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Pharmacology - Saunders Relias Learning Nursing Test MCN 109 LECTURE
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majority of patient healthcare needs, often the entry point into
Primary care healthcare, includes screening, prevention, diagnosis, and
treatment for acute and chronic health problems
generally more specialized care and can include surgery,
Secondary care
cardiology, and other care provided by specialists
complex, highly specialized healthcare, often university hospitals,
requires sophisticated technology, multiple specialists and
Tertiary care subspecialists, a diagnostic support group and intensive care
facilities. Examples include trauma centers, burn centers, and
neonatal care
physical structures that house patients who are sick or injured.
Person may be admitted in one of two ways: emergency room
Hospitals and evaluated by a team of clinicians- if patient is sick enough
then admitted, and a patient may also be directly admitted from
a physician's office
provide care for patients needing comprehensive rehabilitation
and medical management often associated with stroke, joint
Rehabilitative facilities or acute replacement or other serious injury. After surgery or acute illness,
rehabilitation hospitals a patient may be too frail to return home and may need to spend
time in a rehabilitation center for specialized speech, physical,
and occupational therapy
provide full medical care after a hospitalization. Also provide
assistance with activities of daily living, such as meals, personal
care, housekeeping, and laundry, while the patient is recovering.
Skilled nursing facility Manage transition of acute illness or injury to return home, Avg
stay in a SNF is greater than 25 days. Provide long-term care for
patients needing residential nursing services for an extended
period of time
, specialized hospitals designed for patients who need intensive,
Long-term acute care hospital
hospital-level care for weeks or months
Adult day care provides meals and activities during the day
typically retirement communities consisting of condominiums or
Independent living apartments. Residents can usually purchase added services such
as meals or housekeeping
separate apartments or private rooms in a common building
Assisted living where a number of services, such as personal care, medication
administration, meals, and housekeeping are provided
specialized healthcare designed to serve patients with a terminal
illness. Focuses on maximizing the quality of life and providing
palliative care, including pain control. Families are typically
involved in the hospice care of their loved ones, and services
Hospice care such as grief counseling and help with managing patient's final
affairs are often provided to them. Hospice care can be
provided in a variety of settings. Hospice programs can involve
both inpatient care as well as hospice care provided in
ambulatory environments, including the home
60% US surgeries are outpatient. Equipped to handle surgery,
Ambulatory surgery centers pain management and certain diagnostic procedures that do not
(ASC) require overnight hospitalization. May be part of a hospital,
specialty hospital, or own facility
department of the hospital responsible for the provision of
medical and surgical care to patients arriving at the hospital in
need of immediate care. ED personnel may respond to certain
ED
situations in hospital, such as cardiac arrest. If the patient is
discharged directly from the ED then the episode is considered
an outpatient event. In ED considered observation patient
Such as sports medicine and rehabilitation, provided in
Outpatient specialty medicine outpatient settings- hospital based clinics, physician offices, non-
hospital clinic settings
clinical services such as pathology and laboratory medicine,
Diagnostic services
radiology, and nuclear medicine
Typically perform tests such as x-rays, CT scans, MRI,
Diagnostic imaging facilities
mammograms, and position emission tomography scans
primarily evaluate biological specimens including blood.
Medical laboratories Divisions of a laboratory include chemistry, hematology,
microbiology and toxicology
dedicated to a particular type of testing. Include DNA testing,
Specialized medical laboratories medical pathology, parasitology and mycology, and toxicology.
Specialized labs also provide nonradiologic testing services
Provide care to underserved populations, are run by nonprofit
Community health clinics
organizations or state and local governments