Clinical predictors of mortality in Parkinson's disease include age at onset, chronological age, male sex, motor severity, psychosis, and dementia
A long-time patient, who is a 56-year-old male, arrives for his annual exam complaining of excessive thirst, frequent urination, unplanned weight gain, and fatigue. His blood pressure, which was borderline hypertensive last year, is now 160/95. He reports no change in diet, job responsibilities, or family life. This year, you have added another screening to the standard vital signs.
Collaboratives have sprung up all over the country, and many boast impressive results. However, few can lay claim to as many accomplishments in a relatively short period of time as the Iowa Healthcare Collaborative (IHC).
In a multicultural society, health care professionals must keep cultural differences in mind when trying to communicate clearly with patients who have immigrated to the United States from other countries. Teaching with an awareness of the cultural differences that may exist is essential for good medical outcomes.
Childbirth at Evergreen Hospital Medical Center in Kirkland, WA, is viewed as a family experience, rather than a medical event.