American Journal of Clinical Research and Reviews


Patient Medical History & Medical Record Keeping: Accurate Problem Identification for Effective Solution

Review Article of American Journal of Clinical Research and Reviews Patient Medical History & Medical Record Keeping: Accurate Problem Identification for Effective Solution AK Mohiuddin Department of Pharmacy, World University of Bangladesh, Bangladesh Obtaining an accurate medication history, keeping and proper maintenance of patient medical records, tracking medication lists are essential parts of medicine reconciliation and these are the processes where pharmacists play a vital role in. Without all these, prescribers may inadvertently make incorrect decisions about a patient’s treatment, causing harm if previously discontinued medicines are restarted, or if current medicines are omitted or prescribed at the wrong dose for the patient. Medical records are a fundamental part of a physician’s duties in providing patient care. Medical records can contain a wide range of material, such as handwritten notes, computerized records, correspondence between health professionals, lab reports, imaging records, photographs, video and other recordings and printouts from monitoring equipment. Poor record keeping is a major factor in litigation cases brought against healthcare professionals. Keywords: Medication History; Medical record; Medication Errors: Medication Lists; Hospital Admission ...

CHRONIC NON-TRANSMISSIBLE DISEASES AND ITS IMPACT ON THE USE OF HEALTH SERVICES IN BRAZIL

Review Article of American Journal of Clinical Research and Reviews CHRONIC NON-TRANSMISSIBLE DISEASES AND ITS IMPACT ON THE USE OF HEALTH SERVICES IN BRAZIL Ana Cristina Farah Abdon da Silva1*;Camilla Talita Silva Canhoto2; Tuanny Caroline Pereira de Santana3; Letícia Monteiro Rocha4; Carina Ribeiro de Oliveira5; Nayara Rosane Vasconcelos da Silva6 Introduction: Non-Transmissible chronic diseases (NCDs) have been presented as a relevant health problem, due to the high number of premature deaths, quality of life deficits, with a high degree of limitation and disability, as well as being responsible for economic impacts on families, communities and public health services in general. Objective: To evaluate the impact of chronic noncommunicable diseases on the use of public health services. Method: Integrative review, data collected in electronic bases Lilacs, Medline / Pubmed, Sciello, where 830 articles were identified, and from the inclusion and exclusion criteria, 10 studies remained as final sample. The analyzed publications date from the period 2013 to 2017. For the research were used descriptors (Mesh / Decs) and free terms (Mesh Terms), crossed through the Boolean operator “AND”. Results: mortality studies indicate an increase in the proportion of deaths due to non-transmitted chronic diseases and also an increase in the proportion of hospitalizations, since the presence of chronic disease was associated with an increase of hospitalization in the last 12 months, 1.7 times. The use of health services in the last 12 months were, respectively, 3.4 times higher in the presence of four or more diseases. Hypertension had the highest prevalence among NCDs, with 21.4%, followed by depression (7.6%), arthritis (6.4%) and diabetes (6.2%). The degree of intense / very intense limitation presented higher prevalences for other mental illness (37.6%) and stroke (25.5%). A National Health Survey conducted in 2013 has revealed a rich and troubling panel of the country, with ...

The Mystery of Patient Behavior

Research Article of American Journal of Clinical Research and Reviews The Mystery of Patient Behavior AK Mohiuddin Department of Pharmacy, World University of Bangladesh, Bangladesh Patient behavior is often described as disruptive behavior as they have an altered mental stage of fear of being sick, anxious about out of the pocket cost, alteration of lifestyle if suffered from a chronic illness. And the outcomes often faced by providers are inappropriate language, make unreasonable demands, and may even resort to physical abuse. The article comprises a few of this unusual behavior and a simple comparison between patients from developed world with those of the under-developed east. Purpose of the study: Discussion and projection of behavior pattern, health seeking behavior and monitoring status in both developed and under-privileged countries. The pharmacists have a vital role to play which is discussed along with comparison. Findings: Developed or under developed country, patients have a separate behavior pattern which develops and worsen with disease progression mostly. So many factors are behind but one thing clearly understood that the handling of such situation is a provider’s function, a challenge they have to face along with treatment intervention. Research Limitations: Very few articles found in matters regarding along with a very less interest paid by general people to talk about healthcare matters. It was very difficult to bring out facts of irrational patient behavior, giving it a substantial figure to discuss in this article. However, the major limitation is the article could be a comparison of behaviors of developed and under-privileged countries which requires an enormous exposure and financial support. However, the sole focus was to detail mysterious patient behavior and a greater part is covered. Practical Implication: The soul of this article was to detail about patient behavior, both in Bangladesh and developed countries. Along with ...

Psychological action in the cardiac transplanta: a report of experience

Research Article of American Journal of Clinical Research and Reviews Psychological action in the cardiac transplanta: a report of experience Ferreira, N.M1, Rodrigues, W.M.R2, Osório, M.O.3, Albuquerque, E.N4, Accioly, C.C5, Behar, J.N.P6 1,6Psicólogas do Instituto de Medicina Integral Professor Fernando Figueira – IMIP, 2Estudante do Curso de Psicologia da Faculdade Pernambucana de Saúde – FPS, 3,4,5Tutoras do Curso de Psicologia da Faculdade Pernambucana de Saúde – FPS e Psicólogas do Instituto de Medicina Integral Professor Fernando Figueira – IMIP Introduction: Serious cardiac diseases interfere considerably in patients’ quality of life. In these cases, heart transplantation has been increasingly indicated as a treatment. It is a process marked by intense experiences for the patient and his relatives, often emerging ambivalent feelings, as they deal with issues of finitude and of life restarting simultaneously. In view of this situation, the importance of the presence of the psychologist in the heart transplant team is evident. Objective: To report the performance of a psychologist in the cardiac transplantation process in a General Hospital. Methodology: Experience report. Results and discussion: Given the complexity and diversity of demands, the practice of the psychologist in the Cardiac Transplantation Sector in General Hospital can happen throughout the different phases of the treatment, from the identification of the need for surgery, with psychological evaluation, preparation and support to patients and relatives, to follow-up after hospital discharge, with psychotherapeutic follow-up, when necessary. Conclusion: Psychological repercussions on the patient and his relatives in heart transplantation are evident, which reinforces the need for the psychologist to work on different fronts, aiming at better psychological conditions to confront the stages of that process, which favors adherence to the treatment. Keywords:heart transplantation; psychological action; experience report ...

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American Journal of Clinical Research and Reviews

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