Understanding the Differences Between a Psychiatrist and a Psychologist

KAREN BERMEL LIMHP, MC | May 8, 2014

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May is well underway! For many families, May is a month of proms, gearing up for finals week, graduations, maybe even a wedding. Such a busy time of year! Here at Alegent Creighton Health, the month of May is a busy one also.  May is dedicated to Mental Health Awareness. Most people know that Alegent Creighton Health is a healthcare system that can provide them with the  highest quality of care for them physically, but we also provide care for those seeking to improve their mental health. Understanding that physical and mental health are both important cannot be overstated.

Spotlight

Interim HealthCare Inc.

Interim HealthCare Inc., founded in 1966, is a leading national franchisor of home care, hospice and healthcare staffing. It is part of Caring Brands International which also includes UK-based Bluebird Care and Australia-based Just Better Care, both well-known franchise brands in their countries. With more than 530 franchise locations in seven countries Caring Brands International is a global health care leader.

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COVID-19: How do we get out of this quagmire?

Article | July 17, 2020

The COVID-19 virus (C19) pandemic is turning out to be the event of the century. Even World War seems timid in comparison. We are in the 4th month of the virus (in non-China countries) and have gone past the lockdown in many places. Isn’t it time we re-think the approach? What if there is another wave of C19 coming soon? What if C19 is the first of many such events in the future? Before we get into analysis and solution design, summarizing the C19 quirks: While a large section of the affected population is asymptomatic, for some it can be lethal There isn’t clarity on all the ways C19 spreads It’s known to affect the lungs, heart, and kidneys in patients with weak immunity It has been hard to identify a definitive pattern of the virus. Some observations in managing the C19 situation are: With no vaccine in sight, the end of this epidemic looks months or years away Health care personnel in hospitals need additional protection to treat patients Lockdowns lead to severe economic hardship and its repeated application can be damaging Quarantining people has an economic cost, especially in the weaker sections of society If one takes a step back to re-think about this, we are primarily solving 2 problems: Minimise deaths: Minimise the death of C19 and non-C19 patients in this period Maximise economic growth: The GDP output/growth should equal or higher than pre-C19 levels One needs to achieve the 2 goals in an environment of rising number of C19 cases. Minimise deaths An approach that can be applied to achieve this is: Data driven health care capacity planning Build a health repository of all the citizens with details like pre-existing diseases, comorbidity, health status, etc. The repository needs to be updated quarterly to account for patient data changes This health repository data is combined with the C19 profile (disease susceptibility) and/or other seasonal diseases to determine the healthcare capacity (medicines, doctors, etc.) needed The healthcare capacity deficit/excess needs to be analysed in categories (beds, equipment, medicine, personnel, etc.) and regions (city, state, etc.) and actions taken accordingly Regular capacity management will ensure patients aren’t deprived of timely treatment. In addition, such planning helps in the equitable distribution of healthcare across regions and optimising health care costs. Healthcare sector is better prepared to scale-up/down their operations Based on the analysis citizens can be informed about their probability of needing hospitalisation on contracting C19. Citizens with a higher health risk on C19 infection should be personally trained on prevention and tips to manage the disease on occurrence The diagram below explains the process Mechanism to increase hospital capacity without cost escalation Due to the nature of C19, health personnel are prone to infection and their safety is a big issue. There is also a shortage of hospitable beds available. Even non-C19 patients aren’t getting the required treatment because health personnel seek it as a risk. This resulted in, healthcare costs going up and availability reducing. To mitigate such issues, hospital layouts may need to be altered (as shown in the diagram below). The altered layout improves hospital capacity and availability of health care personnel. It also reduces the need for the arduous C19 protection procedures. Such procedures reduce the patient treatment capacity and puts a toll on hospital management. Over a period, the number of recovered C19 persons are going to increase significantly. We need to start tapping into their services to reduce the burden on the system. The hospitals need to be divided into 3 zones. The hospital zoning illustration shown below explains how this could be done. In the diagram, patients are shown in green and health care personnel are in light red. **Assumption: Infected and recovered C19 patients are immune to the disease. This is not clearly established Better enforcement of social factors The other reason for high number of infections in countries like India is a glaring disregard in following C19 rules in public places and the laxity in enforcement. Enforcement covers 2 parts, tracking incidents of violation and penalising the behaviour. Government should use modern mechanisms like crowd sourcing to track incidents and ride on the growing public fear to ensure penalty enforcement succeeds. The C19 pandemic has exposed governance limitations in not just following C19 rules, but also in other areas of public safety like road travel, sanitation, dietary habits, etc. Maximise economic growth The earlier lockdown has strained the economy. Adequate measures need to be taken to get the economy back on track. Some of the areas that need to be addressed are: One needs to evaluate the development needs of the country in different categories like growth impetus factors (e.g. building roads, electricity capacity increase), social factors (e.g. waste water treatment plants, health care capacity), and environmental factors (e.g. solar energy generation, EV charging stations). Governments need to accelerate funding in such projects so that that large numbers of unemployed people are hired and trained. Besides giving an immediate boost to the ailing economy such projects have a future payback. The governments should not get bogged down by the huge fiscal deficit such measures can create. Such a mechanism to get money out in the economy is far than better measures like QE (Quantitative Easing) or free money transfer into people’s bank accounts Certain items like smartphone, internet, masks, etc. have become critical (for work, education, critical government announcements). It’s essential to subsidise or reduce taxes so that these items are affordable and accessible to everyone without a financial impact The government shouldn’t put too many C19 related controls on service offerings (e.g. shops, schools, restaurants, cabs). Putting many controls increases the cost of the service which neither the seller not buyer is willing or able to pay. Where controls are put, the Govt should bear the costs or reduce taxes or figure out a mechanism so that the cost can be absorbed. An event like the C19 pandemic is a great opportunity to rationalise development imbalances in the country. Government funding should be channelized more to under-developed regions. This drives growth in regions that need it most. It also prevents excess migration that has resulted in uncontrolled and bad urbanisation that has made C19 management hard (guidelines like social distance are impossible to follow) Post-C19 lockdown, the business environment (need for sanitizers, masks, home furniture) has changed. To make people employable in new flourishing businesses there could be a need to re-skill people. Such an initiative can be taken up by the public/private sector The number of C19 infected asymptomatic patients is going to keep increasing. Building an economy around them (existing, recovered C19 patients) may not be a far-fetched idea. E.g. jobs for C19 infected daily wage earners, C19 infected taxi drivers to transport C19 patients, etc. In the last 100 years, mankind has conquered the destructive aspects of many a disease and natural mishap (hurricanes, floods, etc.). Human lives lost in such events has dramatically dropped over the years and our preparedness has never been this good. Nature seems to have caught up with mankind’s big strides in science and technology. C19 has been hard to reign in with no breakthrough yet. The C19 pandemic is here to stay for the near future. The more we accept this reality and change ourselves to live with it amidst us, the faster we can return to a new normal. A quote from Edward Jenner (inventor of Small Pox) seems apt in the situation – “The deviation of man from the state in which he was originally placed by nature seems to have proved to him a prolific source of diseases”.

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5 Emerging Technology Trends for Healthcare for 2021

Article | April 6, 2021

Health technologies range from devices, systems, and procedures to vaccines and medications that help deliver high-quality care, reduce costs for hospitals and patients, and streamline operations. It can be any software or IT tool that improves administrative productivity, eases workflow, and enhances the quality of life. New technology in healthcare includes supportive, educational, information, organizational, rehabilitative, therapeutic, preventive, and diagnostic solutions that improve patient access and healthcare provider capabilities. Virtual concierge, artificial intelligence, voice search, and virtual and augmented reality are promising emerging technologies for 2021.

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Virtual Reality in Healthcare: Transforming the Future of Healthcare

Article | December 29, 2020

Virtual reality (VR), the new technological advancement, is set to transform practices in the healthcare industry. According to Statista, it is estimated that, by 2022, the second largest market share of VR will be from the healthcare industry. Virtual reality in healthcare operates in various divisions to offer a greater quality of patient care and performance of medical professionals. For the health and healthcare industry, from the clinical process to the user, VR has a multitude of applications such as tutoring future doctors, generating new life-saving routines, etc. Virtual reality in healthcare can confront the challenges in the industry, including efficiently handling huge healthcare databases, training and development of medical professionals, patient engagement, disease awareness, medical marketing, patient treatment, etc. Virtual reality in the healthcare market, according to a report from Reports and Data, is expected to reach USD 8.03 billion by 2027 from USD 2.06 billion in 2019. This article discusses how virtual reality in healthcare is going to transform the industry by applying it in various divisions such as medical training, patient treatment, patient engagement, disease awareness, and medical marketing. Virtual Reality in Healthcare Training VR in healthcare can transport you to areas, inside of the human body, that otherwise would be impossible to access and view. Medical students currently use cadavers to learn, but cadavers do not react the same way live patients do. Also, cadavers are very difficult to get hold of. When VR is used in healthcare training, students can view even minute detail of all parts of the body. This view is possible in stunning 360° CGI reconstruction and creates training scenarios, which would replicate real surgical procedures. Virtual Reality in healthcare can be used to deliver high-quality surgical training. Using virtual reality, 4K 360° video of real-life surgery is filmed from multiple angles. Then it is combined with CGI models of the anatomy, which is being operated. This advanced use of virtual reality in healthcare provides medical students with an interactive and immersive training experience. Treatment Patient Education The ability of virtual reality in healthcare to see inside of the human body is useful for both doctors and patients. With the help of VR, doctors can take patients through their surgical plan. This is made possible by a virtual view of the anatomy and pathology of patients through a patient-specific 360° VR reconstruction. The result of this is an enhanced understanding of the treatment for patients and higher patient satisfaction. Robotic Surgery Robotic surgery is a recent innovation. A robotic device, such as a robotic arm, is used in a robotic surgery while being controlled by a human surgeon. This utilization of virtual reality in healthcare makes sure of fewer or no risk of complications in surgeries. This also makes the surgeon finish the surgery procedure faster with greater accuracy. The robotic devices are accurate with reduced blood loss, smaller incisions, and faster recovery. Mental Health and Psychological Therapy The unique ability of virtual reality technology to take you anywhere virtually can be utilized to create a powerful virtual reality simulation in healthcare of various scenarios in which psychological issues occur. This eliminates the necessity of a therapist accompanying patients to various scenarios such as a tall building or a crowded shopping center to provide proper counseling. These scenarios can be easily created with virtual reality technology in healthcare. Virtual reality in healthcare market has also been used to help autistic children in the classroom, curb memory loss, and gather data for dementia research. Pain Management and Physical Therapy Apart from psychological issues, the healing capabilities of VR are also used in pain management and physical treatment. According to a study by the UW Harborview Burn Centre and the University of Washington Seattle, a full VR immersion acted as a distraction for patients, who were undergoing physical therapy after a skin graft. This distraction subsequently reduced their feeling of pain. Virtual reality in healthcare is also found to be effective in reducing recovery time in physical therapy. Patients performing their daily exercises in a virtual environment, find the task to be more fun than usual. It also keeps the patients focused and helps them keep their spirits up and recover sooner. Patient Engagement With the help of virtual reality in healthcare, patients can experience a virtual tour of the inside of their bodies before surgeries. This is a 360-degree, three-dimensional (3D) tour. This enables patients to know their body, anatomy, and pathology, before the surgical procedures. Virtual Reality Medical Visualization platform is developed for the tour. These advancements with virtual reality in healthcare engage patients thoroughly, which reduces tension and lead to a speedy recovery. Medical Marketing The most popular and initial application of Virtual reality was marketing. Still, it continues to be one of the most effective and powerful marketing tools. The ability to use VR to project the future of healthcare is the most powerful tactic in healthcare marketing. With Virtual reality in healthcare, one of the most powerful tactics that you can have to market in the industry is to show people what changes they can expect when they start or stop exercising, lose or gain weight, the progress they make through cancer treatments, etc. As the possibilities of virtual reality in healthcare are endless, healthcare professionals and providers can attract more patients, doctors with high caliber, and nursing staff to your facilities. When those are in short supply, virtual reality in healthcare can be used as an excellent healthcare marketing tool to ensure expected results. Disease Awareness AbbVie, a pharmaceutical research & development company, created an experience to educate medical professionals and raise awareness among them regarding the daily struggle Parkinson’s disease patients undergo. The experience was demonstrated at a pharmaceutical industry trade show. People put on a headset and experienced how Parkinson’s sufferers navigate a virtual supermarket, meeting with difficult moments when they come in contact with other people. Such experiences with virtual reality in healthcare help raise awareness for various diseases among professionals and patients. Virtual reality presentations can be conducted to raise awareness of certain diseases. The Future of Virtual Reality in Healthcare A lot of applications of virtual reality in healthcare are in their nascent stage. In the coming years, virtual reality will be used more in healthcare, which will improve the effectiveness and accuracy of present procedures. It will also enhance the various human capabilities, for both patients and medical professionals. Virtual reality in healthcare has huge potential, but only limited by the ingenuity and creativity of people who create and apply the technology. VR will surely transform medical training, physical and psychological therapies, rehabilitation, mental health treatments, and patient engagement, among others. Virtual reality in healthcare holds the power to transform the way doctors are trained and treatment is provided to patients. According to reports from various market research companies, especially research done by Grand View Research, predict that, by 2025, virtual reality in the healthcare market will grow to a whopping US$5.1 billion. The major driving forces behind this growth are Rapid technological advancements in the healthcare industry and driving demand for rehabilitation and simulation training. Frequently asked questions How is virtual reality used in healthcare? In healthcare, virtual reality is used in treatment, training, and to raise awareness among medical professionals and patients regarding various diseases. Patients and doctors are made to view the inside of the human body using virtual reality. Where is virtual reality used in healthcare? Virtual reality is used in various sectors of healthcare to deliver high quality patient care. Treatment with the assistance of virtual reality also increases the efficiency of medical professionals. Virtual treating is applied in all aspects of medical treatment. What are the benefits of virtual reality? Virtual reality in healthcare saves both, the time and money of healthcare providers. It also makes the work of medical professionals more convenient. It eliminates unnecessary travel for treatments by making appropriate decisions. How virtual reality is changing healthcare? Virtual reality is changing the healthcare by providing different advanced ways of treatments, especially for physical and psychological therapy, surgeries, pain management, and stress management and by assisting the rehabilitation process effectively.

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How Blockchain Technology Will Improve Mobile Healthcare

Article | March 27, 2020

The key concerns of healthcare management today are data processing and data security. Patients don’t have full ownership of their medical records, and are unable to control how their information is updated. There isn’t enough transparency to the process. There are also significant concerns related to data security, especially in the areas of personalized medicine and the rise of wearables. Patients and medical staff need secure and straightforward ways to record data, send it over networks, and receive advice without security concerns. Blockchain technology can help solve these problems. Introduced in 2008 as a means of recording cryptocurrency transactions, blockchain is a distributed cloud-based ledger that offers the ability to verify the origin of data and prevent breaches. When a user wants to make a transaction, they issue a request signed with their private key. The network verifies its authenticity by using a public key. If the verification is successful, the transaction is broadcast to the network and included in a block. The network of “miners” solves the block to get a reward, and once the block is revealed, it is added to the blockchain, making it permanent. It’s impossible to introduce new information in a block unnoticed, because that would change the structure of the entire chain. This feature makes the system safe and transparent.

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Spotlight

Interim HealthCare Inc.

Interim HealthCare Inc., founded in 1966, is a leading national franchisor of home care, hospice and healthcare staffing. It is part of Caring Brands International which also includes UK-based Bluebird Care and Australia-based Just Better Care, both well-known franchise brands in their countries. With more than 530 franchise locations in seven countries Caring Brands International is a global health care leader.

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