182 results for “Faith Community Hospital”.
Faith Community Hospital: Case Analysis and ecommendations
Modern day organizations, including community or not-for-profit ones, have to integrate political, legal, societal, cultural and economic concerns of the environment with corporate goals and interests. While many such environmental issues are relatively minor in the context of organizational legitimacy and survival, there are times when the issues go to core business practices or products. At such times, an organization must take immediate and effective corrective measures or be willing to be forced out of existence by various concerned publics and stakeholder groups (Metzler, 2001). A review of Faith Community Hospital's current situation indicates that its problems may be severe enough to challenge its very legitimacy and existence. Indeed, this is evident in the list of critical issues facing the management.
Situational Analysis: A close examination of the list of issues facing the management of Faith Community Hospital reveals the following environmental concerns:…
References
Metzler, M.S. (2001). Responding to the Legitimacy Problems of Big Tobacco: An Analysis
of the "People of Philip Morris" Image Advertising Campaign. Communication Quarterly. Vol. 49: 4, p. 366+. Retrieved March 20, 2005: www. questia.com
SkyMark Corporation. (2005). Cause and Effect Diagram. Retrieved March 20, 2005:
Faith Community Hospital case has been analyzed using a SWOT analysis in order to identify the pertinent issue and define the problems the organization faces currently. The SWOT analysis was also done with a view to developing solutions that take into consideration environmental factors, especially the interests of various stakeholder groups
efer Appendix 1). However, prior to discussing the conclusions drawn from the SWOT analysis, it would be important to briefly introduce the organization itself.
Faith Community Hospital is a not-for-profit organization established with the aim of promoting the health and well-being of the people in the communities it serves. While there may be several similar organizations in the health care industry, it is important to note that Faith Community Hospital is an organization that has been built on a foundation of spiritual values. Indeed, the hospital's spiritual heritage and values is the single-most important "point of commonality" among its…
References
University of Phoenix. Faith Community Hospital Case Study.
This section lists my express recommendations and my reasons for presenting them.
First, Faith Community Hospital should cut its fixed costs by 10% by next year, at which point we will reassess our financial situation. The main way to cut costs at Faith Community Hospital will be through working more closely with our partners. Not only will working with our partners in the community improve our reputation and public relations, our teamwork will allow us to share equipment costs and services. Several organizations in the community share "the same vision and values" in offering optimal patient care. Therefore, we can trust our partners to assume their responsibilities, whether they include testing or care services. Specialists such as a hospice, burn center, addiction and recovery center, and midwifery services can all cooperate with Faith Community Hospital to prove a true "continuum of services." In fact, we might find that increasing our…
Critical Thinking Case Study
Faith Community Hospital is a not-for-profit health care services organization that is currently facing a situation, which may compel it to resort to stringent cost cutting measures just to break even, and that too providing the average reimbursement rate does not change. Financial problems, however, are just one of the several problems that Faith Community Hospital must resolve in order for the organization to maintain and further build its reputation as a quality health care services provider. In brief, some of the other critical issues that the hospital needs to address are the conflict between the organization's spiritual heritage and values and the ethics of the medical profession; non-compliance with government, managed care, and insurance regulations; and non-adherence to hospital operational policies. Indeed, it is evident from the preceding list of issues that Faith Community Hospital has an organizational management problem on its hands, which needs…
hospital is that it does not any longer believe in the promises that it made when the founders set up the hospital. The second problem is due to the large differences that exist among the members of the Board and as a result the CEO is not finding it possible to control these differences. The third problem can be viewed as an extension of the same lack of control by the CEO over the lower levels employees of the organization. In normal circumstances these employees are expected to report to the CEO, but here the employees could be seen acting according to their interests. In continuation of this is the lack of setting up rules under which these employees should be operating.
This is also the responsibility of the CEO, but it is clear that this has not been done. This leads back to the third problem that if these…
REFERENCES
Baldwin, Fred. (May/June, 2001) "Emergency Room Drama: Be Prepared before a Crisis
Happens" Retrieved from http://www.icepts.com/pennmed/25-147.htm
Accessed on 12 July, 2005
Donoghue, Richard J. (December, 1990) "Evaluation of hospitals as entities able to continue as
Community Analysis: Columbus, Ohio - Hilltop Area/Franklinton
Identification and History
The Franklinton/Hilltop area of Columbus, Ohio is located on the west side of the greater metropolitan area. Franklinton is in a river valley next to the Scioto iver and the Hilltop area is just west of that on a rise. The Hilltop area is defined as the area between I-70 on the north, the B & O. railway to the east and south, and the I-270 outerbelt to the south and west (Greater Hilltop Area Commission, 2011). Its main street is West Broadstreet, otherwise known as U.S. route 40. There are welcome signs to the area near Mound Street and Hague Avenue. Franklinton is bordered by the Scioto iver on the north and east, Hague Avenue on the east, Stimmel oad and Greenlawn Avenue on the South, and I-70 on the West. The main street in this area is also…
References
Bush, Bill (2011). Census shows Columbus' growth was uneven. February 11, 2011. The Columbus Dispatch. Retrieved from http://www.dispatch.com/content/stories/local/2011/03/11/census-shows-columbus-growth-was-uneven.html
City-data.com (2011a). Franklinton neighborhood in Columbus, Ohio. Retrieved from http://www.city-data.com/neighborhood/Franklinton-Columbus-OH.html
City-data.com (2011b). Greater Hilltop neighborhood in Columbus, Ohio. Retrieved from http://www.city-data.com/neighborhood/Greater-Hilltop-Columbus-OH.html
City of Columbus (2003, July). The Franklinton Plan. Department of Development, Planning Division. Retrieved from http://development.columbus.gov/UploadedFiles/Development/Planning_Division/Document_Library/Plans_and_Overlays_Imported_Content/franklinton.pdf
"
PRIVACY and CONFIDENTIAL INFORMATION
Protection and safeguarding of information created in the conduct of Lenox Hill
Hospital and its affiliates business including patient information, staff data, financial data, research data, strategic plans, statistical information, purchasing agreements and contracts.
The words information created are an unnecessary limitation that narrow the applicability of the provision, contrary to its obvious intent to apply as broadly as possible. Under a literal interpretation, the provision, as drafted, does not apply to any of the types of information listed unless that information is "created" by the hospital.
Therefore, a better formulation of that portion of the provision would read as follows:
Protection and safeguarding of any and all information created, accessed, maintained, collected, transmitted, duplicated, or utilized by the hospital or by any of the hospital's employees, agents, associates, consultants, contractors, and any other person or entity affiliated in any way with the hospital..."
Business…
Cooper Green Hospital like any other health care facility serving the indigent population is faced by several problems that interfere with their service delivery to the community. Some of these problems include; poor staffing, lack of funds, lack of resources, overwhelming number of patients, lack of workers motivation, poor service delivery Swayne, Duncan, & Ginter, 2006()
Poor staffing is a big challenge since the ratio of medical personnel to patient is far beyond the required limit. This has a real impact on the quality of services being offered and some of them may end up not acquiring the services on time. The staffs are on daily basis overstretched in their services and failure to have a smooth flow of service delivery might lead to disruption of services at the facility.
Due to the understaffed nature of Cooper Green Hospital, the staffs lack the necessary motivation they need to work effectively…
References
Brubaker, L.M., Picano, E., Breen, D.J., Marti-Bonmati, L., & Semelka, R.C. (2011). Health care systems of developed non-U.S. nations: strengths, weaknesses, and recommendations for the United States -- observations from internationally recognized imaging specialists. AJR. American Journal Of Roentgenology, 196(1), W30-W36.
del Rey Calero, J. (2009). [Health management and primary care. Strength and weaknesses of the system]. Anales De La Real Academia Nacional De Medicina, 126(1), 35-49.
Diwan, S., Shugarman, L.R., & Fries, B.E. (2004). Problem Identification and Care Plan Responses in a Home and Community-Based Services Program. Journal of Applied Gerontology, 23(3), 193-211. doi: 10.1177/0733464804267970
Lara, M., Cabana, M.D., Houle, C.R., Krieger, J.W., Lachance, L.L., Meurer, J.R., . . . Vega, I. (2006). Improving Quality of Care and Promoting Health Care System Change: The Role of Community-Based Coalitions. Health Promotion Practice, 7(2 suppl), 87S-95S. doi: 10.1177/1524839906287064
NameProfessorClassDate:My Life Story: Reflections Upon My Religious ExperiencesIn some ways, my life history is very typical of someone who was born in the early 90s. In other ways, it is quite extraordinary. I was born in South Africa, during a particularly tumultuous time during that nations history. My father is a physician and is the director of ISN Medical; he in charge of the sale of medical devices and reagents in South Africa. My mother recently moved to North Carolina where she is currently practicing as a registered nurse. Thus it could be said that the practice of medicine and a commitment to caring for and serving others through the medical profession is in my DNA.Given that my parents are busy medical professionals and are rather Type A personalities, this had an indelible impact upon my upbringing, despite the fact that to the outside world we might look like a…
Neighborhood as Community: Scarsdale, New York
With a per capita income of $113,000, a median household income of $230,750, a median sales price of a single-family home of $1.34 million and one of the leading school districts in the state, the Village of Scarsdale is a relatively exclusive suburb of New York City that has a poverty level that even other affluent communities envy. Using an ecosystems perspective, this paper provides a review of the literature as well as online government resources to describe the demographics, available social networks, income and wealth distribution, an assessment of the educational resources, housing, health and welfare issues, as well as formal and informal control systems. An ecosystems perspective merges general systems theory and ecology to provide insights concerning the interactions between individuals and various aspects of their social environment (Tangenberg, 2009) to determine adaptations of the neighborhood over time, the interface of the…
References
Brenner, E. (2008, May 18). Houses even bigger, scores way above average. The New York
Times. Retrieved from http://www.nytimes.com/2008/05/18/realestate/18livi.html ?
pagewanted=all&_r=0.
History of Scarsdale. (2013). Village of Scarsdale. Retrieved from http://www.scarsdale.com/
Pour
Faith Community Hospital, is a not for profit hospital facing problems that danger its existence. They have a mission statement which is being interpreted by people according to their own beliefs and likes. The only common goal between the stake holders at the Faith Community Hospital's board is the survival of the hospital. There have been negative reviews regarding hospitals in general in the print media due to which the patient turn up at Faith Community Hospital has decreased considerably. Media has a great impact on the public and if they give a negative review to any service or product, the organization faces a virtual boycott of its services or product. This decrease in the number of patients coming to Faith Community Hospital has reduced the revenue, thus causing it to eventually shut down.
Moreover there are differing views and actions taken by doctors with patients who cannot afford…
Clear and concise process and procedures must be in place for everyone, not simply doctors and nurses. Pharmacists, counselors and insurance specialists, too must have these policies in place to take the decision making out of their individual hands and make certain that management, as a whole, has control over what decisions are made. Because of the emotions and morals involved, it is impossible for there to be consistent care across the hospital, if employees are left to their own judgment.
Faith Hospital is also facing a decreasing number of patient visits, which equates to reduced revenue. This decreased revenue, which static fixed costs are spread over, means that per patient costs have risen dramatically. To counter this trend, Faith Community needs to implement a new marketing program. They need to find what the community finds valuable in medical services and change their programs accordingly. Then, advertise how Faith fulfills…
References
Author, a.A. (Year of publication). Title of work. Location: Publisher.
Kirby, G.R., Goodpaster, J.R., Levine, M. (1999). Critical thinking. Upper Saddle River, NJ: Pearson Custom Publishing.
Case Study: Let it Pour
Executive Assistant
This case study examines the decision making process from a collective viewpoint. It attempts to resolve issues within a community hospital that have arisen due to failed organizational management, ethical considerations and a poorly established communication system.
Framing the Problem:
Identify the Problem-
The primary problems that exist within Faith community hospital center around the following as outlined by the CEO: (1) a lack of organizational processes that ensure uniformity, (2) a lack of standardized procedures with regard to ethical considerations working in a medical environment, and (3) lack of appropriate communication systems to ensure that everyone is thinking alone the same lines.
At this point in time Faith Community Hospital has developed a mission statement that clearly identifies the organizations mission which is among other things to provide a quality continuum of service to community members.
However variant interpretations of the mission have led to a chaotic…
References:
Mattison, M. (2000). "Ethical decision making: The person in the process." Social Work,
45(3): 201
Reamer, F. (1995). "Social work values and ethics." New York: Columbia University
Press.
Chris states, three areas appear to encompass the problems faced by the Faith Community Hospital, which include organizational processes, ethics issues, and communication systems, all of which has resulted in the difficulties, both financial and otherwise, currently faced. All three issues interrelate, and thus problems in one of the areas affect others as well.
The root of the problem seems to lie in the area of communication. Organizational processes and ethical issues are not being discussed in a unifying manner. The mission statement of the hospital has been written on its business cards, but this is apparently not effective in carrying out the mission so stated. The problem is thus one of interpretation and the method of communication. Because there are so many professionals working at the hospital, a wide variety of often conflicting principles and ethics come into play.
The result of this is that it appears that each…
Yet the business manages to stay afloat, regardless. Patients who can pay are charged $130, while those in extreme poverty received a subsidized rate of $12. However, if the patient cannot receive that, they are given the surgery for free. No one is turned away based upon their income. This is a unique business model. The centers are also mobile and actively go into communities, rather than wait for patients to come to them. Before the existence of Aravind, there was no articulated demand for the surgery. Blindness in some areas was accepted as a fact of life, but now that is no longer the case.
Aravind has also expanded the service-based aspects of its organization to include the manufacture of intraocular lenses. The provision of these lenses by an India-based company enabled the organization to reduce its costs, given the premium prices of imported lenses. Then, it became a…
References
Level 5 leadership: Humility and will. Based on Jim Collins article, "Level 5 leadership: The
triumph of humility and fierce resolve," in Best Of HBR, HBR, July-August, 2005: 136-
146. Retrieved:
http://unpan1.un.org/intradoc/groups/public/documents/unssc/unpan021788.pdf
Not everyone is fond of Italian-Americans. Many believe that anyone with an Italian name must in some way be connected to the Mafia, and thus are leery of personal relationships, fearing some godfather figure lurks in the shadows somewhere. And I have seen Asians be the target of several types of discrimination, from hiring practices to business patronage. There has always been discrimination against African-Americans in some form or another. Today, it is the general belief of many that all African-American youth belong gangs, which is much like the idea that all Italian-Americans are Mafia.
Stereo-typing is common. In fact it could be considered normal, since everyone, no matter the color of their skin or ethnic background, is guilty of it. Each group sees the other as different, the same in many respects, but different nonetheless. My great-grandmother may indeed be rolling in her grave over the fact that my…
Works Cited
City Council: Yonkers, New York. Retrieve July 23, 2005 at http://www.cityofyonkers.com/government2/council.htm
Yonkers New York. Retrieved July 23, 2005 at http://en.wikipedia.org/wiki/Yonkers,_New_York
Yonkers1 New York. Retrieved July 23, 2005 at http://www.city-data.com/city/Yonkers-New-York.html
Also, overall organizational costs have increased as well. Thus, two central questions must be answered. First of all, what is the hospital's ethical policy on a patient's right to die? How can the policy be rectified so that it is coherent with the law and with the director's policies? The assistant cannot alone determine this statement, but can demand that the rights of the patient to refuse or accept treatment for their own physical persons and their children be clearly stated by some organizational manifesto. If there is a coherent organizational policy that the hospital can hereafter adhere to, then patients will have some idea what they are 'getting into' before coming to the hospital, and the board of directors can have some say as to the overall hospital policy. Secondly, regarding the increase of costs, the financial department must be consulted as to how many Medicaid and Medicare patients…
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
Lifestyle diseases
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…
References
A religious portrait of African-Americans (2009) Retrieved from http://pewforum.org/A-Religious-Portrait-of-African-Americans.aspx
Department of health and senior services New Jersey. (2011).
http://www.state.nj.us/health/chs/dataindex.htm
Dowd, K. (1996). Dietary patterns and physical activity among New Jersey adults. Center for health Statistics 1(3):1-4.
Provide sustained technical assistance (Expert Panel Meeting: Health Information Technology: Meeting Summary, 2003)
Evaluation of the process in rural and small communities includes: (1) scope of the project; (2) goals; (3) critical success factors; and (4) technical assistance." (Expert Panel Meeting: Health Information Technology: Meeting Summary, 2003) Community grants have been focused on the provision of 'personal digital assistant (PDA) systems in assisting with the decision support role. The initiative is stated to include: (1) development of toolkits; (2) leveraging known tools; (3) developing capacity; and (4) disseminating best practices. (Expert Panel Meeting: Health Information Technology: Meeting Summary, 2003)
Ormond, Wallin, and Goldenson report in the work entitled: "Supporting the Rural Health Care Safety Net" (2000) state: "The policy - and market-driven changes in the health care sector taking place across country are not confined to metropolitan areas. Rural communities are experiencing changes impelled by many of the same forces…
Bibliography
Healthcare and Healthcare Insurance Country Report: India (2004) Tata Consultancy Services and Microsoft. WebHealthCentre.com. 2004 August. Online available at http://download.microsoft.com/documents/customerevidence/7144_WebHealth_CS.doc
Expert Panel Meeting: Health Information Technology (2003) Agency for Healthcare Research and Quality (AHRQ) 23-24 July 2003. Online available at http://www.ahrq.gov/data/hitmeet.htm
Silberman, P. And Slifkin, R. (nd) Innovative Primary Case Management Programs Operating in Rural Communities: Case Studies of Three States. Working Paper No. 76 North Carolina Rural Health Research and Policy Analysis Program.
Ormond, Barbara a.; Wallin, Susan Wall; and Goldenson, Susan M. (2000) Supporting the Rural Health Care Net. 15 May 2000 Urban Institute
Critical Thinking Case Study: Let it Pour - My First Assignment as Executive Assistant
Key Problems and Issues
The first of the problems are coming from the origin of the hospital as it is an organization with a lot of spiritual heritage and values. These have to be retained even while providing all the required services and satisfaction for the patients. The second problem that the hospital is facing is due to the difficulties that exist in the operations of any hospital, and those difficulties exist irrespective of the mission or the origin of the hospital. One of the problems from this origin is the headlines and extensive coverage given by the media to medical errors that hospitals are committing. These are mentioned and reflect on all hospitals whether they are a party to such errors or not. Another problem arises from the differences within the issues of living up…
References
Baldwin, Fred. "Emergency Room Drama: Be Prepared Before a Crisis Happens" Retrieved
from http://www.icepts.com/pennmed/25-147.htm Accessed on 23 June, 2005
Colliver, Victoria. (12 April, 2005) "St. Luke's could face merger California Pacific may join forces with S.F. hospital known for treating poor" San Francisco Chronicle. Retrieved from http://www.sfgate.com/cgi-bin/article.cgi?file=/chronicle/archive/2005/04/12/BUG63C6H4T1.DTL& ; type=business Accessed on 23 June, 2005
Evans BJ; Kiellerup FD; Stanley RO; Burrows GD; Sweet B. "A communication skills program for increasing patient's satisfaction with general practice consultations" Br Journal of Medical Psychology. 1987; December: 60 (Pt 4):373-378. Retrieved from http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve& ; db=PubMed& list_uids=3426975& dopt=Abstract Accessed on 23 June, 2005
ange Theory
MID ANGE THEOY OF SPIITUAL WELL BEING
Middle ange Theory of Spiritual Well Being in Illness
Nurse meta-theorists have recently been very much concerned about the different seasons of the patient's life, which has supported and promoted the development of middle range theories in the field of nursing. This is due to the reason that these theories focus on the specific health and illness issues instead of discussing the general issues. These specific health and illness issues focused in the mid range theories are extremely important for the practicing nurses as they spotlight on the particular problem and its solution.
History of Theory Development in Nursing
The practicing nurses started incorporating the nursing theories into their research and practically applying them to real situations during 1970s and 1980s. Majority of the early nursing theories fall in the category of grand theories of nursing because the concepts that described…
References
Barss, K. (2012). T.R.U.S.T: An affirming model for inclusive spiritual care. Journal of Holistic
Nursing. 30(1). 23-35.
Burkhart, L and Hogan, N. (2008). An Experiential Theory of Spiritual Care in Nursing Practice.
Qualitative Health Research, 18 (7), 929-940.
Education of Abbasid
Today, the majority of high school students hope to finish college one day. This is a realistic dream for many, as there is an established education system that gives students a choice of career paths and training. The modern world if full of universities and training centers. However, the world was not always like this. Many centuries ago, education was limited to the privileged and even the privileged did not have many opportunities in learning. Today's existing modern educational system has been influenced by traditions of the past, particularly by the great advances that occurred during the Abbasid Dynasty in the Muslim world.
One of the achievements of Muslim culture during the Abbasid Dynasty was the widespread spread of literacy. Elementary education was almost universal, especially in the cities. Emphasis on the value of reading and writing stems from the very first revelations of the Qur'an, which…
However, this might turn competent healthcare professionals away, who were angry that they no longer could exercise discretion over their treatment, in conference with their patients. Patients might refuse to come to the hospital. And those that did would cause costs to escalate, as they stayed longer, received more extensive care, and thus exhausted their insurance benefits.
A summary presentation of a comprehensive solution that would cover all of the issues
Firstly, the board of directors should be convened to establish a policy about what the religiously founded hospital considers to be a quality life and an ethical system of evaluating critical patients, when dispensing care. Doctors, nurses, and other involved personnel must be convened to discuss various issues that continually arise and a uniform policy must be established, so that such ethical decisions are not solely the burden of patients and healthcare providers in the field.
A press release…
Works Cited
National Coalition on Health Care. (2004) "Health Insurance Cost." Retrieved 2 June 2005 at http://www.nchc.org/facts/cost.shtml
National Coalition on Health Care. (2004) "Health Insurance Coverage." Retrieved 2 June 2005 at http://www.nchc.org/facts/coverage.shtml
Furthermore, the policy seems to put a burden on the hospital to help provide those services, which seems to put an undue burden on the hospital. Writing policies that guaranteed access would be permitted, but did not in any way guarantee facilitation of that access would seem to be a better policy.
One of the least understood religious groups in the United States is the Church of Scientology. There is a strong belief that members of this religious group are adverse to modern medical care, a belief that I shared before researching their organization. However, from the information that I could find, Scientologists are not opposed to modern medicine. On the contrary, the Church of Scientology has an official policy of not being involved in either medical diagnosis or treatment of medical illnesses. They believe that underlying illness inhibits a person's spiritual journey, so that they encourage members to seek…
References
Church of Scientology. (2012). Do Scientologists use medical doctors? Retrieved March 6,
2012 from Scientology Newsroom website: http://www.scientologynews.org/faq/do-scientologists-use-medical-doctors.html
Hmong shamans help at Valley hospitals. (2009, November 10). Retrieved March 5, 2012 from Fresno Bee website: http://www.fresnobee.com/2009/10/10/1669868/hmong-shamans-help-at-valley-hospitals.html
Abortion is a polarizing issue. The debate divides families as well as politicians. However, I am all too well aware of the fact that there are many individual stories that are far more complex than the black-and-white shades in which the issue is presented by the media.
Take the example of the aunt of one of my best friends from high school. My friend's aunt became pregnant: this was joyous news for her and she wanted to keep the baby. This was her third pregnancy: the first two had ended in miscarriages. By the third time she became pregnant the woman was in her early 40s, making her pregnancy extremely high-risk for both mother and fetus. The woman was very cautious and followed her doctor's advice and yet, she still had complications. By the end of the third trimester she was in tremendous physical pain and the fetus was unlikely…
Work Cited
"Catholic pro-life committee E-Alert: The distinction between direct abortion and legitimate medical procedures. United States Conference of Catholic Bishops. 23 Jun 2010. Web. 3 Dec 2013.
.
Eckholm, Erik. "Bishops sued over anti-abortion policies at Catholic hospitals."
The New York Times. 2 Dec 2013. Web. 3 Dec 2013. .
Purchasing a CT Scanner
Benefits and Costs of Purchasing A CT Scanner: A Comprehensive Evaluation
"Each year, buyers of CT scanners faced much-improved choice sets; the question is how valuable those improvements were," and thus this is a review to explore whether or not the acquisition of CT scanners are actually worth a hospital committing to such an expensive effort (Ellickson et al. 2001 p 544). Overall, the health benefits of CT scans are often extremely positive to patient care. Still, the machines and organizational costs tied to their maintenance are often costly to both the organization and the patients. Yet, the purchase of such technology does provide greater quality and efficiency within patient care strategies, from a health and organizational perspective. In such, it is clear that the positives of purchasing such technology would then outweigh any potential negatives.
CT scanners are an impressive testament to the evolution of…
References
Berenson, Alex & Abelson, Reed. (2008). Weighing the costs of a CT scan's look inside the heart. The New York Times. Web. http://www.nytimes.com/2008/06/29/business/29scan.html?pagewanted=all
Beutel, Jacob; Kundel, Harold L.; & Van Metter, Richard L. (2000). Handbook of Medical Imaging: Volume 1 Physics and Psychophysics. The International Society for Optical Engineering.
Ellickson, Paul; Stern, Scott; & Trajtenberg, Manuel. (2001). Patient welfare and patient compliance: An empirical framework for measuring the benefits from pharmaceutical innovation. Medical Care Output Productivity. University of Chicago Press. 537-554. National Bureau of Economic Research. Web. http://www.nber.org/chapters/c7641.pdf
Hough, Douglas E. (2008). The Business of Healthcare. Greenwood Publishing Group.
Puritan Woman
Puritan women in the New World of the United States were torn between belief that their "hope and treasure lies above" and their very real need to survive and create a loving community on earth. The Puritans were English Protestants, and they had very strong views on a variety of issues. For example, Puritans believed in the literal authority provided by the Bible, and that individuals who did things wrong in life would be punished by God (Coffey & Lim, 2008). There was also no guarantee of salvation for Puritans, and anything they would do for atonement was not enough to protect them from potential damnation in the future. The women in that society were not equal to men, and they were left to do what men wanted them to do and act a certain way in society, or they were not accepted (Coffey & Lim, 2008). Because…
References
Bradstreet, Anne. (1666). "Upon the Burning of Our House July 10th, 1666"
Coffey, John and Paul C.H. Lim (2008). The Cambridge Companion to Puritanism, Cambridge University Press.
Cook, Faith (2010). Anne Bradstreet Pilgrim and Poet, EP Books: Darlington.
Rowlandson, Mary (1682). A true history of the captivity and restoration of Mary Rowlandson. Clorifts-Church Hospital.
In addition to lecture-based introduction to religious differences, video and/or live presentations from religious leaders and clergy from different faiths and role play exercises, the proposed implementation of training in this area should also include presentations from more experienced nurses who have already successfully negotiated the delicate issues involved.
Conclusion:
Spiritual support undoubtedly provides measurable benefits in the hospital environment where it is well received by patients. In American society, religious pluralism requires the exercise of extreme sensitivity when it comes to offering patients spiritual support. While it is certainly possible to provide beneficial spiritual support such as prayer even where nurse and patient do not share the same religious beliefs, doing so dramatically increases the possibility of offending patients rather than benefiting them.
Maximizing the potential benefit of spiritual support while minimizing negative consequences requires vocational training designed to increase awareness of the full variety of religious belief systems…
References
Campbell CL, Reed-Ash C. (2007). "Keeping Faith." Journal of Hospice and Palliative Nursing. Vol. 9, No. 1.
Cavendish R, Konecny L, Krayuyak-Luis B, Lanza M. (2004). "Nurses Enhance Performance Through Prayer." Holistic Nursing Practice. Vol. 18, No. 1.
Galek K, Flannelly KJ, Vane a, Galek RM. (2005). "Assessing a Patient's Spiritual Needs: A Comprehensive Instrument." Holistic Nursing Practice. Vol. 19, No. 2. Grant D. (2004). "Spiritual Interventions: How, When, and Why Nurses Use Them."
Holistic Nursing Practice. Vol. 18, No. 1. Johnston-Taylor E. (2003). "Prayer's Clinical Issues and Implications." Holistic Nursing Practice. Vol. 17, No. 4. Nuss-Kotecki C. (2002). "Developing a Health Promotion Program for Faith-Based Communities." Holistic Nursing Practice. Vol. 16, No. 3.
Landon Carter's Character through
Erik Erikson's stages of development
Erik Erikson was an American developmental psychologist who was born in Germany and went to postulate eight stages of psychological development. He developed a model that talked about the eight stages every human passes through as he grows. These stages depict and analyze a person's life from when they are baby till they die. It mentions how in every stage a person is presented with problems and challenges. Every stage depicts a crisis which has to be resolved or else it will create problems in the next stage. Thus, for a person to attain a positive personality they need to attain positive goals of that stage and progress smoothly to the next one. (osenthal, Gurney, & Moore 2)
A Walk to emember is a popular romantic drama movie released in 2002. With the setting in North Carolina, the movie revolves around…
References
A Walk to Remember. Dir. Adam Shankman. Perf. Mandy Moore, Shane West, Peter Coyote. Warner Bros. Pictures, 2002. DVD.
Beaumont, Sherry L., & Zukanovic, Ray. "Identity Development in Men and Its Relation to Psychosocial Distress and Self-Worth." Canadian Journal of Behavioral Science. January (2005) Web.
Elkind, D. "Erik Erikson's Eight Ages of Man." New York Times. New York Times, 5 April 1970. Web. 15 November 2012.
Gross, Francis L. Introducing Erik Erikson: An invitation to his thinking. Lanham, MD: University Press of America. 1987.Print
" Prescription drugs invade the markets today only to mask the symptoms of disease instead of preventing disease from happening. In this back-end approach to fighting disease instead of preventing it from occurring in the first place, pharmaceutical companies have profited at the expense of society." (Karel M.)
There is therefore also the feelings and the growing suspicion that prescription drugs are controlled by large pharmaceutical corporations and these influence practitioners and the health care industry. Modern medical practitioners are also "... subject to persuasion from drug manufacturers and rely on them for their information, despite their obvious bias to use their drugs." (Karel M.) This is an area that has been severely critiqued in allotropic health care; namely the fact that modern medicine is dominated by large drug companies which to a large extent are more concerned with their profit margins than with the quality and the ultimate effectives…
References
Bawaskar H.S. Non- allopathic doctors form the backbone of rural health.
Retrieved March 8, 2007, at http://www.issuesinmedicalethics.org/044ed112.html
Death by Modern Medicine. Retrieved March 8, 2007, at http://www.ashtreepublishing.com/bookshop/carolyn-dean.php
Definition of Allopathic. Retrieved March 6, 2007, at http://www.medterms.com/script/main/art.asp?articlekey=33612 www.questia.com/PM.qst?a=o&d=5010938986
Life and Death: The Life Support Dilemma by Kenneth E. Schemmer M.D
Kenneth Schemmer in his thorough, thought provoking book brings to life the controversial subject of the life support issue. For years, many all over the country have pondered, "What if a person were in some kind of an accident and the physicians told them that they were not going to make it?" And all that he or she could do is just lie there in extreme pain waiting for their life to the end. Or even worse case scenario what if they happened to end up completely brain dead? These debated questions are taken on by Dr. Schemmer in making his point that life support decisions may not necessarily be the decision of the family, the doctor or the patient but by a higher being that gives life and takes life. Schemmer uses these controversial questions in his…
References:
Court backs right to die | terminally ill have right to refuse medical life support. (1984, Dec 28). The San Diego Union, pp. A.1-1.
Ackerman, T. (2005, Mar 27). Life support battle shifts / A decade ago, patients families had to press for 'right to die. Houston Chronicle, pp. 1-B.1.
Allen, P. (2000, Oct 07). Right to die upheld despite new euro law, doctors can end life support rules judge. Daily Mail, pp. 33-33.
Dolan, M. (2001, Aug 10). Justices deal setback to right-to-die movement; health: State court bans removal of life support from conscious patients whose wishes are not clear. Los Angeles Times, pp. A.1-A.1.
Tom Shulich ("ColtishHum")
A comparative study on the theme of fascination with and repulsion from Otherness in Song of Kali by Dan Simmons and in the City of Joy by Dominique Lapierre
ABSACT
In this chapter, I examine similarities and differences between The City of Joy by Dominique Lapierre (1985) and Song of Kali by Dan Simmons (1985) with regard to the themes of the Western journalistic observer of the Oriental Other, and the fascination-repulsion that inspires the Occidental spatial imaginary of Calcutta. By comparing and contrasting these two popular novels, both describing white men's journey into the space of the Other, the chapter seeks to achieve a two-fold objective: (a) to provide insight into the authors with respect to alterity (otherness), and (b) to examine the discursive practices of these novels in terms of contrasting spatial metaphors of Calcutta as "The City of Dreadful Night" or "The City of…
References
Barbiani, E. (2005). Kalighat, the home of goddess Kali: The place where Calcutta is imagined twice: A visual investigation into the dark metropolis. Sociological Research Online, 10 (1). Retrieved from http://www.socresonline.org.uk/10/1/barbiani.html
Barbiani, E. (2002). Kali e Calcutta: immagini della dea, immagini della metropoli. Urbino: University of Urbino.
Cameron, J. (1987). An Indian summer. New York, NY: Penguin Travel Library.
Douglas, M. (1966). Purity and danger: An analysis of concepts of pollution and taboo. New York, NY: Routledge & K. Paul.
There are exceptions, where legal ramifications are employed and individuals are held to account for their inaction. For most people, including myself the idea that faith is the only solution to medical concerns, and especially emergent ones is unfathomable. Medical care is congruent with faith, as even for the most ardent believer in God if God had not meant for children to be cured of preventable a treatable disease he would not have developed treatments to do so. For the broader population this is a reasonable tenet and most people report taking themselves and their children to a doctor or hospital when they feel it is necessary. It is also clear that modern people are even more involved in their own wellness and may even be able to treat some injuries and illnesses at home, without medical intervention. Furthermore most know when they need to seek care for themselves and…
References
Barnes L.L. & Sered, S.S. (2005). Religion and Healing in America. New York: Oxford University Press
Hamer, D. (2004).The God Gene: How Faith is Hardwired Into our Genes.
Koenig, H.G. (2005). Medicine, Religion, and Health: Where Science and Spirituality Meet. West Conshohocken, PA: Templeton Foundation Press.
Nord, W.A. (1999). Science, Religion and Education. Phi Delta Kappan, 81(1), 28.
Healthcare Case Study Schuylkill County, PA
County Overview - Schuylkill County, Pennsylvania is located in the heart of the anthracite Coal region of Pennsylvania where the Schuylkill iver originates. Pottsville is the county seat, and the county showed a population of just under 150,000 as of 2010 with a density of 190 persons per square mile. The total area of the county is 782 square miles, almost all land, less than 1/2 a per cent water. The county's history, likely due to large coal deposits, focused on the railroad and industrialization (Schuylkill Chamber of Commerce, 2011).
The county experienced the high point of its population during the 1920s and 1930s, and has been losing people ever since, most between 1950 and 1970, with about a 1-2% population loss since the turn of the century. This is likely due to the lack of appropriate jobs and opportunities within the county. Schuylkill…
REFERENCES
County Health Statistics - Healthcare 2010. (2009, March). Retrieved from Pennsylvania Department of Health: http://www.portal.state.pa.us/portal/server.pt-in_hi_groupoperator_1=or&in_hi_req_objtype=18&in_hi_req_objtype=17&in_hi_req_objtype=512&in_hi_req_objtype=514&in_hi_req_objtype=43&in_hi_req_objtype=1&in_hi_req_apps=7&in_hi_req_page=10&in_ra_topoperator=or&
Comprehensive Plan. (2010, March). Retrieved from City of Pottsville, PA: http://www.city.pottsville.pa.us/html/cp1.htm
Election Statistics. (2010, June). Retrieved from Pennsylvania Department of State: http://www.dos.state.pa.us/portal/server.pt/community/running_for_office/12704
Schuylkill County. (2010, June). Retrieved from Sperling's Best Places USA: http://www.bestplaces.net/economy/county/pennsylvania/schuylkill
Philosophy of Life
Humans have a distinguishing nature, which defines the way they think, act, and feel. The human nature has influenced the culture that humans have kept with each other. In my observation, humans have a distinct culture that defines their operations and activities. For many years, many studies have been carried out to establish the human nature, which defines all human beings. Various views on the nature of human beings have been developed to explain human behaviors and mannerisms. Aristotle and Plato argued that humans may be explained as conjugal animals because they couple when adults to build household. It is also argued that humans are political animals with the potential of developing complex communities besides being mimetic (Oruka, 1996).
ecent years have seen the development of modern views on the nature of humans, such as, a being with potency to think, develop, and replicate. This modern view…
References
Corning, P. (2003). The Fate of Humankind. Cambridge: Cambridge University Press.
Evernden, L. (1998). Humankind and Environment. New York: University of Toronto Press.
Evans, E. (2012). Philosophy for Life. New York: Ebury Publishing.
Oruka, O. (1996). Philosophy, Humanity and Ecology. London: DIANE Publishing.
person within the Christian worldview. Specifically it will discuss technology, the environment, and the media as it relates to my personal Christian worldview. As noted in this course, understanding a worldview can help a person understand other people and all their roles in today's society. Today's culture is broad, and influenced by a variety of sources, from scientific to religious, and they combine to create a contemporary Christian worldview in others and myself. Personally, my worldview is one of balance between my Christian beliefs and scientific study and analysis, which may be fairly common for a modern Christian worldview.
First, it is necessary to define worldview and what it is. A worldview encompasses every aspect of life, so understanding it is crucial in decision-making and living life to the fullest. It is really a wide-ranging perception of the world around us, formed using a Christian viewpoint. In other words, it…
References
Editors. (2009). About us. Retrieved 22 June 2009 from the Evangelical Climate Initiative Web site: http://christiansandclimate.org/about/ .
Gibson, T.S. (2004). Proposed levels of Christian spiritual maturity. Journal of Psychology and Theology, 32(4), 295+.
Holy Bible. New King James Version.
Schmeltekopf, D.D. & Vitanza, D.M. (Eds.). (2006). The future of Baptist higher education. Waco, TX: Baylor University Press.
(Feldman & Geenbeg, 2005, p. 67) Staffing coodinatos, often nuse leades must seek to give pioity to educational needs as a eason fo adjusting and/o making schedules fo staff, including offeing incentives to staff not cuently seeking educational goals fo assisting in this pioity egadless of the implementation of a tuition eimbusement pogam. (Feldman & Geenbeg, 2005, p. 233)
Nuse Leades as Academic Theoists
The fact that many nuse leades seve as the fundamental souces fo new and emeging nusing paadigms and theoies cannot be ignoed in this eview. The theoies associated with nusing ae as divese as nuses themselves and seve seveal puposes. With egad to nuse ecuitment and the ole that nusing theoy and paadigm plays in it, nuse leades seve to espouse theoy though mentoship and taining that helps individuals see thei futue intinsic ole in nusing. To explain this ole a bief discussion of nusing theoy…
references and Affirmative Action in Making Admissions Decisions at a Predominantly White University. Journal of Instructional Psychology, 31(4), 269.
Burgener, S.C., & Moore S.J. (May-June, 2002) The role of advanced practice nurses in community settings. Nursing Economics 20 (3) 102-108.
Cimini, M.H., & Muhl, C.J. (1995). Twin Cities Nurses Reach Accord. Monthly Labor Review, 118(8), 74.
Cleary, B. & Rice, R. (Eds.). (2005). Nursing Workforce Development: Strategic State Initiatives. New York: Springer.
Daly, J., Speedy, S., Jackson, D., Lambert., V.A., & Lambert, C.E. (Eds.). (2005). Professional Nursing: Concepts, Issues, and Challenges. New York: Springer.
Another service the clinic should provide involves remote access. For example, the clinic should assess the feasibility of home visits by doctors and nurses. egular phone calls to clients or potential clients would also help encourage pregnant women to avail themselves of the clinic's services. The clinic should also establish a solid Web site that allows women to access information from home and possibly, interact in a live chat with staff.
2. What incentives would you provide to keep them coming to the clinic before and after they give birth? Why did you choose to use this as an incentive?
Incentives will help clients trust the clinic and seek care as a matter of course. Free or discounted services would be a good incentive in any community regardless of demographic. Financial incentives would also entail working with insurance providers to make sure that preventative care is a priority.
However, the…
References
Peck, J. & Alexander, K. (nd). Maternal, infant, and child health in rural areas. Retrieved Mar 9, 2009 at http://srph.tamhsc.edu/centers/rhp2010/07Volume1MIC.htm
Todd Quintard: Civil War Doctor, Preacher, Soldier and Friend
Personal Chronology (Todd Quintard was born in Stamford, Connecticut, 22 December, 1824. His father, Isaac, was born in the same house, and died there in the ninetieth year of his age. Todd was a pupil of Trinity school, New York, and he studied medicine with Dr. James . Wood and Dr. Valentine Molt. He graduated at the University of the City of New York in 1847. He afterward removed to Georgia, where he began to practice medicine in Athens. Elliot, 2003) in 1851 he accepted the chair of physiology and pathological anatomy in the medical college at Memphis, Tennessee, and became co-editor with Dr. Ayres P. Merrill, of the Memphis "Medical ecorder."
In 1855 he took orders as a deacon in the Protestant Episcopal Church. He was advanced to the priesthood in the following year, and in January, 1857, became rector…
Resources
Noll, A. (ed.), Doctor Quintard, Chaplain C.S.A.... Sewanee, Tennessee, 1905.
Cunningham, H. Doctors in Gray: The Confederate Medical Service. Louisiana State University Press, 1958
Quintard, Charles Todd. 1824-1898, comp. By The Confederate Soldier's Pocket Manual of Devotions. Charleston: Evans & Cogswell, 1863.
Linderman, G. Embattled Courage: The Experience of Combat in the American Civil War. 1989.
By doing so, the damage can be controlled until additional meetings can be held amongst all the employees. Do not overemphasize either the negative or the positive aspects of this decision, and be sure to be as up-front and truthful as possible in all discussions relating to this scenario. Keeping this advice in mind, will assist in the transition and be very helpful in calming the turbulent waters that are about to be stirred.
The legal aspects of this entire situation must also be examined, and it would make very good sense, to have the legal department ascertain any company liabilities as progress is made in informing the employees.
The decision to outsource can have more of an affect on a company than just legally, ethically or morally. AccuCare has been a good, outstanding employer in Bradford for a number of decades and must not lose that identity. Approaching the…
Works Cited
Engardio, P., (2005) the Future of Outsourcing: How it's Transforming Whole Industries and Changing the way we Work, Businessweek (special report), http://www.businessweek.com/magazine/content/06_05/b3969401.htm , Accessed Oct 21, 2007
Prestowicz, C., (2004) Smart Outsourcing, Dumb Outsourcing, Globo Economicus, Issue 21, No 3, pp 40-42
Maintenance - Inside outsourcing - a permanent on-site team has become a vital part of a large UK refineries maintenance programme. (2007). Engineering. Issue 248, No 2, pg 28
Quinn, J.B., Hillmer, F.G., (1995) Strategic Outsourcing, Questia Journal, http://www.questia.com/googleScholar.qst;jsessionid=Hc0TFwJj1Sls3llWSclFP75HS1K5M7RSFyzQt9m5QvQTVZxThy6f!-1517704538?docId=5000316545 Accessed Oct 21, 2007
Gonzalez (2007), discusses the company WellPoint Inc. that provides its members with the capability to develop their own personal health records, an option to receive test results online, provide a limited set of records to their providers and to allow other family members access to the information. In terms of security safeguards, WellPoint tracks who accesses information and has staff members to monitor the systems for potential breaches. This in turn offers users a certain level of security and quality in services rendered.
As pay-for-performance programs flourish, there is a fear that many EHs cannot accurately capture the data that is required to participate. The biggest obstacles for software makers are the sheer volume of performance measures and the lack of standardization among them. One pressing issue is that some EH systems are still text-based and are therefore not as powerful for reporting and extracting information. (McKinney, 2007)
Wilson (2007),…
References
Burda, D. (2007, June 4). Hey, you asked for it. Modern Healthcare, 37(23), p.25.
Cavolo, D.J. (2007, July). Electronic medical record system: know the cost of ownership. Nursing Homes, 56(7), pp. 17-19.
Evans, M. (2007, July 30). Push for Quality Starts with it. Modern Healthcare, 37(30), pp.22,24,28.
Freudenheim, M. (2005, September 19). Doctors collaborate to find less costly way to add electronic medical records. New York Times, p. C4.
Laws and Health Care
The health care industry has undergone massive overhaul in recent times and the impact of the laws and regulations that accompany this change have deep and resounding effects on the way professionals approach their industry. The purpose of this essay is to explain the role of governmental regulatory agencies and their effect on the health care industry.
This essay will first provide two examples of laws and regulations that have empirically demonstrated a noticeable and impactful transformation of the system. The next section of this essay is how these laws have personally affected me and my environment in Samaritan Hospital and how these regulations both serve and detract from our overall objectives of patient quality and healing those who seek our help.
Example 1: Affordable Care Act
Laws and regulations are present at many different levels within the health care industry. Private practices surely have their…
References
Anderson, A. (2014). The Impact of the Affordable Care Act on the Health Care Workforce. The Heritage Foundation, 18 Mar 2014. Retrieved from http://www.heritage.org/research/reports/2014/03/the-impact-of-the-affordable-care-act-on-the-health-care-workforce
Emanuel, E.J., Daniels, E.R., Fairclough, D.L., & Clarridge, B.R. (1996). Euthanasia and physician-assisted suicide: attitudes and experiences of oncology patients, oncologists, and the public. The Lancet, 347(9018), 1805-1810.
McClanahan, C. (2012). Cliffs Notes Version of the ACA. Forbes, 9 July 2012. Retrieved from http://www.forbes.com/sites/carolynmcclanahan/2012/07/09/cliffs-notes-version-of-the-affordable-care-act/
Pereira, J. (2012). Legalizing euthanasia or assisted suicide: the illusion of safeguards and control. Current Oncology, Apr 2011, 18 (2). Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3070710/
Obesity in Los Angeles County
The United States, while being one of the most technologically developed countries in the world, is not a healthy nation. Typically, when we think of disease pandemics we think of things like Swine Flu, Ebola, Lyme disease, etc. However, in the 21st century, we have a new pandemic that affects our children, adults, and eventually the whole population. Because of a more sedentary lifestyle, a proclivity for fast food, a high-fat diet, and hundreds of sugary drinks, obesity is now statistically so rampant that it is having a serious effect on American's health. Almost every researcher, whether medical or academic, as well as the public health sector, agree that there are statistical links between what we ingest and the consequences to our overall health profile. Certainly, all we need to is walk down any grocery store aisle, open up most magazines and newspapers, or watch…
REFERENCES
About Health People. (2012, December 17). Retrieved from HealthyPeople.gov: http://healthypeople.gov/2020/about/default.aspx
Executive Order on Physical Fitness. (2010, June 22). Retrieved from The President's Council on Physical Fitness: http://www.fitness.gov/about/order/index.html
Overweight and Obesity, (2008) Centers for Disease Control and Prevention, Retrieved
from: http://www.cdc.gov/nccdphp/dnpa / obesity / economic_consequences.htm
Nursing Intervention in Disaster
The possibility of occurrence of disasters is a reality. With this in mind there should be efforts made to prevent any upcoming or potentially disastrous events. These efforts are what are known as disaster prevention. Disaster prevention therefore refers to efforts put in place to ensure that adverse effects of events that are potentially disastrous are prevented even when the disaster cannot be controlled. Disaster prevention is done at various levels of the society and is undertaken so as to prevent all types of disasters. Nurses are involved to a large extent when it comes to the prevention and mitigation of disasters. Nurses are involved in institutions that can influence change and due to the unique skills that they posses they can make interventions in disasters. To perform efficiently, a nurse must be always prepared to make changes in plan actions at any time and at…
References
Harden, E.G., (2004). The role of nursing in disasters. Retrieved march 22, 2013 from http://helid.digicollection.org/en/d/Jdi018e/2.html
Rittenmeyer, L., (2007). Disaster preparedness: Are you ready? Retrieved march 22,2013 from http://www.nursingcenter.com/prodev/ce_article.asp?tid=726331
Wolters Kluwer Health, (2007). LWW Journals - Beginning with A. Retrieved March 22, 2013, from http://journals.lww.com/smajournalonline/fulltext/2007/09000/spiritual_issues_in_the_aftermath_of_disaster.32.aspx
With a positive mental attitude, horrible physical problems are much more possible to overcome.
In this way, their heart is in the work and they are motivated to do the right things, to be responsible and accountable for their actions as they relates to their patients. This author puts themselves in their patients' positions and wishes to give them the kind of care that elicits their trust, shows compassion and caring as well as competence as a nursing. Just as patients would not want to be treated badly, they revile incompetent, uncaring and untrustworthy nurses that soil the reputation of the profession. This repugnance must be reflected by the nursing professional.
The focus on patient care needs to be reflected in the pharmaceutical profession as well as in nursing. Indeed, patient focus is an important part of the focus of the medical team overall. In my opinion, pharmacists should provide…
For elderly patients who have no one to appoint as their proxy, completing a living will that outlines their wishes is preferable to not providing any information at all about care preferences. This is equally so for patients who want to provide their proxy with some guidance about their treatment preferences and end-of-life care wishes, including artificial nutrition, ventilator support, and pain management. A living will (LW) provides specific instructions to health care providers about particular kinds of health care treatment that an individual would or would not want to prolong life. Living wills are often used to declare a wish to refuse, limit, or withhold life-sustaining treatment when an individual is unable to communicate. All but three states (New York, Massachusetts, and Michigan) have detailed statutes recognizing living wills. The usefulness of LWs is limited, however, to those clinical circumstances that were thought of before the person became incapable…
References
Burnell, G.M. (1993). Final Choices: To Live or to Die in an Age of Medical Technology. New York: Insight Books.
Fisher, C.B. (2002). A Goodness-of-Fit Ethic for Informed Consent. Fordham Urban Law Journal, 30(1), 159.
Galambos, C.M. (1998). Preserving End-of-Life Autonomy: The Patient Self-Determination Act and the Uniform Health Care Decisions Act. Health and Social Work, 23(4), 275.
Hardwig, J. (2000). Spiritual Issues at the End of Life: A Call for Discussion. The Hastings Center Report, 30(2), 28.
Blood by Suzan-Lori Sparks expands on the main theme of society's unfair disregard for its people of low condition in general, for women, and for adulterers. Hester La Negrita, the protagonist, is an African-American woman who struggles to survive in poverty along with her five base-born children. The family's outcast status is portrayed as a direct inducer and accelerator of emotional suffering, poverty, lack of education, and sexual exploitation.
(A) From a structural perspective, In the Blood is constructed in two acts and nine scenes, employing a linear plotline (ush, 2005). In this sense, the play debuts with the equilibrium of Hester striving to provide for her children in meager conditions, the inciting incident represented by the suggestion to seek help from the available former lovers and fathers of her children, the major dramatic question of whether or not she will attain it, the developing action as Hester approaches everend…
References
Bailin, D. (2006). "Our Kind: Albee's Animals in Seascape and the Goat Or, Who Is Sylvia?." The Journal of American Drama and Theatre, Vol. 18, No. 1.
Putnam, R.D. (2000). Bowling Alone: The Collapse and Revival of American Community. New York: Simon & Schuster.
Rush, D. (2005). A Student Guide to Play Analysis. Carbondale, Illinois: Southern Illinois Printing Press.
Routine Infant Male Circumcision
While female genital mutilation has garnered a great deal of attention in recent years, male genital mutilation or circumcision has been for the most part overlooked in research reports. (Redactive Publishing, 2010, paraphrased) The objective of this study is to conduct an examination of routine infant male circumcision. This will involve a summarization and critical analysis of the current literature and reliable published evidence in this area of inquiry. The work of ocquet et al. (2009) examines the issue of bleeding complications following ritualistic circumcision and reports on six children who are stated to have no family history of hemorrhagic disease and no personal problems of thrombopenia or hemostatis, who were admitted within 1 year at the emergency department for hemorrhagic complications of nonmedical circumcisions, of which one had glans amputation." ( Five of the children were newborns. All of the newborns had compensated shock with…
Bibliography
Benatar, M & Benatar, D 2003, 'Between prophylaxis and child abuse: the ethics of neonatal male circumcision', American Journal Of Bioethics, vol. 3, no. 2, pp. 35-48, CINAHL with Full Text, EBSCOhost.
Bhattacharjee, P 2008, 'Male circumcision: an overview', African Journal Of Paediatric Surgery, vol. 5, no. 1, pp. 32-36, Academic Search Complete, EBSCOhost.
Bo, X & Goldman, H 2008, 'Newborn circumcision in Victoria, Australia: reasons and parental attitudes', ANZ Journal Of surgery, vol. 78, no. 11, pp. 1019-1022, Academic Search complete, EBSCOhost.
Bocquet, N, Lortat-Jacob, S, Cheron, G & Chappuy, H 2010, 'Bleeding complications after ritual circumcision: about six children', European Journal Of Pediatrics, vol. 169, no. 3, pp. 359-362, Academic Search Complete, EBSCOhost.
Sociology -- Human Services
Governance and Leadership
Steven Ott (2001, p.1) defines governance as an "umbrella term that includes the ultimate authority, accountability, and responsibility for an organization." However, literature and several case studies have identified that leaders play a significant role in supporting governance (Lord et al., 2009) and there is a two-way link between leadership and governance. Leadership not only provides the direction for governance by promoting a shared understanding but also clarify the roles between the local and national actors (Craig, 2005). It also encourages interagency collaboration, team working and commitment at all levels of governance (obinson et al., 2008).
According to ANAO (2003, p.15), "Leadership sets the 'tone at the top', and is absolutely critical to achieving an organization-wide commitment to good governance."
This paper discusses the case of "Tainted Blood Scandal" in result of which public lost trust in the Canadian ed Cross. This trust…
References
Abecassis, M., Benjamin, D., & Tessier, L. (2009). Clear Blood. Stanford Social Innovation Review, 7, 68+.
Retrieved January 1, 2012.
Australian National Audit Office (ANAO, 2003), Public Sector Governance, Volumes 1 & 2: Better Practice Guide,
Commonwealth of Australia, Canberra,
Tort Reform
President Bush came into the hite House with a history as a 'tort reformer.' True to his record, the President backed a 'tort reform' bill last year that was passed by the House of Representatives but floundered in a Democratic controlled Senate. The President has recently renewed his call for the legislature to approve a tort reform bill that relates mainly to medical malpractice. It remains to be seen whether President Bush is successful in getting his proposals approved this time around as debate still rages among the supporters and opponents of the reform bill. This paper looks at the pros and cons of the issue and includes the following:
summary of the proposed public policy on tort reform
The impact of the policy (who shall be affected?)
The lobbying efforts in favor of and against the tort reforms
Summary
The present tort reform proposal is restricted to…
Works Cited
Horowitz, Michael. "Can Tort Law Be Ethical? A proposal to curb ill-gotten gains." Hudson Institute. First published in the Weekly Standard March 31, 2001. May 18, 2003. http://www.hudson.org/index.cfm?fuseaction=publication_details&id=810
HR 5: A cruel Proposal in Congress." Center for Justice and Democracy. N.d. May 18, 2003. http://centerjd.org/HR5.doc.pdf
President Announces Framework to Modernize and Improve Medicare." White House Press Release. March 4, 2003. White House Web Site. http://www.whitehouse.gov/news/releases/2003/03/20030304-5.html
Sebok, Anthony J. "Can an HMO Be Sued For Medical Malpractice Based on Its Coverage Decisions?: A Recent Federal Appeals Case Says Yes." February, 27, 2003. FindLaw Website. May 18, 2003. http://writ.corporate.findlaw.com/sebok/20030227.html
United States it is under the federal tax code that the nonprofits organizations are primarily regulated and defined. These organizations are formal and don't have to pay the federal taxes since these are created for providing services to the public as it has been described in the revenue code as well. Profits aren't distributed by these organizations either. With only the religious groups as exception, rest of the nonprofit organizations which generate $5,000 or more in terms of revenue have to get themselves registered with the Internal evenue Service (IS). The organizations which generate revenues of more than $25,000 have to file a yearly Form 990 (or perhaps Form 990PF, which is for private nonprofits). It is important to file this form with the IS as the basis for majority of the financial data regarding the nonprofit organizations is provided by this Form 990 (Twombly, 2002).
Under the section 501(c)(3)…
References
Bridgeland, J.M., McNaught, M., Reed, B., & Dunkelman, M. (2009). The quiet crisis: The impact of economic downturn on the nonprofit sector W.K. Kellogg Foundation.
Frumkin, Peter (2005). On Being Nonprofit: A Conceptual Primer. Harvard University Press.
Grobman, G.M. (2008). The Nonprofit Handbook: Everything You Need to Know to Start and Run Your Nonprofit Organization. White Hat Communications.
Lee, Y.-K., & Chang, C.-T. (2007). Who gives what to charity? Characteristics affecting donation behavior. Social Behavior and Personality, 35, 1173-1180.
In order to assess Yvonne and her symptoms, the nurse practitioner must show patience and understanding. In the treatment of the symptoms, whether to relieve the fevers or perform scans and tests to find the source of the abdominal pain, the nurse practitioner must give Yvonne and her relatives significant input into the management of the illness. Optimal outcomes can be achieved by providing information to the patient that decreases fear, timely involvement of the doctor in the administration of pain medications and emotional support (McGrath, P. 2006).
eflective practices can have considerable effectiveness in the care of Yvonne. In a paper discussing the benefits of reflective care, Ben Hannigan (2001) argues that reliance on practical knowledge alone is insufficient to solving medical problems as they are rarely abstract in nature. eflection by the nurse practitioner embeds the medical problem into the social context and allows the practitioner to engage…
References:
1. Mununggirritj, D. Yolngu Healer's Medicine: Plants used by the women healers of North-East Arnhem Land. [Online] Available at: http://www.atec.net.au/djapirri_muunggirritj_atec_h_w_presentation.pdf [Accessed 3 September 2011].
2. McGrath P., 2006. 'The biggest worry..': research findings on pain management for Aboriginal peoples in Northern Territory, Australia. Rural Remote Health 6(3), p.549
3. Aboriginal Resource and Development Services (ARDS) [Online] Available at: http://www.ards.com.au/default.html . [Accessed 3 September 2011].
4. Cass A, Lowell A, Christie M, Snelling PL, Flack M, Marmganyin B, Brown I., 2002. Sharing the true stories: improving communication between Aboriginal patients and healthcare workers. Mad J. Aust 176(10), pp.466-70
As mentioned earlier, the desired outcome of nursing care is comfort and there are many articles in which the researchers have talked about the needs of the patients and the things that alter the comfort of the patients. Kolcaba suggested that the cancer patients who are terminally ill can benefit from comfort care as it pays attention to the perspective and needs of the patients. Through such kind of care, the patient is not only provided with pain relief, but the depression of the patient is also addressed adequately. As she said that patients who are not in pain but are depressed seek comfort in the transcendental sense as well as in the psycho-spiritual sense (Kolcaba, 1992 p 4). In some of her works, she has explained the use of the instruments and their application by the nurses. Kolcaba reckons that the instruments presented by her to evaluate the comfort…
Bibliography:
Kolcaba K. (1994). A theory of holistic comfort for nursing. Journal of Advanced Nursing, 19(10): 1178-1184.
Kolkaba, K. (1992). Holistic comfort: Operationalizing the construct as a nurse-sensitive outcome..Advances in Nursing Science, 15 (1), pp. 1-10.
Kolkaba, K. (1997). The primary holisms in nursing..Journal of Advanced Nursing, 25 pp. 290-296.
Kolkaba, K. And Fisher, E. (1996). A holistic perspective on comfort care as an advance directive..Critical Care Nursing Quarterly, 18 pp. 66-76.
American Meat Packing Corp., 362F.3d 418 (7th Cir. 2004).
On November 15, 2001, 350 workers at the American Meat Packing Corporation (AMPC) showed up for work and were told they had been terminated. Because they were not notified 60 days prior to termination, the Worker Adjustment and etraining Notification Act, U.S.C. § 2101-2109, the WAN Act, did not apply. The purpose of the 1989 WAN Act was to create a buffer for workers who anticipate mass layoffs or plant closings that have been unanticipated. Under the WAN Act, the 60 day notice of plant closings or any mass layoffs may be waived or reduced if a business closure is "caused by some sudden, dramatic, and unexpected action or condition outside the employer's control." 20 C.F.. § 639.9(b)(1).
The fundamental issue of this case is that of foreseeability. Business situations that are likely to cripple or close a firm may be…
Resources-Through Strategies
partnerships (8th ED), Thomson Retrieved http://esl.rutgers.edu / graduate_writing_program courses/academic_writing_II/media/b_paper.pdf
Internet sources assessed.
Lexus-Nexus
http://openjurist.org/279/f3d/333/degruise-v-sprint-corporation http://www.inderscience.com/www/pdf/ejim/06ejim-20477.pdf
NP "role" definition
A nurse practitioner is any independent certified nursing care provider who offers primary, specialty, or both primary and specialty, nursing services in long-term, ambulatory and acute care settings. NPs are engaged in the chronic or acute episodic ailment assessment, diagnosis, treatment, and management. They are specialists in the areas of illness prevention and health promotion, and perform the tasks of ordering, performing, overseeing and interpreting lab and diagnostic tests, prescribing non-pharmacologic treatment and pharmacological mediators, and educating and advising their patients (American Association of Nurse Practitioners, 2015).
History of the Nurse Practitioner Role, in General
The demand for individuals providing primary care in the nation grew with the launch of the Medicaid and Medicare initiatives, developed after the enactment of the 1965 Social Security Amendments. The two initiatives ensured low-income kids, women, aged persons, and disabled individuals could now access healthcare. Thus, with the enhanced need for…
And it is to this end that the university is so distinct in the way that it provides a community which is most hospitable to intellectual and emotional growth.
Difficulty of Harmonization:
Downey (2000) points to a modern vagary of our persistent state of global recession in making the case that it is difficult to find harmony between the stated goals of his trinity. Indeed, though this reflects a certain ideal for university functionality, it contrasts the reality in many contexts. riting on Canada's higher education system, which has been largely subsidized by government funding on an historical basis, Downey (2000) indicates that that more privately run university system in America is becoming a model to public officials. This, Downey (2000) demonstrates, is to the detriment of the university's capacity to reflect the modalities of his trinity in harmony. As he remarks, the Canadian government is finding itself increasingly hobbled…
Works Cited:
Downey, J. (2000). Balancing Corporation, Collegium, and Community. Innovative Higher Education.
" (Downey, 2000, p.307) This aspect of the university, or that of the community is characterized by having less structure that the corporation or collegium of the university and is such that includes everyone as a member as everyone "belongs to and has equity in the university as a community." (Downey, 2000, p.307) This is a community characterized by disorder, ambiguity, and little in the way of definition. The university community is ever-growing and continuously changing and adapting to changes.
V. Synthesis and Evaluation of Three Critical Tensions by the Academic Leader
One critical aspect of the university is that of funding resources. As government funding either increases or decreases for the university so too does the requirements of how that funding will be allocated increase or decrease. As well, the university is forced in times of decreased funding to decrease such as:
(1) the number of employees;
(2) wage…
Works Cited
Downey, James. The University as a Trinity: Balancing Corporation, Collegium and Community. Reprinted from Innovative Higher Education, Winter 1996, Human Sciences Press.
In order to come to the decision that this would be the best way to address a workforce education program at Edison College, though, there were many things that had to be considered. A panel of experts was formed to study the impact that this program could have, how it would work and be used, and whether there would be instructors available and students interested in it. If these things would not all come together, there was little point in trying to continue with the program. The experts talked with people in the community, took surveys of existing students, and talked with Habitat for Humanity and other organizations. They also implemented a DACUM process through which the panel of experts was located and the study into whether the workforce education program in construction would be beneficial was carried out. What type of licensing was needed for the instructors was addressed…
References
Allsopp, DH, Santos, K.E., & Linn, R. (2000). Collaborating to teach prosocial skills. Intervention in School & Clinic, 35(3), 141-146.
Badshah, A. (1997). Building corporate sector partnerships. Public Management.
Barna, E. (2002). Rutland region marshaling support for new development: downtown, Route 7, railroad yard take center stage. The Vermont Business Magazine.
Biondich, P. (2002). Performance training for the Mind. Retrieved from http://www.ultimatestudent.tv/features/articles/training_techniques/performancetraining.asp
S. today are called African-Americans or Afro-Americans. As Africans had been brought into the U.S. they had been deprived by their traditions, being forced to integrate in the larger, more complex community. In spite of the slave owners and traders' efforts to break them completely from their culture, during their first years on American land, the blacks managed to keep most of their traditions. However, as time passed, black traditions changed into American traditions and African people became Americans.
Black people in Texas have a very rich history and as they've managed to become independent as a minority, their culture has also been revived. Moreover, the black community in Texas has contributed to the Texan history as it has also contributed to the birth of several important Texans.
A large part of the Hispanics residents of the U.S. inhabit the state of Texas and their number has visibly grown during…
Works Cited
Clutter, a.W., Nieto, R.D. Understanding the Hispanic Culture. Retrieved February 4, 2009 from the Ohio State University Web site: http://ohioline.osu.edu/hyg-fact/5000/5237.html
Glasrud, a. B, & Smallwood, J. (2007). The African-American Experience in Texas: An Anthology. Texas Tech University Press.
1994-1995). Black-Texans. Retrieved February 4, 2009 from Texas Almanac Web site: http://www.texasalmanac.com/culture/groups/black.html
2000). The Spanish, Mexicans, Tejano. Retrieved February 4, 2009 from UTSA's Institute of Texan cultures Web site: http://www.texancultures.utsa.edu/publications/texansoneandall/tejano.htm
ar Films
Taking Jeanine Basinger at her word would leave us with far fewer war films than we think we have. Basinger is a 'strict constructionist,' accepting as war films only those that have actual scenes of warfare (Curley and etta, 1992. p. 8; Kinney, 2001, p. 21). That means that the four films that will be considered here, and especially the two orld ar II films, are not war films. By Basinger's yardstick, neither Casablanca nor Notorious, neither Born on the Fourth of July nor Coming Home would qualify as war films.
On the other hand, films such as hite Christmas, a lightweight Bing Crosby-Danny Kaye-Rosemary Clooney-Vera Ellen comedy about the aftermath of war for an old soldier might well be a 'war' movie. The opening scene is one in which the old soldier, Dean Jagger, is reviewing his troops when, somewhere in Italy during the Christmas lull, bombs…
Works Cited
Canby, Vincent. Review/Film; How an All-American Boy Went to War and Lost His Faith. (1989, December 20). Online.
http://movies2.nytimes.com/mem/movies/review.html?title1=& ; title2=BORN%20ON%20THE%20FOURTH%20OF%20JULY%20%28MOVIE%29& reviewer=Vincent%20Canby& pdate=19891220& v_id=6747& oref=login
Coming Home (1978). Online. http://www.imdb.com/title/tt0077362/
Dirks, Tim. Casablanca, 2005. Online. www.filmsite.org and www.greatestfilms.org)
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