[smartdoctor] Stranica za pacijente...Sadržaj za emisije za pacijente u top terminima.../tako se rasterećuje OHBP/ako je naplata zlouporabe zz politički nekorektna/nepopularna (iako potrebna)
- From: "bari sita" <bari.nikola.sita@xxxxxxxxx>
- To: <smartdoctor@xxxxxxxxxxxxx>
- Date: Sun, 26 Oct 2014 10:44:35 +0100
Stranica za pacijente...Sadržaj za emisije za pacijente u top terminima...
Kolaž "tople vode" koju su već svugdje otkrili(prijevod tekstova iz svijeta
o zlorabljenju hitnih prijema),pa se možemo poslužiti...
Ne zloupotrebljavajte Vašu hitnu pomoć i hitne bolničke prijeme.Koristite
hitnu pomoć/OHBP za ozbiljne neočekivane bolesti i povrede.
Da li znate da jedan od četiri pacijenta koji koriste hitnu/OHBP ne treba
hitnu pomoć?Takvo postupanje samo produžuje redove i vrijeme čekanja za sve
pacijente.Također onemogućuje da se racionalno koristi vrijeme i vještine
osoblja u hitnim prijemima.
Informativna stranica za pacijente- sadržaj - manje zdravstvene tegobe,kad
se trebam zabrinuti...?
Vani postoji službeni link na web-u naziva -kada se trebam zabrinuti ?
Prehlade i grlobolje su obično uzrokovane virusima, a antibiotici nemaju
učinka na viruse...
Upamtite,antibiotici vam ne omogućuju da brže prođe virusni infekt.
(najčešća rečenica pacijenata-dajte mi AB da mi brže prođe....)
Virusni infekt treba pustiti da ide svojim normalnim tokom.Najbolje je
čekati i vidjeti , te zatražiti savjet ljekarnika kako ublažiti simptome.
Normalno je da simptomi virusnog infekta traju do 14 dana i duže...(upravo
je epidemija jednog takvog u toku,a pacijenti dolaze već prvi,drugi
dan......)
Kako izgleda virusni infekt ?(kad bi to utvrdili najmanje 20 % koji dolazi
na OHBP/ a i kod nas(utvrđeno istraživanjem) ,a radi virusnih respiratornih
simptoma-ne bi došao...)
When viruses infect your respiratory system (nose, throat and chest) they
can cause any or all of these symptoms:Sneeze
. Runny or stuffy nose
. Coughing
. Sore throat
. Sneezing
. Watery eyes
. Headache
. Body aches
. Fever
. Chills
. Tiredness
Da,TO JE VIRUSNI INFEKT i sve što treba raditi je ČEKATI da prođe...
Kada trebam posjetiti liječnika ?
Kada se zabrinuti kod-grlobolje,kašlja,bola u uhu,temperature ?
When to Worry about Sore Throats
The time to worry about a sore throat and to visit your doctor is if you
have any or a combination of the following:
. If you or your child has a sore throat and a temperature of 38 degrees
or above
. If you or your child has a sore throat and you can see pus in the
throat
. If you or your child has a sore throat but no cough lasting more than
3 days
. If you or your child has a sore throat and swollen glands
. If you or your child has a sore throat and difficulty swallowing spit
or unable to swallow food or drink
. If you or your child has a sore throat and difficulty breathing
When to worry about coughs
The time to worry about a cough and to visit your doctor is if you have any
or a combination of the following:
. If you already have asthma or COPD
. If the cough has gone on longer than 3 weeks
. If the your baby cannot eat, sleep or drink because of coughing
. Coughing with difficulty breathing or with chest pain
. Coughing with wheezing
. Cough with a temperature of 38 degrees or above
. Coughing up blood
. Coughing up mucus that is discoloured or thicker than usual
particularly if you also have COPD
When to Worry about Ear Pain
You should visit you doctor if you or your child has ear pain, a temperature
of 38 degrees or above and/or any discharge coming from the ear, which
lasts more than 2 days.
When to worry about Fever
You should visit your doctor if you or your child has a fever lasting more
than 2 days and it is not improving.
In particular with children with a fever if you have measure their
temperature and
. Your child is younger than 3 months and has a fever of 38°c or higher
. Your child is 3-6months old and has a fever of 39°c or higher
. Your child is 6 months or older with a fever of 39.4° c or higher
See the doctor about any symptoms that are not getting better after 14 days
For more information particularly if you have children who are unwell you
can refer to the "when should I worry" booklet
Diagnostic Scope in Out-of-hours Primary Care Services in Eight European
Countries
An Observational Study
Linda AMJ Huibers, Grete Moth, Gunnar T Bondevik, Janko Kersnik, Carola A
Huber, Morten B Christensen, Rüdiger Leutgeb, Armando M Casado, Roy Remmen,
Michel Quiz: 8 Questions <http://www.medscape.com/viewarticle/829069> About
Physicians Around the World
Osam europskih zemalja je u studiji korištenja hitnih bolničkih prijema
izvan radnog vremena PZZ-a/pedijatra,obiteljskog liječnika pokazalo da se
hitni bolnički prijem zloupotrebljava u najmanje 80 % slučajeva radi
respiratornih,mišićnokoštanih,kožnih i probavnih smetnji,te akutnih bolnih
stanja različitog porijekla,koji ne predstavljaju životno ugrožavajuća
stanja i ne zahtijevaju hitnu intervenciju.Problem se nije uspio riješiti
različitim organizacionim oblicima pružanja zdravstvene zaštite van radnog
vremena i ukazao je na potrebu smanjivanja pritiska/zahtjeva pacijenata za
nepotrebnim intervencijama.
Pa onda mali igrokaz za pacijente : Zašto niste trebali biti na hitnoj !
A typically busy day in A&E, but how many of these patients should NOT
really be there? Click on the numbered patients to find out what's wrong
with them and where they should be.
http://www.nhsggc.org.uk/content/mediaassets/images/whats_the_emergency_numb
ers_map_600.jpg
1. LISA (33) woke up today with swelling to her face. It's not gone down,
and as her dentist is now closed, she's come to the emergency department for
advice. There are a number of seriously ill patients in the department and
she has to wait until they've been seen.
Lisa should have called her dentist where she would have received a recorded
message advising her to call NHS 24 on 111. NHS 24 would have quickly
assessed her, and if necessary, would have arranged for her to attend the
Emergency Dental Treatment Centre in Glasgow. (
<http://www.nhsggc.org.uk/CONTENT/default.asp?page=s1695#image> Back to
picture)
2. 58-YEAR-OLD Margaret has a high temperature and a cough. By 8pm she
decides that she can't tolerate this through the night and needs to get
help. Margaret decides to come to the emergency department for assistance.
Having confirmed that her situation was not life-threatening Margaret has to
wait for more urgent cases to be dealt with. If Margaret had instead made a
quick call to NHS24, she would have been referred to the GP out-of-hours
service and asked to go to her local primary care emergency centre. There
she would be seen quickly by an out-of-hours GP who would have diagnosed her
chest infection and prescribed her antibiotics. (
<http://www.nhsggc.org.uk/CONTENT/default.asp?page=s1695#image> Back to
picture)
3. TOM, aged 8, has had a runny nose and cough for two days. His mother is
worried that his cough hasn't cleared and has brought him to A&E.
Instead, she should treat his cold by keeping him warm and rested and giving
him plenty of fluids to drink. Paracetamol will reduce his high temperature.
Most people recover from viral infections like colds within four to seven
days. ( <http://www.nhsggc.org.uk/CONTENT/default.asp?page=s1695#image> Back
to picture)
4. JIM, aged 55, has come to the emergency department after his wife
encouraged him to get a three-week old back injury checked out and X-rayed.
As Jim has not just been injured, he should have gone to his GP where he
could have been assessed and given advice and a prescription. His GP would
also arrange for him to see a back specialist if necessary. (
<http://www.nhsggc.org.uk/CONTENT/default.asp?page=s1695#image> Back to
picture)
5. BOB, 27 from Springburn, has just woken up after his work's Christmas
night out. His ankle is swollen and really hurts but he can walk on it. Bob
decides to go to the A&E at Glasgow Royal Infirmary to have his ankle looked
at and get strong painkillers.
Bob should have gone to his local Minor Injuries Unit (MIU) at New Stobhill
Hospital where experienced nurse practitioners are available to treat minor
injuries such as sprains and cuts. Instead of having to wait for more
seriously ill patients to be seen, Bob would have been seen quickly at the
MIU and sent home with advice and painkillers, reassured that his ankle was
not broken. (
<http://www.nhsggc.org.uk/CONTENT/default.asp?page=s1695#image> Back to
picture)
6. 27-YEAR-OLD Anna has recently immigrated to Scotland and has found out
that she is pregnant. She has come to the emergency department for antenatal
advice and to arrange a scan as she is not aware of how the NHS works.
Anna could have gone to the NHS24 website www.nhs24.com where she would have
found out how to register with a local GP and a list of GPs in her area. She
should then have made an appointment with her GP for her antenatal care. (
<http://www.nhsggc.org.uk/CONTENT/default.asp?page=s1695#image> Back to
picture)
7. MARY, 24, has a long-standing mental health problem. With Christmas
looming, she's finding it all too much to cope with and is in crisis. Mary's
neighbour has brought her to the emergency department as he's concerned that
she may be suicidal and wants someone to see her urgently.
Glasgow and Clyde's Mental Health crisis teams* work seven days a week, 365
days a year to support people in crisis and help resolve their problems. A
visit to Mary's GP or a call to NHS 24 would have resulted in an urgent
referral and immediate response from the team.
*In Renfrewshire and Inverclyde, this service is provided by the Intensive
Home Treatment Service. (
<http://www.nhsggc.org.uk/CONTENT/default.asp?page=s1695#image> Back to
picture)
8. 53-YEAR-OLD Iain is an alcoholic. He decides to stop drinking whilst
drunk and comes to the emergency department demanding help to stop.
Instead, Iain should have contacted his own GP when sober who would refer
him to an addictions worker. The addictions team would identify and put in
place the support Iain needs to stop drinking. (
<http://www.nhsggc.org.uk/CONTENT/default.asp?page=s1695#image> Back to
picture)
9. JOHN, aged 23, has a number of verrucas on his foot and he's limping
with pain. He has turned up at his emergency department because he is due to
play football tomorrow night and he wants the problem cleared up before
then.
Verrucas are one of a number of minor ailments that your local pharmacy can
treat. Instead of a long wait in an emergency department, John should have
made a quick trip to his pharmacist for advice and medicine to clear the
infection up. (
<http://www.nhsggc.org.uk/CONTENT/default.asp?page=s1695#image> Back to
picture)
Pa onda zorno predočiti- kako uopće može raditi preopterećeni liječnik?bilo
koji...
Koliko pacijenata može doktor sa SIGURNOŠĆU vidjeti/pregledati dnevno?
How many patients can a doctor safely see a day?
<http://www.kevinmd.com/blog/post-author/luis-collar> Luis Collar, MD |
<http://www.kevinmd.com/blog/category/physician> Physician | December 31,
2013
..good medicine simply can't be practiced in five to seven minutes.
I would argue that if any practice has a significant amount of patients over
the age of fifty, then seeing more than about twenty-five to thirty patients
a day is irresponsible. ...once you go above that number in one day you're
entering dangerous territory.
Other related posts:
- » [smartdoctor] Stranica za pacijente...Sadržaj za emisije za pacijente u top terminima.../tako se rasterećuje OHBP/ako je naplata zlouporabe zz politički nekorektna/nepopularna (iako potrebna) - bari sita
