Patient Care Essays (Examples)

Introduction and background
Healthcare centers all over the US have been looking for cost- cutting techniques whilst simultaneously retaining the superior quality of their patient care delivery. Considering the present economic scenario, cost- cutting is vital for healthcare organizations’ continued functioning. An estimated growth in the number of patients lacking the funds to pay for services and Medicare/ Medicaid reimbursement decline together contribute to a financially trying time for the health sector. Facilities’ inability to be proactive in responding to the aforementioned shifting trends may result in dramatic cuts, capable, successively, of greatly limiting small communities’ access to health care. Such a scenario compels healthcare organizations to come up with creative solutions to save, financially. Making adjustments to a facility’s nurse assistant, registered nurse (RN) and licensed nurse practitioner skills mix in a given nursing unit may facilitate the delivery of more effective patient care, thereby enhancing both provider and…

References
Berlin, G., & Grote, K. (2013). Creating and sustaining change in nursing care delivery.
Cioffi, J., & Ferguson, L. (2009). Team Nursing in Acute Care Settings: Nurses\\' Experiences. Contemporary Nurse, 33(1), 2-12.
Fowler, J., Hardy, J., & Howarth, T. (2006). Trialing Collaborative Nursing Models of Care: the Impact of Change. Australian Journal of Advanced Nursing, 23(4), 40- 46.
Gier, K. (2013). The Effects of a Care Delivery Model Change on Nursing Staff and Patient Satisfaction. Gardner-Webb University.
Mattila, E., Pitkänen, A., Alanen, S., Leino, K., Luojus, K., Rantanen, A., & Aalto, P. (2014). The effects of the primary nursing care model: a systematic review.
Potter, P., DeShields, T., & Kuhrik, M. (2010). Delegation Practices between Registered Nurses and Nursing Assistive Personnel. Journal of Nursing Management, 18, 157-165.
Wagner, D., & Bear, M. (2008). Patient Satisfaction with Nursing Care: A Concept Analysis within a Nursing Framework. Journal of Advanced Nursing, 65(3), 692- 701.

Inpatient falls constitute a major clinical, supervisory, and legal issue, though not much information exists on the subject of successful fall reductions (Rosenthal, 2007). CMS (Centers for Medicare and Medicaid Services) has ceased to reimburse healthcare facilities for traumatic inpatient falls. With increased aging of the American population, preventing falls has become more important than ever before. Elderly, weak patients depict greater risk of falls, with more serious consequences. Fall prevention within the nation’s acute care facilities gives rise to distinctive challenges, considering the fact that it involves severely ailing patients with an average hospital stay of a mere 4.9 days. Such a compressed acuity increases healthcare practitioners’ burden to ensure patient safety; thus, fall prevention intervention results for long-term patient care organizations might not be applicable to facilities providing acute care. Likewise, international results might probably not be generalizable to the American context, as international hospitalization durations tend to…

References
Aiken, L. (2005). Improving quality through nursing. In D. Mechanic, D. L. Rogut, D. Colby, & J. Knickman (Eds.), Policy challenges in modern health care (pp. 177). New Brunswick: Rutgers University Press
American Nurse Today. (2015). Focus on falls prevention. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2015/07/ant7-Falls-630_FULL.pdf
Hampel, S., Newberry, S., Wang, Z., Booth, M., Shanman, R., Johnsen, B., … Ganz, D. (2013). Hospital Fall Prevention: A Systematic Review of Implementation, Components, Adherence, and Effectiveness. J Am Geriatr Soc, 61(4), 483–494. doi: 10.1111/jgs.12169
McCarter-Bayer, A., Bayer, F., & Hall, K. (2005). Preventing falls in acute care. Journal of Gerontological Nursing, 31(3), 25-33.
McKinley, C., Fletcher, A., Biggins, A., McMurray, A., Birtwhistle, S., Gardiner, L., … Lockhart, J. (2007). Evidence-based Management Practice: Reducing Falls in Hospital. Collegian, 14(2). Retrieved from https://www.collegianjournal.com/article/S1322-7696(08)60551-X/pdf
Rosenthal, M. B. (2007). Nonpayment for performance? Medicare\\\\'s new reimbursement rule. N Engl J Med, 357, 1573–1575
Western Australia Department of Health. (2003). Falls Prevention Policy. Perth: WADOH
Woloshynowych, M., Rogers, S., Taylor-Adams, S., & Vincent, C. (2005). The investigation and analysis of critical incidents and adverse events in healthcare. Health Technology Assessment, 9(19).

Scholarly Product Proposal: Safe Patient Handling
Justification: Transfer, repositioning, as well as ambulation considerations are critical for not only patient comfort, but also employee safety given the prevalence of musculoskeletal disorders (MSD) associated with patient handling tasks. Many employees find it challenging to work in the spine unit where patients with spinal cord injury and related problems need significant physical support and treatment. This is more so the case given that spinal cord injury (SCI) impedes patients’ movements and affects their sensation. The risk of injury to patient care providers is often a direct consequence of patient handling tasks associated with the repeated performance of patient repositioning, ambulating, as well as lifting and transferring tasks. In the words of Teeple, Collins, Shrestha, Dennerlein, Losins, and Katz (2017), “lifting demands for patient care workers frequently exceed the 35 pound safe lifting limit recommended for patient handling activities…” (174). Many nurses on…

References
Teeple, E., Collins, J.E., Shrestha, S., Dennerlein, J.T., Losins, E. & Katz, J.N. (2017). Outcomes of Safe Patient Handling and Mobilization Programs: A Meta-Analysis. Work, 58(2), 173-184.

Geriatric Pharmacotherapy and Medication Challenges
Prescription Problems in Elderly Patients
In elderly patients, prescriptions, over the counter (OTC), and herbals may cause problems because they suffer from several chronic disorders resulting in the excessive use of drugs compared to any other age group. It can be understood by the diminished physiological reverse, which is mostly associated with aging and can further be depleted by the chronic or acute state of diseases and drug effects. OTCs like sedatives among the elderly patients are said to cause an increase in the number of falls. These are the major concerns for the older adults because the use of multiple medications increases the risk of drug-drug counteractions and other adverse effects (Adams & Urban, 2016).
Major Physiological Changes of Aging
Pharmacokinetic changes
· Renal functioning experiences potential decrease
· Hepatic drug metabolism is also affected by aging.
Pharmacodynamics changes
· Older patients become more…

References
Adams, M. P., & Urban, C. Q. (2016). Pharmacology: Connections to nursing practice (3rd ed.). Boston, MA: Pearson.

Nursing Leadership and Management

Introduction

Nurse handoff communication during shift change is one of the most frequent, though key, nursing duties which provides the basis for delivering safe, reliable care (Eggins & Slade, 2015). Study results reveal that ineffective nurse communication at the time of patient handoff is the main reason for sentinel events (Drach-Zahavy & Hadid, 2015; Eggins & Slade, 2015). Together with National Patient Safety Goals (NPSG) for improving efficacy of communication among caregivers, the WHO (World Health Organization), AHRQ (Agency for Healthcare Research and Quality) and other such health organizations recognize the significance of prioritizing the task of dealing with risks to patient safety linked to ineffective handoff communication; consequently, they have put forward recommendations for improving upon the above problem (Drach-Zahavy & Hadid, 2015).

Yolo County's North Caroky Hospital is a small 35-bed community hospital employing a score of 12-hour night shift nursing personnel. The hospital…

References
Boshart, B. (2016). Performance Potential: Reimplementing bedside shift report at a community hospital. Nursing Management, 47(12), 52-55. doi: 10.1097/01.NUMA.0000508265.42099.cc
Drach-Zahavy, A., & Hadid, N. (2015). Nursing handovers as resilient points of care: linking handover strategies to treatment errors in the patient care in the following shift. Journal Of Advanced Nursing, 71(5), 1135-1145. doi: 10.1111/jan.12615
Eggins, S., & Slade, D. (2015). Communication in Clinical Handover: Improving the Safety and Quality of the Patient Experience. Journal of Public Health Research, 4(3), 666. http://doi.org/10.4081/jphr.2015.666
Ford, Y. and Heyman, A. (January/March 2017). Patients’ Perceptions of Bedside Handoff: Further Evidence to Support a Culture of Always. Journal of Nursing Care Quality, 32(1), 15-24.
Kotter, J.P. (1996). Leading Change. Boston: Harvard Business School Press.
Lewin, K. (1947). Frontiers in group dynamics: Concept, method and reality in social science; social equilibria and social change. Human relations, 1(1), 5-41.
Mardis, T., Mardis, M., Davis, J., Justice, E., Riley-Holdinsky, S., Donnelly, J., Ragozine-Bush, H., Riesenberg, L. (January/March 2016). Bedside Shift-to-Shift Handoffs: A Systematic Review of the Literature. Journal of Nursing Care Quality, 31(1), 54-60. Doi: 10.1097/NCQ.0000000000000142
McMurray, A., Chaboyer, W., Wallis, M., & Fetherston, C. (2015). Implementing bedside handover: Strategies for change management. Journal of Clinical Nursing 19(17/18), 2580-2589. doi: 10.1111/j.1365-2702.2009.03033.x

Computerized Provider Order Entry (CPOE) integrated with Clinical Decision Support System (CDSS) is regarded as a crucial system for enhancing the quality, safety, and efficiency of care (Simon et al., 2013). This system helps in enhancing care through preventing and/or lessening medication errors and promoting the use of evidence-based treatments. CPOE is basically defined as any system through which clinicians directly enter medications, tests, or procedure orders. Once these orders are entered, they are transmitted to the responsible clinician for executing it such as laboratory and pharmacy department. This paper will discuss the use of CPOE system integrated in a CDSS to address electrolyte replacements in patients who have undergone cardiac surgeries, which is a clinical issue involving medication.

Clinical Issue Involving Medication
The selected clinical issue involving medication for this assignment is electrolyte replacements in patients who have undergone cardiac surgeries given that electrolyte disorders are common after cardiac…

References
Couture, J., Létourneau, A., Dubuc, A., & Williamson, D. (2013). Evaluation of an Electrolyte Repletion Protocol for Cardiac Surgery Intensive Care Patients. The Canadian Journal of Hospital Pharmacy, 66(2), 96–103.
Gwinnett Hospital System. (2017). Electrolyte Replacement Cardiovascular Surgery Protocol. Retrieved September 18, 2017, from  http://www.gwinnettmd.org/forms_active/Physician_Order_Sets/40046-Electrolyte%20Replacement%20Protocol%20for%20Cardiac%20Patients.doc 
Ranji, S.R., Rennke, S. & Wachter, R.M. (2013, March). Computerized Provider Order Entry With Clinical Decision Support Systems: Brief Update Review. In: Making health care safer II: an updated critical analysis of the evidence for patient safety practices (chap. 41). Retrieved from  https://www.ncbi.nlm.nih.gov/books/NBK133383/#_ncbi_dlg_citbx_NBK133383 
Simon et al. (2013, June 24). Lessons Learned from Implementation of Computerized Provider Order Entry in 5 Community Hospitals. A Qualitative Study. BMC Medical Informatics and Decision Making, 13(67). Retrieved from  https://bmcmedinformdecismak.biomedcentral.com/articles/10.1186/1472-6947-13-67 

1. Nursing Theorist Overview
Theory guides nursing practice and provides a framework for nurse leadership and healthcare management (McKenna, Pajnikar & Murphy, 2014). All prominent nursing theorists like the individuals covered in the multimedia presentation have influenced nursing practice in some way or another, and all do resonate with me on a personal and professional level. I will incorporate elements of all theorists into my practice in terms of interpersonal communications and attitudes towards health and healing. Of the theorists covered in the presentation, those of Florence Nightingale resonate the most because of her inclusion of environmental factors implicated in patient care. Environmental factors like lighting or ventilation can have a profound impact on perceptions of quality of care, too, which has a strong bearing on the efficacy of the healthcare institution (Sabza & Pirani, 2016). The environmental factors that Nightingale identified as being important to patient care also have…

Patient acuity system provides the nurses and other healthcare practitioners in health cares' information that can guide them in their attention towards the patients. The nurses track information and then weigh them in accordance to the urgency of assessment. The basis that the nurses use is the complexity of the level to which patients are unwell. An example is the determination of whether the patients immediately require ventilation and those who do not need any. The nurses are able to pick on the various patients in the healthcare and then record the data. In a single healthcare, there are many patients with different degrees of illnesses. As a result, they all require varying levels of evaluations from the nurses. It is, therefore, imperative that the nurses spread their attention appropriately to avoid any inconveniences. This system helps the nurses to determine the attention that patients require within a short period.…

References

Brennan, C., & Daly, B. (2009). Patient acuity: a concept analysis. Journal Of Advanced Nursing, 65(5), 1114-1126. doi:10.1111/j.1365-2648.2008.04920.x

Garza, A., Gratton, M., McElroy, J., Lindholm, D., & Glass, E. (2008). The association of dispatch prioritization and patient acuity. Prehospital Emergency Care, 12(1), 24-29.

Lewis, R. (2008). Comparison of a 5-level triage classification system with a 4-level triage classification system as it relates to acuity assignment and predictability of patient outcomes. Southern Online Journal of Nursing Research, 8(2),

Perroca, M., & EK, A. (2007). Utilization of patient classification systems in Swedish hospitals and the degree of satisfaction among nursing staff. Journal of Nursing Management, 15(5), 472-480. doi:10.1111/j.1365-2834.2007.00732.x

The results of this analysis highlight the need for hospitals to fine-tune their discharge process to reduce readmissions, and support the expenditure of additional resources for this purpose as a cost-effective intervention; as an example, author cites a hospital in Iowa that implemented a rigorous post-discharge planning process for patients with heart failure and 30-day readmission rates were reduced by 3-9% during the 3-month period following implementation.

Conclusion

The research showed that many elderly patients who suffer from congestive heart failure also suffer from a wide range of comorbid conditions, including diabetes and hypertension. These patients can be reasonably expected to require periodic or even frequent treatment in emergency departments and/or hospitalizations for these conditions, making the need for effective and seamless post-discharge planning especially important. In this regard, the research also showed that there are some valuable evidence-based practice guidelines available, though, that can help clinicians better coordinate post-discharge…

Most of the literature deals with healthcare issues experienced in the United States or Europe. hat small amount of literature there is available on healthcare in Malaysia seldom has anything to do with the clinic(s) in specific. This study could help, in some small measure, to alleviate that problem.

orks Cited

Chowdhury, N., (1999) the Power of Towers, Fortune, Vol. 139, No. 7, pp. 110-112

Kurokawa, I., Takami, M., Cheriex, H., (1999) Futuristic flight plan - the Kuala Lumpur International Airport was designed for the new millennium, Lighting Design + Application, Vol. 29, No. 8, pp. 42-45

Manson, L.A., Baptist, a.J., (2002) Assessing the cost-effectiveness of provider-based status, Healthcare Financial Management, Vol. 56, No. 8, pp. 52-59

Romano, M., (2006) Physicians in pain, Modern Healthcare, Vol. 36, No. 4, p. 40

Shameen, a., (2004) Malaysia: Coining it in Kuala Lumpure - Start-up ECM Libra has capitalized on strong markets, hard…

Works Cited

Chowdhury, N., (1999) the Power of Towers, Fortune, Vol. 139, No. 7, pp. 110-112

Kurokawa, I., Takami, M., Cheriex, H., (1999) Futuristic flight plan - the Kuala Lumpur International Airport was designed for the new millennium, Lighting Design + Application, Vol. 29, No. 8, pp. 42-45

Manson, L.A., Baptist, a.J., (2002) Assessing the cost-effectiveness of provider-based status, Healthcare Financial Management, Vol. 56, No. 8, pp. 52-59

Romano, M., (2006) Physicians in pain, Modern Healthcare, Vol. 36, No. 4, p. 40

In addition the effect of bill has changed the documentation awarded through the state as of a certificate toward a license and authorizes a doctor to pass on duties to a PA with the purpose of managing physician's scope of performance however Another effect of bill has enabled Indiana's doctor assistants to widen their area of the health care services and also provided an innovative average of patient care (Stephanie, Matlock (27 April, 2007). Health care bills gives right to patient to know what health care should be known by the plan as well as several limits on care, kinds of health care be not enclosed, any treatment diagram required to endorse in advance. Yearly planning about on disburse to physician and health providers, file a complaint regarding any, disagreement between patient and the plan, and also procedure to make complaint, allowance to access emergency room twenty four hours a…

Bibliography

American-Speech Language Hearing Association. (2007) Characteristics of Licensure Law. Retrieved on November 29, 2007 from www.asha.org

New York State. (April 2007) Managed Care Bill of Rights. Retrieved on November 29, 2007 from www.health.state.ny.us

Federal Trade Commission. (October 21, 2002) FTC staff opposes Ohio Bill to Allow Physician Collective Bargaining. Retrieved on November 29, 2007 at  http://www.ftc.gov/opa/2002/10/physicians.shtm 

Girardin, Pierre. Internet Health Services: A Case Study. Retrieved on November 29, 2007 from  https://www.isoc.org/inet96/proceedings/h5/h5_2.htm

Care Case Study

Slide 1 Footnotes

There have been enormous changes due to introduction of various cultural elements in the continuum of care. Before, when people were admitted to assisted living facilities or hospital settings, there were very little cultural elements outside of the majority culture which had sponsored the facility. For example, if a facility was associated with some sort of church or temple, there were elements of that religion present, but there was little alternatives for members of other cultures or religions.

Yet, today, there are now a much wider array of cultural elements available in assisted living homes and hospital facilities. Assisted living programs are regulated on the level of the state.

As such, different states have different types of programs and policies that impact the degree to which cultural characteristics are included or excluded within various assisted living facilities. Some programs encourage cultural elements of patients…

References

ALFA - Assisted Living Federation of America. (2009). Assisted Living Regulations and Licensing. Retrieved from  http://www.alfa.org/State_Regulations_and_Licensing_Informat.asp 

Medicare Payment Advisory Commission. (2011). Report to the Congress: Medicare Payment Policy. Retrieved from http://www.medpac.gov/documents/Mar11_EntireReport.pdf

National Caregivers Library. (2012). Independent Living Facilities. Retrieved from  http://www.caregiverslibrary.org 

Next Step in Care. (2012). Reducing the Stress of Hospitalization for Patients with Dementia and their Family Caregivers: A Guide. Family Caregiver Alliance. Retrieved from  http://caregiver.org/caregiver/jsp/content_node.jsp?nodeid=2449#researchpractice

As well as expanding patient's abilities to obtain primary care, virtually, telemedicine can enable patients in isolated locations to see specialists. When rural patients are connected to a hospital network such as the Grinnell egional Medical Center, they are able to access high-quality physicians through some of the more advanced healthcare technology available, although this is not always possible in a local healthcare system with fewer physicians and less access to high-level technology. Technology can still enable patients in a variety of settings to keep track of vital signs such as heart rate, blood pressure, and blood sugar, and to alert their physician immediately if their readings are abnormal.

While some surgeons have even performed procedures through virtual consults, certain aspects of medicine remain challenging to provide rural patients, such as physical rehabilitative services, which may require the patient to travel to receive the full benefit of the services. Patients…

References

Campbell, James D. (2001, May). Introducing telemedicine technology to rural physicians and settings. Journal of Family Practice. Retrieved January 27, 2011 at  http://findarticles.com/p/articles/mi_m0689/is_5_50/ai_75244766/ 

Spath, Patrice. (2011). Community Continuum of Care planning.

Brown-Spath & Associates. Retrieved January 27, 2011 at  http://www.brownspath.com/original_articles/cccplan.htm

Caring in Nursing

Over time, nursing and caring have largely been regarded synonymous. With that in mind, it is important to note that quite a number of caring theories have been developed based on caring as a central concept. Some of these theories include the Cultural Care theory by Leininger as well as the Human Caring theory by Jean Watson whose development took place in 1970's. In this text, I will concern myself with caring as a concept in nursing. In so doing, I shall come up with a detailed evaluation of the nature of the practice theory gap most particularly in Bahrain as far as nursing is concerned.

Caring in Nursing: A Definition

To begin with, it is important to note that caring behaviors in the context of nursing can be taken to be those approaches as well as practices that are evidenced by nurses as they seek to…

References

Barker, A.M. (2009). Advanced Practice Nursing: Essential Knowledge for the Profession. Jones and Bartlett Learning

Callara, L.E. (2008). Nursing Education Challenges in the 21st Century. Nova Publishers

Chitty, K.K. (2005). Professional Nursing: Concepts and Challenges. Elsevier Health Sciences

Cody, W.K. (2006). Philosophical and Theoretical Perspectives for Advanced Nursing Practice. Jones & Bartlett Learning

Care:

Issler is a patient who recently moved with his daughter-in-law who is no longer married to his son. As part of her interest in helping to take care of Mr. Issler, she noticed that he was pale and diaphoretic after a two and a half hour flight. The daughter-in-law took him to an emergency room where he was attended to by a cardiologist and set a follow-up check up for an echo cardiogram next week. Mr. Issler has complained of congestive heart failure and a history of deep vein thrombosis. The cardiologist recommended that he seeks out a primary care provider and check up of his thyroid. As the primary care provider, the patient has also expressed his uncertainties on whether he has hyper of hypo thyroidism though he has been under thyroid medication for several years. In addition to being very pale, he has a large bag of…

References:

Bray, D.L. (n.d.). Thyroid Storm and the AACN Synergy Model. Journal of Nursing. Retrieved from http://rnjournal.com/journal-of-nursing/thryoid-storm-and-the-aacn-synergy-model

Drewes at. al. (2012, October). The Effectiveness of Chronic Care Management for Heart Failure: Meta-Regression Analyses to Explain the Heterogeneity in Outcomes. Health Services Research, 47(5), 1926-1959.

Hardin, S. & Hussey, L. (2003, February). AACN Synergy Model for Patient Care Case Study of a CHF Patient. Critical Care Nurse, 23(1), 73-76. Retrieved from  http://ccn.aacnjournals.org/content/23/1/73.full.pdf 

Kaplow, R. & Reed, K.D. (2008). The AACN Synergy Model for Patient Care: A Nursing

Evolution of Health Care Information Systems Physician's Office Operation

Filling in the hole of health care information technology will endorse safe, capable, patient-centered, and patient care that is fruitful in a timely way. In this essay, the theme is to look into two modern health

care organizations and then compare and contrast many characteristics that will involve the kind of evidence systems are using at the moment, investigate the transmission of information 20 years ago and how the substitute of data today. Furthermore, this essay will cover two major events and technology developments that have inclined present Health Care Informational Services practices.

Compare and Contrast Doctor's Workplace Operation

These day's doctor's office operation is familiarizing to the health care reform that was sanctioned in 2010 by the Obama organization. During sometime in October of 2013, the exchanges in health insurance was available on the market for customers on order to…

References

Burke, D., Wang, B., & Wan T.T.H. & Diana, M. (2009). Exploring Hospitals' Adoptionof IT. Journal of Medical Systems, 21(9), 349 -- 355.

Callen, J., & Braithwaite, J. & . (2008). Cultures in Hospitals and TheirInfluence on Attitudes to, and Satisfaction with, the Use of Clinical InformationSystems. Social Science and Medicine, 65(4), 635-639.

Finchman, R., & Kohli, R. & . (2011). Editorial Overview -- The role of IS inHealthcare. Information Systems Research, 22(3), 419-428.

Merrill, in the UK. Following his experience with heart surgery using innovating surgical techniques, the physician noted the problems he experienced in understanding all of his alternatives compared to a simpler earlier procedure, and finally trusted to the advice of his cardiologist to surgically intervene. In response to the experience, Dr. Merrill emphasized that, "As a physician talking to colleagues, I had the best information possible under the circumstances. But it wasn't the same as my hernia repair. The experience brought home to me the realization that the progress of medicine has made informed consent impossible -- even for me" (Merrill 1999: 190).

ationale of Study

Taken together, the foregoing issues indicate that there is an ongoing need for an assessment of knowledge levels of informed consent among perioperative nurses and operating department practitioners. Perioperative nurses and operating department practitioners, though, are frequently subjected to an enormous amount of stress…

References

Calloway, S.J. (2009) 'The Effect of Culture on Beliefs Related to Autonomy and Informed

Consent.' Journal of Cultural Diversity 16(2): 68-69.

Cobb, W.G. (2005) 'Defending the Informed Consent Case.' Defense Counsel Journal 72(4):

330-331.

I.M. King adds that a nurse should attempt to avoid during the interview process "the use of technical language, stereotyping and interrupting the patient when he/she is trying to answer the nurse's questions" to the best of their ability (1981, 256).

Some of the questions which a nurse might ask a patient during the interview process includes finding out if the illness was sudden or developed gradually, the duration of the illness, the physical site of the illness, how it might be aggravated, associated symptoms, such as pain or discomfort in another part of the body, and the frequency of the illness. According to A. Crumbie, these and other pertinent questions must be "carefully thought-out beforehand and after the initial interview, the nurse should recap his/her questions for accuracy and specificity" (2006, 216).

In conclusion, the authors of this article maintain even an experienced nurse should be required to achieve…

REFERENCES

Crumbie, A. (2006). Taking a history. Nurse Practitioners: Clinical Skills and Professional Issues, Edinburgh: Butterworth Heinemann, 14-26.

Glanze, W.D. (2002). Mosby's nursing encyclopedia. St. Louis, MO: C.V. Mosby

Company.

King, I.M. (1981). A theory of nursing: systems, concepts, process, New York:

Caring for ody and Soul

Critiquing Research Report

Modern nursing practice has focused more and more on treating the whole person, through four domains (Chan, 2009). These are physical, mental, social, and spiritual. Of the four, the spiritual domain is the most neglected. A retrospective study recently found that nurses with religious beliefs are more likely to extend spiritual care. The greater their spiritual perceptions, the more frequently they include a spiritual dimension to their care of patients (Chan). However, not many nurses are able to extend care in this domain.

Jean Watson's Theory of caring is applied as theoretical framework. Her concept sees caring as a process of transpersonal caring. It is something exceeding the self and recognizing the relationship as "mutual and reciprocal (Goliath, 2008)." It is in this environment that the nurse connects with the patient under his specific circumstances. Watson uses 10 carative factors in applying…

BIBLIOGRAPHY

Chan, MF. (2009). Factors affecting nursing staff in practicing spiritual care. Vol 19

Journal of Clinical Nursing: Blackwell Publishing Ltd.

Deal, B. (2010). A pilot study of nurses' experience of giving spiritual care. Vol 15 # 4

The Qualitative Report: Nova Southeastern University. Retrieved on May 18, 2011

Part 1    

Eliza, a patient aged eighteen, is enrolled at the City University and resides in a dorm with friends. The patient is currently seeking treatment for stress/anxiety and low self-image (Eliza Intake Document Provided by Customer). Eliza has not indicated any life stressors. Her father, Burt, drives a truck for a living, whereas her mom, Joan, is an elementary school secretary. While the father-daughter relationship appears to be quite strong, Eliza appears to have issues that need working on, when it comes to her relationship with her mother. As of now, Eliza is not taking any mental health medication. 
Psychosocial assessment forms a key component of all nursing evaluation, as it aids nursing professionals by informing the disorder management and patient care plan. Individuals usually display diverse kinds of surgical or medical issues. Further, social or psychological aspects might impact their adherence to therapy and their recovery (Conducting…

Introduction

Patient-centered care is the goal of many healthcare organizations, but the ability of an organization to deliver patient-centered care is influenced by a number of factors both internal and external. Business practices, regulatory requirements, and reimbursement all can impact patient-centered care in any healthcare organization. Promoting patient-centered care requires an organizational culture committed to this paradigm, which also needs to be embedded in the mission and values of the organization.

Executives and administrators create the organizational culture that promotes patient-centered care. All leaders in the organization are responsible for using patient-centered practices and communications styles in their interactions with patients and their families. Furthermore, administrators oversee the policies and procedures that directly impact the culture of care. Analyzing areas of weakness within the organizational structure and culture via established assessments like the Patient-and Family-Centered Care Organizational Self-Assessment Tool, it is possible to create multidisciplinary teams that promote the organization’s…

1. Subjective
Patient’s chief complaint, reason for visit
Ms. Richards arrived complaining that she was experiencing severe anal pain, so much so that using a tissue was also proving impossible. She claimed the pain began a couple of days earlier and has aggravated considerably since.
History of Present Illness
Ms. Richards arrived complaining of anal pain which commenced a couple of days earlier and has aggravated since. With regard to her intimate relationships, Ms. Richards states that though she has a boyfriend, their relationship isn’t serious as the two are also seeing other people. According to internal assessment reports, patient has normal hair distribution, an intact perineum, and intact urethral meatus without any discharge or inflammation. However, patient experiences unbearable pain on vaginal opening palpation, redness, and edema. Further, a mass has been identified on the right, with spontaneous, dark-yellow, smelly secretion with palpation over the Bartholin's glands.
Physical examination…

Patient Satisfaction

There are a number of concerns faced by patients in the hospital. One that is not often discussed but that can play a real factor in treatment is the burnout experienced by nurses. Even during short-term hospitalization, the burnout that nurses face can potentially result in improper care to the patient. Addressed here is whether this is something that has been seen with patients experiencing short-term hospitalization, based on how satisfied they are with their nurses. Literature regarding burnout will be examined, and a survey will be undertaken in order to discover whether patients are having good experiences with the nurses who care for them during their short-term hospitalizations. By discovering whether the patients are happy with the care they are receiving and determining whether that nurse may have been suffering from burnout, it will be possible to draw conclusions regarding whether the nurse's burnout status affected proper…

References

Bianchi, R., Boffy, C., Hingray, C., Truchot, D., & Laurent, E. (2013). Comparative symptomatology of burnout and depression. Journal of Health Psychology, 18(6), 782 -- 787.

Freudenberger, H.J. (1974). Staff burnout. Journal of Social Issues, 30(1), 159-165.

Freudenberger, H.J. & North, G. (1985). Women's burnout: How to spot it, how to reverse it, and how to prevent it. NY: Doubleday.

Lussier, K.G. (2006). Taming burnout's flame. Nursing Management, 37(4): 14.

Patient Centered Medical Homes (PCMH) are often confused as being actual "homes" for patients to be admitted in and given medical treatment and care. PCMH is actually a health care model based on which health care is provided to patients, under the supervision of physicians. The PCMH model of health care provides patients with continuous, comprehensive medical care, in order to increase the chances of achieving the goal of benefitting the patient with as much attention and medical care in order to maximize his/her health outcomes.

Over the years the PCMH model of health care has become widely adopted and preferred. This is because of the philosophy and approach that the model adopts in organizing and delivering the health care initiatives. The PCMH model is based upon delivering medical care and attention to patients with team-based health and medical experts that are focused strongly on the quality and the safety…

Bibliography

109-432, P.L. (2006, December 20). TAX RELIEF AND HEALTH CARE ACT OF 2006. Public Law 109-432 (109th Congress) .

Backer, L.A. (2009). Building the Case for the Patient-Centered Medical Home. Family Practice Management 16 (1), 14-18.

De Geest, S., Moons, P., Callens, B., Gut, C., Lindpaintner, L., & Spirig, R. (2008). Introducing advanced practice nurses/nurse practitioners in health care systems: a framework for reflection and analysis. Swiss Medical Weekly (138), 621-628.

NASHP. (2013, April). Medical Home & Patient-Centered Care. Retrieved from The National Academy for State Health Policy:  http://www.nashp.org/med-home-map

Patient Centered Medical Homes

In the 1960s, the medical home concept referred to as patient centered medical home was developed.In order to reform the healthcare in the U.S.; the patient centered medical homes are evolving as a centerpiece of efforts (Bates, 2010). Basically, PCMH can be defines as a primary care model that offers coordinated and comprehensive care to the patients in order to improve health outcomes. PCMH is also recognized by the National Committee for Quality Assurance (NCQA). Patient centered medical homes can be portrayed as a team of people working together in form of a community. The purpose is to improve the health as well as healing of the people in that community. In comparison with the primary care, PCMH is more responsive towards the needs of local patients.

PCMH offers a number of benefits including complementary nutrition as well as wellness counseling along with providing prevention education…

References

Aysola, J., E.J. Orav, and J.Z. Ayanian. 2011. "Neighborhood Characteristics Associated With Access To Patient-Centered Medical Homes For Children." Health Affairs no. 30 (11):2080-2089.

Bates, D.W., and A. Bitton. 2010. "The Future Of Health Information Technology In The Patient-Centered Medical Home." Health Affairs no. 29 (4):614-621.

Nutting, Paul A., William L. Miller, Benjamin F. Crabtree, Carlos Roberto Jaen, Elizabeth E. Stewart, and Kurt C. Stange. 2009. "Initial Lessons From the First National Demonstration Project on Practice Transformation to a Patient-Centered Medical Home." Ann Fam Med no. 7 (3):254-260.

Patient-Centered Medical Home

Medical Home

How the Patient-Centered Medical-Home reducing cost and improving quality and safety for patients.

The patient centered medical home is a platform that fills a need in the current healthcare system. The U.S. healthcare system has been plagued for quite some time with a trend of substantially rising healthcare costs as well as another trend of slipping quality standards. These two trends are argued to be a phenomenon that has emerged at least partly from poor planning and ineffective use of resources. One solution to some of these issues can be found in the patient-centered medical home (PCMH) model of primary care. This model has been developed with the coordination of long-term physician-patient relationships in mind. Developing these relationships further can not only reduce costs in unnecessary procedures that are the result of the missed opportunity for preventive care, but also have been shown to improve…

References

Christensen, E., Dorrance, K., Ramchandiani, S., Lynch, S., Whitmeore, C., Borsky, A., . . . Bickett, T. (2013). Impact of a Patient-Centered Medical Home on Access, Quality, and Cost. Military Medicine, 135-141.

Ewing, M. (2013). The Patient-Centered Medical Home Solution to the Cost-Quality Conundrum. Journal of Healthcare Management, 258-266.

Kern, L., Dhopeshwarker, R., Edwards, A., & Kaushal, R. (2013). Patient Experience Over Time in Patient-Centered Medical Homes. American Journal of Managed Care, 403-410.

Nielsen, M., Olayiwola, J., Grundy, P., & Grumbach, K. (2014). The Patient-Centered Medical Home's Impact on Cost & Quality. Patient-Centered Primary Care Collaborative, 1-38.

Many advocates of the move feel that lower patient to nurse ratio would lead to additional savings because it would reduce nurse turnover rate, lawsuits, complications and length of stay. Nursing unions in the state of California have asked for a PTN ratio of 3 to 1. The health association however agreed on 5 to 1 which sound more reasonable than the originally proposed 10 to 1. (othberg, 2005)

Patient to nurse ratio when it is too high can definitely adversely affect care. And with baby boomers aging and needing healthcare, we know that number of people looking for healthcare will continue to rise in the coming years. However staff shortage continues to pose a serious problem. And unfortunately, the problem doesn't always lie with cost control. While it is true that most of the problems with staff shortage can be attributed to hospitals cutting down their costs and hence…

References

Michael Rothberg, 2005. Improving Nurse-to-Patient Staffing Ratios as a Cost-Effective Safety Intervention Med Care 2007;45: 571-578)

Patricia W. Stone, PhD,* Cathy Mooney-Kane,

Nurse Working Conditions and Patient Safety Outcomes.

This can be as relatively minor as a night without sleep every few weeks or a continual struggle to sleep every night. Curing insomnia by just trying to Google a response to the problem only unleashes a flood of websites that offer all sorts of over-the-counter and prescription medications. The person wants to find relaxation techniques and also understand how they can overcome the insomnia on their own without having to take the trouble of going into a physician's clinic. In choosing which website to trust, using the evaluation criteria provided will be very useful. An example of a website that meets the criteria as defined is WebMD.com. Let's take a look at this website to see why. First, the website makes it clear they have an editorial policy, and their mission and purpose are to provide accurate, valid healthcare information to its website visitors. The WebMD Medical eview Board…

References

Lorence, D., & Abraham, J. (2008). When medicine tails: evaluating website quality tor interpretation of uncertain diagnoses. International Journal of Healthcare Technology & Management, 9(1), 19.

Stvilia, B., Mon, L., & Yi, Y. (2009). A model for online consumer health information quality. Journal of the American Society for Information Science and Technology, 60(9), 1781.

To wit, power is a huge influence in any social interaction, and in a study reported by the University of California Press (est, 2008, p. 87), men often interrupt women during conversations because men are generally viewed as the power in any male-female interaction. "Physicians interrupt patients disproportionately" in doctor-patient interactions, est writes, "except when the doctor is a 'lady'; then, "patients interrupt as much or more than physicians, and their interruptions seem to subvert physicians' authority" (est, p. 87). In other words, the stratification of male doctors having the power to interrupt is reversed when a woman is the doctor.

orks Cited

Blumer, Herbert. (1986). Symbolic Interactionism: Perspective and Method. Berkeley:

Breen, Catherine M., Abernethy, Amy P., Abbott, Katherine H., and Tulsky, James a. (2007).

Conflict Associated with Decisions to Limit Life-Sustaining Treatment in Intensive Care

Units. Journal of General Internal Medicine, 16(5), 283-289.

Donovan, Jenny L., and Blake,…

Works Cited

Blumer, Herbert. (1986). Symbolic Interactionism: Perspective and Method. Berkeley:

Breen, Catherine M., Abernethy, Amy P., Abbott, Katherine H., and Tulsky, James a. (2007).

Conflict Associated with Decisions to Limit Life-Sustaining Treatment in Intensive Care

Units. Journal of General Internal Medicine, 16(5), 283-289.

These studies demonstrate that there are several factors associated with patient noncompliance, regardless of the disease being treated. Medication side effects represent only one of these issues. Nurse practitioners could help to resolve many of these issues by being proactive and asking questions about side effects in patients at risk for becoming noncompliant. They may also be able to predict noncompliance in patients that are prescribed medications with known side effects. By informing the patient of the side effects and giving them practical ways to cope with them, the nurse practitioner can play an active role in helping to eliminate patient noncompliance.

Education was found to play an important role in patient noncompliance. The overall educational level of the patient was found to be important. The nurse practitioner can take positive action by being aware of the patient's overall educational background. Extra care must be taken with those of low…

References

Barber, N., Parsons, J., Clifford, S., Darracott, R., & Horne, R. (2004). Patients' problems with new medication for chronic conditions. Quality and Safety in Healthcare. 13(3): 172-175.

Chatterjee, J. (2006). From compliance to concordance in diabetes. Journal of Medical Ethics. 32(9): 507-510.

Chisholm, M., Lance, C. & Mulloy, L. (2005). Patient factors associated with adherence to immunosuppressant therapy in renal transplant recipients. American Journal of Health- System Pharmacy. 62 (17): 1775-1781.

Eastern, J. "Dismissing Patients Properly." 1 Jun 2006. OB/GYN News. Accessed 11 Sept. 2008.  http://findarticles.com/p/articles/mi_m0CYD/is_/ai_n26906768 .

2).

A Patient's Rights

There are a number of lists to go by when it comes to the patient's "Bill of Rights," including a patient's rights under the Affordable Care Act. In the American Cancer Society "Patient's Bill of Rights" it begins with the right every patient has to "…accurate and easily-understood information about your health plan, health care professionals, and health care facilities' (www.cancer.org). Of course a patient also has the right to choose health care providers and when it comes to emergency services, a patient has a right to be "…screened and stabilized using emergency services" when injured or seriously ill; so that when one's health is in jeopardy, access to emergency services can be a vital and stabilizing experience (www.cancer.org).

A patient also has the right to be part of decisions regarding what treatment is appropriate, and a patient has a right to be respected and treated…

Works Cited

American Cancer Society. (2011). Patient's Bill of Rights: What is the Patient's Bill of Rights?

Retrieved July 31, 2012, from  http://www.cancer.org .

Torrey, Trisha. (2010). Patient's Responsibilities. About.com. Retrieved July 31, 2012, from  http://patients.about.com .

The author also explains that the data stored in the system can be used to help public health officials identify medical issues facing the community as well as track various trends from the community and public health perspectives.

Article Relevance

(How does this article relate to you as doctor?)

As a physician, I recognize that my time will be in very short supply. Therefore, any system or resource capable of saving time and increasing the efficiency of the healthcare services that I provide will be greatly appreciated. Similarly, patient safety, elimination of medical errors, and patient outcome are always paramount concerns for any physician. Therefore, I would welcome the opportunity to use EHR systems to the extent they address those issues positively. Moreover, as a physician, I am always interested in any approach that might be beneficial to human welfare and community and public health issues. According to the article,…

Patient, Mr. D., is a 74-year-old male Caucasian, married and retired. Mr. D. complains of dizziness and weakness. Type-2 diabetes was diagnosed in 1994, hypertension in 2002, and arthritis in 2007. Mr. D. is currently taking 20mg Lipitor/daily; 81 mg Aspirin/daily; 333mg Calcium/daily; 5mg zinc/daily, and 500mg Vitamin C/3X day. He denies any drug or herbal use, and uses 650 mg of Tylenol for pain as needed. He has no known food allergies, does not use tobacco or illicit drugs, but has a family history of diabetes and heart disease with both mother and father. His general health acuity is strong (bowels, urinary, etc.), but has occasional slurred speech, weakness in right lower limb, syncope, vertigo, and vision fluctuations. Mr. D. reports that his wife complains he asks the same question repeatedly within a short time period.

Areas for Focused Assessment- The combination of syncope, vertigo, vision, and memory issues…

REFERENCES

Hypoglycemia. (2012). Web MD. Retrieved from:  http://symptoms.webmd.com/#./conditionView 

Ezzo, J., et.al. (2001). Is Massage useful in the Management of Diabetes? Diabetes Spectrum -- The American Diabetes Association. 14 (4): Retrieved from:  http://spectrum.diabetesjournals.org/content/14/4/218.full 

Madden, S., Loeb, S. (2009). An integrative literature review of lifestyle interventions for the prevention of diabetes mellitus. Journal of Clinical Nursing, 17(2), 2243-56.

Polin, B. (2011). Why Water Aerobics is Good Exercise. Diabetic Lifestyle. Retrieved from:  http://www.diabeticlifestyle.com/exercise/why-water-aerobics-good-exercise

PATIENT & HEALTH POFESSIONAL PESPECTIVES

Patient & Professional Perspectives

Quality of care is a massive concern when it comes to healthcare in general. The issue is so multi-dimension and complicated. Even further, there are a lot of ideological bents and perspectives that further shape and form the issue as it exists today. A significant part of the paradigm mentioned above would be the perspectives of both patients and healthcare professionals as it relates to the aforementioned quality of care. Obviously, there are going to be some differences and similarities when talking to any large swath of patients or healthcare providers. The differences could be huge divides in some cases due to what is being expected being too different than what is able to be delivered given the resources or even the perspective or opinion of the healthcare professionals or providers. While there is no simple or neat answer to how…

References

Bagchi, A., af Ursin, R., & Leonard, A. (2012). Assessing Cultural Perspectives on Healthcare Quality. Journal of Immigrant & Minority Health, 14(1), 175-182.

doi:10.1007/s10903-010-9403-z

Butala, N. (2010). Perspectives on efficiency and quality in an ever changing system:

Healthcare 2010. The Yale Journal Of Biology And Medicine, 83(2), 93-95.

Patient Guide to the Worldwide Web

Scenario

Mr. Atkins, 64, arrives at the hospital with his wife complaining that he has not had a bowel movement in over a week, and that he has significant pain in his abdomen. Mr. Atkins has an MI which shows a significant blockage in his colon. Surgery is suggested and when this is completed Mr. Atkins is told that he has colon cancer and a mass was removed from his colon along with eight inches of the diseased organ. It is then relayed that the cancer has also metastasized to his liver. The Atkins are farmers who have very little to do with computers other than checking weather reports. They both want to learn about the diagnosis and what can be done, but with their limited knowledge of the internet ask a nurse for help.

The patient is very motivated to learn how to…

References

Johns Hopkins. (n.d.). Colorectal cancer that has spread to the liver. Retrieved from  http://www.hopkinsmedicine.org/liver_tumor_center/conditions/cancerous_liver_t  umors/colorectal_liver_metastases.html

Joy, K. (n. d.). Liver metastasis from colon cancer treatments. Retrieved from http://www.ehow.com/about_6618908_liver-metastasis-colon-cancer- treatments.html

National Center for Complementary and Alternative Medicine (NCCAM). (2006). Evaluating web-based health resources. Retrieved from http://nccam.nih.gov/health/webresources

Patient Education Decrease Anxiety Undergoing Invasive Cardiac Procedures

Annotated Bibliography

In this case, one of the main areas of topic is based on the role played by initial patient education on the anxiety of patients undergoing noninvasive cardiovascular surgery. It has been reported that the initial education provided by the nurses to the patient in relation to the noninvasive cardiac surgery helps the patient, as there is a great reduction in stress and level of anxiety in relation to the surgical procedures and the outcomes.

Riegel, B (ed). Journal of Cardiovascular Nursing. Philadelphia, U.S..

The journal is a complete online source for the information needed by the nurses in accordance to the procedures that can be used to reduce anxiety levels in the patients undergoing noninvasive cardiac surgery. These days it is important that the patients be taken into complete confidence by making sure they are aware of the procedures…

Care work or social work akin with any other human endeavor has a host of different perspectives that are used either in unison or in combination to direct it.

Its dominant perspectives are the following:

ystem theory

This is the view that all systems interact and that when, for instance, one works with a patient one needs to involve the family and community too and take all of the patient "s life into consideration for each impacts the other. The whole works as a holistic whole and, for instance, the child's school can effect the child as much as the child can the teacher and so forth. ystems have interrelated parts, and tend towards equilibrium.

Care workers use this system in a practical way by forging networks between the different ecosystems (for instance between child's school, community, and family) and by drawing ecomaps and genograms for understanding the dynamics of…

Source

OVERVIEW OF THEORIES OF HUMAN BEHAVIOR & THE SOCIAL ENVIRONMENT

 http://ncsss.cua.edu/res/docs/field/theories.pdf

Patient Perceptions of Maternal HIV Testing

Ob-Gyn Maternal HIV Testing Study

Coleman et. al., (2009) Patient Perceptions of Obstetrician-gynecologists' Practices Related to HIV Testing. Maternal Child Health Journal 13: 355-363.

The study objectives were to identify the percentage of women who had been tested for HIV, explore the perceptions of women patients about HIV testing and ascertain their knowledge about their own HIV risk status, to determine the primary reasons patients refuse to be tested for HIV, and to learn what patients recall about how their obstetrician-gynecologists' introduced the topic of HIV testing.

The authors hypothesized that pregnant women, women seeking preconception care, and women with risk factors for HIV infection would recall their obstetrician-gynecologists recommending HIV testing" (Coleman, et al., 2009)

Overall research goal & recommendation. The purpose of the study was to identify if patient-physician communication about HIV risks and testing to pregnant women is consistent with current…

There is also relevant information for specific sectors of society such as women and seniors. The MedlinePlus Magazine includes several links to asthma information. The bottom of the page includes links that contain information such as disclaimers, copyright, and privacy information. It also contains links that provide information on the contributors of information to the Website. The privacy statement clearly provides visitors and subscribers with the assurance that their information will not be shared. All the information on the site is therefore provided on the basis of full disclosure, both of the information itself and on information providers.

This Website is therefore very reliable, and also includes information on a myriad of other health topics, which will be helpful for Amy if she wants more information on her other conditions as well.

Suspicious Website: http://www.asthmaanswersonline.com/cures-asthma/

This Website indicates that asthma can in fact be cured. Prominently displayed at the top…

Patient Management -- Heloma Durum

Presentation and Management

The patient suffering from heloma durum typically presents with complaints of discomfort from the formation of hardened tissue in localized areas of the foot such as the on the dorsolateral aspect of the fifth toe or the dorsum of the interphalangeal joints of the lesser toes (Dunn, Link, Felson, et al., 2004; Taylor, Lillis, & LeMone, 2008). While the condition is normally benign (Dunn, Link, Felson, et al., 2004; Freeman, 2002), it can also be the source of physical discomfort that causes patients to alter their choice of footwear and activities, and in extreme cases, it can cause changes in their gait which can also precipitate other physiological problems such as of the knees, hips, and spine (Dunn, Link, Felson, et al., 2004; Taylor, Lillis, & LeMone, 2008). The condition is normally managed through the most conservative means possible (Hamric, pross, &…

Sage, R.A., Webster, J.K., and Fisher, S.G. "Outpatient care and morbidity reduction in diabetic foot ulcers associated with chronic pressure callus." Journal of American

Podiatric Medical Association. Vol. 91, No. 6; (2001): 275-9.

Taylor, C., Lillis, C., and LeMone, P. (2008). Fundamentals of Nursing: The Art and Science of Nursing Care. Philadelphia, PA: Lippincott, Williams, and Wilkins.

Patient Access to Experimental Drugs

Experimental drugs are being used in treating cancer and other life-threatening diseases in the hopes that effective cures and treatments can be identified. There are however, ethical questions relating to the use of experimental drugs and this work seeks to answer the question that asks whether patients should have access to experimental drugs and to answer why or why they should not have this access.

Experimental Drugs

Experimental drugs have carved inroads to treating cancer patients and most recently; this has been reported in the form of a drug that serves to "neutralize two mechanisms cancers need to survive." (Coghlan, 2012) The new drug is Cabozantinib. This drug is reported by one individual interviewed in this study to have been used by a family member who died while taking the drug for non-small cell carcinoma in the form of lung cancer. When asked the question…

Bibliography

Beauchamp, TL and Childress, JF (2001) Principles of Biomedical Ethics. Oxford University Press. 15 Feb 2001. Retrieved from:  http://books.google.com/books?id=_14H7MOw1o4C&source=gbs_navlinks_s 

Coghlan, A.K (2012) New Cancer Drug Sabotages Tumor's Escape Route. 24 Feb 2012. New Scientist. Retrieved from:  http://www.newscientist.com/article/dn21516-new-cancer-drug-sabotages-tumours-escape-route.html 

Beauchamp, TL and Childress, JF (2001) Principles of Biomedical Ethics. Oxford University Press. 15 Feb 2001. Retrieved from:

" (Morris & Woodcock, 2004)

V. Murakami et al. (2003)

In the work entitled: "Deep Venous Thrombosis Prophylaxis in Trauma: Improved Compliance With a Novel Miniaturized Pneumatic Compression Device" the authors state that: "Intermittent pneumatic compression (IPC) devices prevent lower-extremity deep venous thrombosis (LEDVT) when used properly, but compliance remains an issue." (Murakami et al., 2003) the study conducted by Murakami et al. (2003) is stated to be a."..prospective trial in which trauma patients (mean age, 46 years; revised trauma score, 11.7) were randomized to DVT prophylaxis with a standard calf-length sequential IPC device (SCD group) or a miniaturized sequential device (continuous enhanced-circulation therapy [CECT] group). Compliance rates for all subjects were averaged in each location: emergency department, operating room, intensive care unit, and nursing ward." (Murakami et al., 2004) the study results state that: "Total compliance rate in the CECT group was significantly higher than in the SCD group…

Bibliography

Kehl-Preutt, Wendy (2006) Deep Vein Thrombosis in Hospitalized Patients: A Review of Evidence-based Guidelines for Prevention. Dimensions of Critical Care Nursing March/April 2006. Vol. 25 No.2. Online available at  http://www.nursingcenter.com/prodev/cearticleprint.asp?CE_ID=636024 .

Chang, David et al. (2002) Compliance with sequential compression device prophylaxis in at-risk trauma patients: a prospective analysis. Am Surg. 2002 May;68:470-3 Online available at http://lib.bioinfo.pl/auid:1350109.

Practice Alert: Deep Vein Thrombosis Prevention" (2006 American Association of Critical-Care Nurses Journal " Vol. 23 No. 1 January 2006.

Morris, Rhys J. & Woodcock, John P. (2004) Evidence-Based Compression: Prevention of Stasis and Deep Vein Thrombosis. Ann. Surg. 2004 February 239(2): 162-171.

Patient Assessment

DIAGNOSIS AND TREATMENT PLAN

Diagnosis and Disease Processes

Using an appropriate patient assessment form (Sample Forms, 2013), D.M. has been found to have uncontrolled Type 2 diabetes, hypercholesterolemia, uncontrolled hypertension, chronic anemia, and probable hypothyroidism (Sample Forms).

Diabetes Type 2

is most probably on a poorly controlled diet of high cholesterol and high simple sugars. Diabetes mellitus type 2 is a metabolic disease wherein the body is not able to properly use ingested food because of insulin resistance. If more simple or refined sugars are consumed, the less the body is able to process them as nutrients. These tend to stay and float in the blood stream, un-used, and in this condition, they cause trouble in the different parts of the body. These include the end organs, such as the brain, the eyes, the kidneys, the heart, and even the feet. A poorly controlled diet and the lack…

BIBLIOGRAPHY

Glasgow, R.E., et al. (2005). Development and validation of the patient assessment of chronic illness care. Vol. 43 # 5, Medical Care: PuMed. Retrieved on October 15,

2014 from  http://www.ncbi.nlm.nih.gov/pubmed/15838407 

Sample Forms (2013). Patient assessment form. Sample Forms.org. Retrieved on October 15, 2014 from  http://www.sampleforms.org/patient-assessmentform.html

Technology and Healthcare

Demographics of the global community are rapidly changing so that each year there are more and more seniors within the population base. This has a profound implication on the healthcare system of many regions since a large number of elderly citizens will be spending their lives in the confines of their home, and some may have chronic illness that require continuous monitoring. Clinical telemedicine is one way to offer greater services to rural or homebound populations. Indeed, a variety of technological advances have made it possible to change the paradigm of healthcare. Clinical information systems, for instance, have expanded in scope and depth. Increased processor speeds and data storage devices have made it possible to collect more data than ever on the detailed encounters that make up the provider-patient care delivery process, and present it more effectively to a wider range of users. Healthcare monitoring is part…

Luppicini, R. And R. Adell, eds., (2008). Handbook of Research on Technoethics. New York: Information Science Publishing Company.

Teo, T., et.al. (2008). "Wireless Healthcare Monitoring Systems. World Academy Of Science, Engineering, and Technology. 42 (1: Retrieved from:

 http://www.waset.org/journals/waset/v42/v42-98.pdf

Role Boundaries in Care ork

Role boundaries are a critical component in a health care setting. Much of this is a response to how the system is organized. The health care industry is composed of many different roles that specialize in different areas and expertise. Therefore, the individuals in the system must honor their role boundaries to ensure that the collective efforts of the individuals in the system can work together to provide high levels of patient care. The care experienced by Anwar Malik in hospital was defined by the collective effort that each individual gave to Anwar. Each team member has a range of tasks that can be organized with various role boundaries. If any of the members violate their roles, then this can lead to the team's effort not being effective and could also compromise the level of care provided to the patient.

Diabetic Anwar Malik was admitted…

Works Cited

Caplan, A., McCartney, D., & Sisti, D. (2004). Health, Disease, and Illness. Georgetown: Georgetown University Press.

Hewa, S., & Hetherington, R. (1995). Specalist without Spirit. Theoretical Medicine, 129-139.

Medi Lexicon. (N.d.). Definition: 'Biomedical Model'. Retrieved from Medi Lexicon: http://www.medilexicon.com/medicaldictionary.php?t=55643

The Open University. (n.d.). K101 Block 1. Faculty of Health & Social Care.