As a patient, you have certain rights. Some are guaranteed by federal law, such as the right to get a copy of your medical records and the right to keep them private and secure. Many states have additional laws protecting patients. And some states, insurance plans, medical organizations, and health care facilities have their own patient bill of rights.

Some other examples of patient rights include:

• Being treated with respect
• Not being discriminated against in your medical care
• The right to refuse treatment
• The right of informed consent

Informed consent is an important patient right. It is a process in which your health care provider gives you the information you need to make decisions about your care. The types of care could be treatments, procedures, genetic testing, or clinical trials. The information should include the risks and benefits of the care, as well as details about your medical condition.

It's important that you understand everything before you give consent. Sometimes your provider will ask you to sign a form to give your consent. This is called written consent.

You have the right to change your mind about consent at any time.

There are different resources that can help you if you have a problem with your patient rights:

• Many hospitals have patient advocates. These are people who can help guide you through the health care system and make sure that your rights are protected.
• Your state may have resources to help you, such as:
  • Your state may have an office (called an ombudsmen office) for problems with long term care.
  • Your state's department of health may be able to help.
  • States also have oversight agencies for insurance companies and various types of health care facilities and providers. These agencies make sure that these organizations and providers follow the rules so you can get quality care.
• The U.S. Department of Health and Human Services has an Office for Civil Rights (OCR). You can file a complaint with them if you feel you have been discriminated against in your medical care or if you think your health information privacy rights have been violated.

Telehealth is the use of communications technologies to provide health care from a distance. These technologies may include computers, cameras, videoconferencing, the Internet, and satellite and wireless communications. Some examples of telehealth include:

• A "virtual visit" with a health care provider, through a phone call or video chat
• Remote patient monitoring, which lets your provider check on you while you are at home. For example, you might wear a device that measures your heart rate and sends that information to your provider.
• A surgeon using robotic technology to do surgery from a different location
• Sensors that can alert caregivers if a person with dementia leaves the house
• Sending your provider a message through your electronic health record (EHR)
• Watching an online video that your provider sent you about how to use an inhaler
• Getting an email, phone, or text reminder that it's time for a cancer screening

Sometimes people use the term telemedicine to mean the same thing as telehealth. Telehealth is a broader term. It includes telemedicine. But it also includes things like training for health care providers, health care administrative meetings, and services provided by pharmacists and social workers.

Some of the benefits of telehealth include:

• Getting care at home, especially for people who can't easily get to their providers' offices
• Getting care from a specialist who is not close by
• Getting care after office hours
• More communication with your providers
• Better communication and coordination between health care providers
• More support for people who are managing their health conditions, especially chronic conditions such as diabetes
• Lower cost, since virtual visits may be cheaper than in-person visits

Some of the problems with telehealth include:

• If your virtual visit is with someone who is not your regular provider, he or she may not have all of your medical history
• After a virtual visit, it may be up to you to coordinate your care with your regular provider
• In some cases, the provider may not be able to make the right diagnosis without examining you in person. Or your provider may need you to come in for a lab test.
• There may be problems with the technology, for example, if you lose the connection, there is a problem with the software, etc.
• Some insurance companies may not cover telehealth visits

The types of care that you can get using telehealth may include:

• General health care, like wellness visits
• Prescriptions for medicine
• Dermatology (skin care)
• Eye exams
• Nutrition counseling
• Mental health counseling
• Urgent care conditions, such as sinusitis, urinary tract infections, common rashes, etc.

For telehealth visits, just like with an in-person visit, it is important to be prepared and have good communication with the provider.

Assisted living is housing and services for people who need some help with daily care. They may need help with things like dressing, bathing, taking their medicines, and cleaning. But they do not need the medical care that a nursing home provides. Assisted living allows the residents to live more independently.

Assisted living facilities sometimes have other names, such as adult care facilities or residential care facilities. They vary in size, with as few as 25 residents up to 120 residents or more. The residents usually live in their own apartments or rooms and share common areas.

The facilities usually offer a few different levels of care. Residents pay more for the higher levels of care. The types of services they offer may be different from state to state. The services may include:

• Up to three meals a day
• Assistance with personal care, such as bathing, dressing, eating, getting in and out of bed or chairs, moving around, and using the bathroom
• Help with medicines
• Housekeeping
• Laundry
• 24-hour supervision, security, and on-site staff
• Social and recreational activities
• Transportation

The residents are usually older adults, including those with Alzheimer's or other types of dementia. But in some cases, residents may be younger and have mental illnesses, developmental disabilities, or certain medical conditions.

NIH: National Institute on Aging

Childbirth is the process of giving birth to a baby. It includes labor and delivery of the fetus and the placenta. The placenta is the organ that supplies food and oxygen through the umbilical cord to your fetus during pregnancy.

A full-term pregnancy is 40 weeks. Labor usually begins between 37 and 42 weeks of pregnancy. It is how your body prepares to give birth to your baby. Preterm labor can start before 37 completed weeks of pregnancy. It can lead to premature birth. Premature babies may face serious health risks.

Signs that you might be going into labor include:

• Regular contractions start to come closer together
• Leaking fluid or bleeding from the vagina
• Low, dull backache
• Abdominal (belly) cramps

The signs of labor, when labor starts, and the time it takes to deliver your baby can vary with each pregnancy. Call your health care provider if you have any signs of labor, even if it is before your due date.

Labor happens in three stages.

• The first stage begins with contractions. This stage could last for hours or days. It continues until your cervix has become thinner and dilated (stretched) to about 4 inches wide to allow your baby to pass through.
• The second stage is when you begin to push downward. Crowning is when your baby's scalp comes into view. Shortly afterward, your baby is born.
• The third stage is when you deliver the placenta, and your provider cuts the umbilical cord.

Sometimes, mothers need to have labor induced. Medicines or other methods are used to start labor. This is usually only done when the due date has passed or if a problem with the pregnancy risks the health of the mother or the fetus.

Mothers and their babies are closely monitored during labor and delivery. Delivery can occur either vaginally through the birth canal, or if there are complications, the delivery may be done surgically by a Cesarean section. This is when the baby is taken out through your abdomen (belly) and uterus.

The amount of pain during childbirth can vary based on the size and position of the baby, your level of comfort with the process, and the strength of your contractions.

Options for pain relief during labor and delivery may include:

• Medicines may reduce the pain, but they don't stop it completely.
• Natural methods ease pain without taking medicines. A few examples include using relaxation techniques, a birthing ball, massage, or taking a bath or shower.
• Combination of medicines and natural methods.

Discuss your options, risks, and benefits of pain relief during labor and delivery with your provider before your due date.

NIH: National Institute of Child Health and Human Development

COVID-19 (coronavirus disease 2019) is an illness caused by a virus. This virus is a coronavirus called SARS-CoV-2. It spreads when a person who has the infection breathes out droplets and very small particles that contain the virus. On this page, you'll find links to resources on important issues such as symptoms, risks, and how you can protect yourself and your family.

We also have pages on:

• COVID-19 testing
• COVID-19 vaccines
• Post-COVID conditions (long COVID)