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CURRENT HEALTH CARE SYSTEMS & TRENDS

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Technology advancements   these may include: organ transplants, microscopic and robotic surgery, gene therapy, and targeted drug therapy  
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Ancient Times   Home remedies were used & rituals performed to drive away the evil spirits; diseases were though to be caused by supernatural; life span was only 20-35 yrs  
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Ancient times   Hippocrates of Cos (460-379 B.C.) most famous Greek physician stressed observation and conservative treatment "Father of Medicine" used dietetics as a means of balancing the humors, if diet failed, then he wld use drugs or surgery  
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Medieval Times   2 plagues killed majority of people and led to breakdown in civilization Christianity became center of power; they emphasized saving the soul, not body most physicians were clergymen & no longer able to perform surgery  
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Medieval Times   Title doctor became known & major medical legislation was written in 1140-1224 that specified a 9-yr curriculum with state examinations and licenses Black Plague,1348, killed large % of European population; quarantine-preventive measure was recognized  
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Medieval Times   network of hospitals built-it marked new & more humane, a refuge for the sick, old, disabled, or homeless  
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Renaissance   revival of learning & science 1st attempts to connect autopsy results w/clinical observations made during life; Girolamo Fracastoro, 1546, wrote about the 1st theory of contagious diseases printing press invented; new info and books  
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Renaissance   invention-gun powder need for surgical treatment of wounds elevated barber-surgeons to a higher status  
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17th Century   Increase interest-experimentation & observation;studies in anatomy continued physiology was also investigated  
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17th Century   William Harvey, Englishman,stated that blood circulates throughout the body with a network of vessels-blood could be transfused  
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17th Century   1666-Anton van Leeuwenhoek invented the microscope-study of microscopic anatomy & visualization of organism now possible  
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17th Century   Quinine imported from Peru as a cure for malaria-separated from other types of fevers study of the brain and psychology was of interest-nervous system & stimulation of muscles discovered; long-believed theory mucus was produced by a brain was disapprov  
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18th Century   Surgery became a respected form of treatment in France after the court physician successfully repaired an anal fistula for King Louis XIV 1761-Giovanni Battista Morgagni published a book called On the Sites and Causes of Diseases  
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18th Century   1761-Giovanni Battista Morgagni of Padua published a book-On the Sites and Causes of Disease-Emphasis changed from concentration on general conditions and humors to specific changes in organs  
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18th Century   techniques for measuring blood pressure/temperature were used to measure vital signs were used to monitor patient status "Enlightment" was developed-numerous studies & experiments added expanding knowledge  
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18th Century   increased pace of progress because the sharing of the knowledge; science of chemistry came of age-digestion was now considered chemical not mechanical mentally ill patients were released from their chains & treated in a humane way  
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18th Century   Sanitary reform was initiated in hospitals, prisons, and military; personal hygiene was improved child health increased/decrease in infants/children Edward Jenner (1749-1823) vaccination with cowpox provides immunity for smallpox;lives were saved  
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19th Century   1st time surgical operational were performed, tracheostomy, removal of thyroid and uterus developments started in pediatrics, psychiatry, dermatology, public health, preventive medicine  
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19th Century   Increase in medical knowledge was acquired & documented Study shifted from practicing physicians to full-time scientific researches more powerful microscopes were developed-could be seen at cellular level  
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19th Century   Laboratory tests for diagnostic became common Metabolism and dietetics came under scientific study  
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19th Century   Large scale surgery could be done, death rates fell as anesthesia decreased shock and need for speed in surgery  
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19th Century   Elizabeth Blackwell (1821-1910)-1st woman MD; medical education opened for the 1st time to a female Louis Pasteur, 1822-1895, chemist,proved that bacteria are the cause of specific diseases in both humans/animals...nursing was established in the US  
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19th Century con't   Louis Pasteur, 1822-1895, chemist, created the development of the germ theory; revolutionized the ability to prevent, diagnose, and treat infectious diseases.  
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20th Century   1921, Karl Landsteiner of Vienna discovered blood groups-made transfusion of blood products safe for the first time in history  
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20th Century   F.G. Banting of Toronto identified insulin in 1921 for treatment of diabetes, was no longer considered a fatal disease, could managed w/injections of insulin  
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20th Century   life span was 70-80 years Geriatrics became a specialty, Chronic illnesses were very common  
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20th Century   mental illness became an increasing problem in modern society; shock treatment & psychosurgery were replaced w/new drugs and psychotherapy  
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trauma center   treats life threatening injuries  
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emergency room   treats conditions that occur suddenly and require immediate attention  
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intensive care unit (ICU)   provides specialized equipment and continuous care and monitoring for patient with serious illnesses  
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cardiac care unit (CCU)   provides specialized equipment and continuous care and monitoring for patients with serious heart  
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General unit   Provides care for patient who are seriously ill but d not need a high level of specialized equipment and continuous nursing care  
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transitional care unit (TCU)   provides lower level care while patients needs are assessed and arrangement made to release patients to return home or enter another care facility.  
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long term care facility   nursing homes-skilled & intermediate adult foster home assisted living residence continuing care community  
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home health care providers   shorter hospital stays increase in the older population advances in equipment that allow more technical procedures to be carried out in the home  
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hospice   provides care palliative care but doesn't cure  
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state health departments   license health care personnel, hospitals, and nursing homes, monitor chronic and communicable diseases provide laboratory services establish health data systems conduct public health planning  
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local health departments   collect vital statistics conduct sanitation inspections provide health education screen for diseases cancer/diabetes carry out insect control measures supervise water & sewage systems provide immunizations operated venereal diseases provide counse  
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