Business for Healthcare Practitioners

(We are interested to invest in health club, physiotherapy and occupational therapy unit, if project is potential)

Grow Your Practice, Avoid Costly Management Errors, Minimize Practice Stress

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Description about topics


Patient history

In this page patients' history for physical status can be done. This will help in diagnosis and treatment of patients which include long and short term goals, proposals for further action etc. These all details can be recorded electronically in pdf or jpg format or can be printed out.

Provide your primary care and give him or her a better understanding of patient health. It allows your medical practitioner to identify patterns and make more effective decisions based on your specific health needs.

This allows your practitioner to assess your risk for certain diseases or conditions.

It can also help prevent the onset of certain health problems. For example, if you have a family history of diabetes, your doctor will know to look closely for prediabetes. Or, your practitioner may order tests or screenings if you have a higher risk for a certain type of chronic complications.

Your practitioner will work with you to establish a plan to stay healthy and decrease your risk or prevent certain diseases.

Document your medical history and share this information with your practitioner. 

• name, address, date of birth, referring practitioner

Chief physical complaints

Social status

• occupation, family, daily function, ... Medical history

  1. a) Family illnesses – parents, siblings, children

  2. b) Prior illnesses – in chronological order. Duration, treatment, complications

  3. c) Present illnesses – onset, symptoms, course of symptoms, present status

  • Upper extremities

  • Lower extremities

    Force

    Muscle force over joints:

    Shoulders, elbows, fist, hip, knee, ankle

    Coordination

    Normal sensibility for pain, touch and

    Temperature Balance and walking

    Normal walk, stand on heels and toes, rise up

History should be Focus on physical examination which include

  • Present illness,
  • Patient past medical history
  • Previous or present medications and allergies
  • Family background social history
  • Finally occupational history
  • If any pathological investigation done if yes notify in short

Presentation of patient Case

  • Describe the case in a narrative form.
  • Demographics of patient (age, sex, height, weight, race, occupation).
  • Avoid patient date of birth, initials and father name.
  • Describe a short patient's complaint.
  • Present illness as well as medical history must be listed
    1. Include the important details of your current problem.
    2. Share your past medical history
    3. Include your social history.
    4. Write out your questions and expectations.

Three Types of Patients

  1. The patient depends on your decision.
  2. The patient's want problem must resolve without thinking of another alternative
  3. Patient want to avoid surgery

Patient Feedback

In this page patients feedback can be done. This will help to record in short progress reports of patients . These all details can be recorded electronically in pdf or jpg format or can be printed out.

Through this page patient treatment effectiveness can be recorded.Further treatment is needed or not needed ? 

Chief physical complaints and importance feedback 

  1. Always date and sign your notes, whether written or on the computer. Don’t change them. If you realise later that they are factually inaccurate, add an amendment.
  2. Appropriate record-keeping is recognised as an important component of professional standardsIf any alteration is done clearly give your name and date. .
  1. Give in detail all decisions made, any discussions, information given, relevant history, clinical findings, patient progress, investigations, results, and referrals.
  2. Medical records can contain a wide range of equipment used and correspondence material.
  3. Do not write such comments – eg, racist, sexist or ageist remarks. except relevant to the health record.
  4. Remember patients have a right to access their own medical records 
  5.  Good record-keeping helps to maintain best practice, aiding clear communication between professionals, and demonstrates that best practice has been followed.

Short Nursing Care Feedback

This page help how to asses database

Provides an overview of the more commonly the signs and symptoms and corresponding diagnostic findings.

 

Nursing

Establishes a general ranking of needs and concerns on which the Nursing Diagnoses are ordered in constructing the plan of care which can be altered according to the individual client situation.

 

Goal to Discharge

Identifies short-term and intermediate goals to be achieved by the client before being “discharged” from nursing care. They may also provide guidance for creating long-term goals for the client to work on after discharge.

 

Nursing Diagnosis

The general need or problem (diagnosis) is stated without the distinct cause and signs and symptoms, which would be added to create a client diagnostic statement when specific client information is available. For example, when a client displays increased tension, apprehension, quivering voice, and focus on self, the nursing diagnosis of Anxiety might be stated: severe Anxiety related to unconscious conflict, threat to self-concept as evidenced by statements of increased tension, apprehension; observations of quivering voice, focus on self.

In addition, diagnoses identified within these guides for planning care as actual or risk can be changed or deleted and new diagnoses added, depending entirely on the specific client information.

 

Possible evidence

These lists provide the usual or common reasons (etiology) why a particular need or problem may occur with probable signs and symptoms, which would be used to create the “related to” and “evidenced by” portions of the client diagnostic statement when the specific situation is known.

When a risk diagnosis has been identified, signs and symptoms have not yet developed and therefore are not included in the nursing diagnosis statement. However, interventions are provided to prevent progression to an actual problem. The excep- tion to this occurs in the nursing diagnosis risk for Violence, which has possible indicators that reflect the client’s risk status.

 

Nursing Interventions

Nursing Interventions Classification (NIC) labels are drawn from a standardized nursing language and serve as a general header for the nursing actions that follow.

Division of Nursing actions are independent—those actions that the nurse performs autonomously; and collaborative— those actions that the nurse performs in conjunction with others, such as implementing physician orders. The interventions in this book are generally ranked from most to least common. When creating the individual plan of care, interventions would nor- mally be ranked to reflect the client’s specific needs and situation. In addition, the division of independent and collaborative is arbitrary and is actually dependent on the individual nurse’s capabilities and hospital and community standards.

This abbreviated plan of care or care map is event- or task-oriented and provides outcome-based guidelines for goal achieve- ment within a designated length of stay. Several samples have been included to demonstrate alternative planning formats.

Patient CARE

In this page patients' history for physical status can be done. This will help in diagnosis and treatment of patients which include long and short term goals, proposals for further action etc. These all details can be recorded electronically in pdf or jpg format or can be printed out.

Provide your primary care and give him or her a better understanding of patient health. It allows your medical practitioner to identify patterns and make more effective decisions based on your specific health needs.

This allows your practitioner to assess your risk for certain diseases or conditions.

It can also help prevent the onset of certain health problems. For example, if you have a family history of diabetes, your doctor will know to look closely for prediabetes. Or, your practitioner may order tests or screenings if you have a higher risk for a certain type of chronic complications.

Your practitioner will work with you to establish a plan to stay healthy and decrease your risk or prevent certain diseases.

Document your medical history and share this information with your practitioner. 

• name, address, date of birth, referring practitioner

Chief physical complaints

Social status

• occupation, family, daily function, ... Medical history

  1. a) Family illnesses – parents, siblings, children

  2. b) Prior illnesses – in chronological order. Duration, treatment, complications

  3. c) Present illnesses – onset, symptoms, course of symptoms, present status

  • Upper extremities

  • Lower extremities

    Force

    Muscle force over joints:

    Shoulders, elbows, fist, hip, knee, ankle

    Coordination

    Normal sensibility for pain, touch and

    temperature Balance and walking

    • Normal walk, stand on heels and toes, rise up

Different reasons that can cause muscle stiffness.
  • Exercise with physical strain or stress
  • Muscle overuse
  • Cramps
  • Different types of rheumatic problems
  • Various Infection Infection
  • Allergic reaction
  • Different orthopaedic ,neurological or psychiatric problems
  • Vitamins deficiency eg.vit D or Magnesium etc.
  •  Chronic fatigue
  • Various inflammatory disorder

Muscle stiffness can be treated?

Muscle stiffness treatments are dependent upon the cause. Muscle stiffness due to overuse of skeletal muscle will eventually disappear or common home treatment will help. Relief from stiffness 

1. Resting the muscles, or applying ice packs and heating pads, stretching, or light massaging the muscle.

2.After 48 hours local medical advice should be taken 

What are the most important facts to know about muscle stiffness?

1.Tight feeling in the muscles associated with pain and difficulty moving. 

2..Overusing muscles, or being physically inactive for long periods of time. 

3.Other conditions, including myopathy, neurologic disorders. 

4. Stiffness muscle can be diagnosed

a) Medical history 

b) Physical examinations,along with follow-up assessments 

Importance of Exercise Plan

  • Improve physical activity
  • Maintain range of motion,muscle strength and muscle mobility
  • Reduces physical risk
  • Reduces medical complication
  • Prevent psychological complications

Physical therapists and related professions often use muscle testing.

Muscle testing is used to determine

  • Gait Analysis
  • Strength Training Exercises
  • Muscle tolerance
  • Measure muscle strength and function
  • Help to plan exercise Therapy
  • It help to evaluate exercise tolerance

Mental symptoms of anxiety can include:

  • Nervousness, restlessness, or being tense
  • Feelings of danger, panic, or dread
  • Heart rate increases
  • Uncomfortable breathing
  • Increased or heavy sweating
  • Associated with mild or moderate trembling
  • Weakness and lethargy
  • Difficulty in decision making
  • Unable to sleep
  • Stomach discomforts
  • Mild or moderate Hallucination
  • Fear complex
  • Disturb behaviors
  • Difficult to concentrate

Function of Naturopathy

  • Nutrition and dietary consultation which help to prevent some medical problems and complications.
  • To advise Herbs
  • Hot and cold water Therapy.
  • Sauna and steam bath advice
  • Mud bath
  • Light Massage for relaxation
  • Acupressure
  • Basic Counselling techniques

Certificates