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Secondary Healthcare System

Secondary Healthcare System

Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...

Preventive Healthcare Services

Preventive Healthcare Services

Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:

Tertiary Healthcare System

Tertiary Healthcare System

Specialized care provided over an extended period is called tertiary care. Usually, a primary or secondary care physician will refer a patient to tertiary care. A patient's maximum physical and mental function is restored in tertiary care, which is caused due to the impact of a chronic illness or condition. Tertiary care aims to achieve the highest level of functioning possible while managing chronic illness. For example, a patient who falls and fractures their hip will need secondary care to...

Primary Healthcare Services

Primary Healthcare Services

Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...

Specialized Care Centers and Settings-I

Specialized Care Centers and Settings-I

Specialized care settings or centers are situated in convenient locations within the community and offer care to a specific group or population. They consist of daycare facilities, mental health facilities, rural health facilities, educational institutions, industries, shelters for the homeless, and rehabilitation facilities.
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Specialized Care Centers and Settings-II

Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...

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Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit

Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit

Published on: January 7, 2020

The medically complex premature infant in primary care.

Michelle M Kelly¹

¹Pediatric and Neonatal Nurse Practitioner, AI duPont Hospital for Children, Main Line Hospitals, PA. mmkelly22@comcast.net <mmkelly22@comcast.net>

Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners

|October 31, 2006

Summary

Survival rates for extremely premature infants are improving, but many face moderate to severe disabilities. This article discusses the post-discharge health issues of medically complex premature infants for primary care providers.

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Published on: November 20, 2015

Area of Science:

Neonatology
Pediatrics
Public Health

Background:

Advances in medical technology have improved survival rates for extremely premature infants.
Infants born at 23-25 weeks' gestation represent the current edge of viability.
A significant percentage of these infants experience moderate to severe disabilities post-discharge.

Purpose of the Study:

To address the health issues of medically complex premature infants after neonatal intensive care unit (NICU) discharge.
To provide guidance for nurse practitioners and physicians managing these infants in primary care settings.
To continue a series on premature infant care, focusing on post-discharge complexities.

Main Methods:

This article is Part III of a series on premature infant care.
It focuses on medically complex infants and their post-discharge health concerns.
Previous parts addressed general premature infant issues and healthy premature infant management.

Main Results:

Neonatal survival for infants at 23 weeks' gestation is between 11% and 30%.
Approximately 70% of infants born at 23-26 weeks' gestation survive to hospital discharge.
30% to 50% of survivors have moderate to severe disabilities.

Conclusions:

Medically complex premature infants require specialized attention in primary care settings after NICU discharge.
Healthcare providers must be prepared to manage the long-term health challenges of these vulnerable infants.
Continued research and education are crucial for optimizing the care and outcomes of extremely premature infants.