ISSUES: The Electronic Health Record (EHR) shared by health professionals is seldom complete. • Information is cryptic and abridged, focusing on only those things the current specialist is familiar with. • Prioritization of care between specialists is only possible in extreme circumstances, normally there are too many conflicting agendas for a complete pathology prevention practice prioritization. • Coordination of fiscal resources and personal time is normally out of the scope of your ECR, therefor not available to those who could contribute if they were willing. • Research needed for a holistic Evidence-Based practice (EBP) requires more time and effort than what is economically realistic for the health professional.
The method of moving from novice to becoming an expert Health Guardian who maintains all their health records competently is through the use of critical thinking. We all start as novices, when we need the familiarity of clear-cut rules to guide actions. Critical thinking is the means by which we learn to assess and modify, if indicated, before acting on a care practice. We may even be beginners more than once during our lifetime. As we transition to different Health Guardian practices, we must rebuild our database of experiences to become experts in new areas of practice.
STRATEGIES: Every person responsible for their own health and wellness, the Health Guardian, needs to establish four different types of management styles, required depending on the clinical situation: Complete, Focused or Problem Centered, Follow-up, and Emergency. To strengthen these management styles, there are six practices the Health Guardian learns how to leverage.
- DEVICES- Electronic devices are used in the management effort to support health care decision making, although they provide many secondary benefits. Through their use, all the power of a full knowledge management health system can be conveniently accessed when you need it. This capability brings quality primary care into the home, and into the scope of each adult’s decision-making capability.
- SOFTWARE- Medical and business software enables knowledge curation, including the search, capture, filtering, dicing, and analysis of large amounts of data, research, and history. It can facilitate the Health Guardian, and rest of the primary care team’s efforts, making you more efficient and effective in your various pathology prevention efforts.
- RECORDS- Complete: This includes a complete health history and a full physical, mental, and nutritional examination. Focused or Problem Centered: This is for a limited or short-term problem. Here you record data smaller in scope and more targeted than the complete database. Follow-up: The status of any identified problems should be evaluated at regular and appropriate intervals, much like the maintenance manual of your car. Emergency: This is an urgent, rapid collection of crucial information and often is compiled concurrently with lifesaving measures.
- PANTRY LIVING- Maintaining a pantry becomes obvious in times of crises such as an earthquake, or disease outbreak requiring quarantine. Health care almost always requires medical supplies, food, water, and fuel. It turns out, that this may be more difficult than expected. This practice gives you liberty, and the ability to provide health care even in times of distress.
- FINANCE- Medical supplies, supplements, and herbals can be expensive. Medical insurance and medical care can also be expensive factors in medical decision making. Preparedness is always less expensive than firefighting and emergency action.
- TIME- So much of pathology prevention requires long-term, consistent behavior. This normally requires breaking old habits, forming new ones, and invoking behavior change of both you and those around you. Proven time-management and coordination practices can be the element causing your success in pathology prevention.
INTERACTIONS: Proper management covers the entire scope of pathology prevention. Prescription dosage and scheduling, daily exercise, hygiene, all must be managed. Management failure for many people isn’t an option and can affect all pathology prevention efforts. A comfortable balance should be established, and then increased when needed.
WARNINGS: Don’t over plan and analyze. While it is true that some management is required to effectively work with others in the pathology prevention effort, too much management can paralyze the entire team. Seek to maintain a continuous and balanced effort.