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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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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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The Hospitalized Adolescent.

Cora C Breuner1, Elizabeth M Alderman2, Jennifer A Jewell3

  • 1Division of Adolescent Medicine, Departments of Pediatrics and Orthopedics and Sports Medicine, University of Washington and Seattle Children's Hospital, Seattle, Washington.

Pediatrics
|March 30, 2023
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Summary
This summary is machine-generated.

This policy statement offers pediatricians evidence-based guidance for hospitalized adolescents. It covers developmental impacts, confidentiality, and ethical considerations, including systemic racism in healthcare settings.

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Area of Science:

  • Pediatric Healthcare Policy
  • Adolescent Medicine
  • Hospital Administration

Background:

  • Hospitalization presents unique challenges for adolescent development and emotional well-being.
  • Existing guidelines inadequately address the specific needs of hospitalized adolescents.
  • Healthcare providers require evidence-based information for optimal adolescent patient care.

Purpose of the Study:

  • To provide pediatricians with evidence-based information on caring for hospitalized adolescents.
  • To outline the effects of hospitalization on adolescent development and emotional progress.
  • To address legal, ethical, bias, and systemic racism issues in adolescent hospital care.

Main Methods:

  • This is a policy statement, not a research study.
  • Authors synthesized existing evidence and expert opinion.
  • The statement focuses on unique aspects of adolescent hospitalization.

Main Results:

  • Hospitalization can significantly impact adolescent developmental and emotional progress.
  • Key considerations include the hospital environment, patient confidentiality, and legal/ethical issues.
  • Awareness and mitigation of bias and systemic racism are crucial for equitable care.

Conclusions:

  • Pediatricians need specialized knowledge to care for hospitalized adolescents effectively.
  • Addressing developmental, emotional, legal, ethical, and systemic issues is paramount.
  • This policy statement serves as a foundational resource for improving adolescent inpatient care.