Showing posts with label krumholz. Show all posts
Showing posts with label krumholz. Show all posts

Saturday 22 April 2017

The First Two Weeks After Leaving From The Hospital Are The Most Dangerous

The First Two Weeks After Leaving From The Hospital Are The Most Dangerous.
The days and weeks after asylum let out are a unguarded time for people, with one in five older Americans readmitted within a month - often for symptoms incompatible to the original illness. Now, one expert suggests it's time to recognize what he's dubbed "post-hospital syndrome" as a salubriousness condition unto itself. A hospital stay can get patients alive or even life-saving treatment. But it also involves physical and mental stresses - from infertile sleep to drug side effects to a drop in fitness from a prolonged time in bed, explained Dr Harlan Krumholz, a cardiologist and professor of pharmaceutical at Yale University School of Medicine in New Haven, Conn.

So "It's as if we've thrown ancestors off their equilibrium. No occasion how successful we've been in treating the acute condition, there is still this vulnerable period after discharge". Disrupted sleep-wake cycles during a polyclinic stay, for instance, can have broad and lingering effects, Krumholz writes in the Jan 10, 2013 printing of the New England Journal of Medicine.

Sleep deprivation is tied to corporeal effects, such as poor digestion and lowered immunity, as well as dulled mental abilities. "The post-discharge while can be like the worst case of jet lag you've ever had. You experience like you're in a fog".

There's no way to eliminate what Krumholz called the "toxic environment" of the convalescent home stay. Patients are obviously ill, often in pain, and away from home. But Krumholz said health centre staff can do more to "create a softer landing" for patients before they head home.

Staff might check on how patients have been sleeping, how distinctly they are thinking and how their muscle strength and balance are holding up. Involving family members in discussions about after-hospital responsibility is key, too. "Patients themselves rarely remember the things you take an oath them," Krumholz noted - whether it's from sleep deprivation, medication side things or other reasons.