Medical evaluation management

D) The term medical food means a food that is formulated to be consumed or administered enterally under the supervision of a physician and that is intended for the specific dietary management of a disease or condition for which distinctive nutritional requirements, based on recognized scientific principles, are established by medical evaluation. 

The patient s insurance plan will often dictate the referral options. Even if the patient pays out of pocket for the therapist s services, he or she is unlikely to pay privately for medication evaluation and management. Physician charges are usually more expensive than psychotherapy charges, and appointments with physicians— regardless of whether they are psychiatrists or primary care doctors—are usually paid for by the patient s insurance. Thus, a therapist can usually start the referral process by asking whether the patient has previously seen a primary care physician or psychiatrist whose fees are paid by the patient s insurance. If the patient is comfortable with Dr. X, and the therapist is comfortable with Dr. X, the initial referral decision is made. 

When used appropriately, therapeutic interchange has proven to be an extremely effective method of medication cost management. An active and well-organized P T Committee is essential to the success of any therapeutic interchange program. As the focus on the costs involved with medication therapy in health care organizations increases, P T Committees will have to become even more creative in methods used to promote, evaluate, and monitor the effects of therapeutic interchange. The evaluation of quality of life issues, pharmacoeconomics. 

Pharmacists can play an important role in the multidisciplinary team management of heart failure. Compared with conventional treatment, pharmacist intervention that included medication evaluation and therapeutic recommendations, patient education, and follow-up telephone monitoring reduced hospitalizations for heart failure. Adherence to guideline-recommended therapy was improved by pharmacist intervention. Thus the role and cost benefits of pharmacist involvement in the multidisciplinary care of heart failure... 

Medical evaluation of the patient presenting with acute stroke is important because patients with cerebrovascular disease frequently have other forms of cardiovascular or other systemic disease, which may complicate medical management. If the patient is undergoing thrombolysis, bleeding from sites of systemic illness may become clinically evident. For this reason, medical teams should perform a stepwise analysis of the patient s organ systems, giving special consideration to the conditions listed in Table 10.3. 

The hospital uses the following risk criteria, at a minimum, for identifying, evaluating, and creating an inventory of equipment to be included in the medical equipment management plan before equipment is used equipment function, physical risks, equipment history, maintenance requirements, and environment of use. Clinical engineering uses the AIMS database to inventory and assist in equipment evaluation and risk stratification. 

Surge capability— The ability to manage patients requiring unusual or very specialized medical evaluation and care. 

Provide case management which includes a complete medical evaluation, iron status, neurobehavioral assessment, and referral to local health program for environmental investigation. 

Each department director will specify which job classifications require the employee to use respirators. A medical doctor will conduct pre-employment and 5-year follow-up medical evaluations. The Safety Division will conduct spirometric evaluations. The Safety Division will forward the employee s spirometry results to the Human Resources Manager for inclusion in the employee s personnel tile. 

On 27 June 1994, the first successfiil terrorist attack on a civil population took place in the Japanese city of Matsumoto in the northern Japanese mountains. It was carried out by a cult (Aum Shinrikyo) that had managed to s)rnthesise sarin in a secret laboratory and released it at night from a van. The attack resulted in 600 casualties and seven fatalities. Five of these were found dead, and two were transported to the hospital where one died of respiratory failure and secondary cardiac arrest within 4 h and the other died many years later after having been in a vegetative state. Fifty-six persons were hospitalised in six hospitals. Respiratory failure was evident from the outset, and several casualties required intubation and ventilation. Generalised convulsions were noted in a number of cases. Not all the persons affected required hospital treatment, with some seeking medical evaluation later and other symptomatic cases which did not require medical care. 

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