Objective

To guide healthcare professionals in clinical practice within Internal Medicine and ensure organized, safe, and high-quality care for adult patients.

Scope

Covers all adult patients treated at:

Hospital Costa del Sol (Marbella)
CARE Mijas
HARE Estepona

Areas of Activity

• Hospitalization of adult patients.
• Urgent continuous care.
• Hospital interconsultations.
• Medical Day Hospital: Management of chronic diseases, intravenous therapies, biological treatments.
• Heart Failure Day Hospital.
• Care for severe COVID-19 patients.
• Outpatient Clinics

General Internal Medicine

• HIV and infectious diseases
• Medical issues during pregnancy
• Nosocomial infection program
• Control of antibiotic prescriptions and multi-resistant germs
• Autoimmune systemic diseases
• Thyroid disorders
• High cardiovascular risk
• Diabetes
• Complex chronic patients
• Virtual consultations, telephone consultations, teleconsultations
• Advanced polypharmacy patients
   

Internal Medicine Consultancy

Support in several Primary Care Centers (Fuengirola-Las Lagunas, Fuengirola-Los Boliches, Leganitos, San Pedro de Alcántara)
 

E-consultations and teleconsultations.
 

Main Procedures and Techniques

• Advanced and basic cardiopulmonary resuscitation
• Central venous catheterization
• Thoracocentesis, paracentesis, arthrocentesis
• Ambulatory blood pressure monitoring (ABPM)
• Clinical ultrasound
• Fibroscan liver stiffness measurement
• Non-invasive mechanical ventilation and high-flow oxygen therapy
• Continuous glucose monitoring
   

Main Conditions Treated

• Infectious diseases, including HIV and tuberculosis
• Cardiovascular diseases: heart failure, thromboembolic disease
• Metabolic disorders: diabetes mellitus, thyroid dysfunctions
• Systemic autoimmune diseases and vasculitis
• Neurological disorders: strokes, cognitive impairment, Parkinson’s disease
• Oncology: initial diagnosis and staging of suspected cancers
• Nursing Care Model

Based on individualized nursing processes and patient-centered quality care.
Key focus areas: patient safety, continuity of care, education, and medication management.
 

Specialized Nursing Services:

Chronic patient care (stroke, diabetes, heart failure, infections).
End-of-life care and support for fragile patients.
Diabetes education consultations (self-management training for type 1 and 2 diabetes, gestational diabetes).
 

Competency Areas for Nursing Staff:

• Advanced life support
• Pain management
• Infection prevention
• Medication management
• Bioethics and patient rights
   

Periodic Evaluation

The Service Portfolio is reviewed every three years or sooner if necessary, based on new healthcare demands or technological advancements.