and new vivid illustrations throughout. - UNIQUE! Interprofessional collaborative approach includes contributions from more than 200 practicing clinicians and academic experts from the U.S. and Canada, including nursing, medicine, pharmacy, child life, nutrition, law, integrative medicine, education, public health, and psychology. - Consistent organization within disorder chapters begins with a section on Physiology and continues with sections on Pathophysiology, Epidemiology and Etiology, Presentation, Differential Diagnosis, Diagnostic Studies, and a Plan of Care that include Therapeutic Management, Consultation, Patient and Family Education and Disposition and Discharge Planning. - Comprehensive content spanning five units divides coverage into introductory information, the approach to the pediatric patient and family, major acute care disorders and their management, emergency preparedness, and common acute care procedures. - NEW! Updated evidence-based content has been added throughout to ensure that you're up-to-date on all topics needed to provide care for pediatric patients in acute, inpatient, emergency, transport, and critical care settings. - NEW! Full-color design and illustrations enhance learning and make content easier to navigate and digest. - NEW! Integration of the 2016 IPEC Core Competencies ensure that you're learning the professional skills and protocols required for effective, contemporary interprofessional collaborative practice. - UPDATED! Streamlined procedures unit focuses more sharply on need-to-know content.

Medical Practice Variations

Medical Practice Variations
Author: Ana Johnson
Publisher: Springer
Total Pages: 0
Release: 2016-03-22
Genre: Medical
ISBN: 9781489976024
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This title deals with internationally documented variations in medical practice and health service that exist across countries as well as regions across a specific country. Such variations raise critical concerns about the quality, equity and efficiency of health care resources across the world. Health services researchers have long been aware of large variations in the use of medical care across regions and medical providers. In the 1930s, the British pediatrician J.A. Glover observed that the rates of tonsillectomy in British schoolchildren varied widely, depending on the district where the students lived and the doctors who examined them. This volume provides a contextual landscape for the study of health care utilization through the lens of medical practice variations. It is grounded in the pioneering work by medical care epidemiologist, Dr. John Wennberg, who revealed wide variations in elective surgical rates across small areas in the U.S. and his findings that these variations were generally not explained by differences in population illness rates or patient preferences but rather, there were strong associations between supply of health care resources, such as hospital beds and physicians and health care utilization. This volume introduces the concept of medical practice variations and its early history, outlines established concepts and frameworks, with an overview of methods used to understand the variations in medical care . It makes the case for outcomes research in determining what works in health care and policy reforms to rationalize how care is delivered. Each chapter synthesizes the current published literature in the field and covers a description of medical practice variations in the area, determinants of these variations and outcomes. It outlines the most current research on specific types of utilization such as inpatient care, emergency services, elective surgery, primary care, obstetric and gynaec ological care, mental health care and end-of-life care, among others. Studies of variation in condition-specific care focus on common conditions such as acute myocardial infarction, congestive heart failure, stroke, diabetes and procedures such as cancer surgery and joint replacement. Special topics include health care spending and quality, shared decision making and disparities.

Emergency Medical Services for Children

Emergency Medical Services for Children
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 415
Release: 1993-02-01
Genre: Medical
ISBN: 0309048885
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How can we meet the special needs of children for emergency medical services (EMS) when today's EMS systems are often unprepared for the challenge? This comprehensive overview of EMS for children (EMS-C) provides an answer by presenting a vision for tomorrow's EMS-C system and practical recommendations for attaining it. Drawing on many studies and examples, the volume explores why emergency care for childrenâ€"from infants through adolescentsâ€"must differ from that for adults and describes what seriously ill or injured children generally experience in today's EMS systems. The book points the way to integrating EMS-C into current emergency programs and into broader aspects of health care for children. It gives recommendations for ensuring access to emergency care through the 9-1-1 system; training health professionals, from paramedics to physicians; educating the public; providing proper equipment, protocols, and referral systems; improving communications among EMS-C providers; enhancing data resources and expanding research efforts; and stimulating and supporting leadership in EMS-C at the federal and state levels. For those already deeply involved in EMS efforts, this volume is a convenient, up-to-date, and comprehensive source of information and ideas. More importantly, for anyone interested in improving the emergency services available to childrenâ€"emergency care professionals from emergency medical technicians to nurses to physicians, hospital and EMS administrators, public officials, health educators, children's advocacy groups, concerned parents and other responsible adultsâ€"this timely volume provides a realistic plan for action to link EMS-C system components into a workable structure that will better serve all of the nation's children.

Definition of Serious and Complex Medical Conditions

Definition of Serious and Complex Medical Conditions
Author: Institute of Medicine
Publisher: National Academies Press
Total Pages: 127
Release: 1999-10-19
Genre: Medical
ISBN: 0309172608
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In response to a request by the Health Care Financing Administration (HCFA), the Institute of Medicine proposed a study to examine definitions of serious or complex medical conditions and related issues. A seven-member committee was appointed to address these issues. Throughout the course of this study, the committee has been aware of the fact that the topic addressed by this report concerns one of the most critical issues confronting HCFA, health care plans and providers, and patients today. The Medicare+Choice regulations focus on the most vulnerable populations in need of medical care and other services-those with serious or complex medical conditions. Caring for these highly vulnerable populations poses a number of challenges. The committee believes, however, that the current state of clinical and research literature does not adequately address all of the challenges and issues relevant to the identification and care of these patients.