D Driggers | PubMed Health

PubMed1983

Hemorrhagic shock.

Shock is a consequence of insufficient blood flow for adequate oxygenation at the cellular level. Early recognition of the signs permits prompt therapy to maintain the effective circulating volume before irreparable organ damage occurs. Classification of shock on the basis of percentage of blood loss is helpful in guiding initial management. Replacement of red blood cells may be required for acute blood loss of more than 25 percent of the patient's circulating volume. Adequate arterial PO2 is essential for maintaining cellular oxygenation.

Blood Circulation↗

PubMed1982

The family continuity of care contract.

Continuity of care has been defined as a contract between a patient and physician for medical care. This study looks at continuity of care in a community family practice residency program before and after office contact has been made with at least one member of the family by the assigned physician. It is assumed that during such a visit a contract for care of the family is made. Using this premise, continuity of care increased significantly when the different resident levels and faculty were compared over a 2.5-month period. It seems reasonable to measure the continuity of care provided an assigned family only after a contract has been made. This contract should be accomplished in an initial intake interview or during the initial office contact with the assigned physician.

Continuity of Patient Care↗