Preventive care

Careful monitoring and preventative care of high-risk patients can begin once these patients are identified. Intrinsic, or host-related, risk factors for the development of pressure sores include age greater than 75 years, limited mobility, loss of sensation, unconsciousness or altered sense of awareness, and malnutrition. Extrinsic, or environmental, risk factors include pressure, friction, shear stress, and moisture.37,42... 

Lurie, N., W. G. Manning, C. Peterson, et al. 1987. Preventive Care Do We Practice What We Preach American Journal of Public Health 77 801-804. 

If a mechanical mixer is used, a "Zippy" style head (such as used in the fiberglass industry) has been found suitable. The speed of mixing is important, and the formation of a vortex must be prevented. Care must be taken with this style of mixer that air is not whipped in. If necessary, the mixture can be degassed for a short period at this time. 

The best cure for insect attack is effective prevention. Careful, periodic inspection, housekeeping, and judicious use of pesticides can be valuable in preventing the need for heroic but potentially dangerous measures to the collection should a full infestation develop and strong treatment be prescribed. Awareness of the insect problem, attention to... 

Managed care was initially embraced to counter the escalating costs and distorted incentives in the fee-for-service system. Under the fee-for-service health care, a physician, hospital, or other health practitioner charges separately for each patient encounter or service rendered. Expenditures increase if the fee itself increases, if more units of service are provided, or if more expensive services are substituted for less expensive ones. In the U.S., the fee-for-service system has historically favored institutional care over community-based care, acute care over preventive care, and medical intervention over patient education and self-care. 

Preventative care will have a renewed presence in the marketplace through initiatives such as employee wellness and health management programs aimed at reducing incidence of chronic diseases that can help keep health care costs in check for all payers. 

The private sector provides primarily curative care and some personal promotive and preventive care. Being profit-driven, the private sector tends to be concentrated in urban areas. It has grown at an impressive rate and has become an important part of the healthcare system. There are currently 197 hospitals and... 

At each refill visit, the pharmacist reviewed the plan with the patient and provided reminders about the need for other preventive care, such as yearly eye exams and proper foot care. When appropriate, the physician was contacted, with the patient s consent, regarding specific treatment recommendations. In summary, this diabetes monitoring program showed the value of combining multiple interventions to improve adherence and outcomes. 

Thomson Medstat Healthleaders Fact File. Ann Arbor, MI Thomson Medstat. URL http //www.medstat.com./health care/healthlead.asp. Each fact file provides a statistical snapshot of a specific industry issue or trend. The information is organized in color tables, charts and graphs. Examples include Health Benefit Design Fact File Heart Care Fact File Pharmaceuticals Fact File Preventive Care Fact File, and Alternative Medicine Fact File. Available online. 

Dexter PR, Perkins S, Overhage JM, et al. A computerized reminder system to increase the use of preventive care for hospitalized patients. N Engl J Med 2001 345 965-970. 

Among the other potentials for the role of pharmacogenomics in the future of medicine, one could list customized therapy, screening for disease predisposition, customized preventative care, and improved extrapolation of drugs from adults to children. Pharmacogenomics could also be applied to nonhuman organisms, for example, to bacteria for identifying the correct antibiotic development [11]. 

The intent of triage is to provide immediate help to those who need it to delay care for those who have less threatening injuries and to set aside, at least temporarily, both those who need care beyond the capabilities of the available medical assets (personnel, equipment, and facilities) and those who require such extensive care that the time and assets spent would delay or prevent care for those more likely to recover. 

A focus on wellness, preventive care, and disease management to keep plan members healthy, and thereby reduce medical costs. 

Preventive care (38) Screening for cervical cancer Preventive Laboratory testing or radiography Underuse... 

Table 10.2 Common medical specialties. Numbers in parentheses are years of training required. Those in italics are primary care fields in which physicians provide preventive care, diagnose and treat common medical problems, and refer...

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