Finals | Healthcare Environment Flashcards
What does radiation protection involve?
A. Protection to the staff
1. Cardinal rules of radiation protection
2. Protective barriers
3. Protective equipment
B. Protection to the patient
C. ALARA
ALARA meaning
(radiation exposure
should be kept) As Low as Reasonably Achievable
A state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity
Health
The activity of providing medical services
Healthcare
Includes services provided by a country or an organization for treating the physically and mentally ill
Healthcare
Healthcare vs Health care
- Healthcare: the system of providing services
- Health care: Services provided by medical personnel
It is an environment that is conductive to healing.
Healthcare environment
A priority in the patient’s care
A safe and therapeutic environment
Different healthcare environments/settings
- Hospitals
- Clinics
- Mental health facilities
- Long-term residential facilities
- Hospice
- Outpatient/ ambulatory
- Preventive care
- Home health care
- Telemedicine
HHH CLOT PM
Other term for oupatient
ambulatory
Other terms for telemedicine
E-health; Telehealth
The (1) considers an establishment to be a hospital if it is permanently staffed by at least (2), can offer (3), and can provide active (4) care.
- World Health Organization (WHO)
- one physician
- inpatient accommodation
- medical and nursing
How many beds should a hospital have for it to be considered as one?
6 beds
Classifications of Hospitals
A. According to Ownership
1. Government
2. Private
B. According to Scope of Services
1. General
2Specialty
C. According to Functional Capacity
1. General
2. Specialty
3. Trauma Capability
Hospital owned, established, established and created by law
Government
Under government hospitals (according to ownership), facility may be on the (1) or (2)
- national government
- local government units (LGUs)
National government units
- Department of Health (DOH)
- Department of National Defense (DND)
- Philippine National Police (PNP)
- Department of Justice (DOJ)
- State Universities and Colleges (SUCs),
- Government Owned or Controlled Corporations (GOCC)
Example of a hospital owned by a State Universities and Colleges (SUCs)
Philippine General Hospital (owned by UP)
Example of a hospital owned by the LGUs
Itogon District Hospital;
Atok District Hospital
A hospital that is owned, established, and operated with funds through the donation, principal investment, or other means by any individual, non-government corporation, association, or organization.
Private
Examples of a private hospital
- Saint Louis University Sacred Heart Medical Center
- Notre Dame De Chartres
Hospitals that provide services for all kinds of illnesses, diseases, injuries, or deformities.
General
Shall provide medical and surgical care to the sick and injured, as well as maternity, newborn, and childcare
General
General hospitals shall be equipped with the service capabilities needed to support board certified/ eligible medical specialists and other physicians rendering services in, but not limited to:
A. Clinical services
B. Emergency services
C. Outpatient services
D. Ancillary and Support Services
Clinical services
- Family Medicine
- Pediatrics
- Internal Medicine
- Obstetrics and Gynecology
- Surgery
SIP OF
Obstertrics vs Gynecology
- Obstetrics: Pregnancy; - Gynecology: Female reproductive organs)
- Urology: Male reproductive system
Ancillary and Support Services sample
Clinic laboratory
Imaging facility
Pharmacy
IPC
A hospital that specializes in a particular disease or condition or in one type of patient.
Specialty
A specialty hospital may be devoted to the treatment of any of the following:
A. Treatment of patients suffering from diseases of a particular organ or groups of organs
B. Treatment of patients belonging to a particular group
The hospital dedicated to the treatment of lungs
Lung Center of the Philippines
The hospital dedicated to the treatment of the heart
Philippine Heart Center
The hospital dedicated to the treatment the kidney
National Kidney and Transplant Institute
The hospital dedicated to the treatment of children
Philippine Children’s Medical Center
The hospital dedicated to the treatment of Armed Forces
Armed Forces of the Philippines Medical Center
LEVEL 1 Clinical Services for In-Patients
- Consulting specialists in:
- Medicine
-Pediatrics - OB-Gyne
- Surgery
- Medicine
- Emergency and Out-patient Services
- Isolation Facilities
- Surgical/ Maternity Facilities
- Dental Clinic
COMPS DIES
LEVEL 2 Clinical Services for In-Patients
- All of Level 1
- Departmentalized Clinical Services
- Respiratory unit
- General ICU
- High Risk Pregnancy Unit
- Neonatal Intensive Care Unit (NICU)
2 DR HANG
LEVEL 3 Clinical Services for In-Patients
- All of Level 2
- Teaching/ training services with accredited residency training program in the 4 major clinical services
- Physical Medicine and Rehabilitation Unit
- Ambulatory Surgical Clinic
- Dialysis Clinic
3T DAPA
LEVEL 1 Ancillary Services
- Secondary Clinic Laboratory
- Blood Station
- 1st Level X-Ray
- Pharmacy
1 BP/S
LEVEL 2 Ancillary Services
- Tertiary Clinical Laboratory
- Blood Station
- 2nd Level X-ray with mobile unit
- Pharmacy
2B PhaTer
LEVEL 3 Ancillary Services
- Tertiary Laboratory with histopathology
- Blood bank
- 3rd Level x-ray
- Pharmacy
3TerHis BP
Baguio General Hospital level
Level 3
Baguio Medical Center level
Level 1
Notre Dame De Chartres Hospital level
Level 2
Sacred Heart Medical Center
Level 3 (as of October 2023)
Pines City Doctor’s Hospital level
Level 2
Trauma capability of hospials according to functional capacity
A. Trauma- Capabale Facility
B. Trauma-Receiving Facility
A DOH licensed hospital as a trauma center
Trauma- Capabale Facility
A DOH licensed hospital within the trauma service area which receives trauma patients for transport to the point of care or a trauma center
Trauma-Receiving Facility
Type of healthcare setting either in the hospital or in the healthcare centers where specialist doctors along with the trained nurses and paramedical staff diagnose, treat, and provide follow-up care to the outdoor patients.
Clinic
Main Classification of Clinics
A. General Clinics
B. Separate Clinics
C. Special Clinic
Patients can be attended with any health problems
General Clinics
More convenient clinic
General Clinics
An individual person can use the same visit to have all the problems seen on one single occasion
General Clinics
The system of clinics is used where access is very easy, and client’s number is very large
Separate Clinics
Example os Separate Clinics
Antenatal clinic
Postnatal clinic
Family welfare clinic
Child guidance clinic
Reproductive and child health clinics
FAR PC
Clinic that provides medical and counseling services for specific disorders
Special Clinics
Examples of Special Clinics
TB clinic
Diabetes clinic
STD’s clinic
Nutrition clinic
Cardiac clinic
Chest clinic
NTC SDC
A facility that provides specialized inpatient care for mental health conditions.
Mental health facilities
Other terms for Mental Health Facilities
- Psychiatric Hospital
- Mental Hospital
- Asylum
- Behavioral Health Hospital
Mental hospitals often provide care and treatment for people with —
serious mental health illnesses
Main classifications of mental health facilities:
- Outpatient-Day Treatment Mental Health Facilities
- Separate Inpatient of a General Hospital
- Residentialial Mental Health Treatment Facility for Children and Adult
- Psychiatric Hospital
PROS
These types of mental health facilities offer day programs where a person may visit the facility for treatment
Outpatient-Day Treatment Mental Health Facilities
Treatment at these facilities often includes medication management, group therapy, individual therapy, and classes that teach skills to be used in dealing with a mental illness
Outpatient-Day Treatment Mental Health Facilities
These inpatient units are where mental health emergencies are handled— such as a person who is floridly psychotic.
Separate Inpatient of a General Hospital
Stays are typically short-term and are used to stabilize a mental health condition
Separate Inpatient of a General Hospital
Treatments here vary widely from treatment to exercise to therapy to psychotropic medication
Residential Mental Health Treatment Facility for Children and Adult
These are typically long-term mental health facilities
Residential Mental Health Treatment Facility for Children and Adult
These hospitals are just like general healthcare hospitals in that they are staffed by doctors, nurses, and other qualified healthcare professionals
Psychiatric Hospital
These types of facilities can handle emergency mental health situations and non-emergent cases as well
Psychiatric Hospital
Mental Health Disorders
- Mood disorders (ex. Bipolar, depression,…)
- Anxiety disorders
- Personality disorders
- Psychotic disorders (ex. schizophrenia)
MAPerPsy
Provide residential care for people with disabilities and elderly individuals who cannot care for themselves.
LONG-TERM RESIDENTIAL FACILITIES
These facilities usually feature an environment that is designed around the needs of the patient and is conducive to their ongoing care.
LONG-TERM RESIDENTIAL FACILITIES
Example of Long-term residential facilities
oHome for the Aged/ Nursing homes
Facility that focuses on the care, comfort, and quality of life of a person with a serious illness who is approaching the end of life.
HOSPICE
The patient beginning — understands that his or her illness is not responding to medical attempts to cure it or to slow the disease’s progress.
hospice care
Hospice care can be offered in what two settings?
- At home
- In a facility such as nursing home, hospital, or even in a separate hospice center
Brings together a team of people with special skills— among them nurses, doctors, social workers, spiritual advisors, and trained volunteers
Hospice care
What do palliative care and hospice have in common?
- Comfort care
- Offer a higher quality of life
- Helps patients and loved ones cope
Palliative Care vs Hospice
Palliative Care:
- Any stage of disease
- Transition between late life and end of life
- Supplement to current treatments
Hospice:
- Prognosis of 6 months or less
- Expected not to recover from disease
- Non-curative care
A healthcare facility that provides outpatient services to patients who do not require admission to a hospital
AMBULATORY
Other term for preventive care
Routine care
Helps detect or prevent serious diseases and medical problems before they can become major
Preventive care
Annual check-ups, immunizations, and flu shots as well as certain tests and screening
Preventive care
A supportive care that is provided in the home.
Home care/ Home health care
Allows a person to remain in the comfort of their home while they are receiving services to recover from illness, injury, or disability
Home care/ Home health care
Groups who may receive home care
People who have chronic conditions
1. Diabetes
2. HIV/AIDS
3. Hypertension
4. Heart failure
5. Cancer
6. Chronic obstructive pulmonary disease (COPD)
People who have cognitive or physical disabilities
Patients who are in hospice
May be provided for people who have cognitive or physical disabilities to help them complete activities of daily living
Home care
The practice of caring for patients remotely when the provider and patient are not physically present with each other. The use of electronic information and communications technologies made this possible.
Telemedicine
Example of a Telemedicine
E-Konsulta
Review PROPOSED CLASSIFICATION OF OTHER HEALTH FACILITIES
Anything that disrupts the body’s natural equilibrium
Trauma
Physical injuries of sudden onset and severity
Traumatic injury
Hospitals vs Clinics
Hospitals:
- Caters to both outpatients and inpatients
- 24/7 open
- Bigger
Clinics:
- Caters to outpatient
- Open only in the morning
- More convenient
- Can be found inside a hospital
