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The ability to resolve conflicting patients is also an appreciable quality. esearch is an integral aspect of every subject that requires quality improvement. esearch on Orthopedic nursing is required for overall development in the care and assistance provided to improve health conditions of orthopedic patients. ("Orthopedic Nursing Standards," 2007)
Orthopedic nurses currently require developing their knowledge on relevant issues regarding neuro-muscular and skeletal challenges of a patient and the response of patient to medication and assistance. Various questions may arise in the course of care provided to orthopedic patients. An orthopedic nurse who is very closely monitoring a patient is the best person to assess such challenges and bring a platform for research to find better answers. An orthopedic nurse need to work with the patient to find out the quality improvement required in nursing assistance in terms of managing medication, dealing pain and trauma felt by the patient if…
Clark, Sally. (2007) "Changes in Clinical Care in the Orthopedic Patient"
Retrieved 7 December, 2007 at http://www.archi.net.au/e-library/health_administration/awards06/safety/changes_in_orthopaedic
Houghton, Kerry; Peregrina, Michael; Gillies, Donna; Herden, Justine. (2003, Nov) "A small trial of the nursing care of patients immobilized with a Thomas splint" Journal of Orthopedic Nursing, vol. 7, no. 4, pp: 201-204.
Mauer, Karen a; Abrahams, Elizabeth B; Arslanian, Chris; Schoenly, Lorry; Taggart, Helen M.
8). A number of alternative treatment modalities have been used in an effort to avoid these adverse side effects, including various mind-body and therapeutical techniques that may prove efficacious in some orthopedic patients, but many healthcare providers remain unaware or untrained in their use (Lukas, 2004). For instance, one orthopedic nurse reports that, "In today's fast-paced surgical environment, perioperative nurses face many challenges to meet the needs of outpatients in helping to alleviate their pain and anxiety. Most nurses have not been taught non-pharmacologic methods for control of pain and anxiety" (Lukas, 2004 p. 8).
Besides this lack of training in providing adjunct treatment modalities for pain management in the orthopedic patient, there is also a pronounced lack of training concerning efficacious treatment modalities for younger orthopedic patients. For instance, Bennett-Branson and Craig (1999) emphasize that, "Despite advances in pharmacological approaches to pain control, most children who undergo surgery continue…
Bennett-Branson, S.M. & Craig, K.D. (1999). Postoperative pain in children: Developmental and family influences on spontaneous coping strategies. Canadian Journal of Behavioural Science, 25(3), 355-357.
Eccleston, C. (2001, July). Role of psychology in pain management. British Journal of Anesthesiology 87(1), 144-52.
Facts about Pain Management. (2012, January 9). The Joint Commission. Retrieved from http://
According to recent research published in the Journal of Shoulder and Elbow Surgery, "Economic evaluation of surgical procedures is necessary in view of more expensive newer techniques emerging in an increasingly cost-conscious health care environment (18).
otator cuff tendon repair has been reported to yield excellent, durable clinical results that are superior to the natural history of the condition. etears after a repair of one tendon occur with variable frequency. They are not synonymous with clinical failure, but they are associated with a poorer clinical outcome than are repairs followed by structural healing. Chronic tendon tears are usually associated with atrophy and fatty infiltration of the rotator cuff muscles. These changes reflect loss of contractile elements and may be responsible for changes in the physiological properties of the remaining musculotendinous units (7). Such changes can be assessed quantitatively with magnetic resonance imaging and correlated with age and gender-matched normal values,…
1) Coghlan, JA, Forbes, A., Bell, SN, & Buchbinder, R. Efficacy and safety of a subacromial continuous ropivacaine infusion for post-operative pain management following arthroscopic rotator cuff surgery: A protocol for a randomized double-blind placebo-controlled trial. (Study protocol). BMC Musculoskeletal Disorders [serial online]. n.d.; 9(56):56. Available from: Gale: Academic OneFile (PowerSearch), Ipswich, MA.
2) Fuchs B, Gilbart M, Hodler J, Gerber C. Clinical and structural results of open repair of an isolated one-tendon tear of the rotator cuff. The Journal of Bone and Joint Surgery. American Volume [serial online]. February 2006; 88(2):309-316. Available from: MEDLINE with Full Text, Ipswich, MA.
3) Lyea C. New technology enables total arthroscopic shoulder repairs. (An Advertising Supplement to the San Fernando Valley Business Journal)(Advertisement). San Fernando Valley Business Journal [serial online]. n.d.; 9(5):16. Available from: Gale: Opposing Viewpoints Resource Center (PowerSearch), Ipswich, MA.
4) Lyea C. Minimally invasive technology fixes shoulders. (Health Care Services: Advertising Supplement). Los Angeles Business Journal [serial online]. n.d.; 25(18):38. Available from: Gale: Opposing Viewpoints Resource Center (PowerSearch), Ipswich, MA.
It is a fact that many of the South American continent's governments (such as Venezuela) are antithetical to a free market. Porter's Five Forces are based upon a model of pure competition. The one country that is closest to this model is Brazil. Therefore, the entry point for this author's marketing strategy must be Brazil. This is the best way to cut through the knot of government. By using Brazil as an entry point, entry can they be gotten to the closed markets that Brazil has relations with (World Bank 2010).
The Five Porter Forces:
By lessening the power of governments to intervene in the economy, we will increase the power of the supplier which is us. The lack of government backed companies in the market will prevent backward integration and reverse engineering of our products because of our advantages of economy of scale. This will increase the…
Online Medical Tourism. (2010). 1 Hospitals For Orthopedics In Brazil. Available:
id=83&procedure=Orthopedics&country=Brazil. Last accessed 30th June
Medical Care Services
The current delivery of health care services represents one of the most important subjects for discussion both in the Obama Administration as well as the epublican one and the Administrations that preceded the Bush one. egardless of political color, it must be pointed out that the health care system in the United States does not only depend on the ideological orientation, but also on the people and their own beliefs in terms of human action and interaction. It is a clear fact that "Ten years ago, the U.S. healthcare system was declared "broken," and it has not improved. Fixes promised by managed care have not materialized. Premiums are rising. Hassles for patients and physicians abound. Nearly 45 million Americans are uninsured." (Garson, 2000)
One of the most severe problems facing the health care system in the United States is the discussion that is being held between those…
Garson, Arthur. "Current Perspective. The U.S. Healthcare System 2010. Problems, Principles, and Potential Solutions" 2000. Available at http://circ.ahajournals.org/content/101/16/2015.full#sec-7
ImpediMed. "Pre-emptive vs. Reactive Models of Care: Pre-emptive Care Model Prospectively Managing Lymphedema in Breast Cancer Patients" 2012. Available at http://www.impedimed.com/knowledge-center/health-insurance-providers/pre-emptive-versus-reactive-models-of-care.htm
Yale School of Medicine. "The PA Profession." 2013. Available at http://medicine.yale.edu/pa/profession/index.aspx
Market Model Changes
The medtech, or medical technology, industry is a large and intensely competitive industry that produces highly innovative medical devices for hospitals and other healthcare facilities in the effort to save lives and improve health for patients (Research, 2012). It is spread across different segments including, cardiology, oncology, neuro, orthopedic, and aesthetic devices. It relies largely on aging baby boomers, high unmet medical needs, and increased incidence of lifestyle diseases, including cardiovascular disease, diabetes, hypertension, and obesity.
The industry is being challenged by pricing concerns, hospital admissions and procedural volume, uncertainty concerning healthcare reform, Medicare reimbursement issues as agencies are looking for cost reduction measures, and regulatory overhang. There is a rise in patients deferring treatment in elective procedures. "One factor aligning economic and clinical forces: in the U.S., the number of medical practices owned by hospitals grew from 25% in 2005 to 50% in 2008" (practice, 2011).…
Blog, I. (2012, Mar 12). MedTech Industry Stock Outlook. Retrieved from Financial Content: http://markets.financialcontent.com/stocks/news/read/20832505/MedTech-Industry-Stock-Outlook
practice, B.G. (2011, Feb 9). Creating a new commercial model for the changing medtech market. Retrieved from Bain & Company: http://www.bain.com/publicatgions/articles/creating-a-commercial-model-for-changing-medtech-market.aspx
Research, Z.E. (2012, June 15). MedTech Industry Stock Outlook-June 2012-Zacks Analyst Interviews. Retrieved from Nasdaq: http://community.nasdaq.com/News/2012-06/medtech-industry-stock-outlook-june-2012-zachs-analysts-interviews.aspx ?
Emotional reactions to the onset of injuries as well as a patient's attitude toward the injury itself and the proposed treatment have great impacts on the length of time it will take for the patient to recover (VAN RIJN 2007). Therefore, it is in the medical staff's best interest to maintain the patient in a positive, reinforcing paradigm in order to create an atmosphere of positive goal-orientation so the patient may experience significantly reduced levels of anxiety during post-operative procedures as well as reduced rehabilitation time.
N.A.. (2010). Ligament Injury Recovery. Available: http://www.sportsinjurybulletin.com/archive/ligament-injury.html. Last accessed 17th Nov 2010.
Researchers at the University of Wisconsin, the University of Houston and NASA severed the medically collateral ligaments in the knees of lab rates. Three to seven weeks after the incision mechanical and morphological properties were measured in ligaments, bones and muscles. Ligament testing revealed that there were significant reductions in…
As with many pharmaceutical products manufacturers, the extent of supply chain and quality performance has a direct effect on distribution, profitability and services performance as well (tevenson, 2012).
Beginning with supply chain management, J&J has an intensively level of supplier audits they expect each supplier to pass and also randomly be able to manage as they provide materials, components and subassemblies to the company (Wechsler, 2011). upplier audits form the interlinking process to Quality Management, another strategic operations management initiative in the comp[any as well. J&J also uses these supplier audits to ensure alignment to the Collaborative, Planning, Forecasting & Replenishment (CPFR) processes which are critical to their success in anticipating global demand for products by business unit (Weill, Ross, 2005). upply chain management is the unifying operations management strategy that keeping the entire value chain and quality levels of J&J aligned to corporate objectives and standards (Weill, Ross, 2005)…
Sources: (Connolly, 2007) (Hook, 2010) (SAP Practice on Life Sciences Supply Chains) (J&J Investor Relations, 2012)
J&J has a strong focus on operations management strategies, techniques and frameworks as the company is heavily reliant on them to continually meet federal and international compliance requirements for their products (Wechsler, 2011). The focus on supply chain integration to quality management is critical for any business' supply chain to execute the many processes and transactions necessary to grow a business (Stevenson, 2012). For J&J the highly regulated nature of the product quality levels for their products make the integration of these two areas essential for their continued profitability and growth.
Christine Connolly. (2007). Sensor trends in processing and packaging of foods and pharmaceuticals. Sensor Review, 27(2), 103.
Jody Smith: Application of the Moral Model…
Applying Ethical Decision Making Model
"Jody Smith Case Study: Application of Thiroux's Moral Model"
The decision making model that will be applied in this work is the Moral Model (Thiroux 1977) and the case it will be applied to is the Jody Smith case. The reason this model was chosen is because the model lends itself best to a situation, such as Smith's where an impasse has been reached between the patients values and desires and that of family and the health care team. In this case the ethical dilemma is one clearly of informed consent as Smith has been excluded from conversations associated with her prognosis and care and this is contrary to her values and her identity. Without inclusion of this communication standard Smith has very little to go on regarding her prognosis and may be seeing her situation as insurmountable…
Burkhardt, M. & . (2008). Ethics issues in Contemporary Nursing. Clifton Park: Delmar.
Chorney, J., McGrath, P., & Finley, G. (2010). Pain as the neglected adverse event. CMAJ: Canadian Medical Association Journal, 182(7), 732. Retrieved from EBSCOhost.
Guido, G.W. (2010). Legal & Ethical Issues in Nursing (5 ed.). Vancouver, Washington: Julie Levin Alexander.
King, J.S., Eckman, M.H., & Moulton, B.W. (2011). The Potential of Shared Decision Making to Reduce Health Disparities. Journal of Law, Medicine & Ethics, 3930-33. doi:10.1111/j.1748-720X.2011.00561.x
When using open reduction of dorsal displaced fractures of the radius to restore congruency and extra-articular anatomy, the authors recommended the use of their double-plating method. This method is reliable in providing stable internal fixation and in allowing early function. It is, however, and as earlier mentioned, a demanding technique, as ot requires careful; attention to detail.
Carter, P.. And PR Stuart. The Sauva-Kapankji Procedure for Post-Traumatic Disorders of the Distal Radio-Ulnar Joint. Journal of one and Joint Surgery: ritish Editorial Society of one and Joint Surgery, September 2000
Only one surgeon performed all the operations on a total of 37 patients for pain on the ulnar side of the wrist and decreased rotation of the forearm. The authors reported that most of the tested patients were better after the operation, although a significant number had some pain. Relief from pain could not be guaranteed and that residual pain associated…
Atkinson, Larry S. et al. Scapholunate Dissociation. American Family Physician: American Academy of Family Physicians, June 1994
Berdia, Sunjay and Shin, Alexander Y. Carpal Ligament Instability. Orthopedic Surgery. WebMD. eMedicine.Com, Inc., November 22, 2005.
Bozentka, David J. Scapholunate Instability. UPOJ. Vol 12, Spring 1999
Carter, P.B. And PR Stuart. The Sauva-Kapankji Procedure for Post-Traumatic Disorders of the Distal Radio-Ulnar Joint. Journal of Bone and Joint Surgery: British Editorial Society of Bone and Joint Surgery, September 2000
The anterior and posterior cruciate ligaments allow for flexion and extension of the knee. Tears of these ligaments are a common result of sudden movements that cause strain. Injury can occur from sudden stops or from trauma to the knee as a result of sports activities. When the tear is severe, surgery is often needed. Rehabilitation and exercises to retain mobility of the joint and to preserver strength prior to surgery. After surgery, the recovery process follows a distinctive set of steps.
Anterior Cruciate Ligament Tears and Repairs
Tears of the anterior and posterior cruciate ligaments are a common knee injury that affect people of all ages and activity levels. The injury can range from minor to severe, depending on the extent of the tearing. Some, but not all require surgery to restore range of motion to affected joint. The injury often requires extensive rehabilitation to regain function. The…
Use tools and equipment that are properly designed to reduce the risk of wrist injury, (Zieve & Eltz 2010)
Workstations, tools and tool handles, and tasks can be redesigned to enable the worker's wrist to maintain a natural position during work, (National Institute of Neurological Disorders and Stroke 2010).
Ergonomic aids, such as split keyboards, keyboard trays, typing pads, and wrist braces, may be used to improve wrist posture during typing, (Zieve & Eltz 2010)
Training and awareness; the encouragement of frequent breaks; yoga classes offered for free at the workplace; job rotation.
Employers can develop programs in ergonomics, the process of adapting workplace conditions and job demands to the capabilities of workers, (National Institute of Neurological Disorders and Stroke 2010)
Nonsteroidal anti-inflammatory drugs, such as aspirin, ibuprofen, and other nonprescription pain relievers, may ease symptoms that have been present for a short time or have been caused by strenuous…
"Tension Neck Syndrome" (n.d.). Retrieved online: http://www.rsi.org.uk/text_only/conditions/tension_neck_syndrome.asp
Zieve, D. & Eltz, D.R. (2010). Carpal tunnel syndrome. National Center for Biotechnology Information. Retrieved online: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0001469
he researcher was able to pull up information on Venous hromboembolism hospitalizations by utilizing ICD-10 (Maynard & Stein, 2010)
he clinical diagnosis of Venous hromboembolism is defective; people that are suffering with signs and symptoms of Venous hromboembolism, just 20% have thrombosis confirmed by diagnostic testing.13Clinical prediction rules have been developed to improve the probability of an accurate diagnosis. he most widely used model classifies patients into a high, moderate, or low probability of deep vein thrombosis (Maynard & Stein, 2010). When joined with research laboratory and radiological imaging tests, this method is superior to the old-style method of executing a diagnostic test in all patients with suspected Venous hromboembolism (Martinez- 2008).
Prognosis, broken down by risk groups
A lot of the Deep Vein hrombosis is occult and most of the time resolves instinctively without there being a problem. he main longstanding illness from Deep Vein hrombosis is PS,…
Takahashi, H., Yokoyama, Y., Iida, Y., Terashima, F., Hasegawa, K., Saito, T., . . . Wada, a. (2012). Incidence of venous thromboembolism after spine surgery. Journal of Orthopaedic Science, 17(2), 114-7.
Wolowacz, S.E., Hess, N., Brennan, V.K., Monz, B.U., & Plumb, J.M. (2008). Cost-effectiveness of venous thromboembolism prophylaxis in total hip and knee replacement surgery: The evolving application of health economic modelling over 20 years. Current Medical Research and Opinion, 24(10), 2993-3006.
Zalavras, C.G., Giotopoulou, S., Dokou, E., Mitsis, M., & al, e. (2002). Lack of association between the C677T mutation in the 5, 10-methylenetetrahydrofolate reductase gene and venous thromboembolism in northwestern Greece. International Angiology, 21(3), 268-71.
Globalization and American Health Care
What explains the directionality of flows in health care? Patients, health workers, managerial practices?
Globalization has brought in the information revolution and this has again brought changes in the medical profession and the way health care is being administered. It has also brought in unforeseen problems and expansion of the health care issues and running debates on health care is still strong. The flows of healthcare primarily have to deal with the patient -- how the patient is induced to seek treatment and the process of the treatment and the final discharge and post treatment care. This also involves lot of information exchange, and abiding by insurance contracts, payment options and quality care for the patients. (Phillips, 2005)
The second set is the personnel who include doctors, paramedics and all staff. The flow of work of these sections follows the patient and there are changes…
Bloche, Maxwell Gregg. (2003) "The privatization of health care reform: legal and regulatory perspectives" Oxford University Press.
Briesacher, Becky; et al. (2003) "Racial and Ethnic Disparities in Prescription Coverage and Medication Use" Health Care Financing Review, vol. 25, no. 2, pp: 63-66.
Edelheit, Jonathan. (2007) "Understanding the American Healthcare System" Global
Healthcare Magazine, Retrieved 14 June, 2011 from http://www.globalhealthcaremagazine.com/issue-detail.php?item=5&issue=1
Nursing Proposal -- Evidence-Based
The utilization of call lights particularly in hospital settings has recently been put under study as a function of various aspects of nursing including shortages, rounds and analyses of patient outcomes. The proper scheduling of nursing rounds may be essential to enhance the capability of nurses to tackle common or ordinary patient issues relative to more dire needs that have to be regarded as the primary/main target for the use of call lights by patients. Besides patients' general well-being and safety while hospitalized, nursing employees are also concerned with how satisfied the patients are. On a rather fundamental level, hospital settings that enable patients to experience peace of mind allow them to heal quicker than those that do not; these patients are highly likely to relay less stressful communications to those around them, and have a higher possibility of clearer perspectives that allow them to distinguish…
American Nurses Association (ANA). (2006). Assuring patient safety: The employer's role in promoting healthy nursing work hours for registered nurses in all roles and settings. Retrieved from http://nursingworld.org/MainMenuCategories/ThePracticeofNursing/workplaceNurse
(AACN). The American Association of Critical-Care Nurses (2001, March 3). Mandatory Overtime. Retrieved from http://www.aacn.org/WD/Practice/Content/PublicPolicy/mandatoryovertime.pcms?menu=Practie
Bae, S. (2010).Mandatory overtime regulations and nurse overtime. Policy, Politics, & Nursing Practice, 11(2), 99-107.
Bae, S-H. (2013). Presence of nurse mandatory overtime regulations and nurse and patient outcomes. Nursing Economics, 31(2), 59-68. Retrieved from http://www.medscape.com/viewarticle/806796
clinical cases and examine malpractice perspectives.
Concerns over mounting healthcare expenses have resulted in increased inquiry into medical practices. With the rise of malpractice risk and medical liability to unprecedented levels, the field of medical law has influenced defensive medical practice as healthcare providers endeavor towards liability risk mitigation (Nahed, et.al, 2012).
Elements Needed to Prove Malpractice
Medical malpractice is associated with four fundamental elements, all of which have to be present for forming the base for any claim. For any case of medical malpractice to succeed, an attorney is required to prove all four aspects, which are: duty, causation, damages, and breach (What are the Elements of a Medical Malpractice Claim? n.d.). The first element -- Duty -- implies that health care professionals owe their patients the duty to take reasonable and appropriate action; i.e., the practitioner is accountable for delivering some form of treatment or care…
Florida Healthcare Law (n.d.). - A Florida Medical Malpractice Blog - Shoulder Dystocia Erbs Palsy. What are the Elements of a Medical Malpractice Claim? -- Florida Healthcare Law - A Florida Medical Malpractice Blog - Shoulder Dystocia Erbs Palsy. Retrieved March 8, 2016, from http://floridahealthcarelaw.com/what-are-the-elements-of-a-medical-malpractice-claim/
Kurreck, & Twersky. (2012). Home -- AHRQ Patient Safety Network. Residual Anesthesia: Tepid Burn -- AHRQ Patient Safety Network. Retrieved March 8, 2016, from http://psnet.ahrq.gov/webmm/case/276
Nahed, B., Babu, M., & Smith, T. (2012, June 22). Malpractice Liability and Defensive Medicine: A National Survey of Neurosurgeons. Retrieved March 7, 2016, from http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0039237
Saltzman, J. (2008, January 29). Medical Malpractice Attorneys Lubin & Meyer -- Boston, MA, NH, RI. Family Sues in Operating Room Fall - Wrongful Death Lawsuit. Retrieved March 8, 2016, from http://www.lubinandmeyer.com/news/or_fall.html
human resource development within the context of the learning and growth perspective of this approach to strategic management to be employed within university settings. This perspective will draw a strategic management and measurement tool, while also exploring available options, at least options to discuss in an open marketing setting by which to integrate strategy and execution.
This perspective alternates around The Greatbatch Management Team's ability to continue to theoretically improve and create value for its stakeholders, as well as the organization's human resource development in the context of the evolutionary process involving a shift from training to a learning orientation in libraries so as to shoot for optimal advantages and earn percentages for their stakeholders.
Quite simply, the proposition herein stated is to create value for their institution's stakeholders. The impasse belief that companies will not generally generate income through accounting terminology, through intangible assets, and their role in strategy…
Once the written request is received, we will pay within 30 days (PCC.com, no date). If you paid by credit card, we will issue the refund to your card directly. If you paid cash, we will issue you a check.
This policy is ideal for a small generalist office.
The policy should outline the Medical Associates position clearly, so that the patient has an understanding of how billing and collections work from our end. This is important because of medical offices are somewhat unique in this regard compared to other businesses. The multiple means of payment, often for a single bill, necessitate this written explanation for the patient.
The main objective of the financial policy is to effectively communicate the means and methods of payment to the patients. Not only should it clarify the role of the office, but it should also clarify for the patient their role…
Valerius, Bayes, Newby & Seggern. (2008) Medical Insurance: An Integrated Claims Process Approach. McGraw-Hill, New York, 2008.
Website: MedicalCodingandBilling.com. Various pages. Retrieved February 20, 2009 at http://www.medicalcodingandbilling.com/pract_management.htm
No author. (no date). Writing a Financial Policy. Physician's Computer Company. Retrieved February 20, 2009 at http://www.pcc.com/practmgmt/business/finpol.php
No author. (no date). Financial Policy. Napa Valley Orthopaedic. Retrieved February 20, 2009 at http://napavalleyortho.com/financial_policy.html
Running on pavement that is cantilevered, such as on a road that is designed to 'run off' rainwater, is more apt to be a culprit in developing patellofemoral pain, regardless of the individual's foot type, while running downhill may exacerbate the tendency of an individual to develop IB syndrome. Improper running shoes for the individual's foot type can also exacerbate both conditions -- inflexible new running shoes again heightening the chance of developing IB syndrome (Hunter, Dolan & Davis, 1995, p.31).
Stress fractures are another common orthopedic plague. They are small fractures of the bone that develop over time, again often from overuse activities like running. Medical literature suggests that certain foot types are more apt to develop stress fractures in certain places than other areas of the body. For example, some believe that flat-footedness may actually guard against overuse injuries in certain places. One clinical study of fifty healthy…
Burns et al. (2005) Journal of American Podiatry Medicine.
Chuckpaiwong, J. Nunley, N. Mall, R. Queen. (2007). The effect of foot type on in-shoe plantar pressure during walking and running. Gait & Posture. 28 (3) 405-411 B.
Flat feet and running. (2008). Runner's rescue. Retrieved January 2, 2008 at http://www.runnersrescue.com/Flat_Feet_and_Running.htm
Hunter, Skip, Michael G. Dolan, & John M. Davis. (1995). Foot orthotics in therapy and sport.
Specifically focused on products for each phase of a persons' life, this business segment is the most mainstream in terms of promotional strategies. Skin Care, OTC and Nutritionals have successfully given JNJ a permanent marketing strategy for selling to women in the 25-34 and 25-45 segments, two of the fastest growing demographic markets for these products.
The biggest challenge for JNJ is the ability to quickly develop and launch products across all of their business units. This is the most challenging task internally for the entire company to coordinate on, specifically in the area of pharmaceuticals where Federal Drug Administration (FDA) guidelines and the need for compliance are very high.
The costs of producing a new drug can be well over $800M according to AM esearch (2004). An analysis of each phase of the development of a new drug is shown in the following graphic from PhMA (2005).…
AMR Research (2006) - Pharmaceutical and Life Sciences Industry Overview. AMR Research Alert. Monday June 5, 2006. Hussain Moorai and Roddy Martin.
Credit Suisse (2006) - Johnson and Johnson Research Brief. January 24, 2007.New York, NY.
Life Science Analytics (2007) - Life Science Analytics Johnson & Johnson Pipeline Report. January 3, 2007. Boston, MA
PhRMA (2005) - Pharmaceutical Research and Manufacturers of America (PhRMA) Conference Proceedings. Accessed from the Internet on February 10, 2007 at http://www.phrma.org/innovation/
In United States the Congress had passed the Medicare Prescription Drug, Improvement and Modernization Act of 2003 or MMA and with this imposed a stoppage for 18 months on the starting of new physician owned specialty hospitals. At the same time, they also wanted to know the position regarding certain matters of physician owned heart, orthopedic and surgical specialty hospitals through MedPAC. The team visited sites, made legal analysis and met the share owners in these hospitals and finally presented a report to the Congress. It had also gone through the cost reports received from Medicare and inpatient claims of 2002, which was the most recent at that time. This will naturally form the basis of such hospitals being permitted or not. (Physician-owned specialty hospitals)
Findings of MedPAC:
The findings of this committee showed that:-
Physician owned hospitals generally treated patients who had less severe problems…
"Healing Ministry of the Madras Diocesan Medical Board" Retrieved from http://www.csimadrasdiocese.org/hospital.htm Accessed 21 August, 2005
Kamath, Gauri. "Doctors in arms" Retrieved from http://www.businessworldindia.com/Nov1003/indepth01.asp
Accessed 21 August, 2005
"Parkwest Medical Center" (October 25, 2004) Retrieved from http://www.covenanthealth.com/coldfusionapplication/covhlthwhatsnew/Detail.cfm?Post_ID=12027 Accessed 21 August, 2005
individual health history and examination of a 61-year-old American male Vietnam veteran, "Mr. John Veteran" using the SBAR approach. Mr. Veteran is married, with two adult children and three grandsons, aged 4, 7 and 12 years by his older daughter who is a registered nurse in an intensive care unit; his younger daughter is a senior in college majoring in business administration (she received a full scholarship to a private college). Mr. Veteran earned his bachelor's degree in organizational leadership at a small midwestern university. Although Mr. Veteran continues to work full time as a paralegal, he advises that he intends to "semi-retire" when he turns 62 years next year and becomes eligible for Social Security payments. Mr. Veteran smokes two packs of cigarettes a day and drinks beer on occasion, but does not take drugs, even for severe pain, because he is worried about becoming addicted to them.
Facility esearch and Selection
The report describes the facilities, need and services offered in an Ambulatory Care Clinic.
VICTIMS IGHTS MOVEMENT
Health practitioners should expect some very dramatic changes in the area of ambulatory care within the next decade. Driven by different factors, which include double digit improvement in some major outpatient areas, health care managers should expect the trend that began in the 80s to continue. The issue of ambulatory care is now a major issue for health care providers. A lot of health care institutions experienced some growth, spanning double digit in major outpatient sectors and significant changes in some major inpatient services to the modes of outpatient only. Hospitals are expected to adopt a new philosophy and plan of action for system redesign, carrying out a scrutiny of the traditional way of making the needed care available with the aim of surviving in the future. While these…
Allen, David. W, and Weber, Daniel (1995). 'Ambulatory Care Planning for a Hospital'. Healthcare Strategic Management 13.2 (February 1995)
Dailey, David (n.d). 'Ambulatory Care Facilities: The Evolution of Healthcare'. Medical Construction and Design. Extracted from http://mcdmag.com/
Matson, Ted (1991). 'Ambulatory Care to Drive Hospital Services in 1990s'. Healthcare Strategic Management 9.3 (March 1991)
Stouffer, Jeff; Frank Kittredge, Ashley Dias (2013). 'Eight Ambulatory Design Trends'. Health Facilities Management. Extracted from http://www.hfmmagazine.com/
This became more so with the advancement of molecular iology Tests. Subsequently a group of clinicians met in Ghent elgium and came up with the current diagnostic criteria known as the Ghent Nosology. (De Paepe et al. 1996) Similar to the erlin Nosology the Ghent criteria was based on clinical findings in the various organ systems as well as the nature of family history and relationships, a major criteria was classified as which has a high diagnostic specificity because it was less frequent in other conditions and in the general population. A point of divergence from the erlin Nosology was the conversion of minor criteria in the skeletal system into major criteria. For one to be diagnosed with Marfan's the patient must have a first degree relative diagnosed with the disease in addition two systems must be involved with one having a major sign. In the absence of a family…
Beighton, P., de Paepe, a., Danks, D., Finidori, G., Gedde-Dahl, T., Goodman, R., Hall, J.G., Hollister, D.W., Horton, W., McKusick, V.A., Opitz, J.M., Pope, F.M., Pyeritz, R.E., Rimoin, D.L., Sillence, D., Spranger, J.W., Thompson, E., Tsipouras, P., Viljoen, D., Winship, I., Young, I (1988). International nosology of heritable disorders of connective tissue. Am. J. Med. Genet. 29: 581-594,
Borger F (1914): Uber zwei Falle von Arachnodaktylie. Zschr Kinderheilk 12: 161 -1-84.
Baer RW, Taussig HB, Oppenheimer EH (1943): Congenital aneurysmal dilatation of the aorta associated with arachnodactyly. Bull Johns Hopkins Hosp 72:309-33 1.
De Paepe, a., Devereux, R.B., Dietz, H.C., Hennekam, R.C.M., Pyeritz, R.E.( 1996) Revised diagnostic criteria for the Marfan syndrome. Am. J. Med. Genet. 62: 417-426
" Orthopedic Nursing. 19 (1); 71-82.
1. 1. What data was collected in this study? How was the data analyzed? Data from 24 patients who were admitted for primary hip replacement was collected. Participants were assessed for functional status using standard modification; mobility assessed, as well as general medical issues. Data was analyzed using the 1975 Sickness Impact Profile, a standard explanatory measurement within the field.
7. 2. Summarize the results of the study in your own words -- remember that results are the findings based on analysis of the data. The study found that functional status improved between pre and post-operative states in patients who underwent total hip replacement surgery. This also included basic mobility and movement. No real relationship was established regarding the patient's pain, however.
8. 3. What findings from this study were based on descriptive statistics? List them below.
Patients asked to rate (describe) themselves on…
Visual impairment (including blindness);
9. Multiple disabilities;
12. Autism; and,
13. Traumatic brain injury (Evanciew, 2003).
In order to overcome the current constraints to learning about proper condom use by this wide range of special needs college students who may have individualized constraints to learning, an appropriate approach must be developed that can adequately communicate the importance of the practice as well as the mechanics that are involved. To this end, Evanciew (2003) reports that, "esearch suggests that students with special needs benefit from experiences that involve functional, hands-on learning" (p. 7). Therefore, the approach described further below can help special needs college students learn both the importance of proper condom use as well as the mechanics that are involved in applying them.
The objectives of this initiative are two-fold as follows:
1. To promote a greater understanding of the importance of proper condom use…
Avert: International HIV & AIDS Charity. (2010). Retrieved from http://www.avert.org / photo_library/images/normal_photo_no_3217.jpg.
Beh, H.G. & Diamond, M. (2006). The failure of abstinence-only education: Minors have a right to honest talk about sex. Columbia Journal of Gender and Law, 15(1), 12-13.
Bisol, C.A., Sperb, T.M., Brewer, T.H., Kato, S.K. & Shor-Posner, G. (2008). HIV / AIDS
knowledge and health-related attitudes and behaviors among deaf and hearing adolescents in southern Brazil. American Annals of the Deaf, 153(4), 349-351.
Nusing poblem 1: May's pain must be contained so she does not injue heself.
Because childen cannot always expess thei sensations of pain, thei pain may go unnoticed until it becomes sevee and fightening.
Nusing poblem 2: Vomiting and the possibility of choking.
Anxiety and pain can cause childen to vomit, making teatment of pain and administeing pope nutition difficult.
Nusing poblem 3: May is attempting to emove he oxygen mask.
A lack of knowledge on the pat of the child as to why cetain teatments ae administeed can esult in noncompliance.
Nusing poblem 4: The need fo social suppot when May's mothe is not pesent.
The unfamiliaity of the hospital envionment is exacebated by May's lack of paental cae.
Diagnosis 1: Pain management
Outcome: The FLACC: a behavioual scale fo scoing postopeative pain in young childen that can be helpful in detemining how to teat…
Almond, C. (1998). Children are not little adults. Australian Nursing Journal, 6(3), 27 -- 30.
Bruce, E., & Franck, L. (2000). Self-administered nitrous oxide (Entonox () for the management of procedural pain. Paediatric Nursing, 12(7), 15 -- 19.
Manworren R. & Hynan L.S (2003) Clinical validation of FLACC: preverbal patient pain scale. Paediatric Nursing 29(2):140-146.
McInerney, M. (2000). Paediatric pain. Pulse Information Sheet of Royal College of Nursing,
Practical esearch Finding Implementation and Experimentation Stage -- Phase I
The experimenter did not set out to determine specifically which of the various contributing factors (or combinations of factors) identified by the empirical research of medial tibial stress syndrome was most responsible for the experimenter's symptoms. However, since the initial attempts to resolve the symptoms incorporated changes to all of the external variables except a change in running surface, the experimenter immediately sought a softer running surface and temporarily abandoned running on any hard surface that magnified instead of minimized the physiological trauma associated with running on harder surfaces.
Because the empirical research also implicated poor running stride mechanics and excessive vertical elevation, the experimenter devoted considerable attention to making the following specific changes to the running stride: (1) shorter strides to minimize travel of the body while neither foot is in contact with the running surface; (2) conscious attempts…
AOS. (2007). Shin Splints. American Academy of Orthopaedic Surgeons. Retrieved October 20, 2009, from: http://orthoinfo.aaos.org/topic.cfm?topic=A00407 .
Braver, R. "How to Test and Treat Exertional Compartment Syndrome: Why the ECS
Diagnosis Is Often Missed" Podiatry Today; Vol. 15 (May 1, 2002). Retrieved
October 20, 2009, from: http://www.podiatrytoday.com/article/382
Nurses expressed empathy when I complained of pain or discomfort and promptly advocated for me when the need arose.
While hospitalized in an acute care setting, I feel that because I am a nurse, I did not receive the same degree of scrutiny a non-clinician patients or physician may have been given.
While hospitalized in an acute care setting, I feel that because I am a nurse, I received more consideration than a non-clinician patient may have been given.
While hospitalized in an acute care setting, I feel that because I am a nurse, I received less consideration than a physician may have been given.
I feel that the type, quality, and consistency of care I received while acutely hospitalized did not differ from treatment any other person would have been given.
My experience as a patient contributed to shaping my perception as nurse of the health care environment.
Bennett, Leeann RN. (2007). "When a Nurse Becomes a Patient." American Nurses Credentialing Center. Retrieved October 23, 2008, at http://www.medscape.com/viewarticle/564685
Bowers, Len RMN PhD., McFarlane, Linda BSc, Kiyimba, Frank RMN, Clark, Nicola MA MSc, Alexander, Jane. "Factors underlying and maintaining nurses' attitudes to patients with severe personality disorder." Department of Mental Health Nursing, City University' August 2000, p. 6. Retrieved October 23, 2008, at http://www.city.ac.uk/sonm/dps/research/research_reports/bowers_l/sdp.pdf
Growing question in hospitals: Como esta?," Post and Courier (Charleston, SC). July 24, 2006. Retrieved October 23, 2008, at http://www.highbeam.com/doc/1G1=148588515.html
Hample, Henry. "When Doctors and Nurses Become Patients. Inside MS, June 22, 2000. Retrieved October 23, 2008, at http://www.highbeam.com/doc/1G163690617.html
The procedure itself and the hospital stay associated with it is only one small chapter in the patient's life. They will eventually go home and will have many years after the procedure. It is important for the nursing staff to make a positive impact on how they feel about the procedure. The procedure will represent a lasting memory to the patient. If the patient perceives this to be a time of strength and care from nurturing individuals then it will help them to be able to develop the coping mechanisms necessary to learn to live with the after-effects of the procedure.
If the patient sees this as a negative experience, then it could produce unwanted effects such as depression, post-traumatic stress disorder, or other emotional problems that could have an effect on their ability to cope with the life changes. Those that develop appropriate coping mechanisms will be more likely…
Knoll, N., Rieckmann, N., & Schwarzer, R. (2005). Coping as a mediator between personality and stress outcomes: A longitudinal study with cataract surgery patients. European Journal of Personality, 19, 229-247.
Lippke, S., Ziegelmann, J.P., & Schwarzer, R. (2004). Initiation and maintenance of physical exercise: Stage-specific effects of a planning intervention. Research in Sports Medicine, 12, 221-240.
Lippke, S., Ziegelmann, J.P., & Schwarzer, R. (2004). Behavioral intentions and action plans promote physical exercise: A longitudinal study with orthopedic rehabilitation patients. Journal of Sport & Exercise Psychology, 26, 470-483.
Lippke, S., Ziegelmann, J.P., & Schwarzer, R. (2005). Stage-specific adoption and maintenance of physical activity: Testing a three-stage model. Psychology of Sport & Exercise, 6, 585-603.
(ACS Publication June 2006 A Growing Crisis In Patient Access to Emergency Surgical Care at (http://www.facs.org/ahp/emergcarecrisis.pdf)
Statement of Problem
There is a growing problem in the ability of individuals and communities to receive care, according to the American College of Surgeons, as the changing face of emergency care and medical care in general is putting patients at risk. The ACS and the AMA have both recently conducted professional surveys that indicate that the source of the problem is a lack of specialized surgical providers to cover existing trauma centers and a lack of those same staff members to help to establish new centers of care in areas, with the lowest numbers of provider services. (ACS Publication June 2006 A Growing Crisis In Patient Access to Emergency Surgical Care at (http://www.facs.org/ahp/emergcarecrisis.pdf)
The ACS Publication A Growing Crisis In Patient Access to Emergency Surgical Care stresses that the existing system is not…
Resources for Health 2006, 4:12 at http://www.human-resources-health.com/content/4/1/12
Fishman P.E. MD, Shofer, F.S. PhD, Robey J.L RN, BSN, Zogby, K.E. RN, BSN, Reilly, P.M. MD, Branas, C.C. MS, PhD, Pines, J.M. MD MBA, Hollander, J.E. MD. (October 2006), "The Impact of Trauma Activations on the Care of Emergency Department Patients With Potential Acute Coronary Syndromes" Annals of Emergency Medicine, 48: 4, pp. 347-353
Hofman, Primack, Keusch, & Hrynknow (Jan. 2005), "Addressing the growing burden of trauma and injury in low- and middle-income countries" American Journal of Public Health 95: 1 at http://hestia.unm.edu.libproxy.unm.edu/search/i0090%2D0036/i00900036/1,1,1,B/l856~b1044007&FF=i00900036&1,1,1,0/startreferer//search/i0090%2D0036/i00900036/1,1,1,B/frameset&FF=i00900036&1,1,/endreferer/
Hospital Survey Sheds New Light on Diversions" (July 2004) Emergency Medical Services, at http://hestia.unm.edu/search/temergency+Medical+/temergency+medical/1,25,31,B/l856~b1044565&FF=temergency+medical+services&1,2,1,0
Mock, C.M. & Jurkovich, G.J. (1999) "Trauma System development in the United States," Trauma Quarterly 14:3 pp. 197-209.
Mex Am / Hispanic Am. Hlth Care
Sub- cultural Scholarly Paper: Hispanic-American Health
Due to the rising cost of health care and lack of communication and cultural attitudes towards health many Hispanics are faced with poor health, obesity, and in most cases serious illness. This paper provides insight into health concerns, dilemmas of the subculture, and the specifics revealed in the interview process as relates to the individual, the family and ultimately, the community and the culture's collective society.
Subcultural Scholarly Paper: Hispanic-American Health
The theoretical framework used to evaluate this subculture is Purnell's Model. This is a subculture study of Hispanic-Americans in relation to their lack of knowledge concerning their personal healthcare.
Description of Subculture:
One way to address the challenges of providing health care to differing cultures is through advances in the development of competence among cultural providers in the healthcare field as per the minority which…
Basiotis, P.P., Carlson, A., Gerrior, S.A., Juan, W., and Lino, M. (2004). "The Healthy Eating Index, 1999-2000: Charting Dietary Patterns of Americans." Family Economics and Nutrition Review, Vol. 16, Number 1, p. 39.
"Healthy People 2010: Objectives Draft for Public Comment." National Alliance for Hispanic Health. Available: http://www.hispanichealth.org/pdf/hp2010.pdf Accessed November 27, 2004.
'Hispanic Health Data." (n.a.) National Council of La Raza. Available: http://www.nclr.org/content/programs/detail/25670 . Accessed November 27, 2004.
National Alliance for Hispanic Health. Available: www.hispanichealth.org. Accessed November
In the third trimester of pregnancy, caution must be taken concerning congestive heart failure, hypertension and decreased renal and hepatic function, interstitial nephritis, hyperkalemia, hyponatremia and renal papillary necrosis, anticoagulation abnormalities, leucopenia, granulocytopenia and thrombocytopenia. The use of Celecoxib is aimed primarily at suppressing pain and inflammatory stimuli, but it may contribute to NSAID gastrointestinal toxicity. The lowest possible dose of celecoxib should be prescribed and taken. On the whole, NSAIDs can mask the usual signs of infection, therefore, caution must be taken in the presence of existing controlled infection. The physician should investigate symptoms and signs, which suggest liver dysfunction or abnormal liver lab results.
On September 30, 2004, Merck and Company voluntarily withdrew rofecoxib from the American and world markets because of its association with an increase in cardiovascular incidence (Keldaya 2005). A major Food and Drug Administration study linked the medication to a three-fold rise in the…
Avicena. (2005). Charcot-Marie-Tooth Syndrome. Disease Targets. Avicena Group. http://www.avidenagroup.com/disease_targets/neuromuscular/cmt_php?print=on
Kedlaya, D. (2005). Charcot-Marie=Tooth Syndrome. eMedicine.com, Inc. http://www.emedicine.com/arthoped/topic43.ht
National Center for Biotechnology Information (2005). Charcot-Marie-Tooth Syndrome. Genes and Diseases. U.S. National Library of Medicine. http://www.ncbi.nlm.nih.gov/books/bv_fcgi?call=bv.view.ShowSection&rid=gnd.section.197
National Human Genome Researc Institute. (2004). Learning About Charcot-Marie-Tooth Disease. National Institutes of Health. http://www.genome.gov/11009201
Nursing Staff Levels Affect Patient Mortality
Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety.
Litvak, E., Buerhaus, P.I., Davidoff, F., Long, M.C., McManus, M.L. & Berwick, D.M.
Date of publication: June 2005
Examination of the operational issues affecting health care delivery, including patient driven peaks in demand and effects of nursing shortages or inadequate staffing on clinical outcomes for patients.
esearch question and/or hypothesis:
In this study the researchers propose that increases in adverse clinical outcomes occur when hospital nurse staffing is inadequate. Further the researchers suggest that increases in census rates increase the potential for serious stresses for patients and nurses working in the field. Lastly the researchers suggest that if hospitals reduce unnecessary variability of staff levels in a hospital, the hospital can reduce the probability of negative patient outcomes, improve safety for patients and improve the overall quality of care.
Aikan, L.H., Clarke, S.P., Sloane, D.M, Sochalski, J. & Silber, J.H. (2002 -- Oct).
"Hospital nurse staffing and patient mortality, nurse burnout and job dissatisfaction." JAMA, 288(16): 1987-93.
Halm, M., Peterson, M., Kandels, M., Sabo, J., Blalock, M., Braden, R., Gryczman, A.,
Krisko-Hagel, K., Larson, D., Lemay, D., Sisler, B., Strom, L., Topham, D. (2005 -- Sept). "Hospital nurse staffing and patient mortality, emotional exhaustion and job dissatisfaction." Clin Nurse Spec, 19(5): 241-5.
Evans, E.G. & Sigurgeirsson, B. (1999, April 17). Double blind, randomised study of continuous terbinafine compared with intermittent itraconazole in treatment of toenail onychomycosis. British Medical Journal, 318, pp. 1031-1036.
Key Points: This study examined the effectiveness of two new medications for the treatment of toenail fungus compared to the current recommended treatment. Both new medicines were found to be more effective.
This was a prospective, randomized, double blind, double dummy, multicenter, parallel group study. The study took place over a period of 72 weeks (about 16-1/2 months) and involved 38 investigators from 35 centres in six different European countries (Finland, Germany, Iceland, Italy, the Netherlands, and the United Kingdom).
bjective: To compare the efficacy and safety of continuous terbinafine with intermittent itraconazole in the treatment of toenail onychomycosis. nychomycosis is among the most common diseases of the nail as well as being among the few curable diseases if the…
Objective: To identify effective search protocols for locating timely and relevant peer-reviewed journal articles and scholarly resources for medical researchers in general and orthopedic surgeons in particular at the time of writing (2004).
Overview: On the one hand, there is more relevant medical information available to researchers today than ever before; on the other hand, though, finding precisely what is needed in an efficient fashion involves a knowledge of what resources are available and how best to use them to find what is wanted. Moreover, finding gold-standard studies that rely on randomized controlled trials and are published in the English language within a certain timeframe (the past 3-5 years is common) can be a challenging enterprise if certain steps are not taken to use the Boolean arguments that are available in MEDLINE and other reliable online research resources such as Excerpta Medica, Science Citation Index. Many healthcare practitioners, especially orthopedic surgeons who lack training in these areas, may not have the requisite search skills needed to access the best of evidence-based practices available online today.
Search Techniques: The authors provide several useful (at the time) tips and guidelines for medical researchers to help them locate relevant studies of interest as well as specific papers using various indexing methods and by searching selected fields, depending on the database interface. Significant advances in making the search algorithms and experience more efficient in recent years may make some of these observations obsolete or of limited value today.
Martin Army Medical Center, Fort Benning, Georgia and St. Francis Medical, Columbus Georgia
Because resources are by definition scarce, it is important for tertiary healthcare providers to develop healthcare delivery structures that are efficient and effective. Since every healthcare organization is unique, though, these delivery structures can vary widely in scope and purpose. To gain some fresh insights into the healthcare delivery structures that are used by civilian and military health facilities, this paper provides a comparison of Martin Army Medical Center at Fort Benning, Georgia with St. Francis Medical in Columbus, Georgia, followed by a summary of the research and important findings in the conclusion.
eview and Comparison
Martin Army Medical Center, Fort Benning, Georgia
Health care delivery structure. Opened in 1958, this is a U.S. Department of Defense facility operated by the U.S. Army that offers inpatient, outpatient and emergency services. At present, Martin Army Medical Center 250-bed,…
About St. Francis Hospital. (2012). St. Francis Hospital. Retrieved from http://www.
About us. (2012). Martin Army Community Hospital. Retrieved from http://www.martin.
zeros in on healthcare and nursing issues. Can a study have one or more purpose, question, and hypothesis? This paper answers that question through the critique of two scholarly papers; one was published in the peer-reviewed Orthopaedic Nursing and the second one was found in Medical Education.
"Improving Patient Care Through the Use of Research"
In this article the author presents scenarios that address the need for research in nursing care -- that is, the need to solve a problem or find a solution that may save a life or at least ease a patient's suffering. The author uses several questions and several generalized hypothesizes and indeed there are several purposes to this research article. These aspects are needed in the interest of thoroughness. The article point to several approaches to finding appropriate medical answers for nursing questions, but as a rule, an answer cannot be located by simply asking…
Cook, D.A., Bordage, G., and Schmidt, H.G. (2008). Description, justification and clarification: a framework for classifying the purposes of research in medical education.
Medical Education, Vol. 42, 128-133.
Pinch, W.J.E. (2001). Improving Patient Care Through the Use of Research. Orthopaedic Nursing, 20(4), 75-80.
Education Project Proposal (Nursing)
This study is intended to educate the patients (within the age group of 8-12) about the post operative treatment approaches and to prepare them to face the situation. As the main audience is the pediatric patients who have gone trough a kidney transplant, we will focus on the recovery issues with respect to this audience. This study will help these patients to learn about the general issues related to recovery of their wounds, the nutrition they are supposed to adopt during the recovery stage and the physical activity that is expected to be maintained by them. This educational activity is important for the patients because a thorough understanding of the recovery process is very important for the patient.
With an understanding of the process the patient will be able to cooperate with the nursing staff and will more actively participate in the process. From this program,…
Barbara A. Nilsen: Week by Week: Plans for Observing and Recording Young Children: Delmar Learning, January 1997
Evelyn A. Petersen: Practical Guide to Early Childhood Planning, Methods and Materials, A: The What, Why and How of Lesson Plans: Allyn & Bacon, November 1995
Linda M. Bambara & Tim Knoster: Designing Positive Behavior Support Plans: Amer Assn Mental Retardation: January 1998
Barbara Stevens Barnum: Teaching Nursing in the Era of Managed Care: Springer Publication Company, March 1999
Arthritic conditions found within the joints of the body: their causes, treatment, current research, and what effect they have on athletic participation.
Types of Arthritis
Causes of Arthritis
Arthritis and Athletic Activities
Arthritis is said to be the number one cause of disability in the United States, with more individuals disabled with arthritis than by both heart disease and strokes (Lewis 2000).
Arthritis is also a disease that is plagued with misunderstanding. The Center for Disease Control warns that it is these misunderstandings that result in the disease doing so much harm (Lewis 2000).
Some of the common misunderstandings involve recognizing that there are different types of arthritis and that arthritis is not only a disease of the aged. Arthritis is also often not taken seriously enough in its early stages, preventing individuals from seeking medical help that could…
AAOS: American Academy of Orthopaedic Surgeons. (2000). Arthritis. American Academy of Orthopaedic Surgeons.
The Arthritis & Glucosamine Resource Center. (2002). Treating and Preventing Sports Injuries & Secondary Arthritis. http://www.arthritis-glucosamine.net/arthritis/sports-injuries-arthritis.html
Arthritis Foundation. (2002). Progress and Opportunities in Rheumatoid Arthritis. http://www.arthritis.org/research/research_program/RA/default.asp
Lewis, C. (May-June 2000). Arthritis: Timely Treatments for an Ageless Disease. FDA Consumer, 34:3.
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.
emoval From Tdrl
Medical board forwarded process physical evaluation board. A deliberate act discipline a counselor remove military TDL favoritism opportunity adversary make judgment . What criminal offense committed procedures recommended victim process recovery shown significant growth academy suffers social culturally.
Temporary Disability etired List (TDL)
The Temporary Disability etired List (TDL) is a list containing Army members found unfit for the performance of military duties due to permanent physical disabilities Cross, Ficke, Hsu, Masini, & Wenke, 2011.
The disability is permanent, but is has not stabilized sufficiently, which makes an accurate assessment difficult. The Army member is placed in the TDL until their condition is accurately assessed. Army members suffering from disabilities considered not permanent and likely to change in the course of time are placed in TDL instead of Permanent Disability etirement List. Placing members on the TDL protects the Army and the individuals. The individuals will continue…
American Counseling Association. (2005). ACA code of ethics: American Counseling Association.
Cross, J.D., Ficke, J.R., Hsu, J.R., Masini, B.D., & Wenke, J.C. (2011). Battlefield orthopaedic injuries cause the majority of long-term disabilities. Journal of the American Academy of Orthopaedic Surgeons, 19(suppl 1), S1-S7.
Dasen, P.R., & Mishra, R.C. (2000). Cross-cultural views on human development in the third millennium. International Journal of Behavioral Development, 24(4), 428-434.
Gooding, C. (2000). Disability Discrimination Act: from statute to practice. Critical Social Policy, 20(4), 533-549.
End-of-Life Care: Scholarly Nursing Practice Choice
I am an advanced practice registered nurse (APN) board-certified to practice in adult care (ANP-BC). Currently, I am employed as a nurse practitioner (NP) in palliative care within a hospice setting. Accordingly, my scholarly nursing practice is focused on the care of individual patients in need of palliative care, many of whom are in need of end-of-life care.
The phenomenon of interest that I have chosen is end-of-life care. Compared to palliative care, end-of-life care is not provided for patients receiving curative treatments or undergoing a disease process that is life-altering (Petersen, Breakwell, & Callahan, 2014). End-of-life care encompasses the principles of palliative medicine, including a focus on the patient's and family's quality of life, optimal functioning, individual growth, and care planning; however, end-of-life care will also emphasize a patient's dignity during the dying process, comfort through effective pain management, and care of family…
Faust, C. (2002). Orlando's deliberative nursing process theory: A practice application in an extended care facility. Journal of Gerontological Nursing, 28(7), 14-8.
Petersen, C.L., Breakwell, S., & Callahan, M. (2014). Palliative and end-of-life care: Precepts and ethics for the orthopaedic population. Orthopaedic Nursing, 33(3), 127-34.
isk Analysis and the Security Survey
The following risk analysis and security survey report will be centered on the hospital as an organization. Vulnerabilities can be classified as crime opportunities, opportunities for breaking rules and regulations, opportunities for profiting and also for loss. By definition, vulnerability can be a gap or a weakness inside a security program that might be exploited by opponents to acquire unlawful access. Vulnerabilities include procedural, human, structural, electronic as well as other elements that offer opportunities to damage assets (Vellani and Owles, 2007).
A vulnerability assessment can be classified as a systematic method utilized to evaluate an organization's security position, assess the efficiency of current security infrastructure, as well as, recognize security limitations. The basic approach of a Vulnerability Assessment (VA) first measures what precise assets require protection. Subsequently, VA recognizes the protection measures previously being used to protect those assets, as well as what…
Brandon Region Hospital. (2012). Evacuation plan.
Brandon Region Hospital. (2012). Risk management plan.
Chung, S., & Shannon, M. (2005). Hospital planning for acts of terrorism and other public health emergencies involving children. Archives of disease in childhood, 90(12), 1300-1307.
Code Green Networks. (2009). Protecting Healthcare Organizations from Patient Data Loss. Retrieved from: www.codegreennetworks.com/resources/downloads/wp_patient_dlp.pdf
HEALTH -- RESEARCH SITE'S PERSPECTIVE ON FUNDING - ESSAY
As the CRA of a large orthopedic clinic specializing in advanced joint reconstructive techniques for athletes, I occasionally recommend funding streams that might be pursued for research. A principal investigator at the clinic is interested in some promising new research that could lead to an improvement in patient recovery times. The question is whether a federal grant or a research contract from a pharmaceutical company should be pursued as the funding stream for the new research.
As a CRA administering clinical trials for a large orthopedic clinic, I would recommend obtaining a federal grant for the promising new research. The key differences between a federal grant -- or any grant, and a private contract -- or any contract, are in the concept and consequences of default (DeMaio, 2015). A grant is a formalized decision to give fund for research or some…
Brown University. (n.d.). What's the difference between a Grant, Contract and Cooperative Agreement? Retrieved from www.brown.edu: https://www.brown.edu/research/sites/brown.edu.research/files/uploads/whats%20difference%20between%20grant%20and%20contract.pdf
DeMaio, L. (2015). Grants vs. Contracts: What is the Difference? Retrieved from www.captureplanning.com: http://www.captureplanning.com/articles/85710.cfm#
Office of Research, University of Pittsburgh. (2010, September 1). Federal Grants vs. Federal Contracts. Retrieved from www.research.pitt.edu: http://www.research.pitt.edu/sites/default/files/u24/Grants_vs_Contracts.pdf
Organizational esearch and Theory
Change methods are actions that managers undertake to handle change. There are two types, systematic methods and management methods. Management methods are more involving and broader than systematic methods (Al-Haddad & Kotnour, 2015, p. 248). Many writers have come up with various methods of change management, including:
Steps of the Change Models of Kotter and Lewin
a) Kurt Lewin's model has three phases including the unfreezing stage, the actual change and the refreezing stage. Lewin opined that change involves the opinion that there is need for change, acting towards the intended change and making the change a custom. The stages involve the following:
Step 1-Unfreezing: According to Lewin, human beings behave under the influence of a semi-stationary equilibrium that is surrounded by compound forces. Before getting rid of old habits and adopting new ones, there is need to unfreeze/ destabilize the equilibrium. Lewin thought of the…
Al-Haddad, S. &Kotnour, T. (2015). Integrating the organizational change literature: a model for successful change. Journal of Organizational Change Management, 28(2), 234-262. Retrieved 12 September 2016 fromhttp://188.8.131.52:8088/2161333/JOCM-11-2013-0215.pdf
Auguste, J. (2013). Applying Kotter's 8-Step Process for Leading Change to the Digital Transformation of an Orthopedic Surgical Practice Group in Toronto, Canada. Journal of Health &Medical Informatics, 4(3). doi:10.4172/2157-7420.1000129. Retrieved 12 September 2016 from http://www.omicsonline.org/applying-kotter-step-process-for-leading-change-to-digital-transformation-of-an-orthopedic-surgical-practice-2157-7420.1000129.pdf
Kritsonis, A. (2005). Comparison of Change Theories. International Journal of Management, Business, and Administration, 8(1),Retrieved 12 September 2016 fromhttp://www.nationalforum.com/Electronic%20Journal%20Volumes/Kritsonis,%20Alicia%20Comparison%20of%20Change%20theories%20IJMBA%20V8%20N1%202005.pdf
Lunenburg, F. C. (2010). Forces for and Resistance to Organizational Change. National Forum of Educational Administration and Supervision Journal, 27(4),Retrieved 12 September 2016 fromhttp://www.nationalforum.com/Electronic%20Journal%20Volumes/Lunenburg,%20Fred%20C.%20Forces%20For%20and%20Resistance%20to%20Change%20NFEASJ%20V27%20N4%202010.pdf
Ineffective Communication Between Shifts in Acute Care Settings
A recent statistics of the adverse effects arisen from ineffective communication between shifts in acute care setting range from 2.6% to 7.6%, however, Okoniewska, et al. (2015) believes that the adverse effects on in-patients can be between 19% and 23%. (Classen, esar, Griffin. et al. 2011).
The Study aims to discuss the adverse effective arisen from ineffective communication between shifts within acute care settings.
Consequences of not solving the problem
Without implementing the strategies that can enhance effective communication between shifts in an acute healthcare setting, the issue can lead to mortality, readmission, and post-hospital adverse effects. Moreover, poor communication between shifts can lead to medication problems resulting to therapeutic errors. (Okoniewska, et al. 2015). Moreover, lack of intervention to address the problem can lead to medical errors, which can lead to patients' harms. Communication failure has also been identified as…
Aebersold, M., Averhart, V., Keenan, G., Kocan, M. J., Lundy, F., Tschannen, D. (2011). Implications of Nurse-Physician Relations: Report of a Successful Intervention. Nursing Economics. 29 (3):127-135.
Almost, J., Wolff, A., Mildon, B., Price, S., Godfrey, C., Robinson, S., . . . Mercado-Mallari, S. (2015). Positive and negative behaviors in workplace relationships: a scoping review protocol. BMJ Open, 5(2). doi:10.1136/bmjopen-2015-007685
Carlson, E. A. (2012). Improving Patient Safety Through Improved Communication and Teamwork. Orthopaedic Nursing, 31(3), 190-192.
Classen, D.C., Resar, R, Griffin. F, et al. (2011). "Global trigger tool" shows that adverse events in hospitals may be ten times greater than previously measured. Health Aff (Millwood). 30(4):581 -- 589.
The NIH (2014) defines robotic surgery as "a method to perform surgery using very small tools attached to a robotic arm", wherein the surgeon operates the robot. Robotic surgery was developed to enable the performance of surgical procedures through smaller cuts than open surgery. The robot is capable of smaller, more precise movements that would be possible with a human arm. It is also much easier for the surgeon to work with the surgical tools than would be possible with, say, an endoscope. The NIH notes that robotic surgery is used for an increasing range of procedures, including coronary artery bypass, cancer excision, gall bladder removal, hip replacement, hysterectomy, kidney transplants and pyloroplasty (NIH, 2014).
The minimal invasiveness of robotic surgery means that there is lower risk to the patient during the course of the surgery, and that the post-surgery healing time is lower, and less risky as…
Nursing theory, research, and practice
Scenario in which theory, research, and practice interact to create good patient outcomes
Imogene King’s theory
Using the Imogene King’s theory to enhance Nurse-Patient Relationship
Enhanced Patient care
narrative explanation of your visual representation following the diagram.
Nursing theories have been developed as a way of trying to explain the fundamental importance of clinical practice (INSCOL, 2014). Even though these theories are used to guide practice, it is true to claim that most of them have not been put to the test as a way of determining whether the proposed nursing actions produce the claimed effects. If nursing asserts itself as the professional practice it is a professional practice environment must be supported and practiced. In order to enhance the outcome of patients and nursing staff then the professional nursing practice must be supported (INSCOL, 2014). There exist several nursing theories…
Greenhalgh and Taylor (1997) describe quantitative research as that which examines one clearly formed question using multiple research methods. In this study the authors utilize the sickness impact profile (SIP), the hip outcome tool, and pain and mobility to test functional status pre- and post-operatively.
3. In this study, the independent variables are pain and mobility. The dependent variable is functional status. The patient's perception of his/her illness depends on his/her level of pain and ability to ambulate. The research hypothesis is that functional status improves post-operatively.
4. The authors talk about the history of hip replacement surgery outcome reporting. The authors state that although hip surgery has been used since 1970 it was not until 1988 that a study by Gartland proposed the need for health based outcome research as opposed to only surgical outcomes. The study indicates that as of 2000 there still was a lack in health…
Denzin, N.K., & Lincoln, Y. (2000). Handbook of qualitative research. Thousand Oaks, CA: Sage
Gartland, J.J. (1988). Orthopaedic clinical research: Deficiencies in experiemental design and determinations of out-come. The Journal of Bone and Joint Surgery, 70-a (9), 1357-1364. Retrieved from http://www.ejbjs.org/
Greenhalgh, T., & Taylor, R. (1997). How to read a paper: Papers that go beyond numbers (qualitative research). British Medical Journal, 315, 740-743. Retrieved from http://group.bmj.com/products/journals/
Leidy, N.K. (1994). Functional status and the forward progress of merry-go-rounds: Toward a coherent analytical framework. Nursing Research, 43, 196-202. Retrieved from http://journals.lww.com/nursingresearchonline/pages/default.aspx
Shuttling the results from an outside provider, because the health insurance agency will only reimburse outside screening, forces the patient to wait and possibly incurs more costs, if the delays in obtaining diagnostic information worsen the patient's condition. This can ultimately result in more prolonged treatment. Many patients may also be put at risk because of the logistics of being transported to outpatient facilities for essential screening and rehabilitative services, while they are still convalescing.
Being able to conduct all necessary tests in-house results in great efficiency, swifter screening, and improves coordination between the different providers involved in the case. Our hospital has extensive resources for patients, and can provide a wide range of treatment options, particularly in its specializations of cardiac and orthopedic care. And improvements in technology that are keeping extremely sick patients alive for longer periods of time also mean that, quite often, patients require attention from…
Mertens, Maggie. (2010, October 4). More Medicaid payment for some doctors. But will it last?
Shots. NPR Blog. Retrieved November 24, 2010 at http://www.npr.org/blogs/health/2010/04/will_medicaid_payment_follow_u.html
Cognitive and Psychomotor Disturbance:
This is the other long-term psychological effect of surgery on children particularly those who undergo heart transplant surgical operations. Similar to the post-hospital distress, cognitive and psychomotor disturbance is usually as a result of extra medical treatments and longer stays in hospital. According to research, patients who undergo complex pediatric surgical operations are likely to exhibit signs of cognitive or psychomotor disturbance (Todaro et al., n.d.). The cognitive and psychomotor disturbance is also as a result of the surgical procedures that a child goes through in the inpatient surgical operations.
However, the effect of cognitive and psychomotor disturbances are not limited to patient who undergo inpatient surgical operations since those who undergo day case surgery are also likely to experience these effects. Nonetheless, as compared to the inpatient surgical operations, the likelihood of these effects are less in day case surgical operations. Poor school attendance and…
Cadena, C. (2007, May 11). The Psychological Impact of Organ Transplants in Children.
Retrieved November 22, 2010, from http://www.associatedcontent.com/article/238567/the_psychological_impact_of_organ_transplants.html?cat=25
Campbell, I.R, Scaife, J.M & Johnstone, J.M. (n.d.). Psychological Effects of Day Case Surgery
Compared with Inpatient Surgery. Retrieved from National Center for Biotechnology Information -- U.S. National Library of Medicine website: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1778819/pdf/archdisch00687-0077.pdf
Estimates of cost savings from the reduction in film costs as well as through reduced work hours needed for the creation of images and the reading of images by physicians will lead to an average annual cost savings of between five hundred- and seven hundred and fifty-thousand dollars a year, leading to an overall cost benefit of one hundred- to three hundred and fifty-thousand dollars a year compared to traditional film production techniques (Hoffman 2008; ath 2010). A ten percent reduction in costs could be achieved through increasing the competitiveness of a the bidding process amongst companies that produce the technologies necessary for a successful PACS, as well as through reducing the time and personnel involved in training programs. This latter is not especially advisable, however, as indirect costs will likely be created though reductions in the efficacy of the adoption and a reduced improvement in treatment efficiencies and speeds…
Cannavo, M. (2005). "The new PACS puzzle: Cost and technological change." Imagining economics (July). Accessed 20 October 2010. http://www.imagingeconomics.com/issues/articles/2005-07_04.asp
D'Asseler, Y.; Koole, M.; Van Laere, K.; Vandenberghe, S.; Bouwens, L.; Van de Walle, R.; Van de Wiele, C.; Lemahieu, I. & Cierckx, R. (2000). "PACS and multimodality in medical imaging." Technology and health care 8(1), pp. 35-52.
Jackson, P. & Langlois, S. (2005). "Introduction of picture archiving and communication system at The Townsville Hospital." Australasian radiology 49(4), pp. 278-82.
Kalyanpur, A.; Singh, J. & Bedi, R. (2010). "Practical issues in picture archiving and communication system and networking." The Indian journal of radiology & imaging 20(1), pp. 2-5.
esearch eport: Gance-Cleveland (2004)
1) This study sought to explore the characteristics, clinical elements, methods, and benefits of school-based support groups for children of alcoholics (COA). Identification of this information may aid in the intervention process of adolescents who are coping with the addiction of a loved one and could improve long-term outcomes for the adolescent.
2) the author found that the support groups educated on the dangers of drug and alcohol use, improved coping strategies, enhanced resiliency factors, improved relationships, and increased school achievement. Of equal importance where the observed positive changes in behavior and an increased awareness of the effect of addiction on their lives (Gance-Cleveland, 2004). The findings of the current study were consistent with previous literature including the ability of the group process to empower youth and create a sense of awareness that can be correlated to improved decision making and long-term outcomes.
3) This study…
Gance-Cleveland, B. (2004). Qualitative evaluation of a school-based support group for adolescents with an addicted parent. Nursing Research, 53(6), 379-386.
Ridge, R.R., & Goodson, a.S. (2000).The relationship between multidisciplinary discharge outcomes and functional status after total hip replacement. Orthopaedic Nursing, 19(1),
They were zigzagging through the sugar cane field, a truly bizarre scene.
Also in Mendoza, it is a dark and evil scene as Mendoza's body is tied to the back of a donkey but the body kept sliding down under the donkey ("ass"). There is no respect for the dead here in this scene, and to take his bloody, muddy, and wet body to his wife's house, and throw it down in the threshold -- that is profoundly evil. He never had a chance, and now his family has to pay the price. The evil and "horrible grimace" that was on the face of the dead Mendoza must have been a terrible shock to his family and his children. His son (who had found what he thought was a corpse) now saw a real corpse, ironically the person he had seen earlier and mistaken for a corpse -- his own…
Bosch, Juan. (2001). Encarnacion Mendoza's Christmas Eve. In the Oxford Book of Caribbean Short Stories. Eds. Stewart Brown and John Wickham. New York: Oxford
University Press, pp. 70-79.
Marquez, Gabriel Garcia. (2001). The Last Voyage of the Ghost Ship. In the Oxford Book of Caribbean Short Stories. Eds. Stewart Brown and John Wickham. New York: Oxford
University Press, pp. 148-152.
In such situations, "especially if the comments have been made repeatedly" the employer may not be able to fire the employee at will. This seems to be the case with Joe, given the statements he received from his supervisors (Nolo, 2010). In the future, it would be wise for the Strong Steel Company to be careful about making such sweeping statements to employees, to protect the company's interests should the employee use such statements as evidence that they could only be fired with a 'cause.'
Even if the employer argues that there was no implied contract about his employment status, Joe's firing seems clearly linked to his ADA-qualified disability, given that he was told, after he returned to his employment after his operation that his employer felt that Joe was not doing a good job because of his heart problems. Joe, however, had only taken part-time leave for a relatively…
The Americans with Disabilities Act: Title II Technical Assistance Manual. (2010). Americans
with Disability Act. Retrieved February 7, 2010 at http://www.ada.gov/taman2.html
Employment at will: What does it mean? (2010). Nolo. Retrieved February 7, 2010 at http://www.nolo.com/legal-encyclopedia/article-30022.html
Facts about age discrimination. (2010). Equal opportunity Commission (EEOC).
More times than not, a patient will argue that he did not understand what the physician stated to him; even amidst documented proof the medical professional and the patient did engage in an informed conversation. "The fact that a meeting took place does not necessarily mean that there was a meeting of the minds" (Informed consent…, 2010, ¶ 5). This issue leads some health care providers to assert that informed consent forms possess little value, particularly when a legal battle ensues and the professional cannot prove the patient did, in fact, understand the informed consent process.
Currently, lawyers routinely challenge informed consent forms in courtrooms throughout the United States (U.S.). "The model consent forms incorporate substantial details of anesthesia techniques, risks and other elements of 'informed consent', so that a strong presumption is established on its face" (Informed consent…, 2010, ¶ 7). During the informed consent process, to help inoculate…
Anaesth, B.J. (2009). Perioperative visual loss: What do we know, what can we do? Department
of Anesthesia and Critical Care. University of Chicago. Retrieved January 25, 2010 from http://bja.oxfordjournals.org/cgi/content/short/103/suppl_1/i31
Booth, B. (2008). Informed consent at the heart of New York lawsuit. Retrieved January 26,
2010 from http://www.ama-assn.org/amednews/2008/03/10/prca0310.htm
This were then replaced with larger big band orchestras as technology allowed such large groups to be clearly recorded, "As the swing era began, shorts were made of many of the top orchestras," (Yanow 2). Big band orchestras began showing up in all the major Hollywood productions. They featured pre-recorded songs where the musicians lip singed. It is interesting to have such a crucial period on film. The Swing Era "was fortunately captured for feature films and short subjects at the time it was all happening," (Behlmer 1). Big bands became incredibly popular in feature films during the 1930s and 40s. Benny Goodman, "The King of Swing," had a movie- Hollywood Hotel in 1937 "the full orchestra plays an abbreviated version of that quintessential Swing Era arrangement of 'Sing, Sing, Sing' in the film," (Behlmer 1). From big Hollywood productions came popularity on the small screen. As televisions became the…
Behlmer, Rudy. "Big Bands in the Movies." Turner Classic Movies. 2009. Retrieved 16 Nov 2009 at http://www.tcm.com/thismonth/article/?cid=199314
Gridley, Mark C. Jazz Styles: History and Analysis. 9th ed. Prentice Hall. 2006.
History Link, "The Jazz Singer, the First Successful Feature Film with Sound, Debuts in Seattle at the Blue Mouse on December 30, 1927." The Free Online Encyclopedia. Retrieved 15 Nov 2009 at http://www.historylink.org/index.cfm?DisplayPage=output.cfm&file_id=2485
Schoenherr, Steven E. "Recording Technology History." San Diego University. 2005. Retrieved 16 Nov 2009 at http://history.sandiego.edu/GEN/recording/notes.html#origins
You may think that you have recovered from your previous hard workout and you think you are ready to stress your muscles again (Gabe).
If you push yourself without the proper rest your joints, muscles, and tendons will start aching. If you continue to push though the soreness you may find that the aches and soreness never leave and you may start feeling tired all the time.
Runners that plan hard workouts one to two times a week and rest or jog on the other days may find the recovery time to be faster. y doing this it will help your muscle form more fibrous tissue which helps reduce injuries.
Avoiding Associated Injuries
While avoiding injuries is straightforward, many athletes, runners and joggers included, fall short in proper preparation to avoid injuries. Even if a runner uses the correct preventive techniques in training, it doesn't guarantee that an injury won't…
Cluett, Jonathan. "Running Injury." 17 Aug 2008. About.com: Orthopedics. 30 May 2009 .
Gabe, Mirkin. "Avoiding overtraining." AMAA Journal (Peer-reviewed) (2002): 1.
Matava, Matthew J. "RUNNING AND JOGGING INJURIES." 29 June 2006. American Orthopaedic Society for Sports Medicine. 31 May 2009 .
Rodriguez, Carlos. "Traumatic injuries to runners." AMAA Journal (Peer-reviewed) (2006): 1.
All these professionals work together in order to establish a
rehabilitation plan that works best for each individual. The component
members of the team are subject to change in accordance with each
individual's needs and requirements. Also, the center holds
The Palm Gardens Center does not use volunteers in its activity. The
reason behind this choice relies on the fact that this center is a for
profit organization. All the individuals employed here are paid. Most of
them work full time, but there are also part time employees.
In management's opinion, it is not a good idea to use volunteers,
because people that are not financially motivated tend to not perform their
tasks as good as they are supposed to. Basically, if one wants something
done properly, the activity in cause must be remunerated in accordance.
The Palm Gardens Center is very involved in the life of the…
1. Mission (2005). The Palm Gardens Center. Retrieved March 25,
2009 from http://www.palmgardenscenter.com/ .
2. Staffing Information (2009). UCompareHealthCare. Retrieved
March 25, 2009 from
3. Palm Gardens Nursing Home, Brooklyn, NY (2009). Hospital Data,
Hospitals and Nursing Homes Profiles. Retrieved March 25, 2009
The condition called Posterior Tibial Tendon Dysfunction (PTTD) denotes a flaw in the tendon functions directly supporting the foot, leading to the compensatory collapse of the arches. The condition is clinically explained as "an inflammation and/or overstretching of the posterior tibial tendon in the foot. An important function of the posterior tibial tendon is to help support the arch. But in PTTD, the tendon's ability to perform that job is impaired, often resulting in a flattening of the foot." (FP, 1)
Other implications to the condition will relate directly to the likelihood of pain and discomfort in the foot itself.
The improper distribution of weight and pressure in one's step can be the close for undue and excessive ground contact with load-bearing parts of the foot. The heel is especially vulnerable to inflammation and pain, contributing to the close connection between the presence of flat feet and the intrusion of…
IntelliHealth Inc. (2007). Fallen Arch. Aetna Intellihealth. Online at http://www.intelihealth.com/IH/ihtIH/WS/9339/25652.html
James, E. (2006). Knee Pain.
Comfort Shoes. Online at http://www.comfortshoe.com/knee_pain.html
Jones, B.H.' Thacker, S.B.; Gilchrist, J.; Kimsey, C.D. & Sosin, D.M. (2002). Prevention of Lower Extremity Stress Fracturesin Athletes and Soldiers. Epidemiological Reviews, 24, 228-247.