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Collaboration and communication are two keys to effectively assisting patients as they transition from one level of care to another. This is true when the patient is transitioning from a different department within the same medical facility, or when the patient is transitioning from one health care or medical facility to another. It is during the transition period that a lot of errors and emissions take place, and therefore a focus on this event should be developed and addressed by those medical personnel closest to the situation.
One recent article states that "the need for collaboratively determined care is essential for avoiding errors and promoting quality" (Tschannen, Kalisch, 2009, p. 796). The same study found that strong collaborative efforts and the relationship strength between nurses and doctors will often lead to shorter hospital stays for the patient. Shorter hospital stays and more effective treatments are a big inducement…
Bau, I.; (2011) Connected for health: The potential for health information and communications technologies to reduce health care disparities, National Civic Review, Vol. 100, Issue 3, pp. 15 -- 18
EPIC (2011) Choose what fits, or have it all, accessed on March 10, 2012 at: http://www.epic.com/software-index.php
Tschannen, D. & Kalisch, B.J.; (2009) The impact of nurse/physician collaboration on patient length of stay, Journal of Nursing Management, Vol. 17, Issue 7, pp. 796 -- 803
Computer technology has opened up a whole new world for surgeons and patients. Computer-assisted surgeries can be categorized in a myriad of ways and include medical image processing and visualization, such as CT, MRI, ultrasound or angiography; surgical simulation which uses medical image information for optimizing the surgical procedure; and surgical navigation that provides image registration between pre- and intraoperative images, and organ deformation analysis.
Surgical navigation also offers the surgical team with images of a patient in surgery and includes endoscope, ultrasonography, interventional CT/MRI, and surgical stereoscopic displays.
Computers can assist in the overall treatment of a patient by limiting the amount of surgical time required in the operating room, monitoring the anesthesia, allow for less invasive surgery, and decrease the amount of time spent of hospitalization and decreases the overall costs of care.
In education, computers are used as support technology in the area of decision-making in surgeries…
CAMIS - Computer-assisted Minimally Invasive Surgery. www.oai.org/CAMIS.html. January22,2002.
Internet Resources of Computer Aided Surgery. "What is CAS? www.homepage2.nifty.com/cas.html. December12,2000.
Stevens, Jane Ellen. MSNBC Health, "Nintendo surgery, www.MSNBC.com/health.html2002.
The responsibility for adequate medical direction under the Ohio evised Code and the Toledo Municipal Code was given to the Director of Health as long as they were a licensed physician, licensed dentist or licensed veterinarian, otherwise it would be overseen by the Medical Officer. The responsibility for enforcement of all federal, state and local public health laws including, but not limited to Part Seventeen, Health Code, were directed to the Director of Health and Environment and/or the Medical Officer (Department of Health and Environment, 2008).
The Director of Health and Environment was given the authority to exercise all powers granted to commissioners of health of city health districts by the Ohio evised Code and the Toledo Municipal Code. Yet, when the Director of Health and Environment is not a licensed physician, licensed dentist or licensed veterinarian, then those powers which require medical direction shall be granted to the Medical…
Department of Health and Environment. (2008). Retrieved November 25, 2009, from American
Legal Publishing Corporation Web site:
HIPAA Administrative Simplification Statute and Rules. (n.d.). Retrieved November 25, 2009,
Math in the Medical Field
The use of math in medicine: Calculating patients' weights
Almost everyone has walked into a drug store and bought an over-the-counter medication and taken a dosage based upon the recommended dose on the label. hile these generic guidelines may be acceptable for some types of medication, this is not true for all drugs. The dosage of many medications is dependent upon the weight of the patient. Doctors must use math to calculate appropriate dosages based upon the patient's needs. "Most medications have guidelines for dosage amounts in milligrams (mg) per kilogram (kg). Doctors need to figure out how many milligrams of medication each patient will need, depending on their [patient's] weight" (Glydon 2012). Because weight is often kept track of as pounds in the U.S., doctors must also be able to convert kilograms into pounds. And nurses must likewise understand such calculations to fulfill doctor's…
Glydon, Natasha. "Medicine and Math." Math Central. [11 Jun 2012]
Smith, Stephanie Tallman. "Why Body Mass Index Is More Important Than Your Weight."
Lifescript. 2007. [11 Jun 2012]
Ethical Issue in the Medical Field
Nurse practitioners at just about all levels and fields of practice encounter a variety of ethical problems throughout the span of their daily operations. In the preceding 30 years there has surfaced a remarkable global grant on nursing ethics providing complete philosophic evaluations involving the types of problems nurse practitioners encounter and also the procedures that may be best utilized for coping with them. The amount to which nurse practitioners initiate ethical concerns within the place of work, how successfully they've been in a position to cope with them, and also the degree to which their professional training has equipped them to cope successfully with ethical as well as human rights problems experienced throughout the span of their efforts has not, still, been methodically investigated or listed. Within this paper, we emphasize the ethical arguments both for and against abortion which nurse practitioners need…
British Medical Association (2005). Abortion time limits: a briefing paper from the British Medical Association. London: BMA. Available at www.bma.org.uk/ap.nsf/Content/AbortionTimeLimits.
British Medical Association (2007). The Mental capacity Act 2005 -- guidance for health professionals. London: BMA, Available at www.bma.org.uk/ethics
British Medical Association (2007a). Medical treatment for adults with incapacity: guidance on ethical and medico-legal issues in Scotland. London: BMA. Available at www.bma.org.uk/ethics
British Medical Association. (2007b). The law and ethics of abortion. London: BMA,.
ANA Social Policy Statement
The author of this report has been asked to offer a brief report about the most recent iteration of the American Nursing Association (ANA) Social Policy Statement. The statement has been issued several times and has always had many important facets and details. Given the urgent care background of the author of this report, the author will focus on the part of the ANA's new statement that focuses on duties that must be performed under extreme conditions. These conditions include family needs, personal health, epidemics/pandemics and so forth and the juggling of all of the above. While many point to the duty of nurses to care for their patients, there are proverbial lines in the sand that require a balanced and delicate approach.
Background & Discusson
The general expectation of nurses and doctors is that they are required to perform without fail when an emergency situation…
CDC. (2016). Areas with Zika -- Zika virus -- CDC. CDC.gov. Retrieved 13 February 2016, from http://www.cdc.gov/zika/geo/
Cohen, E. (2016). Quarantined nurse slams state Ebola policy - CNN.com. CNN. Retrieved 13 February 2016, from http://www.cnn.com/2014/10/26/health/new-jersey-quarantined-nurse/
Fowler, M., & Diane, M. (2015). Guide to nursing's social policy statement.
Tiffan, B.; (2014) The art of team leadership, American Journal of Health -- System Pharmacy, Vol. 7, Issue 10
Credibility -- Author Analysis
Bill Tiffan is a Principal with T2 Management Consultants which he and his wife co-founded in 2000. According to the company website, Tiffan "provides management consulting, team development, executive coaching and facilitation services to organizations that want to improve the effectiveness of individual leaders and executive teams" (T2, 2009). Tiffan previously spent 12 years with and international transition consulting firm where he was Regional Vice President of Sales. Bill also writes a bi-monthly column for the ACPE's professional journal; the focus of his column is executive career development. Tiffan also serves on the Board of Global Partners for Development. Tiffan recently wrote an article for the Medical industry espousing his beliefs concerning medical professionals as they pertain to team leadership, an area in which he has displayed…
T2 (2009) Principals, accessed at http://www.t2-consultants.com/sitepages/principals.htm, on October 12, 2014
Tiffan, B.; (2014) The art of team leadership, American Journal of Health -- System Pharmacy, Vol. 7, Issue 10, pp. 799 -- 801
Medical ID Theft and Securing EPHI
Medical Identity Theft
Medical information can be stolen by 1) the bad guys getting sick and using a victim's information to obtain services, 2) friends or relatives use another friend's or relative's information to obtain treatment, 3) when professionals, such as physicians, fabricate services that did not exist, 4) organized crime, and 5) innocent or not so innocent opportunists (Lafferty, 2007). ad guys that get sick can take a victim's insurance information to obtain services for treatment. Professionals can fabricate false claims to cover medical errors. Opportunists have access to patient data and the ability to steal, use, or sell that information.
Effective security requires clear direction from upper management (Whitman). Assigning security responsibilities and access controls with audit controls to organizational elements and individuals helps to place accountability on individuals. They must formulate or elaborate security policies and procedures based on the organizational…
HIPAA Security Series. (n.d.). Retrieved from HHS.gov: http://www.hhs.gov/ocr/privacy/hipaa/administrative/securityrule/techsafeguards.pdf
Hoffman, S. & . (2007). SECURING THE HIPAA SECURITY RULE. Journal of Internet Law, 10(8), 1-16.
Lafferty, L. (2007). Medical Identity Theft: The Future Threat of Health Care Fraud is Now. Journal of Healthcare Compliance, 9(1), 11-20.
Whitman, M. & . (n.d.). Case B: Accessing and Mitigating the Risks to a Hypothetical Computer System, pages B1-B24 .
Medical Use of Marijuana
Increasing use of medical marijuana
Having looked at the various areas that medical marijuana has been brought into use and the various forms in which marijuana is administered, it is also important to take note of the various challenges that come with it. There have been various researches that have been conducted that covers the medical as well as the ethical side of the medicinal marijuana, and there have been a dilemma in the balance of the two sides on whether to institutionalize the drug or to stop it, and even on whether the medicinal use can be made to work without the proneness to abuse as is the case at the moment.
Medicinal marijuana has neither medical nor ethical standing within the contemporary society where drug abuse is one of the biggest worries of governments across the world and the alternative medicines that medical research…
How do these companies provide care?
Aetna provides care by being a health insurance company that offers a range of services in the field of medical, pharmaceutical, dental, behavioral group, long-term care, and plans for those who are disabled. Humana is also a health insurance company that offers its services in numerous states. United Health Group operates two businesses, known as United Healthcare and Optum, and similar to the two aforementioned companies, it offers health insurance to individuals, which includes seniors.
What types of plans do they have?
Aetna offers various types of plans under its various insurance, which as mentioned before, include medical, dental, vision, medicare, disability, pharmacy, life, student, behavioral health, health expense funds, and wellness products and discounts. Under medical insurance, a person can get a quote via state, which may include individual HMO health benefits plan or QPOS individual advantage health benefits and health…
Aetna - Health Insurance, Dental, Pharmacy, Group Life and Disability Insurance. (n.d.). Aetna - Health Insurance, Dental, Pharmacy, Group Life and Disability Insurance. Retrieved December 19, 2011, from http://www.aetna.com
HUMANA - Guidance when you need it most. (n.d.). HUMANA - Guidance when you need it most. Retrieved December 19, 2011, from http://www.humana.com/
UnitedHealth Group - Featured News - Products & Services. (n.d.). UnitedHealth Group - Featured News - Products & Services. Retrieved December 19, 2011, from http://www.unitedhealthgroup.com
Medical Case Study
Florence (F) is a 43-year-old woman who is two days post-operative, following an appendectomy. She has a history of arthritis, and currently takes 10mg of prednisone daily. She is allergic to penicillin. She weighs 46 kg (101.5 lbs.) and is 168cm tall (5'6"). This puts her slightly underweight for her age and height, at least 18-25 pounds (Height and Weight Chart, 2010). While doing a route in dressing change, nurse notice a yellow discharge emanating from the wound.
Identify and discuss the importance of obtaining information during a nursing admission in relation to post- operative assessment. In modern healthcare, a nurse must first and foremost try to understand and utilize a systematic and synergistic model of data collection and assessment. Human beings are complex creatures, and the more data one has, the easier it will be to ensure that a proper diagnosis is made. A systematic assessment…
Height and Weight Chart. (2010). HealthCheck Systems. Retrieved from:
Prednisone and Other Corticosteroids: Balance the Risks and Benefits. (2011). The Mayo
Clinic. Retrieved from: http://www.mayoclinic.com/health/steroids/HQ01431
These examples highlight that technology is always a tool, a way of enhancing human judgment -- we must not mistake it as a replacement for good nursing practice.
After all, the use of a computer is no substitute for a medical education. Anyone who works in a hospital can see this -- the increased accessibility of information through the Internet also means that patients often come in, convinced that they are suffering from a serious illness, allergy, or condition, based more upon a diagnosis Googled on WebMD, rather than upon the fact that they saw a doctor! If a computer alone was required to diagnose, everyone would have a degree!
Don't get me wrong -- I use technology every day in my life, and thank my lucky stars, and my patient's lucky stars, that it is so ubiquitous. When health care providers wish to communicate, the use of cell phones…
Nurses are required to make many immediate decisions in their assigned duties. Unfortunately, in recent years, patient care has often been compromised as a nursing shortage crisis has escalated to epic proportions. Increased patient loads have resulted in often hasty nursing decisions as responsibilities and hours worked have increased. Although precious time must be spread thin to accommodate higher numbers of patients, nurses must exercise their morals through consistency in ethical behaviors. According to Peggy Chinn (1), "Many ethical issues, such as end-of-life decision making, have increased in complexity. Other issues, such as advocacy and choice, have changed in certain respects but are more clearly centrally situated within nursing's ethical domain."
As a result, nurses are held accountable for a variety of decisions in nursing practice and in many instances, a patient's life depends on such decisions to survive. Gastmans (496) states that "Generally, the goal of nursing…
Chinn, P. (2001). Nursing and ethics: the maturing of a discipline. Advances in Nursing Science
Erlen, J. (2001). Moral distress: a persuasive problem. Orthopaedic Nursing 20(2): 76-80.
Erlen, J. (2001). The nursing shortage, patient care, and ethics. Orthopaedic Nursing 20(6):
Gastmans, C. (2002). A fundamental ethical approach to nursing: some proposals for ethics education. Nursing Ethics 9(5): 494-507.
According to the work of Fulford (1994) in an Oxford Practice Skills Project eport "Three elements of practice (ethics, law and communication skills) are approached in an integrated teaching programme which aims to address everyday clinical practice. The role of a central value of patient-centered health care in guiding the teaching is described. Although the final aim of the teaching is to improve the actual practice, we have found three 'sub-aims' helpful in the development of the programme. These sub-aims are: increasing students' awareness of ethical issues; enhancing their analytical thinking skills, and teaching specific knowledge. (Hope, 1994)
In the work of Miles, et al. (1989) entitled "Medical Ethics Education: Coming of Age it is stated that "medical ethics education is instruction that endeavors to teach the examination of the role of values in the doctor's relationship with patients, colleagues and society. It is one form of a broad curricular…
Fryer-Edwards, PhD (2005) Tough Talk: Helping Doctors Approach Difficult Conversations - Resources for Teaching- Domains for Small Group Teaching Prelude 3 Department of Medical History and Ethics University of Washington School of Medicine.
Siegler, Mark MD (2001) Lessons from 30 Years of Teaching Clinical Ethics AMA Journal 2001 October.
St. Onge, Joye (1997) Medical Education Must Make Room for Student-Specific Ethical Dilemmas" Canadian Medical Association Journal 15 Apr 1987, 156(8).
Hicks, L. et al. (2001) Understanding the Clinical Dilemmas that Shape Medical Students' Ethical Development: Questionnaire Survey and Focus Group study. BMJ Journal 2001;322-709-71- 24 march 2001.
professional fields that confirm, through studies and other means, the effective use of evidence-based practices. The field of education, business, technology, and especially the medical field all, to varying degrees, use the concept of evidence-based practices to improve the manner in which solutions to problems are sought and implemented. It is important that studies are conducted that allow for quantitative and qualitative methodologies to confirm that the practices being touted are acceptable to the audience to which they are presented.
One such study was recently published in a peer-reviewed publication; the objective of the study was to make evidence-based recommendations to medical professionals. The study specifically targeted those physicians, medical professionals, nurses, and administrators that in one form or the other deal with patients diagnosed with cancer, or cancer related diseases. The study wished to affirm and confirm the importance of effective communications between the medical personnel and the patient…
Duong, L.M.; Wilson, R.J.; Ajani, U.A.; Singh, S.D.; Eheman, C.R.; (2011) Trends in endometrial cancer incidence rates in the United States: 1999 -- 2006. Journal of Women's Health (15409996), Vol. 20, Issue 8, pp. 1157-1163
Nicholls, K.; Chapman, K.; Shaw, T.; Perkins, A.; Sullivan, M.M.; Crutchfield, S.; Reed, E.; (2011) Enhancing response rates in physician surveys: The limited utility of electronic options, Health Services Research, Vol. 46, Issue 5, pp. 1675-1682
Rodin, G.; Zimmermann, C.; Mayer, C.; Howell, D.; Katz, M.; Sussmann, J.; Mackay, J.A.; Brouwers, M.; (2009) Clinician-patient communication: Evidence-based recommendations to guide practice in cancer, Current Oncology, Vol. 16, Number 6, pp. 42 -- 49
Simpson, M.; Buckman, R.; Stewart, M.; et al. (1991) Doctor-patient communication: The Toronto consensus statement, BMJ, Vol. 303, pp. 1385-1387
Essay 2: In what collegiate extracurriculars did you engage? (400 characters)
As Vice President of Phi Kappa Sigma, I co-managed the annual $30k budget, participated in 100+ hours of community service, volunteered for the Rutgers Dance Marathon, raised funds for the Embrace the Kids Foundation, and organized the annual Phi-Esta fundraiser for the Eric Legrand’s Foundation with several other fraternities. I also volunteered for the Leukemia Lymphoma Society.
Essay 3: Did you work for compensation during college during the year or the summer? (300 Word limit)
Yes, every summer I worked full-time. During the summers of my undergraduate career, I worked at Selco Associates, a distribution and warehousing company. There I coordinated with management personnel to provide high quality customer service. I also managed apparel and footwear inventory for major companies and assisted in opening new accounts. This experience helped me to develop communication, organization, and problem-solving skills that I…
Sociology -- Medical Dominance on the Profession of Nursing and How is the Profession of Nursing Challenging Medical Dominance in Australia
In the context of medical practice, the contemporary medical society is representing a change in the increasing issues of domination between medical professions. The focus of each practice's attention is on exploring its goals in providing integral contributions and impact to the framework of health care services. Each dimension of medical interest, specifically the doctors and nurses, are developing their respective paradigm and uniqueness to establish skills and authority in the field of health service.
This paper aims to do an informative research on medical dominance over the profession of nursing in Australia. As the industry of medicine progresses, the issue of domination among medical doctors and nurses in health care institutions are associated with competencies and authority over the other. The power and privileges of the profession is…
Andrews, I., Hale, A. (2000). The Division of Labour in Health Care Delivery.
Retrieved Sept 23, 2003, from Faculty of Health Sciences. The University of Sydney.
Web site: http://www2.fhs.usyd.edu.au/bach/1107/topic9.htm
Duffy, E. Evolving Role and Practice Issues: Nurse Practitioners in Australia.
My education consists of a Bachelors degree in Radiological Science, I also maintain a high grade point average (gpa), and pride myself on the care given to my study and work history.
Although I already have a bachelors degree in the field of radiology, that is not enough. I wish to obtain a higher understanding of the subject matter, addition hands on experience, and the opportunity to use all the resources that will be afforded to me by continuing education to a higher level. I realize the need to continue in education if I want to work in the medical field working more extensively within the realm of radiology. Thank you in advance for the opportunity to express my desire in the field of radiology and what I hope to do upon being given the opportunity to continue at the graduate level.
Advances in Digital Medical Imaging
In the past few decades advances in healthcare have emerged, as new forms of technological integration are implemented as part of the overall healthcare management system. Healthcare providers, doctors and patients require more technological integration into the system providing real time data analysis and the possibility of enhancing medical knowledge. Sharing that knowledge can lead to what many describe as "digital medicine" where stored clinical data can generate medical knowledge which can be widely distributed, incorporated into decision support systems, and lead to more effective medical practices (ouler & Morgenstern, 2005). Digital medical image processing within the healthcare area has its origins in the 1970's when computed tomography was introduced as the first digital modality. In the decades that followed, advances in digital medical imaging technology have dramatically affected the planning and design of diagnostic interventional radiology facilities. Soon after the advent of computerized…
Bang, C. (2005). Digital Imaging Drives Health Care Design. Building Operation
Becker, S. (1994). Costs and Benefits of Picture Archiving and Communication Systems.
Journal of the American Medical Informatics Association, vol. 1, no. 5: 361-371.
Health Care Situation: Medical Error Due to Doctors' Bad Handwriting
Identify a health care news situation that affects a health care organization such as a hospital, clinic or insurance company.
I have identified the following health care news situation as the topic of my paper: "Poor Handwriting of Doctors and its implied risks for the Patient, Hospital and Medical Malpractice Insurance." Poor handwriting of physicians resulting in poor legibility of entries into patients' medical records carries very dramatic risks for all above-mentioned interest bearers. It can result in severe health danger for the patient and - in extreme situations - even cause a patient's death. Doctors' bad penmanship has long been seen a problem within organized medicine and the patient safety movement. Three American Medical Association (AMA) policies dating back to 1992, urge doctors to "improve the legibility of handwritten orders for medications" and review all orders for accuracy and…
Berwick, Donald M. & Winickoff, David E. (1996). The truth about doctors' handwriting: a prospective study. BMJ Vol. 313 (21-28 December 1996). 1657-1658. www.bmj.com/content/313/7072/1657.full, accessed 21 August 2011.
Bruner, Anne & Kasdan, Morton.L. Handwriting Errors: Harmful, Wasteful and Preventable.
1-4. www.kyma.org/uploads/file/.../Harmful_wasteful_and_preventable.pdfSimilar, accessed 22 August 2011.
Gallant, Al. (22 November 2009). For a secure electronic health record implementation, user authentication is key. 1-2). searchhealthit.techtarget.com/.../User-authentication-is-critical-for-pl.., accessed 24 August 2011.
Some of the principles of ethics that physicians are expected to abide by include:
dedication providing competent medical care, with compassion and respect for human dignity and rights (Principles of medical ethics http://www.ama-assn.org/ama/pub/category/2512.html)."
Upholding the standards of professionalism, be honest in all professional interactions, and strive to report physicians deficient in character or competence, or engaging in fraud or deception, to appropriate entities (Principles of medical ethics http://www.ama-assn.org/ama/pub/category/2512.html)."
especting the law and also recognize a responsibility to seek changes in those requirements which are contrary to the best interests of the patient (Principles of medical ethics http://www.ama-assn.org/ama/pub/category/2512.html)."
especting the rights of patients, colleagues, and other health professionals, and shall safeguard patient confidences and privacy within the constraints of the law (Principles of medical ethics http://www.ama-assn.org/ama/pub/category/2512.html)."
In addition physicians are expected to maintain regular educational hours to remain on top of the latest breakthroughs in medical science so that they…
Principles of medical ethics http://www.ama-assn.org/ama/pub/category/2512.html )
omen's Health -- Focused on prevention and care for breast health, mammography, etc.
Transplant Programs - Swedish is one of seven kidney transplant centers and one of just four liver transplant centers serving the entire Pacific Northwest. The Organ Transplant Program at Swedish is at the forefront of new advances in transplantation surgery, including pancreas transplants and transplants between unrelated living organ donors and recipients (Swedish Medical Center, 2011).
Service design, operational activities, strategic decisions- Swedish is nothing but on the move -- strategically and tactically. In October, 2011, Swedish opened a new full-care facility with a 550,000 square foot campus in the city of Issaquah, southeast of Seattle city proper. This new facility was designed to be an entirely new hospital experience. Some of the operational innovations include a new Childbirth Center with eight new Labor/Delivery/Recovery rooms that include sleeping areas for partners, iPod access and a hotel room…
Arnold, E. (2007). Service-Dominant Logic and Resource Theory. Journal of the Academy of Marketing Sciences, 36(1), 21-24.
Crosby, J. (2011, November). Human Resource - Swedish Hospital.
Institute of Medicine. (2000). To Err is Human: Building a Safer Health System. Washington, DC: National Academy Press.
King, D. (2008). Designing the Digital Experience: How to Use Experience Design. Medford, NJ: Information Today Press.
rise of advanced technologies in the medical field, especially those that sustains life, has brought issues in the ethics and morality of those involved in the field of medicine. Most significant to these issues is the practice of Euthanasia on patients diagnosed to have no chance of surviving and regaining life after any treatment has been implemented. In view of the issues on Euthanasia, this paper aims to present a discussion of this medical practice by analyzing the stands and views of Ned Cassem, James Rachel, Sidney Hook, and Leon R. Kass. This paper also aims to explain the meaning of "good death" as mentioned by Ned Cassem.
On many medical books and dictionaries, "euthanasia" or "mercy-killing" is defined as ending a life of a terminally ill patient by ways such as removing life support machines or stopping treatments that somehow prolongs life. The basic reason why euthanasia is performed…
Chung, Ken. On James Rachels and "Active and Passive Euthanasia."
Publish.Uwo.Ca. 28 Dec. 2002. http://publish.uwo.ca/~kchung23/rachels.htm
Hook, Sidney. "In Defense of Voluntary Euthanasia.."
The New York Times (1 Mar. 1987).
Incidental findings are fairly common in the course of medical testing, occurring in around one-third of all tests (Ofri, no date). Yet, the medical field is torn about what the ethical implications of such findings are. In particular, it can be difficult to determine whether reporting such findings is important, and therefore medical practice seeks to establish a threshold of what should and should not be reported. This particular finding, that the son is not the biological son of the father, does not appear to be medically relevant. First, it is not relevant to the question at hand, which is whether the people in the family have the marker for Huntington's Disease. The child could or could not, and his parentage is not relevant to that question. Second, who is or is not his biological father is not a matter of medical health, and especially not an immediate matter.…
Illes, J. & Kirschen, M. (2014). Unexpected findings. Monitor on Psychology. Vol. 45 (3) 54.
Meiser, B. & Dunn, S. (2000). Psychological impact of genetic testing for Huntington's disease: An update of the literature. Journal of Neuroology and Neurosurgery Psychiatry. Vol. 69 (2000) 574-578.
Ofri, D. (no date). Ethical implications of incidental findings. Danielle Ofri. Retrieved April 2, 2016 from http://danielleofri.com/ethical-implications-of-incidental-findings/
The goals are what the client hopes will happen because of the care needed -- and the bond the specifics that need to be met in order to meet those goals (iddowson, 2010, 83).
The Transference/Countertransference Section -- ithin this section of the therapeutic relationship, transference and countertransference are phenomenons in which feelings between the client and caregiver are directed and redirected to one another. This has been part of clinical psychology since Jung, and may be both harmful or positive. ithin the caregiver model, it is usually heightened empathy for the patient, with the client, a feeling of greater emotional bonding to the caregiver than that of a professional relationship (iener, 2009).
The Real Relationship -- This is the ideal outcome, the real or personal relationship between client and caregiver. It may, of course, include deception on the part of the caregiver or therapist depending on the actuality of…
Watson, J. (1997). The Theory of Human Caring: Retrospective and Prospective. Nursring Science Quarterly, 10(1), 49-52.
Widdowson, M. (2010). Transactional Analysis: 100 Key Points and Techniques. New York: Taylor and Francis.
Wiener, J. (2009). The Therapeutic Relationship: Tranference, Countertranference. Austin, TX: Texas a&M Univeristy.
Medical marijuana has increasingly been in the news as a growing number of states throughout the U.S. have passed measures or at least put on the ballot an initiative to legalize either medicinal or recreational marijuana usage. The history of marijuana in the U.S. is one that goes back as far as the country itself: hemp (a type of marijuana plant) was used for rope, paper and a number of other purposes because of its strong fibrous tissue.1 It was not until the Prohibition Era of the 1920s that marijuana began to be prohibited by law in the U.S.—and within a decade, it was regulated among most states under the Uniform State Narcotic Act.2 Thus, from its very first days as a crop grown by the Virginia Company for exporting to England by decree of James I—and in fact from the days of the first President of the U.S.…
Lobotomy is a popular medical procedure introduced in curing mentally ill individuals, which requires the removal of the prefrontal lobes of the cortex of the brain, the part of the brain wherein aggressive and violent behavior is triggered. However, in the movie, lobotomy is shown to have disastrous results: McMurphy's violent behavior is indeed abated, but as illustrated in the movie, the lobotomy had turned him into a 'vegetable' neither responding to his ward mates' call for attention nor displaying his usual rowdy, obnoxious, McMurphy self.
This instance in the movie is considered as patterned after the medical model of abnormal psychology, wherein "mental disorders are described as medical diseases with a biological origin" (450). ecause this is the prevalent thinking in medical science during the time the movie (and novel) was made, Nurse Ratched decided, in order to "treat" McMurphy, to let him undergo lobotomy. Subsistence to the medical…
Santorck, J. (2001). Psychology. NY: McGraw-Hill Book Co.
According to A.J. Larner's book, "A Dictionary of Neurological signs," prosopagnosia is a neurological condition, "a form of visual agnosia characterized by an inability to recognize previously known human faces or equivalent stimuli (hence a retrograde defect) and to learn new ones (anterograde defect)" (Larner, 2010). Larner further distinguishes between two forms of prosopagnosia: apperceptive and associative agnosia. This "category-specific recognition disorder," as G, Neil Martin calls it in his "Human Neuropsychology" is often, but not always, associated with other forms of visual agnosia such as alexia or achromatopsia.
Prosopagnosia can be congenital or developmental, or a consequence of brain damage, following a stroke, a brain injury, or caused by a degenerative disease (Kinai, 2013) . There are two types of prosopagnosia: apperceptive prosopagnosia and associative prosopagnosia. This form of visual impairment has various degrees of manifestation, from mild to severe and can or cannot be associated with other…
Bowles, Devin C. McKone, Elinor. Dawel, Amy. Duchaine, Bradley. Palermo, Romina. Schmalzl, Laura. Rivolta. Davide. Wilson, Ellie. Yovel. Galit.
Cognitive Neuropsychology, "Diagnosing prosopagnosia: Effects of ageing, sex, and participant-stimulus ethnic match on the Cambridge Face Memory Test and Cambridge Face Perception Test." Available at: http://www.faceblind.org/social_perception/papers/Bowles%2009%20CN.pdf
Sperry, Roger Wolcott. Ed.Trevarthern, Colwyn B. 1990. Brain Circuits and Functions of the Mind: Essays in Honor of Roger Wolcott Sperry, Author. Cambridge University Press
Newman, Nancy J. Miller, Neil R. Biousse, Valerie. 2008. Walsh and Hoyt's Clinical Neuro-ophthalmology: The Essentials. Lippincott Williams & Wilkins
Ethical Dilemma: case study of clinical trial on a child
The field of medicine and research has been surrounded by issue of experiments in order to have the conclusive result of the effectiveness of a drug or otherwise. These results can only be obtained if the drugs are at times used on human beings with the real medical problem that the experiment seeks to find solution to. The problem of ethical dilemma often comes in at such stages on whether to go ahead to experiment on the effectiveness of the new drug or not.
Ethical dilemma refers to the situation that is deemed complex since it involves some element of mental conflict between moral imperatives that is one goes ahead and obeys one, it will mean the transgression of another (Braunack-Meyer A.J., 2001). The individual does not have a clear cut direction on which option to go for, despite there…
Braunack-Meyer A.J., (2001). What makes a problem an ethical problem? An empirical perspective on the nature of ethical problems in general practice. Retrieved November 29, 2014 from http://jme.bmj.com/content/27/2/98.full
Pier B.K., (2007). Children, Gillick Competency and Consent for Involvement in Research. Retrieved November 29, 2014 from http://jme.bmj.com/content/33/11/659.abstract
Spriggs M., (2010). Understanding Consent in Research Involving Children: The ethical Issues. Retrieved November 29, 2014 from http://www.mcri.edu.au/media/62539/handbook.pdf
Wake Up; Take a Shower; Take Breakfast With Other Family Members
Arrive at the bank; pick a waiting ticket; interaction with service staff; a member of staff in the next counter is having a difficult time with a customer
9:00 am: Arrive at my girlfriend's house; help her with laundry and other household chores; watch a movie together
12:30 pm: Having lunch with my girlfriend in a restaurant; in an adjacent table three women are talking about their dating experiences with men in different cultures
2:00 pm: At the parking lot a beggar stops me; he tells me he has no home or family
7:00 pm: Watching evening news -- robbery at a local store and unnecessary shooting of an innocent Black man by a White police officer
Sociology demonstrates that people's daily lives are shaped and constrained by the society (Dillon, 2010). By interacting with and/or watching other…
Dillon, M. (2010). Introduction to sociological theory: theorists, concepts, and their applicability to the twenty-first century. UK: John Wiley & Sons.
Hurst, C., Gibbon, H., & Nurse, A. (2016). Social inequality: forms, causes and consequences. 9th ed. New York: Routledge.
Williams, C. (2003). Sky demands: the demands of emotional labour in the airline industry. Gender, Work & Organisation, 10(5), 513-550.
health information technology occupation and conduct a search of the Internet, consult professional
Thorough Job Details: Although there are not an abundance of qualifications that an individual must have to earn a position as a professional medical coder, there are several different avenues to pursue them. Candidates typically must have graduated high school or earned the equivalency of a high school diploma. Once they have completed this step, they can satisfy the general education requirements in a couple of different ways: either by earning an associate's degree or a postsecondary certification in health information technology or in a related field. Certificate programs typically last less than a year, whereas associate's degree programs are generally two years of full time study. The completion of these courses usually qualifies individuals to begin working within the field of medical records and health information technology as a medical coder. It is also permissible for…
Bureau of Labor Statistics (2014). Medical records and health information technicians. www.bls.gov. Retrieved from http://www.bls.gov/ooh/Healthcare/Medical-records-and-health-information-technicians.htm
Bureau of Labor Statistics. (2014). Medical and health services manager. www.bls.gov. Retrieved from http://www.bls.gov/ooh/management/medical-and-health-services-managers.htm
Medical and Billing Claims
I certainly do not agree with Tina's way of filling out an insurance claim. In fact, her method appears extremely suspect and potentially noxious to the company that both she and Tim are working for. The reason that I do not agree with Tina's way of filling out an insurance claim form is because she leaves far too much room for error. The fact that she would rather make an educated guess about the veracity of a claim based on unclear handwriting or terms she is ignorant about certainly does not bode well for her career -- or the degree of business that the company she is working for has. The billing and coding specialist position in the medical record field leaves little room for error.
There are a couple of rules or guidelines I would suggest Tina adhere to when attempting to fill out a…
Hobbes, T. (1651). Leviathan. www.Oregonstate.edu Retrieved from http://oregonstate.edu/instruct/phl302/texts/hobbes/leviathan-contents.html
Machiavelli, N. (2006). The Prince. Project Guttenberg. Retrieved from http://www.gutenberg.org/files/1232/1232-h/1232-h.htm
Ethics Case Study: Medical Law and Ethics
Jerry McCall is Dr. William's office assistant. He has received professional training as both a medical assistant and an LPN. He is handling all of the phone calls at the office while the receptionist is at lunch. During this period of time, a patient calls and says he must have a prescription refill for Valium, an antidepressant medication, called in right away to his pharmacy, since he is leaving for the airport in thirty minutes. The patient notes that Dr. Williams is a personal friend and always gives him a small supply of Valium when he has to fly. No one except Jerry is in the office at this time.
Does Jerry's Medical Training Qualify Him to efill the Order?
While Jerry's medical training qualifies him to receive a prescription order and transcribe it accurately for other nurses or physicians to implement or…
Lloyd, H. (2010). Workers' compensation: a brief history. Florida Department of Financial Services. Web. Retrieved from: http://www.myfloridacfo.com/wc/history.html on 1 November 2011.
Minnesota Board of Nursing. (2010). Nurses and prescribing. Web. Retrieved from:
http://www.state.mn.us/mn/externalDocs/Nursing/NURSES_AND_PRESCRIBING_090904125323_Prescribing%20FAQ2.pdf on 1 November 2011.
Nowicki, M. And Summers, J. (2004). Reducing your credibility liability. Healthcare Financial Management, 58.4: pp. 94-97. Web. Retrieved from: ProQuest Database.
Patient Centered Medical Homes (PCMH) are often confused as being actual "homes" for patients to be admitted in and given medical treatment and care. PCMH is actually a health care model based on which health care is provided to patients, under the supervision of physicians. The PCMH model of health care provides patients with continuous, comprehensive medical care, in order to increase the chances of achieving the goal of benefitting the patient with as much attention and medical care in order to maximize his/her health outcomes.
Over the years the PCMH model of health care has become widely adopted and preferred. This is because of the philosophy and approach that the model adopts in organizing and delivering the health care initiatives. The PCMH model is based upon delivering medical care and attention to patients with team-based health and medical experts that are focused strongly on the quality and the safety…
109-432, P.L. (2006, December 20). TAX RELIEF AND HEALTH CARE ACT OF 2006. Public Law 109-432 (109th Congress) .
Backer, L.A. (2009). Building the Case for the Patient-Centered Medical Home. Family Practice Management 16 (1), 14-18.
De Geest, S., Moons, P., Callens, B., Gut, C., Lindpaintner, L., & Spirig, R. (2008). Introducing advanced practice nurses/nurse practitioners in health care systems: a framework for reflection and analysis. Swiss Medical Weekly (138), 621-628.
NASHP. (2013, April). Medical Home & Patient-Centered Care. Retrieved from The National Academy for State Health Policy: http://www.nashp.org/med-home-map
Counsultation in the field of counseling is a concept by which a person is able to consult with a counselor in order to develop a better sense of self. There is often a biblical aspect to this type of counseling, but that is not a requirement. People can also be counseled by those who address financial concerns, tax implications, or other types of personal and professional issues. Anytime someone sees a counselor for a counsultation on his or her status in some aspect of life, this type of activity takes place. Often, a counsultation takes place as the first line of defense in treating a mental health issue. A counselor can look over information provided by the patient as well as any past medical history in order to make some determinations about patient care and potential problems. At that time, there can be a counsultation appointment scheduled that will allow…
Belkin, L. (1999, October 31). Parents blaming parents. New York Times Sunday Magazine, p. F61.
Benner, D.G., & Hill, P. C (1999). Baker Encyclopedia of Psychology & Counseling. Grand Rapids.
Boss, P. (1999). Ambiguous Loss: Learning to Live with Unresolved Grief. Harvard University Press, MA.
Bowlby, J. (1977). The making and breaking of affectional bonds, I and II. British Journal of Psychiatry, (130), 201-210, 421-431.
" here, I worked part-time as a translator and interpreter. It was indeed a magnificent experience to work with members of this demanding theatrical profession. Every day was a constant surprise and a constant challenge to my linguistic abilities. I had to put works of great emotion, the off-stage as well as the on-stage monologues, of these fine actors into comprehensible form, structure, and prose for the delight and edification of others and for audiences of all ages.
his constant, daily, living act of translation also highlighted for me the delicate balance between subjectivity and objectivity in the art of translating another's words and thoughts into another language and cultural system of ideas. Beyond decoding the meaning of the source text or voice, and recoding it into the language and meaning of another text and voice, I learned that in the immediacy of life there is always an element between…
This is even more important for someone in a specific field, as in medical and scientific translation, as often words have a different meaning in the technical lexicon of the profession or a discipline then they do in more colloquial usage. For much as I enjoyed my tenure with the theatrical company, for me, even more gratifying than making the arts understandable is the ability to make the often difficult and frightening world of medicine and science comprehensible. To see my knowledge of a language bring comprehension, the understanding of the 'yes, I see,' or the 'a-ha' in the eyes of another is as satisfying as landing a well-spiked volleyball over the net, another of my favorite leisure time pursuits, or of hearing applause while standing on the stage.
My knowledge of technical subjects and fluency in the language of scientific technology has been honed through my computer knowledge and my proficiency in technical languages. I am fluent in Windows98, Windows 2000, and Windows XP. Microsoft Applications such as Word, Excel, Access, Explorer, FrontPage, PowerPoint, Publisher, Photoshop, and I have a good knowledge of HTML programming and the languages involved in web design.
Translation, regardless of the language and the lexicon -- scientific, computer, medical, or artistic -- is about the conveyance of meaning as perfectly as possible into a language and a manner understandable to another person's language and lexicon. To be a translator is to be the human facilitator in the process of creating meaning and bridges between cultures. It is a skill I have performed in the past, and one that I hope to further sharpen and perfect, in school and in my professional life.
Human esource Issues in Health Field
The field of health human resources in the health field deals with issues such as planning, performance, management, development, information, retention, and research on human resources in the health sector Successful realization the mission and goals in this field is determined by the dedication and skills that the specialists possess. This study identifies various issues that often arise and bedevils this field. Current trends relating to technological advancements affecting the success and performance of employees in this field are also identified (Fried, & Johnson, 2002). Therefore, in order to improve service delivery in the health sector and consequently promote a healthy society, it is critical to identify and analyze the various challenges facing human resources in the health sector. This will provide a basis for developing various interventions aimed at dealing with the identified challenges and consequently improving the quality of service delivery in…
American Society for Healthcare Human Resources Administration. (2012). American Society for Healthcare Human Resources Administration ... membership directory. Gainesville FL: Naylor.
Fried, B., & Fottler, M.D. (2011). Fundamentals of human resources in healthcare. Chicago: Health Administration Press.
Fried, B., & Johnson, J.A. (2002). Human resources in healthcare: Managing for success. Washington, DC: AUPHA Press.
Kabene, S.M. (2011). Human resources in healthcare, health informatics and healthcare systems. Hershey, PA: Medical Information Science Reference.
The healthcare field is certainly a tricky topic to discuss, considering that it is riddled with debates regarding things like insurance, pharmaceutical use and the safety of many medical procedures. However, in the last ten years, the field of biotechnology has emerged as a force to be reckoned with in the realm of healthcare and economics. Several groundbreaking innovations have been made that have rattled the pre-existing constructs of these vital fields. Topics like laser surgeries and stem cell reproduction have become regular parts of every citizen's vocabulary, yet they still seem to been engulfed in quite a bit of controversy. Nevertheless, the lifesaving potential of these revolutionary endeavors cannot be overlooked. In fact, this massive potential has given way to the revolutionary amalgamation of nanotechnology and medicine: a field that is now referred to as nanomedicine. Research in this field is currently being conducted with some radical goals…
Bloomberg Businessweek. (2011). The Nanomedicine Laboratory. Retrieved November 23, 2011, from http://investing.businessweek.com/research/stocks/private/snapshot.asp?privcapId=108448530
Diaz, J. (2010, March). This Is the Future of the Fight Against Cancer. Retrieved November 23, 2011, from http://gizmodo.com/5501103/this-is-the-future-of-the-fight-against-cancer
Eaton, M. (2009). Nanomedicine: Industry-Wise Research. Journal of Nature Materials, 6 (1), 251-253.
Moghimi, S.M., Hunter, A.C., & Murray, J.C. (2005). Nanomedicine: Current Status and Future Prospects. The Journal of the Federation of American Societies for Experimental Biology, 19 (3), 311-330.
In the field of nursing, both qualitative and quantitative data are useful and needed. The qualitative approach comes much from the patient and/or stakeholders. How does the patient "feel," what are some not quantittiative things one notices. Often, though, in charting a patient, a medical professional is able to quantify some of the qualitative data (e.g. complexion pale or wan; skin temperature, palor, attention span, etc.). The quantitative data are data that can be easily measured and work in tandem to provide a way to make a cogent diagnosis for the patient. Qualitative data is also part of the nurse's ability to make judgments about the quality and morality of situations, indeed, taking the principles of nursing ethics (beneficence, autonomy, etc.), many of those decision types are qualitative based. Some of this is, of course, related to secondary data sets from other research studies outside the purvue of patient-care,…
Information on Charting. (2011). AHIMA. Retrieved from: http://www.ahima.org/
The How's and Why's of Chart Audits. (2005). Duke University Medical Center. Retrieved from: http://patientsafetyed.duhs.duke.edu/module_b/chart_audit.html
Medical Chart Audits. (2011). AAPC Physician Services. Retrieved from:
Patient Centered Medical Home
PCMH model leads to reduced cost of care, improved population health" is a medical report authored by Katie Sullivan Published on FierceHealthcare. The report is a summary of the general findings of a report carried out by the Patient-Centered Primary Care Collaborative. According to the research report, the Patient Centered Medical Home has resulted in reduced unnecessary emergency room (ER) and hospital visits, costs of care, and improved population health.
The research methodology employed is the review of literature released between August 2012 and December 2013. This means that a panel of experts reviews all the articles before they accepted for publication. The report achieves quality and merit by restricting the literature to peer review articles that can be relied for scholarly and official use. However, there is no indication of the section process used in identifying the literature to be used. August 2012 to…
Schneck Medical Center: The Baldrige Award
Schneck Medical Center: Overview
The Schneck Medical Center according to the National Institute of Standards and Technology -- NIST (2011) "is a 93-bed nonprofit hospital providing primary and specialized services to the residents of Jackson County, Ind., and surrounding communities." The facility as NIST (2011) further points out, offers a variety of primary care services including but not limited to cancer care, noninvasive cardiac care, and joint replacement.
Established in 1911, the facility was amongst four organizations selected by the President and the Commerce Secretary in 2011 to be awarded the Malcolm Baldrige Quality Award. This particular award in the words of NIST (2011) is "the nation's highest Presidential honor for performance excellence through innovation, improvement and visionary leadership." It is important to note that apart from the Baldrige Award, Schneck Medical Center has been a recipient of several other awards including the Outstanding…
Greene, A.H. (2012). HIPAA Compliance for Clinician Texting. Retrieved May 28, 2013, from: http://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_049460.hcsp?dDocName=bok1_049460
Hester, D.M. & Schonfeld, T., (Eds.). (2012). Guidance for Healthcare Ethics Committees. New York: Cambridge University Press.
Hernandez, S.R. & O'Connor, S.J. (2009). Strategic Human Resources Management in Health Services Organizations (3rd ed.). Clifton Park, NY: Cengage Learning.
Lyer, P.W., Levin, B.J. & Shea, M.A. (2006). Medical Legal Aspects of Medical Records. Tucson, AZ: Lawyers & Judges Publishing Company.
They have a great deal of responsibility for selecting the images during the scan that provide the most comprehensive picture for diagnostic purposes, as well as recording their own preliminary findings.
Why did you apply to this health program?
I have worked three years as a 401K plan analyst. I enjoy making the complex financial services industry comprehensible to clients, but I am seeking a job that is more meaningful and hands-on that still makes use of detail-oriented personality. The field of medical sonography is fascinating and likely to be more and more important in the future because of its ability to quickly provide a portrait of a patient's state of well-being. Working in the field will allow me to be in close contact with patients and to give them meaningful comfort, advice, and care during diagnostic procedures.
Subsequently, the primary focus of this editorial is to urge Police Magazine, individual law enforcement offices across the country, as well as law enforcement officers themselves, to implement these type of measures (which allowed for such a coordinated response from these disparate entities) across the country. The benefits of implementing programs such as the Metropolitan Medical Response System in cities and states throughout the U.S. would certainly be manifold, as it would dramatically assist in the work efforts of the aforementioned departments were they previously familiarized with working together in the face of adversity.
I do realize, of course, that the coordination of this type of municipal cooperation would require a substantial amount of training for the various employees involved, which would ideally be an addition to the training necessary for the respective jobs in these organizations. I am also aware that such organization would require a significant amount of…
Standard Construction of Modern High Field Magnets Used in Modern Nuclear Magnetic esonance Devices
Nuclear magnetic resonance devices are playing an increasingly important role in healthcare and research today. As the term implies, magnets, specifically high field magnets, are an essential part of these sophisticated devices with important implications for a wide range of valuable healthcare and research applications. To gain additional insights into how these devices operate, this paper provides a discussion concerning the standard construction of modern high field magnets used in nuclear magnetic resonance devices, including a detailed graphic illustrated the different components of a representative magnet. An examination of the effects of transitions to higher magnet strengths on cooling systems is followed by an analysis of the superconducting materials used and a brief description of magnet construction. A discussion concerning the differences between shielded magnets and non-shielded magnets and innovations in technology that may allow room…
Carlisle, R. (2004). Scientific American Inventions and Discoveries: All the Milestones in Ingenuity -- From the Discovery of Fire to the Invention of the Microwave Oven. Hoboken,
NJ: John Wiley & Sons.
Depalma, A. (2003, August 25). 'Mass Spectrometry and Proteomics.' The Scientist, vol. 17, no.
16, pp. 44-47.
The field of nursing is shaped by a range of ethical principles; while all of these concepts are important, one could argue that perhaps the most crucial ethical principle is that of beneficence. "Beneficence is the obligation to do good and avoid harm. Nurses help others to gain what is beneficial to them, which promotes well-being and reduces the risk of harm" (Young et al., 2009, p. 75). Having a clear understanding of beneficence is important as nurses are often presented with a range of complex ethical situations and dilemmas and they need strong principles to help guide their actions and nursing practice. As Young and colleagues explain, avoiding the harm that comes to a patient involves balancing this against the perceived amount of benefit. Other theorists see this concept in a slightly different perspective: "Beneficence is the principle of promoting the legitimate and important aims and interests of…
Addington-Hall, J.M., Bruera, E., Higginson, I.J., & Payne, S. (2007). Research methods in palliative care. Oxford: Oxford Publishing.
Cedar, S.H. (2006). Stem cell and related therapies. Nursing Ethics, 13(292),
Hitchcock, J.E., Schubert, P.E., & Thomas, S.A. (2003).Community health nursing: Caring in action. Clifton Park: Delmar.
Randall, F.M. (1999). Ethical issues in palliative care. Acta Anaesthesiol Scand, 43(9), 954-6.
Delray Medical Center
A particular level of personal achievement, drive and professionalism are expected from the individuals who make up the nursing team at Delray Medical Center. Due to the reputation that comes with being both a Level One Trauma Center and a hospital recognized as one of the top 50 in the United States, the nursing staff has to meet a strict standard. So, those applying for a staff position and seeking to join the Graduate Registered Nurse Program being organized, must exceed those leadership and professionalism criteria expected from other nurses. The goal of this essay is to familiarize the Delray Medical Center recruitment staff with my qualifications and to provide proof that I do have the accumulated personal achievements, professional credentials and drive to not only succeed but thrive in this learning and working environment.
Many nursing students come to the profession after working the first few…
Abnormal psychology is a field in psychology that addresses dysfunctions in behavior which are determined abnormally by standards of behavior .These standards have been established by clinical professionals in the field such as medical doctors, psychiatrists and psychologists. Behaviors considered to be abnormal are; schizophrenia, depression, attention deficit disorder, eating disorder, sexual deviance, obsessive compulsive disorder and anti-social disorder (Cherry, 2012). These disordered function outside the normal parameters of the functional behaviors considered to be standard. The paper will look at the origins of abnormal psychology and challenges when it comes to the classification and definition of normal and abnormal behavior. It will also look at how abnormal psychology has evolved into a scientific discipline. It will finally look at the theoretical models that have led to the advancement of understanding psychopathology.
Origins of Abnormal psychology
Abnormal psychology has been undergoing tremendous changes and progress. It is a very controversial…
Cherry, K. (2012).What is Abnormal Psychology? Retrieved May 10, 2013 from http://psychology.about.com/od/abnormalpsychology/f/abnormal-psychology.htm
Crawford, O. (2010). Psychopathology Analysis: Historical and Contemporary Perspectives of Abnormal Behavior and Psychopathology. Retrieved May 10, 2013 from http://voices.yahoo.com/psychopathology-analysis-6147988.html
Experiential Exercise: Observing and Reporting Surroundings at a VA Medical Center
To satisfy the requirements of this assignment, the author recently volunteered at a local Department of Veterans Affairs medical center (VAMC) and the results of this experience are related below.
Date and address of where the experience took place
October XYZ, 20XX, in Anytown, Ohio.
Length of time you were there
Four hours (including lunch).
Brief description of the setting
The VAMC visited for this assignment is a major tertiary healthcare facility that provides medical, surgical, dental and mental health services to eligible veterans in its catchment area. The volunteer services department is located on the VAMC's first floor, immediately inside the main entrance. A young female receptionist behind a glass window greets volunteers with and without appointments, but a sign below the window recommends making an appointment to ensure volunteers' services are needed on a specific date. Besides…
1993). Within medical settings in particular, physicians and supervisors are often too over-burdened with their myriad formal responsibilities to take note of minor irregularities in protocols and procedures. Because coworkers are often in the best possible situation to notice inadequacies, it is important for all levels of employees to be equally involved in the overall CQI process.
Optimal implementation of an effective CQI process also requires a culture of openness to suggestion and confidentiality with respect to reporting more serious issues such as those that result from negligence or willful misconduct on the part of co-workers.
11. The textbook states that "an organization's most vital component in costly resource is its staff." With this being the case, the human resource function plays a very important role. Should the human resource function be part of the senior management team?
In terms of policy implementation and organizational philosophy, the human resources function…
Horine, P.D., Pohiala, E.D., Luecke, R.W. (1993) Healthcare Financial Managers and CQI: Implementing Continuous Quality Improvement; Healthcare Financial Management.
Humphry, D. (1991) Final Exit: The Practicalities of Self-Deliverance and Assisted Suicide for the Dying. Secaucus: Carol Publishing
Russell-Walling, E. (2005) Fifty Management Ideas You Really Need to Know. London: Quercus
Factors related to hospitals and the patient population influence incidents of discharge Against Medical Advice, also known as AMA (Karimi et al., 2014). There is a high rate of discharges against the doctor’s advice after admission into emergency units. There is a need to probe the reasons behind such a trend (Shirani et al., 2010). It should be noted with concern that AMA is a healthcare institutions’ problem across the world because, in cases where children are discharged in such a manner, the blame cannot fall on these children. Children do not contribute to such decisions (Mohseni et al., 2013). Figures show that out of every 65 to 120 discharges from general hospitals across the world, one is a case of AMA. Such action is prone to dire consequences including litigation (Devitt et al., 2000). The scenario is a challenge to physicians across the globe (Taqueti, 2007). It is…
One solution to enhance learning might be to require that all officers take the initial course and to then develop online content for 'follow-up' briefings and re-testing of knowledge every six months. This would be more rigorous than the current method of having refresher courses every three years. The frequency of the retraining would reinforce the seriousness of the issue.
While it is true that there is an optional SFST update course to be taken within six months, the course is not mandatory. While an SFST instructor must supervise the SFST practitioner administering the SFSTs' in initial administration, the 35 test cases within six months of the initial training that the officer must complete are not supervised and thus there is no ongoing feedback during the course, limiting its effectiveness. Feedback is an essential component of learning -- in the classroom and in the field.
Level 3: Behavior
.....neuroscience is one of the most common scientific field of study that basically involves study of the nervous system. Most of the jobs in neuroscience involves dealing with some problems that do not necessarily involve working in the lab. An example of such jobs that interests me is neuropsychology, which is an area in neuroscience that focuses on the science of brain-behavior relationships. I find clinical neuropsychology as an interesting field of neuroscience since it combines concepts of psychology in the study of the nervous system, particularly brain-behavior relationships. Given the combination of neuroscience and psychology, clinical neuropsychology will enable me to feel empathy for my patients/clients when addressing their issues (Ogden, 2012). In light of my passion for this field, brain functions and neuroscience that I find interesting are neurobiological theories that explain dysfunctions in language, behavior networks, vision, memory, and emotion. These brain functions and neuroscience are interesting…
Medical Administration Service for File
ationale in Support of Selection of Heart Transplant ecipient
Because time was of the essence in formulating this decision, this memorandum for the record sets forth the decision-making process and that was used to select the most appropriate candidate for a heart transplantation procedure. It was my responsibility as lead surgeon to select the most appropriate heart transplant recipient from a pool of three candidates, each of whom had suffered from several health-related issues that adversely affected their suitability for the transplant procedure. Therefore, in order to formulate as subjective an analysis as possible in a timely fashion, a utilitarian ethical analytical approach was used to identify the candidate that held the most promise of using the gift of additional life from the heart donor to its maximum advantage. The utilitarian ethical analysis showed that of the three potential heart transplant candidates, the 12-year-old…
Andre, C. & Velasquez, M. (1989, Winter). Calculating consequences: The utilitarian approach to ethics. Issues in Ethics, 2(1), 37.
Hollingsworth, J.A., Hall, E.H. & Trinkaus, R.J. (1991). Utilitarianism: An ethical framework for compensation decision making. Review of Business, 13(3), 17-19.
Rosen, F. (2003). Classical utilitarianism from Hume to Mill. London: Routledge.
Religious Field Search
AHMADIS: THE OTHER FACE OF ISLAM
For the purposes of this paper I visited the local Ahmaddiya Muslim Community or as they prefer to called Ahmadis. Ahmadis are a sub-sect of the Islamic Community. What attracted to me to study this community was that unlike the general image we have of the Islamic community, this community is non-violent and is considered heretical by the larger Islamic community for having a prophet in succession to Muhammad, the founder of the Islamic faith. In many Muslim majority countries the Ahmadis are banned and in many others they have been ex-communicated from the Islamic mainstream. Apparently -- as I discovered- one of the other contentious issues between them and the rest Islamic community is the controversy over Jesus Christ's death, which I found interesting given that I considered Jesus an exclusively Christian figure. To my amazement it turns out that…
1. Ahmad, M.T (1989). MURDER in the NAME of ALLAH London, UK:
Lutterworth Press Cambridge
2. Durant, W. (1950), The Story of Civilization, 11 volumes, New York:
Simon and Schuster.
Overall sensitivity for whole-body and PET/CT was 96% and 93% respectively, while specificity was 87% and 88% respectively.
The study showed that both methods are relevant for detecting metastases in breast cancer patients, but also showed that the method chosen should be appropriate to the type of tumor which may be suspected based upon the laboratory and clinical findings. While the study found that both 1.5- and 3-tesla MI scanning were feasible for the purpose of finding metastases, the team discovered that there is still much work to be done on refining the methods used for 3-tesla scanning. This could lead to further improvements in the results yielded by this method.
Breast gamma imaging spots DCIS better than mammo, M
Breast-specific gamma imaging (BSGI) is a functional study which is unaffected by dense tissue, implants or architectural distortion in the breast. The aim of the study was to…
Jeong-Sik Yu et al. (2007) Fat containing nodules in the cirrhotic liver: Chemical shift MRI features and clinical implications. AJR, 188: 1009-1016.
Pal, S. (2007) Breast gamma imaging spots DCIS better than mammo, MR. Retrieved September 5, 2007, at http://AuntMinnie.com .
Tilke, B. (2007) PET/CT, whole-body MRI each have merits in metastatic breast disease. Retrieved September 5, 2007, at
Medical Imaging Technology in an information driven world
Technology and technology applications in the medical fields are proliferating faster than proverbial rabbits. The advances in digital transmission of data, together with application of MI technology and micro circuitry have created opportunities for the medical profession to gain more accurate information, analysis, and prognoses than ever before. MI machines produce images which are clearer, and virtually three dimensional for the medical staff to use to accumulate diagnostic information. In previous decades, developing the talents to read imaging devices was included in part of broader-based medical disciplines. But today, universities have advanced BS and MS degrees in medical imaging technology.
Like any new field, the perspective value and the actual value brought to the medical field can differ. Increasing technology is not solely a problem for medical community to solve, nor the salvation of the entire field. Technology is a…
Cassell, E. (1993) "The Sorcerer's Broom: Medicine's Rampant Technology," Hastings Center Report 23, no. 6 32-39. Adapted from The John and Roma Rouse Lecture for Human Values, The Mayo Clinic, 12 December 1990.
Crosby, O. New and emerging occupations: something old, something new, something better... perhaps something for you. Here's how new occupations develop.
(2002, Sept 22) Occupational Outlook Quarterly
Analytical and Diagnostic Sciences. (2003). College of Applied Sciences. Retrieved 16 Nov 2003. from University of Cincinatti web site: http://www.cahs.uc.edu/departments/AMIT.cfm
Poor medical safety practices result in over 40,000 deaths per year, of that 7,000 deaths are attributed to medication-related medical errors. There is no excuse for negligence when it comes to human lives. It is imperative that the medical community introduce sound medication safety best practices to eliminate adverse outcomes related to medication prescriptions. Best practices include the implementation of standardization and protocols in addition to the use of technology to reduce errors.
Medical Safety Practices
Medical practitioners are relied upon to provide solutions, acting as the first and many times, last hope of those in dire need. But despite this great responsibility to patients whose lives are entrusted in medical staff studies show that out of every 100 patients admitted to a medical facility 2 patients will experience a medical error due to incorrectly prescribed or administered medication. The results can be mild but can also be…
Bates, David W.; Spell, Nathan; Cullen, David J., et al. (1997).The Costs of Adverse Drug Events in Hospitalized Patients. JAMA. 277:307 -- 311.
Centers for Disease Control and Prevention (National Center for Health Statistics). (1999). Births and deaths: Preliminary data for 1997. National Vital Statistics Reports.
Grissinger, M., Globus, N.J. (2004). How Technology Affects Your Risk of Medication Errors. Nursing2004. 34(1), 36-41.
Institute of Medicine. (2000). To Err Is Human: Building A Safer Healthcare System.
Licensing of anything is applying the legality of its use to a collective group of people. Understanding this concept is critical in developing an attitude towards the history of licensing of health care professionals. The purpose of this essay is to describe how it came to be that physicians are licensed and essentially under governmental control and direction. The essay will give a brief history of this process to help contextualize these efforts. Before concluding this essay will also address the importance of why the federal government is the sole licensing authority for physicians to dispense or prescribe control substances.
The ole of Government
Before realizing the impact of the licensing of health care professionals by the government, it is necessary to understand the role of the government. While it is historically and culturally acceptable to interpret the role of government as extremely important in guiding the citizens…
America Medical Association (nd). Medical Licensure. Viewed 20 July 2014. Retrieved from http://www.ama-assn.org/ama/pub/education-careers/becoming-physician/medical-licensure.page
Hamowy, R. (1979). The Early Development of Medical Licensing Laws in the United States. The Journal of libertarian studies, 3, 73.
US Department of Justice (nd). Drug Schedules. Viewed 20 July 2014. Retrieved from http://www.justice.gov/dea/druginfo/ds.shtml
ole of Biostatistics
Biostatistics plays an important role in the informing and guiding of public health policy and practices. The reason for this is simple: quantitative data goes a long way in indicating a clear and precise picture of the extent to which a phenomenon is affecting or impacting a population. Biostatistics can provide information and that very extent and underscore the importance of implementing a policy, of changing a policy's course/direction, of developing a new approach to dealing with public health, and/or of promoting new practices. Biostatistics provide a gathering of and interpretation of data that can then be used by policy makers as support for initiatives that would otherwise stall for lack of proof or evidence regarding why and how they will be effective at addressing a specific problem (Bertolote, Flieschmann, 2002).
The issue of translational research and whether or not it is being effectively used to create…
Analyzing Research Questions about Survival. (n.d.).
Bertolote, J., Flieschmann, A. (2002). A global perspective in the epidemiology of suicide. Suicidologi, 7(2): 6-8.
This is particularly the case in sub-Saharan Africa where clinicians have often come to rely on signs and symptoms alone to make diagnoses." (Nicoll, Walraven, Kigadye, Klokke, 1995)
The laboratory environment is critical to administering testing to determine population rates of HIV / AIDS throughout nations and perhaps continents where the lacking of resources facilitates a substandard environment for care. In the case of the African nation of Mozambique, which perhaps can be understood as a case indicative of the environmental assessment one would find throughout Africa and therefore, can be labelled to be a median statistical nation. A nation representing the median would indicate that half of the population nations that are categorized as resourced deficient, half would be above Mozambique in terms of resource allocation and half would fall below.
esearch into the quality of HIV / AIDS case-detection and case-reporting system in Mozambique was conducted by (Chilundo,…
Chappuis, F., Loutan, L., Simarro, P., Lejon, V., and Buscher, P. Options for Field Diagnosis of Human African Trypanosomiasis. Clinical Microbiology Reviews, January 2005, p. 133-146, Vol. 18, No.1
Chilundo, B., Sundeep S., Sundby J. The Quality of HIV / AIDS case-detection and case reporting systems in Mozambique. African Journal of AIDS Research 2004, 145-155. Copyright NISC Pty Ltd.
Clark. Blood Safety PPT. CDC, WHO
Loefler, I. Surgical wound infection in the Third World: the African experience. Journal of Medical Microbiology. Volume 47, 471-473. 1998. The Pathological Society of Great Britain and Ireland