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Despite receiving intensive care with specialized consultation, these patients present poor prognosis.
A referral for a specialized consultation should not be required until the clinician has observed a functional deficit that is persistent or deteriorating[ 10] after four weeks.
Several responses are possible: direct orientation (specialized management for substance abuse or emergencies) after the phone contact without a specialized consultation (22%) or, mainly, psychiatrist or psychologist consultations for advice or joint interventions (78%).
Patients who leave the ER against medical advice (" left against medical advice " or LAMA) during their ED stay, either during the diagnostic period (while awaiting an X-ray exam, a specialized consultation, etc).
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We first performed workload analyses and performance statistics for all working areas of our department (operation theater, emergency room, specialized consultations, surgical wards and on-call duties) using personal interviews, time cards, medical documentation software as well as data of the financial- and personnel-controlling sector of our administration.
The experience of an urban tertiary university hospital in the design and establishment of Specialized Ambulatory Consultation (SAC) of Internal Medicine is presented.
For reference standard evaluation, an experienced psychiatrist (L-BJ) specializing in consultation psychiatrics independently assessed the delirium using the DSM-IV criteria.
Additional technical support and specialized statistical analysis and consultation are available by arrangement with the authors and, depending on the service requested, may be subject to fee.
The purpose of this consultation is fast specialized ambulatory care of medical diseases, decrease of inappropriate hospitalizations and improvement of coordination with primary health care.
During the first consultation, the nurse specialized in osteoporosis and fall risk assessment informed and invited every patient individually.
It includes specialized nursing home care, paramedical care, specialized mental health care, and treatment and consultations for primary informal caregivers if needed.
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