While You’re In the Hospital: Hospital and Critical Care Medicine

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Being in the hospital—whether it's a planned visit or an acute condition with no warning--can be frightening. At Springfield Clinic, we offer the specialists focused completely on caring for you in the hospital. However you are admitted to the hospital, Springfield Clinic has a specialist dedicated to you and your care. Specialists from Springfield Clinic’s Hospital Medicine and Critical Care Medicine Departments discuss the complete overview of everything you should expect when you’re in the hospital—whether it’s a pre-planned admission, or an acute emergency.

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While You’re In the Hospital: Hospital and Critical Care Medicine

  1. 1. While you’re in the Hospital – Hospital & Critical Care Medicine at Springfield Clinic Mark Weaver, MD, FACP, MBA Krishna Aparanji, MD
  2. 2. www.SpringfieldClinic.com
  3. 3. Hospital Medicine The care of the hospitalized patient
  4. 4. What is a Hospitalist? • A primary care physician who specialized in caring for the adult hospitalized patient who is not in the ICU • Represents your primary care physician (PCP) while you are in the hospital. • Assist other specialty physicians by providing pre-op assessment, consultations, & medical care in surgical patients.
  5. 5. Why a Hospitalist? • Hospitalist work 100% of the time in the hospital setting. – uniquely trained for health care problems that occur in the hospital setting. • Hospitalists free up your primary care physician to focus on your outpatient needs. • Hospitalists communicate directly with all consulting physicians to coordinate your care.
  6. 6. I Want My Own Doctor! • In the current US medical system, primary care physicians rarely come to the hospital. • This can be disconcerting at a time when a patient is most ill.
  7. 7. Coordinated Care • Communication occurs between your primary care physician at the time of admission , discharge and if there are unusual circumstances during the hospital stay. • Communication is the key to insuring your healthcare needs are met. • We have complete access to your outpatient records and know your health care history.
  8. 8. How having a Hospitalist benefits you! • 24/7 Coverage • Increased efficiency means less time in the hospital for you. • Being present in the hospital at all times improves communication with consultants and can lead to a streamlining of medical care. • We are pros at hospital medicine
  9. 9. How Can you help the Hospitalist? • Know your medications! • Make “Advanced Directives” and have a Healthcare Power of Attorney established. • Let us know how and whom you would like your clinical status communicated with.
  10. 10. How Can you Avoid Needing a Hospitalist? • Health lifestyle – at least 75% of the patients we see are there because of lifestyle issues. • Get your flu vaccination and all other recommended vaccines. • Wash your hands. • Take your medications as prescribed.
  11. 11. Want more information about Hospitalists? www.hospitalmedicine.org
  12. 12. Critical Care Medicine Krishna Aparanji, MD
  13. 13. Critical Care Medicine What is Critical Care Medicine What kind of Illnesses do we see The ICU Team The ICU Care Why Patients appear that way? Life after ICU
  14. 14. Critical Car e Medicine • Treatment of patients who have an illness that threatens their life. • Beyond the walls of ICU – Recovery Unit – General Floors – ER • 24/7 365 days coverage by Board certified Intensivists
  15. 15. Health - a balancing act Our Body has Many Vital Organs •Organ Cross Talk •One Fails-Others compensate to some extent Physiologic threshold •Critical Illness- Body has lost or losing capability of maintaining Life
  16. 16. W hat kinds of illness r equir e critical car e? Any illness that threatens life requires critical care.  Heart  Lungs  Brain/Spinal Cord  Kidneys  Infections  Trauma  GI  Liver  Endocrine  Miscellaneous
  17. 17. T he ICU Team • • • • • • • • • Critical Care Nurse Pharmacist Respiratory Therapist Physical Therapist Occupational Therapist Registered Dietician Clergy Nurse Practitioner Intensivist Physician
  18. 18. W hy Patients appear like that? • • • • • Equipment Lines Tubes Wires Medications
  19. 19. ICU Car e • Feeling scared in the ICU is natural. – Meeting the care team for the first time – May not recognize the care equipment. Understanding how the team and equipment improve health may help you feel more at ease.
  20. 20. Making Decisions • Understanding the condition and Prognosis • Quality vs Quantity • Biggest Fear/Concern?
  21. 21. Anything I can do? • • • • Taking Care of Yourself Gathering support Identify a family Representative Be positive!
  22. 22. How does primar y car e doctor fit into the car e team? Family doctor is an important link between the care team and Patient. • Has a complete medical history • pre-existing illness, allergies, use of medications, and other factors which may influence the health of the patient.
  23. 23. Life after ICU • Some Health problems that remain after critical illness Post-intensive Care Syndrome (PICS)
  24. 24. Post-intensive Car e Syndr ome(PICS) • How can we minimize PICS? – Talk about familiar things, people and events. – Talk about the day, date and time. – Bring in favorite items from home. – Read aloud at the bedside.
  25. 25. Main Goal of ICU care • Getting one back on track – Treating the cause – Minimizing PICS – Health Education – Preventive care
  26. 26. More Resources Find videos, handouts and more resources at http://www.myicucare.org/Pages/default.as www.SpringfieldClinic.com/DoctorIsIn

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