{"id":14105,"date":"2013-01-18T09:00:49","date_gmt":"2013-01-18T14:00:49","guid":{"rendered":"http:\/\/pmedicine.org\/epatients\/?p=14105"},"modified":"2013-01-17T15:21:03","modified_gmt":"2013-01-17T20:21:03","slug":"nejm-post-hospital-syndrome","status":"publish","type":"post","link":"https:\/\/participatorymedicine.org\/epatients\/2013\/01\/nejm-post-hospital-syndrome.html","title":{"rendered":"NEJM: Post-Hospital Syndrome"},"content":{"rendered":"

SPM member Marge Benham-Hutchins (see her December post<\/a>) spotted this item. It’s a vital point for patient and family awareness, leading to patient engagement – patients as responsible drivers of their health. I added the italics below.<\/em><\/p>\n

From a recent Perspectives essay<\/a> in the New England Journal:<\/p>\n

“To promote successful recovery after a hospitalization, health care professionals often focus on issues related to the acute illness that precipitated the hospitalization. Their disproportionate attention to the hospitalization’s cause<\/em>, however, may be misdirected. Patients who were recently hospitalized are not only recovering from their acute illness; they also experience a period of generalized risk for a range of adverse health events.”<\/p><\/blockquote>\n

Well-known Yale professor Harlan Krumholz MD discusses an important emerging topic, Post-Hospital Syndrome – that time when patients are vulnerable due to the hospitalization itself<\/em>, not the illness that precipitated the hospitalization. To me this is an excellent example of why patients, and\/or their family, should have access to their records during hospitalization.<\/p>\n

The site also has an audio interview with Dr. Krumholz, in which he describes how this idea evolved. Lots of good additional information.<\/em>
\n__________<\/p>\n

Note from Dave – Krumholz’s editorial discusses the many ways people can be adversely affected by the hospital stay, and near the end says: (emphasis added)<\/em><\/p>\n

At a minimum, we should assess a patient’s condition at discharge by soliciting details far beyond those related to the initial illness.<\/strong><\/p>\n

As we determine readiness for transition from the inpatient setting, we should be aware of functional disabilities<\/strong>, both cognitive and physical, and align care and support appropriately. We should also use risk-mitigation strategies<\/strong> that stretch beyond the cause of the initial hospitalization and seek to prevent<\/strong> infections, metabolic disorders, falls, trauma, and the gamut of events that commonly occur during this period of generalized risk.<\/p><\/blockquote>\n

Don’t you wish every patient received this kind of advice at discharge, or even at admission, for planning purposes? \u00a0Well, now you<\/em> have it – and you can cite the NEJM. \u00a0Thanks, Marge.<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

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