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These people do not have access to as many or as wide a range of health services as those who live in cities. "The services that are in short supply in rural areas are those provided by nurses, health technology personnel, dentists, physical therapists, pharmacists, and opticians" (Bull and DeCroix Bane, 1993).
Nurses and nurse practitioners play a significant role in providing good community-based health care to older people in rural communities. Health promotions, education, and coordination of care are a tremendous need among this group of people. Unfortunately these older populations of people that live in rural areas have limited access to nursing care along with many other health care services. A lack of financial support and inflexible reimbursement programs from insurance companies continue to hinder accessibility to health care in these communities. Partnerships and education programs along with nurse managed clinics are being looked at as ways to…
Bull, Neil C. And DeCroix Bane, Share. (1993, Summer). Growing old in rural America: new approach needed in rural health care. Aging. Retrieved March 23, 2009, Web site: http://findarticles.com/p/articles/mi_m1000/is_n365/ai_13253367/pg_6?tag=content;col1
Diet Quality and Food Consumption: Health, Food Consumption, and the Agricultural Sector.
2008). Retrieved March 23, 2009, from United States Department of Agriculture Web site: http://www.ers.usda.gov/Briefing/DietQuality/HealthFood.htm
Frongillo, Edward a., and Horan, Claire M. (2004). Hunger and Aging. Generations, 28(3): 62-
However, in order to prevent ill health, in countries such as India, action has been taken to ensure that working conditions are not negatively influencing the employees, whether they are in factories or offices.
Another important aspect presented by the authors is that or ergonomics, or "discipline involving arrangement of work environment to fit the people in it." (Munirathinam and amesh, 2011, p 30) which is divided into three main areas: physical, cognitive and organizational ergonomics. The Ergonomic programs that have been designed in numerous companies and in particular for office related work functions take into account the proper and healthy behavior of the employee and its relation with the environment and the working tools, whether they are a physical work related instrument or an intellectual work related -- computer.
The implications of the article are rather significant for the area of study. The article provides a comprehensive view on…
Munirathinam, N.T. And G. Ramesh. (2011). Achieving Organizational Effectiveness through Health Management and Ergonomics in "Advances in Management," Vol. 4 (4) April.
Human Trafficking: Health Issues Faced by Victims
Human trafficking can be defined as the recruitment, transfer or harboring of persons, through the use of force, deception, abduction or coercion, for the purpose of exploitation, slavery or involuntary solitude (Case Act, 2012). It is estimated that there are approximately 20 to 30 million persons serving as slaves as a result of trafficking across the world (DoSomething.Org, n.d). According to the U.S. State Department, between 600,000 and 800, 000 people are trafficked across international borders every year (DoSomething.Org, n.d.). Worryingly, 80% of these are women (DoSomething.Org, n.d.). In the U. S, human trafficking rates are highest in the State of California (Case Act, 2012). This has been attributed to the state's extensive ports, large economy, international borders and large population (Case Act, 2012). It is estimated that between 14, 500 and 17, 500 persons are trafficked into the U.S. every year (DoSomething.Org,…
Case Act. (2012). What is Human Trafficking? Case Act. Retrieved December 24, 2015 from http://www.caseact.org/learn/humantrafficking/
DoSomething.Org. (n.d.). 11 Facts about Human Trafficking. DoSomething.Org. Retrieved December 24, 2015 from https://www.dosomething.org/us/facts/11-facts-about-human-trafficking
Community Health Issue
Each segment of the population plays a helpful role in a healthy society. All ages are important in one way or the other as they all have something to contribute to the greater well-being of one another. Today's population reflects an imbalance of sorts. Today many of the elderly people are retiring and requiring more healthcare attention. This segment of the population has the potential to drain the resources of a community in all types of matters. Keeping our senior citizens healthy and active remains a priority for those wishing to see a healthful environment. I've chosen to investigate the senior citizens health problems as a reason to enhance the health of a total society. Specifically investigating into the falls of senior citizens and the problems and opportunities they present will help increase learning and understanding him towards a great potential.
According to the World Health Organization…
Environmental and Global Health Issues
Environmental & Global Health Issues
Communicable disease outbreak: Measles
Until recently, it was thought that measles had been entirely eradicated in the United States, thanks to the success of the national vaccination program. According to the CDC, "measles was declared eliminated from the United States in 2000" (Measles outbreaks, 2012, CDC). However, that proud statement has been amended, as cases of measles have once again begun to reassert themselves slowly within our nation's borders. On average, every year 60 people in the United States contracts the measles. In 2011, that figure skyrocketed to 222. 40% of these cases originated outside the U.S. "They brought the disease to the United States and spread it to others. This caused 17 measles outbreaks in various U.S. communities" (Measles outbreaks, 2012, CDC). Of the countries implicated in the spread of the illness, France, Italy, omania, Spain, and Germany were…
Measles. (2012). CDC Overview. Retrieved: http://www.cdc.gov/measles/about/overview.html
Measles outbreaks. (2012). CDC. Retrieved:
McLean, Huong. (2011). Measles -- United States, 2011. CDC.
Maternal Depression and Parent-Child elationship:
Maternal depression is a major risk factor with significant effects on the development and well-being of young children. The effect of maternal depression and other mental health issues on young children is based on its impact on parent-child relationship. Generally, these mental health issues disrupt the parent-child bond, which results in negative effects on the emotional and social development of child and/or family. In the past few years, maternal depression has become more recognized as a major public health issue across the globe. This is primarily because of its effects on every aspect of a person's life such as family and work to an extent it can lead to suicide. As a result, maternal depression has been the subject of extensive researches that seek to identify its risk factors and methods of reducing it.
eview of esearch Articles:
While it's difficult to estimate the number…
Ammerman et. al. (2010, May). Maternal Depression in Home Visitation: A Systematic Review.
Aggression Violent Behavior, 15(3), 191-200. Retrieved from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2855144/
Huntsman, L. (2008, November). Parents with Mental Health Issues: Consequences for Children
and Effectiveness of Interventions Designed to Assist Children and their Families. Retrieved from NSW Department of Community Services website: http://www.community.nsw.gov.au/docswr/_assets/main/documents/research_parentalmentalhealth.pdf
Community Health Issues
ead transcript Unnatural Causes write a page paper community health issues discussed transcript. Include insight address issues a community health nurse.
Community health issues are mainly affected by the social status of an individual. To improve a community's health one will need to prioritize the community's health issues so as to have a firm base for their plan. This plan will allow the community to utilize properly its limited resources. From the Unnatural Causes transcript, some of the community health issues that affect people are unhealthy diets, smoking, lack of exercises, stress, poverty, unemployment, and education.
It is clear that people who eat healthy meals lead a more healthy life, but due to poverty, majority of people are not able to afford healthy meals, which cause them to purchase fast foods, which are cheaper and can feed more people California Newsreel, 2008.
Educating the family members of…
http://www.unnaturalcauses.org/assets/uploads/file/UC_Transcript_1.pdfCalifornia Newsreel. (2008). UNNATURAL CAUSES: In Sickness and In Wealth, from
Therefore, it becomes critical to understand why African-American women do not reap the same benefit from early detection as other ethnic groups.
One interesting element is that African-American women are less likely to have mammograms than white women. In addition, even African-American women who have mammograms may do so less frequently than white women, so that longer periods of time pass between screenings (Landau, 2012). However, fewer and less frequent mammograms do not fully explain the problems. Furthermore, "Once a woman receives abnormal mammography results, it takes longer for her to get a diagnosis if she's black than if she's white" (Landau, 2012). Therefore, increasing mammograms and their frequency should help reduce the death rate, but the lack of access and use of them is probably linked to financial factors given the link between race and socio-economic status.
One element that cannot be controlled by community health services is that…
American Cancer Society. (2013). Breast cancer. Retrieved February 15, 2013 from Cancer.org website: http://www.cancer.org/cancer/breastcancer/detailedguide/breast-cancer-risk-factors
Landau, E. (2012, November 14). CDC: Breast cancer more deadly in black women. Retrieved February 15, 2013 from CNN Health website: http://thechart.blogs.cnn.com/2012/11/14/cdc-breast-cancer-more-deadly-in-black-women/
Public Health Issues in the Media: Human Trafficking
The impact of the topic and why it is an issue for public health
There is no doubt that human trafficking is a modern form of slavery. Such victims are subjected to sex slavery through threats of violence and various forms of exploitation being meted against them if they do not comply. Victims of human trafficking suffer from range of physical and mental health which result from the experiences of abuse and mistreatment by the traffickers (Gray, 2016; McEachran, 2014). Human trafficking is a global problem that affects economically vulnerable groups more than the rest of society. The nature of trafficking is such that it's a long-term affliction. It affects both the victim and the rest of their community. Thus, human trafficking is a public health problem.
There are many mental and physical effects of trafficking. Some of these include chronic pelvic…
Gray, M. (2016). Why human trafficking is a public health problem. CNN Freedom Project. Retrieved from http://edition.cnn.com/2016/07/11/opinions/human-trafficking-health-margeaux-gray/index.html on 28 June 2017.
Lerum, K., & Brents, B. G. (2016). Sociological perspectives on sex work and human trafficking. Sociological Perspectives, 59(1), 17-26.
McEachran, R. (2014). How social enterprises are combatting modern slavery. The Guardian. Retrieved from https://www.theguardian.com/social-enterprise-network/2014/jan/14/modern-slavery-social-enterprise-solution on 28 June 2017
nurses to research global health issues?
According to Nancy Dickenson-Hazard, chief executive officer of the Sigma Theta Tau International Honor Society of Nursing, confronting the presence in the world of disease, violence, "environmental conditions" and "socioeconomic disparities" very often falls into the hands of "the largest corps of healthcare provides globally, nurses…" (Dickenson-Hazard, 2004), p. 6). First of all, nurses everywhere should be alert to health conditions globally because outbreaks that endanger public health in one country could have a negative impact on health conditions in another country. Disease spreads through transportation systems, immigration, and through shipping of products globally.
Secondly, the Arista Series of conferences that Dickenson-Hazard reports on in her peer-reviewed article (the conferences were held in different parts of the world) identified conditions that "affect nursing and health care" and created specific "strategic actions" to address those conditions (Dickenson-Hazard, p. 7).
The orld Health Organization (HO) has…
Dickenson-Hazard, Nancy. (2004). Global Health Issues and Challenges. Journal of Nursing
Scholarship, 36(1), 6-10.
Eisele, Thomas P., Larson, David A., Walker, Neff, Cibulskis, Richard E., Yukich,
Joshua, Zikusooka, Charlotte M., and Steletee, Richard W. (2012). Estimates of child
Measles, Sars, Air Quality
Global Health Issues
Global Health Issues: Measles, SAS, and Air Quality
Global Health Issues: Measles, SAS, and Air Quality
Global Health Issues: Measles
Measles is caused by a single-stranded negative-sense NA virus and is easily transmitted through aerosols or secretions generated by respiratory tract activity (reviewed by De Vries, Mesman, Geijtenbeek, Dubrex, and de Swart, 2012). Following exposure to the virus, a high fever will develop after approximately 10 to 12 days (Dardis, 2012). Other symptoms include coughing, runny nose, and red watery eyes. Small white spots will develop inside the mouth and a rash will become visible on the upper neck and face. This rash will spread down the trunk and across the limbs to the hands and feet, and will last a little less than a week. Once infected, there is no treatment, but an effective vaccine has been available for decades.
CDC (U.S. Centers for Disease Control and Prevention). (2004). Supplement B: SARS Surveillance. V. Reporting of cases of SARS-CoV disease. CDC.gov. Retrieved 8 Feb. 2013 from http://www.cdc.gov/sars/guidance/B-surveillance/reporting.pdf .
Dardis, Melissa R. (2012). A review of measles. Journal of School Nursing, 28(1), 9-12.
De Vries, Rory D., Mesman, Annelies W., Geijtenbeek, Teunis B.H., Dubrex, W. Paul, and de Swart, Rik L. (2012). The pathogenesis of measles. Current Opinions in Virology, 2, 248-255.
Gans, Hayley A., Yasukawa, Linda L., Sung, Phillip, Sullivan, Barbara, DeHovitz, Ross, Audet, Susette et al. (2013). Measles humoral and cell-mediated immunity in children aged 5-10 years after primary measles immunization administered at 6 or 9 months of age. Journal of Infectious Diseases, 207, 574-582.
In order for their treatment to be improved, psychologists and those who work with the developmentally disabled must create training programs that allow the deaf to learn through their unique methods of communication.
Finally, Kropka and Williams' 1979 study has similar implications for the final problem facing the deaf in need of mental intervention today. Because the deaf and non-deaf mentally handicapped were proven to be functioning at the same rate, then the two groups should be encouraged to mingle and form relationships. This will not only help both parties feel a sense of meaning in their lives, but also it will be a learning tool for their socialization once they are able to leave institutions and hospitals, a goal that should be foremost in therapists and doctors minds.
Thus, while the deaf in need of mental intervention are challenged by the broken communication barrier, they have proven that they…
Biasini, Fred J., Grupe, Lisa., Huffman, Lisa, and Bray, Norman W. (nd). Mental
Retardation: A Symptom and a Syndrome. Retrieved October 20, 2008, from University of Alabama at Birmingham. Web Site: http://www.uab.edu/cogdev/mentreta.htm
Bicknell, DJ. Communication with the Deaf, Mentally Handicapped in Hospital. Section of Psychiatry 67: p.1029-1031.
Kropka, B. And William C. The Deaf and Partially Hearing in Mentally Handicap
Positive Aging and the Impact of Physical and Mental Health
April 17, 2013
Positive Aging and the Impact of Physical and Mental Health
Positive aging can be defined as experiencing old age in a positive light. Other terms that have been used to describe this process are aging well and successful aging. These terms are intended to imply both physical and psychological health sufficient to sustain a meaningful and rewarding quality of life (reviewed by ohr and Lang, 2009). The possibility of experiencing positive aging has increased as life expectancies doubled over the past 100 years, with most of this increase affecting persons over the age of 60. In practical terms, elderly individuals who are able to continue working in their profession or are otherwise active are considered to have aged successfully. This essay will sample the research literature to better understand the physical and mental…
Heisel, Marnin J., Duberstein, Paul R., Talbot, Nancy L., King, Deborah A., and Tu, Xin M. (2009). Adapting interpersonal psychotherapy for older adults at risk for suicide: Preliminary findings. Professional Psychology: Research and Practice, 40(2), 156-164.
Jackson, Pamela. (2004). Role Sequencing: Does order matter for mental health? Journal of Health and Social Behavior, 45(2), 132-154.
Kleiber, Douglas, McGuire, Francis A., Aybar-Damali, Begum, and Norman, William. (2008). Having more by doing less: The paradox of leisure constraints in later life. Journal of Leisure Research, 40(3), 343-359.
Kunzmann, Ute. (2008). Differential age trajectories of positive and negative affect: Further evidence from the Berlin aging study. Journal of Gerontology, 63B(5), P261-P270.
Lapierre, S., Dube, M., Bouffard, L., and Alain, M. (2007). Addressing suicidal ideations with the realization of meaningful personal goals. Crisis, 28, 16-25.
Martin-Garcia, Salome, Rodriquez-Blazquez, Carmen, Martinez-Lopez, Iluminada, Martinez-Martin, Pablo, and Forjaz, Maria Joao. (2013). Comorbidity, health status, and quality of life in institutionalized older people with and without dementia. International Psychogeriatrics, April 11, published ahead of print online. Retrieved 16 Apr. 2013 from http://www.ncbi.nlm.nih.gov/pubmed/23575107 .
Mroczek, Daniel K., and Spiro, Avron III. (2005). Change in life satisfaction during adulthood: Findings from the Veterans Affairs Normative Aging Study. Journal of Personality and social Psychology, 88(1), 189-202.
Newman, Barbara M. and Newman, Philip R. (2007). Theories of Human Development. Mahwah, NJ: Lawrence Erlbaum Associates.
Lesbian Health Care
Lesbian Health Issues in a Heterosexual Society
The additional burdens placed on the lives of minorities as a result of social exclusion can lead to health disparities. Social exclusion theory has been used in previous research to investigate the health disparities that exist between socioeconomic classes and individuals of different ethnic backgrounds living in the United States, but it has not yet been applied to another important minority group: sexual minorities. This review of the literature has sought to apply social exclusion theory to the examination of health issues and health disparities within the lesbian community. Lesbian women face the health concerns common to all women, but also face a number of additional health care related challenges as a result of their sexual minority status living in a predominantly heterosexual society. Many of the challenges that they face with respect to their access to health care, the…
Amato, P., & Morton, D. (2002). Lesbian health education: A survey of obstetrics and gynecology residency training programs. Journal of the Gay and Lesbian Medical Association, 6 (2), 47-51.
American Lung Association. (2010). Smoking out a deadly threat: Tobacco use in the LGBT community. Washington, DC: American Lung Association.
Austin, E.L., & Irwin, J.A. (2010). Health behaviors and health care utilization of southern lesbians. Women's Health Issues, 20, 178-184.
Austin, S.B., & Schuster, M.A. (2009). Health and healthcare for lesbian, gay, bisexual, and transgender youth: Reducing disparities through research, education and practice. Journal of Adolescent Health, 45, 213-215.
The turn of the last century brought humankind the discovery and development of nuclear energy. From this point, experts in health, medicine and the sciences as a whole recognized that ionizing radiation has a negative and debilitating impact on the health and wellness of humans (Vakhil & Harvey, 2009). Destruction from radiation can impact literally any part of the human cell and can interrupt a host of human cell processes. Furthermore, the harm done to the genetic material within a cell can create a host of negative conditions from cancer to birth defects and hereditary diseases (Vakhil & Harvey, 2009). The scientific community largely agrees that there is no benign amount of exposure to radiation, and that literally any experience with radiation is destructive (Vakhil & Harvey, 2009).
The health risks associated with nuclear energy are definitive, and the use of nuclear energy is risky—history demonstrates this without a doubt,…
Neuhauser, A. (2016, March 15). Access Denied. Retrieved from https://www.usnews.com/news/articles/2016-03-15/nuclear-plants-leak-radiation-and-regulator-faces-scrutiny
PFST.org. (2017). Worldwide Countries Taking Action on Wireless. Retrieved from http://www.parentsforsafetechnology.org/worldwide-countries-taking-action.html
Vakhil, C., & Harvey, L. (2009, May). Human Health Implications of the Nuclear Energy Industry (2009) – Physicians for the Environment. Retrieved from https://cape.ca/human-health-implications-of-the-nuclear-energy-industry-2009/
WHO.int. (2016, April). Ionizing radiation, health effects and protective measures. Retrieved from http://www.who.int /mediacentre/factsheets/fs371/en/
Pregnancy and Drug Abuse
The drug abuse menace has been indicated to be one of the leading factors that negatively affect people at whatever stage of life right from the fetus stage to the fully grown baby and the adulthood. There were astonishing statistics from the 2008 and 2009 data that relates to the pregnant women and drug abuse. It is indicated that the drug abuse by pregnant women who are younger was higher than the elderly ones. The percentages of pregnant women between the ages of 15 to 17 and abused drugs stood at 15.8% of them, a figure that is relatively higher that that of women in the same age gap who are not pregnant at 13% (National Institute on Drug Abuse, 2011).
These are grim statistics that definitely puts this healthcare problem at the forefront and require the intervention of the entire society and all concerned agencies…
National Institute on Drug Abuse, (2011). Drug Abuse among Pregnant Women in the U.S.
Retrieved March 30, 2014 from http://www.drugabuse.gov/publications/topics-in-brief/prenatal-exposure-to-drugs-abuse
Psychosocial Factors. A feeling of workplace well- being serves as a key component of employee strategy. Of late, there has been considerable focus on this element, particularly in the healthcare sector and with healthcare workers. In western countries, the combination of an unappealing workplace atmosphere, work-linked stress, a shortage of practitioners, and an increasingly elderly population underscores the necessity of updated studies in this area. The concept of well- being is a summative one, encompassing physical, societal, and emotional facets within as well as external to the organization (i.e., workplace). Further, it is a key factor determining productivity – psychosocial, organizational climate, which encompasses work climate, social support, and works recognition is believed to have a significant influence on the workplace well- being. Psychosocial elements make up elements like job satisfaction, physical workload, and social support on the job (Goetz, Berger, Gavartina, Zaroti & Szecsenyi, 2015).
Psychosocial elements denote…
Priorities & Predictions of Healthcare CFOs
The key take away from the article is that patient satisfaction will become the top priority for Chief Financial Officers (CFOs). Before the MACRA of 2015, hospitals and healthcare organizations gained a competitive advantage through a patient-centric approach. However, these organizations became highly concerned about patient satisfaction after the implementation of MACRA. As such, initiating improvements in the measurement and management of patient satisfaction become a strategic necessity. This has led CFOs to point out that in future, consumerism will become a key priority that warrants meaningful action (Health Research Institute, 2016). For the longest time, CFOs have realized the relevance of patient experience. Sadly, only a handful of healthcare systems and hospitals still do not have the necessary insights and tools to adopt a patient-centric strategy properly. They have cited lack of adequate data to generate an actionable plan as the main issue…
Dyrda, L. (2015). Hospitals Turning to Physician Practice Acquisitions for Growth: 5 Key Trends. Retrieved from http://www.beckersspine.com/orthopedic-spine-practices-improving-profits/item/
Health Research Institute. (2016). Top Health Industry Issues of 2017: A Year of Uncertainty and Opportunity. Retrieved from http://www.pwc.com/us/en/health-industries/top-health-industry-issues.html
The Herald Tribune also provided that consumers get away with taking raw milk by purchasing ones that are packaged for pets. Small farm owners also get to avoid the law by directly selling their cow milk to neighbours and other willing consumers.
This concern was acknowledged by the State through its Trends and Conditions Statement. Said document stated that "there is an increasing interest in consumption of raw and minimally-processed foods…such as the production of raw milk for human consumption..." Aside from the acknowledgement, the State stressed the need for "active surveillance and compliance activities" to ensure that intake of unpasteurized milk from consumers would be stopped. However, sadly, aside from numerous reports stating the hazardous effects of consuming raw milk, no particular law or action were noted during research of this concern. Said reports are also obviously useless as the Herald Tribune were able to report several farms discretely…
Kennedy, P. (2004) an Overview of U.S. State Milk Laws. Summary of Raw Milk Statutes and Administrative Codes. Retrieved September 29, 2009 from http://www.realmilk.com/milk-laws-1.html
Guidelines for Mobile Food Establishments and Commissary Letter of Agreement. (n.d.) Retrieved September 29, 2009 from http://www.doacs.state.fl.us/fs/mobile_guide.pdf
The Florida Department of Agriculture and Consumer Services. Trends and Conditions Statement. (n.d.) Retrieved September 29, 2009 from www.doacs.state.fl.us/LRPP/DACS_Trends_and_Conditions_Statement.doc - 2008-09-29 -
incidence tuberculosis as an Urban Health issue among ethnic minority group in Canning Town, Newham Borough of London. Large scale incidence of tuberculosis (TB) has been a major concern for public health planners in the UK. The report is structured as follows to enhance a greater understanding of the TB rate in Newham and strategies to reduce the TB rates in Newham London.
First, the report explores the TB rates in the entire UK. Moreover, the report provides the rational the TB cases in an urban health issue since Newham is a part of London. Moreover, the paper provides overall urban health issues and their implications to urban residents. The paprt explores the TB incidents in London and narrow the incidents to the Newham in London. Moreover, paper compares the TB rates of all important cities in the UK to enhance a greater understanding of urban health issues. Finally, the…
A2D, (2011).Newham -- Key Statistics. Advance to Deliver Project.UK.
Barton, H, Mitcham, C, Tsourou, C (2003), Healthy urban planning in practice: experience of European cities, WHO City Action Group on Healthy Urban Planning.
Bothamley, G.H. Kruijshaar, M.E. Kunst, H. et al.(2011). Tuberculosis in the UK cities: Effectiveness and Workload of control of tuberculosis programmes. BMC Public Health, 11:896
City of London, (2008 ), Pollution control, CITY OF LONDON, eshot, United Kingdom.
health issue of obesity is gaining attention from diverse groups in society nowadays. For some years now, the many cases of health problems resulting from obesity have been the focus of research and studies of many scientists from different countries. Today, due to the increasing percentage of obese people in many nations, obesity research is among the major programs considered by health service groups and governments.
Obesity is a health problem that refers to excess fats in the body resulting to being overweight. Usually, obesity is caused by improper diet. Some critical illnesses that toll life are associated with obesity. Studies have shown that being obese causes an individual to lose a few years from his life expectancy.
Currently, countless of health articles, news, and journals regarding obesity are disseminated to bring attention to the public about its consequences. ecause of this, questions have been raised if such exposure of…
Curtis, Tom. Glasgow and Edinburgh Named UK's Fattest Cities.
News Scotsman. 07 June 2003. http://www.news.scotsman.com/topics.cfm?id=288892003&tid=677
Josling, Leanne. Obesity: A Curable Epidemic.
World Socialist Web Site. 05 June 2003. http://www.wsws.org/articles/2000/apr2000/obes-a29.shtml
These studies point to other factors that contribute to obesity and being overweight among children. For some experts, the association with genetics has grown out of changes in human physical activity. Concerns such as obesity did not matter when people were physically active. However, sedentary lifestyles and more time spent in front of video games and televisions have caused the human body to react differently to high-fat, high-carbohydrate diets.
Additionally, the rise of obesity among disadvantaged households also highlights allied social problems. Many of such households are run by single parents. Others are headed by parents who both work in order to support their families. This leaves them little time to supervise their children's diets and activities. Thus, even if the marketing of fast-food items were regulated, there is no guarantee that children will be able to make nutritional choices.
Children who come from a disadvantaged socio-economic background face additional…
Such equipment should be adequate to ensure personnel are protected from chemical exposure to the eyes, skin, and respiratory tract. PPE may be upgraded or downgraded by the site industrial hygienist, HSM, or qualified Site Safety Officer based upon site conditions and air monitoring results (Levin, et al., 2002)
Work practice and administrative controls
Administrative controls or work practice controls are changes in work procedures such as written safety policies, rules, supervision, schedules, and training with the aim of reducing the interval, frequency, and sternness of exposure to hazardous chemicals or situations. Workers who handle hazardous chemicals in the workplace should be familiar with the administrative controls required fewer than 29 CF 1910.1200, and the OSHA Hazard Communication Standard. This controls are perhaps most important, because they impact your people directly. On the one hand, they are the simplest, since all it takes is education. On the other hand, education…
Annual report on 9/11 health (September, 2009). Retrieved on March 20, 2010 from http://www.nyc.gov/html/fdny/pdf/2009_wtc_medical_working_group_annual_report.pdf
Burright, D. et al., (1999). Evaluation guidelines for air sampling methods utilizing chromatographic analysis. OSHA Salt Lake Technical Center, U.S. Department of Labor: Salt Lake City, UT.
Harris, J.S., (ed.) (1997). Occupational medicine practice guidelines: Evaluation and management of common health problems and functional recovery in workers. The American College of Occupational and Environmental Medicine. Beverly, Mass.: OEM Press.
Levin, S. et al.,. (2002). Health effects of World Trade Center site workers. America Journal of Industrial Medicine 42:545 -- 547.
Health Structures in Government Levels
Health at different Government Levels
Health Structures at Government Levels
Health at Government Levels
A national government has a task in ensuring quality health assurance standards across its region are up-to-date. Similarly, increased rates of unexpected epidemics have put governments under the surge of dealing accordingly with factors that can affect the nation directly and indirectly. Different governmental levels of health are identified and objectified in various agency websites. In this context, I have identified with a state level website; Illinois Public Health Institute website. Information presented to the website articles prioritizes in reducing and preventive, curative diseases, complementing health policies and championing for environmental changes.
Website Article eview
The Illinois Public Health institute articulates its review and implication to health quality through partnership programs. The website has supported state-oriented health involvement in ameliorating health levels, in Illinois. The institution has show-cased partnering programs with…
Baum, F and Kahssay, H.M. Health development structures: an untapped resource. World Health Organization. Vol 1 Issue 1. Pg 96-114.
Ladeia, M.L., Jacob, P., Borges, M.C., Rogero, M. M and Ferreira, S.R.G. (2011). Studies of Gene variants related to Inflammation, Oxidative, Stress, Dyslipidemia and Obesity: Implications for a nutrigenetic approach. Journal of Obesity. Vol 1, Issue 1. Pg 1-31.
5th March 2012. Illinois Public Health Institute. Retrieved from URL http://www.iphionline.org / Accessed on 27th March, 2012.
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…
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
Psychosocial Model of Health
Use questions 2, 3, 5, 11, and 12
Many times a health professional will look at a health issue and see only the problem at hand. The difficulty with this approach is that most health problems affect the entire person whether or not the issue is localized or not. The psychosocial model of health looks at more than an individual's physical state to determine how they will respond to treatments in the short- and long-term. A patient's psychological well-being and their support system are as important as a willingness to see a treatment through to the end. The following paper looks at two patients and whether they were well-served from a psychosocial perspective, and, if not, what improvements could be made to serve the patient better.
In the documentaries, two of the patient interviews stood out as especially relevant to this discussion. One of these…
Back, A.L., Arnold, R.M., Baile, W.F., Fryer-Edwards, K.A., Alexander, S.C., Barley, G.E., Gooley, T.A., & Tulsky, J.A. (2007). Efficacy of communication skills training for giving bad news and discussing transitions too palliative care. Arch International Medicine, 167, 453-459.
Douglass, J.L., Sowell, R.L., & Phillips, K.D. (2003). Using Peplau's Theory to examine the psychosocial factors associated with HIV-infected women's difficulty in taking their medications. Journal of Theory Construction & Testing, 7(1).
Ellingson, L.L. (2002). Introduction to the field of healthcare communication. Communication Research Trends, 21(3).
Holland, D.J., Bradley, D.W., & Khoury, J.M. (2005). Sending men the message about preventive care: An evaluation of communication strategies. International Journal of Men's Health, 4(2).
Health Care Reimbursement and Billing
Both Mrs. Zwick and Mr. Davis face significant issues in the presented scenarios. Mrs. Zwick has multiple considerations under Medicare Parts A, B and D, in addition to her hospital-acquired urinary tract infection. Meanwhile, Mr. Davis must address the severe time constraints and costs of COBRA in light of his job termination. These two scenarios underscore current difficulties and complexities of current health care in the United States.
Discussion of Mrs. Zwick's coverage under Medicare Parts A, B and C
Medicare Part A (often called "hospital insurance") (U.S. Department of Health and Human Services, 2011, p. 15) assists in covering inpatient hospitalization and skilled nursing facilities, hospice and home health care (U.S. Department of Health and Human Services, 2011, p. 14). There is usually no monthly premium if you and/or your spouse paid Medicare taxes while employed (U.S. Department of Health and Human Services, 2011,…
Ethical implications of Mrs. Zwick's incurring costs related to her hospital-acquired condition are applicable despite the rehabilitation facility's exemption from POA/HAC Medicare laws. Having no first-hand knowledge of the cause of the urinary tract infection, no clear indication that I work at the rehabilitation facility and neither the privilege nor the duty of diagnosis, it would be unethical for me to tell Mrs. Zwick about my suspicions. Rather, a nurse is required to maintain his/her professional boundaries (American Nurses Association, 2001, p. 6). Simultaneously, a nurse is supposed to assure "responsible disclosure of errors" to patients and act to stop bad practices and promote best practices (American Nurses Association, 2001, p. 6). Consequently, a nurse in my position faces a dilemma: lack of personal knowledge and authority vs. my concern for the patient's well-being and constant improvement of the profession. In the face of this dilemma, I would: contact the rehabilitation facility's newly-hired nurse and advise/remind him/her of the duty to report to the appropriate supervisor and responsible disclosure to Mrs. Zwick; contact Mrs. Zwick's personal physician and explain the entire situation; direct Mrs. Zwick to discuss her health issues with her personal physician, who can review, diagnose and discuss the ramifications of her medical records, including but not limited to the urinary tract infection (American Nurses Association, 2001, p. 7). The desired outcomes would be: the rehabilitation center's absorption of Mrs. Zwick's costs related to her hospital-acquired infection through pressure exerted by its own nursing staff and Mrs. Zwick's personal physician; Mrs. Zwick's awareness of the true cause of her infection by health care providers who are directly responsible and capable.
Explain how the COBRA will allow Mr. Davis to continue his insurance coverage while he is out of work.
Due to Mr. Davis' termination from an employer of more than 20 employees, he can obtain coverage for himself, his spouse and his dependent children for up to 18 months (U.S. Department of Labor, 2012). In addition, due to his chronic cycle cell anemia, he may be entitled to an additional 11 months' extension for disability (U.S. Department of Labor, 2012). His employer is required to give a qualifying event notice to COBRA; then, COBRA sends a notice of the right to elect to continue coverage and an explanation of the steps that must be taken to continue coverage; Mr. Davis, his spouse and either or both of them in behalf of dependent children may elect for continuation of coverage
In fact Congress should pass a bill that gives that prescription drug benefit to Medicare patients.
QUESTION NINE: In the United States, healthcare is so expensive that over 45 million people are without health insurance. It is a broken system, leaving out many people, especially children. Recently the executive branch vetoed a bill that would have provided health insurance to millions of middle and low-income children, indicating a lack of government concern for the well being of the population. Bush said it was too expensive, yet it's not too expensive to continue spending billions on an unpopular war in Iraq. Meanwhile, for the past 45 years, Canada has had a "government-funded, national healthcare system..." based on these five principles, according to www.medhunters.com.One, it is universally available to permanent residents; two, it is comprehensive; three, it is available regardless of income; four, it is "portable within and outside" Canada; and five,…
American Association of Colleges of Nursing. (2007). Fact Sheet: Nursing Shortages.
Retrieved Feb. 7, 2008, at http://www.aacn.nche.edu/media/factsheets/nursingshortage.htm .
Duke, Elizabeth. (2004). Report to Congress. The Critical Care Workforce: A Study of the Supply and Demand for Critical Care Physicians. U.S. Department of Health & Human
Services / Health Resources & Services Administration. Retrieved Feb. 6, 2008, at http://bhpr.hrsa.gov/healthworkforce/reports/criticalcare/cc1.htm.
Pender's is a theory of preventive medicine, for the healthy rather than the chronically ill. However, in an age where lifestyle-related disease are on the rise, it can provide an important function, particularly for nurses facing an epidemic of pre-diabetic and diabetic adolescents reared on poor diets and little physical activity. Some might protest that the genetic component to even Type II Diabetes, or obesity in general, might be unacknowledged in the model, but Pender would no doubt respond to her critics that although it is true that certain individuals have a greater predisposition to certain lifestyle diseases, everyone can act within those parameters to improve their life with preventative medicine, as counseled by her model.
McEwen & illis. (2007). "Chinn & Kramer Model." From Chapter 5 of Theoretical bases for nursing.
Pender, Nola J. (2003). "Most frequently asked questions about the Health Promotion
Model and my professional…
McEwen & Willis. (2007). "Chinn & Kramer Model." From Chapter 5 of Theoretical bases for nursing.
Pender, Nola J. (2003). "Most frequently asked questions about the Health Promotion
Model and my professional work and career." Last modified 4 Aug 2006. Retrieved 14 Sept 2007 at http://www.nursing.umich.edu/faculty/pender/pender_questions.html
Pender, Nola J., Murdaugh, C.L., & Parsons, M.A. (2002). "Assumptions and theoretical principles of the Health Promotion Model." Retrieved 14 Sept 2007 at http://www.nursing.umich.edu/faculty/pender/HPM.pdf
A 2006 study that examined the rates of depression and other mental health disorders following the December 2004 tsunami found that large numbers of people still faced significant health impairment from the event, and that treatment had been negligible when compared to relief and rebuilding efforts in other areas (CDC 2006). These efforts would likely be made far more effective and efficient, however, if mental health issues were dealt with. Addressing the depression and other mental health maladies that the people suffered from following the tsunami would have led to a better adjusted and more productive (as well as healthier) population.
There was an effective degree of trauma care provided immediately after the tsunami struck, but preventative care measures could have been stepped up during this time to forestall and mitigate the spread of infectious diseases that often comes after a major disaster event (WHO 2005). Obviously, trauma care was…
CDC (2006). "204 South Asia tsunamis." Center for disease control. Accessed 14 November 2009. http://www.bt.cdc.gov/disasters/tsunamis/
WHO (2005). "South Asia earthquake and tsunamis: Inter-agency rapid health assessment." World health organization. Accessed 14 November 2009. http://www.who.int /hac/crises/international/asia_tsunami/final_report/en/index.html' target='_blank' REL='NOFOLLOW'>
S. healthcare structure do not include the unobserved disparities. This may sound very rudimentary, even silly to point out, but in by understanding that the numbers are actually worse than they appear, and that the rising costs of healthcare services re associated with both what we see and can't see, it is easier to understand how costs rise so quickly.
It is also a sobering fact that what we cannot observe is still out there, existing beyond the scope of the government and social programs designed to help people overcome obstacles to access to healthcare and health insurance. The ethnic group that is most unobserved within the bounds of many of the studies and statistics related to the disparities in the U.S. healthcare industry is non-Mexican Latinos (Bustamante, et. al., 2009). This group represents a major portion of the U.S. population that currently lacks access to healthcare. In understanding this…
Bodenheimer, T., Chen, E., and Bennett, H.D. (2009). "Reorganizing Care:
Confronting The Growing Burden Of Chronic Disease: Can The U.S. Health Care Workforce Do The Job?" Health Affairs. Vol. 28, No. 1. Pp. 164-174.
Braveman, P.A., Cubbin, C., Egerter, S., Williams, D.R., and Pamuk, E. (2010).
"Socioeconomic Disparities in Health in the United States: What the Patterns Tell Us." American Journal of Public Health. Vol. 100, No. 1. Pp. 186-196.
Health Care oles in Communication
Communication is a fundamental piece of health care education and has been shown to improve health outcomes, patient compliance, and patient satisfaction. Quality health care emphasizes knowledge and utilization of communication skills. Health care professionals often express anxiety and lack of confidence and are deficient in a creating a situations that are conducive to open and candid communication with patients (Kameg et. al., 2009).
Effective communication involves gathering information, establishing a relationship or connection with a patient, and supporting the person through words and other non-verbal forms of interactions. Effective communication involves not only the interactions between the staff and the patient but also the interactions between staff and the interactions between the staff in front of the patient. Many times the high demand for services in a health care facility cause the staff to overlook the importance of good communication skills and enables situations…
Beer, J.E. (2003). Nonverbal Communication: Communicating across cultures. Cultures at work. Retrieved May 29, 2011 from http://www.culture-at-work.com/nonverbal.html
Coiera, E. (2006, May). Communication systems in healthcarre. Clinical Biochemist Reviews. nursing.Vol. 27, Issue 2, 89-98. Retrieved May 28, 2011 from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1579411/
Gamble, T.K. & Gamble, M. (2006). Communication works. Burr Ridge, IL: McGraw-Hill.
Health Communication. (2010). Health communication. Healthy people 2010: Objectives for improving reproductive health. Office of Disease Prevention and Health Promotion. Retrieved May 29, 2011 from http://www.hhs.gov/opa/pubs/hp2010/hp2010rh_sec2_healthcomm.pdf
" ("Let My Baby Live..." NP) Other messages of the campaign were to stress the need to avoid high risk pregnancy, prior to age 18 or after age 35 and to stagger pregnancies by two years to help the maternal body recover and be strong enough to care for the developing infant and go through labor successfully. The campaign, promoting these ideas states that it has been successful in reaching its goals, and has currently reached 66% of the population in the regions where the campaign was launched. ("Let My Baby Live..." NP) There is not mention as to whether the campaign will end, or be expanded to a broader audience in Turkey.
Turkey's example program could serve as a template for other health issues that need to be expressed to the public in Turkey and in other nations with challenged health care delivery infrastructures and limited public knowledge of…
Brennan, Teresa. Globalization and Its Terrors. London: Routledge, 2003.
Kaul, Chandrika, and Valerie Tomaselli-Moschovitis, eds. Statistical Handbook on Poverty in the Developing World. Phoenix: Oryx Press, 1999.
Weiker, Walter F. The Modernization of Turkey: From Ataturk to the Present Day. New York: Holmes & Meier Publishers, 1981.
E-Health Project in Turkey" International Telecommunications Network Website Retrieved November 15, 2007 at http://www.itu.int/ITU-D/e-strategies/e-applications/Turkey_E-health/index.html
Why access to healthcare has become an issue in the U.S.
According to a 2010 Gallup Poll, Americans named access to services the "top issue" in health care ("Americans Name Healthcare Access Top U.S. Health Issue," 2010). Empirical research also reveals that access is the top problem in the American health care system at the moment, as "tens of millions of adults under age 65 -- both those with insurance and those without -- saw their access to health care worsen dramatically over the past decade," (Galewitz, 2012). The reasons for the problems related to access stem from social justice and cost barriers (Galewitz, 2012). Health care is simply too expensive for most Americans. As a result, many are delaying seeking treatment. The situation is as true for the insured as the uninsured, showing that health care access is a systemic problem (Young, 2012, p. 1). The 2010 Patient…
"Americans Name Healthcare Access Top U.S. Health Issue," (2010). Gallup. Retrieved online: http://www.gallup.com/video/144902/americans-say-healthcare-access-costs-top-health-issues.aspx
Galewitz, P. (2012). Access to health care in U.S. worsens, study finds. St. Louis Post-Dispatch. May 10, 2012. Retrieved online: http://www.stltoday.com/lifestyles/health-med-fit/fitness/access-to-health-care-in-u-s-worsens-study-finds/article_84fad081-8f9e-523a-a24f-0c19403430c0.html
Young, J. (2012). Health care access worsens. Huffington Post. May 7, 2012. Retrieved online: http://www.huffingtonpost.com/2012/05/07/health-care-access-urban-institute_n_1497658.html
Not only do these practices discourage preventative care and monitoring, they also diminish the quality of the good that insured individuals are buying from the health insurance companies. Insured individuals are paying for insurance and paying for most of their healthcare costs in addition because of the exorbitant deductibles. PPACA's prohibition of these practices ultimately forces health care companies to raise the bar and give health insurance customers more value for money.
Public-Private Partnerships Prevent ureaucratization of Health Care
There are widespread misconceptions that the PPACA will provide health insurance through some government-run bureaucracy. Actually, PPACA is built on close cooperation between health insurance companies and the government. Under PPACA, the government does not operate hospitals nor does it provide medical insurance to individuals. Actually, it requires individuals to carry some form of private health insurance or suffer a penalty. The only time the government becomes involved is when an…
Patient Protection and Affordable Care Act. Public Law 111 -- 148. Available at http://www.gpo.gov/fdsys/pkg/PLAW-111publ148/pdf/PLAW-111publ148.pdf
Patient Protection and Affordable Care Act - Summary. http://thomas.loc.gov/cgi-bin/bdquery/z-d111:HR03590:@@@L&summ2=m&summary
"An Analysis of Health Insurance Premiums Under the Patient Protection and Affordable Care Act,
Letter to the Honorable Evan Bayh." Congressional Budget Office. Douglas W. Elmendorf. November 18, 2009. Available at http://cbo.gov/ftpdocs/107xx/doc10781/11-30-Premiums.pdf .
Health Care Communication
As the nation's health care resources become more and more strained, health care professionals are being asked to do more with less. They are being pressured to find cheaper ways to improve the quality of health care they deliver. Given the current circumstances, this sounds difficult and even unreasonable, but it may not be entirely impossible.
One simple way for medical professionals to improve the quality of health care they provide is by improving their health care communication skills. Health care communication is "The art and technique of informing, influencing, and motivating individual, institutional, and public audiences about important health issues. The scope of health communication includes disease prevention, health promotion, health care policy, and the business of health care as well as enhancement of the quality of life and health of individuals within the community." (U.S.D.S.H.S., 2000, p.11-20).
In health care, as in all aspects of…
U.S. Department of Health and Human Services. (2000). Healthy People 2010: Volume I, Focus Area 11: Health Communication (second edition) Washington, DC: U.S. Government Printing Office.
Zachariae, R. et. al. (2003). The relative importance of physician communication, participatory decision making, and patient understanding in diabetes self-management. British Journal of Cancer, 88(5), 658-65.
Heisler, M. et. al. (2002). The relative importance of physician communication, participatory decision making, and patient understanding in diabetes self-management. Journal of General Internal Medicine, 17(4), 243-52.
Safran, D.G. et. al. (1998). Linking primary care performance to outcomes of care. Journal of Family Practice, 47(3), 213-20.
Health Disparities in Louisville KY
Health inequities have become a major problem in the United States. Hofrichter stresses in Tackling Health Inequities Through Public Health Practice:
A Handbook for Action ( 2006) that, "The awareness of the existence of inequities in health, health status and health outcomes between racial and ethnic groups in America is as old as the nation itself" (Hofrichter, 2006,P. vii). As will be discussed in this paper, these inequalities have a wide range of repercussions, including social and psychological implications. A definition of health disparity is: "... The difference in the incidence, prevalence, morbidity, mortality, and burden of diseases and other adverse health conditions that exist among specific population groups" ( Samuels, 2005).
There is also a consensus in the literature that inequalities in health and healthcare throughout the world are on the increase. This is largely due to the increasing gap between rich…
Eliminating social and economic barriers to good health and safety: Louisville
Center for Health Equity. Retrieved from http://www.preventioninstitute.org/component/jlibrary/article/id-278/127.html?tmpl=component&print=1
Galvin, J.R. (2006) Diabetes. Ebony, 61 p. 157.
GradNation - Making the Connection: Health & Student Achievement. Retrieved from http://www.silentepidemic.net/Our-Work/Dropout-Prevention/~/media/Files/Our%20Work/Dropout%20Prevention/Grad%20Nation%20Action%20Forum/Steve%20Tarver%20working%20sess%20PPT.ashx
The issue of grey and black markets often arose as a result of the shortages of experienced health care personnel. The system could not adapt to a flexible environment as it was led by rigid official procedures and the mentality of the people who controlled it was commanding, their vision short-sighted and hardly beneficial in such a situation (Barr and Mark, 1996).
The breaking up of Soviet Union which brought crippling economic and political problems to the countries also aggravated the health care situation making it reach an all-time low. The collapse of the health care system ran by the government led to the belief that turning towards a market economy or more capitalistic notions and perceptions would have been a better idea. The competition in the private sector would have had improved efficiency and averted an inevitable collapse of the health care system in the Soviet Union. This transformation,…
Balabanova, D., Haerpfer, C., McKee, M., Pomerleau, J., Rose, R. (2004). Health service utilization in the former Soviet Union: evidence from eight countries. Health Services Research
Barr, D.A. And Mark G. (1996). The Current State of Health Care in the Former Soviet Union: Implications for Health Care Policy and Reform. American Journal of Public Health. 86, 3.
Lewis, M. (2002). Informal Health Payments in Central and Eastern Europe and the Former Soviet Union: Issues, Trends and Policy Implications. In Funding Health Care, European Observatory on Health Care Systems Series, edited by E. Mossialos, a. Dixon, J. Figueras, and J. Kutzin, pp. 184-205. Buckingham: Open University Press.
Mikesell, J.L. And Mullins, D.R. (2001), Reforming Budget Systems in Countries of the Former Soviet Union. Public Administration Review. 61. 5.
Healthcare Quality Management
PDCA Modeling in Healthcare
Psychiatric emergencies in medical settings may be particularly challenging since the staff does not encounter them frequently and may not have experience dealing with behavioral crisis intervention. The purpose of this exercise is to help staff improve understanding and coping with nonmedical emergencies that occur in medical settings using the PDCA cycle.
X is a 41-year-old male admitted to a medical unit with a diagnosis of possible stroke. The patient is ambulatory, 5'10," and 350 lbs. Mr. X presented to the emergency department the day before after apparently losing consciousness at home. The initial CAT scan of his head was negative. It is suspected that Mr. X may be an IV drug user since his urine toxicology screening came back positive for opiates. The medical staff thinks that Mr. X had a seizure prior to admission, but he has shown no abnormal signs…
Bennet, L., & Slavin, L. (2009, April 3). What Every Health Care Manager Needs to Know. Retrieved from Continous Quality Improvement: http://www.cwru.edu/med/epidbio/mphp439/CQI.htm
i Six Sigma. (N.d.). Focus - PDCA. Retrieved from I Six Sigma: http://www.isixsigma.com/dictionary/focus-pdca/
Pestka, E., Hatterberg, D., Larson, L., Zwygart, L., Cox, A., & Cox, D. (2012). Enhancing Safety in Behavioral Emergency Situations. Medsurg Nursing, 335-341.
Figure 1 portrays the state of Maryland, the location for the focus of this DR.
Figure 1: Map of Maryland, the State (Google Maps, 2009)
1.3 Study Structure
Organization of the Study
The following five chapters constitute the body of Chapter I: Introduction
Chapter II: Review of the Literature
Chapter III: Methods and Results
Chapter IV: Chapter V: Conclusions, Recommendations, and Implications
Chapter I: Introduction
During Chapter I, the researcher presents this study's focus, as it relates to the background of the study's focus, the area of study, the four research questions, the significance of the study, and the research methodology the researcher utilized to complete this study.
Chapter II: Review of the Literature in Chapter II, the researcher explores information accessed from researched Web sites; articles; books; newspaper excerpts; etc., relevant to considerations of the disparity in access to health care services between rural and urban residence in Maryland…
Potter, S. (2002) Doing Postgraduate Research. London: Sage.
Qualitative research: Approaches, methods, and rigour, (2008, Nov. 7). Microsoft PowerPoint Qualitative Research AdvC08 RS.PPT. Retrieved March 10, 2009 from www.unimaas.nl/bestand.asp?id=11629
Wolvovsky, Jay. (2008). Health disparities: Impact on Business and Economics Summit. Maryland's healthcare at a glance. The Heart of Community Health Baltimore Medical Syste. Retrieved March 10, 2009 at http://dhmh.maryland.gov/hd/pdf/2008/oct08/Jay_Wolvovsky.pdf
The absence of illness does not thoroughly explain "Health", it can as well be described as wellness of the body and mind. More technically, health can be defined from two perspectives -- bodily and psychological health. A state of well-being due to regular exercises, adequate nutrition, sufficient rest, sensitivity to signs of sickness and when to seek help is referred to as Physical health. A person's fitness is showcased by his/her body make-up, cardiorespiratory endurance, muscular stability, and adaptability. Mental wellness refers to psychological and emotional welfare.
As defined by the World Health Organisation (WHO), mental health is "a state of wellness in which an individual discovers and harnesses his abilities, make headways regardless of stress encountered in life, can complete tasks adequately and profitably with substantial end product, and also contributes immensely to the uplift of his or her locality." (Nordqvist, 2015). A means of enabling people…
Boundless, 2016. Research Methods for Evaluating Treatment Efficacy - Boundless Open Textbook. Boundless. Available at: https://www.boundless.com/psychology/textbooks/boundless-psychology-textbook/treating-psychological-disorders-19/introduction-to-the-treatment-of-psychological-disorders-99/research-methods-for-evaluating-treatment-efficacy-382-12917/ [Accessed June 27, 2017].
Brassai, L, Piko, B, & Steger, M 2011, 'Meaning in Life: Is It a Protective Factor for Adolescents' Psychological Health?', International Journal of Behavioral Medicine, 18, 1, p. 44, Advanced Placement Source, EBSCOhost, viewed 27 June 2017.
Cuijpers, P. et al., 2014. EU-Compass for Action on Mental Health and Well-being. PREVENTION OF DEPRESSION AND PROMOTION OF RESILIENCE. Available at: https://ec.europa.eu/health/sites/health/files/mental_health/docs/ev_20161006_co03_en.pdf [Accessed June 27, 2017].
Gillham, J.E. et al., 2012. Preventing Depression in Early Adolescent Girls: The Penn Resiliency and Girls in Transition Programs. Handbook of Prevention and Intervention Programs for Adolescent Girls, pp.124 -- 161.
Health and Community
Nola Pender states that the most important challenge in modern nursing is the understanding of global health issues. It is not enough to merely be aware of international disease patterns but to utilize western technologies to both inform and help bring about change to these epidemic situations. Several diseases have transcended the original locale to become worldwide issues. Most prevalent of these is the epidemic of HIV which has infected people all over the world. The orld Health Organization (HO) has officially labeled the virus as a "pandemic," meaning that there is no place in the populated world that is not in some way impacted by HIV. The HIV and Aids epidemics are not new information. People have been suffering and dying with this disease for more than twenty years now. However, knowledge of the illness does not mean that people should give up and stop providing…
"Aids" (2009). World Health Organization. Retrieved from http://data.unaids.org/pub/Report/2009/JC1700_Epi_Update_2009_en.pdf
Shi, Leiyu (2010). Vulnerable Populations in the United States. John Wiley: San Francisco, CA.
The ads are meant to convey the solemn viewpoint -- if you use meth, you will die… it is a ticking time bomb and inevitable.
hat are your reactions and/or thoughts about the health issue(s) and how it is presented?
This reminds me of the films seen during driver's ed. Of films so graphic they almost made one ill -- designed to scare kids into being more careful drivers. The images on the Montana Meth Project are designed to shock, designed to cause dialog, and designed, in the long run, to prevent further meth use.
The statistics show that it can be reasonably assumed that the ads had some effect. The reason one cannot make the assumption completely that the campaign worked is because there are too many additional variables that might have something to do with the decrease in meth related activities; price elasticity of the product, law enforcement,…
"Montana Meth Project Summary Results." January 2010. MontanaMeth.org. September 2010 .
"The 8 Most Terrifying Anti-Meth Ads." 1 November 2007. Cracked.com. September 2010 .
4. What is the advantage of a "patch"?
Evidently, the drug rivastigmine causes gastrointestinal side effects, but the patch allows only a small amount to be steadily absorbed into the bloodstream and thus creates fewer negative reactions to the drug. The Novartis website makes the case for a patch over a pill by saying "On average, an older American takes 5 prescription medicines. These medicines may need to be taken at different times and managing them all may seem overwhelming" (Novartis, para. 1). In this case, a patch eliminates having to remember several doses each day of one of the medications.
5. What is "moderate" dementia? What is dementia?
Dementia affects brain function. There is no known cure for dementia. It refers to several illnesses (Alzheimer's disease, Lewy or DLB) involving behavior, memory, communication and learning problems. There are other conditions in the brain which damage nerves or blood…
Activa. (2008). Symptoms of Parkinson's Disease. Activa Deep Brain Stimulation. Retrieved January 20, 2008 from website: http://www.activadbs.com/symptoms.asp .
Medications and treatment. (2008). Parkinson's Disease Foundation Retrieved January 20, 2008 from website: http://www.pdf.org/AboutPD/med_treatment.cfm .
NHS. (2005). Holding Statement. National Institute for Clinical Excellence. Retrieved January 20, 2008 from website: http://www.nice.org.uk/nicemedia/pdf/Alzheimer_holdingstatement.pdf .
NHS. (2007). Final appraisal determination: Donepezil, rivastigmine, galantamine (review) and memantine for the treatment of Alzheimer's disease. Centre Director Report for Guidance Executive. National Institute for Clinical Excellence. Retrieved January 20, 2008 from Website: http://www.nice.org.uk/nicemedia/pdf/GE050705AlzFADSignoffReport.pdf .
As to the availability of safe and clean water supplies, and safe waste disposal facilities, Native Peoples are again on the short end of the stick. About twelve percent of Native People do not have adequate supplies of fresh drinking water and dependable waste facilities while only one percent of the general American population do not have those needed facilities (Indian Health Services).
The U.S. Commission on Civil rights reports that the rates Native Americans are dying resulting from diabetes, alcoholism, suicide, unintentional injuries and other health conditions is "shocking" (www.USCCR.gov). Going back to the arrival of the Europeans on the North American Continent, many diseases were brought to the Native Peoples which were "far more lethal than any weapon in the European arsenal" so anyone even preliminarily examining the health care history of Native Peoples can clearly see that this dilemma has been a plague for Indians (www.USCCR.gov). The…
Centers for Disease Control and Prevention. (2009). Health of American Indian or Alaska Native Population. Retrieved April 14, 2009, from http://www.cdc.gov/nchs/faststats/indfacts.htm .
Indian Health Services. (2006). Facts on Indian Health Disparities. Retrieved April 14,
2009, from http://www.americanindianhealth.nim.nih.gov.
United States Commission on Civil Rights. (2004). Broken Promises: Evaluating the Native American Health Care System. Retrieved April 15, 2009, from http://www.usccr.gov/pubs/nahealth/nabroken.pdf .
Does Socio-economic Status Impact lives of People with HIV and AIDS?
Individuals with a lower socio-economic status are more prone to contracting HIV and AIDS virus. This measure also determines how individual status, relates to proper medical care. Lack of socioeconomic strength associated to the practice of risky sexual behaviors results to HIV contraction. Men engage in sexual intercourse with many partners without using a condom (Will 2000). Women at this lower level engage in riskier sexual behaviors. Homeless people are more vulnerable to infection, women in such situations are prone to rape and, men are most likely drug users. Individuals with low socioeconomic resources are prone to injury, which makes the susceptible to the effects of the virus that affects the central nervous system (Earnshaw, Valerie and Stephenie 2009).
Does HIV Infection Affect the Socio Sconomic Status of Infected Persons?
HIV and AIDS have negative impacts on the productivity…
Semple, S.J., Patterson, T.L., Temoshok, L.R., McCutchan, J.A., Straits-Troster,
K., Chandler, J.A., & Grant, I. 2003. "Identification of psychobiological stressors among HIV-positive women." Women & Health, 20(4), 15-36.
Earnshaw, Valerie a., and Stephenie R. Chaudoir.2009. "From conceptualizing to measuring HIV stigma: a review of HIV stigma mechanism measures." AIDS
and Behavior 13.6 (2009): 1160-1177.
This is related to the fact that the use of pesticides is very poorly regulated. (Protect Farm orker's Health) the use of pesticides has become an area of research and concern by the health authorities. This aspect has been well documented but experts are of the opinion that there are "...insufficient studies examining the effects of multiple pesticide exposure." (Rosenbaum and Shin, 2005)
2.2.3. Access to health benefits and care
The general consensus from the literature on the subject is that migrant and seasonal farm workers and their families are "…overwhelmingly uninsured." (Rosenbaum and Shin, 2005) the 2005 study of the health of migrant farm works by Rosenbaum and Shin indicates that in 2000, "…85% of migrant and seasonal farm workers were uninsured, compared to 37% of low-income adults nationally." (Rosenbaum and Shin, 2005) the study also found that both migrant and seasonal farm workers had less access to health…
Health Problems among Migrant Farmworkers' Children in the U.S. ERIC Digest.
September 27, 2008.
ILO warns on farm safety Agriculture mortality rates remain high Pesticides pose major health risks to global workforce. September 27, 2008.
Overview of America's Farmworkers. September 27, 2008.
These diseases may be aggravated or deteriorated because of indulgence in sexual life as well. In severe cases, indulgence in sexual life even may cause vital crises such as cerebral bleeding and myocardiac infarction. Accordingly, sexual life should be moderated during the daily health care and rehabilitation. In severe cases, sexual life should be stopped for the time being (Syphilis, n.d.).
There are several tests that can be used to for Syphilis. These include: Syphilis Serum Test, the venereal diseases research laboratory test (VDL test), unheated serum reagin test (US test), rapid plasma reagin card test (P test), and cardiophospholipid is used as an antigen to examine the anti-cardiophospholipid antibody in serum. This test is used for screening examination. In spirochete antigen test, such as fluorescent treponemal antibody-absorption test (FTA-ABS test), Treponema pallidum hemagglutination test (TPHA), usually the diagnosis of syphilis can be confirmed by positive result in the spirochete…
Introduction to TCM. (n.d.). Retrieved January 28, 2010, from Traditional Chinese Medicine
Page Web site: http://www.tcmpage.com/
Kent, Molly E. And Romanelli, Frank. (2008). Reexamining Syphilis: An Update on Epidemiology, Clinical Manifestations, and Management. Retrieved January 27, 2010,
from Medscape Web site: http://www.medscape.com/viewarticle/571812
He is made at himself for not coming to terms with himself earlier in life and he is mad at himself for spending so much time "giving his love" to people - men -- who didn't deserve it. He says that if he could go back, he would go to school, he would embrace who he is, he would be honest with family about his sexuality, and he would have found a spiritual life sooner. Bruce is quite spiritual now. He is no longer Baptist, but rather he has taken up belief in the tenets of Buddhism, which he claims has brought him much peace inside as well as has made him more tolerant of others -- including whites.
One interesting fact about Bruce is that he says that he has never had a very strong identity to gay men either -- whether they are white or black. He seems…
Gay Men of African Descent (GMAD). (2010). Gay men of African Descent. Accessed on October 28, 2010: http://www.gmad.org/index.html
Sue, D.W., & Sue, D. (1999). Counseling the culturally different: Theory and practice
(3rd ed.). New York: John Wiley & Sons, Inc.
Health Care -- Introduction of Evaluation Plan:
Los Angeles Department of Mental Health Services
he Los Angeles Department of Mental Health Services (LADMH) is the largest mental health department in the United States. reating more than 250,000 patients of all ages every year, LADMH stresses the importance of community for adequately addressing mental health issues. Furthermore, in order to serve its stated mission of enriching lives through partnership with the community, the Department has developed six long-term goals supported by multiple short-term goals.
he Mission of the Organization Responsible for Implementing the Program
he stated mission of the Los Angeles Department of Mental Health Services (LADMH) is "Enriching lives through partnership designed to strengthen the community's capacity to support recovery and resiliency" (Los Angeles County Department of Mental Health, n.d.)
he Program's Short and/or Long-erm Goals
LADMH is a comprehensive program that stresses the importance of community for effectively addressing…
The stated mission of the Los Angeles Department of Mental Health Services (LADMH) is "Enriching lives through partnership designed to strengthen the community's capacity to support recovery and resiliency" (Los Angeles County Department of Mental Health, n.d.)
The Program's Short and/or Long-Term Goals
LADMH is a comprehensive program that stresses the importance of community for effectively addressing mental health issues (Edmund G. "Pat" Brown Institute of Public Affairs, 2010). The organization has six long-term goals supported by multiple short-term goals. The first long-term goal, to "Enhance the quality and capacity, within available resources, of mental health services and supports in partnership with clients, family members, and communities to achieve hope, wellness, recovery and resiliency," is supported by the short-term goals of: developing a system providing a balanced and "transformed continuum" of services to as many County clients as possible, according to the program's resources; providing integrated mental/physical health and substance abuse treatment to improve service quality and the clients' well-being; assisting clients' establishment of their own goals and the best process for achieving those goals; inclusion and support of clients' families as a vital aspect of the clients' recovery (Los Angeles County Department of Mental Health, n.d.). The second long-term goal to "Eliminate disparities in mental health services, especially those due to race, ethnicity and culture" is supported by the short-term goals of: developing programs for early intervention for underserved populations; working with underserved communities to provide services in ways that reduce and overcome traditional barriers to treatment such as socioeconomics, culture, race, language, religion, age, disability and sexual orientation; develop programs that reach out to and educate the population in order to reduce the stigma of mental health treatment, promote tolerance of and increase compassion for persons suffering from mental illness, and reduce the incidence/severity of mental illness (Los Angeles County Department of Mental Health, n.d.). The third long-term goal to "Enhance the community's social and emotional well-being through collaborative Partnerships" is supported by the short-term goals of: creating effective partnerships/models for integrating mental/physical health and substance abuse treatment; establishing, supporting and enhancing the organization's partnerships with community organizations in natural environments to enhance the community's well-being; increasing collaboration with organizations, individuals and families that serve children and youth in order to address the mental health of children and youth; strengthening partnerships among mental health organizations, courts, probation and law enforcement to best address the mental health needs of the community's children and youth; partnering with educational institutions ranging from pre-school through higher education to enhance the provision of mental health services; and partnering with religious organizations to use spirituality in supporting mental health recovery goals (Los Angeles County Department of Mental Health, n.d.; (Edmund G. "Pat" Brown Institute of Public Affairs, 2010). The fourth long-term goal to "Create and enhance a culturally diverse, client- and family-driven, mental health workforce capable of meeting the needs of our diverse communities" is supported by the short-term goals of:
IV. HOME-GENERATED SHARPS CONSOLIDATION POINT COMPLIANCE home-generated sharps consolidation point must comply with the requirements stated as follows:
1) All sharps waste shall be placed in sharps containers;
2) Sharps containers ready for disposal shall not be held more than seven (7) days without the written approval of the enforcement agency." (State of California Division of Drinking Water and Environmental Management, 2007)
V. RESPONSE of the SHARP'S CORPORATION
According to the representative for the Sharps Corporation:
We believe this to be a break-through event for the Company as the legislative process now mandates the proper disposal of used syringes, needles and lancets outside of the traditional healthcare setting in California. We believe that the California legislation could prove to be the model for legislation throughout the country. This legislation has the potential to not only positively impact our residential community business but also sales opportunities in all markets we serve…
OSHA eTools and Electronic Products for Compliance Assistance Teen Worker Safety in Restaurants, 2007 Cleanup/Cuts. Online available at: www.osha.gov/SLTC/youth/restaurant/cleanup_cuts.htm
Sharps Compliance Corp. Announces Passage of California Legislation; California Senate Bill 1305 Requires Proper Disposal of Home-Generated Sharps." Business Wire. July 17, 2006. FindArticles.com. 28 Feb. 2007. http://www.findarticles.com/p/articles/mi_m0EIN/is_2006_July_17/ai_n16535433
Senate Bill No. 1305 Passed the Senate May 11, 2006, Passed the Assembly June 26, 2006. Online available at http://info.sen.ca.gov/pub/05-06/bill/sen/sb_1301-1350/sb_1305_bill_20060628_enrolled.pdf.
Promote Foster Improve Workplace Opportunity California Department of Industrial Relations (2000-2001 Biennial Report) State of California OPS 02 69225.
Health Care and Health for All:
In what the World Health Organization termed as Health for All, the International Conference on Primary Health Care in 1978 expressed the need for health workers, urgent government action, and the world community to safeguard and support health for all. In order to achieve health for all people across the globe, the Conference made various declarations including health being an essential human right and a significant world-wide social goal. One of the critical aspects towards the achievement of this Health for All initiative is primary healthcare.
Declarations on Primary Health Care:
As an essential health care service, primary health care can be made universally accessible to people and families through the full participation of the community and at a cost that the community can afford ("Declaration of Alma-Ata," n.d.). Primary health care acts as the initial level of contact of people, families, and communities…
Bassett, M.T. (2006, December). 'Health for All In the 21st Century.' American Journal of Public Health, 96(12), 2089. Retrieved from http://www.medscape.com/viewarticle/565796_2
"Declaration of Alma-Ata." (n.d.). International Conference on Primary Health Care -- World
Health Organization. Retrieved December 30, 2011, from http://www.who.int /hpr/NPH/docs/declaration_almaata.pdf' target='_blank' REL='NOFOLLOW'>
It is a well acknowledged truth that memory related diseases like Alzheimer's are common in older people rather than younger ones. Memory tends to becomes less competent with age. It might take longer to learn new things or remember familiar words or names. Many measures can be adopted to reduce the increasing adverse effects of memory like eating a healthy diet, including physical exercise as a part of daily routine and by being social. Despite of adopting these measures to reduce the effects of growing age on health, these problems cannot be eradicated completely. Young people are more energetic and are less viable to diseases because of the strength of their immune system. They have a stronger defense system against diseases because of the age. There is a strong relationship between age and support of health. Aging is inevitable. It is tend to occur but applying few important measures cannot…
Annandale, E., & Hunt, K. (2000). Gender Inequalities in Health. Philadelphia: Open University Press.
Athenstaedt, U. (2002). Gender Role Self-Concept, Gender Role Attitudes and the Participation in Gender-Typed Vocational and Leisure Sport Courses . Psychologische Beitrage, 33-45.
Manuck, S.B., Jennings, R., Rabin, B.S., & Baum, a. (2000). Behavior, Health, and Aging. Mahwah: Lawrence Erlbaum Associates.
Norton, F.E. (1946). Readings in the Theory of Income Distribution. Philadelphia: The Blakiston Company.
In addition to the physical discomfort he suffered, he was terribly embarrassed about his situation and it began to dominate his life. Adult diapers only exacerbated his loss of self-esteem and internal catheters presented too great a risk of recurring urinary tract infections.
With the benefit of access to the necessary materials from my father's practice as a cardiovascular surgeon, I began experimenting with a design for an external catheter that might increase my grandfather's independence and confidence but without presenting the same types of health risks as an internal catheter. The entire process from conceptual design to a practical and usable prototype took months, but eventually, we were able to construct a wearable external catheter fashioned mainly from components of an oxygen mask, a standard hospital urination drainage bag, and lengths of two-centimeter tracheal intubation tubes. Once we produced a reliable design, the benefits were immediate, because my grandfather…
healthcare problems facing this nation is that of migrant workers, primarily those from Mexico, who work both legally and illegally on this side of the border. While other immigrant populations are also underinsured and under-treated --most notably Asians -- the Hispanic problem is by the far the most significant because of the shear numbers and the structural poverty which create stagnant population pools too large to ignore.
By allowing this problem to continue, we face the more direct health threat of the Mexican migrant worker population becoming a breeding ground for infectious diseases that can spread quickly into the general population. While humanitarian reasons alone should call for our involvement in solving this problem, we should be aware that the problem is an economic one as well. The Mexican workers, especially since the passage of NAFTA, have become an intergral part of the U.. workforce in that they are performing…
Hahn, Kaye (1998) "Health Related Issues and Challenges of Women and Children In a Migratory WorkForce." Online at Medical College of Georgia Available: http://gain.mercer.edu/grha/migranthealth.PDF.(1/11/03)
Lanzendorfer, Joy Silent Suffering North Bay farm workers face a healthcare crisis." Online at Metro PublishingFrom the May 30-June 5, 2002 issue of the North Bay Bohemian. Available: http://www.metroactive.com/papers/sonoma/05.30.02/farmworkers-0222.html .(1/11/03)
Pinkerton, James. (May 2002). "Health Care: Crisis at the Border." Online at the Grande Valley Bureau Houston Chronicle. Available: http://namiscc.org/Advocacy/2002/BorderCrisis.htm .(1/12/03)
Stanley, Eduardo. March 27, 2001."Farm Worker Survey Uncovers Health Problems, Abuses." Online at New California Media. Avaialble: http://www.ncmonline.com/content/ncm/2001/mar/centralvalley.html .(1/10/03)
These needs are only beginning to be addressed in Canada and while there do not appear to be many well-established initiatives there is a growing recognition of the need for such if Canada's healthcare sector is to gain and retain the necessary workers to deliver optimal healthcare in Canada.
Polls & Research (2006) Health Care, Environment Top Issues in Canada. 1 Nov 2006. AngusReid Global Monitor. Online available at: http://www.angus-reid.com/polls/view/13653
ack, Chris (2008) Current and Emerging Trends: Occupational Health and Safety in the C Healthcare Sector. 19 Sept 2008. Prepared for the OHSAH Stakeholder Meeting. Online available at: http://www.ohsah.bc.ca/media/240-OHS-Current-and-Emerging-Trends-full.pdf
Canadian Institute for Health Information, Workforce Trends of Registered Nurses in Canada, 2006 (Ottawa: CIHI, 2007).
Canadian Nursing Advisory Committee, Full-time Equivalents and Financial Costs Associated with Absenteeism, Overtime, and Involuntary Part-time Employment in the Nursing Profession, February 15, 2002.
Canadian Health Services Research Foundation, What's Ailing our Nurses? A…
Polls & Research (2006) Health Care, Environment Top Issues in Canada. 1 Nov 2006. AngusReid Global Monitor. Online available at: http://www.angus-reid.com/polls/view/13653
Back, Chris (2008) Current and Emerging Trends: Occupational Health and Safety in the BC Healthcare Sector. 19 Sept 2008. Prepared for the OHSAH Stakeholder Meeting. Online available at: http://www.ohsah.bc.ca/media/240-OHS-Current-and-Emerging-Trends-full.pdf
Canadian Institute for Health Information, Workforce Trends of Registered Nurses in Canada, 2006 (Ottawa: CIHI, 2007).
Canadian Nursing Advisory Committee, Full-time Equivalents and Financial Costs Associated with Absenteeism, Overtime, and Involuntary Part-time Employment in the Nursing Profession, February 15, 2002.
Reducing Turnover in New Graduate Residence Program
Introduction- The process of recruiting and training, particularly in high-impact fields like healthcare, has become increasingly complex and expensive. Turnover is the rate at which an organization gains or loses employees. High turnover means that more employees are leaving more rapidly, which can be harmful to productivity and finances. Real costs of hiring including recruitment time, opportunity costs, and investment in both the new employee and the staff in Human Resources. Indirect costs include training, loss of production, reduction of performance levels, overtime due to inexperience, etc. In fact, this issue is so important that in for-profit organizations, the cost of employee turnover is estimated to be about 150% of the total payroll and benefit package (Rothwell, 2012). One needs to also understand the high costs of post-employment; drug-screening, physical exams, orientation, learning curve, coaching from others, etc. Staff time is difficult to…
Nurses' job satisfaction well below average. (2012, March 5). Retrieved from Medical Express: http://medicalxpress.com/news/2012-03-nurses-job-satisfaction-average.html
The Real Costs of High Turnover. (2012, October). HRNNewsdaily. Retrieved from:
Agency for Healthcare Research and Quality. (2013, January). Researcha dn Data. Retrieved from U.S. Department of Health and Human Services: http://www.ahrq.gov/
Human Resources as a ompetitive Advantage
Five Keys to Developing Human Resources as a Source of ompetitive Advantage
Re-envision Human Resources from a personnel dept to a strategic planning function
Use HR to reach out to nursing and medical programs
Actively recruit new staff
Take active role in preparing new job descriptions
Promote internal candidates and retain top employees
Our people are our strength. To facilitate this strength, we need to have the best people possible. This means strengthening our recruiting processes to bring in the best, and then providing them with the type of environment that will ensure that they remain with the company for years to come.
Job descriptions are a critical success factor, because they define what jobs are done and who does them. This ensures that everything is done, and done well. We will always have the right people in place.…
Education and Focus are the Keys
Each year, there will be a different focus for the organization and its outreach events. In 2014, this will be nutrition for a healthier body and mind. In 2015, the theme will be exercise for a healthier body and mind. The theme for 2016 has not yet been announced yet. Last year's theme of Strategies for Aging Well resulted in record-breaking donations and awareness levels. With the tremendous success of these events in the past, it is expected that they will continue. These are also excellent fund-raising opportunities for the different charitable causes that the organization has worked with, and for gaining large-scale corporation donations to the effective running of Pleasant Manor. We are also actively involved in events that are run by our key corporate sponsors and are expecting to proceed with these in the future as well, since they provide mutual benefit with our suppliers and other key strategic partners.
orld Health Care Systems
Taking into account that this PBS Frontline production is several years old, and was produced before the Affordable Care Act was signed into law, some of the details shown in the video are certainly not current. Still, the comparison between the German healthcare system and the U.S. healthcare system shows a wide gap in service, in cost, in consumer satisfaction and in results. Meantime, the positive parts of the German healthcare system are far better and far fairer for the consumer than the system in the United States.
The German Healthcare System vs. The U.S. System
The PBS reporter states that the philosophy in Germany since the time of Otto von Bismarck (Prussian leader in the late 1800s) has been that "A government has to provide mechanism so all its people can get medical care when they need it (PBS). "The Bismarck model is used all…
Frontline. "Sick Around the World." Public Broadcast System. Retrieved March 27, 2014, from http://www.pbs.org . 2007.
Klein, Ezra. "Ten Reasons Why American Health Care Is so Bad." The American Prospect.
Retrieved March 27, 2014, from http://prospect.org . 2007.
Community Teaching Proposal for Primary Prevention/Health Promotion
The objective of this study is to create a community teaching proposal for primary prevention and health promotion. The work of Kulbok, wet al (2012) reports that public health nursing practice is "population focused and requires unique knowledge, competencies, and skills." (p.1) Public health nursing makes the requirement of working with communities and populations "as equal partner and focusing on primary prevention and health promotion." (Kulbok, et al., 2012, p.1)
Community teaching for primary prevention and health promotion involves educating community members about what is required to address primary prevention and promotion of health. This can be accomplished through community-wide meetings held at a central location in the community. As noted by Kulbok et al. (2012) "In the 21st century, public health nurses practice in diverse settings including, but not limited to, community nursing centers; home health agencies; housing developments; local…
Anderson, DR, et al. (2012) Primary Care Nursing Role and Care Coordination: An Observational Study of Nursing Work in a Community Health Center, The Online Journal of Issues in Nursing. Vol. 17 No. 2. Retrieved from: http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No2-May-2012/Primary-Care-Nursing-Role-and-Care-Coordination.html
Connor, N. et al. (2012) Healthy People 2020 from Theory to Practice in a Nursing Program. The University of Central Florida. Retrieved from: http://c.ymcdn.com/sites/www.aptrweb.org/resource/resmgr/tp2012_presentations/conner_aptr_tp12.pdf
Kulbock, PA, et al. (2012) Evolving Public Health Nursing Roles: Focus on Community Participatory Health Promotion and Prevention. The Online Journal of Issues in Nursing. Vol. 17. No. 2. Retrieved from: http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No2-May-2012/Evolving-Public-Health-Nursing-Roles.html