Cervical Cancer Case Study and Care Plan
The following represents an outline for a plan of care, including information intended to educate the patient about what she can expect given her recent diagnosis of cervical cancer at the age of 45. The good news is that a cervical cancer diagnosis is no longer a death sentence.
Cervical cancer in women is common and afflicts close to 530,000 women worldwide each year (Colombo et al., 2012). Importantly, human papillomavirus (HPV) infections are believed to be the most important causative agent and this virus is detected in 99% of all cervical tumors. Accordingly, the expected protection rate conferred by the HPV vaccine is around 70%.
Of the three categories of cervical cancer recognized by the World Health Organization (WHO), squamous cell carcinoma is by far the most common, representing 70-80% of all cervical cancers (Colombo et al., 2013). Other types…… [Read More]
The ACS seems to contain a relatively balanced and unbiased approach, not categorically endorsing any treatment, for every patient, with every type of cancer. Its list of references, provided by a link on the site, contains numerous outside scholarly journals, as well as individuals associated with the ACS. It also provides helpful guidelines for talking to a patient's doctor about therapies to support conventional treatments, underlining the fact that the Internet cannot be a sole source of a patient's information, and every patient's state of health is different. The site is one of the first that arises upon a Google search for cervical cancer. For cancer patients who wish to have more information, it provides links to reliable websites and brochures, one of which is in Spanish.
An Invalid Site: Dr. Day's nutritional supplement, metabolic diet, and prayer-based therapy
Of course, it would be easy to find an outrageously inaccurate…… [Read More]
If the cancer is confined to this area, that may be the only treatment required. However, if the cancer has spread, there may be additional surgery necessary to remove the organs where it has spread. There may also be chemotherapy or radiation treatments necessary if the cancer has spread. With stage I or II cancers, the overall prognosis for survival is very good. The prognosis of stage III or IV cancer is not as good, but many women do survive even this extreme stage of cancer.
Is there any way to prevent cervical cancer?
First, if you have one or more of the risk factors, such as smoking, you should stop. Next, many researchers believe that diet and exercise can help reduce the chances of getting cervical cancer. A diet rich in fruits and vegetables can reduce the risk, and a diet that includes large amounts of vitamins a, C,…… [Read More]
What it is
Cervical cancer is cancer of the cervix. Cancer begins when a body's cells start growing and multiplying out of control. Any cells within a body can become cancerous with potential to spread to other parts of the body. Originating in the lining of the cervix or the womb, another name for this area is the uterine cervix. It connects the uterus to the vagina. Most occurrences of pathology start out in what is called the 'transformation zone' that have two cell types, glandular and squamous cells. These cells first develop precancerous changes that then manifest into dysplasia and cervical intraepithelial neoplasia (CIN). It takes years for these changes to lead to cancer, however some cases have shown these changes taking place in as little as less than twelve months. There are several types of cervical cancer. The most common is squamous cell carcinomas followed by…… [Read More]
Cervical Cancer Vaccine
Cervical cancer will usually transpire when abnormal cell found within cervix grow out of control. However, when cervical is identified in its early stages it can be successfully treated. Through the help of Pap test this cervical cancer can be identified. Majority of cervical cancer tend to be caused by virus known as human papillomavirus (HPV). An individual can easily get HPV when they have sexual contact with an individual who already have it. Different types of HPV virus exists and all these types never cause cervical cancer. While some of them cause genital warts, others may not even cause any symptom.
Many states have mandated vaccine for cervical cancer in girls and we all agree that this shot that is to protect against cancer sound like a brilliant idea. However, it is of importance for us to think carefully before putting this vaccine mandatory for our…… [Read More]
Women's Health Promotion: Cervical Cancer
Cervical cancer is a serious women's health issue. While many women go to their doctor yearly for testing in order to detect cancer and other problems early, many other women ignore this important examination (Gadducci, et al., 2011; Harper, 2004). Additionally, women who have symptoms of cervical cancer often avoid seeing their doctor. They may not have health insurance, they may be frightened, or they may think that something less serious is the cause of their symptoms (Peto, 2004). Because of that, they put off being tested for cancer through a pap smear. If any of these women do develop cervical cancer, their treatment will be more difficult because their disease will have advanced further since it was not caught early. That is something worth considering for any woman who is not sure if she wants to get an exam or has been avoiding an…… [Read More]
This includes infection caused by the human papillomavirus (HPV), a high-risk virus that could lead to genital warts and worse, cervical cancer (Bristow 2001).
Since both types of cancers have excellent recovery prospects in their early stages, it is important for women to seek medical help as soon as these symptoms are observed. In cases where endometrial cancer is suspected, a physician would take a biopsy of the patient's uterus for further evaluation. Together with blood tests and bone scans, the biopsy would help a physician determine the stage of cervical cancer and select the best treatment option (Burke 2003).
The appropriate treatment for endometrial and cervical cancers is based on the stage of the disease. In their advanced stages, a radical hysterectomy may be performed. In addition to the uterus, nearby organs such as both ovaries, the fallopian tubes and pelvic lymph nodes can be performed. Radiation therapy and…… [Read More]
According to the St. John Providence Health System (2012), a cervical biopsy is "a procedure performed to remove tissue from the cervix to test for abnormal or precancerous conditions, or cervical cancer." Cervical biopsies are administered during a procedure known as a colposcopy, which uses a magnifying instrument to help the physician visualize the cervix to observe for any abnormalities. For the biopsy itself, a tool like forceps or a needle may be used to extract small bits of tissue for laboratory examination. There are a few different types of cervical biopsies, including a punch biopsy, a cone biopsy, and endocervical curettage (ECC). The punch biopsy is the most basic of cervical biopsy, involving the removal of small pieces of tissue from one or more parts of the cervix. When a laser or scalpel is used to remove a cone-shaped piece of tissue, it is called a cone…… [Read More]
Cancer and Women’s and Men’s Health
Cervical cancer is a kind of cancer that takes place in the cells of the cervix, which is basically situated in the lower part of the uterus that links to the vagina. It is imperative to note that different strains or forms of the human papillomavirus (HPV), a sexually transmitted infection, have a role to play in giving rise to a great deal of cervical cancer.
Available Preventative Services
The United States Preventive Services Task Force (USPSTF) gives the recommendation of screening for cervical cancer in women between the ages of 21 years to 65 years with pap smear for every three-year period. It is also recommended for women between the ages of 30 and 65 years who wish to prolong the screening period, and therefore screening with a mixture of cytology and human papillomavirus testing for every five-year period. In the same manner,…… [Read More]
Care of Cancer
In many cases the sooner cancer is diagnosed and treatment begins the better the chances of a person recovering fully. If one develops cancer they can improve the chance of early detection if they have regular medical checkups and do some self-exams. Doctors often find early cancer during a physical exam or when carrying out routine tests even when there were no symptoms presented.
There are several methods that are used to diagnose cancer .with technological advancement these methods are now better as they help in a better understanding of cancer .there are now many diagnostic tools that can be used in cancer detection. Once cancer I suspected a diagnosis is made by pathologists and oncopathologists and imaging radiologists. The common diagnostic methods are;
This test involves a small tissue sample being taken from the area where cancer is suspected using a fine tipped…… [Read More]
Preferably, females should be vaccinated before onset of sexual activity. Sexually active females may also benefit from vaccination since there are very few young women are infected with all four HPV types that are targeted by the vaccine. Females who already have been infected with one or more HPV types would still get protection from the vaccine types they have not yet been exposed to. At the present time there is no test available for clinical use to determine whether a female has had any or all of the four HPV types targeted by the vaccine (HPV Vaccine Information for Clinicians, 2008).
The only way to prevent the spread of HPV and reduce the amount of cervical cancer cases that exist is to make the HPV vaccination mandatory. Those who argue against making the vaccination mandatory often claim that providing the vaccine will encourage promiscuity. This was the same argument…… [Read More]
Screening for breast cancer before there are symptoms is very important. Screening helps doctors find and treat cancer in its early stages. Treatment is more likely to be successful when the cancer is detected early. A doctor may suggest any of the following screening tests for breast cancer: screening mammogram, clinical breast exam, beast self-exam (Stoppler, 2009).
Mammograms can often show a breast lump before it can even be felt. A mammogram is a picture of the breast that is made with an x-ray. It can also show a cluster of tiny deposits of calcium. These deposits are known as micro calcifications. Lumps can be from cancer, precancerous cells, or a host of other conditions. Further tests may be needed to find out if abnormal cells are present. Women in their 40s and older should have mammograms every 1 to 2 years (Stoppler, 2009).
During a clinical breast exam the…… [Read More]
This then leads to the activation of a number of genes whose products trigger cell-cycle arrest, apoptosis, or DNA repair" (Lakin 1999, p. 7644).
In research led by Hussain, he investigated the targets of free radicals, which are DNA, proteins, NA, and lipids. He noted that, "mutations in cancer-related genes or post-translational modifications of proteins by nitration, nitrosation, phosphorylation, acetylation or polyADP-ribosylation-by free radiacals or lipid peroxidation byproducts…are some of the key events that can increase the cancer risk" (Hussain 2003, p. 276). Furthermore, changes in DNA occur when the person has been exposed to high levels of nitric oxide or NO. p53 plays a role in that it acts as a mediator to stress but NO "causes p53 accumulation and post-translational modifications that inhibit cellular growth" (Hussain 2003, p. 278). His research has revealed that when exposed to NO during chronic inflammation sans wild-type p53, there might be increased…… [Read More]
neoplasm: "abnormal mass of tissue that results when cells divide more than they should or do not die when they should" ("NCI Dictionary of Cancer Terms," 2016)
benign: noncancerous ("NCI Dictionary of Cancer Terms," 2016)
malignant: cancerous ("NCI Dictionary of Cancer Terms," 2016)
carcinoma: "Cancer that begins in the skin or in tissues that line or cover internal organs," ("NCI Dictionary of Cancer Terms," 2016)
sarcoma: "A type of cancer that begins in bone or in the soft tissues of the body, including cartilage, fat, muscle, blood vessels, fibrous tissue, or other connective or supportive tissue" ("NCI Dictionary of Cancer Terms," 2016)
anaplasia: Features of cells which indicate malignancy ("Anaplasia," 2016).
Q2. Identify the correct name for both benign and malignant tumors in the following locations:
Benign Tumors/Malignant Tumors
Pancreas: Adenoma / Adenocarcinoma ("Tumors by name," 2016)
Fat: Lipoma / Liposarcoma ("Tumors by name," 2016)
Bone: Osteoma / Osteosarcoma ("Tumors…… [Read More]
HPV Case Study
The author of this report has been asked to assess and reflect upon a public health dilemma. In particular, the issue is whether HPV vaccination should be mandated or at least widely encouraged on a wide-spread or targeted basis. Unlike other vaccines such as those for polio, the measles, mumps, rubella and pneumonia, HPV cannot be contracted through casual contact. Indeed, sexual contact is really the only way to get it. At the same time, not being protected against HPV can cause cervical cancer in women. While there are certainly detractors when it comes to vaccines, the efficacy and importance of those vaccines cannot be understated or under sold.
The main dilemma cited is that HPV is not transmittable through anything other than sexual contact. While this may lessen the chances of it being passed from person to person, most everyone will engage in sexual contact at…… [Read More]
There are many diseases that can be treated if they are detected at an early stage. A number of such diseases include cancers including colon, cervical and breast cancers. All of the mentioned diseases can be fatal if they are not treated in a timely manner. For treatment in a timely manner, it is important that the disease is detected while it is still benign and not that harmful. For that purpose people need to get screened so that they know if they have any kind of morbidity. Many campaigns are being run all over the world for creating awareness about these screening tests among women so that they can help fight their disease while it is still at an early stage. However, there are many hurdles to the effectiveness of such campaigns and one of which is the financial limitations. Therefore, there is a program that has been…… [Read More]
Promoting Positive Health ehaviors
Every Woman Matters Program was launched in 1992 in Nebraska, United States of America, for the women residents of the state. This program encourages women to get annual check-ups for free. The program is designed for women aged between 40 to 74 years, who have none or restricted health insurance, along with earning low levels of income. The women residents of Nebraska can fill out enrollment forms available to them from various hospitals as well as on the internet in order to be facilitated by the program (Nebraska Department of Health and Human Services, 2011). If the application is accepted, the program will send a welcome pack which the applicant should take with them on their doctor's appointment. They should ensure to inform the doctor beforehand that they are a part of Every Woman Matters Program.
The Program administrators will then inform the applicant of their…… [Read More]
Henrietta Lacks born August 1, 1920, was an African-American female tobacco farmer who resided in Dundalk, Maryland. She was wife to her first cousin and mother of five children. At the age of 31, Lacks died from cervical cancer. Before she died, a doctor took a sample of her cervical cells. These cells, named HeLa cells, became the immortal cell line that provided a Polio vaccine, aided in cloning, among other scientific breakthroughs. "Henrietta's cells were the first immortal human cells ever grown in culture. They were essential to developing the polio vaccine" (Zielinski, 2010).
HeLa cells have become a benchmark in the study of cellular processes. However, here in lies the controversy. HeLa cells have benefitted many except for the family of the person the sample was derived from. Henrietta Lacks' children, for decades, lived in poverty, with one son homeless. Was it right for a doctor to, without…… [Read More]
Assuming all those issues are addressed, mandatory HPV vaccination may be a good idea for all children and the option should be made available to adults and funded, at least in part, by government funds and profit limitations on vaccine sales. EFEENCES
Allen, Terry, J. Merck's Murky Dealings: HPV Vaccine Lobby Backfires; Corpwatch (March 7, 2008). etrieved March 26, 2008, from Corpwatch: Holding Corporations Accountable website, at http://www.corpwatch.org/article.php?id=14401
Pharmaceutical News (March 5, 2008) Safety of Merck's HPV Vaccine Gardasil 'Lost' in Debate. etrieved March 26, 2008, from News-Medical.net…… [Read More]
The "Theories At A Glance" manual discussed a variety of healthy behaviors. Select two theories that can be used to explain why people behave the way they do. Discuss the basic premise and constructs of the theories you choose. Cite two examples of how each theory could be used to explain a health behavior.
Theory of Planned Behavior (TPB)
The relationship that exists between behavior and attitudes, beliefs and intention is studied under TPB (Theory of Planned Behavior). TA (Theory of easoned Action) is also associated with TPB. According to TA and TPB, behavior is mainly determined by behavioral intention. These models show that the attitude of an individual affects behavioral intention. Hence, the behavior of a person towards the performance of some particular behavior is also influenced. In addition to this, beliefs concerning individuals who have close association (these people have the decision making power of approving…… [Read More]
acial and Ethnic Approaches to Community Health (EACH 2010 Program)
The health objectives for the United States for the 21st century have been described in The Federal Initiative to Eliminate acial and Ethnic Health Disparities and Healthy People 2010. The national interest in the areas of racial and ethnic disparities has been renewed with the public health initiatives with the leadership for the discussion being taken by the Center for Disease Control and Prevention. The overall health of the nation has improved a lot, but the members of the minority groups in the ethnic and racial areas have not been benefited. This includes the African-Americans, Alaska Natives, American Indians, Asian-Americans, Hispanic-Americans and Pacific Islanders.
This segment of our population is more likely to have poor health and premature deaths than the white Americans. During 1992 to 1998, the deaths from breast cancer have come down noticeably, but there are more…… [Read More]
Abnormal Uterine Bleeding and Issues
Reproductive Tract Diseases for human females are typically focused in the upper reproductive tract or the lower reproductive tract. The upper tract includes the fallopian tubes, ovary and uterus, while the lower reproductive tract focuses on the vagina, cervix and vulva. There are three major types of infections: endogenous, iatrogenic and sexually transmitted diseases. Endogenous diseases arise from internal cellular structures and may be bacterial, viral or genetic, usually the most common and arise from an overgrowth of organisms that are already present in the vagina; iatrogenic diseases are the result of medical or surgical treatment, and sexually transmitted diseases occur between humans as a result of sexual behavior. In addition to infections, there are congenital abnormalities, cancers and functional problems. Each infection has its own specific cause and symptoms; caused by bacteria, virus, fungi or other organisms. Indeed, some are easily treatable and cured,…… [Read More]
Consequence of apid Advances in Science and Technology
Identify A Potential Unintended Consequence Of The apid Advances Made In Science And Technology
Potential unintended consequences of rapid advances in science and technology
The purpose of this paper is to identify the unintended consequence of radiotherapy treatment on the cancer patient. adiotherapy is the technology that is regularly used to directly kill the cancerous cells through the use of the short-wave rays. The process is intended to help the patient with a treatment option other than leaving the patient suffers from the impacts of cancer. Unintended consequences are those impacts that arise from a technology that was initially meant to have a solution to a specific problem. The unintended consequences may be positive or negative but mostly they are negative consequences that are observed. For example, the purpose of the Avandia or rosiglitazone that was intended to help the diabetes II…… [Read More]
Perhaps the latter sentiment may be regarded as baseless speculation, but as we shall see after this section, there are a number of researchers whose view supports such a sentiment. Nonetheless, here is the report made available by the mainstream media in 2009:
CDC and FDA researchers wrote in the Journal of the American Medical Association that problems such as fainting and nausea remained rare among females who received Gardasil and the vaccine did not appear to be causing unusual side effects. The researchers said 32 deaths were listed in a government database that collects reports of health problems seen in people after vaccination. The reports show only that a patient became ill or died after receiving a vaccine, not that a vaccine was the cause. The FDA and CDC statement said 'concerns have been raised about' the reports of deaths of people who received Gardasil. 'There was not a…… [Read More]
Little is known about abnormal cervical cancer screening results of women who are behind bars. he test was conducted by using data from two cross-sectional surveys of women in jails and community corrections about their history of abnormal pap tests. Univariate analyses (analysis of variance [ANOVA] and chi-square) and a binary logistic regression analysis were conducted to test associations between histories of abnormal Pap testing and factors known to be associated with cervical cancer.
Women in jails and prisons are at high risk for cervical cancer, and cervical cancer is the most common type of cancer among female prisoners,"(Binswanger et al., 2011, p.2). Women behind bars have greater odds than the general population of having cervical cancer. Pap testing (cervical cytology) is a way to detect precancerous and cancerous cervical lesions by identifying women who need further diagnosis and treatment. Few studies of cervical cancer or screening have included women…… [Read More]
exually Transmitted Diseases in Developing Countries
exually transmitted diseases (TD's) have been a problem for doctors worldwide and governments around the globe for many years.
Pre-screening, diagnosis, and treatment programs are required to stop the spread of TDs.
A host of sexually transmitted diseases have, unfortunately, exploded in large numbers in the continent of Africa. These TD's include the HIV virus and the HPV virus, or human papillomavirus. HPV causes cervical cancer, and the HIV virus causes AID (auto-immune deficiency syndrome).
It is estimated that there are 100 million cases of AID worldwide, and that AID is now claiming more lives than all wars and natural disasters around the world.
In Africa, the problem is quite tremendous.
In outh Africa alone, there are 4.7 million people infected with the AID virus. outh Africa is the world's country with the largest infected population.
adly, it is estimated that worldwide, less than…… [Read More]
Human papillomavirus (HPV) is a virus that causes warts. HPV is one of the most common sexually transmitted diseases (STDs). It belongs to the Papovaviridae family. HPV is a small oncogenic DNA virus, which infects epithelial cells of skin and mucous membranes. The epithelial surfaces include all areas covered by skin and/or mucous membranes of the mouth, genital and anus (the area that poop comes out of). A definitive diagnosis of HPV infection depends on the detection of nucleic acids (DNA or NA) or proteins.
HPV is a relatively small, non-enveloped virus, and 55 nm in diameter. It has an icosahedral capsid composed of 72 capsomers, which contain at least two capsid proteins, L1 and L2. Each capsomer is a pentamer of the major capsid protein, L1. Each virion capsid contains several copies (about 12 per virion) of the minor capsid protein, L2. The virus is said to somewhat…… [Read More]
Woman Exam With Pap Smear
The patient is a 28-year-old white Caucasian woman who is married with no children. She is a professional insurance adjustor and travels frequently throughout the year to settle claims, as she works for the disaster division of the insurance company that is her employer.
The patient is presenting for her annual Well Woman Exam with Pap smear. The patient is a healthy female with no issues. She discusses exercise, nutrition, smoking, alcohol consumption, sexual practices and menstrual cycles with her health care provider as is the custom with a Well Woman visit. A Pap smear is performed upon request.
The patient has no precipitating/alleviating factors, as there are no issues pertaining to health wellness that the patient describes. She does not smoke, abuse alcohol, or eat an improper diet. She exercises regularly in spite of her frequent travels and her sexual activity is healthy;…… [Read More]
Presence of regional and distant metastases alters the stage of the disease and for these patients, standard therapy is inadequate [KEYS et al. 2004]. With the diagnoses of endometrial adenocarcinoma it is most likely that the patient in question is at an early stage of disease. To have a better prognosis, further surgical diagnosis to achieve a FIGO stage is needed as that will allow doctors to ascertain the level of myometrial muscle invasion, histological type, and differentiation grade [AMANT et al. 2005]. If the patient is at a FIGO stage one, the five-year survival rate stands at 85%, with stage II standing at 75%, stage III at 45%, and stage IV at 25% [GRISBY et al. 1992]. Treatment should follow the established regimen of hysterectomy along with radiation therapy.
Amant, F. et al. 2005. Endometrial Cancer. ancet, 366, pp. 491-505.
Boulet, G.A.V., et al. 2008. Human Papillomavirus…… [Read More]
Baer, 2002, p. xx)
Medical issues surrounding OCs:
Medical complications associated with the utilization of oral contraceptives are varied but in general stem from both known and unknown complexities associated with the ingredients that make up OCs, as all hormones are steroids and in many cases have multi-variant biochemical effects, some known and some unknown. The complexities of steroids, of which all hormones are, demonstrate the need for a great deal of further research with regards to their use. Some more common side effects of oral contraceptives, though they can vary slightly according to brand and dosage of active ingredients are:
nausea, vomiting, stomach cramps, bloating, weight change and water retention. Water retention may cause swelling of fingers or ankles. Other side effects of oral contraceptives may include nervousness, depression, dizziness, change in appetite, loss of scalp hair, rash, vaginal infections, migraine headaches, missed menstrual periods and bleeding between periods.…… [Read More]
The importance of this study is threefold: 1) it allows a new series of assays to be used in the clinical setting to detect the more common HPVs that cause genital and anal warts; 2) the assays are both robust and yet inexpensive enough to use globally, and, 3) the tests are designed to use real-time PC technology, which allows for the rapid identification and quantification of these pathogenic types of HPV. The technology and protocols used in this development will also likely have an effect on the ability to roll out testing for other HPV-like viruses, ostensibly even the HIV virus in a real-time, inexpensive manner. The lab results also suggest that as the at risk population for HPV increases, early testing and intervention might reduce the number of symptomatic individuals since they will have been tested and potentially treated much earlier.
The developing world notwithstanding, HPV…… [Read More]
6% of the respondents stated that this was what they did. This number however is not reflected in lower numbers for life style disease and so it must be given greater scrutiny at another time (See table below).
Fruit and vegetable consumption by ethnicity
There are a number of diseases and health conditions that have been linked to life style behaviors and belief systems. The prevalence of these diseases demonstate that while persons may report a certain behavior emperical evidence suggests that another behavior may be taking place. This may occur principally because respondents may over estimate what they do on a daily basis since they are not taking active records of their behaviors.
On several indicators African-Americans have higher rates of the disease and death as a consequency than White populations. The data for diabetes shows that African-Americans are twice as likely to report having diabetes than…… [Read More]
Cognitive Stimulation Therapy for Early Stages of Dementia
With an aging population, issues related to cognitive abilities and impairment, including dementia, are increasing in relevance to public health officials. Being able to delay the negative results of dementia can contribute to increased quality of life for a number of aging individuals and their families. At present, many health care professionals view dementia as a condition that will deteriorate over time and do not view it as something that can be effectively stalled or reversed (Hodges & Graham, 1999). Many of the programs available for individuals dealing with cognitive deterioration or dementia are designed to provide for their safety and contentedness, but do not focus much on improving or maintaining cognitive abilities. Furthermore, the emphasis of many day programs is on providing a safe place for individuals so that their caregivers can have the much-needed respite in their care routines. Caregivers…… [Read More]
Women and AIDS in New York City:
Hidden Cases, Hidden Problems
Ask most people what group of people you think of when you think of AIDS, and most people will name gay men. While it's undeniable that the AIDS epidemic was first noticed among gay men, AIDS has become an equal opportunity illness, and currently women represent the fastest growing sector of people with HIV / AIDS in the United States. This fact is true in New York City as well.
The growth in the rate of HIV / AIDS among women in New York City is a growing concern for a variety of reasons. Worse than the increase in infection among women is the death rate. Although overall, the death rate from AIDS has dropped significantly, the death rate for women with AIDS is significantly higher than that of men.
How widespread is the problem?
A look at recent…… [Read More]
" (AAF, nd)
The Health Maintenance Organization further should "…negotiate with both public and private payers for adequate reimbursement or direct payment to cover the expenses of interpreter services so that they can establish services without burdening physicians…" and the private industry should be "…engaged by medical organizations, including the AAF, and patient advocacy groups to consider innovative ways to provide interpreter services to both employees and the medically underserved." (AAF, nd)
One example of the community healthcare organization is the CCO model is reported as a community cancer screening center model and is stated to be an effective mechanism for facilitating the linkage of investigators and their institutions with the clinical trials network. It is reported that the minority-based CCO was approved initially by the NCI, Division of Cancer revention Board of Scientific Counselors in January 1989. The implementation began in the fall of 1990 and the program was…… [Read More]
Interrelationship of Self-Perceptions, Culturally-Based Perceptions, Impressions, and their effects on Leadership Abilities
Humans have the most highly organized social structure of any creature on earth. In an attempt to ascertain our relative position in a complex social hierarchy, we constantly evaluate and re-evaluate ourselves. e do this by comparing ourselves to other human beings. e use this information to establish our opinions of ourselves, the various social groups to which we belong and our opinions of others. e belong to many social groups, our family, our group of friends at school, a community and a culture that includes our ethnic backgrounds. e must make decisions about our place in each of these groups. These opinions constitute what we think of ourselves, and gives us our self-esteem, or self-worth.
Our attitudes and beliefs regarding ourselves and others effect our ability to learn our acceptance of subordination to authority figures and our…… [Read More]
Prostitution: Causes and Consequences
Prostitution has been termed as one of the oldest professions, with its history going back to as early the ancient period. Indeed, records of most ancient societies -- from Greeks and omans to Jews, Hebrews, Asians, and Muslims -- point to the existence of prostitution several thousand years ago (Sanders, O'Neill & Pitcher, 2009). Today, though illegal in some jurisdictions, prostitution is a widespread practice, with virtually every major urban area across the globe having numerous brothels, escort services, and joints disguised as massage parlors. Prostitution is also practiced at the sex worker's or client's residence as well as in adult entertainment locations such as strip clubs. Emanating mainly from individual and socioeconomic factors, prostitution is associated with a number of dangers on the individuals involved, and may expose one to sexually transmitted diseases (STDs). This paper describes the causes and consequences of prostitution, clearly demonstrating…… [Read More]
Sexually Transmitted Diseases and Contact Tracing
MG is a 27-year-old graduate student, recently married, who comes into the student health clinic for a routine pelvic exam and Pap smear. During the course of the exam, the gynecology resident performing the exam obtains the Pap smear, but also obtains cervical cultures for gonorrhea and chlamydia. The examination concludes uneventfully. Several weeks later, MG receives a postcard indicating that the Pap smear was normal, with no evidence of dysplasia, but that the cervical culture for gonorrhea was positive. The card instructs her to come into the clinic to discuss treatment, and that "public health authorities" have been notified for contact tracing, which refers to the identification and diagnosis of sexual partners, as required by law. The young woman is terrified that her husband will be contacted. Is contact tracing ethically justified?
While it is definitely not a good thing that…… [Read More]
usiness Unit Strategic Plan on Implementation of a PET CT unit at a local hospital
Draft: This paper attempts to examine whether or not it is convenient for a local hospital to achieve an ultimate technology medical device, mainly a PET/CT scanning system. In order to come up with a convenient answer and proper solutions, I will present the vision statement, mission statement, objectives, values, strategies, programs, the goals the hospital expects to achieve with the help of the investment it is about to develop. Afterwards I would develop a SWOT analysis which is going to emphasize the strengths, weaknesses, opportunities and threats of the proposed objective. Moreover, the last part of my paper would focus on the marketing strategies that should be developed in order to convince more patients to use the modern device, on the sales projections and technology means which are expected to be used in the…… [Read More]
ahrq.gov/clinic/uspstfix.htm, through the National Guideline Clearinghouse at http://www.guideline.gov.
Evidence-based findings concerning chlamydia screening and treatment of PID contained in the peer-reviewed and scholarly literature.
The additional resources cited at Appendix a will also be consulted.
3. Identify a specific group of people that are being affected by the disease/condition. The screening guidelines published by the USPSTF recommend that the following specific groups of women should be routinely screened, whether or not they are pregnant, if they:
Are sexually active and aged 25 or younger;
Have more than one sexual partner, regardless of age;
Have had an STD in the past, regardless of age; and Do not use condoms consistently and correctly, regardless of age (Screening for Chlamydial infection) a. Explain any unhealthy behaviors that may be contributing to the disease/condition. Some of the unhealthy behaviors that may contribute to the incidence of PID include (1) having multiple sex partners and…… [Read More]
healthcare problems facing this nation is that of migrant workers, primarily those from Mexico, who work both legally and illegally on this side of the border. While other immigrant populations are also underinsured and under-treated --most notably Asians -- the Hispanic problem is by the far the most significant because of the shear numbers and the structural poverty which create stagnant population pools too large to ignore.
By allowing this problem to continue, we face the more direct health threat of the Mexican migrant worker population becoming a breeding ground for infectious diseases that can spread quickly into the general population. While humanitarian reasons alone should call for our involvement in solving this problem, we should be aware that the problem is an economic one as well. The Mexican workers, especially since the passage of NAFTA, have become an intergral part of the U.. workforce in that they are performing…… [Read More]
Public health screening activities in programs are also essential in ensuring this level of prevention is ensured. A good example is organized screening programs targeted at the community.
The third level of prevention, tertiary prevention, involves bother rehabilitative and therapeutic measures once the person already has the symptoms and signs of the disease. Tertiary prevention has several goals, which include preventing damage and pain that may arise from the disease, slowing down the progression of the disease, preventing the disease from causing complications, giving optimum care to people with signs of the disease, and helping those with the disease to live healthy lives afterwards. A quintessential example of tertiary preventive activities includes treating diabetics to prevent complications that occur as a result of the disease such as liver and kidney failure. Other examples are management of patients with chronic heart disease with therapy and medication, physical and occupational therapy as…… [Read More]
Democracy and Public Administration
This report is a theoretical essay on the inevitable conflicts that consistently occur between public agencies that are managed by unelected civil servants and the political environment in which these individuals and organizations operate in. Public agencies in the healthcare environment are prime examples of successful interdepartmental cooperation in most cases, but, there are also examples where they can demonstrate both internal and external in-fighting. "The health sector workforce, which usually comprises a significant element within the total public sector workforce, may be either directly employed by the public sector health system, or work in public-funded agencies or organizations (e.g., social insurance funded). In many countries healthcare will also be delivered by organizations in the private sector and by voluntary organizations." (World Bank Group) As concerns like the nation's aging population, a rapidly depleting Medicare Trust or the many potential pandemics such as SAs, Swine…… [Read More]
Community resources must be identified and brought together to meet needs. Actions can be developed to prevent poor health outcomes by: appropriately identifying, collecting, and reporting racial/ethnic group-specific data; identifying where data are lacking and developing appropriate tools to collect those data; and linking poor health status indicators to social conditions and influences, as well as personal behaviors and genetics.
As indicated by other counties, the populations experiencing these disparities have many strengths and traditions to draw upon for solutions. In the African-American communities, churches provide connections and leadership on community issues. Other models have provided the use of community engagement principles encouraged throughout any state and local processes addressing eliminating health disparities, whether funded by this initiative or not. Such community engagement principles include fostering openness and participation in the planning process, ensuring that those representing a specific community truly represent that community's values, norms, and behaviors, and using…… [Read More]
Arroyo Fresco Community Health Center Case Study
Organization Strategy for Arroyo Fresco Community Health Center
This paper analyzes the major strategic challenges that are confronted by Arroyo Fresco Community Health Center. In addition to that, this paper also develops a new strategy for the organization and puts light on the action plans that would be followed for the attainment of the new strategic goals.
Arroyo Fresco Community Health Center Case Study
Arroyo Fresco community health center is a community healthcare center. The organization operates in western Arizona, where it has 11 clinics and 4 mobile service vans. In the year 2005, the organization generated total revenues of around 29.7 million dollars. The organization has a total of 254,137 visits. Out of these 254,137 visits 192,403 were medical visits, whereas, the remaining 61,734 were dental visits. (Staff Members of…… [Read More]
Mary Jane's laboratory results show there is an elevated white blood count, with CBC with differential within normal limits. Proton and INR were normal. Pregnancy was negative. UA showed occasional bacteria, but normal otherwise. Drug screen was normal, and EKG showed sinus bradycardia, rate of 59 beats per minute. Renal and hepatic functions were within normal limits.
There are four sexual response cycles, marked by physiological and psychological changes. The first stages is excitement, which Mary Jane is not getting with her partners, which is triggered by psychological or physical stimulation, and is marked by emotional changes, and increased heart rate, and vaginal swelling. Second stage is plateau, Mary Jane states she doesn't have this stimulation. The third stage is orgasm, which Mary Jane doesn't getting during intercourse, or she doesn't remember because she in under the influence of alcohol. The final phase, resolution, involves a rush of blood away…… [Read More]
"(Schneider, 396) it was certainly Evita's dedication to the poor which promoted her as a cultural icon in the first place. This idea is openly available in her writings, where she emphasizes her view on social justice and her indignation when confronted with social discrimination between the different classes of people: "I have discovered a fundamental feeling in my heart which completely governs my spirit and my life. That feeling is my indignation when confronted with injustice."(Peron)
According to Evita's own confession, her first realization of the idea of social injustice was shocking to her, as she perceived openly the difference between the poor and the rich: "I admit I learned it almost at one blow, and that I learned it though suffering; and I declare that it never seemed to me either logical or natural."(Peron) Evita's confessed natural repulsion towards injustice was perhaps her greatest trait of character and…… [Read More]
relationship of the Medi-Cal program in California with the government at large; this paper also examines how this medical program connects with the governmental department of health services.
It's important first to understand what Medi-Cal is and how it works. According to the official website, the program refers specifically to California's Medicaid program and structure. "This is a public health insurance program which provides needed health care services for low-income individuals including families with children, seniors, persons with disabilities, foster care, pregnant women, and low income people with specific diseases such as tuberculosis, breast cancer or HIV / AIDS. Medi-Cal is financed equally by the State and federal government" (medi-cal.ca.gov, 2013). While some critics of the program see such an investment in public health as too large an expenditure of money, the reality is that the program is indeed worthwhile and effective as so much of what it does is…… [Read More]
Health Policies Medicare
hen everyone in our country finally starts to reach the age of 65 years of age or older, then every person will become eligible for Medicare. It is clear that there are some elderly that are having minimum health concerns while others recurrently are dealing with medical issues for which they will have to seek out treatment by the doctor. However, research is starting to display that there are at least five top conditions that are enhancing on medical and drug spending. It is obvious that Heart disease circumstances are the number one medical issue that the those that are considered elderly are facing and that is becoming very costly to them. Most are unaware that the second one is the disease cancer and it could be internal or external for various elderly patients. Other issues such as joint ailments a lot of the times can cost…… [Read More]
herpes simplex viruses. Herpes simplex virus type 1 (HSV-1) is usually associated with infections of the lips, mouth, and face and is often referred to as labial herpes. It is the most common herpes simplex virus and is usually acquired in childhood. y adulthood, up to ninety percent of individuals will have antibodies to HSV-1. Herpes simplex virus 2 (HSV-2) or genital herpes is sexually transmitted and is usually associated with genital ulcers or sores -- however individuals may harbor HSV-2 and not have developed any symptoms. Genital herpes can also be caused by HSV-1, but this is not as common. Up to twenty-thirty percent of U.S. adults have antibodies against HSV-2.
This paper discusses the effects of both labial and genital herpes in terms of typical consequences and more severe complications that are less likely to arise.
The first time a person is infected with HSV-1, he…… [Read More]
Patient AB has a history of sexually transmitted infection (STI). She has also had more than one partner in the last twelve months. The last known STI was chlamydia over two years ago. She also has an ulcer on external labia. While the bumps on her genitals are painless, they are a recent event, and says the bumps feel rough. While there several potential diagnoses available, not enough information has been given. A current blood test to screen for STDs/STIs would be beneficial along with hygiene habits like does she shave regularly. This essay is a thought process of what she could have from the collected information.
Subjective Portion of the Note Analysis
Patient stated her bumps are rough feeling and painless. She did not say how many sexual partners she has had. All she said was she had more than one in the last twelve months. She also…… [Read More]
Abortions, in addition to being moral and religious wrong, are wrong for the damage that they can cause the woman physically and the emotional scars. Emotionally at the time of the abortion, the feeling may be of relief from the unwanted child but later the feelings can change to depression or guilt. In later life, the abortion can haunt the person especially if she has more children and she has to think about the one she aborted. The feelings are there regarding would my child have had a brother or a sister. Ask any woman who has lost a child during or after childbirth and they will tell you. YOU NEVER FORGET.
A woman considering abortion should take a good long look at the medical complications that can be faced by an abortion. They can affect the health of a woman at the time of the abortion as well as…… [Read More]
These were being make, passiveness or unassertiveness, and a father who avoids conflict with a teenage child. Parental guidance on safer sexual practices, skillful assertion, negotiation and resolution of conflicts all help improve dating communication between teenagers. ut parents' strategies in solving everyday conflicts and issues with teenage children may be the true basis for the safe-sex negotiations in their dating. Parents who actively engage in open disagreement with their teenage children may induce confidence in their children to assert themselves and communicate their preference with a sexual partner regarding the use of condoms. These strategies are likely to develop from safe-sex communication with parents (Feingold).
Parental Processes and Style
The Kaiser Family Foundation surveys suggested that teenagers whose parents monitor their children's whereabouts and particular behaviors tend to have only one sexual partner or avoid unprotected sex (Howell, 2001). A combination of high-level communication and parental monitoring works well…… [Read More]
If one applies ChapStick only on occasion (and not relentlessly) then there is no reason to suspect that you are hooked.
Constant application, on the other hand, can easily lead to dependency and ruined lips, as InsidersHealth.com states: "The lower layers of our skin produce fresh new skin cells, which then die and can dry out by the time they reach the top layer. If you put ChapStick on the dry skin it can interfere with the signaling mechanism that gets your lower cells to start producing more moisture. So while that balm might feel great when you slather it on, it will wear off and leave your skin feeling dry again."
This is the "vicious cycle" that Crossman quotes Dr. Phillips as referring to. It is also the message that Dr. Perricone speaks of, when he warns that lip balm can be bad for lips.
The solution…… [Read More]
Africans had poor health care in the 1950s
There is much that still remains swept under the proverbial carpet about America's treatment to its African immigrants. One of the chapters, little known and often left untold has only recently started to emerge and concerns American health care system and its using Blacks as guinea pigs.
Attorney and author Vernellia . Tandall tells the story in her book 'Dying While Black' showing how America's health care system was built on the bodies of African-American individuals from the 19th century continuing to present days. Some f the information is unbelievable at best shocking at worst such as her allegations that AIDS was created by a government-sanctioned health care for the purposes of medical advancement.
Countless stories from Black residents of both North and South tell about how they were unwillingly and unknowingly abducted and exploited for medical experiments. There were the 'night…… [Read More]
STDs: A MAJO CONTEMPOAY PUBLIC HEALTH CONCEN
Sexually Transmitted Diseases
Given the advances in medicine and public health over the past several decades, most people might assume that the incidence and prevalence of sexually-transmitted diseases (STDs) is declining; however, the scientific evidence suggests otherwise. ecent estimates from the Centers for Disease Control and Prevention (CDC) in the United States suggest that 20 million new STD infections occur every year and cost the U.S. health care system close to $16 billion dollars annually (CDC, 2013). This is up from 12 million STD infections and $10 billion dollars annually during the mid-1990s (Zenilman, 2004). In 2011, reports of chlamydia incidence set another annual record, double from what it was just 10 years ago (CDC, 2011). To better understand the health threats facing Americans when they engage in sexual activity this report will review what is known about the most common STDs infecting…… [Read More]
Diagnosis and Assessment in a Clinical Setting
Given the information provided in the subjective portion of the note, the clinician would want to find out if the patient has ever engaged in anal intercourse. If the patient has engaged in such intercourse, the clinician would want to know how many partners she’s had in this regard and when was the last incidence of anal intercourse. The clinician would also want to find out if the patient used protection when engaging this form of intercourse. Getting the total number of partners that this woman has had over the past year might shed some light on the situation as well. Additionally, it might be worth asking if the patient has made an obvious changes in personal hygiene or underwear. For example, the sudden usage of baby wipes in the vaginal or anal area has been found to cause irritation in some cases.…… [Read More]
Ethical Issues in Medicine
Ethical Dimensions of esearch Studies
Ethical issues in medicine: Clinical trials and cancer patients.
Clinical trials, in which a treatment or a drug is tested upon human beings, are a vital part of bringing a drug to market. It is essential that the treatment be shown to be safe, effective, and better than existing treatments of similar cost and safety levels. However, when developing a drug for patients who are facing a potentially terminal diagnosis such as cancer patients, the ethics of using clinical trials becomes extremely murky. "To advance the science of medicine and improve the care of patients, we need the objective data that can only be gained from clinical trials, in which outcomes are dispassionately analyzed. But the patients in cancer trials are not data points; they are vulnerable people who often view a clinical trial as perhaps their last hope" (Markman 2003:…… [Read More]
People can exercise their free choice at the grocery store by choosing organic foods, although because of generally higher costs of organic products, this will not be a solution for everyone. People in lower socioeconomic groups often get food at discount chains or even food pantries where organics are not even a choice at all.
There is no incentive for makers of agricultural chemicals to modify their products in response to charges about obesogens. As the documentary films the Future of Food and King Corn pointed out, the use of pesticides is very big business. Though detrimental effects of pesticides and genetically-modified seeds and food have been shown, further research is needed to prove the link between pesticides and genetic modifications that lead to obesity in infants and children. When and if that link is proven, the public will have to demand that the government take action. Consumer advocate organizations…… [Read More]
I would like to discuss the complications resulting from this procedure as my mother has undergone this surgery and I have seen how a patient can suffer from numerous consequences. Hysterectomy can lead to many long-term complications which may include urinary problems, hormone imbalance, sexual issues, depression, adhesions and heart complications etc. For this reason, hysterectomy has often under attack. It is believed that this procedure is being performed far more commonly than needed and hence some critics are skeptic of the need to have this performed because in most cases, the problems are not very serious. "Many people question the fact that more than 650,000 hysterectomies are performed in the United States each year. Very few of these operations are performed because of a life-threatening situation, and it is likely that many of them are unnecessary. Per capita, half as many hysterectomies are performed in the Great Britain…… [Read More]