Palmetto Health Richland Hospital

Columbia, United States

Palmetto Health Richland Hospital

Columbia, United States

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Wieland G.D.,Palmetto Health Richland Hospital
JAMA - Journal of the American Medical Association | Year: 2010

Older patients with multiple chronic health conditions and complex health care needs often receive care that is fragmented, incomplete, inefficient, and ineffective. This article describes the case of an older woman whose case cannot be managed effectively through the customary approach of simply diagnosing and treating her individual diseases. Based on expert consensus about the available evidence, this article identifies 4 proactive, continuous processes that can substantially improve the primary care of community-dwelling older patients who have multiple chronic conditions: comprehensive assessment, evidence-based care planning and monitoring, promotion of patients' and (family caregivers') active engagement in care, and coordination of professionals in care of the patient - all tailored to the patient's goals and preferences.Three models of chronic care that include these processes and that appear to improve some aspects of the effectiveness and the efficiency of complex primary care - the Geriatric Resources for Assessment and Care of Elders (GRACE) model, Guided Care, and the Program of All-inclusive Care for the Elderly (PACE) - are described briefly, and steps toward their implementation are discussed. ©2010 American Medical Association. All rights reserved.


Atkins B.Z.,The Surgical Center | Atkins B.Z.,Uniformed Services University of the Health Sciences | Salomone J.P.,Emory University | Subramanian A.,Baylor University | And 2 more authors.
European Journal of Trauma and Emergency Surgery | Year: 2010

Coronary artery injuries are rare but highly lethal. Debate exists as to the best treatment for this complex set of injuries, with historical treatment favoring arterial ligation. Although conventional coronary artery bypass grafting using cardiopulmonary bypass has been used somewhat successfully, enthusiasm for off-pump CABG (OPCAB) has grown more recently. We report two unique cases of left anterior descending coronary arterial injuries managed successfully with OPCAB. © 2010 Urban & Vogel München.


PubMed | Baylor University, The Surgical Center, Palmetto Health Richland Hospital and Emory University
Type: Journal Article | Journal: European journal of trauma and emergency surgery : official publication of the European Trauma Society | Year: 2016

Coronary artery injuries are rare but highly lethal. Debate exists as to the best treatment for this complex set of injuries, with historical treatment favoring arterial ligation. Although conventional coronary artery bypass grafting using cardiopulmonary bypass has been used somewhat successfully, enthusiasm for off-pump CABG (OPCAB) has grown more recently. We report two unique cases of left anterior descending coronary arterial injuries managed successfully with OPCAB.

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