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Hospitals provide inpatient and outpatient services. Inpatient services provide care to patients that stay in the hospital for an extended period, ranging from days to months. Examples of inpatient services include intensive care units, hospital wards, or surgeries. Outpatient services provide care to patients who come to a hospital for a diagnostic or treatment but do not stay overnight —for example, diagnostic tests, surgical procedures, or health education.
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Hospitals offer medical and surgical care to the sick and injured, along with accommodation while they recover. At the same time, they also provide outpatient, emergency, psychiatric, and rehabilitation services to meet various community needs. In addition to providing medical care, hospitals also act as hubs for medical research and training. Hospitals use clinical procedures and evidence-based practice standards to deliver patient care. To deliver safe and efficient care, a nurse must stay up...
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Protein families are groups of homologous proteins; that is, they have similarities in amino acid sequences and three-dimensional structures. Protein families usually occur because of gene duplication, where an additional copy of a gene is inserted into the genome of an organism.   Mutations that change the amino acids but still allow the protein to be properly synthesized, will lead to new protein family members.   If these new proteins contain similar amino acids in key...
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Gene families consist of groups of genes proposed to have originated from a common ancestor. Typically these arise through events in which a gene or genes are mistakenly duplicated during cell division. Unlike their parent genes (which are subject to selection pressure to maintain function), these gene copies do not need to preserve their sequences and may evolve at a relatively faster rate.
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Related Experiment Video

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How Can We Make Out-of-Hospital CPR More Family Centered?

Caroline Mawer1

  • 1A physician and multimedia artist.

AMA Journal of Ethics
|May 26, 2019
PubMed
Summary

Physicians

Area of Science:

  • Medical Ethics
  • Patient Care
  • End-of-Life Care

Background:

  • Examines the ethical obligations of physicians towards patients, particularly in end-of-life scenarios.
  • Utilizes a personal narrative to explore the patient and family experience during and after out-of-hospital cardiac arrest.
  • Highlights the importance of care provided before and after critical events, not solely during resuscitation efforts.

Observation:

  • A patient's daughter, Linda, recounts her experience performing cardiopulmonary resuscitation (CPR) on her mother.
  • The narrative details the events and care gaps preceding and following an out-of-hospital cardiac arrest.
  • Linda's account emphasizes the emotional and practical challenges faced by families during medical emergencies.

Findings:

  • The narrative suggests that physicians' responsibilities extend beyond immediate medical interventions.

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  • Listening to patients and families in novel ways can improve care for terminally and chronically ill individuals at home.
  • Current medical practices may not adequately address the holistic needs of patients and their families during critical illness.

    • Implications:

    • There is a need for enhanced communication and empathetic listening skills in patient care.
    • Healthcare providers should consider the broader context of a patient's life and family support systems.
    • Rethinking care models to better support patients and families at home, especially during chronic or terminal illnesses, is crucial.