Franciscan Health’s Post

What role does communication play in shaping ICU patient recovery? This article explores the impact of language used by medical professionals in Intensive Care Units (ICUs) on critically ill patients. It investigates how certain phrases and jargon, commonly used in critical care settings, may unintentionally induce negative psychological effects on patients—a phenomenon known as the nocebo effect. Nocebo Effect in ICU Communication: The article highlights that language used by ICU staff can unintentionally create negative expectations in patients, potentially worsening their mental and emotional states. This is particularly concerning given the vulnerability of ICU patients. Types of Language with Negative Impact: The study categorizes 912 unique examples of imprecise language into five main categories: medical jargon, negative suggestions, hyperboles, homonyms, and metaphors/similes. These categories represent the types of language that can confuse or distress patients. Psychological Implications: The use of such language can lead to feelings of dehumanization, distress, and even post-traumatic stress disorder (PTSD) in patients. The study suggests that these communication habits are prevalent and potentially harmful. Recommendations: The article calls for increased awareness and intentionality in communication within ICUs. It suggests that critical care teams should assume that patients can hear and process their words, even when sedated, and should minimize the use of imprecise or negatively suggestive language. Read the full article to learn more and discover how mindful communication can make a difference in patient care. Reference: Riestra Guiance I, Wallace L, Varga K, et al. Communication in the ICU: An Unintended Nocebo Effect? Journal of Patient Experience. 2024;11. doi:10.1177/23743735241272148 Full article: https://lnkd.in/gepm_6MD ************ SIGN-UP: Free monthly digest: “Transforming Health and Care Experiences with Research and Actionable-Insights" https://lnkd.in/gwv-YxSz ************ #Communication #PatientCare Laura Cooley, PhD Sage

#hiring *Family / Internal Medicine Physician (PRN) - N. Houston suburbs - Houston, TX*, Houston, *United States*, fulltime #opentowork #jobs #jobseekers #careers #Houstonjobs #Texasjobs #HealthcareMedical *Apply*: https://lnkd.in/dJVJMGYj Join VillageMD as a Family or Internal Medicine Physician (PRN) in the N. Houston suburbs. Welcome to the Future of Primary Care Why VillageMD? As a Family or Internal Medicine Physician with VillageMD, you will discover something unexpected: an entire organization built around the value of primary care. We empower our primary care physicians to deliver person to person care that lets you do what you do best. We will support you with evidence based best practices, full multi-disciplinary team to help you provide the best care for your patient. With the latest tools to enable you to provide modern high-tech care with a human touch. Our approach is value-based, physician-driven and patient-centered, allowing us to meet today s healthcare challenges with improved practices and consistent results. We re growing and we re looking for physicians who share our passion for excellence and enthusiasm to drive positive change. Could this be you? Our model of care lets you focus on what matters most: your patients. Our model provides the support that you need to deliver the outcomes you ve always wanted. In our physician led organization, our practicing physicians are making the important decisions that create the changes we are working towards. Why you will thrive Many healthcare systems expect physicians to deliver exceptional care but don t provide the resources necessary. At VillageMD, our model of care offers providers the support you need to practice the way you want. You will have: Access to physician leaders and knowledge-sharing opportunities across a national network of colleagues who are leading the transformation of primary care In each market, local physician leadership councils make the important decision impacting your daily work Reduced administrative burden and provide support Highly trained staff with 2 physicians and 2 advanced practice provider per location walk-in and PCP overflow Easy to use, optimized EMR with full telehealth capability Cross-trained care management and population health teams Personal and professional skills for success 2+ years of clinical outpatient experience, post residency Must hold current, unrestricted State license or be eligible for licensure Board certification/eligibility in Family Medicine or Internal Medicine is required Certified in Basic Life Support (BLS) or Advanced Cardiac Life Support (ACLS) Must be actively registered or eligible to register with the Drug Enforcement Agency (DEA) Must possess active Medicare/Medicaid enrollment or be eligible to enroll Strong oral and written communication skills Comfortable with Electronic Medical Rec

This may be the future for all clinicians, not just Radiologists. Metabolic dysfunction is a major contributor to the leading causes of death: 1. Cardiovascular disease 2. Cancer 3. Type 2 diabetes 4. Neurodegenerative diseases Physicians are no different from the general population.

Join the Case Management Society of New England and Northeast Association of Occupational Health Nurses for a webinar educational offering: Sustained Acoustic Medicine: A Novel Device for Soft Tissue Healing Monday, Sept 16 noon to 1 pm Speaker Rajiv Mallipudi, MD, MHS, FACP Director of Medical Education, ZetrOZ Systems Assistant Clinical Professor, Yale School of Medicine Objectives:  This presentation will provide the attendee with the understanding on how Sustained Acoustic Medicine (SAM) a non-invasive, non-narcotic therapy that uses low-intensity ultrasound waves, can treat/benefit those patients currently experiencing chronic pain and musculoskeletal injuries and potentially lead to avoidance of surgery. Discussion will include the basic science of the treatment, clinical research/indications and best/standardized treatment guidelines.    Upon completion of this session attendees will be able to: ·    Discuss the cellular signaling process and mechanism of action. ·    Describe the latest basic science, clinical research and clinical indications. ·    Identify important dosing parameters and therapeutic agents for treatment. ·    State best and standardized treatment guidelines for sports-related injuries   Registration fee: FREE for CMSNE & NEAOHN, $10 CMSA members not part of CMSNE, $20 Non-members Applications for 1 CCM, RN credit pending at this time. Special thanks to ZetrOZ and SAM for the support of this program's speaker: REGISTRATION LINK: https://lnkd.in/eujpzrTM If you have questions please reach out to cmsne@comcast.net or Nancy@OccHealthConnections.com

Interesting study by Broyhill and team that helps to better highlight and quantify the value of adding APPs to an outpatient practice. The impact on improved length of stay and overall team productivity are noteworthy in the setting of high patient satisfaction. #nursepractitioners #physicianassistants #healthcare #healthcarefinance #access #healthcareanalytics

What Physician Assistants don’t know can kill their patients. There’s a myth that you can tell which problems are easy, and safely give them to people who know less. This is made worse because we underestimate the power of rare catastrophic events. Part of the reason air travel is so safe is because pilots go to flight school and learn what to do when unlikely but dangerous things go wrong.   They say that things like sore throats are simple and can be managed by PA’s who are cheaper and easier to train – but is that really true? In medical school they taught us a “surgical sieve” to systematically look at what could be wrong with a patient. The acronym I use is VINTAMEDIC for headings to think about when assessing a patient. Let’s see how it works with the humble sore throat.   V – Vascular: heart attacks can present with pain in the throat as can blood clots in the lung. I – Infective: tonsil abscesses and invasive streptococcal infections can start with throat soreness. N – Neoplastic: Throat and mouth cancer can cause throat soreness – beware elderly smokers and prolonged pain. T – Trauma: Usually, the patient will remember the injury but sometimes their memory is poor, or the incident seems minor at the time. A – Autoimmune: Connective tissue diseases like scleroderma can cause throat soreness. M – Metabolic: Diabetes can cause nerve damage leading to reflux acid and sore throat E – Endocrine: Thyroid gland inflammation can cause pain in the neck. D – Degenerative: Lack of co-ordination in Parkinsons and other degenerative diseases can cause swallowing problems and throat pain. I – Iatrogenic: Numerous medications like antibiotics and bisphosphonates can cause irritation of the gullet. C – Congenital: Branchial cleft cysts (developmental remnants) can become tender and enlarged.   Not all of these are dangerous, and of those, not all are urgent. But some are both dangerous and urgent enough to harm patients. A few years back I had a phone call from a man at work who wondered if he needed antibiotics for a sore throat. Something didn’t seem right, and I got him to come in to be seen and have an ECG done. Turns out he was having a heart attack.   Doctors can only be safely replaced by PAs and other less knowledgeable staff when you have data to show that knowledge isn’t needed.

When it comes to the healthcare of our elderly loved ones, knowing who’s who on their care team can feel overwhelming. Let’s break it down in simple terms, so you can understand the key differences between a Medical Doctor (MD), Doctor of Osteopathic Medicine (DO), Physician Assistant (PA), and Nurse Practitioner (NP) and how they each can play a role in your loved one’s treatment. 1. Medical Doctor (MD) An MD is what most of us traditionally think of as a doctor. They go through years of medical school and training to diagnose, treat, and manage diseases. MDs primarily focus on using medication and surgery to treat illnesses, and they often specialize in fields like cardiology or geriatrics, which can be especially helpful for elderly patients. 2. Doctor of Osteopathic Medicine (DO) A DO has the same medical training as an MD but with additional emphasis on holistic care. DOs are trained to look at the whole person, considering lifestyle and environmental factors that might impact health. They also practice osteopathic manipulative treatment (OMT), a hands-on method that can be beneficial for mobility and pain issues, common in the elderly. 3. Physician Assistant (PA) PAs are highly trained medical professionals who work under the supervision of a doctor. They can diagnose illnesses, prescribe medications, and even perform certain procedures. In many settings, especially in senior care, PAs provide much of the hands-on care, often spending more time with patients than doctors. They’re great for day-to-day medical management and routine checkups. 4. Nurse Practitioner (NP) NPs are registered nurses with advanced training, capable of diagnosing and treating medical conditions, often working independently or alongside doctors. They focus heavily on patient-centered care, spending more time on prevention and education, which can be particularly important in managing chronic conditions that are common in older adults. So, who should care for your elderly loved one? The answer might be all of the above! MDs and DOs bring deep expertise and specialization, while PAs and NPs often handle day-to-day care, building long-term relationships with patients. Understanding their roles can help you feel confident in the team caring for your loved one, ensuring they receive the best care possible.

Healthcare providers involved in surgical procedures and - pathways are under great pressure, resulting in stress and burnout. How to reduce that stress? What works best for whom? Within 𝗞𝗘𝗘𝗣𝗖𝗔𝗥𝗜𝗡𝗚, Partners collabarate -supported by an EU Horizon Grant of almost 6.5 million euros. And ofcourse, very proud to lead this great European Consortium in search of answers to one of the most pressing questions in healthcare to date. Important indeed, because at least 60 percent of our healthcare providers show symptoms of burnout. Want to know more about this research? To date, my institution Amsterdam UMC sent out a press release👇 👉 Feel free to reach out to me directly for more information or via keepcaring@amsterdamumc.nl Partners: University of Limerick Nuromedia GmbH Erasmus MC ECHAlliance - The Global Health Connector Chino.io University of Warwick Sjællands Universitetshospital Koncern Digitalisering, Region Sjælland Høgskolen i Innlandet Italian National Research council, Italy Consiglio Nazionale delle Ricerche Universidade de Coimbra University of Tartu Healthy Mind Universidade Nova de Lisboa Universitätsklinikum Hamburg Eppendorf Rigshospitalet Rigshospitalet Innovation european federation of nurses associations HOPE - European Hospital and Healthcare Federation European Union of Medical Specialists #surgery #stress #burnout #resilience

📢 New NC Health Workforce Blog Post We recently updated the HPDS supply data dashboard with 2023 data (https://lnkd.in/dB-NkS96). Our new blog post (https://lnkd.in/dArWvAtr) gives examples of the types of questions that can be answered with the data dashboard: • The NC physician workforce increased 22% (from 22,414 to 27,410) between 2013 and 2023, while the NC population grew 10.6% (from 9,804,787 to 10,842,949) • NC physician specialties of Hospitalist, Neurology, Infectious Disease, Physical Medicine Rehabilitation, and Emergency Medicine have had the greatest percentage growth from 2013 to 2023 (see Figure) • The total number of active NC Licensed Practical Nurses decreased each year between 2019-2021 but growth resumed in 2023 to 17,362 active LPNs compared to 17,300 in 2022 • The ratio of dental hygienists (n = 6,631) to dentists (n = 6,075) in NC has continued to decrease steadily since its peak (1.26) in 2011, with a ratio of 1.09 in 2023 Visit our website to read the blog post (https://lnkd.in/dArWvAtr) and view the HPDS supply dashboard (https://lnkd.in/dB-NkS96). 𝐅𝐢𝐠𝐮𝐫𝐞 𝟏. North Carolina Physician Specialties with the Greatest Percentage Growth, 2013 – 2023

This post is for people who has never been inside US healthcare system I would like to briefly describe the workflow of the US outpatient healthcare system 1. Patients are scheduled to a time slot. 2. Typical day is about 16 patients/day. Each physician can schedule the patient differently, but the fastest visit is 15 min, the longest is 60 min. 3. When patient comes, they will be roomed usually by a medical assistant (MA). This is different than in most other countries, where a doctor has his own room and the patient come to the room after getting their vitals done by the nurses. 4. Rooming involves checking vitals, reconcile meds (meaning, they go over the meds, make sure the patient's taking the med, the frequency, and dosing are correct), asking some basic screening question (last colonoscopy, last vaccinations, depression screening, etc, this is varies depending on the MA), and ask what are the patient's concerns to be addressed by the doctor. 5. Once these are done, usually a paper chart is placed in front of patient room, then the medical assistant notifies the doctor that patient is roomed 6. Then doctor come to examine the patient. 7. While this is happening, the MA will get the next patient ready. 8. Once the doctor finished with that patient, the doctor will move to the next one, and the cycle continues until the last patient 9. During visit, the doctor may order meds, or workups such as labs and imaging. These workups will be sent electronically. There is no paper script. Patient will go to pick up the medications in the pharmacy or go to the designated labs to get the labs drawn. (patient can still choose to get in paper form, especially if going to labs that is outside of the network of the doctor's office) 10. What about imaging? Imaging or other type of test such as stress test, sleep study, pulmonary function test requires appointment, so once the order is placed electronically the respective department will call the patient to schedule the appointment. This is because these type of test is usually expensive so require approval for insurance. The order cannot be sent electronically if it's not going to be within the system. If it's done externally, then a paper order is printed, and patient would need to notify the lab or imaging department of their choosing. 11.In between visit, the doctor will need to respond to the workups he has ordered, also answer questions and calls from patients, and refilling prescriptions, this is also the 2nd main difference between US and other countries where in other countries typically you come back to see the doctor to review those test results or getting prescriptions refilled. Some institution would put policy that these messages need to be replied within a certain period of time to ensure prompt response. 12. Finally, you will try to finish the note within that day, again, each institution may put policy that you need to finish your note within a certain period of time.