Factors Influencing Tertiary Care Patients to Abandon Medical Advice: A Case Study from Health Centers in New Delhi, India | Chapter 3 | Advancement and New Understanding in Medical Science Vol. 6

The study helped us to realise that financial burden remains the main reason for patients leaving against the medical advice in a tertiary care hospital in New Delhi, India. When a patient, who is already admitted in the hospital wishes to leave against the clinician’s advice, it is referred to as discharge against medical advice (DAMA) or leave against medical advice (LAMA). These patients are often ill at the time of leaving against medical advice as of the disease process itself along with incomplete treatment. The study conducted here is a prospective study enlisting all the causes forcing the patients to leave the hospital against medical advice from the door of the emergency room. Choosing the alternative systems of healthcare practice and home remedies is also prevalent in Indian community. We will further try to find out the best ways possible to reduce the number of patients leaving the healthcare facilities against the medical advice.

Author(s) Details:

Surjeet Acharya,
Max Super Speciality Hospital, Shalimar Bagh, New Delhi, India.

Please see the link here: https://stm.bookpi.org/ANUMS-V6/article/view/13354

Determination of Poisoning Cases in a Rural Tertiary Care Teaching Hospital by a Clinical Pharmacist | Chapter 6 | Challenges and Advances in Pharmaceutical Research Vol. 7

 History: Poison Mortality from a variety of chemicals is widespread. Various substances, including pesticides and pharmaceuticals, have been utilised inadvertently or on purpose as poisons in various nations. Pesticides are the most often employed poisoning agents in the Indian context. One of the main difficulties that health care workers face globally is managing poisoning. As a result, the clinical pharmacist can be very important in managing or controlling poisoning.To evaluate the poisoning cases that have been admitted to the rural tertiary care hospital

Methodology: The emergency department at Adichunchanagiri Hospital and Research Center was the subject of a prospective, observational study for nine months.

Results: 73 hospitalizations for poisoning were found during the research period. They have a higher percentage of men than women, 63.0% to 37.0%. The majority of casualties were between the ages of 21 and 40. Poisoning that was done on purpose made up 80.8% of cases, while accidental poisoning made up 19.2%. Pesticide exposures were seen in 57.5% of the instances of poisoning, followed by bites, or 13.6%, domestic products, 8.3%, medicine, and miscellaneous, or 5.6%. According to the results of the treatment assessment, only 78.7% of patients were appropriately treated, and 21.3% did not receive the recommended care.

The therapeutic outcome results showed that 59 (80.8%) patients were recovered, 9 (12.3%) people died, 4 (5.5%) patients were discharged against medical advice, and 1 (1.4%) patient was suggested for a higher centre. During the study period, eight poison information queries were managed and given to the requestor. To handle the cases of poisoning, a poison treatment protocol was also created or produced. In summary, clinical pharmacist involvement in poisoning management will decrease fatalities and enhance therapeutic results. The majority of poisoning incidents included a pesticide that farmers used in their agricultural crops.

Author(s) Details:

K. V. Ramanath,
Department of Pharmacy Practice,Sri Adichunchanagiri College of Pharmacy, B G Nagara-571448, Mandya District, Karnataka, India and Suryadatta College of Pharmacy Healthcare & Research, Pune-411021, India.

H. D. Naveen Kumar,
Department of Pharmacy Practice,Sri Adichunchanagiri College of Pharmacy, B G Nagara-571448, Mandya District, Karnataka, India and Suryadatta College of Pharmacy Healthcare & Research, Pune-411021, India.

Please see the link here: https://stm.bookpi.org/CAPR-V7/article/view/8369