Physician Assistant Essays

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Motivation to Become a Physician Essay

Words: 307 Length: 1 Pages Document Type: Essay Paper #: 4338214

Currently, I am working as a surgical technologist in two hospitals in Arkansas - Arkansas Children Hospital and the VA Hospital. I do surgical scrub on various cases of all surgical services, general, orthopedics, vascular, ENT, neurology, urology, and burns. To update and enhance my skills, I attended different medical training courses.

Since my youth, I had been in the scene of medicine. At the age of seventeen I was diagnosed with diabetes. Hence, in y sophomore years in college, I did a presentation on diabetes where I provided information on the symptoms, complications, and how to cope with diabetes. During my Junior year, I had family members that were diagnosed with breast cancer, glaucoma, heart attacks and thyroid problems.

Such experiences are my motivations in becoming a Physician Assistant. The feeling that I get from providing medical services is unfathomable and cannot be measured by anything.… [Read More]

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Jerry Mccall Dr Williams Office Assistant Licensed Essay

Words: 1180 Length: 3 Pages Document Type: Essay Paper #: 90709200

Jerry McCall Dr. Williams Office Assistant

Licensed Practical Nurses and Medical Assistants: Legal and Ethical Implications

According to recent reports from the U.S. Bureau of Labor Statistics, medical assistants and licensed practical nurses (LPN) are two of the fastest growing jobs in the country (Bureau of Labor Statistics, 2010). In an effort to save costs, the demand for these professionals is increasing in both in-hospital and outpatient settings. The licenses and registrations, however, remain unstandardized; while LPNs are required to receive a license, some medical assistants receive a one or two-year degree and still others are only trained on the job. The responsibilities and restrictions of the profession are likewise only loosely regulated and vary between states. This has both ethical and legal implications for patient care. The following case scenario illustrates these ramifications and discusses the appropriate course of action for medical assistants working in a clinical setting.

The Case:

Jerry McCall is an office assistant in an outpatient physician's office. He has received professional training as both a medical assistant and LPN. He is the only person in the office when a patient calls and says he must have a prescription refill for Valium called in immediately to his pharmacy. He says that he is leaving for the airport in thirty minutes and that the physician, a close friend of his, customarily gives him a small supply of Valium when he has to fly.

Qualifications of the Profession:

The qualifications of LPNs and medical assistants are variable and often vague in interpretation. This is especially the case with respect to authorizing prescription refills. Based on Jerry's medical training alone, he is not qualified to independently issue this refill order. According to the American Association of Medical Assistants, however, medical assistants are permitted to authorize refills given a direct supervision or permission from the physician (Couch, Minchella, Walker & Watson, 2008). In this case, this definition is vague. While direct supervision is not present, the patient's chart may have a note that specifically attends to…… [Read More]

Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2010-11 Edition, Medical Assistants, on the Internet at (visited October 17, 2011).

Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2010-11 Edition, Licensed Practical and Licensed Vocational Nurses, on the Internet at (visited October 17, 2011).
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Medical Assistant and Intravenous Therapy Essay

Words: 644 Length: 2 Pages Document Type: Essay Paper #: 83037995

Intravenous Therapy or IV

Fluids are introduced intravenously into the body in order to replace supply and electrolytes (Pearson 2010). These are large amounts of fluid, electrolytes or nutrients administered to a patient who needs them and cannot take them orally. Medication is also administered intravenously by a physician or by a nurse. The physician informs the nurse on the type, amount, and the rate of the solution to be injected. The nurse is responsible for carrying out the physician's exact instruction to start the therapy and other responsibilities attached to the instruction. State laws specify which health care professionals can start an IV and administer it. Some States allow medical assistants with advanced training and physician supervision to start an IV. Medical assistants, however, should be aware of the risks as they are not trained to push IV medications. Although they become acquainted with IV therapy, it is not a competency (Pearson).

Medical Assistants

They are in charge of the upkeep of the office of the physician or another health practitioner (BLS 2009). In small practices, they perform multi-tasks, administrative and clinical. In large practices, they tend to specialize in a given field but under the supervision of department administrators. They are not the same as physician assistants, who examine, diagnose and treat patients per the direct supervision of a physician. According to specialty, medical assistants may be administrative, clinical, ophthalmic, optometric and podiatric. Some of them are trained on the job but most of them first complete 1 or 2-year programs. All of them have a minimum of a high school diploma. The position does not require formal education or training (BLS).

However, formal training is the general preference (Keir 2006). Most medical assistants have only a high school diploma. High school courses include mathematics, health, biology, computer course, bookkeeping and office…… [Read More]

Keir, Lucile et al. Medical Assisting 5th edition, Thomson Delmar Learning: Thomson

Corporation, 2006. Retrieved on February 22, 2012 from

Pearson. Intravenous Therapy. Pearson Education: Prentice Hall, 2010. Retrieved on
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My Motivation Towards Becoming a PA Personal Statement Essay

Words: 680 Length: 2 Pages Document Type: Essay Paper #: 42255672

Physician Assistant Program Narrative

Personal Statement: My Motivation towards Becoming a PA

We all have dreams and aspirations. As a young child, my dream was to become a chef. When asked why I wanted to become a chef, my answer was always consistent; "I wanted to delight people by preparing them delicious dishes." As I grew up, I became more informed and my view of the world became clearer -- and it was then that I realized that deep inside, I wanted to end up in a profession that impacted positively on the lives of others. A profession that brought delight to those I interacted with. Then, something happened that completely convinced me that I would most comfortably serve in any of the helping professions. A couple of months after my 10th birthday, my younger brother got bitten by a dog in his face -- right below his left eye. I vividly remember seeing a lot of blood oozing from his face. I also clearly remember, like it was just the other day, racing him to the ER (in the company of my parents) and watching as health professionals attended to him. To cut the long story short, I was fascinated with the level of efficiency, skill, and finesse exhibited by the medical staff. I would say my resolve to join the helping professions, specifically the medical profession as a physician or physician assistant, was born out of this experience.

To tell you a little bit about myself, in addition to being hardworking, I am also a focused individual who sets goals and stops at nothing to accomplish the said goals. Indeed, I have worked extremely hard to get to the point I am currently at. Once I realized that I risked seeing my dreams fly away, I gave my all and improved my GPA from 1.0 to the presidents list. As I have also pointed out in my resume, I am a holder of a bachelor's degree from the University of North Texas, Denton - with a major in…… [Read More]

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Certified Nursing Assistants Are an Important Part Essay

Words: 413 Length: 1 Pages Document Type: Essay Paper #: 76586250

Certified nursing assistants are an important part of health care settings today. Certified nursing assistants and professional health care settings experience challenges and barriers in their day-to-day experiences. They are challenges that certified nursing assistants must go through during their training or during their career, so that they may learn and experience different situations and how to deal with those situations.

I experienced a barrier at one point when I saw blood and could not handle the situation. One day, I was placed responsible for a certain patient, along with another certified nursing assistant. We would take care of her at certain times of the day. During an evening shift, the patient was going to have some blood work done and the registered nurse on duty came in to take her blood. The other certified nursing assistant and I were asked to observe the situation that was about to occur. As we were watching the registered nurse take out the blood, the nurse did something wrong where the blood began to spatter out. The patient got nervous and so did I. I saw the blood spattered on her arm and began to feel dizzy. I then felt as if I was going to faint. I told…… [Read More]

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Personal Digital Assistants in Healthcare Essay

Words: 3529 Length: 12 Pages Document Type: Essay Paper #: 14745011

Personal Digital Assistants in Healthcare

Current Applications and Future Trends in the Use of Personal Digital Assistants in Healthcare

Today, healthcare practitioners enjoy a wide range of digital equipment that can help them provide more efficient healthcare services, including laptop computers, cellular telephones and personal digital assistants, or PDAs. These devices have been used in various ways by clinicians to improve their ability to deliver more timely and accurate diagnoses and treatments, and it is clear that the use of these devices will continue to increase in the future. The purpose of this study is to provide a current snapshot of how personal digital assistants are being used in various healthcare settings, including military and government tertiary facilities and the use of PDAs on the battlefield in times of war, but with a specific focus on how PDAs are being used in nongovernmental healthcare facilities today. To this end, a critical review of the relevant peer-reviewed and scholarly literature is provided below to describe the general history and evolvement of PDAs, a recapitulation of current literature and research studies, a discussion of how these devices are currently being used in the healthcare arena, and an estimation of future trends based on the foregoing descriptions. A summary of the research and relevant findings are presented in the conclusion.

Review and Discussion

A. History and evolvement of PDAs in the healthcare field.

Although personal digital assistants have been widely used for a number of years, their evolution has been faster than many observers might have expected and sophisticated refinements continue to routinely appear in the marketplace today. According to Wegis and Van Der Mars (2006), "Personal digital assistants are extremely small and lightweight, and with appropriate software they can easily and accurately store activity data. Depending on the make and model of the PDA, ranging in price from $150 to $500, various types of software may…… [Read More]

Works Cited:
Blow, F.C., Barry, K.L., Walton, M.A. et al. (2006). The efficacy of two brief intervention strategies among injured, at-risk drinkers in the emergency department: Impact of tailored messaging and brief advice. Journal of Studies on Alcohol, 67(4), 568.

Cieslak, D.M., & Van Winkle, M. (2004). Carry your office in the palm of your hand; a pocket-size device is your computer when you're on the road. Journal of Accountancy, 198(2), 52.
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Surpass Website Development Creation Maintenance and More Essay

Words: 1556 Length: 6 Pages Document Type: Essay Paper #: 86512347

AAPA, NJPAS, and NJSSPA are professional bodies representing the Physician Assistants. AAPA is a nation wide body which claims to be the sole national level organization, which is representing the Physician Assistants in the United States and is working for the benefit of PAs in all specialty areas. This organization mainly provides support to the Physician Assistants in employment matters and other professional issues. AAPA stands for "American Academy of Physicians Assistants. On the other hand, NJPAS and NJSSPA are New Jersey-based organizations representing the PAs in the New Jersey region. NJPAS is basically a student organization, which provides educational and professional support to PA students while NJSSPA is a professional body of Physician Assistant practitioners operating at the state level.

The development of the website "" will be beneficial for both the Physician Assistant students and the working students. This website will serve as a platform for sharing the experiences and information of the members which will help the members to broaden their spectrum. This will also facilitate in meeting the long-term objectives of these organizations i.e. To promote quality medical care to the general public by educating them about the medical care issues and by developing a more skilled and qualified medical care team of experts. This website will provide the physician assistants of New Jersey, professional support from each other which will help them to improve the quality of health care.

This website is expected to serve the information needs of a number of Physician Assistant students by providing valuable information to them. This website will provide information on the PA career to the public and will serve as a resource for the students. It will provide detailed information on the profession of Physician Assistants and will educate the people about the role of PAs in health care. In addition to this it will give detailed information about the organization representing the Physician Assistants in New Jersey (New Jersey Physicians Assistant Students).

This website will also serve as a useful resource for professional information and recent issues, for the member or the organization. It can be used as an archive on a number of health care issues. Members can access any kind…… [Read More]

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Concerns on Healthcare Delivery Essay

Words: 1485 Length: 5 Pages Document Type: Essay Paper #: 8778723

Medical Care Services

The current delivery of health care services represents one of the most important subjects for discussion both in the Obama Administration as well as the Republican one and the Administrations that preceded the Bush one. Regardless of political color, it must be pointed out that the health care system in the United States does not only depend on the ideological orientation, but also on the people and their own beliefs in terms of human action and interaction. It is a clear fact that "Ten years ago, the U.S. healthcare system was declared "broken," and it has not improved. Fixes promised by managed care have not materialized. Premiums are rising. Hassles for patients and physicians abound. Nearly 45 million Americans are uninsured." (Garson, 2000)

One of the most severe problems facing the health care system in the United States is the discussion that is being held between those that argue health care system is the representative of a social state and the ones that consider health care as part of the minimum basis of social care that a state is mandatory to provide to its citizens in response to the social contract that the citizens of the state signed, through citizenship, with the governing bodies.

One of the main issues surrounding the system is represented by the fact that, despite citizenship, people do not have access to the health care system through insurance. This is to say that, no matter the social contributions, the minimum health care structure does not allow the average American to benefit from life saving treatment. The main reason for this is the economic crisis that took its toll on all socially assisted societies. Until 2008-9, the health care system relied heavily on the way in which the state would be able to provide assistance for every tax payer. However, as the funds from the local and federal government were reduced dramatically, people felt that the state is misrepresenting them in terms of the free assistance that can be provided. Nowadays, it is more and more difficult to comprehend the degree to which the state can cover the medical expenses of its citizens. Hence, the main problem…… [Read More]

Garson, Arthur. "Current Perspective. The U.S. Healthcare System 2010. Problems, Principles, and Potential Solutions" 2000. Available at

ImpediMed. "Pre-emptive vs. Reactive Models of Care: Pre-emptive Care Model Prospectively Managing Lymphedema in Breast Cancer Patients" 2012. Available at
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Independent Role of Nurse Practitioners Essay

Words: 1140 Length: 3 Pages Document Type: Essay Paper #: 82032570

Nurse Practitioners Should Work Independently of Physicians

One of the problems facing health care is the inadequate number of primary-care physicians, more so among the rural population. There are fears that shortages will only get worse as a rising number of patients look for care Under Affordable Care Act. Besides the provision of advanced nursing care, nurses have licenses to offer clinical care, including the ordering of X-rays and lab work, and are particularly helpful in helping patients having chronic conditions like high blood pressure and diabetes cope (Holmes, 2013).

Nearly one third of states now permit nurse practitioners to practice in the absence of physician supervision. Nursing groups as well as health-care interests are however lobbying that nurses be granted the same level of autonomy in all states as in the other states that do not require physician supervision. Some interest group, while still appreciating the efforts put forth by nurses, argue that teamwork instead of autonomy would do more for our health-care than granting nurses autonomy. Angela Golden, an assistant professor at Northern Arizona University and the president of the American Association of Nurse Practitioners, is one of those arguing for the case of autonomous practice without physician supervision. She practices in rural Arizona (Holmes, 2013).

In some of the states nurses are allowed to serve without physician supervision for almost 20 years. Other states should consider granting nurse practitioners the same level of independence. Research has indicated that nurses spend more time with patients than physicians, giving counseling, health education and co-coordinating care. They are best suited for the rising number of Americans that battle chronic ailments like asthma, hypertension and diabetes. Studies carried out by independent researchers indicate that there is always equal or higher satisfaction among patients receiving care from nurse practitioners against those who receive care from physicians. Similar clinical outcomes can be produced by both groups as has been indicated by Health Affairs, a health-care practice peer reviewed journal. It is therefore not clear why there are still restrictions placed on autonomy on two-thirds of American states. The possible explanation is always political or incorrect information (Holmes, 2013).

It is indeed true that the states have varying certification requirements. Yet, because of good graduate education, most nurse practitioners are adequately prepared for the provision of primary care without the need of physicians supervision at…… [Read More]

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Graduate Sociology Communauty Development University Essay

Words: 429 Length: 2 Pages Document Type: Essay Paper #: 49327497

graduate Sociology ( Communauty development ) University Lome, Togo West Africa, french speeking country Now serving a class Aviation Boxwain Equipment Navy My plan crossrate (change rate- change job) corpsman I gain experience school Physician assistant I 38 years .

Personal statement

I am currently serving in the United States Navy. However, my ultimate career goal is to become a physician or a physician's assistant when I leave the service. A desire to help others has been the driving force in my life path and education. My passion for service is one of the reasons I joined the military in the first place, combined with the experiences in leadership it offered me. I will continue to serve the public even after I retire through my professional work in healthcare. My long-term goal is to become a health care Foreign Service specialist, merging my knowledge of foreign cultures and healthcare delivery systems that I gain in the Navy with my new basis in technical medical expertise in medical school. This is why I hope to change my job in the Navy to become a U.S. Hospital Corpsman, to deepen my exposure to the healthcare field while I am still enlisted and to use my knowledge and experience as a caregiver.

My international background…… [Read More]

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Reason for Choosing Nursing as a Career Essay

Words: 838 Length: 2 Pages Document Type: Essay Paper #: 79705697


Personal Statement

Choosing Nursing

My life has centered upon answering a central question. This question has been a in my mind since I was 10 years old. At that age, my first image of medicine was largely influenced by the doctors and nurses who were always helping my grandfather battle a rare form of brain cancer. His illness was a life changing experience for me, as, at that age, I watched his condition gradually deteriorate over a period of three months, and I detested I could do nothing to help. This thought, however painful then, has motivated my entire life, and has led to my choosing of nursing as a profession,

Though some did not approve of this particular career path, I never gave up my dreams. For this reason, I began studying and volunteering so as to combine education in theory with education in practice. Giving back to my community has always been something I have held as a priority. For this reason, it seemed only logical to begin volunteering. Furthermore, I had had experience with this activity due to the fact that I volunteered as a teenager, a time during which I worked with physicians at local clinics in Lagos, Nigeria. I diligently carried supplies for the doctors as they completed their rounds, and I would observe them as they performed surgical procedures.

At the age of fifteen, I thus decided to dedicate my time volunteering at various orphanages in Nigeria. I also serve as a mentor and elder sister to young children, especially girls at the orphanage. Some of the things I address are various issues such as improving self-esteem, coping with personal struggles, academics, and peer pressure.

I have continued this work across the Atlantic as well.

My most recent project is my work with the Canadian Red Cross. Here, I volunteer with the street…… [Read More]

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Advancing in My Life Is Important to Me Essay

Words: 1039 Length: 3 Pages Document Type: Essay Paper #: 98373374

total I have 13 years in the nursing field. Throughout that combined time I have worked in nursing homes / assisted living facilities, home health, as well as in a hospital setting. During the time that I worked in the hospital I worked in a program called share the care. This entailed me working throughout the entire hospital as a nursing assistant, which gave me experience in various areas, i.e. The emergency room, intensive care, pediatrics, oncology and etc. By being apart of this program it has afforded me the opportunity to do what I truly love, be a part of the whole process of nursing sick patients back to health. This has always been a passion of mine.

A Nurse practitioner is a nurse who has completed a graduate nursing degree and training in providing preventive and medical health care to individuals and families in association with a physician. The nurse practitioner provides health screening, performs physical examinations, orders laboratory tests and prescribes specific medications authorized by the physician. Nurse practitioners also educate patients about staying healthy. They often take care of special populations such as the rural poor, migrant farm workers, elderly persons and children. In communities or facilities with few physicians, nurse practitioners are especially important as providers of health care. By being a nurse practitioner there is an opportunity to have more of a hand in the actual care of patients and have input with the doctors for treatment. There are also opportunities to care for patients yourself and provide basic medical needs.

On the other hand physician assistants (PAs) provide healthcare services under the supervision of physicians. PAs are formally trained to provide diagnostic, therapeutic, and preventive healthcare services, as delegated by a physician. Working as members of the healthcare team, they take medical histories, examine and treat patients, order and interpret laboratory tests and x rays, make diagnoses, and prescribe medications. They also treat minor injuries,…… [Read More]

Greensboro AHEC Kids (2005). Nurse practitioner. Retrieved 09/23/05, from

U.S Department of Labor (2004-2005). Physicians Assistant. Occupational Outlook Handbook,, . Retrieved 09/23/05, from
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Role of an Advanced Practice Essay

Words: 3411 Length: 10 Pages Document Type: Essay Paper #: 42231364

In other words, physicians authorize the nurse practitioner to prescribe certain medications -- perhaps not all but those medications that are most often required by patients -- without getting approval from a physician. It saves time and is primarily designed to make the patient more comfortable, not just to hand additional authority to the nurse practitioner.

Is prescriptive authority appropriate? This question, according to Patricia Berry, a faculty member at the University of Utah, is raised often because there is in the healthcare industry a "…misapprehension about pain and addiction" (Lebo, p. 1). There are "myths about pain and pain management," Berry is quoted saying. Healthcare professionals get "…addiction, physical dependence and tolerance all mixed up," Berry continues. There are "erroneous beliefs about opioids and addiction, side effects, respiratory depression, those kinds of things," Berry explains (Lebo, p. 1).

In twenty-nine states physician collaboration is a "requirement," Lebo explains on page 2, and there are various regulations and restrictions that accompany physician collaboration. Indeed, in some states APRNs are subject to specific and even daunting restrictions on what medications they may prescribe. In West Virginia, for example, APRNs may not order Coumadin or "…more than 3 days of a benzodiazepine," Lebo continues (p. 2). And so if a patient has suffered from a general anxiety disorder, and has been responding well to Xanax for several years, what is the nurse practitioner supposed to do, "…have them come in every 3 days? Or ship that patient out to another provider?" (Lebo, p. 2).

That's not all of the tight and seemingly restrictive regulations in West Virginia. Other drugs that West Virginia APRNs cannot legally prescribe include: "schedule II controlled substances, anticoagulants, antineoplastics, radiopharmaceuticals or general anesthetics" (Lebo, p. 2). Schedule III drugs that nurse practitioners may prescribe in West Virginia are limited to a "…72-hour supply without refill," and they may not prescribe any drugs from Schedules IV and V for more than 30 days and nurse practitioners in West Virginia may not give patients "more than five refills" of Schedules IV and V medications (Lebo, p. 2).

On the other hand, the prescriptive authority of APRNs in some states and in some hospitals is "fairly loose," Lebo continues; the collaborating physician and the APRN get together…… [Read More]

Christianson, Martin. (2011). Advancing nursing practice: redefining the theoretical and practical integration of knowledge. Journal of Clinical Nursing, Vol. 20, 873-881.

Fagerstrom, L., and Glasberg. a-L. (2011). The first evaluation of the advanced practice
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Complexities of Modern Medicine Have Essay

Words: 951 Length: 3 Pages Document Type: Essay Paper #: 10274930

3. The current emphasis on wellness as the overall goal of health care has placed considerable pressure on the health care educational system (Kreitzer, 2009). The wellness emphasis has caused the health care educational system to focus its attention on treating the entire patient and to provide the patient with the maximum amount of choice, quality, convenience, and personal care while maintaining affordability. This means that medical schools must begin to train more physicians interested in performing primary care services and to direct these physicians to areas of the country that have been traditionally poorly served. In order to develop an overall system where preventive medicine is practiced so that more serious medical difficulties can be avoided a solid network of primary care providers is necessary. Ideally, these providers would be in the form of licensed physicians but a system that utilizes a hybrid mixture of physicians, physician assistants, and nurse practitioners would work as well in the interim. The education system must also begin adapting its curriculum so that its graduates and students are capable of assisting in the goal of maintaining overall wellness among the general public. Toward this end all health care professionals must begin integrating their services so that other disciplines concerns are both considered and addressed.

4. Federal and state health policies encourage the use of physician assistants and nurse practitioners in primary care positions in both private practice and hospital situations. Unfortunately, there is still considerable opposition from physicians but the desperate need for primary care providers causes the opposition of physicians of only marginal importance (Intitute of Medicine, 2001). The present data indicates that the care provided by PAs and NPs is comparable to physicians and that, as a result, the public's need for quality primary health care and the public policy supporting the goal of overall wellness demands that PAs and NPs be utilized as much as possible to supplement the availability of physicians. Studies have conclusively demonstrated that the use of PAs and…… [Read More]

Cullen, T.J. (1997). The National Health Service Corps: Rural physician service and retention. Journal American Board Family Practice, 272-279.

Intitute of Medicine. (2001). Crossing the Quality Chasm: A new Health System for the 21st Century. Washington, D.C.: National Academy Press.
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School Clinics Affects on Students Essay

Words: 3382 Length: 8 Pages Document Type: Essay Paper #: 58532109

Utilization of the data and collection of the data should be one of the main aims of the policy makers. The data can be used by the policymakers in order to develop the policies and implement these in order to make sure that improvement can be ensured (Basch, 2011, p. 9).

3. One of the main roles that can be played by the policy makers includes reviewing the policies that have already been designed for the schools. How these previous policies have played roles in an improvement of academics of the children, their environments and their health are important parts of the review by the policymakers. It is important that funding is collected for the issues that affect health and academics of children.

4. The policymakers should make sure that the importance of school-based health clinics that can play roles in looking after the needs of the students.

Great levels of differences can be made by the schools in improving heath of the students. There is a great variety of educational supports that can be provided by the schools. Some of these services include healthcare programs, mental health services and breakfast programs. The importance of school-based programs lies in the fact that a large part of daily lives of the students spend in the schools. Thereby, the changes that will be implemented by the schools will remain for long (Kropski, Keckley, and Jensen, 2008, p. 1010). Ensuring students health is one of the main aims of the is seen that schools require that proper physical examinations are carried out on the students in order to make sure that they are healthy. Certain set of immunizations are required to be carried out on the students to make sure that any contagious disease are not transmitted within the students. School-based health care has played the most important role in maintain health and academic…… [Read More]

Basch, C. (2011). Executive Summary: Healthier Students Are Better Learners. Journal of School Health 81, pp. 4-107.

Bruzzese, J., Sheares, B.J., Vincent, E.J., Du, Y., Sadeghi, H., Levison, M.J., Mellins, B.R., and Evans, D. (2011). Effects of a School-based Intervention for Urban Adolescents with Asthma: A Controlled Trial. Am. J. Respir. Crit. Care Med. April 15, 2011 183, pp. 998-1006.
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New Breast Cancer Screening Guidelines Essay

Words: 2607 Length: 8 Pages Document Type: Essay Paper #: 97455247

Dr. Robb-Nicholson's data best supports the scenario that more incidents of breast cancer will be discovered due to the reduced number of screenings that the new guidelines suggest. According to the numbers she gives, the mortality rate for breast cancer decreases every year and this decrease can be attributed to the previous screening guidelines. She writes that the USPSTF has based the new guidelines on statistics rather than clinical data and the message that they are conveying to the public is that the number of deaths that regular screenings at beginning at the age of forty is too small to keep the guidelines as they were previously. (6)

The best approach would be to keep the guidelines the way they were before the change. There was not enough clinical data to support the change in guidelines. Also, because the mortality rate for breast cancer has steadily declined with women following the previous guidelines, there is no rational behind the change. If there are changes to be made to the guidelines, they should be based on clinical data and not just statistics alone. The statistics do not give us a true and clear picture of the mortality rates of breast cancer. And for the USPSTF to state that the number of deaths is too small to stay with the previous guidelines shows a lack of concern for public health issues and in particular, the health of women altogether. They have sent a strong message to the public of what matters and what doesn't matter to them.

The USPSTF needs to carefully review the new guidelines and perhaps wait until there is more clinical data to support it. If there is not enough clinical data to support the change in guidelines, they should remain as they were previously. Even though the incidence of a woman developing breast cancer at the age of fifty is slightly greatly that those in their forties, the fact that the mortality rate for this disease has continued to decrease over past years cannot be ignored. Mammograms and self-examinations are the most useful…… [Read More]

Works Cited:
1. Cancer Weekly. Concerned Federal Screening Mammography Guidelines to Limit Access for Younger Women. Susan G. Komen for the Cure. 2010: 1665.

2. Stick with Older Mammography Recommendations. Stanford Experts Say. March 3, 2010 (Press Release from Stanford Hospital & Clinics).
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Nurse Practitioner R N From R N Essay

Words: 3164 Length: 10 Pages Document Type: Essay Paper #: 61840213

115). It seems many nurses or RN who prepare for the role of nurse practitioner are not fully informed of the demands that may be placed on them in their new role. This in turn may lead to job dissatisfaction later down the line and ultimately limit ones ability to succeed in their chosen field. Presently there is not enough research provided to provide conclusive evidence one way or another as to the extent to which problems or gaps in teaching may influence one's decision to move from one career to the next.

More information could be collected in the form of self-report surveys as mentioned previous that would assess whether nurses felt they were prepared educationally to take on the challenges of the role they currently held or aspired to (Evans, n.d.; Dumas, Villeneuve, & Chevrier, 2000). There are others however, that believe that in some cases the RN aspiring to the role of nurse practitioner or even that of physician assistant is adequately prepared to define the scope of their practice, and prepared for rotations in education, however, surveys do reveal a need for greater education of the ways to "best teach adult clinical students how to learn most productively and effectively" suggesting possible opportunities for follow-up research within this area (Mitchell, 2004: 1).

Strengths & Weaknesses of the Concept

Whether one should examine the current state of nursing comes to question when evaluating the role of nurse and the relative ease with which a nurse may transfer to the role of Nurse Practitioner, and his or her reasons for doing so. Despite questions as to the legitimacy of such research, there is ample evidence suggesting a need for both R.N.s and more Nurse Practitioners (Mitchell, 2004) exists, especially with an aging population and more and more patients requiring primary and secondary care. Nurses engaged in the role of Nurse Practitioner may more readily follow up with patients having the skills and training necessary to take on advanced roles and responsibilities in the clinical care setting.

The idea of cross training or holding dual-positions is not discussed in this research review, but it another idea or concept for consideration in future studies. The implications of this study suggest a need may exist for further research exploring the extent to which an intermediary position may…… [Read More]

Blossom, Y.J., Ying-Chen, Y., & Wen-Hung, L. (2007). The influence of job characteristics on job outcomes of pharmacists in hospital, clinic, and community pharmacies. Journal of Medical Systems, 31(3): 224-29.

Buppert, C. (1999). Nurse Practitioner's business practice & legal guide. New York:
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System Analysis of T-System Because of Its Essay

Words: 3124 Length: 10 Pages Document Type: Essay Paper #: 5881106

System Analysis of T-SYSTEM

Because of its ability to improve the quality and delivery of health care services, the Electronic Health Record is becoming a necessity in almost every healthcare organization. The purpose of this paper is to explain the impact of having an electronic health record system in an emergency department. The current computerized system used at Suny Downstate Hospital in Brooklyn is called T-SYSTEM, and has been in operation since 2007. Documentation prior to its implementation was achieved through handwritten notes on various forms as well as through dictation by doctors. Suny Downstate Hospital had to update its system in order to meet state standards and quality core measures. The transition from paper to electronic documentation is major; while it assures many advantages, it also faces many challenges. As the author of this paper, I will be using my workplace as the unit (ED) project observed. I will also identify other healthcare professionals, such as fellow nurses who are assigned to Super User or to Preceptor positions and other multidisciplinary care providers, who assist with the system. I will also discuss the system, its benefits, contributions, deficiencies, and the challenges that the system must overcome in order to achieve its maximum potential.


The organization of interest is the University Hospital of Brooklyn, also known as Suny Downstate Medical Center. This is a teaching hospital and is the only academic medical center providing patient care, education, research and community services for the nearly 5 million people living in Brooklyn, Queens and Staten Island. Opened in 1966, the University Hospital of Brooklyn is an 8-story, 376-bed facility in central Brooklyn. The hospital has 8 intensive care and step-down units, 12 operating rooms, an emergency services department, a diagnostic and ambulatory surgery facility, an ambulatory care center with some 75 clinics, plus 5 satellite Health Centers and a nearby dialysis center.

As stated above, the University Hospital of Brooklyn has 3 main locations in Central Brooklyn, Long Island College Hospital and in Bay Ridge. Satellite Centers in Bedford-Stuyvesant, Midwood, Family Health Services (Lefferts Avenue), Dialysis Center (Parkside) and a Sleep Center (Flatlands and Flatbush). In terms of size and manpower, Suny Downstate Medical Center has 8,000 employees on board and is the fourth largest employer in Brooklyn. Downstate's estimated economic impact is over $2 billion. For every dollar invested in Downstate, $12 is returned to the local community (SDMC, Facts…… [Read More]

SDMC. (2012). Mission, Vision and Values. Retrieved from " rel="follow" target="_blank">
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Steps to Consider When Making a Healthcare Legislation Essay

Words: 1626 Length: 5 Pages Document Type: Essay Paper #: 59119409

Policy-Bill on Protecting Access to Primary Care Act

Objective and anticipated outcome of the proposed legislation or regulation

On August 2, 2013, Congresswoman Suzanne Bonamici (D-OR) introduced the Protecting Access to Primary Care Act (H.R. 2986). The primary objective of the proposed legislation was to improve access to primary care for individuals enrolled in Medicaid. The anticipated outcome is that the bill will improve reimbursement rates for nurse practitioners, physician assistants, and other primary health care providers. The proposed legislation will make a small but significant change to the Affordable Care Act (ACA), which will motivate primary care providers to serve Medicaid patients (Brooks et al., 2015). With the current nursing shortage, it is anticipated that the Act will attract at least one million extra nursing professionals in the field. It is obvious that the country needs more primary care providers to meet the needs of the increasing population (Ricketts, 2013).

Background contributing to the legislation/regulation formation

Presently, the ACA offers increased remuneration rates for physicians. Unfortunately, it has failed to increase reimbursement for other primary care professionals such as physician assistants and nurse practitioners (Ricketts, 2013). For example, if a Medicare/Medicaid patient goes to the physician's office, Medicare will reimburse that physician 100%. However, if that the same patient goes to the Nurse Practitioner's Office, Medicare will reimburse the nurse practitioner less than 100% even though they are both providing the same service to the same patient. This is not fair. This congressional representative introduced this bill so that if it is passed, it will put a stop to this reimbursement gap.

Worse still, the drastically increasing healthcare costs are making access to care difficult in the United States. From the recent unstable economy, the number of uninsured has increased following reduced employee benefits and job loss. This pattern is projected to continue unless there is intervention. The adverse impacts of reduced access to healthcare are having alarming consequences on the nation's economic health. All these led to the introduction of the Act that marks the beginning of a pronounced transformation in America's healthcare framework. After several attempts to reform the healthcare system, the U.S.…… [Read More]

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Use of Advanced Nurses to Improve Healthcare Access Essay

Words: 3619 Length: 10 Pages Document Type: Essay Paper #: 43233063

Healthcare Innovation

Healthcare is one of those industries and fields of work where the promotion of innovation and change management is key. It is also one of those fields where managing that change through tried-and-true practices such as evidence-based practice and so forth is a must. One change that is changing nursing a lot, especially when it comes to the advanced levels of nurses, is the flattening of the hierarchy that typically exists when it comes to what nurses are allowed to do, what they are expected to do and what they must do. Whether it be the aging of the population, the shortage of some types of doctors (or doctors in general) or general access to quality care for patients in general, there is often a distinct reason for the need and thus the prior mentioned need for innovation and proper change management in the nursing field is necessary and needed. While physicians and doctors in general should indeed remain above nurses when it comes to their level of responsibility and their list of duties, there is also the need to raise the profile and responsibility level of nurses and the shifts in the healthcare industry and society as a whole are just some of the major reasons why.


Central Issue

As indicted in part by the introduction, there are a number of societal and industry factors that are emerging that are leading to pain points within the healthcare industry and for the patients involved. These factors and outcomes are leading to situations where the amount of doctors and specialists as compared to the people that need their services are entirely out of whack. One reason for this is the surging aged population in the United States, especially in comparison to the people in the United States that are not in the elderly demographics. This was brought on by a huge surge in the birth rate in the late 1940's, the 1950's and much of the 1960's when the Baby Boomers exited the period that was World War II and the build-up that accompanied it. That surge was followed by a huge fall…… [Read More]