Essay A Holistic Approach to Ambulatory Care

Over the past few years, we have notice a significant change in the workflow of a healthcare organization. This change is caused by the technological advancements of Health Information Technology (HIT). One of the many technological advancements of HIT is the Electronic Health Record (EHR). Electronic health records are a patient’s paper chart in a digital format. It always contains real time information and can be easily accessible. With EHR put into act, it has the ability to electronically view and share a patient’s medical history, past and current medications, immunization dates, any diagnoses or allergies, as well as testing and lab reports. It is also used to document and store data, in addition with many more abilities. It is important to understand the purpose, application, challenges, and advantages of an electronic heath record. In order to get a greater understanding of its use, we will use a private family medicine practice as the foundation for implementing the EHR.

Health providers across America are using Electronic Health Records systems to keep up with patient’s health information. Long hours of filing and writing patients health information manually has become a thing of the past. The Electronic Health Record system, known as EHRs, has changed how patients and health providers communicate as a whole. It has taken information technology to a different spectrum, and has helped patients become more aware of their health history and health conditions. Throughout the years, EHRs systems have been crucially ridicule in the medical world, due to lack of knowledge, high expenses, and apprehension among health providers. Because there will always be challenges when new technology starts to expand in any type of establishment. I believe that EHRs serves a great purpose in health care despite its delays.

It could be considered that conventional medicine has indirectly contributed to the rise of complementary and alternative medicine. A broad definition of Complementary and Alternative Medicine (CAM) is “a broad set of health care practices that are not part of that country’s own tradition or conventional medicine and are not fully integrated into the dominant health-care system” (The World Health Organisation, n.d.). Expanding on this definition it is important to address the variable similarities of CAM modalities. CAM therapies across the various modalities have in common a shared, in varying degrees, holistic approach and subscribe to some form of vitality - a contrast from the science-based view point of conventional medicine prevalent in western society. In spite of CAM therapies empirical nature and efficacies, it is suggested that dissatisfaction of conventional medicine underpins the popularity it has garnered, thus, it will be examined further as to how and why. A further discussion will be made to related dangers of both alternative and science-based medicine; providing an opportunity to constructively educate the public on the differences between the two systems.

As the emergence of electronic health records (EHRs), the subject of transforming the delivery method of healthcare is prominent in the United States. The use of EHRs is a major key in the way physicians practice in healthcare organizations through communication and management of patient information. Henricks (2011) points out that EHRs are a part of an objective aimed at improving all aspects of health care and reducing health disparities, making the healthcare of patients and families appealing to them, refining the direction of healthcare, along with population and public health improvement, continuation of privacy maintenance and the security of health information, and finally reducing costs. In the perspective of health information technology

Electronic retrieval of patient demographics, allergies, current medications, complete medical history, diagnostic and radiologic results, etc. occurs by clicking a few buttons. Electronic patient charts provide quick and easy access to physicians, hospitals, independent labs, and pharmacies. EHRs allow simultaneous access by independent providers and allow a collaborative effort for health care management of the patient. “EHRs are the next step in the continued progress of healthcare that can strengthen the relationship between patients and clinicians”. (Electronic Health Records Overview, 2011)

The use of the electronic medical record and patient portals are just a few ways that technology has been applied in health care and with more technological advances we are creating many ways to access health care that were not possible before. One technological advancement that

Nurses who work in holistic medicine will perform patient assessments to identify short- and long-term needs. They will facilitates patient and family involvement in developing holistic care plans. They will provides holistic health care interventions that are goal-oriented, researched-based and patient-focused. They evaluates the effectiveness of interventions and modify care practices based on results. They share relevant patient care information to promote continuity of care between different provider

An Electronic Health Record is a computerized form of a patient’s medical chart. These records allow information to be readily available to authorized providers during a patient’s encounter with the healthcare system. These systems do not only contain medical histories, current medications and insurance information, they also track patients’ diagnoses, treatment plans, immunization dates, allergies, radiology images and lab tests/results (source). The fundamental aspect of EHRs is that they are able to share a patient’s information quickly across service lines and even between different healthcare organizations. Information is at the fingertips of lab techs, primary care physicians, pharmacies, clinics, etc. The

The federal government established a nationwide health information technology (HIT) infrastructure which requires all health care facility personnel to use an electronic health record (EHR). According to Sewell & Thede, in 2004, President Bush called for adoption of interoperable electronic health records for most Americans by 2014. Electronic health records (EHR) is an automated system created by healthcare providers or organizations, such as a hospital in documenting patient care. In addition, EHR is an interoperable healthcare record that can comprise of multiple EMRs data and the personal health record (PHR). Furthermore, electronic health records can be created, managed, and accessed by approved clinicians and staff across more than one health care society (Sewell & Thede, 2013, p. 231-232). On the patients’ perspective, EHR will be used to support healthcare by providing electronic record of patients’ vital signs, demographics, allergies, medications, diagnoses, and smoking status. Consequently, on the providers’ perspective, EHR will support healthcare by use of decision support tools, enter clinical orders, such as prescriptions, provide patients with electronic versions of their health information, use systems that protect the privacy and security of HER patient data. Another meaningful use of EHR is to support activities such as conducting drug formulary checks, including clinical laboratory test results, recording advance directions for patient 65 years and

Electronic Health Records (EHR) are changing the way health care is delivered to patients, not just how patient medical information is stored. In the recent past, patient-doctor visits consisted of handwritten multiple medical forms to be completed, and most times duplicated. There were several areas of concern with past patient record keeping, omission of important care information, medical interventions and prescribed medication were missed in certain cases, erroneously prescribed or duplicated and records were lost or misplaced. EHR facilities and improves the quality of care by refining access to patient record by multiple health care providers and the patient; better decision support; reporting occurs in real time and is legible which

As complementary and alternative medicine (CAM) grows more popular with the American public, the question arises whether we should consolidate aspects of unorthodox medicine with standard care. Many, such as Dr. Andrew Weil, swear by CAM’s effectiveness and urge for a more patient-centered approach to care (Relman). While CAM has no shortage of critics, a growing body of research is indicating the effectiveness of many CAM therapies in treating a variety of conditions. Patients, physicians, and researchers sometimes find that CAM therapies are more

The article, “2016 Report to Congress on HIT Progress,” explains how electronic health record became a highly used resource in the past six years. Most healthcare organizations have decisively moved from the paper based industry to an electronic records system. As the 2016 Report to Congress on HIT Progress shows, at this time, a huge amount of electronic health data exists across the United States, which was not available many years ago. This is a great opportunity for future generations to advance the practitioners’ awareness of decision making towards treatment and quality of care. The electronic health record is now necessary and very convenient for doctors to use towards review patient’s medical history.

Digital technology has transformed our world. Smart phones, tablets and web based devices changed our daily lives and the way we communicate. Within digital healthcare infrastructure, creation of Electronic Health Records (EHR) transformed the way care is delivered and compensated. EHR is the digital version of a patients paper chart. EHRs are the real time, patient centered information available for authorized health care providers. Through EHR, health information can be created, managed and shared between providers. EHRs can share the information between providers and organization, so that they comprise information from all clinician involved in a patients care (Aziz & Alsharabasi, 2015). EHR includes many potential capabilities, but three

Healthcare treatments are no longer being determined by set protocols for a particular diagnosis or disease process. Increasingly more common, individualized, patient-driven adaptations are being implemented to improve adherence and compliance with treatment. Society as a whole is changing. The influx of immigrants, cultural variations, and increased interest in “natural healing” therapies within the U.S., has fueled a growth in the use of natural and alternative medicine practices. Holistic healthcare lends a unique facet in making these adaptations to medical care conceivable. Through employing the unique relationship formed between nurses and patients collaboration in care, including the use of complementary and alternative medicine practices (CAM), can be easily managed (Barnes, Bloom, & Nahin, 2008). This alliance among nurses and patients in appraising all options, including CAM practices when appropriate, supports the patient’s right to be informed in regards to their care prior to consent.

Although "Alternative" or "Complementary" medicine has been kept on the fringes of the medical sciences in the past, it is becoming increasingly more popular, and more reputable. Alternative medicines are those medical systems which are not taught to or practiced by most conventional medical doctors. Alternative medicines seemingly have always existed, changing and conforming to the current climate of society. There seems to be an almost endless number of alternative medicines, each with their own method of gaining perfect health. Often people who are dissatisfied with conventional medicine turn to alternative medicine for their medical needs. Many similarities link the diverse extremities of alternative medicine.