{"id":94551,"date":"2022-12-27T01:00:00","date_gmt":"2022-12-27T07:00:00","guid":{"rendered":"https:\/\/www.unmc.edu\/newsroom\/?p=94551"},"modified":"2022-12-23T09:27:00","modified_gmt":"2022-12-23T15:27:00","slug":"internal-medicine-opens-post-acute-care-clinics-in-2021","status":"publish","type":"post","link":"https:\/\/www.unmc.edu\/newsroom\/2022\/12\/27\/internal-medicine-opens-post-acute-care-clinics-in-2021\/","title":{"rendered":"Internal Medicine opens post-acute care clinics in 2021"},"content":{"rendered":"
\n

The UNMC Department of Internal Medicine highlights two of its post-acute care clinics that opened in 2021. The stories appeared in the Internal Medicine Department\u2019s 2022 Biennial Report<\/a>, which was published earlier this year.<\/em><\/p>\n\n\n\n

HOSPITAL MEDICINE<\/strong><\/p>\n\n\n\n

Clinic serves discharged hospital patients<\/strong><\/p>\n\n\n\n

Being discharged from a hospital stay or an emergency room visit can be a busy and overwhelming time for many patients. There are prescriptions to fill, orders to follow and follow-up appointments to schedule, in addition to trying to rest and recover. Especially for patients without a primary care provider, the chances of something falling through the cracks \u2014 and the potential for re-admittance to the hospital \u2014 is a real concern.<\/p>\n\n\n\n

To help provide a resource and a one-point contact for these patients, the UNMC Division of Hospital Medicine has begun a Post Acute Care Clinic at Nebraska Medicine.<\/p>\n\n\n\n

Nicholas Weiland, DO, assistant professor and medical director of the clinic, said the reasons for starting the clinic are straightforward: Reduce preventable admissions\/re-admissions to the hospital, increase early safe discharges from the hospital and increase bed availability in the hospital.<\/p>\n\n\n\n

\u201cThis clinic not only fills a void in patient care after discharge, but we think it\u2019s the tip of the iceberg as far as rethinking the continuum of care when a patient is discharged, whether that be to their home, to a rehabilitation facility, to skilled nursing or to another location,\u201d Dr. Weiland said.<\/p>\n\n\n\n

Currently, the clinic has capacity to see about 15 patients remotely each day, seven days per week. The clinic is physician-run; its staff also includes a dedicated nurse and non-medical staff to help with virtual appointment set-ups.<\/p>\n\n\n\n

Having a dedicated clinic available for an appointment within 24 hours of discharge from the hospital or emergency room \u2014 with a hospitalist \u2014 can make a critical difference in ensuring the patient won\u2019t need to return to the hospital, said Tabatha Matthias, DO, assistant professor and associate chief of the division of hospital medicine.<\/p>\n\n\n\n

Ultimately, she said, the clinic is another step in helping to deliver care in the most appropriate place for the optimal health of patients.<\/p>\n\n\n\n

GENERAL INTERNAL MEDICINE<\/strong><\/p>\n\n\n\n

Clinic focuses on long-haul symptoms of COVID-19<\/strong><\/p>\n\n\n\n

In response to the growing number of individuals suffering from long-haul symptoms brought on by COVID-19 infection, Nebraska Medicine opened a post-acute COVID clinic in 2021 to help patients.<\/p>\n\n\n\n

Since then, more than 200 people have been seen by a team of internists to try and help them deal with their symptoms. Patients then are referred to the appropriate specialist if they need specialized care.<\/p>\n\n\n\n

\u201cOur goal is to understand the impact of long-term symptoms of COVID-19 infections in people who have recovered from the initial illness, including how often symptoms occur and how severe they are,\u201d said Andrew Vasey, MD, assistant professor and physician leader for the primary care clinical program.<\/p>\n\n\n\n

Dr. Vasey said because of the wide variety of lingering symptoms, the decision about whether a patient needs to see a specialist is individualized. Common referrals have been to pulmonology, cardiology, behavioral medicine, physiatry and allergy, he said. <\/p>\n\n\n\n

\u201cSome people come in with one or two issues, while others come in with a dozen issues; we work with each to treat their individual symptoms,\u201d he said.<\/p>\n\n\n\n

A lot of the issues clinicians are seeing are related to autonomic nervous system dysfunction, Dr. Vasey said, and while some people experience symptoms for three months, others are a year out from their acute illness and still experiencing symptoms.<\/p>\n\n\n\n

Those symptoms can include shortness of breath with activity and at rest, a fast heart rate, chest pressure and tightness, nausea, vomiting and diarrhea, brain fog, fatigue, anxiety and depression.<\/p>\n\n\n\n

Dr. Vasey said the team works closely with the patients\u2019 primary care provider to ensure continuity of care. \u201cEveryone is seeing this to some degree, and the dialogue between providers is critical to helping these patients as they continue to recover,\u201d he said.<\/p>\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"

Nebraska Medicine offers clinics to support discharged hospital patients and patients with long-haul COVID-19 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