By John P. Enterline, Raymond E.Jr. Lenhard, Bruce I. Blum
A scientific details approach for Oncology describes a clinical details approach designed and applied in a melanoma heart yet with vast applicability to scientific perform past the melanoma middle setting in either inpatient and outpatient settings. considered as ahead having a look in 1978, the method has the excellence of nonetheless being in creation. certainly, its performance has persisted to develop and its technical implementation to adapt with the altering know-how over the past decade. The authors aspect the features supported by means of this specific approach, illustrate the way it assists within the care procedure, assessment its improvement historical past, and assessment its effect at the supply of care by way of expense, person delight, and efficacy. not like a lot info know-how, the procedure is an lively player in scientific choice making: it comprises accomplished instruments for coping with and showing scientific information; immediately produces care plans from protocols; and lines particular instruments which help the powerful use of blood items. execs in clinical informatics, health center directors, and physicians will locate this booklet a necessary addition to their expert library.
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Additional info for A Clinical Information System for Oncology
With the amount of sodium salt administered to the patient coming from a variety of sources, such as food, medications, and intravenous fluids, the calculation of sodium input may be difficult to obtain. The most important measure may be a global evaluation of the dynamic relationship between the patient's weight and fluid input/output balance. Further sophistication of this measurement, to provide a more accurate clinical management plot, can be built into the system in models that account for insensible loss of fluid through the skin relative to patient temperature and loss of sodium via other body fluids.
The patient has chronic kidney failure and nothing has changed over the last two weeks. The result of 4 mg, although abnormal, is stable and represents a chronic condition calling for no new medical treatment. The patient does not need emergency care. 2. 5 mg/dl. 0. This represents not an emergency, but a sign of improvement and successful therapeutic response to current management. In this instance the result viewed by the laboratory as an emergency is actually an indication that the current treatments are successful.
Radiation therapy is described by site, total dose, and the duration of treatment, but not in such detail as specific field size, dose fractions, or treatment machine source. A typical radiation therapy statement is shown in Figure 2, recording that 5000 rads were given to the right chest wall and 4500 rads to the right supraclavicular area and showing the associated dates of treatment. Chemotherapy and hormone administration are similarly collected, showing what drug »,as given, the dose fraction, and duration, but not cumulative dose.
A Clinical Information System for Oncology by John P. Enterline, Raymond E.Jr. Lenhard, Bruce I. Blum