Medicine
Essays

This paper describes the four meta-paradigms of nursing and why the terminology and how each topic is approached matters. Five propositions are offered as well as two major ethical dimensions are also covered. Scholarly research is used to underpin the assertions but they are also compared and contrasted against the personal philosophy of the author of this report.

Qualitative research tends to focus upon the results of a study and then use those results to support a theory, versus the deductive methodology of data-driven quantitative research. This paper explores the different methodologies deployed in qualitative inquiry and the extent to which theory is used in all of them: ethnography, case studies, narrative inquiries, phenomenology, and grounded theory.

Healthcare in the United States: Where We Have Been, Where We Are Going

Multiple sclerosis is an autoimmune disease caused by activated T cells that gain entry into the central nervous system. The injury results from inflammation and T cell destruction.

The thrust of Imogene King's theory of goal attainment is a loosely-coupled partnership between the nurse and the patient that enables communication about the patient's condition, their health goals, and a plan of…

According to the website of the J. Paul Getty Museum in Los Angeles, The Hope Hygieia is a marble, life-sized statue of the ancient goddess of health that was originally discovered in the ancient Roman port of Ostia in 1797. It was originally owned by the British collector Sir Thomas Hope before being sold to William Randolph Hearst, who donated it to the city of Los Angeles in 1950. Over the years, the statue has been restored, de-restored to the condition in which it was originally found, the re-restored at the Getty Museum in 2006. This is a white marble statue with the clothing and hairstyle of a young Roman woman from an aristocratic background. The snake wrapped around her upper body is normal in Hygieia statues and symbolizes medicine and healing, while her expression is serene, gentle, graceful and virginal, which is how she was usually portrayed in ancient sculpture.

This paper is an analysis of two diary entries completed by a nursing student. The analysis was conducted by asking several questions that helped the student to reflect on a given incident. The student was able to assess how the incident affected both the nurse, the patient and others as well as what could be done differently in the future under similar circumstances.

This paper focuses on how government regulations impact hospice. The paper starts off with an introduction to the hospice system that was revived by a nurse, Cecily Saunders, who then went on to become a physician, establishing one of the first modern hospices. The concept of total pain is explained in some detail. The body of the paper then includes the studies that have been conducted on patients and caregivers in hospice systems as well as on people who died after they were diagnosed with terminal illness resulting in death in six months following the prognosis. The overall conclusion that can be drawn here is that while in Japan there is a marked need for improving the Day hospice system, the American hospice industry is acting as a mature competing industry, which can be detrimental to the quality of services being provided.

Advanced Practice Nurses and Prescriptive Authority Though the roles of Clinical Nurse Specialist, Nurse Educator and Nurse Administrator are all vital to the health care industry, they are not allowed prescriptive authority per se. However, the role of Nurse Practitioner is intimately connected with the ability to prescribe medications. The developmental history of the Nurse Practitioner shows a determined movement from a single fledgling program in the 1960's toward eventually complete autonomy and financial rewards, despite resistance from other members of the medical community and the Nursing profession itself. Facing a patchwork of varying, sometimes inconsistent and restrictive regulations on the state and federal levels, Nurse Practitioners face serious issues and challenges in several arenas, including but not limited to ethical, legal, political and educational concerns, that hamper their abilities to provide the highest standard of patient care. However, Nurse Practitioners are now using the clout endowed by sheer numbers to promote greater autonomy, more equitable financial rewards and high standards of care.

Health care is undergoing a dramatic transformation and needless to say it is one of our largest industries that contribute handsomely to the Gross Domestic Product, greater demands are placed for the value of dollars that are being spent to provide for healthcare services to patients. Now-a-days, in this ever demanding environment marketing as a discipline is being practiced (Berkowitz, October 2010)