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Patient Centered Medical Homes
Words: 964 Length: 3 Pages Document Type: Term Paper Paper #: 73130692
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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
Words: 1114 Length: 4 Pages Document Type: Research Paper Paper #: 82102409
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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.

Patients Undergoing Mechanical Ventilation Contract Ventilator Associated
Words: 2974 Length: 8 Pages Document Type: Essay Paper #: 20462057
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patients undergoing mechanical ventilation contract Ventilator Associated Pneumonia (VAP). This acute medical condition always results in increased death rates and associated medical costs among patients. This article reviews several literatures that try to enlighten masses on the diagnosis, medical treatments and VAP prevention methods. In addition, this article outlines recommendations medical practitioners can implement in their daily practices to curb VAP and offers an insight on controversies that usually arise during VAP diagnoses, treatment plans and prevention methodologies. This article defines VAP to be the causative agent of approximately 25 to 54% mortality rates among patients undergoing mechanical ventilation in ICUs. Factors responsible for VAP among patients include patients' population in ICUs, hospital stay durations and antimicrobial treatments. Even though antimicrobial medications are confirmed to reduce VAP casualties, further studies should be undertaken such as the ones outlined in the literatures below to help in early identification and treatment of…

References

Arroliga, A.C., Pollard, C.L., Wilde, C.D., Pellizzari, S.J., Chebbo, A., Song, J., et al. (2012).

Reduction in the Incidence of Ventilator Associated Pneumonia: A Multidisciplinary

Approach. Respiratory Care, 688-696.

Camargo, L.F., De Marco, F.V., Barbas, C.S., Hoelz, C., Bueno, M.A., Rodrigues Jr., M., et al.

Patient's General Health Been - The Patient
Words: 704 Length: 3 Pages Document Type: Essay Paper #: 21022655
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patient's general health been? - The Patient, Mr. Jones has generally been good but with frequent cases of heart complications. The situation has been deteriorating over time.

Any colds in past years that required absences from work?-None

Most important things you do to keep healthy? -- regular jogging exercise and being a vegetarian

Accidents (home, work, driving)?-Twice when the patient experienced a heart attack

In past, has it been easy to find ways to follow suggestions from physicians or the nurses? Yes

F. If appropriate: what do you think caused the illness? I believe the illness was caused by the kind of lifestyle that I had (smoking and eating high cholesterol meals while also leading a sedentary life)

g. If necessary: outline the things important to you in your health care? How can we be most helpful? I require hypertensives and advice on how to live a healthy life

Examination…

References

Gordon, M. (2000). Manual of nursing diagnosis: 1995- 1996. St. Louis: Mosby.

Gordon, M. (1994). Nursing diagnosis: Process and application (3rd ed.). St. Louis: Mosby;

Patient Perceptions of Participation in Treatment Several
Words: 873 Length: 2 Pages Document Type: Research Paper Paper #: 33417295
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Patient Perceptions of Participation in Treatment

Several studies have revealed that patients generally prefer to learn everything they can about their illness and the proposed treatment plan, and even have some control during the planning stage (reviewed in Lund, Tamm, and Branholm, 2001). On the other hand, studies have found that occupational therapists typically underestimate this desire and tend to perceive patients as passive and uncooperative. The gap between the patient's wishes to actively participate and the therapists' perceptions of that willingness can result in a number of problems, including patient compliance with treatment plans and goals. Strategies to minimize the size of this gap could therefore lead to more effective rehabilitation of the patient's disability.

A study was conducted in Sweden that examined patients' experiences as a rehabilitation patient and the professional's view of the interaction (Lund, Tamm, and Branholm, 2001). Patients were enrolled from acute care in surgery,…

References

Lund, Maria Larsson, Tamm, Maare, and Branholm, Inga-Britt. (2001). Patients' perception of their participation in the rehabilitation planning and professionals' view of their strategies to encourage it. Occupational Therapy International, 8(3), 151-167.

Skidmore, Elizabeth R., Whyte, Ellen M., Holm, Margo B., Becker, James T., Butters, Meryl A., Dew, Mary Amanda et al. (2010). Cognitive and affective predictors of rehabilitation participation after stroke. Archives of Physical Medicine and Rehabilitation, 91(2), 203-207. Retrieved May 3, 2011 from  http://www.ncbi.nlm.nih.gov.ezproxy1.lib.asu.edu/pmc/articles/PMC2824912/pdf/nihms153354.pdf

Patient Analysis for a Nurse Practitioner
Words: 2113 Length: 6 Pages Document Type: Essay Paper #: 58240668
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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's Guide to Epinephrine Injection
Words: 586 Length: 2 Pages Document Type: Term Paper Paper #: 84370481
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In addition, epinephrine injection should not be used when women are in the second stages of labor. Furthermore, because the effects of this drug on pregnant women remain unclear, pregnant women should only use epinephrine injection when the risks to the mother outweigh the potential risks to the fetus (product insert).

hat not to do when taking this medication:

Although there are no specific recommendations provided by the manufacturer, patients who use this drug should be aware of the possible side effects and avoid strenuous activities that will cause additional increases in blood pressure or heart rates. Take it easy after using this drug!

In addition, patients should avoid using the same injection site repeatedly since it can adversely affect skin integrity (product insert).

You may experience the following side effects following an injection:

Headaches, fear, and hearts palpitations (these side effects are more common in patients who suffer from…

Works Cited

Albertine, Kurt H. Anatomica. Willoughby,

NSW: Global Book Publishing Ptd

Ltd.

Barlow, David H. Anxiety and Its Disorders:

Satisfaction With Patient Treatments
Words: 1834 Length: 5 Pages Document Type: Research Proposal Paper #: 30110333
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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.

Impact of ACA From Organizational and Patients
Words: 1470 Length: 3 Pages Document Type: Essay Paper #: 78069405
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Patient Protection and Affordable Care Act/Impact of ACA from the Organizational and the Patients view

Impact of the Affordable Care act (ACA) on the population that it affected

Impact of the economics of providing care to patients from the organization's point-of-view

How will patients be affected in relationship to cost of treatment, quality of treatment, and access to treatment?

Ethical implications of this act for both the organization and the patients

Impact of the Affordable Care act (ACA) on the population that it affected

The Affordable Care Act (ACA), as initially passed, mandated Medicaid expansion, for covering a majority of low-income, as-yet-uninsured American citizens and immigrants (with legal residency in the U.S. for a minimum duration of 5 years). The United States Supreme Court, however, in the historic National Federation of Independent Business v. Sebelius, 132 S. Ct. 2566 (2012), maintained that the obligatory Medicaid expansion proved to be unconstitutionally…

References

ACA. (2015). The Patient Protection and Affordable Care Act. Retrieved on 13th September, 2015 from  http://www.dpc.senate.gov/healthreformbill/healthbill52.pdf 

Howard, P. (2015). The Impact of the Affordable Care Act On the Economy, Employers, and the Workforce. edworkforce.house.gov. Retrieved on 13 th September, 2015 from  http://edworkforce.house.gov/uploadedfiles/02.09.11_howard.pdf 

Kengmana, R.T. (2015). An Ethical Perspective on the Affordable Care Act. MA: Psych Central. Retrieved on 13th September, 2015 from  http://googleweblight.com/?lite_url=http://psychcentral.com/about/feedback&lc=en-IN&s=1&m=101&ts=1442202299&sig=APONPFlqjqQURNK5jFIewCvXRMJzyhz8zA 

NCIOM. (2015a). Examining the Impact of the Patient Protection and Affordable Care Act in North Carolina. Chapter 7: Quality. Retrieved on 13th September, 2015 from  https://www.google.co.in/url?sa=t&source=web&rct=j&url=http://www.nciom.org/wp-content/uploads/2013/01/Final-Ch7-Quality-FINAL.pdf&ved=0CCYQFjABahUKEwjv_JDfr_XHAhVIB44KHfLKAPg&usg=AFQjCNEdTlwW2QuvqN5Rn6qM31poi4lBUA

Patient's Guide to the Internet
Words: 642 Length: 2 Pages Document Type: Essay Paper #: 25873378
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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.

Patient Guide to the Internet
Words: 634 Length: 2 Pages Document Type: Thesis Paper #: 63679863
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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 Perceptions the Literature Review
Words: 1775 Length: 5 Pages Document Type: Term Paper Paper #: 94483043
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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

Patient Nurse Compliance With Scd
Words: 1618 Length: 6 Pages Document Type: Term Paper Paper #: 91082263
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" (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's Rights and Responsibilities Why
Words: 633 Length: 2 Pages Document Type: Research Paper Paper #: 73896830
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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 .

Multisystem Failure in a Geriatric Patient
Words: 2043 Length: 7 Pages Document Type: Term Paper Paper #: 98093554
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Multisystem Failure in a Geriatric Patient

Multisystem Failure in a Geriatric

eflect on your analysis of the geriatric patient in multisystem failure by doing the following:

Explain key immediate assessments you should make that would help assess the patient's homeostasis, oxygenation, and level of pain.

There are various diagnoses undertaken in assessing the patient's homeostasis, oxygenation, and level of pain. The immediate objective that nurses prioritize on is checking the patient's vital symptoms. Vital symptoms form the baseline of the assessment by providing significant information that illustrates whether the most essential organs function as required.

The assessment may involve checking the health status of the patient in the laboratory (Kane, 2004). In the laboratory, there is an assessment of the patient's capillary tube, urine test and blood pressure. When there is simultaneous malfunctioning of the body organs, nurses refer to this condition as multiple organ dysfunction (MODs).

Multiple organ dysfunction…

References

Esteban, A., Anzueto, A., Frutos-Vivar, F., Alia, I., Ely, E.W., Brochard, L., et al. (2004).

Outcome of older patients receiving mechanical ventilation. Intensive Care

Medicine, 30(4), 639 -- 646. Evidence Level IV: Nonexperimental Study.

Happ, M.B., Baumann, B.M., Sawicki, J., Tate, J.A., George, E.L., & Barnato, A.E. (2010).

Management of Osteomyelitis in the Diabetic Patient
Words: 3435 Length: 11 Pages Document Type: Article Paper #: 7686776
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Osteomyelitis in the Diabetic Patient

Management OF OSTEOMYELITIS IN THE DIABETIC PATIENT

Osteomyelitis is an infection of the bone or bone marrow which is typically categorized as acute, subacute or chronic.1 It is characteristically defined according to the basis of the causative organism (pyogenic bacteria or mycobacteria) and the route, duration and physical location of the infection site.2 Infection modes usually take one of three forms: direct bone contamination from an open fracture, puncture wound, bone surgery, total joint replacement, or traumatic injury; extension of a soft tissue infection such as a vascular ulcer; or hematogenous (blood borne) spread from other infected areas of the body such as the tonsils, teeth or the upper respiratory system.2(p807) Bacteria such as Staphylococcus aureus, Pseudomonas, Klebsiella, Salmonella, and Escherichia coli are the most common causative agents of the disease, although viruses, parasites and fungi may also lead to the development of osteomyelitis.3

Patients…

References

1. Stedman's Medical Dictionary. 27th ed. Baltimore, MD: Lippincott Williams & Wilkins; 2000.

2. Butalia S, Palda V, Sargeant R, Detsky A, Mourad O. Does This Patient With Diabetes Have Osteomyelitis of the Lower Extremity?. JAMA: Journal of The American Medical Association [serial online]. February 20, 2008; 299(7):806-813. Available from: Academic Search Premier, Ipswich, MA. Accessed September 19, 2012.

3. Lavery L, Peters E, Armstrong D, Wendel C, Murdoch D, Lipsky B. Risk factors for developing osteomyelitis in patients with diabetic foot wounds. Diabetes Research & Clinical Practice [serial online]. March 2009; 83(3):347-352. Available from: Academic Search Premier, Ipswich, MA. Accessed September 19, 2012.

4. Turns M. The diabetic foot: an overview of assessment and complications. British Journal of Nursing [serial online]. August 12, 2011;:S19-S25. Available from: Academic Search Premier, Ipswich, MA. Accessed September 19, 2012.

Use of CERNER Software in Acute Patient Settings
Words: 846 Length: 2 Pages Document Type: Essay Paper #: 57633260
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CERNER software is built to allow for an enterprise-wide view of a patient\'s clinical information in order to coordinate patient care and document at which point care was delivered especially in acute patient settings. Using the software providers will have access to the right information and at the right time within the clinical workflows in order to make the best possible decision regarding patient care (Curry, 2010). In acute patient settings, it is vital that a nurse has the right information before they start attending to a patient. This is mainly beneficial to ensure that they understand the patient\'s condition or problem before they can begin to offer care. Using the CERNER software, it is easy for a nurse to access this information and make informed decisions based on the information that has been entered regarding the patient’s condition. In acute care, real-time information is vital to the provision of…

Care Issler Is a Patient Who Recently
Words: 1314 Length: 4 Pages Document Type: Essay Paper #: 36359617
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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

Treating Allergic Patients Using Homeopathy
Words: 2315 Length: 8 Pages Document Type: Essay Paper #: 24976209
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Improved quality of care is one of the major issues that has characterized modern healthcare practices. Ferreri et al. (2016) conducted a study to examine enhanced quality of life and decrease of traditional drugs in homeopathy treatment of allergic patients. The study was carried out in the Centre for Integrated Medicine in Pitigliano, Tuscany. These researchers conducted their study in this healthcare facility because its an innovative hospital that provides homeopathy and acupuncture in combination with conventional clinical care. Therefore, this facility provides integrated medical care for patient treatment, which makes it ideal for examining enhanced quality of life and decrease in conventional drugs. This paper examines the study conducted by these researchers in relation to establishing the reliability of its findings and conclusions as well as the suitability of the research process.
Brief Summary of the Research

Ferreri et al. (2016) conducted a research in which the examined the…

Bipolar Patient Imagine This Scenario
Words: 955 Length: 3 Pages Document Type: Term Paper Paper #: 46623198
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There is a milder form of mania, for instance, known as a hypomanic episode, in which patients display manic symptoms for a period of three or four days. If the manic episode lasts for a week or longer, as is the case with our patient above, then the patient is experiencing full-blown mania.

It is also somewhat common for bipolar patients to experience mixed episodes. These episodes involve "swinging" back and forth from one pole to the next, experiencing symptoms of both mania and depression within the same day.

From international surveys, we have come to learn that around 1.5% of all adults suffer from bipolar disorders. The average bipolar patient experiences around four episodes within a ten-year time span. There are those patients, however, who experience recurring episodes throughout their lives. Thus, it is quite likely that you will have to deal with a bipolar patient as an acupuncturist…

Works Cited

Moss, Charles a. "Five-Element Acupuncture for Husband-Wife Imbalance and Bipolar

Disorder." Medical Acupuncture Spring/Summer 1999. http://www.medicalacupuncture.com/aama_marf/journal/vol11_1/bipolar.html

See, for example, Moss.

Nurses Recount About Experiences With
Words: 4322 Length: 16 Pages Document Type: Research Proposal Paper #: 1715264
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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.

I…

References

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

Ulcerative Colitis Initial Presentation the Patient Is
Words: 2339 Length: 7 Pages Document Type: Case Study Paper #: 12190706
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Ulcerative Colitis

Initial presentation

The patient is an 18-year-old of the Filipino-American origin. He has no known family history of ulcerative colitis or chronic illnesses similar to colitis. He is a high school senior student.

Historical information

The patient complains of diarrhoea 3-4 times a month although it has been on and off for one year. There is no known allergy that the patient experiences.

Presenting Symptoms

He experienced rectal bleeding, rectal pain and often had an urgent need to empty his bowels. His diarrhoea had bloodstains with mucus at least once a month. This led to few red blood cells due to the low level of iron, which resulted from the bloody stool. He had belly pains, which he described as cramping and his belly felt sore if touched. He experienced constipation, but it was less frequent than diarrhoea. He had no signs of vomiting or nausea, but he…

References

Baumgart, D. (2012). Crohn's disease and ulcerative colitis: From epidemiology and immunobiology to a rational diagnostic and therapeutic approach. New York: Springer.

Bayless, T.M., & Hanauer, S.B. (2010). Advanced therapy of inflammatory bowel disease: Volume 1. New York: McGraw-Hill Medical.

Hanauer, S.B., & Marteau, P. (2001). Ulcerative colitis: Focus on topical treatment. Paris: J.

Libbey Eurotext.

Provider Patient Communication Through Professional Interpreters
Words: 2400 Length: 8 Pages Document Type: Term Paper Paper #: 27548393
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Improving Provider-Patient Communication Among LEP Patients
Abstract
Elderly Hispanic patients experience numerous challenges when seeking for healthcare services since they are only eloquent in their native language and are classified as Limited English Proficient (LEP) patients. Language barriers contribute to poor provider-patient communication and necessitate the integration of third parties in the care delivery process. This paper whether the use of professional interpreters improves patient-provider communication and results in better health outcomes. Through a study that was carried out a sample of 40 elderly Hispanic diabetic patients at a Wellness Center in Los Angeles, using a professional interpreter improves provider-patient communication. The use of professional interpreters and language concordance is associated with improved provider-patient interactions, enhanced interpersonal care, and better medication adherence within three months.
Keywords: elderly Hispanics, patients, medication adherence, bilingual interpreters, treatment, patient-provider communication, healthcare providers.
Overview
Provider-patient communication is an important factor in enhancing patient outcomes in…

Physical Examination Notes of Patient With Symptoms of Hemorrhoids
Words: 427 Length: 1 Pages Document Type: Research Paper Paper #: 16183242
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Physical Examination of Patient with Hemorrhoids

History of Present Illness: he patient states that she has been suffering from hemorrhoids for more than 10 years. But recently she had more severe pain and bleeding than usual after a bowel movement.

Medical History:

he patient stated that she experienced discomfort from the hemorrhoid on and off for years, roughly 10 years ago, the symptoms became more severe after the birth of her child birth. Since the patient experiences constipation, she suffers pain every time she has a bowel movement. She has been using a hemorrhoid ointment and a topical wipe pad for her hemorrhoid.

Cold-dampness stagnation due to spleen qi deficiency

he patent stated that she experiences difficulty digesting greasy, fried foods. In addition, she continuously craves fried food and sweets such as chocolate and candy bars. Eating in response to these cravings caused the patient to gain 40 pounds over…

The patient stated that she suffered from hemorrhoids since she was 22 years old. When she first began having symptoms, the hemorrhoid would come out after a bowel movement. Over time, however, the hemorrhoid would come out again, causing symptoms of stinging pain and swelling. These symptoms occur most frequently when the patient has to stand for a long period in a cold environment or when she feels tired. The patent stated that since she was little, she used to delay the urge to empty her bowels when she was outside of her home. In addition, she tends to sit and read for a prolonged time on the toilet. These habits seem to have made the symptoms worse.

2. The blood stasis due to spleen qi deficiency.

She often has had severe sharp pain around the CV-10 area. Whenever she experiences pain on the abdomen, she takes famotidine, which she reports does help soothe the abdominal pain. She has a history of a duodenal ulcer and has taken the medication since 2009.The patient states that if she skips a bowel movement for a day or two, she strains to move her bowels just as she might in childbirth. The patient stated that sometimes there is fresh red blood with her bowel movement. She can also feel the external hemorrhoid tissue become swollen, painful, and burn, all of which, makes it difficult for her to sit correctly. When she has to stand or sit for a long time, the patient reported that the hemorrhoid tissue becomes more irritated

Arterial Ulcerations Management of Arterial Ulcerations in the Diabetic Patient
Words: 778 Length: 3 Pages Document Type: Capstone Project Paper #: 80803797
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Arterial Ulcerations:Management of Arterial ulcerations in the diabetic patient

Arterial Ulcerations: Management of Arterial ulcerations in the diabetic Patient

There Approximately 10 per cent of all leg ulcers are arterial ulcers. The legs and feet are often start to feel very cold and then they may have a color that looks either white or blue, shiny appearance. Arterial leg ulcers normally can be certainly painful. Pain normally starts to escalate when the person's legs are elevated and resting. ith this condition, most have learned tha they can reduce that pain just by lying down on the bed. The gravity will then cause more blood to start flowing directly into the legs. Ulcers normally happen when the breaks in the legs do not heal properly. They may be escorted by irritation. A lot of the times they do not heal correctly thus causing them to become chronic. People that have arterial…

Works Cited

(n.d.).

Anand SC, D.C. (2003). Health-related quality of life tools for venous-ulcerated patients. Br J. Nurs, 17(2), 34-56.

C:, W. (1995). Living with a venous leg ulcer: a descriptive study of patients' experiences. Journal of Advanced Nursing, 23(7), 23-30.

Franks PJM, M.C. (1998). Who suffers most from leg ulceration? Journal of Wound Care, 18(3), 383-385.

Using E-Therapy to Reach Out to Patients in Remote Areas
Words: 1723 Length: 5 Pages Document Type: Essay Paper #: 86195684
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Technology and Health Care

E-therapy also know as online therapy, tele-therapy, or e-counselling is new method for mental health where the therapist offers support and psychological advice over the internet (Sucala et al., 2012). This can be done using email, online chat, video conferencing, or internet phone. E-therapy can be carried out in real-time via phone conversations and chat rooms. Using e-mail messages, the therapist offers the service in a delayed format. E-therapy cannot replace traditional therapy since it is not considered psychotherapy. E-therapy is only used for substituting traditional therapy in a situation where the therapist cannot access the patient. Using e-therapy a therapist can only offer advice to patients experiencing problems in work, life, or relationships. The therapist is not able to diagnose or treat mental illness using e-therapy. In situations where the therapist is unable to meet with the patient physically, e-therapy offers a means for the…

References

Loucas, C.E., Fairburn, C.G., Whittington, C., Pennant, M.E., Stockton, S., & Kendall, T. (2014). E-therapy in the treatment and prevention of eating disorders: A systematic review and meta-analysis. Behaviour Research and Therapy.

Postel, M.G., de Haan, H.A., ter Huurne, E.D., Becker, E.S., & de Jong, C.A. (2011). Characteristics of problem drinkers in E-therapy vs. face-to-face treatment. The American journal of drug and alcohol abuse, 37(6), 537-542.

Stasiak, K., Fleming, T., Lucassen, M., Shepherd, M., Doherty, I., & Merry, S. (2012). The journey towards new generation e-therapy for adolescents with depression. Neuropsychiatrie de l'Enfance et de l'Adolescence, 60(5), S144.

Sucala, M., Schnur, J.B., Brackman, E.H., Constantino, M.J., & Montgomery, G.H. (2013). Clinicians' Attitudes Toward Therapeutic Alliance in E-Therapy. The Journal of general psychology, 140(4), 282-293.

Geriatric Patient With Multisystem Failure
Words: 1769 Length: 6 Pages Document Type: Term Paper Paper #: 13936281
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6. Identify the collaborative team members pertinent to the care of the geriatric patient in the scenario, including the emergency room nurse's response to changes in the level of consciousness and increasing respiratory distress.

The collaborative team here would consist of a primary care physician / geriatrician, pain management specialist, laboratory specialists, and x-ray team. Additional consultants may be neurologist, neurosurgeon, gastroenterologist, psychologist, and drug and alcohol detoxification specialist.

In the case of increasing respiratory distress, the nurse is advised to continue or modify the interventions: to continue to teach patient how to breath and cough correctly; to summon a productive cough; to attempt to clear lungs to auscultation; and to achieve symmetric chest excursion of at least 4 cm; also that her respirations and pulse beats should be regular, and that she should inhale a normal volume of air. This is done by encouraging Fowler or semi-Fowler's position; monitoring…

Sources

Eliopoulos, C. (2001). Gerontological nursing Philadelphia: Lippincott,

Kandel, J. (2009). The encyclopedia of elder care New York, NY: Facts on File,

Marvin J.A. (1995). Pain assessment vs. measurement. J Burn Care Rehabil 16, 348-357

Melzack R. (1975). The McGill Pain Questionnaire: Major properties and scoring methods. Pain 1, 277-299

Reducing Patient Waiting Time for Better Patient Outcomes
Words: 1292 Length: 4 Pages Document Type: Paper #: 31818447
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Reducing Patient Waiting Time for Better Patient Outcomes
Step 1
Most healthcare institutions start their day with the intention of perfectly managing their time schedules. While the expected outcome is excellent patient outcome many practices often end up bringing in more patients into a schedule that is already overloaded hence requiring more time to attend to the scheduled patients (Capko, 2015). The outcome of the busy schedules is inefficiency, bottlenecks, frustration, and more waiting time for the patients. Patients are forced to spend more time in the exam room or reception area waiting for an opportunity to be attended to (Capko, 2015). For the patient things appear to be moving in slow motion.
In order to overcome the scheduling problems it is important to address the foundation of this patient scheduling problems. It may seem easy but it is more complex than many would think. It takes a lot of…

Patient Histories Can Often Provide a Great
Words: 1078 Length: 4 Pages Document Type: Article Review Paper #: 87376546
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Patient histories can often provide a great deal of information about their condition and what the underlying causes may be. As such, taking an accurate patient history can be one of the most important aspects of a patient's visit to a medical facility. There are a number of factors that are important with respect to taking a patient's history, and they include one's ability to gain accurate information, one's ability to have a rapport with the patient that encourages trust, honesty and openness, and being very thorough, so as to not miss important information, such as current medications or past medical events. The following is a review of an article presented in Nursing Standard concerning the details of how to take a patient's history.

Summary

The article is very thorough in its instructions on how to take a proper patient history. The article begins by emphasizing the importance of taking…

References

Craig, L.H. (2007). A gudie to taking a patient's history. Nursing Standard, 22(13), 42-48.

Patient Is a 35-Year-Old Male He Was
Words: 2109 Length: 6 Pages Document Type: Term Paper Paper #: 70723968
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patient is a 35-year-old (male?), he was diagnosed with diabetes twenty five years ago at the age of ten years old, he claims that this is hereditary in his family. He has one sister who has Type 2 diabetes and a brother who has type 1 diabetes. He manages his diabetes and other illnesses from home and through a medical clinic; for most of his life he has known he has diabetes and manages to regulate it through insulin shots, glucose tablets as well as through the right nutrition, however he claims that this is difficult and there are most days where he experiences draw backs. Many complications have arisen from his diabetes. This patient was selected because of the certain case he has in regards to his diabetes and other complications which had developed from it. His treatment and management also includes an extensive study. At the young age…

Patient Negligence and Nursing Malpractice
Words: 1859 Length: 6 Pages Document Type: Essay Paper #: 91885317
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Responsibilities of Nurses to Patients

Why is it important

The role of nurses has a direct implication on the patients. For example, nurses observe and provide direct care to the patients. The physicians give orders and thus are the role of the nurses to implement (Aiken et al., 2014). Often, the work of the physicians is not complete without the help of the nurses. The nurses are responsible for changing clothes and giving the medications to patients. Often, the patients are unable to do basic tasks, and therefore the roles of nurses become very important. Nurses keep medical records for the patients and therefore give medications to the patients in time and monitor their progress.

Another important role of the nurse is assessing the response of the patients to medications. Keep the records for the progress of patients is an invaluable practice. The records help the nurses to monitor how…

Experienced a Significant Increase in the Cost
Words: 2164 Length: 6 Pages Document Type: Essay Paper #: 33274145
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experienced a significant increase in the cost of health care. In 2004, 16% of the Gross Domestic Product (GDP) was spent on health care. In 2010, President Obama signed the "Affordable Health Care for America Act (HR 3962)" that has been a topic of heated debate since discussions began decades ago. Health care funding and design has been a major issue for U..

Provide a discussion that demonstrates you have an understanding of the impact the cost of health care has on the economy. Be sure to discuss the Gross Domestic Product (GDP).

According to Forbes (2012), America does not have a debt problem; it has a healthcare one. The price of health care is eating up the economy.

Health care spending is growing to almost 1.5 times the rate of growth of its gross domestic product (i.e. The market value of all its goods and services within a certain…

Sources

Forbes. (2012)The U.S. Does Not Have A Debt Problem ... It Has A Health Care Cost Problem  http://www.forbes.com/sites/toddhixon/2012/02/09/the-u-s-does-not-have-a-debt-problem-it-has-a-health-care-cost-problem/ 

Focus on Health Reform

 http://www.kff.org/healthreform/upload/housebill_final.pdf 

Joan & Bartlett, (2012) A Distinctive System of Health Care Delivery www.jblearning.com/samples/076374512X/Shi4e_CH01.pdf

Patient's History According to the
Words: 574 Length: 2 Pages Document Type: Research Proposal Paper #: 33396547
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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:

Patient Mrs Gulcin Ozdemir Primary
Words: 678 Length: 2 Pages Document Type: Essay Paper #: 67648867
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It should be noted that Mrs. Ozdemir's problems are not entirely physical in nature. Her loneliness and isolation in a country in which she has limited command over English have caused her to pour her energies into cooking traditional, heavy meals for her family and using overeating as a coping mechanism.

Seeing a counselor who speaks her language and can aid her in talking about her cultural adjustment issues seems essential. Without psychological support, it is unlikely that Mrs. Ozdemir will feel sufficiently motivated to change her lifestyle. Ideally, diabetes education at the secondary level should also be culturally sensitive, and provide dietary and exercise-related suggestions. Proposed menus can reflect Mrs. Ozdemir's culture, such as Mediterranean dishes that emphasize vegetables and beans, rather than sugary sauces and meats. Also, walking rather than taking public transportation is a potential source of exercise. Ozdemir should receive regular lipid screening, and, if warranted,…

References

Peeples, Malinda & Seley, Jane Jeffries. "Diabetes care: The need for change."

American Journal of Nursing. June 2007. 107.6 (June 1007):13-19. 7 Apr. 2011.



"Primary care." A Dictionary of Nursing. 2008. Encyclopedia.com. 7 Apr. 2011

Experience Story
Words: 1557 Length: 4 Pages Document Type: Essay Paper #: 52206518
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cat was a street cat who I saw going home from school. When I was about to get on the bus, I saw him and immediately he came to me. I felt touched by this cat's actions and decided to find him a home. The whole process was quite difficult because he wasn't allowed to stay in my home and I only had a limited amount of time to get him adopted.

I literally had to go to school and within the school day find him a home as my neighbor was not going to allow him to stay another night and my mom didn't even want to in the first place. It took everything I had to stay patient and find a way to help Tom. I'm naturally shy with strangers, so having to talk to all my teachers, some students, and my neighbor to help me with the…

patient named Eliza
Words: 1284 Length: 4 Pages Document Type: Essay Paper #: 34952976
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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…

Patient Escorts for City Hospital
Words: 976 Length: 3 Pages Document Type: Case Study Paper #: 93357681
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It is also likely that once trained, many of these individuals lose focus on the key importance of their role -- possibly being distracted by homework, school, families, or other life issues. This type of individual did not take the job of Patient Escort because of a true overriding need to help others, true empathy, but because of the convenience of the position.

Job Specifications -- Hiring Procedures -- First, the position description should be rewritten. It should emphasize personality and characteristics that focus on empathy, kindness and be very clear about what is expected. This job does not require a college student, or even a High-School graduate (except perhaps for Hospital procedures). It requires someone who has care capacity and is overwhelmingly cheerful, kind, and truly likes people. Often, this is not a characteristic of the young, or the upwardly mobile. The personnel director might check with some of…

Patient Overview -- Mr C Is a
Words: 475 Length: 2 Pages Document Type: Case Study Paper #: 50480817
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Patient Overview -- Mr. C. is a 52-year-old business executive with indigestion that an entire roll of TUMS did not help. Initially he blamed this on his lunchtime pizza, but his staff convinced him to go to the E where he presented epigastric pain. An EKG was done indicating ST segment elevation. Additionally, the pain remained unrelieved after three sublingual nitroglycerine tablets. Three doses of morphine sulfate given intravenously relieved the pain enough for a transfer to the cardiac unit. Mr. C's skin is clammy and cool; he has inspiratory crackles, temp of 98.6, 120 pulse, and respiration 24, BP 90/62. The Cardiac monitor showed sinus rhythm with occasional premature ventricular contractions (PVCS). Labs showed elevated isoenzymes, topponis, creatin kinase myocardial bound, and lactic acid dehydrogenase. We find out also that Mr. C has been having dental pain for the past 48 hours.

Part 1 -- The ST segment is…

REFERENCES

ST Elevation. (2012). Family Practice Notebook. Retrieved from:  http://www.fpnotebook.com/cv/exam/StElvtn.htm 

Dains, J., et al. (2012). Advanced Health Assessment & Clinical Diagnosis in Primary Care.

St. Louis, MO: Mosby/Elsevier.

Hudson, K. (2012). Congestive Heart Failure. DynamicNursingEducation.com. Retrieved from:  http://dynamicnursingeducation.com/class.php?class_id=130&pid=23

Patient Care and the Affordable Care Act
Words: 1349 Length: 4 Pages Document Type: Essay Paper #: 26895882
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Evidence Based Practice
University of Illinois Evidence Based Medicine Resources: Lessons Learned
From the search resources I learned that in evidence based medicine, patient values comprising of their unique concerns, preferences, and expectations introduced to the clinical encounter ought to be integrated in determining the ideal care for patient. This integration will guarantee that the individual patient’s clinical state, the clinical setting and best patient outcome prevail in ideal decisions on optimal service delivery to the patient (Sackett, Rosenberg, Gray, Haynes, & Richardson, 1996).
The second aspect learned is that in order to integrate Evidence-Based Nursing and clinical care, there is the need for a basic comprehension of the attributes related to the inherent published evidence. Resources in Evidence-Based Practice are categorized in a hierarchy relating to the quality of the research or evidence. In Evidence-Based Practice, decisions making on best care to patient are not just basically guided by…

Patient and Caregiver Education
Words: 671 Length: 2 Pages Document Type: Essay Paper #: 73496221
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espiratory Care: Scenario

One of the most difficult ethical scenarios which may arise is when a patient is not fully compliant with treatment. In one of the cases I observed, a child had recently been diagnosed with asthma. Unfortunately, the parent was not able to offer the child the ideal environment for coping with his asthma. The parent and child lived in a very dusty environment and it was difficult for the parent to bring the child in for regular checkups. The child was frequently taken to the emergency room because of difficulties in controlling his asthma. There was heavy reliance upon inhaled corticosteroids and other medications primarily intended for short-term use. The parent was also reluctant to allow the child to participate in regular activities such as sports. The child was overweight and this caused a spiral of problems for the child: not being able to participate in normal…

References

Juniper E.F., Guyatt G.H., Feeny DH, Ferrie P.J., Griffith L.E., & Townsend M. (1996).

Measuring quality of life in the parents of children with asthma. Quality of Life Research,

5: 27 -34.

Providing parent and caregiver training. (2010). AARC. Retrieved from:

Patients and Nursing
Words: 900 Length: 3 Pages Document Type: Essay Paper #: 94082455
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Health Screening

Biographical Data

Cathy is a 17-year-old female. She is suffering from a certain amounts of loneliness and depression (DSM-IV). This is because her mother died in Iraq 10 years ago when serving in the Army eserves. She is currently living with her uncle and often deals with these issues from not being able to talk to her mother. She never knew her father and has no way to contact him. To account for them, she hides her feelings by turning to social networking sites as a way to connect with others. In the process, she places her entire life history for everyone to see and often takes pictures of herself. At the same time, she was elected class President and hides these feelings by being engaged in variety of activities (such as: Future Business Leaders of America and track). Yet, underneath it all, she feels like the world…

References

Ackley, B. (2013). Nursing Diagnosis Handbook. Maryland Heights, MO: Elsiever.

Ladwig, L. (2013). Mosby's Guide to Nursing Diagnosis. Maryland Heights, MO: Elsiever.

Experiences of Visual Consciousness
Words: 1087 Length: 3 Pages Document Type: Term Paper Paper #: 45625329
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Visual Consciousness

Visual Perception

In conducting this study, the first step I took was to procure a book with a cover on it that I would attempt to read. I have read most of my books, but am unfamiliar with the text on the front of them. I actually selected one of my larger books (it is a coffee table book) in order to maximize my chances of reading. Next, I sat in a comfortable spot and entirely covered my left eye with my left hand. Once I was sure I could not see out of it, I fixated my right eye on a tiny crack in the wall. After doing so, I extended the book in my right hand as far to the right as I could, so that I could not even see it at first. Then, while maintaining my eye on the same crack, I slowly moved…

References

Baars, B. (1997). In the Theater of Consciousness: the Workspace of the Mind. San Diego: Oxford University Press.

Brogaard, B. (2012). "Non-visual consciousness and visual images in blindsight." Consciousness and Cognition. 21: 595-596.

Celestia, G.G. (2010). "Visual perception and awareness: a modular system." Journal of Psychophysiology. 24 (2): 62-67.

Overgaard, M., Grunbaum, T. (2011). "Consciousness and modality: On the possible preserved visual consciousness in blindsight subjects." Cosciousness and Cognition. 20: 1855-1859.

Patients With Relevant Information Required
Words: 6307 Length: 23 Pages Document Type: Dissertation Paper #: 62180402
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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.

patient centered care in healthcare nursing
Words: 4617 Length: 16 Pages Document Type: Research Paper Paper #: 92870872
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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…

Patient - Centered Nursing Techniques
Words: 546 Length: 2 Pages Document Type: Paper #: 88642088
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Inter and Intraprofessional Communication

Patient-centered practice is designed to address issues that usually appear as a consequence of nurses having a limited understanding of their role and as a result of patients not being provided with the opportunity to learn more about the attitudes they need to take in order to make the experience less painful for all individuals involved. One of the principal ideas related to this type of thinking is the fact that there is always room for innovation and nurses thus need to be proactive in their line of work. Considering that conventional strategies are likely to be ineffective in certain situations, nurses need to be able to adapt to stressing conditions and to get actively involved in trying to provide patients with the best service possible.

Through concentrating on intraprofessional and interprofessional practices, nurses can contribute to their understanding of their line of work in general…

Works cited:

Norgaard, B. "Communication with patients and colleagues," Retrieved May 29, 2015, from  http://www.danmedj.dk/portal/pls/portal/!PORTAL.wwpob_page.show?_docname=8390873.PDF 

"Interprofessional Education, Team, Intraprofessional Communication" Committee," Retrieved May 29, 2015, from  http://symposium.medicine.dal.ca/documents/Team2ReportIPE_Team_IntraprofessionalCommunication.pdf

Patient Visits
Words: 725 Length: 2 Pages Document Type: Research Paper Paper #: 2520737
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older patients over the age of 80 due to complications in health such as dementia and depressive symptoms, do not go for additional follow-ups. Yes, the authors explain repeated in person visits help better identify risk factors. There is no obvious research question however they do highlight the use of a study to confirm the hypothesis of whether or not repeated in person follow-ups help with problems experienced as patient's age. "We hypothesized that the type of visit would be related to key demographic, lifestyle, health and function characteristics and that the oldest aged participants would have the poorest retention for in-person visits, particularly clinic visits" (Strotmeyer et al., 2010, p. 697). This is a directional hypothesis because the retention rates are directly associated with increase in age. It is a simple hypothesis because it directly states a cause and effect. The hypothesis was tested and it revealed in-home visits…

References

Strotmeyer, E.S., Arnold, A.M., Boudreau, R.M., Ives, D.G., Cushman, M., Robbins, J.A., Newman, A.B. (2010). Long-Term Retention of Older Adults in the Cardiovascular Health Study: Implications for Studies of the Oldest Old. Journal of The American Geriatrics Society, 58(4), 696-701. doi:10.1111/j.1532-5415.2010.02770.x

Bell's Palsy Patient Intake Form
Words: 1050 Length: 3 Pages Document Type: Research Proposal Paper #: 97683198
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Patient Intake ecord

Case eport

Patient's Name: Perez, B

Gender: Female

Date of Birth: 06/XX/1985

Occupation: egistered Nurse

Marital Status: Single

Private

Phone [HIDDEN] Private

Chief Complaint: Bell's palsy

History of Present Illness:

The patient states she first felt numbness on her tongue 10 days ago. When she woke up in the morning and was cleaning her teeth, the water was dripping from her mouth. Her right eye was not able to close completely, and she felt numbness on the right side of her face.

Medical History:

The patient consulted with her doctor who confirmed the diagnosis as Bell's palsy; her doctor prescribed prednisone for 14 days. The patient came to see me on 8/29/2013. The patient states she has pain and numbness on the right side of her face, drooling, loss of the ability to taste, and her right eye cannot fully open or close and has excessive tearing.…

References

[1] Deng, T (1999)."Abdominal pain," in Practical Diagnosis in Traditional Chinese Medicine, K. Ergil, Ed: Churchill Livingstone, London, UK, 1999, pg. 464 -- 472.

[2] Wolfe, H (2003). "Joining Needling for Facial Paralysis." Blue Poppy Press. Accessed 10 June 2005.

[3] Bell's Facial Paralysis, Clinic of Traditional Chinese Medicine, Vol. II (1990), Practical English Chinese Library of Traditional Chinese Medicine. Shanghai College of Traditional Chinese Medicine, pg. 964.

[4] Suk, YM (2008). Understanding the Jin Gui Yao Lue, A Practical Textbook, Peoples' Medical Publishing House, pg. 110.

Nurse-Patient Relations the Main Focus of This
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Nurse-Patient Relations

The main focus of this essay is going to concern the nurse-patient relationship idea, and why it is important. This was chosen because the researcher desired to achieve a better accepting of how a helpful nurse-patient relationship can be advanced and even from different theorists who have discovered this idea. In this essay, the researcher sets out to demonstrate what they have learnt regarding the nurse-patient relation concept and how this connection can utilized in the clinical practice setting. T The nurse patient connection, according to a study done by Press Gamey Associates Inc., creates the quality of the care experience and generates an influential influence on patient gratification. Nurses will a lot of their time with patients. Patients see nurses' relations with people among the care team and make their own conclusions about the hospital founded on what they are observing. Furthermore, nurses' approaches toward their vocation,…

Works Cited

Berdes, C. & . (2001). Race relations and caregiving relationships: A qualitative examination of perspectives from residents and nurses aides in three nursing homes. Research on Aging, 23(1), 109-126.

Biering, P. (2002). Caring for the involuntarily hospitalized adolescent: The issue of power in the nurse-patient relationship. Journal of Child and Adolescent Psychiatric Nursing, 16(2), 65-74.

Heijkenskjold, K.B. (2010). The patients dignity from the nurses perspective. Nursing Ethics, 6(3), 313-24.

LaSala, C.A.-B. (2007). The role of the clinical nurse specialist in promoting evidence-based practice and effecting positive patient outcomes. The Journal of Continuing Education in Nursing, 38(6), 262-70.

Dealing With Difficult Patients Translation of Evidence and Best Practice
Words: 3786 Length: 10 Pages Document Type: Research Paper Paper #: 75591008
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Difficult Patients

Mitigating isks from Dementia

Providing adequate care for an individual suffering from dementia presents many difficulties for nurses. Patients with dementia often have debilitating conditions such as Alzheimer's or similar neurologic diseases which are progressive, thereby making it challenging for them to remember, think lucidly, communicate effectively or complete activities of daily living. Furthermore, dementia can cause rapid variations in mood or even modify personality and behavior. With the tremendous number of elderly in society more and more nurses are required to care for patients with progressive dementias. It is imperative that a diagnosis be reached early in the course of the cognitive impairment and that the patient is closely monitored for coexisting morbidities. Nurses have a central role in assessment and management of individuals with progressive dementia. This essay provides some evidence-based practical strategies for managing the behavioral problems and communication difficulties often encountered in this population.…

Reference List

Aud, M.A., Oliver, D., Bostick, J. And Schwarz, B. 2011. Effectiveness of Social Model Care Units for Dementia. International Nursing Research Congress 2005.

Care, N.D. 2010. Teaching and Learning. Pulse. Winter Edition.

Fletcher, S. And Zimmerman, S. 2010. Trainee and trainer reactions to a scripted dementia care training program in residential care/assisted living settings and nursing homes. Alzheimer's Care. 11(1): 61-70.

Goodman, C. 2011. The organizational culture of nursing staff providing long-term dementia care is related to quality of care. Evidence-Based Nursing. 47:1274-1282.

nurse advocacy and patient autonomy
Words: 747 Length: 2 Pages Document Type: Essay Paper #: 41321337
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.....nurse assigned to care for this patient, I would strongly advocate on behalf of the patient's autonomy. The clash between patient autonomy and the healthcare system and its representatives like nurses can only be resolved by being honest in this situation. The patient is under a high degree of stress, not only because of his health condition and the fear that brings out in him, but due to other stressful life events including his financial situation. He was also supposed to get married immediately before the bypass surgery was scheduled, and this is bound to add to his level of stress. The primary issue here is providing what the patient needs to keep him safe during the procedure, and if he insists on using his own pump, which he has successfully used for the thirty years he has lived with the disease of diabetes, then he should use his own…

Demographic Perception Survey of Patients With Atypical
Words: 2504 Length: 9 Pages Document Type: Research Proposal Paper #: 2311782
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Demographic Perception Survey of Patients with Atypical CP Who Present to Cardiac Care Doctors and Patient Outcomes

This study intends to examine gender differences in individuals who present to cardiac doctors with chest pain and specifically, atypical chest pain in women. The work of Debra L. Issac (2000) states that over the past ten years "there has been increasing awareness of both the importance of CAD in women and of the significant differences between men and women who have the disease. Potential gender biases, both within the medical community and within the general population of women themselves also have been identified. These gender differences and biases have the potential to influence investigation and management of suspected or confirmed CAD in women, and should be taken into consideration when faced with a woman with potential cardiovascular disease." (p.157)

Issac also states that chest pain in women is "common and often non-ischemic.…

References

Cayley, WE (2005) Diagnosing the Case of Chest Pain. American Family Physician. 15 Nob 2005. Retrieved from:  http://www.aafp.org/afp/2005/1115/p2012.html 

Gotzsche PC, Nielsen M. Screening for breast cancer with mammography. Cochrane Database Syst Rev. (1):CD001877, 2011.

Issac, DL (2000) Women with Ischemic Heart Disease. Presented at the Canadian Cardiovascular Congress, Vancouver, British Columbia, October 2000. Retrieved from:  http://www.stacommunications.com/journals/cme/images/cmepdf/oct01/womencv.pdf 

Khan, JJ, Albarran, JW, Lopez, V, and Chair, SY (2010) Gender Differences on Chest Pain Perception associated with Acute Myocardial infarction in Chinese patients: A Questionnaire Survey. J Clin Nurs. 2010 Oct, 19 (19-20)2720-0. Retrieved from:  http://www.ncbi.nlm.nih.gov/pubmed/20846222

Strategies to Encourage Patients Independence
Words: 934 Length: 3 Pages Document Type: Essay Paper #: 1854540
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Nursing Strategies to Encourage Patient Independence

Nurses have a vital role to play in the hospital-based emergency care to home-based hospice care settings. Nurses have evolved from being simple supportive caregivers to having a central role in ensuring optimal care provision for patients. Today's nurses are not only expected to develop critical thinking skills but also to focus on nursing strategies that are designed to promote patient independence, individuality, and dignity as these qualities positively influence patients coping and recovery and minimize their discomfort during the period of their illness. Holistic nursing care includes addressing the emotional needs of the patients as very much a part of the nursing care plan. A brief overview of the nursing strategies that are designed to promote such a holistic care with a discussion of the benefits of such a nursing approach would provide more insight into the topic.

Patient Independence

Nursing role is…

Bibliography

1) Mark H. Beers, MD & Thomas V Jones MD et.al, (June 2006) 'The Merck Manual of Geriatrics: Chapter 8: Nursing', Pub by Merck Sharp & Dohme Corp.

2) Dennis Gyomber, Nathan Lawrentschuk & Peter Wong et.al (Mar 2010), 'Improving informed consent for patients undergoing radical prostatectomy using multimedia techniques: a prospective randomized crossover study', BJU Vol 106, Issue 8, pg 1152- 1156.

3) Ann Marie Rosland, (2009), 'Sharing the Care: The Role of Family in Chronic Illness', retrieved Jan 17th 2011, from,  http://www.chcf.org/~/media/Files/PDF/F/PDF%20FamilyInvolvement_Final.pdf 

4) Royal College of Nursing, (2008), 'Defending Diginity: Challenges and opportunities for nursing', retrieved Jan 17th 2011, from,  http://www.rcn.org.uk/__data/assets/pdf_file/0011/166655/003257.pdf

Evidence-Based Approach to Patients' Conditions
Words: 1245 Length: 4 Pages Document Type: Research Paper Paper #: 43766005
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However, the screening of patients for these conditions necessitates the inclusion of brief screening questions into a health systems review at the medical visit because patients may be embarrassed or unwilling to show concerns or talk about their mental distress or health. The inclusion of the questions into the health systems review can help to facilitate early discovery and intervention and communicating to patients about concerns on their overall health. Many people with these mental conditions tend be unwilling to consult their care providers because of the stigma linked to the conditions and the lack of effective treatments available (Haddad, Buszewicz & Murphy, n.d.).

The other approach that can be taken to screen for these conditions is to administer validated screening measures in the waiting room. In this case, the screening measures even as brief scales have been identified to be effective in discovering the problems. The validated screen measures…

References:

Bartels et. al. (2003). Evidence-based Practices in Geriatric Mental Health Care: An Overview of Systematic Reviews and Meta-analyses. Psychiatric Clinics of North America, 26, 971-990. Retrieved from  http://amhd.org/About/ClinicalOperations/MISA/EBP%20geri%20meta-analysis.pdf 

Haddad, M., Buszewicz, M. & Murphy, B. (n.d.). Supporting People with Depression and Anxiety. Retrieved November 23, 2012, from  http://www.mind.org.uk/assets/0001/4765/MIND_ProCEED_Training_Pack.pdf 

Katz, S. (2010, March 8). it's Not Just about the Gut: Managing Depression and Anxiety in Inflammatory Bowel Disease. Retrieved November 23, 2012, from  http://www.practicalgastro.com/pdf/July10/GraffArticleRev.pdf 

"Specific Mental Disorders." (n.d.). Mental Illness and Suicide. Retrieved November 23, 2012,

Selection of Patient Safety Strategy
Words: 1704 Length: 5 Pages Document Type: Research Paper Paper #: 49684535
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Strategy

Patient Care and Hospital Management Systems

Question No.1

Question No.

Question No.

The given case study entails the difficulties faced by Langely Mason Health which is a major health services provider in the given district. The management of LMH has decided to upgrade its health services standards in the best interest of patient care. The whole process of upgrading involves extending hospital's facility as well automating the functions of the hospital's departments with the help of integrated system. For this purpose, lengthy planning, asset acquisition, fund raising activities and other activities are performed. The overall upgrading left the hospital management with limited budget for regular operations.

For the purpose of automating the hospital functions, EM system is purchased in the year 2006. This organization-wide system was expected to become functional and stabilized in the first phase of implementation and the subsequent implementation were dependent on its success. Due to…

References

Drazen, E., Feeley, R., Metzer, J., Wolfe, H. (1980).Methods for evaluating costs of automated hospital information systems. Department of Health and Human Services, National Centre for Health Services Research, PHS no. 233-79- 3000

Farlee C. (1981). Systems Evaluation: Problems and challenges. Proceedings, First National Conference on Computer Technology and Nursing Bethesda MD: U.S., DHHS, PHS (NIH Pubn0 83- 2124).

Herbst, K., LittleJohns, P., Rawlins, J., Collinson, M., & Wyatt, C. (1999). Evaluating computerized systems: hardware, software and humanware: experiences from the Northern Province South Africa, Journal of Public Health Medicine,3, pp.305-310.

Hendrickson, G., & Kover, C.T. (1990). Effects of computers on nursing resource use . Do computers save time? Computers in Nursing, 8: 16- 22.

Near Death Experiences Ndes
Words: 1814 Length: 6 Pages Document Type: Essay Paper #: 45903993
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NDEs

A near death experience is a collection of cognitive and emotional responses to an encounter with death, whether that encounter is related to a sudden accident or to an illness. The phenomenon has been recorded throughout history, and in various cultures around the world. "Although the term near-death experience…was not coined until 1975, accounts of similar events can be found in the folklore and writings of European, Middle Eastern, African, Indian, East Asian, Pacific, and Native American cultures," (Grayson, 2006, p. 394).

Near death experiences "are described at length in both the eighth-century Tibetan Book of the Dead, and in the 2500-year-old Egyptian Book of the Dead," as well as in Plato's epublic (Talbot, 1991, p. 240). There is also a strong history of near death experience testimony in the literature of Christian mystics (Zaleski, 1987). According to Michael Talbot, author of The Holographic Universe, near death experiences occur…

References

Blackmore, S. (n.d.). Near-death experiences. Excerpt from The Skeptic Encyclopedia of Pseudoscience. Retrieved online:  http://www.susanblackmore.co.uk/Chapters/ShermerNDE.htm 

Blackmore, S.J. (1993). Near-death experiences in India: They have tunnels too. Journal of Near Death Studies 11(4). Retrieved online:  http://www.susanblackmore.co.uk/Articles/PDFs/JNDS%201993.pdf 

Braithwaite, J.J. (2008). Near death experiences: The dying brain. Skeptic 21(2).

Grayson, B. (2006). Near death experiences and spirituality. Zygon 41(2). Retrieved online:  http://spiritualscientific.com/yahoo_site_admin/assets/docs/GreysonNDEandSpirituality.79194349.pdf

Nursing and Personal Experience
Words: 2440 Length: 8 Pages Document Type: Research Paper Paper #: 54162562
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Family centered care is a noble belief deeming family members and health care staff as equal partners and working collectively to address the needs of the kid. Competency rises when a system synergizes as nurses and patient / family member's honors each other's commitment to heath care. Patient family centered care is a continuous process in order to address the needs and duties of families (St. Jude Children's Hospital, 2014).

Words and concepts that describe this phenomenon

Dignity, respect, information sharing, participation and teamwork

Identifying terms (concepts) that can summarize, label or name this phenomenon

Each family and child is different: Families have diverse backgrounds, life experiences, customs and traditions, education, cultural values and notions. Care should be facilitated equally to all patients whilst catering the choices and needs of each family (St. Jude Children's Hospital, 2014).

Open communication between family, patients and healthcare staff: It's productive to openly voice…

References

Ahmann, E. And Dokken, D. (2012). Implementing Patient- and Family-Centered Care: Part II - Strategies and Resources for Success. Pediatric Nursing. Volume 38, Number 2.

Mastro, K.A., Flynn, L. And Preuster, C. (2014). Patient- and Family-Centered Care: A Call to Action for New Knowledge and Innovation. The Journal of Nursing Administration. Volume 44, Number 9, pp 446-451.

St. Jude Children's Hospital. (2014). What is Patient Family Centered Care? Retrieved from:  http://www.stjude.org/stjude/v/index.jsp?vgnextoid=0342a1673c82f110VgnVCM1000001e0215acRCRD&vgnextchannel=6772fdb506543110VgnVCM1000001e0215acRCRD

Therac-25 Relevant Stakeholders the Patients
Words: 1587 Length: 5 Pages Document Type: Term Paper Paper #: 30336947
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Thus, if any of us was one of the "actors', we would be tempted to judge each alternative in a subjective manner. If we were the patients, the AECL board or the hospitals we would want Therac-25 to be approved. If we were the public or FDA we would want the equipment out of the market.

The main alternative to the reality would have been for AECL to take under consideration a software error. One other alternative would have been for the company to assign more accurate probabilities for hazard occurrence, while running the Fault Tree Analysis. Finally, the third alternative would have been to use a better method to determine hazard occurrence. A better method is a method that would have been capable to return higher risks associated with the use of Therac-25 and which would have determined AECL to adjust the equipment. The first alternative is superior to…

Reference List

Bentham J. (1996) "The Principles of morals and legislation," Oxford, England: Clarendon Press.

Griffin J. (1986), "Well Being," New York: Oxford University Press.

Margolis H. (1996), "Dealing with risk: why the public and the experts disagree on environmental issues," Chicago, IL: University of Chicago Press.

Roberts, M.J. & M.R.Reich (2002), "Ethical analysis in public health," the Lancet, Vol. 359: pp. 1055-1059.

Social Work Internship Experience With Alzheimer Patients
Words: 1397 Length: 5 Pages Document Type: Term Paper Paper #: 19889572
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Social Work Internship Experience With Alzheimer Patients

My service learning experience was a positive one. I had the opportunity to work at an Alzheimer's care facility, with patients exhibiting various stages of Alzheimer's disease. I learned through my interactions with older adults at the clinic that much like anyone else, Alzheimer's patients need stimulation, warmth, compassion and an environment that encourages interaction and relationship building.

My views of older adults have changed significantly since working with patients at the care center. Whereas in the past I might have assumed that all older adults were mentally less cognizant of their emotions and feelings and 'numb' to the world around them, I learned instead that many have a great compassion for caring, and many desire simply to enjoy much of the same things than anyone else would at their age. My experiences are described in greater detail below.

Summary of Experiences

My…

References:

Gebo, L. "Biological Systems and their Impacts on Later Adulthood." Chapter 14. New

York, Thompson Brooks Cole: 2004.