{"id":43187,"date":"2016-09-09T11:37:08","date_gmt":"2016-09-09T16:07:08","guid":{"rendered":"http:\/\/piel-l.org\/blog\/?p=43187"},"modified":"2016-09-09T12:14:49","modified_gmt":"2016-09-09T16:44:49","slug":"desde-bitacoramedica","status":"publish","type":"post","link":"https:\/\/piel-l.org\/blog\/43187","title":{"rendered":"Desde Bitacoram\u00e9dica"},"content":{"rendered":"

1.- El Medico del futuro\u00a0<\/b><\/span>Margot Phaneuf, R.N., Ph.D. \u201cThe Roles and Qualities Required of a Case Manager\u201d, 2005<\/b>. <\/span><\/p>\n

La medicina moderna ha intercambiado la mortalidad precoz por\u00a0 <\/span>morbilidad cr\u00f3nica. Hoy en d\u00eda, las principales causas de muerte en edades tempranas se han erradicado gracias a las medidas preventivas y terap\u00e9uticas. La esperanza de vida de la poblaci\u00f3n ha aumentado considerablemente y las enfermedades cr\u00f3nicas, la mayor\u00eda de ellas multifactoriales e incurable, se han convertido en los principales problemas m\u00e9dicos. Esta situaci\u00f3n plantea nuevos retos a los m\u00e9dicos, que normalmente estaban\u00a0 <\/span>entrenados para tratar las\u00a0 <\/span>condiciones agudas y curables pero insusuficientemente preparados para hacer frente a las m\u00faltiples condiciones cr\u00f3nicas que un paciente de la tercera edad. Con estas limitaciones de formaci\u00f3n, los m\u00e9dicos no est\u00e1n preparados para proporcionar atenci\u00f3n adecuada<\/span><\/p>\n

New roles: case manager and caretaker<\/b><\/span><\/p>\n

According to Tudor Hart, modern medicine has exchanged early mortality for chronic morbidity. Nowadays, the major causes of death at early ages have been eradicated thanks to preventive and therapeutic measures. Life expectancy of the population has increased considerably and chronic diseases, most of them multi-factorial and incurable, have become the major medical problems. Is situation poses new challenges to physicians, who are specially trained to deal e ciently with acute and curable conditions but insu ciently prepared to confront the multiple chronic conditions that a ect aged patients and for which the doctor lacks e ective curative measures. With these training limitations, doctors o en provide inconsistent and fragmented care in situations that require quite the contrary.<\/span><\/p>\n

2.- Interesting quote from \u00abBeing Mortal: Medicine and What Matters in the End\u00bb\u00bbSer Mortal:\u00a0 <\/span>Lo que importa al final\u00bb por Atul Gawande <\/b><\/span><\/p>\n

\u00abLos profesionales de la salud tienen un sistema formal de como debe ser la\u00a0 <\/span>funci\u00f3n vitalde\u00a0 <\/span>una persona, es decir funcionar sin ayuda: Usar el ba\u00f1o, comer, vestirse, ba\u00f1arse,\u00a0 <\/span>salir de la cama, levantarse de una silla, y caminar, son\u00a0 <\/span>\u00abActividades de la Vida diaria\u00bb \u2013Es decir la\u00a0 <\/span>capacidad de independencia f\u00edsica b\u00e1sica. Hoy en dia en las personas de tercera se requiere mas;\u00a0 <\/span>comprar sus cosas m\u00e1s sencilla, preparar su propia comida, mantener su limpieza, lavar la ropa, administrar sus medicamentos, hacer llamadas telef\u00f3nicas, manejar sus finanzas, es decir tiene una falta de la\u00a0 <\/span>capacidad para desenvolverse. En algunas sociedades estas medidas\u00a0 <\/span>b\u00e1sicas de independencia, se hace muy complicado y puede generar crisis de la familia\u201d. <\/span><\/p>\n

\u00abBeing Mortal: Medicine and What Matters in the End\u00bb by Atul Gawande and wanted to share this quote with you.
\n<\/b>
\n\u00abHealth professionals have a formal classification system for the level of function a person has. If you cannot, without assistance, use the toilet, eat, dress, bathe, groom, get out of bed, get out of a chair, and walk\u2014the eight \u201cActivities of Daily Living\u201d\u2014then you lack the capacity for basic physical independence. If you cannot shop for yourself, prepare your own food, maintain your housekeeping, do your laundry, manage your medications, make phone calls, travel on your own, and handle your finances\u2014the eight \u201cIndependent Activities of Daily Living\u201d\u2014then you lack the capacity to live safely on your own. My grandfather could perform only some of the basic measures of independence, and few of the more complex ones. But in India, this was not of any dire consequence. His situation prompted no family crisis meeting, no anguished debates over what to do with him. It was clear that the family would ensure my grandfather could continue to live as he desired. One of my uncles and his family lived with him, and with a small herd of children, grandchildren, nieces, and nephews nearby, he never lacked for help.\u00bb<\/span><\/p>\n

Start reading it for free:\u00a0http:\/\/amzn.to\/2c9A57t<\/span><\/a><\/span>
\n——–
\nDownload Kindle for Android, iOS, PC, Mac and more
\nhttp:\/\/amzn.to\/1r0LubW<\/span><\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Dos libros recomendados<\/p>\n","protected":false},"author":10,"featured_media":28192,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[22],"tags":[],"class_list":["post-43187","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-de-bitacoramedica"],"_links":{"self":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/43187","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/comments?post=43187"}],"version-history":[{"count":0,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/posts\/43187\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media\/28192"}],"wp:attachment":[{"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/media?parent=43187"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/categories?post=43187"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/piel-l.org\/blog\/wp-json\/wp\/v2\/tags?post=43187"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}