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Home Tips Why Don’t Doctors Round With Nurses Anymore?

Tips For Hospitals: Hiring Locum Tenens Physicians

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agosto 5, 2019 by axosar 2 Comments

Why Don’t Doctors Round With Nurses Anymore?

Rehabilitation medicine is one of the best-kept secrets in healthcare. Although the specialty is as old as America’s Civil War, few people are familiar with its history and purpose. Born out of compassion for wounded soldiers in desperate need of societal re-entry and meaningful employment, “physical reconstruction” programs were developed to provide everything from adaptive equipment to family training, labor alternatives and psychological support for veterans.Physical medicine and rehabilitation (PM&R) then expanded to meet the needs of those injured in World Wars I & II, followed closely by children disabled by the polio epidemic. In time, people recognized that a broad swath of diseases and traumatic injuries required focused medical and physical therapy to achieve optimal long term function.

Today, cancer patients frequently benefit from comprehensive rehabilitation as they recover from the effects of chemo (neuropathy, weakness, and cognitive impairments), radiation (scarring and range of motion limitations), surgery (flaps, plastics procedures, tumor resection, amputations), and brain injuries.

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Rehabilitation is a phase of recovery occurring after any major life-changing medical or surgical event. Our bodies are designed to regenerate and repair, though optimizing this process takes skilled guidance. PM&R physicians (also known as physiatrists) are trained to use physical modalities (stretching, strengthening, heat, cold, etc.) to mechanically enhance healing. They prescribe medications to manage pain, spasticity, nerve injury, and cognitive impairments, while also leveraging the power of physical therapy to increase cardiopulmonary fitness, muscle strength and flexibility.

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Our Bodies are Designed to Regenerate and Repair

Inpatient rehab’s prime directive is to get patients back home. To succeed at home, patients need to be able to function as independently as possible, using trained assistants for managing the activities that cannot be performed without help. Admission to a rehab hospital or unit offers the patient home practice opportunities – with simulated challenges that can include everything from terrain parks, test kitchens, medication management trials.

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Our Bodies are Designed to Regenerate and Repair

In other cases when care is palliative, learning new skills and being fitted with battery or electric-powered equipment can mean the difference between living at home or in an assisted environment. Some successful cancer patients come to inpatient rehab to practice managing their activities of daily living with varied amounts of assistance, preparing for increased needs as time goes on so they can enjoy being at home for as long as possible.

There are no secrets to success. It is the result of preparation, hard work, and learning from failure.
– Paul Tournier
For the physiatrist, cancer is a cause of impairments that can be overcome with creativity and practice, no matter the long-term prognosis. Adaptive equipment, physical exercise, and cognitive retraining may be applied intensively (3 hours a day in the inpatient setting), or at a slower outpatient pace, depending on individual need.
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Why Don’t Doctors Round With Nurses Anymore?agosto 5, 2019
When In Doubt, Ask A Family Memberagosto 5, 2019When In Doubt, Ask A Family Member

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Comments (02)

  1. David Parker
    agosto 5, 2019

    This is a useful post for finding broken links within the website, what about links pointing outwards that are broken? I can use a free web service but wondered if this was possible.

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    • Harry Olson
      agosto 5, 2019

      Great tool! I am using a redirect plugin to send all my 404’s to my home page but I think it’s slacking sometimes.

      Reply

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