The ambulatory (Latin: ambulatorium, ‘walking place’) is the covered passage around a cloister or the processional way around the east end of a cathedral or large church and behind the high altar.[1][2] The first ambulatory was in France in the 11th century but by the 13th century ambulatories had been introduced in England and many English cathedrals were extended to provide an ambulatory.[3]
The same feature is often found in Indian architecture and Buddhist architecture generally, especially in older periods. Ritual circumambulation or parikrama around a stupa or cult image is important in Buddhism and Hinduism. Often the whole building was circumambulated, often many times. The Buddhist chaitya hall always allowed a path for this, and the Durga temple, Aihole (7th or 8th century) is a famous Hindu example.
The term is also used to describe a garden feature in the grounds of a country house. A typical example is the one shown, which stands in the grounds of Horton Court in Gloucestershire, England.[4]
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What Is Ambulatory Care? -- UC San Diego Faculty Interview
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Ambulatory EEG setup at Nemours Childrens Hospital
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Ambulatory Care Nurse Certification Exam
Transcription
Hi, I'm Sarah McBane and I'm one of the faculty with UCSD School of Pharmacy. My clinical site is in family medicine. Hi, I'm Dr. Nathan Painter. I'm an Associate Clinical Professor here at the School of Pharmacy and a family medicine pharmacist. I'd like you to think of ambulatory care as any setting where a patient can actually walk in to see that provider. Which is different from in-patient or acute care where the patients are actually already in the facility. Ambulatory care is really taking care of patients that are able to get places on their own usually to see a physician for some kind of acute or chronic condition to be evaluated and treated. At my ambulatory care clinic in a family medicine practice I work alongside physicians medical residents, students, and pharmacy residents to manage their medications. That ranges anywhere from anti-coagulation with warfarin, diabetes where I'm able to sit down with patients, provide patient education, titrate their insulin, look at all their labs to evaluate it and make recommendations and changes based on those labs. My clinic is actually a family medicine clinic. It's UCSD 4th & Lewis which is actually where we are right now. Here at UCSD 4th & Lewis family medicine I see patients in collaboration with the different positions here. This morning we actually had a patient visiting the clinic for anti-coagulation therapy management. So a Coumadin type visit. However, because we're in family medicine we can also address other problems for the patients. This particular patient is planning a trip for a ski excursion and she's worried about her lower back pain. We were actually able to work with the patient's primary care provider and provide her with a therapy that will help address that lower back pain during her upcoming trip. Family medicine is best thought up of as a traditional doctor's office where patients go to get their care throughout their entire lives. As a pharmacist I work in collaboration with the physicians there to help make sure all those patients had the best possible medication therapies. I see patients on a scheduled appointment basis in 15 to 30 min intervals. In general our protocols here are very, very open and we have the capacity to address virtually any chronic disease that the patient has. What I really want students to know about my clinic is there's lots of opportunities to see lots of different things. The physicians see pretty much anything from birth to death. There's new born babies, there's pregnant mothers and young people coming in; middle age, elderly, people dying of cancer, people needing pain management, people treated for hypertension. There's all sorts of people. So the experiences you are able to gain is very broad and you never really know what to expect. You really have to be open and ready and willing to learn just about anything, really focused on a lot a chronic diseases. You really think about the long-term; it's one of the major differences between an in-patient service and an ambulatory care service is that you really have to think long term about the patient and the patient's care because you know part of ambulatory care is you see patients repetitively over a long period of time.
Medical term
Ambulatory is also an adjective used to describe
- patients who can walk despite their illness or injury.[5]
- outpatients generally including those needing a wheelchair.
- medical staff providing outpatient care (see Ambulatory care nursing, Ambulatist).
- medical procedures that do not ordinarily require an overnight stay in hospital (see Ambulatory care).
- Canes or other walking aids can be called ambulatory assistive devices.[6]
See also
References
- ^ Francis D. K. Ching (2011). A Visual Dictionary of Architecture. John Wiley & Sons. p. 29. ISBN 978-1-118-16049-7.
- ^ Ariane Archambault (2002). The Visual Dictionary of Art & Architecture. Québec Amerique. p. 152. ISBN 978-2-7644-0877-3.
- ^ Ambulatory
- ^ Historic England. "AMBULATORY 20 YARDS SOUTH WEST OF HORTON COURT (1321166)". National Heritage List for England. Retrieved 5 July 2015.
- ^ ambulatory
- ^ ambulatory
External links
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This page was last edited on 10 December 2022, at 23:03