Pilot Study of Uncontrolled Diabetics
In the treatment of diabetic cases, the HgA1C test is administered to determine the patient's glucose level. The test is used to assess the glucose level in the patient's blood after ingesting glucose or after hours of fasting. The test after ingestion is called the oral glucose tolerance test while the test after fasting is referred to as the fasting glucose test. This measures used in this test has recently been approved as a more accurate test allowing medics to articulate the ideal long-term measures to manage the ailment in patients. This paper reviews studies conducted to assess the impact of diabetes self-management program in a free care clinic on patients HgA1C.
The key to management and reduce fatality cases among type 2 diabetes patients is by providing self-care education and learning the material to the patients. This assertion was made in the study by (Gamboa…...
mlaReferences
Cadzow, R. B., Vest, B. M., Craig M., Rowe, J. S., & Kahn, L. S. (2014). "Living Well with Diabetes": Evaluation of a Pilot Program to Promote Diabetes Prevention and Self-Management in a Medically Underserved Community. Diabetes Spectrum, 27(4), 246-255.
Gamboa Moreno et al. (2013). Impact of a self-care education programme on patients with type 2 diabetes in primary care in the Basque Country. . BMC Public Health, 13(1), 521-528.
Johnson, C., Ruisinger, J. F., Vink, J., & Barnes, B. J. (2014). Impact of a community-based diabetes self-management program on key metabolic parameters. . Pharmacy Practice, 12(4), 499-503.
Khanna et al. (2012). Hemoglobin A1c improvements and better diabetes-specific quality of life among participants completing diabetes self-management programs: A nested cohort study. . Health and Quality of Life Outcomes, 10, 48-54.
Health Care Communication
Background- Within the modern nursing paradigm, there must be a clear link between a health outcome and the process that helps ensure those outcomes. Typically, outcomes are classified in terms of preventability, impact, severity and an overall holistic view of the client's safety issues. Positive behaviors that impact individuals either rescue or protect patients from potential or actual events. This is also part of the issue with modern communication and dissemination of information to patients, stakeholders, and the community (Burns and Grove, 2005).
At the heart of healthcare as an institution is, of course, the need to care for the sick and the injured. However, in the contemporary model of healthcare, effective communication during a crisis is not only important, but also vital. Communication by healthcare professionals takes the concern and worry out of the situation; offers a quicker resolution, makes better control of information possible, earns the trust…...
mlaREFERENCES
Alligood, et.al. (2002). Nursing Theorists and their Work. Philadelphia: Mosby.
Burns, N. And Grove, S. (2004). The Practice of Nursing Research. St. Louis:
Elsevier.
D'Antonio, P., et al., eds., (2007). Nurses Work: Issues Across Time and Place. New York:
Healthcare in the United States: Where We Have Been, Where We Are Going
The current healthcare crisis in America is not one that happened over night. It is one that has been building for more than a quarter century. There was a time in America when healthcare was a stellar institution: research, cures, technological advances, and treatments. The focus of healthcare was maintaining and improving the quality of life. Then, during the early 1980s, managed care became an entity between the physician, the patient, and the healthcare provider of hospital services. It began subtly, but has, today, become one of the most aggressive and successful business ventures of our time; and it has been the unmaking of a once stellar and progressive American institution.
Managed care is a "distinctly American" product (Birenbaum, 1997). It was legislation introduced by the Nixon Administration with the intent to regulate healthcare and to maintain control over…...
mlaReference List
Bernstein, A.B., Hing, E., Moss, A.J., Allen, K., Siller, A., and Tiggle, R. (2003). Health Care in America: Trends in Utilization. Hyattsville, MD: National Center for Health Statistics.
Birenbaum, A. (2002). Wounded Profession: American Medicine Enters the Age of Managed Care. Westport, CT: Praeger.
Birenbaum, A. (1997). Managed Care: Made in America. Westport, CT: Praeger.
Committee on Health Care Access and Economics Task Force on Mental Health (2009). Improving Mental Health Services in Primary Care: Reducing Administrative and Financial Barriers to Access and Collaboration. The Official Journal of the American Academy of Pediatrics, March, 30, 2009, pp. 1248-1251.
A good example of this can be seen with popular Chinese talk show host Yang Lang donating $72 million, to start his own foundation to: help support and develop the health care system. This is important, because it shows how both international and domestic-based non-profits are addressing these underlying problems facing the health care sector. (Dobryzski, 2010)
Clearly, the biggest challenges facing the health care systems in the United States and China are vastly different. Yet, they are also wrestling with similar problems, as they face the issue of increasing numbers in the elderly population. In the case of the United States, this is challenging because there are a variety of disadvantages that must be addressed to include: they have access to some of the most cutting edge procedures, there is large number of choices about health care providers and the elderly can be able to receive effective treatment for…...
mlaBibliography
Advanced Practice Nurses. (2010). Bukisa. Retrieved from: http://www.bukisa.com/articles/352958_advanced-practice-nurses-a-global-role
Health Systems. (n.d.). WHO. Retrieved from: gis.emro.who.int/HealthSystemObservatory/.../Conceptual%20frameworks. Ppt Health Care in China. (2006). IBM. Retrieved from: http://www-05.ibm.com/de/healthcare/downloads/healthcare_china.pdf
More About RN's. (2011). ANA. Retrieved from: http://www.nursingworld.org/especiallyforyou/studentnurses/rnsapns.aspx
Opportunities in the Health Care Sector. (2006). Grail Research. Retrieved from: http://www.grailresearch.com/pdf/ContenPodsPdf/Opportunities_in_the_China_Healthcare_Sector.pdf
Health Concept
The Concept HEALTH Summarizing knowledge concept health identifying gaps knowledge. Based readings, literature find helpful, prepare a paper describes evaluates current level knowledge, approaches concept health significant discipline nursing
The Concept of Health
Many efforts have been put across towards achieving a common understanding on the concept of health (oden & Jarvis, 2012). Despite these efforts, more profound controversies loom over achieving a desirable universal understanding on the concept of health (Nordenfelt, 1984). In the field of medicine, society's ethical concern and the public policy matters, the concept of health in indispensable (Jeffrey & Jennifer, 2000).
In the contemporary philosophical world, the concept of health focuses on the challenges of establishing the nature of an individual's condition from a scientific perspective (Irvine, 2007). The perspective omits the much desirable assessment of the basic state of affairs being desirable or undesirable. Other philosophical assessments dig dipper to describe not only the scientific facts…...
mlaReferences
Irvine, F. (2007). Examining the correspondence of theoretical and real interpretations of health promotion. Journal Of Clinical Nursing, 16(3), 593-602.
Jeffrey, D.M., & Jennifer, M.M. (2000). "Is Inequality Bad for Our Health?." Critical Review, 13(4), 359-372.
Nordenfelt, L. (1984). "Introduction," in Lennart Nordenfelt and B. Ingemar B. Lindahl (eds), Health, Disease, and Causal Explanations in Medicine (Dordrecht, 1984), p. xii.
Roden, J., & Jarvis, L. (2012). Evaluation of the health promotion activities of paediatric nurses: Is the Ottawa Charter for Health Promotion a useful framework?. Contemporary Nurse:. A Journal For The Australian Nursing Profession, 41(2), 271-284.
Healthcare Administration: Culture, Accounting, And Ethical Issues
Cultural Diversity
The causes of prejudice
Prejudice is described as the generalization of a group of people, based on negative attitudes that stem from stereotypes and non-factual beliefs. Although the reasons for prejudice may vary, Samovar, Porter and McDaniel (2009) explain three major motivations: societal pressures, social identities and scapegoating. Societal sources refer to rules and regulations that may be put in place in a given society to maintain one group's dominance over others. Social identities, on the other hand, are people's connection to their cultures and beliefs. Any groups that are deemed a threat to this connection are treated as enemies and are often at the receiving end of prejudice. Sometimes, different groups, such as gays and African-Americans are used as scapegoats to express anger and discontentment over various issues in society (Samovar, Porter and McDaniel, 2009). This allows one group to blame social, environmental,…...
mlaReferences
Kazmier, J.L. (2008). Introduction to Healthcare Law. Clifton Park, New York: Cengage Learning
Samovar, L.A., Porter, R.E. & McDaniel, E.R. (2009). Communication between Cultures (7th Ed.). South-Western: Cengage Learning
Warren, C.S., Reeve, J.M. & Duchac, J.E. (2013). Financial Accounting (13th Ed.) South- Western: Cengage Learning
Healthcare Plan for the Management of Genitourinary Disorders
Objective of this paper is to carry out a care plan for the patient, aged 60 years, who is suffering from genitourinary disorder. The study carries out the case evaluation and identifies the symptoms of the patient complication. The study also provides a comprehensive healthcare plan used for the treatment of the patients.
Case Study Evaluation
HPI (History of Present Illness).
Evaluation of the case study reveals that the patient is a Hispanic male, aged 60 years of age and complains of a decline of urinary flow. While the patient has experienced the symptom for more than two years, however, the symptom has increased significantly for the past two weeks. Although, the patient has not been diagnosed in the past, however, he faces difficulties in achieving a free flow of urine that interferes in his daily activities. The gradual worsening of the patient's case makes him…...
mlaReference
Benedetti, F. (2008). Placebo Effects: Understanding the Mechanisms in Health and Disease. Oxford Scholarship Online.
Bluie, T. Campbell, D.B. Fuchs, G.J. et al. (2010). Evaluation, Diagnosis, and Treatment of Gastrointestinal Disorders in Individuals With ASDs: A Consensus Report. Pediatrics. 125( 1): S1-S18;
Finnegan-John, J. & Thomas, V.J. (2013). The Psychosocial Experience of Patients with End-Stage Renal Disease and Its Impact on Quality of Life: Findings from a Needs Assessment to Shape a Service. Journal of Renal Care. 40(1): 74-81.
Jaarsma. T. (2005). Inter-professional team approach to Patients with Heart Failure. Heart. 91(6): 832-838.
Conclusion
Prejudice and ethical/leadership issues with healthcare are nothing new but the fight to keep those standards and ethics on an even keel and prevent racism, bigotry and predudice of any sort including based on class, money, political ideology, nationalism, and so forth should be stomped out and eviscerated whenever it can be. People are people and should treated with dignity and respect regardless of their race, gender, beliefs and so forth. Even convicted murderers and rapists should not be treated disdain due to their actions because doing otherwise lowers the ethics and standards of the healthcare community that can and should still apply at all times.
eferences
Callahan, M. (2008). Healthcare providers constricted by financial, legislative, and regulatory issues. The Journal of Medical Practice Management: MPM, 24(3),
143-146.
Cobaugh, D., Angner, E., Kiefe, C., ay, M., Lacivita, C., Weissman, N., & ... Allison, J.
(2008). Effect of racial differences on ability to afford prescription medications.
American…...
mlaReferences
Callahan, M. (2008). Healthcare providers constricted by financial, legislative, and regulatory issues. The Journal of Medical Practice Management: MPM, 24(3),
143-146.
Cobaugh, D., Angner, E., Kiefe, C., Ray, M., Lacivita, C., Weissman, N., & ... Allison, J.
(2008). Effect of racial differences on ability to afford prescription medications.
Healthcare in Marketing (Lasik)
Lasik's Methods in Other Health Care Organizations
Customer profiling is a vastly unexplored marketing method in the health industry. While it has been used to target very specific markets, such as potential consumers of elective surgery, other markets have been largely neglected (arber 2001). The reasons for this are many, but mostly they include difficulties with medical data gathering, and legal issues regarding potential customer profiling.
Despite the above-mentioned difficulties, there are several organizations that can and do benefit from customer profiling. One such entity is the pharmaceutical industry (Winterhalter 2002). Here the customer being profiled is normally the health care professional, rather than the patient. y gathering geo-demographic data as well as customer loyalty information from a group of health professionals, pharmaceutical companies can significantly enhance the effectiveness of their marketing practices. This will further benefit not only the professionals, but also the healthcare consumer, in that pharmaceutical…...
mlaBibliography
Barber, F.A., R.K. Thomas, M. Huang. "Developing a profile of LASIK surgery customers." Marketing Health Services, Iss. 2, Vol 21. Chicago: Summer 2001.
Business Wire. "New Customer Wins Position Lawson as Dominant Enterprise E-business Solution Provider to Healthcare Industry." New Orleans, 2001.
Winterhalter, K. "Customer profiling in the healthcare industry." Weber Shandwick, 2002. http://www.browna2.fsnet.co.uk/PMLive/doctor_who_frame.htm
(Menzel, 1990, p. 3) Fisher, Berwick, & Davis alude to the idea of integration in health care, with providers linking as well as creating networks of electronic medical records and other cost improvement tactics.
The United States and other nations over the last twenty or so years, have begun a sweeping change in health care delivery, regarding the manner in which health information is input, stored and accessed. Computer use in the medical industry has greatly increased over the last thirty years the culmination of this is fully networked electronic medical record keeping. (Berner, Detmer, & Simborg, 2005, p. 3) the electronic medical record trend began in the largest institutions first, as hospitals and large care organizations attempted to reduce waste and improve patient care, while the adoption has been much slower among physician's practices and smaller medical institutions. (Hillestad, et al., 2005, pp. 1103-1104) Prior to this time medical…...
mlaResources, and Utilization
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 about…...
mlaReferences
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.
Not only is there cost competition, but the real cost of a lot of services have actually gone down over the past fifteen years despite a tremendous increase in demand and enormous technological change. For example, the cost of conventional LASIK vision correction surgery has dropped radically, even as the procedure has become more technically superior (Herrick and Goodman, 2007).
Many experts have suggested that the solution to the health care system's troubles is to have a more market-based approach. Consumer-directed health plans are at the heart of this idea. If people are made to spend more of their own money, they'll be more practical users of care and look for better value at lower prices. This is how other industries work, and people don't complain much about them. It has been asked why health care should be any different. People think that the government should get out of the…...
mlaReferences
Frakt, Austin. (2010). Health care is different (from other industries). Retrieved February 20,
2011, from Web site: http://theincidentaleconomist.com/wordpress/health-care-is-different-from-other-industries/
Herrick, Devon M. And Goodman, John C. (2007). The Market for Medical Care: Why You
Don't Know the Price; Why You Don't Know about Quality; and What Can Be Done
As a result, millions of Americans remain unable to bear the heavy financial toll of medical expenses. Indeed, the problem of a lack of insurance for many is related to the problem of the cost of healthcare. So confirms the article by Consumer Reports (CR) (2008), which finds that "health-insurance premiums have grown faster than inflation or workers' earnings over the past decade, in parallel with the equally rapid rise in overall health costs. Industry spending on administrative and marketing costs, plus profits, consumes 12% of private-insurance premiums." (CR, 1) This reiterates the case that the undue imposition of costs by the healthcare industry -- a reflection of a free-market industry with little to no regulatory oversight -- has negatively impacted the accessibility and quality of healthcare for many of the poorest users.
Moreover, these users are most vulnerable to the long-term economic damages provoked by unexpected healthcare costs. So…...
mlaWorks Cited:
Bureau of Labor Education (BLE). (2001). The U.S. Health Care System: Best in the World, or Just the Most Expensive? The University of Maine.
Childress, M. (2010). Poverty is on the Upswing, but Metric is Out of Date. The Washington Independent.
Cockerham, W.C. (2004). Medical Sociology and Sociological Theory. The Backwell Companion to Medical Sociology.
Consumer Reports (CR). (2008). High Health Care Costs. Consumer Reports Health.org.
(Wolf, 2008) When you put all of these different elements together, it means that denying health care services to undocumented workers and their families will cause their underlying levels of health to slowly deteriorate. If something serious does occur, these people will more than likely be forced to fend for themselves.
Conducting research in these two areas would be beneficial in influencing health care policy / outcome by: highlighting the overall human cost of the problem on the industry and society. Where, the act of denying them access to health care and the lingering effects could be considered a human rights issue. As a result, the research that would be conducted would be beneficial, in highlighting the overall harsh conditions that these families are forced to endure. Once you present the situation in this light, this will shift the debate from one of a cost issue to being about: basic…...
mlaBibliography
Health Care for Undocumented Immigrants. (2008). Medical News Today. Retrieved from: http://www.medicalnewstoday.com/articles/56809.php
Aparico, A. (2004). Costs of Care and Lack of Health Insurance. Immigrants, Welfare Reform and Poverty Policy. (pp. 73 -- 77). Westport, CT: Praeger.
Wolf, R. (2008). Rising Health Care Costs. USA Today. Retrieved from: http://www.usatoday.com/news/washington/2008-01-21-immigrant-healthcare_N.htm
Health Care: The Next Twelve Months
Over the next twelve months, there will be many changes to health care in the United States. The largest and most ambitious goal is to provide the majority of Americans with health insurance (Blendon & Benson, 2010). However, there will be a presidential election and a Supreme Court ruling, which means that 2012 could be the year that determines whether the health care law moves forward or whether it is shut down. It could also go forward in part, after having large pieces of it removed, and it could go forward with some fundamental changes. How the elections go will greatly affect the law - unless, of course, the Supreme Court strikes the law down before the elections arrive. It seems like that the Supreme Court will rule on the individual mandate from a constitutional standpoint, and that could lead to some of the new…...
mlaReferences
Blendon R.J., Benson J.M. (2010). Public opinion at the time of the vote on health care reform. New England Journal of Medicine, 362 (16): e55.
Elmendorf, D.W. (2010). Additional information on the effect of the Patient Protection and Affordable Care Act on the Hospital Insurance Trust Fund. Congressional Budget Office.
Peterson, C.L. & Chaikind, H. (2010), Summary of small business health insurance tax credit under PPACA. Congressional Research Service.
Looking for the best practices on endotracheal suctioning often involves determining whether open or closed suctioning is better. Open suctioning requires disconnecting the patient from the ventilator, while closed suctioning allows the patient to remain connected to the ventilator. While closed suctioning is generally preferred, it is not always the best practice, but the research investigated looked specifically at closed suctioning because of the research question presented.
In 1999, Kinloch ran an observational study that compared oxygenation in patients that either had normal saline instilled at the start of endotracheal tube suctioning or did not have saline instilled. Until....
While stress is a commonly used term, it is a poorly defined term that can refer to a wide scope of things, depending on the context. Generally speaking, stress refers to the person’s response to some sort of aversive stimuli or stressor, though stress can also be used to refer to the stimuli that causes the stress. The perception of stress appears to be related to whether a person finds a particular stimulus to be overwhelming. Therefore, a stress concept analysis can have different meanings and is personalized for each person experiencing a particular stressor. Generally, we....
For the last decade, total quality management has been considered the gold standard in quality management in the healthcare setting. Therefore, the question is not really whether we can apply total quality management in hospitals, but what steps hospitals need to take to implement this type of management within their organizations.
The first thing to keep in mind is that modern hospitals are not simply hospitals; they are almost all part of larger healthcare networks. This has the potential of dramatically improving patient care, as the range of care that a patient can access through a....
1) Many studies have shown that minimum wage increases have a positive impact on reducing poverty rates. By ensuring that workers earn a wage that covers their basic needs, minimum wage laws help lift low-income individuals and families out of poverty.
2) Minimum wage laws can also stimulate economic growth. When low-wage workers have more money to spend, they are more likely to consume goods and services. This increased consumer spending can boost demand, leading to job creation and supporting local businesses.
3) Implementing a minimum wage can also improve public health outcomes. Research has found that higher wages are associated with....
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