Healing Hospital and the Importance of Spirituality

Chapman (2003) defines a Healing Hospital as being about "loving service to others" (p.4). This paper examines the concept of the Healing Hospital and the role that spiritually plays in that model.

Numerous theorists have argued that advances in technology, pressure on budgets, and drives for efficiency over the last few decades have shifted the focus of attention from general care giving to technological and pharmacological interventions, with the need to extend life and fix broken parts (Puchalski, 2001; Treloar, 2000). However, there has also been increased realisation, back by significant research, that better outcomes are achieved when the patient is treated in a holistic manner (Baboni, Puchalski, & Peteet, 2014; Puchalski & Mcskimming, 2006).

The Healing Hospital is based on the premise of treating the whole person, rather than just the illness (Chapman, 2003). This includes all physical needs, as well as…

References

Baboni, M. J., Puchalski, C. M., & Peteet, J. R. (2014). The Relationship between Medicine, Spirituality and Religion: Three Models for Integration. Journal of Religion and Health, 53(5), 1586 -- 1598. Retrieved from  https://www.researchgate.net/profile/Michael_Balboni/publication/263055322_The_Relationship_between_Medicine_Spirituality_and_Religion_Three_Models_for_Integration/links/57039a6408aeade57a259720.pdf 

Chapman, E. (2003). Radical Loving Care: Building the Healing Hospital in America. Nashville, TN: Baptist Healing Hospital Trust.

Diaz-Gilbert, M. (2014). Spirituality, Suffering, Meaning, Resiliency, and Healing: Research Findings and a Patient's Story of Overcoming a Medical Challenge. International Journal for Human Caring, 18(4), 45 -- 51.

Johnson, B. H., Abraham, M. R., & Parrish, R. N. (2004). Designing the neonatal intensive care unit for optimal family involvement. Clinics in Perinatology, 31(2), 353 -- 382.

Healing Hospital

Consider how the paradigm of a healing hospital might influence your philosophy of caregiving.

Describe the components of a healing hospital and their relationship to spirituality.

What are the challenges of creating a healing environment in light of the barriers and complexities of the hospital environment?

Include biblical aspects that support the concept of a healing hospital.

According to Eberst (2008), one of the primary components of a healing environment is the environment in which the patient receives care; she states "We have learned that proving a loving and compassionate environment that is aesthetically pleasing promotes healing" (Eberst, 2008). It is not only the aesthetics that are important, rather the environment must be looked at from the patient's perspective to see what types of things may prevent a patient the rest and relaxation that they need during a recovery phase. For example, one of the best examples of…

References

Dunn, L. (2010). Creating Healing Environments: A Challenge for Nursing. Online Journal of Rural Nursing and Health Care, 3-4.

Eberst, L. (2008). Arizona Medical Center Shows How to Be a "Healing Hospital." Health Progress, 77-80.

Healing with Statistics

There are numerous ways in which statistics are used in a standard healthcare organization. Statistical measurements and analyses are used to track patient costs and hospital/healthcare organization expenses, to determine appropriate medication levels, to assign work staff and maintain proper human resource levels, and for a wide variety of other applications and areas of concern. In many ways, the quality and the cost-effectiveness of care provided by a typical healthcare organization is directly related to the quality of the statistical data the organization collects and assesses. Without such statistical analysis and manipulation, direct healthcare providers as well as administrators within the healthcare organizations would be left with little more than anecdotal evidence and subjective perceptions and judgments when it came to making decisions for patient health and/or organizational fitness, thus the importance of statistics in such organizations is difficult to overstate.

The most basic level of analysis…

References

Hill, J. (2012). introduction to descriptive statistics. Accessed 19 February 2012.  http://mste.illinois.edu/hill/dstat/dstat.html 

Lund. (2010). Descriptive and inferential statistics. Accessed 19 February 2012.  http://statistics.laerd.com/statistical-guides/descriptive-inferential-statistics.php 

Trochim, W. (2006). Levels of measurement. Accessed 19 February 2012.  http://www.socialresearchmethods.net/kb/measlevl.php

hospital community group with high incidence of diabetes and low literacy presents to the teaching efforts of a hospital nurse.

Description of the selected adult learner, learning topic and related hospital circumstances

I am a registered clinical nurse in St. Vincent's hospital. We are a medium-sized hospital located in a highly diverse part of the town. We have a sizeable domestic and Spanish inpatient population with diabetes, including people with long-standing diabetes related complications and co-morbidities requiring inpatient expertise. Today, that population seems to be increasing. Almost 80% of all our adult patients lack literacy referring to the ability to read and write as well as knowledge about the topic of diabetes literacy. It is not only the printed word that challenges these patients with inadequate literacy; writing, speaking, listening numeracy, and conceptual knowledge is often impaired as well. About 2/3 of these illiterate patients are Latinos and the majority…

References

Davis, E. (2000). A quality improvement project in diabetes patient education during hospitalization. 1-6. Diabetes Spectrum Volume 13 Number 4, 2000,-Page 234.

Accessed 3 October 2011.

journal.diabetes.org/diabetesspectrum/00v13n4/page228.aspCached - Similar

You +1'd this publicly. Undo Heisler, M. & Bouknight, R.R. & Hayward, R.A. & Smith, D.M. & Kerr, E.R. (2002). The relative importance of physician communication, participatory decision making and patient understanding in diabetes self-management. 242-252.

MS Case Study Nurse Practice

When patients enter hospitals it is oftentimes they become more ill and sicker due to inappropriate care and professional ignorance. This is due mainly to the amount of hubris involved within the medical profession and a tendency to ignore empirical evidence as practiced to success. This approach underlines the most important aspects of healing and the medical profession itself.

The argument for continued improvement in the treatment of patients is best exemplified in the case of MS. His ill health has led to more problems and the approach by the nurse practitioner and her staff is critical to the ultimate survival of this young child who innocently trusted the advice of both his parents or caretakers that the medical staff would be able to treat him with the care and respect that every patient deserves when being encountered during a medical treatment or hospital stay.…

References

Arnold, M., & Barbul, A. (2006). Nutrition and wound healing. Plastic and reconstructive surgery, 117(7S), 42S-58S.

Bennett, G., Dealey, C., & Posnett, J. (2004). The cost of pressure ulcers in the UK. Age and ageing, 33(3), 230-235.

Campbell, N.C., Murray, E., Darbyshire, J., Emery, J., Farmer, A., Griffiths, F., ... & Kinmonth, A.L. (2007). Designing and evaluating complex interventions to improve health care. BMJ: British Medical Journal, 334(7591), 455.

Corbett, L.Q. (2012). Wound care nursing: professional issues and opportunities. Advances in Wound Care, 1(5), 189-193.

communication and best practices or standards are very simple yet when not addressed may cause complex problems that require serious modification. Quality improvement within certain aspects of the medical professional landscape may be extremely beneficial to the solving of these problems.

This Quality Improvement Plan is based upon the problems experienced at Samaritan Hospital, located in Watertown, NY. This environment has been targeted because a lack of effective patient transfer from one department to another. The documentation process has been identified as problematic and in order to adjust to this problem a quality improvement effort is applied to this situation.

This plan describes in detail the many facets of this process into a real world situation. The goals and objectives of this plan are to significantly increase patient quality through better communication at the transfer patient level within this hospital. This plan details how the gathering of information and data…

References

Burns, N., & Grove, S.K. (2011). Understanding nursing research (5th ed). St. Louis, MO: Elsevier Saunders

Eichner, J.S., & Das, M. (2010). Challenges and barriers to clinical decision support (CDS)

design and implementation experienced in the Agency for Healthcare Research and Quality CDS demonstrations. Agency for Healthcare Research and Quality.

Finkelstein, R. (2010, April 10). Get Everything In Your Day Done Efficiently with POSEC Time Management . Retrieved from Go Articles:  http://goarticles.com/article/Get-Everything-In-Your-Day-Done-Efficiently-with-POSEC-Time-Management/1531249/

Noise eduction

Medical care institutions have come up with various strategies to reduce noise generated within their facilities. However, this has remained quiet a challenge. The situation has never been rosier even in the private rooms within such facilities. Matters have worsened bearing in mind that hospitals have become increasingly open with more liberal visiting hours and policies that permit cell phones and other devices (Cmiel, Karr, Gasser, Oliphant & Neveau, 2004). The war is not yet lost because some medical facilities have come up with ways of reducing noise like reducing the frequency and intensity of medical alarms, dimming lights in the evening, and replacing nurses' pagers and walkie-talkies with mobile headsets. Walkie-talkies and pagers make all manner of noises during a typical night in a hospital bed. Patients are also being provided with Quiet Kits (Landro, 2013). The use of information technology is really taking the war against…

References List

Cmiel, C.A., Karr, D.M., Gasser, D.M., Oliphant, L.M., Neveau, A.J. (2004). Noise Control: A

Nursing Team's Approach to Sleep Promotion. American Journal of Nursing, 104(2), 40

48.

Landro, L. (2013). Hospitals Work on the Most Frequent Complaint: Noise. Retrieved August

History Of Hospitals

The combined arts and sciences responsible for how society cares for its sick and ill has transformed much throughout recorded history. The greatest and most dramatic changes occurred alongside other historic eras that complimented the changes seen in medicine and health care. The purpose of this essay is to examine the metamorphosis of hospitals from the 18th century until today. In this examination I will focus on the extent of these changes being forced by the ideas of professionalism, medical therapy or technology and the overall character of the changes and how they related to greater historic transformations.

Modern medicine was ushered in with modern times, and revolutionary society changes complemented those which occurred within medicine and health management. The 18th century in historic Europe was ripe with ideas of liberty and freedom, contrasting the previous century's of closed and restricted ideas. The Power Point Slide Presentation…

Works Cited

Brunton, D (2004). "The Emergence of a Modern Profession?" In Medicine Transformed. Health, Disease and Society in Europe 1800-1930 (Manchester: Manchester University Press, 2004), pp. 119-150.

Marland, H. (2004).The Changing Role of the Hospital, 1800-1900, in Medicine Transformed. Health, Disease and Society in Europe 1800-1930 (Manchester: Manchester University Press, 2004), pp. 31-60.

"Modern Medicine." Power Point Presentation.

" The New Hospital." Power Point Presentation.

Healing Hospital: The Importance of Spirituality and Caregiving in Healthcare

THE HEALING HOSPITAL

Describe the components of a healing hospital and their relationship to spirituality

Many healing experts believe that the foundation of a healing hospital is basically love and not about the vain reason of money that appears to be the force behind modern western hospitals and even clinics. To make a bigger point, even corporations that are nonprofit need some kind of financial in order flow to maintain the basics such as supplies and phones that are around. On the other hand, the concept of a focus for profit conflicts with healing and wellness. The idea of wellness and love as the support of the said hospital fluctuates in that the patient turn out to be the emphasis for healing instead of the substance for some kind of a money flow. Spirituality appears to be major characteristic of…

References

Akchurin, W.K. (2015, June 27). The Ethics of Gender Selection. Retrieved from http://www.ethicpublishing.com/ethical/3CH2.pdf

Becker, F.B. (2012). Ambulatory Facility Design and Patients' Perceptions of Healthcare Quality. Healthcare Environments Research & Design Journal, 1(4), 35-54.

Douglas, C.H. (2011). "Patient-friendly Hospital Environments: Exploring the Patient's Perspective. Health Expectations, 23-45.

Parkland Hospital: A Dallas Icon

The history of the City of Dallas would hardly be complete without consideration of Parkland Hospital and its contributions to the Dallas community. Parkland Hospital began in the Civil ar Reconstruction era and has always maintained operations that were state of the art for the time. Parkland hospital has always aligned itself research and the academic community and it is for this reason that Parkland has always offered the latest in techniques and technology. Parkland Hospital has a long tradition of caring for the poor and those who cannot otherwise care for themselves. The following research will highlight the major accomplishments of the hospital from its primitive beginnings to its present position as a leader in patient care and technology Seven years after the end of the Civil ar; Dallas became a thriving city. In 1885 the Dallas Morning News began publication, at that time…

Works Cited

Abraham, Laurie. Dramatic Differences: Dallas Public Hospital: A Lesson for County? Chicago

Reporter. May 5, 1990.  http://www.chicagoreporter.com/1990/05-90/0590%20Dramatic%20Differences.htm  Accessed February, 2003.

Conger, Darrell. Southwestern Department of Opthamology History. Department of Opthamology. March 20, 2001.  http://www.swmed.edu/ophth/history.htm . Accessed February, 2003.

Dallas Nephrology Associates. History of DNA. Online.  http://www.dneph.com/about/history.html  Accessed February 2003.

Australia, indigenous people recognize themselves as belonging to Aboriginal or Torres Strait Islander or by descent, and also identified as the same by the society. A resistance has been observed in them to access hospitals for healthcare. Therefore, healthcare professionals need to plan, implement and maintain appropriate policies for their treatment. Also, cross-cultural awareness training should be given to paediatric hospital staff. (Munns & Shields, 2013, p. 22)

How would you support ianna and her family in this situation?

The poor health status of Aboriginal and Torres Strait Islander Australians is well documented, and has been the subject of official policy and program attention for many years. The mainstream health system has responded to increased funding and clear portfolio responsibility, with increasing attention to the burden of illness that Aboriginal people experience and the need for effective health care (Dwyer et al., 2014). I would thus make arrangement for proper…

References

Ansuya. (2012). Transcultural Nursing: Cultural Competence in Nurses. International Journal of Nursing Education, Volume 4(1), pp. 5-7.

Durey, A, Wynaden, D, Thompson, SC, Davidson, PM, Bessarab, D & Katzenellenbogen, JM. (2012). Owning Solutions: A Collaborative Model to Improve Quality in Hospital Care for Aboriginal Australians. Nursing Inquiry, Volume 19(2), pp. 144-152.

Dwyer, J, Willis, E & Kelly, J. (2014). Hospitals Caring for Rural Aboriginal Patients: Holding Response and Denial. Australian Health Review, Volume 38(5), pp. 546-551.

Kelly, J & Willis, E. (2014). Travelling to the City for Hospital Care: Access Factors in Country Aboriginal Patient Journeys. Australian Journal of Rural Health, Volume 22(3), pp. 109-113.

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…

.. we have goggles that mimic sight deficits. We use ear plugs, and ways to mimic the tactile changes elderly patients go through. We'll immobilize people, to show what it would be like if they had a stroke, and then ask them to do tasks. It makes them more sensitive to seniors' needs."

In Great ritain, nursing care follows a holistic approach to guiding the aging patient through the hospital stay and into 'step down', cottage hospitals, and community recovery centers. Through an empathetic and geriatric skill set, the geriatric nurse can thereby decrease her ultimate workload while maintaining a higher quality of life for the hospitalized patient.

Summary

Aging is no respecter of persons, countries, or races.

We all age. As a graying generation of millions of 'baby boomers' approach the golden years, medical care must shift much of its focus to the particular needs of this group.

Unlike…

Bibliography

"1999-2008, a 10-year Action Plan for Services for Older Persons," (1998), Eastern Health Board.

Bernard, M. & Phillips, J. (2000), "The Challenge of Ageing in Tomorrow's Britain," Ageing and Society, vol. 20, pp.33-54.

Dickinson E. (1996). "Long-term care of older people," BMJ, vol 312, no. 7035, pp.862-863.

"Fact Files - Ageing in Ireland, National Council on Ageing and Older People," (1997).

Boston Children's Hospital

anked #1 Facility for Children (U.S. News and World eport)

Why? Community Focus

Values: Excellence, Leadership, Sensitivity, Community

Challenge 1: Patient Protection and Affordable Care Act

Challenge 2: Demand for more beds, more staff

Core Challenge: Meeting increased patient needs in restrictive financial climate

Challenges

Why is Boston Children's Hospital ranked #1?

What can Boston Children's Hospital do to continue its reputation for quality of care?

What are the most serious challenges facing Boston Children's Hospital at this time?

What are the best solutions to these challenges?

Discussion outline/Question set

Examine carefully the provisions in the Patient Protection and Affordable Care Act.

Examine carefully State and Federal law and policy

Interviews with patients, staff at Boston Children's Hospital

Tips for esolving the Case

ole of strategic partnerships, alliances with education and community organizations

"Children are not small adults" (Sandi Fenwick, President and Chief Operating Officer (COO) of…

Physically, massage or TT eases muscle tension and improves circulation. In turn, it improves digestion and breathing, enhances mental clarity, and encourages better sleep. TT is particularly useful to terminally ill patients in reducing or mitigating pain to the extent of making prescription painkillers unnecessary. Emotionally, TT or massage is a gentle and compassionate experience for the dying. It reduces the sense of isolation by providing him or her with physical connectedness. It can also re-establish dwindling or lost self-esteem and self-acceptance on account of disease. As a result, it contributes to increased quality of life and a much-needed release of emotions. Medicare as yet does not cover massage therapy for hospice settings but an increasing number of group have been lobbying for its inclusion.

Useful Alternatives to Pain and Discomfort Management

These alternatives have shown to be effective in easing spiritual, emotional and psychological pain that contribute to the…

BIBLIOGRAPHY

Aghabati, N et al. (2010). The effect of therapeutic touch on pain and fatigue of cancer patients undergoing chemotherapy. Evidence-based Complementary Alternative

Medicine: PubMed. Retrieved on June 16, 2011 from  http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2887328 

Catlin, A. (2009). Hospice massage: easing the pain of a life-limiting illness (Part 1).

vol 9 # 3, Massage Today: MPA Media Publications. Retrieved on June 19, 2011

Nursing Process to Deliver

Application of the Nursing Process to Deliver Culturally Competent Care: Malay culture

Each society has devised its own methodology of dealing with diseases. As per the old Manuscript MSS1292 KitabTib (Book of Healing) (a 19th century Malay manuscript), people of Malay have successful and strong healing practices which work wonderfully well in case of integrative and complementary medicines (Baharuddin & Sidik, 2010). An analytical approach is required to study the contents of the Malay manuscript for understanding it deeply. As per the research, there are three kinds of methods in case of healing diseases (Baharuddin & Sidik, 2010). These are as follows:

Natural resources

Wafak (written symbols)

Quranic verses for healing purposes and offering respect to prophet (P.B.U.H)

It is quite evident that these traditional practices were ecological and holistic in origin, which is stressed upon even today (Baharuddin & Sidik, 2010).

Background

The roots of…

References

Baharuddin, A., & Sidik, R. (2010). The Case of Malay Manuscript of the 19th Century. Traditional Healing In Malay Culture:, 1-7.

Farooqui, M. (2013).The Current Situation and Future Direction of Traditional and Complementary Medicine (T&CM) in Malaysian Health Care System. Alternative and Integrative Medicine, 1(1), 1.

Ghani, R., & Hamid, M. (2011).Traditional and Complementary Medicine Programme in Malaysia. Traditional and Complementary Medicine, 1-6.

Jamal, A. (2006). An overview of scientific and technological progress. Malay Traditional Medicine, 37-46.

The comparison between HIV and leprosy is a proper framework for this examination. Today, HIV is still a stigmatized disease in many communities, but the predominate view is that its sufferers should not be outcasts of society, though the once were. Foundations have arisen to find a cure, and charities often donate to those with HIV in many countries, so that sufferers can obtain their medication. Today, HIV and AIDS, as well as other diseases like cancer, are prime issues in politics, as leaders try to fund scientific efforts to cure them. In Jesus' time, however, lepers, or those with contagious diseases, were seen as outcasts by society. They, too, were political issues, but the issue was how to contain the sufferers, not how to help them. Thus, with this contemporary view of Jesus' political time in light of contemporary politics, one can see how Jesus could quite easily have…

sufficient evidence for its hypothesis or claim?

The paper is clear int hat it provides us with Introduction, body, and conclusion. The theme is simple too: health care providers (the paper tells us) need to respect, acknowledge, and understand the challenges that the 3 religions -- Judaism, Islam, and Shintoism -- can provide to th health care system. The health system needs to know how to satisfy adherents of these religions in order to optimize their medical care.

The paper then goes through a brief description of each religion (in Judaism's case, of Orthodox Jews) particularly as touches on their medical care and cursorily describes how medical practitioners can meet these needs. There are many more points that can be mentioned, particularly in the case of Orthodox Judaism where the profession may be riddled with many more challenges, such as kosher (and food regulation exist with Islam too). In the…

Hospital Evaluation Project

The world of healthcare is continually evolving. For professionals, this means that they must possess certain skill sets. In the case of graduate nurses, these issues are becoming more pronounced with the increasing demand which is placed on them. Training programs are effective in helping organizations to become responsive to the different challenges they are facing. To improve the effectiveness of them requires assessing specific psychomotor skills. This will be accomplished by developing an evaluation plan, identifying test objectives, defining parameters of the evaluation, the psychomotor skills they must possess, the steps, assigned weighting, grading rubric, passing scores and grading parameters. Together, these elements will highlight the best avenues for training graduate nurses about the challenges they are facing and the skills they must utilize. (Kovner, 2011)

Psychomotor skills are focusing on the way the mind interprets information and how the individual reacts. At the heart of…

References

Harrington, C. (2008). Health Care Policy. Hoboken, NJ: Wiley.

Kovner, A. (2011). Jonas and Kovner's Healthcare Delivery in the United States. New York, NY: Springer.

Masters, K. (2013). Role Development in Professional Nursing. Burlington, MA: Jones and Bartlett.

Noe, R. (2013). Employee Training and Development. New York, NY: McGraw Hill

Thermo Therapy

Application of healing thermal agents to certain body areas that feel wounded or dysfunction is heat treatment. The main use of a heat treatment is to help alleviate pain, support muscle repose, increase function of the tissue cells, improve blood flow, and remove poison from cells and to increase the extensibility of soft tissues. Superficial and deep are the two types of heat treatment. Superficial heat treatments apply heat to the exterior part of the body. Heat aimed at certain inner tissues through ultrasound or by electric current is deep heat treatment. Heat treatments are favorable before exercise, giving a limbering up result to the soft tissues involved. Heat treatment using conduction as a form of heat transfer in hot pacts is very common. Damp heat packs are easily available in most hospitals, physical treatment centers and sports teaching rooms.

For tissue heating many thermal agents are on…

References

Bigos S, Bowyer O, Braen G. et al. Acute lower back problems in adults. Clinical Practice Guideline, Quick Reference Guide Number 14. Department of Health and Human Services, Public Health Service, Agency for Health Care Policy and Research, AHCPR Pub. No. 95-0643. December 1994.p.3-6

Biundo JJ Jr., Torres-Ramos FM: Rehabilitation and biomechanics. Curr Opin Rheumatol 1991 April; 3(2): 291-99

Fedorczyk J: The role of physical agents in modulating pain. Journal of Hand Therapy 1997 Apr-June; 10(2): 110-21

Grana WA: Physical agents in musculoskeletal problems: heat and cold therapy modalities. Instructional Course Lecture 1993; 42: 439-42.

Interventional Pain Clinic (IPC) as part of PeaceHealth Southwest Washington Hospital, located in Vancouver, Washington. This descriptive essay will be used to assist in developing focus on future projects with this class. This essay will give a background and history of this institution before investigating some of the specific purposes of the pain clinic. This community need will be explained and how this need does or does not specifically address the population this facility is attempting to serve.

PeaceHealth Southwest Medical Center has deep roots within this pacific northwest community. The original building was established in 1858 and the hospital was called St. Joseph Hospital. This hospital was originally founded by Mother Joseph Pariseasu and it is the oldest hospital in this part of the country. The other side of this merger began with Clark General Hospital which opened in 1929 to honor and serve military veterans and later changed…

References

PeaceHealth Southwest Medical Center Homepage. Visited 5 July 2013. Retrieved from http://www.swmedicalcenter.org/default.cfm

al., 2010).

Nursing and the E

The Emergency oom is often one of the most visible parts of healthcare for political debate. It is also one of the most difficult environments for a modern nurse. It is interesting that one of the founders of modern nursing had emergency experience prior to developing her overall theories. Nightingale also looked at negatives and positives that are the conditions, which could help make people recover and reach their actual potential, as also noted by Maslow hierarchy of needs. She did not look or speak directly of the disease per se, but rather, looked at air, clean water, environment, and sanitation. She published her book in1860 with the title a "Notes on Nursing: What it Is and What it Is Not," connecting human beings and quality of human life, and comparing the stagnant sewage she saw in Scutari, as well as in London. She…

References

Americans at Risk. (March 2009). Families USA. Retrieved from:

 http://www.familiesusa.org/assets/pdfs/americans-at-risk.pdf 

Patient Perceptions in the Emergency Department: Physicians, Physician Assistants,

Nurse Practitioners. (30 August 2010). Retrieved from:  http://idiopathicmedicine.wordpress.com/2010/08/30/patient-perceptions-in-the-emergency-department-physicians-physician-assistants-nurse-practitioners/

Routine Shaving of the Surgical Site

Select a preoperative procedure (e.g., routine shaving of the surgical site) that you would commonly find on a surgical floor.

Describe the process or procedure you have chosen and why you think it needs change.

The process which I have chosen for surgical floor is routine shaving of the surgical site and I think it needs change because patients going through surgery are required to remove hair from the site of the cut. This is considered to reduce the chance of the surgical site becoming infected (National Collaborating Centre for omen's and Children's Health, 2008). Shaving, clipping the hair and using a cream which dissolves the hair are some of the different methods available to remove hair. And these are important because clinically, care plans offer a way to plan and communicate appropriate patient care.

A2. Based on your initial investigation of the situation,…

Works Cited

Collins, A.S. (n.d.). Preventing Health Care - Associated Infections. Retrieved October 30, 2012, from National Center for Biotechnology:  http://www.ncbi.nlm.nih.gov/books/NBK2683/ 

Graham, I.D., RN, J.L., Harrison, M.B., Straus, S.E., Tetroe, J., RN, W.C., et al. (2006). Lost in knowledge translation: Time for a map? Journal of Continuing Education in the Health Professions, 13-24.

Green, L.A., & Seifert, C.M. (2005). Translation of Reserch into Practice: Why we can't "Just Do It." PubMed, 541-545.

National Collaborating Centre for Women's and Children's Health. (2008, October). Surgical Site Infection: Prevention and Treatment of Surgical Site Infection. Retrieved October 29, 2012, from Nice.org.uk:  http://www.nice.org.uk/nicemedia/pdf/CG74FullGuideline.pdf

Future of Healthcare as it Relates to the Geriatric Population

Description and Problem Statement

The geriatric population in the United States is growing and compared to the population of health care providers the geriatric population growth is advancing much more rapidly. This presents a problem in making provision of health care to the future geriatric population. While there is a growth in the demand for geriatric health care services, there is not a matching growth in the population of health care providers and in fact, a shortage presently exists.

The population of geriatric patients is experiencing rapid growth while the population of health care providers specifically trained in geriatric medicine is seriously lagging behind. In fact, of the approximately 650,000 medical doctors who are practicing, only a small percentage receives the training and education required to provide geriatric care. Exacerbating the problem is the fact that only three medical schools…

Bibliography

Bagel, LM (2011) Designs to Support Aging Acute Care Patients. Elder Care. Health Facilities Management. Retrieved from:  http://www.hfmmagazine.com/hfmmagazine/jsp/articledisplay.jsp?dcrpath=HFMMAGAZINE/Article/data/04APR2012/0412HFM_FEA_interiors&domain=HFMMAGAZINE 

Gottlieb, S. (2013) Medicare Has Stopped Paying Bills For Medical Diagnostic Tests. Patients Will Feel The Effects. Forbes 27 Mar 2013. Retrieved from:  http://www.forbes.com/sites/scottgottlieb/2013/03/27/medicare-has-stopped-paying-bills-for-medical-diagnostic-tests-patients-will-feel-the-effects/2/ 

Graverholt, B., et al. (2011) Acute hospital admissions among nursing home residents: a population-based observational study. BMC Health Services Research 2011. Retrieved from:  http://www.biomedcentral.com/1472-6963/11/126 

Healthcare in America: Trends in Utilization (2004) U.S. Department of Health and Human Services. Retrieved from:  http://www.cdc.gov/nchs/data/misc/healthcare.pdf

Letter Against Unionization

Dear Mr. Hines

Thank you for our recent discussion regarding the American Professionals Union's attempt to organize our nursing staff. The nurses have made their many grievances known and I have listened intently to their rationale about unionizing. With the widespread shortage of nurses, many hospitals have given way to unionization. This is not a new trend. It is a popular way for nurses to resolve challenges and negotiate salaries. The American Nurses Association first endorsed collective bargaining in the later 19040s and at the time, viewed it as the road to improving both wages and working conditions (Carrell & Heavrin, 2007). Today, nurses' attention has shifted from wages, benefits, and work conditions, to also include patient issues. ecent strikes in California, Minnesota and Pennsylvania have focused on nurse to patient ratios in particular, after extensive research revealed a direct correlation between minimum nurse to patient ratios…

References

Carrell, M.R., & Heavrin, C. (2007). Labor relations and collective bargaining: Cases, practice, and law (9th ed.). Upper Saddle River, NJ: Prentice Hall.

Harrison, M. (2012). Nurses Need the Right to Strike to Protect Patients. Nursing Standard, 26(34), 33.

Gillen, S. (2012). Under deconstruction -- employers chip away at Agenda for Change. Nursing Standard, 26(34), 12-13.

Sherwood, C. (2012) Untruths. Retrieved June 7, 2012 from  http://www.stopunions.com .

Search the U.S. Department of Health and Human Services National Guideline Clearinghouse website at http://www.guideline.gov / for a quality guideline that pertains to the area of nursing in which you are interested. Describe the guideline and how the information could be used in a process improvement project. Reference the website.

Quality Guideline: Pressure ulcer prevention. In: Evidence-based geriatric nursing protocols for best practice at http://www.guideline.gov/content.aspx?id=43935.

With the elderly segment of the merican population growing more rapidly than any other, there are going to be a number of age-related infirmities that will require informed healthcare services in the future. This quality guideline sets forth best evidence-based practices for the prevention and care of pressure ulcers and skin tears for the clinical specialties of nursing, family practice and geriatrics with intended users including advanced practice nurses and nurses. The stated guideline objectives are to provide a standard of practice protocol for: (a)…

Agency for Healthcare Research and Quality. (2014). CUSP Toolkit. Retrieved May 11, 2014 from http://www.ahrq.gov/professionals/education/curriculum-tools/cusptoolkit/index.html

Safety in the workplace is everyone's responsibility and preventing the spread of increasingly resistant infectious agents represents a timely and valuable enterprise. One straightforward method that has been used to good effect to help coordinate the actions of all healthcare practitioners is the Comprehensive Unit-based Safety Program (CUSP) toolkit. This training program for healthcare providers is intended to promote teamwork and improve communication levels in ways that reduce the risk of infection and improve the safety of healthcare delivery systems.

One practice area that the CUSP toolkit can be used to plan a process improvement project in my workplace is through a reduction in patient falls. Currently, patients are allowed to fall up to three times before a fall flag was placed on their bed alerting healthcare providers of the patient's potential fall risk and placing a notice on the electronic and hard-copy medical records to this effect. In some cases, patients have been severely injured (in fact, one patient even died after his surgical wound became infected when it was contaminated by the contents of his colostomy bag that ruptured when he fell on it) before an medical record and fall flag alerts were posted. The current system requires improvement in order to reduce the prevalence of falls in this tertiary healthcare facility. Implementing the principles of the CUSP toolkit would provide a consistent approach to risk management for patients that are at risk of falling during the in-patient stay, including identifying better ways to conduct assessments and the number of falls that should be allowed before an alert is posted.

S ome aromas even affect us physiologically" (p. 38). esearchers exploring human olfaction have determined that:

faint trace of lemon significantly increases people's perception of their own health.

Lavender incense contributes to a pleasant mood -- but it lowers volunteers' mathematical abilities.

A whiff of lavender and eucalyptus increases people's respiratory rate and alertness.

The scent of phenethyl alcohol (a constituent of rose oil) reduces blood pressure.

These findings have contributed to the explosive growth in the aromatherapy industry; according to Furlow (1996), "Aromatherapists point to scientific findings that smell can dramatically affect our moods as evidence that therapy with aromatic oils can help buyers manage their emotional lives" (p. 38). According to Ornstein and Sobel, one recent experiment to determine the effect, if any, of fragrances on mind/body involved subjects being wired to physiological monitoring equipment, and then being interrogated with stress-provoking questions, such as "What kind of person…

References

Anderson, B.J., Manheimer, E. & Stein, M.D. (2003). Use and Assessment of Complementary and Alternative Therapies by Intravenous Drug Users. American Journal of Drug and Alcohol Abuse, 29(2), 401.

Aromatherapy Therapy Chart of Essential Oils by Therapeutic Effect. (2004). MoonDragon's Aromatherapy Chart. Available:  http://www.moondragon.org/aromatherapy/aromatherapychart.html .

Ba, T.R.D.N. (Ed). (2003). An Introduction to Complementary Medicine. Crows Nest, NSW: Allen & Unwin.

Battista, J.R., Chinen, A.B. & Scotton, B.W. (1996). Textbook of transpersonal psychiatry and psychology.

As per Dr. Sacks, Alzheimer patients take advantage from listening to the familiar music. The music entails them memory stimulus, restoring the accessibility to personal history. It is said to have motivated the powers of speech and the thought process. However, his entire emotional as well as intellectual configuration, his life history, his identity, is greatly influenced by the music. The study of psycho-neuroimmunology narrates the influence of neuropeptides on human emotions. The beta-endorphins appear to be released and the body is permitted to perform its own healing work on physiological level, while the person is in a relaxed condition. The music therapy attempts to bring such state which is revealed to be 'audio analgesisa'. (Music Heals: Music for Healing and Transition)

5. What facilities practice this form of therapy and where and is it becoming more and more popular?

The Kaiser-Permanente Medical Center in Los Angeles was regarded to…

References

Alzheimer's and Other Dementias: Understanding the Differences. Retrieved at  http://www.helpguide.org/elder/alzheimers_dementias_types.htm . Accessed 6 June, 2006

Forgeron, Nicole. The Impact of Music Therapy on Alzheimer's Disease Patients. March, 1999. Retrieved at http://faculty.uccb.ns.ca/gcarre/courses/health/music.htm. Accessed 6 June, 2006

Gerosa, Cristina. M; Bonanomi, Claudio. Observation of the Alzheimer Patient and Music

Therapy. Retrieved from www.musictherapyworld.de/modules/mmmagazine/issues/20020801160643/20020801170306/Bonamifinal.htm. Accessed 6 June, 2006

" 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

Nursing Leadership and Management

Organizational Analysis -- The Organization

The hospital is well recognized and has been named a top 100 Heart hospital and top 100 hospitals nationally. The organization also has a nationally ranked children's hospital that has newborn and pediatric intensive care services. Sanford Medical Center is a level II trauma center that is supported by AirMed transport services that cover a three-state area. The services offered within the facility include:

• 3D Mammography

• Allergy & Immunology

• Behavioral Health

• Breast Health

• Cancer/Oncology

• Children's/Pediatrics

• Dermatology & Cosmetic Services

• Diabetes & Endocrinology

• Ear, Nose & Throat

• Emergency Medicine

• Family Medicine

• Neurology

• Ophthalmology

• Cardiology

• Palliative care

• Laboratory and Pathology

• Surgery

• Radiology

Sanford Medical Center is a not-for-profit rural health facility. The facility does partner with the community to bring health and healing to the…

Mozart especially did the trick. Einstein loved Mozart's highly organized, intensely patterned sonatas. He felt, as many before him, that music and the reasoning intellect were linked. Music and his scientific work...were 'born of the same source.'" (Dowd, 2008) a report conducted by the German Ministry of Education in 2007 while failing to uphold music having a long-term influence on intelligence did state findings of a "link between musical training and IQ development." (Dowd, 2008) Dowd additionally reports that "...brain mapping has revealed that professional musicians have more grey matter in their right auditory cortex than non-musicians, as if practicing an instrument flexed a muscle in the brain." (2008) Dowd states: "It seems increasingly likely that the long-term practice of playing music, rather than merely listening, can have the kind of impact suggested by the Mozart Effect. Einstein, after all, organized his mind by playing the violin, not listening to…

Bibliography

Bangeter, Adrian and Health, Chip (2005) the Mozart Effect: Tracking the Evolution of a Scientific Legend. Group de Psychologie Appliquee, Universite de Neuchatel, Switzerland.

Braun, Melanie (2005) Exploring the Efficacy of Vowel Intonations. The Rose+Croix Journal 2005. Vol. 2. Online available at  http://www.rosecroixjournal.com/issues/2005/articles/vol2_11_21_braun.pdf 

Donald Hatch Andrews, the Symphony of Life (Unity Books, 1966), pp. 55, 58.

Dowd, Will (2008) the Myth of the Mozart Effect.- the Skeptic Magazine. 1 Jan 2008. Online Highbeam Research at  http://www.highbeam.com/doc/1P3-1419874671.html

Greening of the Health Care System

The objective of this work in writing is to examine problems and solutions to increase greening of the health care system. Towards this end, this work examines and reports literature in this area of study.

It is reported that Pittsburg, PA was, in the 1940s a place coping with extreme pollution and was known as 'the Smoky City'. However in the 1940s leaders in the city met with architect Frank Lloyd Wright inquiring as to what might be done to improve the city. The leaders chose to change the environment "and stimulate new ways of thinking." (oard on Population Health, 2007, p.45) The businesses in Pittsburg were required to change from coal to gas and other fuels that were smokeless for heating and that begin "a significant green renaissance for Pittsburg and created was "a livable, diverse economic region, with one of the most…

Bibliography

Green Healthcare Institutions: Health, Environment, and Economics, Workshop Summary (2007)

Board on Population Health (BPH)

VA Sierra Nevada is Greening Our Healthcare System (nd) Retrieved from:  http://www.reno.va.gov/docs/GREENING_OUR_HEALTH_CARE_SYSTEM.pdf 

A Practical Approach to 'Green' for Health Care Providers (2009) Deloitte. Retrieved from: http://www.deloitte.com/assets/Dcom-UnitedStates/Local%20Assets/Documents/us_lshc_PracticalApproachtoGreeningforProviders_082609.pdf

Healthcare Finance

Government rules:

In United States the Congress had passed the Medicare Prescription Drug, Improvement and Modernization Act of 2003 or MMA and with this imposed a stoppage for 18 months on the starting of new physician owned specialty hospitals. At the same time, they also wanted to know the position regarding certain matters of physician owned heart, orthopedic and surgical specialty hospitals through MedPAC. The team visited sites, made legal analysis and met the share owners in these hospitals and finally presented a report to the Congress. It had also gone through the cost reports received from Medicare and inpatient claims of 2002, which was the most recent at that time. This will naturally form the basis of such hospitals being permitted or not. (Physician-owned specialty hospitals)

Findings of MedPAC:

The findings of this committee showed that:-

Physician owned hospitals generally treated patients who had less severe problems…

REFERENCES

"Healing Ministry of the Madras Diocesan Medical Board" Retrieved from  http://www.csimadrasdiocese.org/hospital.htm  Accessed 21 August, 2005

Kamath, Gauri. "Doctors in arms" Retrieved from http://www.businessworldindia.com/Nov1003/indepth01.asp

Accessed 21 August, 2005

"Parkwest Medical Center" (October 25, 2004) Retrieved from  http://www.covenanthealth.com/coldfusionapplication/covhlthwhatsnew/Detail.cfm?Post_ID=12027  Accessed 21 August, 2005

Heal Sometimes: My Nursing Ethic

The job of a nurse is to help their patients (Board of Registered Nurses 2013). This is more than just helping to heal their physical or mental illnesses or injuries. It is also about being compassionate and understanding, to make the patient feel safe and to try to help them deal with the anxiety and fear of being in a hospital setting. As a nurse, I believe in doing everything that is possible to help my patients while maintaining ethical standards as well. In the chapter entitled "To Heal Sometimes, to Comfort Always," the author explains that there is far more to nursing than simply evaluating illness or injury and helping to provide treatment for the condition. Above all else, a nurse should be the person who treats the mental state of the patient and tries to make them feel better about being in a…

Works Cited

American Nurses Association (2014). American Nurses Association Inc.: Silver Springs, MD. Retrieved from  http://www.nursingworld.org/nursingstandards 

Board of Registered Nursing (2013). Department of Consumer Affairs. State of California.

Retrieved from  http://www.rn.ca.gov/about_us/whatisbrn.shtml 

Kass, L.R. (n.d.). The Hippocratic oath.

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.

Linguistic analyses of conversational patterns indicate that most pauses can be predicted by linguistic structures, such as clause or sentence breaks" (Levitt, 334) by eliminating some of the non-verbal factors that may tend to undermine these silences, I would find that the interviewee was far more comfortable with the nature of the interview and its opportunity for a free and informal discussion relating to treatment experience, personal history and current disposition.

3. Conclusion

The helping model, according the research which was conducted in preparation for and in light of Mr. Smith's situation, would be further illuminated by the interview. Here, firsthand interaction illustrated that individuals who have undergone such institutional experiences are sometimes eager to share details and feelings directly related thereto. The way that Mr. Smith opted to open up would be especially revealing in verifying the value of allowing one's self to fully accept and understanding the nature…

Works Cited

Levitt, H.M. (2002). The Unsaid in the Psychotherapy Narrative: Voicing the Unvoiced. Counselling Psychology Quarterly, 15(4): 333-350.

Myers, S. (2003). Relational healing: To be understood and to understand. Journal of Humanistic Psychology, 43(1): 86-104.

Myers, S. (2000). Empathetic listening: Reports on the experience of being heard. Journal of Humanistic Psychology, 40(2): 148-173.

Rogers, C.R. (1995). What understanding and acceptance mean to me. Journal of Humanistic Psychology, 35(4): 7-22.

Accessed 08 Feb, 2012 from http://findarticles.com/p/articles/mi_m0U/is_12_27/ai_n17165803/pg_4/?tag=content;col1

Part 2

Quality improvement research enables hospitals and doctors a means of maximize their services and ensuring that the patients receive the utmost care. A difficult area for doctors to find a solution was the area of compliance. Many patients fail to accept a physician's advice and their illness continues resulting in repeat hospitalizations and further injury to the patient.

In a study conducted in 1976, concerned physicians wanted to find a means of getting patients to better cooperate with their recommended treatment options. Prior to the study, less than half of the hospital's patients followed their doctor's advice and took their medication as prescribed. The one group that was most notorious for this was high blood pressure patients. So, this was the group that the study targeted and tried to improve the outcome of.

uring the study, doctors were trained on a new…

During the study, doctors were trained on a new communication technique known as patient centered communication. This technique required the doctors to fully listen to the patient's description of symptoms, probe deeper with followup questions, educate the patient on their condition and explain the purpose of the recommended treatment in improving the condition. Half of the patients were treated using this technique while the other half were treated using the standard technique. The result was that the technique doubled the amount of patients who took their medication.

This study followed a Stetler model where the problem of non-compliance was identified and reasons for the problem theorized. A solution was then constructed and attempted alongside a control group and the results were tracked. In this case, the intervention proved successful and the results revealed the improved success rate.

Inui TS, Yourtee EL, Williamson JW (1976). Improved outcomes in hypertension after physician tutorials. A controlled trial. Ann Intern Med. 84(6), 646 -- 651.

The garden was located at the back of the unit, and instead of watching television or aimlessly wandering the halls, I witnessed the residents spend hours tilling the soil, planting seeds, tending the young shoots, harvesting the fruits of their labor, and finally cooking and serving their creations. What can be more inspiring than knowing you can feed yourself and your friends? The change in their appearance was remarkable. Gardening and cooking was not just a hobby, it was a metaphor for their ability to regenerate themselves in mind and body.

My dream is to own my own restaurant, a place where all of the food on the menu is grown and raised on-premises. I would also like to employ members of the community along with professional hospitality staff to serve in the restaurant and tend the garden. My hero is Dan Barber, a man who has successfully united his…

ursing Annotated Bibliography

ursing

Annotated Bibliography

Annotated Bibliography

This article categorizes diabetes as an epidemic that can responds well with the adjunctive treatment of HBOT. The authors use two clinical case studies in their literature review of how oxygen plays a part in the healing of lower extremity diabetic ulcers. They argue for the necessity of further study and research into HBOT because of its efficacy and the potential to drastically lower medical costs for diabetic patients, whose numbers continue to increase steadily. There is a very clear focus on the costs of diabetic treatments on a global scale in relation to the number of diabetic patients worldwide, as part of the authors' strategy to advocate the widespread use of HBOT. Charts and color photographs contextualized the text and make the research more concrete in the mind of the reader, especially the photographs of diabetic amputees who have not had…

Neal, M.S. (2001). Benefits of hyperbaric oxygen therapy for diabetic foot lesions. Journal of Wound Care, 10(1), 507 -- 509.

This article provides a quantitative explanation for the presence of lower extremity ulcers and wounds in diabetic patients. The article additional explains how HBOT elevate the presence of circulating stem cells in diabetic patients. Their research aims to prove how HBOT stimulates the vasculogenic stem cell mobilization in the bone marrow of diabetics, which then are used to heal skin wounds. The authors explain their experience with these types of patients and HBOT treatments because at the hospital where they all work, HBOT is standard operating procedure for the qualifying patients in they study. This is another example of a highly statistical article with the presence of charts and graphs, even digital images of blood samples from the participants both in color and in black and white. Images have the potential to bring the reader closer to the content of the text. Their research shows that HBOT increases important agents in diabetics' bone marrow that lead to increased circulation and healing properties.

Thom, MD, PhD, S.R., Milovanova, MD, PhD, T.N., Yang, MD, M., Bhopale, PhD, V.M., Sorokina, E.M., Uzun, MD, G., Malay, D.S., Troiano, M.A., Hardy, MD, K.R., Lambert, MD, D.S., Logue, MD, C.J., & Margolis, MD, PhD, D.J. (2011). Vasculonic stem cell mobilization and wound recruitment in diabetic patients: Increased cell number and intracellular regulatory protein content associated with hyperbaric oxygen therapy. Wound Rep Reg, 19(2011), 149 -- 161.

(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.

17. Johann calls you and says that Billy smells and he needs a shower. If you don't move Billy to another ward, Johann will sign himself out. Explain in details what you would do to resolve this cross cultural situation.

I would tell Johann that we are doing all we can to ensure Billy's hygiene and that if his body odor continued to bother Johann that we can move him to another room or ward in the hospital.

18. There seems to be a language and cultural barrier that's blocking effective communication occurring between these two gentlemen. Considering they are both your clients, what strategies would you put in place to improve this situation?

The best way to remedy the situation would be to introduce the two patients to each other. A handshake, some eye contact, and small personal interactions can go a long way toward eliminating prejudices and stereotypes…

References

Australian Indigenous HealthInfo.net (2008). Retrieved Feb 29, 2008 at  http://www.healthinfonet.ecu.edu.au/ 

Department of Education and Training (2005). "Racism No Way." Retrieved Feb 29, 2008 at  http://www.racismnoway.com.au/library/cultural/ 

Indigenous Peoples of Australia: Health." Retrieved Feb 29, 2008 at  http://www.ldb.org/oz_h.htm

PTSD & SPIITUALITY

PTSD/Spirituality

Health care and spirituality have long been linked and involved with each other. This involvement and linkage goes far beyond the stereotypical "faith healers" that have become the butt of many jokes. Indeed, faith is used by many to get through struggles and challenges of many kinds. Post-traumatic stress disorder (PTSD) is no different in this regard. While medication and therapy are the more commonly cited ways to address and treat PTSD, faith-based options are also quite common. These spiritual methods are easy to apply in the patient care sphere given that many hospitals are religiously based and/or are willing to tailor a patient's emotional and mental care based on their specific faith. While there can be some pushback when religious and spiritual values are suggested as part of a care program, the use of these values can absolutely be beneficial to a person's mental well-being…

References

Bormann, J., Liu, L., Thorp, S., & Lang, A. (2012). Spiritual Wellbeing Mediates PTSD

Change in Veterans with Military-Related PTSD. International Journal Of

Behavioral Medicine, 19(4), 496-502. doi:10.1007/s12529-011-9186-1

Currier, J.M., Drescher, K.D., & Harris, J. (2014). Spiritual functioning among veterans seeking residential treatment for PTSD: A matched control group study. Spirituality In Clinical Practice, 1(1), 3-15. doi:10.1037/scp

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/

mily-Rose had just turned 36 and was in her first semester at university when her world began to crumble. This could not have come at a worse time as she has always looked forward to doing a Health Studies degree. Her friends and family were alarmed at the sudden moodiness, insomnia, fatigue, headaches, confusion, joint and muscle pain, nausea & #8230;and above all, the enduring feeling of tiredness she complained of.

mily-Rose has suddenly changed from a happy woman to someone who battled daily episodes of what she calls extreme tiredness and anxiety. In the first three weeks of starting university, her husband Harry and sons, Brian and Bob have put this down to overwork at university and firmly told her to "slacken up a bit." Although she tried a new relaxation regime suggested by her friend Anita, she still complained of daily episodes of overwhelming tiredness and general malaise.…

Even in the west we have a relatively new field, psychoneuroimmunology (PNI) that suggests a connection between mind and body. In 1964, psychiatrist George Solomon noticed that patients with rheumatoid arthritis got worse with depression. His reasoning was that the mind has an impact on inflammation and on the general immune system.

Another physician, Herbert Benson, later showed how medication could affect blood pressure and he coined the term "relaxation response." Mind -- body connection was becoming increasingly popular and reached further publicity when Robert Ader in 1975 showed the impact that the mind (and cognitions as well as mental state) had on the immune system.

Today, the mind has achieved a larger place in Western medical practice, although conventional medicine still battles with its principals and, in many places, denies its exclusive veracity. There are some areas that are still in doubt

Indigenous Australians and Diabetes

In Adelaide the first case of diabetes in Indigenous people was noted in 1923. The records clearly show that Indigenous people didn't diagnose diabetes at the time as they were fit, lean and in good shape. Apart from that, they didn't have any metabolic ailment at the time. Till the 1960's, the estimates of diabetes in Indigenous people weren't taken and no investigation done until then. Then a connection was found between indigenous population and westernized living in the population as type-2 diabetes was slowly starting to materialize. Since then, type 2 diabetes has been deemed as the most worrying health problems in Australia as the probability of it being in the population is four times (Australian Indigenous HealthInfoNet, 2007a).

Diabetes and the afflicted person

Diabetes can affect a person in many ways as shown below:

Family

Work

Daily life

Emotionally

Monetarily

Physically (Shaw, 2012)

Physical…

References

Australian Bureau of Statistics, Australian Institute of Health and Welfare (2006) The health and welfare of Australia's Aboriginal and Torres Strait Islander peoples 2006. Canberra: Australian Institute of Health and Welfare and the Australian Bureau of Statistics.

Australian Indigenous HealthInfoNet (2007a) Review of diabetes among Indigenous peoples. Retrieved June 7, 2014 from  http://www.healthinfonet.ecu.edu.au/ chronic-conditions/diabetes/reviews/our-review' target='_blank' REL='NOFOLLOW'>

Tis is not to say owever, tat all classical music is sooting and terapeutic. In fact, te majority of traditional classical music are not terapeutic because tis is not te intent of te original masters. Concertos by Beetoven, Bac and Brams for example all focus on arousing strong emotion rater tan arnessing te power of strong terapy, terefore te pysical presence and rytmic are not necessarily terapeutic. Mozart's no. 23 owever, is an ideal example of terapeutic music. Tis is because te affects of entrainment is easily observed troug studies on te affect of tis music on oters. Wile listening to te music, people say tat it "relaxed and sooted," upon monitoring wit medical equipment it is observed tat te music lowered bot teir blood pressure and eart rates. Te reason is tat Mozart's concerto affects individuals in bot a psycological and pysical sense. Wile te classical music made people…

http://news.bbc.co.uk/1/hi/uk/387632.stm .

Vanasco, Jennifer. American classical music: Exploring roots, reflections. Jan.

1998. Chicago Chronicle. 3 Feb. 2007  http://chronicle.uchicago.edu/980108/musymp.shtml .

Teaching Plan

In the field of nursing, there are a variety of challenges which are having an impact on practices. To deal with these issues, various theories have been developed. They are focusing on the way specific approaches can improve quality and enhance professionalism. In the case of treatment and care, these issues are problematic as many nurses are often overworked and can spend only a select amount of time with patients. To address these issues, Watson's Theory of Human Caring was developed. It is a practice based theory that concentrates on several different areas to include: kindness, transpersonal relationships, spirituality and enhancing the environment. These theories are augmented with my experiences in the field to improve quality and alleviate suffering. This is important, as it showing how Watson's views are critical in providing better attention and support to patients. (Watson, 2011)

At the heart of this approach, is a…

Evaluation of Teaching Experience

Watson's Theory of Human Caring is focusing on how to improve safety and quality inside the clinic. This is achieved by concentrating on several different variables in conjunction with each other. The most notable include: practicing kindness, cultivating spiritual practices, being supportive, teaching, creating a healing environment, assisting with basic needs and allowing for open miracles to occur. In this case, the theory can become a credo for all nurses and healthcare professionals inside the facility to follow. This means placing more of an emphasis on monitoring the patient's condition, educating them about their role in the treatment and alleviating suffering as much as possible. (Jones, 2007) (Kelly, 2013)

The way it will be applied is to show how the lack of

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

As a final chapter, this is a good culmination of the supporting points the author uses throughout her work.

In every book chapter, the author provides compelling evidence for the various ways in which medicine is used to accomplish not only physical health goals, but also economic and social ones. Each individual uses the medical direction he or she deems to be most appropriate to his or her specific social and economic concerns. At the start of the book, for example, the Western doctor and his medicine were used to get closer to the Methodist church leader and potential membership in this church. Although I do feel the book makes its point well, I do not believe that medical systems really merits their status as primary vehicle towards secondary goals. Instead, there is an entire networks of primary and secondary resources to accomplish both. I feel the book could have…

References

Crandon-Malamud, L. (1991). From the Fat of Our Souls: Social change, Political Process, and Medical Pluralism in Bolivia. The Regents of the University of California.

Sharp Medical Center, San Diego is a hospital whose mission is to enhance the health of its clients through a commitment to excellence in all its operations. As part of its commitment to provide affordable and accessible health care services, the hospital applies the 10 rules for redesigning the healthcare system through:

Patient-centered Care and Patients as the Source of Control:

According to the Institute of Medicine, some of the important rules for redesigning the 21st Century healthcare system include customization of care based on patients' values and needs and patients being regarded as the source of control over health care decisions affecting them ("Crossing the Quality Chasm," 2001). Sharp Medical Center has applied these rules through providing special services to patients and their families via online patient tools and information about visiting hours. Through the provided information, the hospital's patients and their families are able to make informed decisions…

References:

Cuellar, A.E. & Gertler, P.J. (2005). How The Expansion of Hospital Systems Has Affected

Consumers. Health Affairs, 24(1), 213-19. Retrieved from  http://content.healthaffairs.org/content/24/1/213.abstract 

Institute of Medicine [IOM]. (2001, March). Crossing the Quality Chasm: A New Health System

for the 21st Century. Washington, DC: National Academies Press. Retrieved February 8, 2012, from http://www.iom.edu/Reports/2001/Crossing-the-Quality-Chasm-A-New-Health-System-for-the-21st-Century.aspx

Task 2

The basic problem in this research is to figure out whether open visitation will benefit or harm the patients in the ICU. The study being carried out is to determine what the nurses and the family of the ICU patients have to say about this issue. This topic is very controversial because the rules and regulations are not the same in all hospitals. Even if there are strict rules established, many nurses go on to bend the rules on their own liking or convenience. This, therefore, leaves a lot of ambiguity for the medical world including the nurses and the family of the patient. With more insight as to what the two populations think, this matter can be looked into for further exploration.

The research design will basically consist of quantitative approach towards the ICU nurses and the family of the patients. Both the groups will be questioned…

References

Biley, F. (2007).Issues in Intensive Care Visiting.Intensive Care and Critical Care Nursing, 4 (2), pp.75-81.

Bourman, C. (1984). Identifying priority concerns of families of intensive care unit patients.Dimensions of Critical Care Nursing, 5,313-319.

Bunker, W. (2006).Integrating Cultural Safety into Practice.Kaitiaki Nursing, 2 (4), pp.1045-78.

Caine, R. (1989). Families in crisis: Making the critical difference. Focus on Critical Care, 16,184-189.

Efforts to Achieve Healthy Aging

Ping-Chung Leung

Institute of Chinese Medicine, The Chinese University of Hong Kong, HKSA.

Abstract: Longevity is a blessing as long as good health is not lost. However, the tendency to have a decline on normal physiological activities is inevitable because of the natural processes of degeneration at all levels: molecular, cellular and organic. Hence, the elderly people frequently suffer from cardiovascular problems and skeletal deteriorations that gradually develop to disabilities. Awareness of factors leading to unhealthy aging has led to the formation of different professional groups that aim at the maintenance of health of aging community. The approach tends to be target orientated for the European and US groups, aiming at hormonal replacements and detoxification. In contrast, the oriental groups have been keeping their traditional belief of prevention and internal balance, using nutritional arrangements and non-strenuous exercise as means of maintaining health.

Keywords: chinese medicine,…

References
Abreu, M.T., Fukata, M. and Arditi, M. 2005. T.L.R. Signalling in the gut
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Benno, Y., Shiragami, N., Uchida, K. et al. 1986. Effect of Moxalactum on Human Fecal Microflora. Antimicrob. Agents Chemother.,
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Buckwalter, J.A., Heckman, J.D. and Petrie, D.P. 2003. Aging of the North American Population: New challenges for orthopaedics. J. Bone Joint Surg. Am., 85-A(4):748 - 58.
Census and Statistics Department, The Government of Hong Kong Special
Administrative Region. 2007. Style Guide [online]. Accessed 23 June
2008. URL:  http://www.censtatd.gov.hk/hongkongstatistics/