While you’re in the Hospital – Hospital & Critical Care Medicine at Springfield ClinicMark Weaver, MD, FACP, MBAKrishna Aparanji, MD
www.SpringfieldClinic.comwww.SpringfieldClinic.com
Hospital Medicine
The care of the hospitalized patient
What is a Hospitalist?• A primary care physician who specialized
in caring for the adult hospitalized patient who is not in the ICU
• Represents your primary care physician (PCP) while you are in the hospital.
• Assist other specialty physicians by providing pre-op assessment, consultations, & medical care in surgical patients.
Why a Hospitalist?
• Hospitalist work 100% of the time in the hospital setting.– uniquely trained for health care problems that
occur in the hospital setting.
• Hospitalists free up your primary care physician to focus on your outpatient needs.
• Hospitalists communicate directly with all consulting physicians to coordinate your care.
I Want My Own Doctor!
• In the current US medical system, primary care physicians rarely come to the hospital.
• This can be disconcerting at a time when a patient is most ill.
Coordinated Care• Communication occurs between your
primary care physician at the time of admission , discharge and if there are unusual circumstances during the hospital stay.
• Communication is the key to insuring your healthcare needs are met.
• We have complete access to your outpatient records and know your health care history.
How having a Hospitalist benefits you!
• 24/7 Coverage
• Increased efficiency means less time in the hospital for you.
• Being present in the hospital at all times improves communication with consultants and can lead to a streamlining of medical care.
• We are pros at hospital medicine
How Can you help the Hospitalist?
• Know your medications!
• Make “Advanced Directives” and have a Healthcare Power of Attorney established.
• Let us know how and whom you would like your clinical status communicated with.
How Can you Avoid Needing a Hospitalist?
• Health lifestyle – at least 75% of the patients we see are there
because of lifestyle issues.
• Get your flu vaccination and all other recommended vaccines.
• Wash your hands.
• Take your medications as prescribed.
Want more information about Hospitalists?
www.hospitalmedicine.org
Critical Care MedicineKrishna Aparanji, MD
Critical Care Medicine
What is Critical Care Medicine
What kind of Illnesses do we see
The ICU Team
The ICU Care
Why Patients appear that way?
Life after ICU
Critical Care Medicine
• Treatment of patients who have an illness that threatens their life.
• Beyond the walls of ICU– Recovery Unit– General Floors– ER
• 24/7 365 days coverage by Board certified Intensivists
Health - a balancing act
Our Body has Many Vital Organs
•Organ Cross Talk
•One Fails-Others compensate to some extent
Physiologic threshold
•Critical Illness- Body has lost or losing capability of maintaining Life
What kinds of illness require critical care?
Any illness that threatens life requires critical care.
Heart Lungs Brain/Spinal Cord Kidneys Infections Trauma
GI Liver Endocrine Miscellaneous
The ICU Team
• Critical Care Nurse• Pharmacist• Respiratory Therapist• Physical Therapist• Occupational Therapist• Registered Dietician• Clergy• Nurse Practitioner• Intensivist Physician
Why Patients appear like that?
• Equipment
• Lines
• Tubes
• Wires
• Medications
ICU Care
• Feeling scared in the ICU is natural.– Meeting the care team for the first time– May not recognize the care equipment.
Understanding how the team and equipment improve health may help you feel more at ease.
Making Decisions
• Understanding the condition and Prognosis
• Quality vs Quantity
• Biggest Fear/Concern?
Anything I can do?
• Taking Care of Yourself
• Gathering support
• Identify a family Representative
• Be positive!
How does primary care doctor fit into the care team?
Family doctor is an important link between the care team and Patient.
• Has a complete medical history
• pre-existing illness, allergies, use of medications, and other factors which may influence the health of the patient.
Life after ICU
• Some Health problems that remain after critical illness
Post-intensive Care Syndrome
(PICS)
Post-intensive Care Syndrome(PICS)
• How can we minimize PICS?– Talk about familiar things, people and
events. – Talk about the day, date and time. – Bring in favorite items from home. – Read aloud at the bedside.
Main Goal of ICU care
• Getting one back on track– Treating the cause– Minimizing PICS– Health Education– Preventive care
More Resources
Find videos, handouts and more resources at
http://www.myicucare.org/Pages/default.aspxwww.SpringfieldClinic.com/DoctorIsIn
