Article ; Online: A Bottom-Up Approach Addressing Patient Care and Differential Diagnosis Amidst the Covid-19 Response.
Journal of primary care & community health
2020 Volume 11, Page(s) 2150132720959860
Abstract: Patient care often refers to the broad spectrum of care, prevention, and treatment that a provider delivers, while the point of a differential diagnosis is to make a distinction between 2 or more conditions that share similar signs or symptoms. A broad ... ...
Abstract | Patient care often refers to the broad spectrum of care, prevention, and treatment that a provider delivers, while the point of a differential diagnosis is to make a distinction between 2 or more conditions that share similar signs or symptoms. A broad differential should be considered for every single patient who is currently ill (eg, all patients with respiratory illnesses); without it, there will likely be an increase of misdiagnosis, unnecessary patient suffering, and an influx of patients to the emergency department. The COVID-19 response has forced many of these basic medical values aside, like providing differential diagnosis or practicing bedside manner through social interaction, while physicians struggle to continue care for patients. As a result, newly formed hospital and clinical policies may have dangerously traded everyday diagnosis and treatment of patients for the pandemic and quarantine recommendations. This type of assumptive medicine is based on a singular differential that can be detrimental to patients, who are more likely affected with more common illnesses, like bronchitis or pneumonia-or perhaps, even more threatening illnesses, like a pulmonary embolism, COPD exacerbation, congestive heart failure and even lung cancer. Although these new policies and reactions to COVID-19 are proactive, these actions could be at the cost of providing quality patient care for people who have not contracted COVID-19. |
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MeSH term(s) | COVID-19 ; Coronavirus Infections/diagnosis ; Coronavirus Infections/epidemiology ; Coronavirus Infections/prevention & control ; Diagnosis, Differential ; Humans ; Pandemics/prevention & control ; Patient Care/methods ; Pneumonia, Viral/diagnosis ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/prevention & control |
Keywords | covid19 |
Language | English |
Publishing date | 2020-09-22 |
Publishing country | United States |
Document type | Journal Article |
ZDB-ID | 2550221-9 |
ISSN | 2150-1327 ; 2150-1319 |
ISSN (online) | 2150-1327 |
ISSN | 2150-1319 |
DOI | 10.1177/2150132720959860 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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