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The medical history of a patient is a crucial first step for the appropriate evaluation of the patient. It is a list of questions given to the patient or people who known the patient well with the intent of obtaining data that is useful in formulating a diagnosis and providing quality and appropriate medical care to the individual. Within this crucial step, one must be diligent about following a checklist or system in order to ensure that one gleans the appropriate information to assist in clinical diagnosis. The medical relevant complaints from a patient, for instance are called symptoms. Clinical Signals or Clinical Signs, however, are different and are described by medical personnel examining the patient. Within the rubric of a medical history, however, there are various levels of detail necessary depending on the circumstances. For instance, a paramedic might limit detail to critical information about drug interaction…… [Read More]
The patient's medical history involved a resected colorectal carcinoma at the age of 60, with no evidence of metastatic disease. Liver function was normal at the time of surgery. Three years later, the female patient was found to have serum bilirubin levels of 20 ?mol/L. The serum levels for aspartate aminotransferase (AST) and alkaline phosphatase (ALP) were 23 U/L and 820 U/L, respectively.
Interpretation of the Laboratory Tests
High serum levels of ALP can indicate the presence of disease in the liver, bone, intestinal tract, and/or parathyroid, but the most common use for this assay is to detect disease of the hepatobiliary tract (Tietz, 1999, p 676). This is because the liver will respond to any obstruction in the biliary tree by producing more ALP, and these levels can be especially high if the blockage is extrahepatic (> 3 times the upper limit of the normal range). The…… [Read More]
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…… [Read More]
Initial Patient Analysis
Discomfort in lower back.
Patient is a 78-year-old woman presented as disheveled, with bug bites throughout her body, and exuding a foul odor. Cognitively, she orients only to her name with a BMI of 30 and a minimal understanding of the English language. She is able to nod "yes" or "no" to questions, but calls the nurse "Mother." She is unsteady on her feet, and has a fine "pill-rolling "tremor in her left hand. He legs are quite cool to the touch, hairless, and toe capillary refill is greater than 2 seconds.
Past Medical History
Unknown, but patient appears to be in distress both physically and psychologically.
Poor, disheveled, may not be receiving adequate care or living in an environment with enough food or warmth. BMI of 30 is technically obese, which also may indicate the patient is not…… [Read More]
Staircase ramps which are comprised of steep and narrow steps that lead up one face of the pyramid were more in use at that time with evidence found at the Sinki, Meidum, Giza, Abu Ghurob, and Lisht pyramids respectively (Heizer).
A third ramp variation was the spiral ramp, found in use during the nineteenth dynasty and was, as its name suggests, comprised of a ramp covering all faces of the pyramids leading towards the top. Reversing ramps zigzag up one face of a pyramid at a time and would not be used in the construction of step pyramids, while lastly interior ramps that have been found within the pyramids of Sahura, Nyuserra, Neferifijata, Abusir, and Pepi II (Heizer, Shaw).
Ancient Greek architecture exists mainly in surviving temples that survive in large numbers even today and is tied into Roman and Hellenistic periods which borrowed heavily from the Greeks.…… [Read More]
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…… [Read More]
History Of Modern American Nursing
When the Crimean War ended in 1856, patient mortality at British hospitals was forty-two percent. Despite the fact that Joseph Lister introduced the concept of antisepsis as early as 1867, the germ theory of disease would not be adopted for another several decades. Nevertheless, already by the end of the American Civil War in 1865, Union hospitals had treated over one million battlefield casualties, with only eight percent mortality. Mainly, historians credit Florence Nightengale, whose campaign for cleanliness and hygiene in hospitals fortuitously predated the crucial implementation of medical antisepsis in modern medicine (Starr, 1984).
Women in Early American Medicine:
Throughout the first half of the nineteenth century, admission to formal medical education was largely restricted to males until Quakers in Philadelphia founded the Woman's Medical College of Pennsylvania in 1850. While more than a dozen women's medical schools were subsequently founded by the turn…… [Read More]
History Of Occupational Therapy
Frame 1 - Introduction
Occupational therapy is an essential part of the recovery process. It allows the person to engage in meaningful activity that adds structure and purpose to their daily routine. Occupational therapy is now considered an essential part of the treatment process for those with long-term, or severe injuries. The role of the occupational therapist is to help the person we turn to a life where they can be independent and are in there and living, regardless of their condition. Occupational therapy helps a person to adjust to the changes in their lives as result of a severe illness or injury. This presentation will explore the history of occupational therapy with a focus on the changes in paradigm that took place during the 1950s and 1960s.
Frame 2 - Occupational therapy was first conceived in the early part of the 1900s. It was originally…… [Read More]
History of Magnetic esonance Imaging (MI)
Getting an MI scan may someday become as common as getting an X-ray. - Davis Meltzer, 1987
According to Gould (2004), on July 3, 1977, an event took place that would forever alter the landscape of modern medicine, although outside the scientific research community, this event hardly attracted any notice at all. The event in question was the first MI exam ever performed on a human being. The procedure required almost five hours to produce one image, and the images were, by today's standards, very primitive (this first MI machine now occupies a special niche in the Smithsonian); however, its successors number if the thousands today (Gould, 2004). The advent of the MI clearly represented the beginnings of a new standard in noninvasive radio imaging that continues to be refined. This paper provides the background and history of magnetic resonance imaging, including its discovery…… [Read More]
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…… [Read More]
This is where the ethicacy of web crawlers comes into play and is discussed in a later section of this paper. Finally the economic aspects of how web crawlers enable more effective forms of communication in shared networks and over Wi-Fi networks is just beginning to be studied (Bidoki, Yazdani, 2008). The growing reliance on smartphones, Wi-Fi networks and contextual advertising will result in entirely new business models based on web crawler technology as well.
Environmental Considerations of Web Crawling
f the four factors analyzed, this is the most positive as web crawlers have significantly reduced emissions and lessoned the dependence on foreign oil by providing interactive, real-time search research. The ability to run servers and entire data centers far more efficiently through the use of web crawlers is contributing to less electric being used, which in turn frees up the petroleum and fuel to create energy to begin with.…… [Read More]
ather than continue the process that began in the first two books, in which the osicrucian Order first announced themselves, gave their history, and then responded to certain criticisms while making their position within Christian theology clearer, the Chymical Wedding can almost be seen as the first instance of literature written within the osicrucian tradition, rather than as part of its manifesto-like founding documents, because it does not seek to explain the history of osicrucianism, but rather explicate how the teachings and underlying beliefs of osicrucianism contribute to and alter one's interpretation of Christian scripture (Williamson 17; Dickson 760). Specifically, one can see a distinct connection between the Chymical Wedding and seventeenth-century attempts to expand Protestantism throughout Europe. The Chymical Wedding can be seen as a the most explicit attempt on the part of osicrucians and osicrucian supporters to wed the new (or newly revealed) society to the larger religious…… [Read More]
Medical Advances in Cancer Treatment Research
This paper discusses the medical advances in cancer treatment research. The writer explores several treatment options and compares them to treatment options of the past. There were two sources used to complete this paper.
There was a time when a diagnosis of cancer meant a death sentence. The word still strikes a chord of fear among the millions each year who are told they have it, but in recent years there have been many advances in medical science that allow many who would have died from the disease to live long and full lives. There are more cancer survivors now than ever before and treatment options continue to be made available.
In the past there were only two options for the treatment of cancer. One could have surgery and one could be given a course of radiation treatments. The surgery was for the purpose…… [Read More]
History Of Nursing Science
Nursing has existed in some for as long as humans have roamed the earth. The modern era of nursing began with the emergence of Florence Nightingale during the Crimean War in the 1850's. The daughter of affluent parents, Nightingale greatly accelerated the development of nursing and is widely acknowledged as the most important person in the history of nursing. Nursing science translates to the profession itself in the form of best practices that have been formulated, debated, reviewed and analyzed so as to verify the validity of nursing theories before they are put into practice.
As is the case with many nurses and others who dedicate their lives to the care of others, Nightingale was driven largely by her spirituality and religious convictions. Many people perceive there to be an inherent conflict between religion and science but Nightingale did not believe this to be…… [Read More]
History Of Communication Timeline
TIMELINE: HITORY OF COMMUNICATION
(with special reference to the development of the motorcycle)
First paleolithing "petroglyphs" and written symbols. This is important in the history of communication because it marks the first time humans left a recorded form of communication. Also, these written symbols became the ultimate source of later alphabets.
Cave paintings at Lascaux show early representational art. This is important in the history of communication because the caves depict over 2000 figures, including abstract symbols. More recent research suggests these may record astronomical information.
OURCE: Wikipedia, "Lascaux."
First surviving umerian pictograms demonstrate a primitive form of record keeping. This is important in the history of communication because pictograms, together with ideograms, represent a primitive form of writing, in which a symbol either means what it looks like, or represents a single idea.
OURCE: Wikipedia, "Pictogram."
3300…… [Read More]
111), a product that gathered both good and evil forces on its way, a drink that could not have become global without the use of the slaves on a mass scale.
long their existence, the spirited drinks were designated as medicine, recreational drinks for pastime, means of social control, and due to the high degree of addiction that set in as soon as they moderation went out of the way, a source of distress for those who became addictive and their families. Rum, the first to replace the ratios of beer of the British ships and the main ingredient in the first cocktail, became the favorite drink of the English settlers who came to Virginia hoping to find a new source of wealth for them and their country. The second cocktail based on rum came on the tables of the Englishmen in the New World, under the form of punch.…… [Read More]
It was founded on the knowledge that spurred during the Renaissance and has placed significance on rational thought and cultural emphasis, which was not present before.
Furthermore, with regards to the popularity of Baroque during this period, it is important to note that this style was able to combine the principles of science and the philosophies and doctrines of early Christianity, which has been very prominent in architectures built on such style. During the earlier period, the Renaissance, art was simpler and characterized by simple rhythms. With Baroque, however, a dynamic change has occurred, as art and architecture became more ostentatious and it has shown how art can move from the previous period (Saisselin).
The Scientific Revolution has presented a new perspective and shows a shift from the orthodox. It has also allowed the use of the past in order to create the future. In the field of arts, the…… [Read More]
Michael Cooley (1972) has suggested that the drawing office has been downgraded in importance as a result of the finer division of labor in engineering that began in the 1930s. He described how the creative design element had become increasingly separated from the work of executing drawings. The fragmentation of shop floor jobs was, according to Cooley, paralleled by fragmentation of the job of the designer/drafter. Until the 1930s, drafters in ritain were responsible for designing a component, stress testing it, selecting materials for it, writing the specifications, and liaising with the shop floor and customers. ut starting in the 1930s, these functions were progressively broken down into separate jobs and taken over by various specialists, such as stress testers, metallurgists, tribologists, methods and planning engineers, and customer liaison engineers, leaving drafters with only the job of drawing (3D Systems Corporation, 2001).
In effect, in the ritain of the 1930s,…… [Read More]
History Of Health Care
Few professions offer the opportunity to make a difference in the lives of others on a daily basis. Health care is one of those professions. There are life and death situations, but there are also quiet moments such as routine office visits in which health care professionals can make a difference to someone with a kind and genuinely caring demeanor. Being a health care professional is more than a career. It is a choice one makes as someone who cares deeply about fellow human beings. Personally, I have always had a desire to make others feel comfortable, secure and cared for. I am interested in how this aspect of health care evolved. Health care professionals treat illness and injuries but it must be remembered that along with those are whole human beings who may be frightened, confused or angry. The emotional aspects of patient care have…… [Read More]
History of Direct to Consumer Advertising of Prescription Drugs in the U.S.
Imagine this: you are at home watching television one evening after work. As you casually flip through the channels searching for something interesting to watch, you notice a multitude of advertisements for prescription drug products. This form of advertisement is known as direct-to-consumer advertising, and is now well-known to practically all American households. One needs only to watch virtually any commercial television program or to browse through any consumer-directed magazine to view advertisements for a variety of prescription drugs. In regard to broadcast media, this is a relatively new phenomenon because, for many years, pharmaceutical manufacturers had to follow certain requirements. These requirements consisted of the inclusion of a substantial amount of material about the drug product's side effects, contraindications, and effectiveness.
Recent changes in 1999 under the guidance of the Food and Drug Administration (FDA) altered the…… [Read More]
History Of Health Care Mandate
The signing of the Affordable Care Act (ACA) by President Obama must be considered a landmark event in the history of the nation regardless of how one views the constitutionality of the legislation. Passage of the legislation marked the end of a long and acrimonious debate and brought the United States in line with the rest of the developed world in terms of providing universal health coverage to its citizens (Orszag, 2010). Unfortunately, the debate over the constitutionality of the ACA did not end with Obama's signing of the legislation as within days several different states filed suit against the law's requirement that most Americans purchase health; against the health care mandate.
The health care mandate was first offered as an option by the conservative think tank, the Heritage Foundation, as an option to the single-payer system that had been historically supported by Democrats and…… [Read More]
All of the transportation agencies were consolidated into one big agency -- the new Department of Transportation in 1966, establishing the National Transportation Safety Board as an agency that was independent inside of the department. This new board was also given the responsibility of determining the "probable cause" of: 1) highway accidents selected in cooperation with the states; 2) every passenger train accident, fatal railway accidents, and any railroad accident that caused significant damage; 3) big marine accidents, including any marine accident that involved a public vessel and a nonpublic vessel; 4) pipeline accidents involving a fatality or significant property damage; and lastly, 5) fatalities or major injuries that were caused by the release of hazardous materials (2004).
The creation of the NTSB showed that Congress was thinking that a single agency could come up with a higher level of safety than the individual model agencies that were all working…… [Read More]
The ideal self is the person, someone feels they should be and will model their behavior, based upon this image. The real self is the side of your personality that friends and family know well. This creates a conflict in the individual called self-actualization, as the person will attempt to live up to the image of their ideal self. Where, these perceptions will affect the self-image of the individual throughout their life. (Gentile, 2008)
Evelyn Hooker conducted the first scientific experiment on male homosexuality. Where, she would survey both heterosexuals and homosexuals, to determine if homosexuals have trouble adjusting to various social circumstances. The effects of the survey were: homosexuals have no difference in adjusting to social situations in comparison with heterosexuals. As a result, this information would help to provide a research methodology that would be used in the future, to understand homosexual behavior. (Gentile, 2008)
Thomas…… [Read More]
History Of Human Services
When the Kalamazoo Foundation began in 1925, the welfare state in the U.S. was minimal, and on the federal level almost nonexistent. Problems of poverty, hunger, racism, unemployment, and inadequate education were largely left to the start and local levels to be dealt with by private charities and religious organizations. This only changed with the expansion of the federal safety net during the New Deal of the 1930s and the Great Society of the 1960s, although it has been contracting again over the last thirty years. During the Progressive Era of 1900-20 and into the next decade, civic-minded philanthropists and capitalists often took the lead in dealing with the social and economic problems of urban, industrial America, among them Dr. W.E. Upjohn, founder of Upjohn Pharmaceuticals. In addition to donating the first $1,000 in stock to establish the Kalamazoo Foundation, Upjohn also founded Bronson Methodist Hospital,…… [Read More]
She is said to have refused to stop being a cook and this led to infection of people in a New York maternity hospital consequently she was re-arrested by the health officers and taken back to quarantine in 1915 till her death in 1938. This sparked a lot of human rights issues concerning quarantine as never before.
The typhoid pandemic in New York went hand in hand with the poliomyelitis pandemic that began in 1916. The health officers began to separate parents from their children in chagrin of many. This saw the wealthier families provide isolation rooms and treatment for their children right at home. However, in November of the same year when the pandemic subsided, it was after well above 2,300 lives claimed by the pandemic, a vast majority being the young.
It was not long until the world war brought with it another challenge of prostitution and consequent…… [Read More]
History Of Psychology and Hysteria
Hysteria, symbolize women in the field of psychology during history and in many different cultures for the reason that the issues that society goes through are reflected in the area of psychology. Hysteria has been broken down into various parts in history that had to change influences on the diagnosis and its implication for women. History has shown that parallel patterns can be observed in the growth of menstruation and sexuality. Hysteria is unquestionably the first mental disorder attributable to women, precisely labeled in the second era BC. This was until Freud looked at it as being an entirely female illness. Above 4000 years of history, this syndrome was reflected from two viewpoints which were the scientific point-of-view and the demonological standpoint.
What is Hysteria?
esearch shows that Hysteria was the ?rst psychological disorder that was labeled at women. This condition is known for having…… [Read More]
History Of Federal Involvement in the Delivery of Healthcare
Health Care History: The Hill-Burton Act
The Hill-Burton Act was a decidedly ambitious piece of legislation that was initially passed in 1946. The act was named after its chief proponents, Alabama's Senator Lister Hill (Thomas, 2008) and Ohio's Senator Harold Burton. Although the act was conceived of as a way of providing egalitarian access to improved medical facilities, it was actually created in times that were anything but. 1946 was the year after the end of World War II and racial segregation (as buttressed by Plessey v. Fergusson) (Wormser, 2002) was still rampant across the country. Moreover, the economic politics -- many of which are still in effect today -- in which federal, state and local legislation typically benefits those with the most economic resources of the day also helped to hamper the egalitarian spirit in which the Act was created.…… [Read More]
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…… [Read More]
Houses permitted the people to move from a nomadic existence to a settled and more organized way of life. The majority of the houses were square with other rooms built on. The palaces of the early Sumerian culture were the political, economic and religious focal points of the city; large-scale, lavishly decorated, and consisted of rooms used to house craftsmen and such. Archaeological finds have also revealed them to be temples and burial chambers for the elite, as well as library complexes, armories, and entertainment halls decorated with pictorial and mythological figures.
It was during the time of the Sumerian civilisation transitioning from nomadic hunting to agriculture, that many changes occurred as the population grew and more force was exerted on the local food supply. This necessitated more organization and administration that led to non-tribal leadership with its own political, economic and religious arrangement. Mesopotamia's expansion led to a wide…… [Read More]
" (Jan. 16, 1896, p. 9) oentgen won a Nobel Prize for his discovery which was very well deserved considering the fact that he was the first to notice the X-rays when similar rays had been seen before. Once the discovery became public, there was no stopping the physicists, scientists and even photographers. Everyone tried to find out how they could make use of those rays with Edison developing incandescent bulbs to produce X-rays and British scientist William Bragg worked on inner nature of X and y-rays. Many more researches and studies followed the initial discovery and they helped better understand the nature of X-rays and how they could benefit the medical community.
Alexi Assmus: Early History of X-rays. etrieved online 3rd June 2009 from http://www.slac.stanford.edu/pubs/beamline/25/2/25-2-assmus.pdf… [Read More]
The Army's Special Forces, referred to as the legendary Green Berets, consist of a unique, unconventional combat arms organization, that are considered the most versatile Special Operations soldiers in the world. Their lineage dates back more than two hundred years of unconventional warfare, including predecessors such as Francis Marion of the Revolutionary ar, the orld ar II OSS Jedbourg Teams and Detachment 101 in Burma, and the Alamo Scouts.
According to Robert Andrews, principal deputy assistant secretary of defense for special operations and low-intensity conflict, it takes two years to train some of the enlisted personnel, and longer for officers. In fact, Special Forces units "continually train to conduct unconventional warfare in any of its forms - guerrilla tactics, evasion and escape subversion." In order to learn to fight in cold weather and mountainous environments, special operators attend a two-week course at the Army's Mountain arfare School in Jericho,…… [Read More]
Each base their stories in the excluded diversity of first-generation immigrants - Samad and Jess's parents - but it is the younger characters' exploration of and affiliation with the exterior society that allows for a most accurate reflection of cultural mores.
Jess, whose natural talent and skill remind the viewer of the recent star Aman Dosaj of Manchester United, is torn apart by her love and respect for her family and culture and desire to take part in the greater world surrounding her. Yet, while she plays football and becomes friends with female athletes and romantically involved with men, her sister rejects the newer world around her in its extremities. Instead, she mollifies her own frustrations with the ethnic community with the insertion of cell phones, designer clothes, and expensive accessories; in the wedding scene, the younger girls stand in staunch visual opposition to the older women around them, whose…… [Read More]
History Of Human Resource Management in the Public Sector
efore business was conducted in the ever-changing and highly competitive global landscape of commerce that exists today, large firms in the public domain were able to keep a much more direct eye on their employees. This historic reality involved much more personal and face-to-face interactions within much smaller operating environments. There were far less multibillion dollar corporations, and thus workforces were typically much less segmented and estranged . This made labor pools much easier to supervise and monitor. Consequently, periodic progress and performance reports were the primary human resource management tools utilized during much of the 20th Century . Recently, however, the globalization of public sector business has forced companies to restructure their human resource management systems. eing that performance-screening devices (that have been dated back to the Chinese Empire in 1115 .C.) started to show their age, firms must now…… [Read More]
These principles were those of reciprocity, reallocation and house holding, and they were embedded in the way the civil and politic societies interacted. The end of the century however brought by the first signs of disembeddment and they revolved around the transformation of land and labor force into commodities. For the European countries for instance, a disembedded economy referred also to the territorial expansion of the companies. In this understanding then, the developed European countries had expanded their operations and moved to wider markets, where they increased their access to customers and also their revenues. And not only that they began to sell their products to larger audiences, but they also began to acquire cheaper commodities from the foreign regions; they employed cheaper workforce in the region; and operations of international transfer of capital begun to emerge.
Ultimately then, an embedded economy is generally an enclosed and protectionist one, and…… [Read More]
Taking the history of a patient is a crucial aspect of patient assessment and treatment. A good history can mean the difference between a successful patient outcome and unsatisfactory outcomes. However, taking a complete and useful history is a skill that is developed by means of training and practice; it is not some talent that is innate (Bickley & Szilagyi, 2007; McKenna et al., 2011). According to Craig (2007) nurses are increasingly being asked to take patient histories. Given these growing responsibilities nurses need training and guidelines to taking an adequate patient history. The following is a summary and critique of Craig, L. H, (2007), A "Guide to Taking a Patient's History" in Nursing Standard, volume 22, issue 13, pages 42-48.
Craig (2007) takes a comprehensive approach to explaining the interview and history taking process. This approach is applicable for most any patient population; however, Craig does not…… [Read More]
Patient histories can often provide a great deal of information about their condition and what the underlying causes may be. As such, taking an accurate patient history can be one of the most important aspects of a patient's visit to a medical facility. There are a number of factors that are important with respect to taking a patient's history, and they include one's ability to gain accurate information, one's ability to have a rapport with the patient that encourages trust, honesty and openness, and being very thorough, so as to not miss important information, such as current medications or past medical events. The following is a review of an article presented in Nursing Standard concerning the details of how to take a patient's history.
The article is very thorough in its instructions on how to take a proper patient history. The article begins by emphasizing the importance of taking…… [Read More]
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…… [Read More]
Patient Centered Medical Homes
In the 1960s, the medical home concept referred to as patient centered medical home was developed.In order to reform the healthcare in the U.S.; the patient centered medical homes are evolving as a centerpiece of efforts (Bates, 2010). Basically, PCMH can be defines as a primary care model that offers coordinated and comprehensive care to the patients in order to improve health outcomes. PCMH is also recognized by the National Committee for Quality Assurance (NCQA). Patient centered medical homes can be portrayed as a team of people working together in form of a community. The purpose is to improve the health as well as healing of the people in that community. In comparison with the primary care, PCMH is more responsive towards the needs of local patients.
PCMH offers a number of benefits including complementary nutrition as well as wellness counseling along with providing prevention education…… [Read More]
History of Paxil
In the 1960s a Danish company named Ferrosan began performing research on aspects of the central nervous system. Ferrosan was most interested in the relationship between the neurotransmitter serotonin and depressed mood in people. The original idea was that if a drug could be developed to increase serotonin levels in the brain it might lead to improvements in treating people with depression (DeGrandpre, 2006). The research resulted in the development of a formula for a compound then known as the "Buus-Lassen Compound" which allegedly had the capability to relieve the depression in people. The compound was patented in the United States in 1977 and the company later sold all rights and research surrounding this patent to SmithKline (now GlaxoSmithKline) in 1980 (DeGrandpre, 2006).
SmithKline put significant effort into developing the compound and much of this development occurred in the SmithKline plant in Harlow, England (DeGrandpre, 2006).…… [Read More]
Another way to put the patient at ease during moments like this is for the nurse to be absolutely certain that she is not showing any signs of being judgmental. If this happens, it could throw the patient off guard and create an uncomfortable situation where the patient no longer feels comfortable being honest with the nurse. Once this happens, the nurse will have an inaccurate patient history and the patient runs the risk of not being treated properly for the underlying symptoms.
In order for the history to be as accurate as possible, the nurse should ask questions regarding several issues that may affect the patient's health. The patient's past medical history is vitally important to the process because it can serve as a guide to what has worked in the past and what treatments are ineffective. The patient's mental health is also important. This will give the nurse…… [Read More]
I.M. King adds that a nurse should attempt to avoid during the interview process "the use of technical language, stereotyping and interrupting the patient when he/she is trying to answer the nurse's questions" to the best of their ability (1981, 256).
Some of the questions which a nurse might ask a patient during the interview process includes finding out if the illness was sudden or developed gradually, the duration of the illness, the physical site of the illness, how it might be aggravated, associated symptoms, such as pain or discomfort in another part of the body, and the frequency of the illness. According to A. Crumbie, these and other pertinent questions must be "carefully thought-out beforehand and after the initial interview, the nurse should recap his/her questions for accuracy and specificity" (2006, 216).
In conclusion, the authors of this article maintain even an experienced nurse should be required to achieve…… [Read More]
People From History That Impacted the World in a Positive Way
Three People from History
Three People from History who impacted the World in a Positive Way
Ross Granville Harrison (1807 -- 1959)
Ross Granville Harrison was an American zoologist. He is known for his discovery of a method of growing cells outside of the body. In his famous experiment carried out in 1906 he placed a piece of a frog's embryonic nerve tissue into a drop of frog lymphatic fluid, and saw that the nerve tissue did not die, but rather continued to grow. (Ross Granville Harrison) The method that Harrison developed from this experiment was to form the foundation of the tissue culture technique used in modern medicine and in medical research. This technique has become an extremely important part of contemporary medical research as it allows for "…the study of isolated living cells in a controlled environment."…… [Read More]
The article was written quite comprehensively and gave enough information about the different aspects of history taking. The way all the different components of the history taking process were split up and explained in more detail was very helpful. It was noted that the entire information in this article was present in a rather organized way. This organized way of presenting the details helped in teaching the history taking process and left less ambiguity. One thing that could have been improved is that common mistakes in the history taking process should have been mentioned. Surely with the amount of research done on this topic, the common mistakes and questions would have been figured out. If the commonly made errors are highlighted in these articles, then those errors are less likely to be repeated by other nurses as well.
This article did interest me as it provided me with a…… [Read More]
An Analysis of Moving Major Medical Treatments Offshore to educe Costs and it's Implications
Not too long ago the idea of traveling for medical treatments would have been unimaginable for most people. However, after a long streak of double digit cost increases in the medical industry in general, many procedures can be conducted on foreign shores for much less than can be performed in the United States; even when travel costs are included in the calculations. The globalization of healthcare will influence the United States healthcare system on many fronts and the increases in competitiveness should have overall positive implications for the economy. The healthcare consumers are likely the ones to benefit the most from the increases in competition however other industry players could benefit as well. Those who stand to lose the most are the firms with the most monopolistic market structures such as pharmaceutical…… [Read More]
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.… [Read More]
Diversity -- with the exception of homophobia -- was beginning to be commonly accepted and praised. Technology -- such as the use of DNA in criminology and the introduction of the PC -- was becoming more prominent in the lives of everyday Americans. In the Cold War, President Gorbachev asked for openness and economic freedom, while President eagan asked him to tear down the Berlin Wall, which he did. However, the discovery of AIDS had a far more profound impact on the American people than any of these events. In 1981, the first case of AIDS was reported in the United Kingdom, and this eventually caused quite a crisis in the U.S., as it was first noticed among gay men, and then in women and children as well. People became scared because they were not sure what was causing the disease. esearch continued throughout the 1980s, but the fear caused…… [Read More]
Medical Death Investigative Systems
Past and Present Systems
Death investigation of some sort has existed in all countries for centuries, but not always performed by medical professionals (Committee, 2003 as qtd in Moldovan, 2008). The link between law and medicine traces back to the ancient Egyptian culture in 3000 .C. This was followed by the English coroner system in around the 12th century. The 194 Articles of Eyre first used the term "coroner" by the English until brought by the first colonists to the New World, America as basis for a legal investigative function. A medical examiner replaced the coroner system in 1890 then functioning in altimore. A medical examiner is a trained medical specialist in pathology. The field of death investigation became more and more sophisticated in cities and States, like New York. The Office of the Medical Examiner was established in 1918. Its main…… [Read More]
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.…… [Read More]
Interoperability of Electronic Medical ecords
Electronic Health ecords (EHs) are patient-management tools that have been created in the health sector to help coordinate patient care. These tools or system focuses on capturing patient-generated health information from outside the clinical setting and incorporating it into the patient's medical history. Electronic health records were developed to help improve patient care through sharing patient information seamlessly. However, for EHs to have the ability to share patient information seamlessly, an interoperable health information technology environment should be established. This essentially means that an interoperable health IT environment is mandatory for electronic health records to be effective.
What is Interoperability?
Interoperability is a term used to refer to the level with which devices and systems can share data and interpret it (Healthcare Information and Management Systems Society, 2013). This means that two devices or systems are considered interoperable when they exchange data seamlessly and eventually…… [Read More]
history of crime measurement as well as the major strengths and limitations of current measurement techniques. I have also included the discussion regarding the importance of crime measurement in criminology. In the end, I have put emphasis on the need of the development of more crime measurement techniques.
The measurement of crime is done with the objective of monitoring and this is mostly done in the same manner as the measurement of "consumer prices, stock market activity, traffic fatalities, population, unemployment, and HIV infection rates" (Maxfield & Babbie, 2011). However, much more is done in measuring the crime instead of just counting things. An assortment of societal, fiscal, geographic, and medical concerns is measured for keeping a record of communal and monetary conditions, population size, age distribution and hazards to physical well-being of the people. Similarly, crime measurement has the main concern of keeping track of criminal behavior so that…… [Read More]
This became an age in which visionary thinkers said, "see, we told you so," and were able to garner additional support from not only the activist type, but the regular citizen.
Malthusian dynamics (overpopulation and resource allocation) became a focus of futurists. Marshall McLuhan, for one, combined futuristic predictions with analysis of global media and advertising trends.
Noam Chomsky was revolutionizing the idea of linguistics as a way to view our innate cultural mechanisms.
Science fiction writers like Clarke, Asimov, and Lem pushed the boundaries of science as far as possible -- insisting that the reader ask very difficult questions about what it truly means to be human, what it truly means to have conservatorship of a planet, and whether or not we have the wisdom to maintain life on earth as we know it.
Chapter 6 -- Fast Forward
Arthur C. Clarke made an interesting remark about…… [Read More]
Health care has always been concerned about information management, especially as health care interventions and management have become increasingly complex. In spite of this, health care has weakly welcomed information technology into its midst, shunning computerized data management systems in favor of anachronistic and antiquated ones. When health care started using information technology, the role informatics played was largely ancillary. There were few specialists, and informatics were considered novel and strange. Yet since Virginia Saba introduced technology specifically designed for healthcare, the informatics field has become one of the most relevant to the gamut of healthcare management and operations. Currently, healthcare informatics stands alone as a unique area of specialization that fuses passion for health care management, concern for patient care, and computer technology.
There are five major milestones in the creation and evolution of health informatics. The first was the initial first wave of computing and information technology that…… [Read More]
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.…… [Read More]
Barnsteiner JH. Medication reconciliation: transfer of medication information across settings -- keeping it free from error. Am J Nurs. 2005;05(3 Suppl):3-6.
This article evaluates the need for proper medication reconciliation across various nursing settings. This article is important as emphasis is placed on error free reconciliation which is very important for proper client service and treatment.
Bullough, Vern L. and Bonnie Bullough. The Emergence of Modern Nursing (2nd ed. 972)
This reference emphasized modern nursing and many of the practices and advances of nursing over the years. This is important as it provides a historical perspective of medical reconciliation. A historical perspective is needed to better understand improvements that will need to be made in the future.
D'Antonio, Patricia. American Nursing: A History of Knowledge, Authority, and the Meaning of Work (200), 272pp
This reference provides further evidence into the history of medical reconciliation and recommendations on improvements that should…… [Read More]
How Medical Evacuation Evolved from Post Civil War to Present
1st Historical Interest Timeline: 1877 to 1910
Medical advances during this period were more in organization and technique and not in medical breakthroughs. Jonathan Letterman is credited with creating a highly organized system of ambulances and trained stretcher bearers that were designed to evacuate the wounded quickly. This was a great improvement from the previous methods. It was also during this period that sanitary conditions for medical care were improved upon. Previously surgeons did not wash their hand before attending to a patient and their equipment was not sanitized. This resulted in the number of deaths occurring from medical care increasing and the mortality rate was two soldiers died out of disease and infections as compared to one who died from injury or gunshot wound in the battlefield. Organized trauma care was also suggested and practiced in the late 19th…… [Read More]
By 1935, during the Presidency of Franklin oosevelt, the Social Security Act, "one of the great landmarks in the history of healthcare legislation in the United States" (Couchman, 2001, p. 245), prompted the government to accept some responsibility for the future security of the aged, the handicapped and the unemployed as it relates to healthcare needs. In 1939, the oosevelt Administration also introduced the Wagner National Health Act which "gave general support for a national health program to be funded by federal grants to states and administered by states and localities" ("A
Brief History," 2009, Internet); however, due to a rapid decline in progressivism and the costs linked to World War I, this act failed to create a national healthcare agenda.
In 1943, the federal government finally came to acknowledge that healthcare was a major national priority which soon led to the Wagner-Murray-Dingell Bill which called for "compulsory national health…… [Read More]
istory from 1865 to te present day. To focus te researc, select six subtopics (specific events or developments related to te topic, separated in time); tree from before 1930 and tree from after.
Tere are more tan 50 million immigrants (legal and illegal) and teir U.S.-born cildren (under 18) in te United States as of August 2012. As of te last decade, most immigrants come from te following countries: Honduras (85%), India (74%), Guatemala (73%), Peru (54%), El Salvador (49%), Ecuador (48%), and Cina (43%). Approximately, 28% of tese immigrants are in te country illegally. Rougly alf of Mexican and Central American and one-tird of Sout American immigrants are ere illegally.
Te Center for Immigration Studies (Rigt Side news) finds tat immigration as dramatically increased te population of low-income individuals in te United States, altoug many immigrants, te longer tey live in te country, make significant progress. However, immigrants…… [Read More]
Commercialization of a Medical Product
It is important to note, from the onset, that patents present the most effective approach to 'locking' the desired market after realizing the fruits of research. This is particularly the case given that the commercialization of medical research in itself brings about a high level of risk to the key stakeholders involved in the entire research process, particularly investors. In the case under consideration, we assume that investors will have a two-year period of market exclusivity, after which the medical research team will lose its patent protection. This effectively means that other companies will be free to manufacture and sell the drug. The relevance of formulating the right strategies to guarantee the profitability of the company after the two-year period cannot, therefore, be overstated.
The removal of patent holder's monopoly not only promotes, but also encourages competition (Joly and Knoppers, 2014). There are several approaches…… [Read More]
The session erupted in brawl, and in the end, the vote favored impeachment
. This became known as "loody Monday." This time, Long's bullying tactics did not work.
Long took his case to the people, claiming that his impeachment was a raucous attempt by Standard Oil to deprive the people of what they deserved. As the trial began, Long passed around "Round Robin" document that was signed by more than one -- third of the Senate members. The round robin document stated that they did not believe his offenses warranted removal from office
. As it takes an over two-thirds vote to remove him from office, the impeachment attempt failed. Long rewarded his faithful with state jobs, favors and some say cash as well
. Long became more harsh with his enemies, founding a newspaper to promote his ideas. Long began to receive death threats and was forced to surround…… [Read More]
history of the WWW, HTL and the architecture used to develop the World Wide Web. The study traces the history of the WWW to Berners-Lee who develops the first web page in 1990. However, before 1993, the WWW was only being used by the government and top research organizations; it was in 1993 that the Web was allowed for a public use. The study also identifies the HTL, XL Standards URI, and Protocols as the basic architecture to design the Web technology. The HTL consists of the structural open and close tags used to display information over the Web. The paper provides the annotated bibliography of three research articles that reveal the history of World Wide Web and basic architectures to design the WWW.
The WWW (World Wide Web) was designed to share information interactively through which organizations and individuals can communicate with one another using machine. Since the…… [Read More]