What is a prognosis?
Prognosis may be given before any treatment is undertaken, so that the patient or client can weigh the benefits of different treatment options. Different factors can affect the prognosis of each individual. These factors include: 1 Everyone is different, and prognoses are just educated guesses.
How is the decision to begin treatment based on a diagnosis?
The decision to begin treatment based on a working diagnosis is informed by: (1) the degree of certainty about the diagnosis; (2) the harms and benefits of treatment; and (3) the harms and benefits of further information-gathering activities, including the impact of delaying treatment.
How does the provision of treatment inform the diagnosis process?
In addition, the provision of treatment can also inform and refine a working diagnosis, which is indicated by the feedback loop from treatment into the information-gathering step of the diagnostic process. This also illustrates the need for clinicians to diagnose health problems that may arise during treatment.
What is included in a patient's clinical history?
A patient's clinical history includes documentation of the current concern, past medical history, family history, social history, and other relevant information, such as current medications (prescription and over-the-counter) and dietary supplements.
Who invented medical treatment?
HippocratesThe answer to this is Hippocrates. Yes, Hippocrates is credited with being the man who invented medicine. He was a Greek physician who wrote the Hippocratic Corpus, a collection of seventy medical works. He is also accredited with the invention of the Hippocratic Oath for physicians.
When was medical treatment invented?
The first known mention of the practice of medicine is from the Old Kingdom of Ancient Egypt, dating back to about 2600 BC.
What was the earliest medical treatment?
Over the next 150 years, scientists learnt more about chemistry and biology. The first modern, pharmaceutical medicine was invented in 1804 by Friedrich Sertürner, a German scientist. He extracted the main active chemical from opium in his laboratory and named it morphine, after the Greek god of sleep.
What was the most important development in the history of medicine?
1. Germ Theory Inventor. The oldest medical breakthrough on our list might be one of the most important and that was the invention of the germ theory. For the majority of time, humans did not understand how sickness and diseases were spread.
Who invented the hospital?
The earliest general hospital was built in 805 AD in Baghdad by Harun Al-Rashid.
What was invented at Harvard?
Using the technology of single-cell sequencing, which was developed at the School, HMS and Harvard scientists traced the fates of individual cells over the first 24 hours of the life of an embryo, recapitulating decades of research on the decisions cells make in the earliest stages of life and generating a detailed ...
Who is the father of medicine in the world?
HippocratesHippocrates is considered to be the father of modern medicine because in his books, which are more than 70. He described in a scientific manner, many diseases and their treatment after detailed observation.
Who invented surgery?
Sushruta (c. 600 BCE) is considered as the "founding father of surgery". His period is usually placed between the period of 1200 BC - 600 BC.
Who was the first doctor in history?
ImhotepThe first physician to emerge is Imhotep, chief minister to King Djoser in the 3rd millennium bce, who designed one of the earliest pyramids, the Step Pyramid at Ṣaqqārah, and who was later regarded as the Egyptian god of medicine and identified with the Greek god Asclepius.
Who contributed the most to medicine?
Known as “The Father of Medicine”, Hippocrates lived in Greece in the 5th Century BC. Many consider him to be the greatest physician of all time with his early hypothesis that illness had both physical and rational explanations.
Who Discovered injection?
1844: Irish physician Francis Rynd invented the hollow needle and used it to make the first recorded subcutaneous injections, specifically a sedative to treat neuralgia. 1853: Charles Pravaz and Alexander Wood independently developed medical syringes with a needle fine enough to pierce the skin.
What is the Coronavirus?
Although the term “coronavirus” has been used to label the current outbreak affecting the world, it actually refers to a large group of viruses known to cause severe illness in both humans and animals.
What are the Symptoms of Coronavirus?
Symptoms of the virus vary significantly between individuals, with some experiencing only mild issues (or none at all in other instances). In fact, the World Health Organization (WHO) suggests that nearly 80-percent of individuals that contract this newest strain of Coronavirus will recover without any special treatment (who.int).
Treatment and Prognosis
Because the Coronavirus is a viral infection, antibiotics will not work against this disease as they are only effective against bacteria.
What to do if you are Sick
If it is confirmed that you have Coronavirus (or if you suspect infection), it is important that you follow these steps to prevent the disease's spread:
Conclusion
In closing, the current outbreak of Coronavirus has proven to be remarkably resilient against human efforts to contain its spread and transmission. Despite the large number of cases worldwide, it is also remarkable how little we currently know about the virus, its function, and overall capabilities.
Why is a prognosis important?
A prognosis is based on a number of factors, including the type of problem your teen is struggling with, the duration of the problem, your teen's personal strengths and weaknesses, and the availability of support systems. Parents may hear this term used in the early stages of therapy or upon entry into ...
What are the factors that affect the prognosis of a person?
These factors include: 1 . Age. Gender. Medical and/or family history. How the disease or disorder is presenting. Response to treatment. Particular symptoms and how long they have been present.
What is the difference between a diagnosis and a prognosis?
The difference between the two is that while a prognosis is a guess as to the outcome of treatment, a diagnosis is actually identifying the problem and giving it a name , such as depression or obsessive-compulsive disorder .
What is the prognosis for mental health?
The term prognosis refers to making an educated guess about the expected outcome of any kind of health treatment, including mental health, in essence making a prediction of the process an individual may have to go through in order to heal, and the extent of healing expected to take place.
How to help a teen with mental illness?
Like the demonstration given on airplanes about putting your own oxygen mask on first so you can then help others, you need to make sure you are taking care of yourself so that you can help your teen to the best of your ability. Consider joining a support group for parents or getting individual therapy for yourself. Make sure you get out to do fun activities on a regular basis. Treat yourself kindly .
How to treat mental illness in teens?
Treating Mental Illnesses in Teens. Fortunately, mental illnesses are very treatable and manageable with medication, psychotherapy, education, and/or other resources . 3 It's important to work closely with your mental health professional to create the best individual treatment plan possible for your teen.
Does Verywell Mind use peer reviewed sources?
Verywell Mind uses only high-quality sources, including peer-reviewed studies, to support the facts within our articles. Read our editorial process to learn more about how we fact-check and keep our content accurate, reliable, and trustworthy.
What is the importance of clinical history?
Acquiring a clinical history and interviewing a patient provides important information for determining a diagnosis and also establishes a solid foundation for the relationship between a clinician and the patient. A common maxim in medicine attributed to William Osler is: “Just listen to your patient, he is telling you the diagnosis” (Gandhi, 2000, p. 1087). An appointment begins with an interview of the patient, when a clinician compiles a patient's medical history or verifies that the details of the patient's history already contained in the patient's medical record are accurate. A patient's clinical history includes documentation of the current concern, past medical history, family history, social history, and other relevant information, such as current medications (prescription and over-the-counter) and dietary supplements.
How to obtain a clinical history?
The National Institute on Aging, in guidance for conducting a clinical history and interview, suggests that clinicians should avoid interrupting, demonstrate empathy, and establish a rapport with patients (NIA, 2008). Clinicians need to know when to ask more detailed questions and how to create a safe environment for patients to share sensitive information about their health and symptoms. Obtaining a history can be challenging in some cases: For example, in working with older adults with memory loss, with children, or with individuals whose health problems limit communication or reliable self-reporting. In these cases it may be necessary to include family members or caregivers in the history-taking process. The time pressures often involved in clinical appointments also contribute to challenges in the clinical history and interview. Limited time for clinical visits, partially attributed to payment policies (see Chapter 7), may lead to an incomplete picture of a patient's relevant history and current signs and symptoms.
What are the four types of information gathering activities in the diagnostic process?
The committee identified four types of information-gathering activities in the diagnostic process: taking a clinical history and interview; performing a physical exam; obtaining diagnostic testing; and sending a patient for referrals or consultations.
What is a working diagnosis?
The working diagnosis may be either a list of potential diagnoses (a differential diagnosis) or a single potential diagnosis. Typically, clinicians will consider more than one diagnostic hypothesis or possibility as an explanation of the patient's symptoms and will refine this list as further information is obtained in the diagnostic process. The working diagnosis should be shared with the patient, including an explanation of the degree of uncertainty associated with a working diagnosis. Each time there is a revision to the working diagnosis, this information should be communicated to the patient. As the diagnostic process proceeds, a fairly broad list of potential diagnoses may be narrowed into fewer potential options, a process referred to as diagnostic modification and refinement (Kassirer et al., 2010). As the list becomes narrowed to one or two possibilities, diagnostic refinement of the working diagnosis becomes diagnostic verification, in which the lead diagnosis is checked for its adequacy in explaining the signs and symptoms, its coherency with the patient's context (physiology, risk factors), and whether a single diagnosis is appropriate. When considering invasive or risky diagnostic testing or treatment options, the diagnostic verification step is particularly important so that a patient is not exposed to these risks without a reasonable chance that the testing or treatment options will be informative and will likely improve patient outcomes.
What is the purpose of a clinical history interview?
Performing a clinical history and interview, conducting a physical exam, performing diagnostic testing, and referring or consulting with other clinicians are all ways of accumulating information that may be relevant to understanding a patient's health problem.
How does the diagnostic process work?
Once a patient seeks health care, there is an iterative process of information gathering, information integration and interpretation, and determining a working diagnosis. Performing a clinical history and interview, conducting a physical exam, performing diagnostic testing, and referring or consulting with other clinicians are all ways of accumulating information that may be relevant to understanding a patient's health problem. The information-gathering approaches can be employed at different times, and diagnostic information can be obtained in different orders. The continuous process of information gathering, integration, and interpretation involves hypothesis generation and updating prior probabilities as more information is learned. Communication among health care professionals, the patient, and the patient's family members is critical in this cycle of information gathering, integration, and interpretation.
What is diagnostic in health care?
Diagnosis has been described as both a process and a classification scheme, or a “pre-existing set of categories agreed upon by the medical profession to designate a specific condition” (Jutel, 2009).1 When a diagnosis is accurate and made in a timely manner, a patient has the best opportunity for a positive health outcome because clinical decision making will be tailored to a correct understanding of the patient's health problem (Holmboe and Durning, 2014). In addition, public policy decisions are often influenced by diagnostic information, such as setting payment policies, resource allocation decisions, and research priorities (Jutel, 2009; Rosenberg, 2002; WHO, 2012).
What is prognosis in psychotherapy?
Prognosis refers to making an educated guess about the expected outcome of treatment. Based on the medical model, it’s a prediction of a client’s process and progress. Determining prognosis for a psychotherapy client is not as straight forward as determining the prognosis for someone with heart disease, for example. I thought long and hard about how to document this because prognosis is based on a combination of factors. Given the client’s circumstances, how much healing can happen and how long will it take?
Who is the documentation wizard?
Beth Rontal, LICSW, the “ Documentation Wizard ”, has been teaching the skills of clinical documentation since 2012. She loves empowering clinicians to master the documentation process so they pass audits, protect themselves from legal nightmares, and reduce their anxiety. She also has an active private practice, is writing a play, and loves to sing. Do you have more questions about clinical documentation? You can become a Documentation Wizard, too! Check out Beth’s online workshop, Misery or Mastery: Documenting Medical Necessity, and learn how to how to translate the work you already do into the behavioral language required by insurance companies.
Can you get all the information you need to know about prognosis?
Then I realized that the complexity involved in determining prognosis is dependent on taking a thorough history and writing a good Intake or Diagnostic Assessment. It may not be possible to get all the information you’d like to get in the first few sessions, but you can get enough to make an educated guess. Plus, nothing is written in stone. Prognosis may change with either additional information, a change in circumstances, and/or good treatment.