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Hospital admission answers (728)

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Q: 

What is the evidence-base for pharmacist led medication reivew? Is there evidence to suggest it is useful to prevent hospital admissions?

A: There appears to be a lack of robust evidence on this subject. An editorial (1) in the Journal of Epidemiology and Community health (by three of the authors who conducted one of the trials) says (full text): “There have been eight large studies (involving over 500 patients) of medication review in broad older populations: three conducted in the UK, (6–8) one across seven European countries, four in the USA, and one in Canada. All entailed some kind of face to face encounter between a pharmacist and a patient. Findings from these studies have been mixed: one study suggested improved medication appropriateness and adherence but no affect on hospital admission, one study showed a small increase in drug changes (2.2 compared with...
Q: 

What Are The Risks Of Myocardial Infarction And Death In Someone With Unstable Angina During hospital admission, At Six Months And One Year?

A: The risks of myocardial infarction (MI) and death following the diagnosis of unstable angina (UA) depend on the accuracy of the diagnosis. Braunwald''s classification categorises patients according to the severity of the pain (new onset/accelerated and pain at rest, either within the last 48 hours or >48 hours) and to the clinical circumstances (primary, secondary (e.g. to anaemia) and post-infarction). Using this classification, one study showed an in-hospital AMI/death rate of 11% for patients with rest pain within the last 48 hours, 4% for patients with rest pain >48 hours previously and 4% for patients with new onset/accelerated angina. 1 The in-hospital AMI/death rate was markedly raised in patients with post-infarct angina (46%)...
Q: 

hospital admission Due to Pressure Ulcer History

A: A study conducted in 2008 published by the National Institute of Health showed a substantial correlation between pressure ulcer history and hospital admission. hospital admissions of patients with pressure ulcers were 26.2 percent among nursing home admissions. The rate of patients with prior pressure ulcers admitted from home or other living situations was 4.8 percent....


Q: 

asthma queries re hospital admissions and treatments

A: Hi there,and welcome :) I have no advice for you since I don''t have asthma and my son''s isn''t that severe but I just wanted to welcome you Healingwell and say that we are happy to have you....


Q: 

If I signed the hospital admission forms as POA am I responsible for the debt after my mother''s death?

A: Answer No. Your mothers estate would be however There is no estate. She did not own a home or property....


Q: 

How do I organize transport to or from hospital?

A: In a medical emergency, you should dial 911 for an ambulance. A medical emergency is a critical, or life-threatening, situation. It will usually be obvious if you, or someone else, is seriously ill, or injured, and needs emergency care. If you require treatment and it is felt that you are in medical need of non-emergency transport, a health professional can organize it on your behalf. Your situation and medical condition will be assessed by your doctor or dentist, who will decide if you are eligible for non-emergency transport. They will consider factors such as the availability of private or public transport, and the distance to be travelled. Each patient should be able to reach hospital in a reasonable time, in comfort and without any harm to their...
Q: 

Well i might have pneumonia what will happen if I go to the hospital???

A: They will do some tests (they won''t hurt), give you some antibiotics, and hopefully send you home. Be sure to take all the anti''s even tho you feel better. You don''t want to get sick again. In minor cases, you will get antibiotic or told rest at home. Now depending on how bad it is they only keep you in severe cases! Go tho! well, you might get treated???? You''ll have some tests - one where you puff into a tube, one where they put a clamp on your finger to test your blood oxygen (doesn''t hurt), blood taken, chest xray. They will listen to your breathing, take your temp & blood pressure, and that kind of stuff. Depending on the results, they may do a CAT scan (when I get pneumonia, it doesn''t show up on an xray). They will give you breathing treatments (you inhale medicine) if you...


Q: 

When admitted to hospital for say, a broken leg, what are the standard questions that you are asked?

A: Does it hurt ?Can you stand on it ?And are you an illegal immigrant? If you are you are entitled to a private room and full personal service. If you are English , they tell you to get stuffed. what leg is broken?? are you sure because it sounds like cramp to me You would be asked about the detail of your injuries and your symptoms. You would be asked about current and previous medical problem, current medications, allergies, smoking, alcohol intake, drug use, family history. You also will be asked data for identification and billing, name, address, phone, insurance company, birth day etc. how did you break your leg Name and address. Date of Birth. Name of your GP. Have you been to this hospital before? How did you break your leg? Are you allergic to any medication?...


Q: 

When would you consider admission to hospital in a child with croup? which signs and symptoms are most important?

A: We could find no UK guidelines on croup.  As such a discussion with your local trust may highlight a suitable protocol.   A 2005 Canadian guideline has a section on their croup guideline “Indications for admission” [1].  As you will note it is not a primary care guideline, but should be of use, this states:   “Though the vast majority of children can be managed as outpatients, relatively little evidence has been published that addresses exactly which children should be admitted. Therefore these recommendations should be applied with caution.   Absolute Significant respiratory compromise persisting four or more hours after treatment with corticosteroids (If possible physicians should wait at least 4 hours after treatment...
Q: 

In cellulitis, managed in the community, when should you refer to hospital?

A: According to the CKS guideline on cellulitis [1]   “Consider urgent hospital admission for intravenous antibiotic treatment if:  - Severe or rapidly worsening infection  - Systemic illness or vomiting  - Suspected orbital or periorbital cellulitis, deep infection, or evidence of complications  - Facial cellulitis in a child — maintain a low threshold for hospital admission and ensure that regular monitoring is in place if managed at home  - Immunocompromised  - Diabetes mellitus — admission may not be necessary if diabetes is stable, but maintain a low threshold for hospital
 
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