Meeting Financial Needs of Hospitals - Term Paper Example

?Health Health 0 submitted) Health Annual report is among the measures hospitals conduct not only to assess the financial needs but also to determine other important needs of the hospital for the improvement of its services. To comply with the requirement of the CEO to contribute to the annual report, I am going to describe the dermatology, oncology, gastroenterology, pulmonary, cardiology, endocrinology, obstetrics, gynecology, orthopedics, and neurology department of our hospital to include the most common diseases, principal procedures, laboratory and radiological services and specialty teams connected with each department. The Dermatology department of our hospital handles patients with skin problems like dermatitis, pediculosis, scabies, fungal infections, vulgaris and psoriasis including attending to individuals seeking reconstructions of some part of their body for aesthetic purposes. Recently, our most common diseases were melanoma of the skin. Our physician handles this type of skin problem by requesting for a biopsy and histological examination through our laboratory facility. Apart from this, plastic surgery and debridement as a result of burn is also done in our department where physicians may perform homograft, xenograft or isograft. However, patients have to undergo sensitivity test, allergy test and direct examination. Because of the presence of other cases of basal and squamous cell carcinomas, keratosis, Bowen’s diseases and dysplastic nevi, our laboratory also offers other services like electro surgery in the form of curettage and electrodessication, electro coagulation, cryosurgery and MOH’s surgery. With the psychological impact of melanoma surgery, patients are referred to our counseling specialty team to handle the psychosocial aspect of the illness. Cases of all types of cancer are handled in our Oncology department. With the great number of smokers, it is not surprising to have bronchogenic carcinoma as the most prominent case. However, liver, breast cancer, cervical cancers are also trailing behind. Bronchogenic carcinoma is being worked up by assessing first the physical symptoms to include dyspnea, dysphagia, cyanosis and hemoptysis by the physician. If there are suspicious findings, patients are advised to undergo radiological studies like chest x-ray, bronchography, angiography, brochoscopic and cytotoxic examination offered in our laboratory facility to confirm diagnosis (Billings & Stokes, 1987). Since the goal of therapy is to remove the cancerous area, the patient is referred to our surgery special team who will perform the operation needed. Service of our special team is also extended to other patients diagnosed of ulcers, ovarian cysts, endometriosis, myomas and the like. Our gastroenterology department is responsible for patients with gastrointestinal diseases in which ulcerative colitis is the most attended case followed with Crohn’s disease, diverticulitis, hemorrhoid and peptic ulcer. Ileostomy or proctocolectomy is the approach our physician employs for ulcerative colitis because it does not respond to medical therapy. Problems after surgery includes health maintenance thus our patient are directed to our nutrition special team who focuses on providing diet high in protein and calories to assure healing and growth. Other services offered by our specialty team includes prevention and management of fluid excess and deficits like those experienced by patients with nephritis, dehydration, diarrhea and burns. To have a more effective management, our laboratory facility work with them by providing baseline data on the patient’s BUN, electrolytes and HCT. Although our laboratory has a limited capacity, our x-ray machine was able to reveal changes of fluid status in one of the outpatient who happens to come for a chest x-ray procedure. Patients who present signs and symptoms of lung problems are brought to our pulmonary department. Pulmonary tuberculosis (PTB) is notably on top of the list in this area immediately preceded by chronic obstructive pulmonary disease (COPD) and pneumonia. In diagnosing PTB, several laboratory studies are performed in our laboratory. Sputum studies are a part of the routine examination our physician normally requests for the medical technologies to carry out. Our laboratory further provides hematological, cytological and bacteriological studies for other patients needing it. With the presence of tomography, angiography, CT scan as additional equipment in our laboratory, osteoblastomas in children were diagnosed. Because PTB is a long term illness, they are referred to our social service special team who may give financial assistance. In the cardiology department, patients who are attended concerns disease of the cardiovascular system. On top of the list are cases of atherosclerosis. Next to it is angina pectoris. Laboratory studies like sedimentation rate, WBC count, SGOT, LPH is carried out in our laboratory all in support to determine presence of plague. With the many interrelated diseases like myocarditis, myocardial infarction, congestive heart failure, our laboratory service is extended to perform ECG and X-rays with contrast mediums. With the inclusion of our magnetic resonance imaging (MRI) and CT scan, an early onset of Wilm’s tumor case referred by other departments was diagnosed. Patients who show signs of incapacitation with severe case of atherosclerosis are handled with our specialty team who disperse their expertise in planning needed exercises and activities for their faster recovery. Their service also extends to work out on patients with arthritis, diabetes and stroke individuals. Tumors, hyperplasia, and hypertrophy which are just a few diseases as a result of disturbances of secretion of the hormones are admitted in the endocrinology department. Our statistical record discloses that numerous cases of Grave’s disease had been admitted for the past few days. But Addisonian crisis is closely behind the count. Although Problem of hyperthyroidism is confirmed by T3 and T4 diagnostic studies, they still have to encounter ultrasound done in our laboratory. To be of service to other patients with similar disorders such as hypopituitirism, acromegaly, and cretinism, our laboratory has invested in other laboratory studies to include radioactive iodine uptake test measurement (RAIU), basal metabolic studies (BMR) to determine oxygen insufficiency and glucose intolerance test. Lately, a case of nephropathy presented with symptoms of urinary tract infection and change in urine color (Raish & Klaus, 1987) was recognized with the assistance of our laboratory staffs with their still additional urinary studies. Our Obstetric department gives services to pregnant mothers who are potential to deliver through normal spontaneous delivery. Patients who come in for consultation are referred to our specialty group who provides the proper technique to push when birthing time comes. Mothers before they labor are directed to our laboratory facility for x- ray and ultrasound to ascertain normal fetal positioning and pelvic measurement convenient for normal vaginal delivery. Our laboratory also performs urinalysis, Pap smear and serological test which accidentally diagnosed a mother who is asymptomatic of gonorrhea and cystitis. Obstetric department is unique with the formation of our second specialty team who provides counseling for young parents and single mothers about proper parenting. Patients with premenstrual problems, dysmenorrheal, intrauterine pregnancy, endometrisis, and cervical and uterine cancer are all tended in the gynecology department. For the previous weeks, most of our patients are diagnosed with polycystic ovary disease. This was confirmed with the results coming from our laboratory staffs that perform biopsy, serum luteinizing hormone (LH) and follicle stimulating hormone (FSH) assays. Ultra sonography is yet another laboratory procedure that a polycystic ovary patient cannot escape. Patients are instructed to visit our specialty group who may help them determine individual and family resources and to provide ongoing source of support. Interestingly, our laboratory have realized the inclusion of VDRL, spinal taps, FFA-ABS and KOH wet preps to be of service to patients referred from the urinary department suspected of suffering from syphilis, clamydia, candidiasis and trichomoniasis. Cases of fractures and other problems of the skeletal system are taken care of in the orthopedic department. Lower back pain is the most common complaint in patients seeking treatment. They are mostly managed by brace or corset. Most often, orthopedic disorders are revealed by x-ray studies. Thus our laboratory staffs are expert in any angle required by the physicians. Just days ago, our laboratory staffs were able to contribute in recognizing joint space narrowing, subchondral body sclerosis and cyst formation which is suggestive of osteoarthritis with their x-ray machine. Their expertise also extends to include other diagnostic studies like ESR which also revealed many cases of rheumatic arthritis and ankylosing spondilitis. Patients who can tolerate exercises are often referred to our special team for their work out. Our special team not only includes adults but children as well in providing devices and prosthesis to patients with clubfoot, hip dysplasia and scoliosis. Lastly, our neurology department is responsible for phenylketonuria, Tay-sachs, cerebral palsy, multiple sclerosis, Down syndrome and other disorders of the nervous system. Headaches rank first in seeking medical case in this department. As a result, our laboratory is complete of diagnostic studies to start with CT scan and EEG to rule out brain tumor on seizure disorder. Cranial x-ray is done as routinely procedure. Electromyography is also performed for nerve muscle condensation. However, PET scan is not yet available so that diagnosis of alzheimers disease case is not fully established. Brain biopsy is always carried out for such case to determine neurofibrillary tangles and plaques suggestive of the disease (Stein & Miller, 2000). Neurological cases are referred to our special team for further work up especially for cases of Parkinson’s and strokes to avoid complications such as pneumonia, contractions, and thrombophlebitis and other deformities. References Billings, D., & Stokes, L., (1987). Medical and surgical nursing. Mosby Company. Washington, D.C. Raish, P., & Kalus, B., (1987). A Guide to Physicial Assessment. Fleschner Publishing Co. Connecticut. Stein, A., & Miller, J., (2000). NCLEX-RN Review. Thomson Publisher. Asia. Read More