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Related Concept Videos

Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...
Myocarditis IV: Nursing Management01:22

Myocarditis IV: Nursing Management

Myocarditis is an inflammatory condition of the myocardium requiring meticulous nursing management for optimal patient outcomes. Effective management begins with a thorough assessment of the patient's medical history, paying close attention to past infections, autoimmune disorders, travel history, and exposure to toxins or drugs. Recent viral infections and systemic diseases are particularly relevant due to their potential role in triggering myocarditis.Physical Examination and MonitoringThe...
Rheumatic Heart Disease IV: Nursing Management01:20

Rheumatic Heart Disease IV: Nursing Management

AssessmentA comprehensive assessment is essential in managing a patient with rheumatic heart disease (RHD). Begin with obtaining a detailed medical history, including recent streptococcal infections, a history of rheumatic fever, or previously diagnosed rheumatic heart disease. Assess the patient for symptoms such as fever, chest pain, widespread joint pain (arthralgia), tachycardia, pericardial friction rub, muffled heart sounds, heart murmurs, peripheral edema, subcutaneous nodules, and...
Cardiomyopathy VI: Nursing Management01:29

Cardiomyopathy VI: Nursing Management

Assessment: Nursing management of patients with cardiomyopathy begins with a thorough assessment of the patient's history, including a family history of cardiomyopathy or sudden cardiac death, personal history of heart disease, hypertension, diabetes, and any alcohol consumption or drug use.During the physical examination, assess vital signs, look for signs of heart failure (such as edema, jugular venous distention, and cyanosis), auscultate for abnormal heart sounds (like murmurs and gallops),...
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
Rheumatic Heart Disease III: Medical Management01:21

Rheumatic Heart Disease III: Medical Management

Rheumatic heart disease (RHD) management can be divided into two main strategies: prevention and long-term management.Primary PreventionPrimary prevention focuses on timely diagnosis and management of group A streptococcal pharyngitis to prevent acute rheumatic fever. The most widely used antibiotic for treating this condition is intramuscular benzathine penicillin G.Acute Rheumatic Fever TreatmentThe primary treatment goal for a patient diagnosed with acute rheumatic fever is to suppress the...

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Related Experiment Video

Updated: May 19, 2026

Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty
05:53

Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty

Published on: July 24, 2013

Frailty in Internal Medicine Inpatients: Screening and Multidisciplinary Management.

Sofia Almeida1, Pedro M Neves1, Vital Da Silva Domingues1

  • 1Internal Medicine, Unidade Local de Saúde de Santo António, Porto, PRT.

Cureus
|May 18, 2026
PubMed
Summary

Identifying frailty in hospitalized patients using tools like the Clinical Frailty Scale (CFS) and FRAIL scale improves outcomes. Targeted interventions reduce complications and hospital stays, benefiting internal medicine care.

Keywords:
clinical screeningfrailtygeriatric assessmenthospitalizationinternal medicinemultidisciplinary care

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Identifying Frailty Using Point-of-Care Ultrasonography: Image Acquisition and Assessment
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Last Updated: May 19, 2026

Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty
05:53

Measuring Frailty in HIV-infected Individuals. Identification of Frail Patients is the First Step to Amelioration and Reversal of Frailty

Published on: July 24, 2013

Identifying Frailty Using Point-of-Care Ultrasonography: Image Acquisition and Assessment
04:00

Identifying Frailty Using Point-of-Care Ultrasonography: Image Acquisition and Assessment

Published on: July 26, 2024

Area of Science:

  • Geriatrics
  • Internal Medicine
  • Clinical Medicine

Background:

  • Frailty is common in hospitalized Internal Medicine patients, particularly older adults.
  • It increases risks of complications, functional decline, institutionalization, and mortality.
  • Effective identification and management strategies are crucial.

Purpose of the Study:

  • To review validated screening tools for frailty.
  • To assess inpatient interventions for frail patients.
  • To evaluate the impact of these interventions on clinical outcomes.

Main Methods:

  • Narrative literature review of studies up to 2025.
  • Searches conducted in PubMed, Scopus, and Web of Science.
  • Inclusion of studies on screening tools, inpatient interventions, and outcomes.

Main Results:

  • Validated tools like the Clinical Frailty Scale (CFS) and FRAIL scale enable effective frailty identification.
  • Inpatient interventions (medication optimization, nutrition, mobilization, delirium prevention) show benefits.
  • Reduced length of stay, fewer complications, and less functional dependence observed.

Conclusions:

  • Systematic frailty screening and management in hospitals are beneficial for Internal Medicine.
  • These strategies improve care efficiency, patient outcomes, and care transitions.
  • Positive clinical and economic impacts are anticipated, with successful early implementation in Portugal.