Watchful waiting (also watch and wait or WAW) is an approach to a medical problem in which time is allowed to pass before medical intervention or therapy is used. During this time, repeated testing may be performed.
A distinction can be drawn between watchful waiting and medical observation, but some sources equate the terms. Usually, watchful waiting is an outpatient process and it may have a duration of months or years. In contrast, medical observation usually is an inpatient process, often involving frequent or even continuous monitoring, and may have a duration of hours or days.
Often watchful waiting is recommended in situations with a high likelihood of self-resolution, in situations where there is high uncertainty concerning the diagnosis, and in situations where the risks of intervention or therapy may outweigh the benefits.
Watchful waiting is often recommended for many common illnesses such as ear infections; because the majority of cases resolve spontaneously, antibiotics will often be prescribed only after several days of symptoms. It is also a strategy frequently used in surgery prior to a possible operation, when it is possible for a symptom (for example abdominal pain) to either improve naturally or become worse.
Other examples include:
- the diagnosis and treatment of benign prostatic hypertrophy
- otitis media
- inguinal hernia
- odd behaviors in infants
- prostate cancer
- non-symptomatic kidney stones
In many applications, a key component of watchful waiting is the use of an explicit decision tree or other protocol to ensure a timely transition from watchful waiting to another form of management, as needed. This is particularly common in the post-surgical management of cancer survivors, in whom cancer recurrence is a significant concern.
Usually, patients in observation, according to hospital policy, are only kept in observation for 24 or 48 hours before they will be discharged or admitted as an inpatient. Insurance can play a role in how "observation" is defined (for example, Medicare (US) does not support observation services for over 48 hours).
Affects one in three adults
Affecting about 35 percent of all adults in the United States according to the CDC, metabolic syndrome contributes to weight gain, by causing a state of internal starvation called metabolic starvation. This in turn leads to increases hunger, sugar cravings and increased portions leading to overeating and weight gain.
Cause and effect misunderstood
Since we traditionally thought that the portion control (which in turn was attributed wrongly to poor will power)is the cause of weight gain, rather than the effect of this metabolic starvation, all our traditional ideas about cause and effect of obesity were not only wrong but lead to the “blame the victim” attitude when it comes to obesity.
Secret of weight gain revealed
Secret of weight gain, and metabolic syndrome revealed - it has been recently proven that metabolic syndrome, and the weight gain itself are caused by a process called insulin resistance. Check your metabolic syndrome risk using the free Metabolic syndrome meter. Watch this amazing Ted Med video that reveals the secret of weight loss - Stop blaming the victim for obesity
- Lymphoma Treatment: Watch and Wait
- Watchful Waiting and Monitoring Indolent Lymphomas
- Watchful Waiting: Chapter from Lymphoma Australia's "Your Journey Of Lymphoma Treatments" DVD
Articles on Watchful waiting
|Govt. Policies / Guidelines|
Media articles Watchful waiting
|Patient Resources / Community|
Evidence Based Medicine
|Healthcare Provider Resources|
|News on Watchful waiting|
Definition of Watchful waiting
|Flickr on Watchful waiting|
Books on the topic
|Facebook and Tumblr posts Watchful waiting|
Continuing medical education (CME)
|Tweets about Watchful waiting|
|Pinterest and Twitter #Watchful waiting||Commentary & Blogs Watchful waiting|
|W8MD Weight Loss, Sleep and MedSpa||Wellsness Topics A-Z|
World's largest food, health, weight loss, wellnesspedia and encyclopedia
If you are a medical professional or an expert in any field of medicine, please join us in building the world's largest weight loss and wellness encyclopedia created by experts in the field, not by the crowd. WikiMD is sponsored by W8MD weight loss, sleep and medical aesthetic centers
W8MD Weight Loss, Sleep & Medical Aesthetic Centers
Since its inception in 2011, W8MD’s insurance physician weight loss program has successfully helped thousands of patients succeed in not only losing weight but also keep it off with an ongoing maintenance plan.
FANTASTIC PROGRAM. TRULY A LIFE CHANGER. D.M. LOST 100 LBS^^
^^Individual results may vary.
W8MD weight loss, sleep and medical spa blogs
Support our sponsors
W8MD weight loss, sleep and medspa centers sponsors WikiMD.
W8MD's Locations for losing weight, sleeping better and looking your best
King of Prussia
Other W8MD blogs
<ref> tags exist, but no
<references/> tag was found