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Only those that are supposed to have access to that information would have all of the correct keys to unlocking it. Advanced technology such as retinal scans, or fingerprint matching could be employed at the most sensitive levels.
The implementation of such a system would be long and complicated. The first step would be the development and testing of the software package. The second would be training bedside personnel to enter information into the system properly. The third would be to encode existing patient information into the system. Next, a system for dispersing access to the various levels would have to be developed. Each of these components results in an integrated system that would result in the highest level of patient confidentiality, yet would allow those that need confidential access to have it. This system would serve the needs of the patients by way of quality improvement and would provide…
Conn, J. (2005). AHA dispute with JCAHO over data-mining flare ups. Retrieved May 14, 2008 at http://www.patientprivacyrights.org/site/News2?page=NewsArticle&id=6438 .
Lerouge, C, Culijak, G, & Horan, T. (2007). Consumer Health Informatics, Patient Safety and Quality of Practice. System Sciences, 2007. HICSS 2007. 40th Annual Hawaii International Conference. Held January 2007 at Waikoloa, HI. IEEE Xplore. Retreived May 13, 2008 at http://ieeexplore.ieee.org/xpl/freeabs_all.jsp?arnumber=4076635
Loonsk, J. (2004). BioSense - a National Initiative for Early Detection and Quantification of Public Health Emergencies. MMWR Supplement. September 24, 2004. 53(Suppl);53-55. http://www.cdc.gov/mmwr/preview/mmwrhtml/su5301a13.htm
McNabb, S., Koo, D., Pinner, R., and Seligman, J. (2006). Informatics and Public Health at CDC. MMWR. December 22, 2006. 55(SUP02);25-28. Retrieved May 13, 2008 at http://www.cdc.gov/mmwr/preview/mmwrhtml/su5502a10.htm?s_cid=su5502a10_e
This is troubling, because the different exemptions can cause confusion among stakeholders about how they would apply. Where, health care providers, regulators and insurance companies can be able to circumvent the law, under the exemptions of HIPPA and the Privacy Act. For the individual this gives the appearance of security, yet the various exemptions do little to increase privacy. Then when you consider the fact; that these laws reflect the times that they were written, means that they will become obsolete as time goes by. Therefore, the biggest challenge that will be faced going forward is adjusting them, to the changes in field of health care and society. Three key points that would be essential in the understanding of KM health care would include: how the specifics of the law would apply, flexibility and balance. These are important, because they help improve your understanding of health care, by showing how…
The Privacy Act. (2003). A Citizens Guide on Using the Freedom of Information and Privacy Act. (pg. 22). Washington D.C.: U.S. Government Printing Office.
Green, M. (2006). Legal Aspects of Health Care Management. Essentials of Health Care Information Management. (pg. 261). Clifton Park, NY: Thomason Learning.
Gross, S. (2010). Advantage and Disadvantages of HIPPA. E How. Retrieved from http://www.ehow.com/about_5113726_advantages-disadvantages-hipaa.html
Harman, L. (2006). Privacy and Confidentiality. Ethical Challenges in the Management of Health Care Information. (pp. 51 -- 65). Sudbury, MA: Jones and Bartlett.
Patient Education Brochure
Patient Privacy and Electronic Medical ecords:
Patient Privacy and Electron Medical ecords:
Patient Education Brochure
With the implementation of computer-based medical records systems in private offices, physicians have the capacity to maintain clear, organized, and accurate patient records, with pivotal information available with the simple click of a mouse. These systems eliminate the need for bulky paper filing systems that take significant time to sort through and pose the risk of disorganization or accidental loss or misplacement of files. As a patient, you may wonder, "Is my privacy still secure with these systems?" which is a question that merits a definitive response. We assure you -- yes your personal information is not only secure, but now more accurate than ever. As you'll see, the benefits of such systems far outweigh the drawbacks, and we can prove it.
Electronic medical records have not only become a…
Aaronson, J., D.O., Chop, W., M.D., Frey, R., M.D., and Murphy-Cullen, C., PhD.
(2009). Electronic medical records: the family practice resident perspective. Family Medicine, 45(1): pp. 129-132. Retrieved from: ProQuest Database.
Healy, B., M.D. (1999 February 17). Electronic medical records: will your privacy be safe? U.S. Health News. Web. Retrieved from: http://health.usnews.com/health-news/blogs/heart-to-heart/2009/02/17/electronic-medical-records-will-your-privacy-be-safe, on 12 September 2011.
Wood, J. (2009). How secure is your clinic? Chiropractic Economics. Web. Retrieved
One issue which has gained in public attention in recent years, first with the outbreak of SARS and avian flu, and more recently with the spread of swine flu, is that of public health epidemic. A failure to disclose health concerns properly or to allow others to know when one is seriously ill is a way to instigate the spread of a condition. Thus, "public health has laws governing reportable illnesses such as TB, small pox, and sexually transmitted diseases. In these cases, the patient's identity is exposed in order to protect the general public." (Quan, 1) Thus, the protection of patient privacy without proper consideration of these concerns may manifest as a more serious and widespread public health crisis.
And from a legal standpoint, one of the most treacherous legal paths concerns the question of the patient's potential danger to himself or others. This is a condition which was…
Allen, A.L. (2008). Confidentiality: An Expectation in Health Care. NELLCO Legal Scholarship Repository.
American Health Information Management Association. (AHIMA). (2008). Privacy and Confidentiality in Healthcare. AHIMA.org.
Garrett, T.M.; Ballie, H.W. & Garrett, R.M. (1998). Health Care Ethics: Principles and Problems. Prentice Hall College Div.
Huggett, J.M.; Lai, W.; Hodsdon, B.C. & Gay, S.B. (2004). Patient Confidentiality for Health Care Providers. University of Virginia Health Sciences Center, Department of Radiology. Online at http://www.med-ed.virginia.edu/courses/rad/confidentiality/
patient privacy, confidentiality HIPPA. Must answer questions: Describe issue impact population affects. What arguments facts article support proposed solution.
Park, Alice. (2009, September 23). Are med-student tweets breaching patient privacy? Time
Magazine. etrieved March 27, 2011 at http://www.time.com/time/health/article/0,8599,1925430,00.html
Patient privacy article review:
Park, Alice. (2009, September 23). Are med-student tweets breaching patient privacy? Time
Magazine. etrieved March 27, 2011 at http://www.time.com/time/health/article/0,8599,1925430,00.html
According to Time Magazine, the Internet has proved to be both a boon to and a bane of patients in the modern era of medicine. On one hand, the Internet can provide a powerful resource for patients, enabling them to share information as well as commiserate with other sufferers. Consider this example of one patient with kidney cancer, whose primary physician recommended a website to research cancer specialists: "Within 11 minutes of submitting his first post to the Association of Cancer Online esources…[the cancer patient] received recommendations for top…
HIPPA. (2011). American Medical Association (AMA) Retrieved March 27, 2011
Patient confidentiality. (2011). American Medical Association (AMA) Retrieved March 27, 2011
Nursing esearch HIPAA Proposal
Patient privacy protection is a cornerstone of any patient bill of rights and is a major goal of any nurse or medical professional. Without privacy, the basis of trust necessary to facilitate patient healing simply can not occur. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) increasingly dominates the nursing landscape. Safeguarding private patient information is not just important. It is the law. HIPAA provides federal protection for personal health information that is held by the affected organizations (and their contractors) and gives patients a wide spectrum of rights related to that information. Such organizations include health care providers (doctors, nurses, etc.), heath plans (insurance, HMOs, etc.) or health care clearinghouses (entities that process nonstandard information) or student records at universities. An organization is required to know if it is an entity covered by HIPAA in order to comply with the law. Once the…
Brill, J. (2007). Giving hipaa enforcement room to grow: Why there should not (yet) be a private cause of action. Notre Dame Law Review, 83(5), 2105-2140.
Californian sentenced to prison for hipaa violation . (2010, April 29). Retrieved from http://journal.ahima.org/2010/04/29/californian-sentenced-to-prison-for-hipaa-violation/ .
Chretien, K.C., Goldman, E.F., Beckman, L., & Kind, T. (2010). It's your own risk: Medical
students' perspectives on online professionalism. Academic Medicine, 85 (10), 68-71.
Advocating for Health Care
Morals and ethics are critical parts of the foundation of nursing. Compassion, caring, and advocacy is the main characteristics that each nurse in the nursing profession should possess and evoke each day in the performance of their clinical practice. Just like any other profession, nurses must also operate within ethical standards, professional guidelines and perform their clinical practice in the parameters of the law of their respective state. However, there is a fine line that distinguishes ethics and law, which can get muddles especially within the nursing profession because nurses are not able to ethically agree with the law, but they must adhere to procedures and protocols at the same time. The case scenario presented places Lena is a difficult ethical situation and the nursing code she vowed to honor.
Under the Health Insurance Portability and Accountability Act (HIPAA) it is illegal for a healthcare worker…
Lachman, V. D. (2009). Practical use of the nursing code of ethics: Part I. MedSurg Nursing, 18(1), 55.
Sarpatwari, A., Kesselheim, A. S., Malin, B. A., Gagne, J. J., & Schneeweiss, S. (2014). Ensuring patient privacy in data sharing for postapproval research: Mass Medical Soc.
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…
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.
Department of Veterans Affairs Medical Center, Oklahoma City, Oklahoma
Today, the Department of Veterans Affairs (VA) operates the nation's largest healthcare system through the Veterans Health Administration (VHA), including 152 medical centers (VAMCs), 800 community-based outpatient clinics and numerous state-based domiciliaries and nursing home care units (About VA, 2016). As the second-largest cabinet agency in the federal government, the VA's budget exceeds the State Department, USAID, and the whole of the intelligence community combined) with more than $60 billion budgeted for VHA healthcare (Carter, 2016). One of the VHA's largest medical centers that provides tertiary healthcare services to eligible veteran patients is the Oklahoma City VA Medical Center (OKC VAMC) in Oklahoma City, Oklahoma. Like several other VAMCs, the OKC VAMC has recently been implicated in a system-wide scandal concerning inordinately lengthy patient waiting times and misdiagnoses which may have contributed to the deaths of some veteran patients and jeopardized…
About the Oklahoma City VA Medical Center. (2016). Oklahoma City VA Medical Center. Retrieved from http://www.oklahoma.va.gov/about/ .
About VA. (2016). Department of Veterans Affairs. Retrieved from http://www.va.gov / about_va/vahistory.asp.
Breen, K. J. & Plueckhahn, V. D. (2002). Ethics, law, and medical practice. St. Leonards, NSW: Allen & Unwin.
Carter, P. (2016). How to fix the VA. Slate. Retrieved from http://www.slate.com/blogs / the_works/2016/03/25/slate_s_infinite_scroll_implementation_explained.html.
Incidental findings are fairly common in the course of medical testing, occurring in around one-third of all tests (Ofri, no date). Yet, the medical field is torn about what the ethical implications of such findings are. In particular, it can be difficult to determine whether reporting such findings is important, and therefore medical practice seeks to establish a threshold of what should and should not be reported. This particular finding, that the son is not the biological son of the father, does not appear to be medically relevant. First, it is not relevant to the question at hand, which is whether the people in the family have the marker for Huntington's Disease. The child could or could not, and his parentage is not relevant to that question. Second, who is or is not his biological father is not a matter of medical health, and especially not an immediate matter.…
Illes, J. & Kirschen, M. (2014). Unexpected findings. Monitor on Psychology. Vol. 45 (3) 54.
Meiser, B. & Dunn, S. (2000). Psychological impact of genetic testing for Huntington's disease: An update of the literature. Journal of Neuroology and Neurosurgery Psychiatry. Vol. 69 (2000) 574-578.
Ofri, D. (no date). Ethical implications of incidental findings. Danielle Ofri. Retrieved April 2, 2016 from http://danielleofri.com/ethical-implications-of-incidental-findings/
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…
Portability vs. Privacy
Electronic Medical ecords (EM) refers to the digital version of papers containing all the medical history of a patient. EMs are mostly applied in healthcare institutions for treatment and diagnosis.
Benefits of Electronic Medical ecords
The following are some of the benefits associated with electronic medical records (Thede, 2010). EMs are more efficient than paper records because they encourage providers to:
Track patient's data over time
Spot clients who are due for screening and preventive visits
Conduct patient monitoring to measure their parameters including blood pressure and vaccinations
Improve the overall quality of service provision in the practice
Electronic medical records store information in a manner that makes it impossible for outsiders to access. It might be necessary to print patients' medical records and delivered through the mail to other health care members or specialists.
HIPAA egulations and EM
The federal government passed the Health Insurance Portability…
Thede, L. (2010). Informatics: Electronic health records: A boon or privacy nightmare? Online Journal of Issues in Nursing, 15(2), 8.
Jacques, L. (2011). Electronic health records and respect for patient privacy: A prescription for compatibility. Vanderbilt Journal of Entertainment & Technology Law, 13(2), 441-462. http://www.jetlaw.org/wp-content/journal-pdfs/Francis.pdf
Stanhope, M., & Lancaster, J. (2012). Public health nursing: Population-centered health care in the community. Maryland Heights, Mo: Elsevier Mosby.
PHI Security and Privacy
Privacy and security is significant for any institution operating under offices because of clients, which prompts for the need of protecting the flowing information. In the context of a hospital, there is need for protecting the client's information in order to assure them of their privacy and security. Privacy is always important when attending to the clients since it provides an environment where the latter can open up to their doctors. Privacy refers to what the protected; information about the patient and the determination of the personalities permitted to use while security refer to the way of safeguarding the information through ensuring privacy to information (odrigues, 2010). The patients also need security because of the inevitability of serene environment for their recovery. Even though St. John's hospital presents good strategies in terms of their sound policies, this is not enough in ensuring confidentiality in the information…
Harman, L.B., & American Health Information Management Association. (2006). Ethical challenges in the management of health information. Sudbury, Mass: Jones and Bartlett
Nass, S.J., Levit, L.A., Gostin, L.O., & Institute of Medicine (U.S.). (2009). Beyond the HIPAA
privacy rule: Enhancing privacy, improving health through research. Washington, D.C:
In health care, the protection of confidential patient information is an important key in to addressing critical issues and safeguarding the privacy of the individual. To provide more guidance are federal guidelines such as: the Health Care Insurance Affordability and Accountability Act (HIPPA). On the surface, all facilities are supposed to have procedures in place for discarding these kinds of materials. ("Summary of HIPPA Privacy ule," 2102)
In the case of St. John's Hospital, they have become known for establishing practices of innovation (which go above and beyond traditional safety standards). Yet, at the same time, there are no critical internal controls governing how this information is thrown away. What most executives are concentrating on: is meeting these objectives from an external stakeholder perspective.
This is creating problems inside the facility, as the custodial staff able to go through the garbage and read this information. The reason why,…
Summary of HIPPA Privacy Rule. (2012). HHS. Retrieved from: http://www.hhs.gov/ocr/privacy/hipaa/understanding/summary/index.html
Alguire, P. (2009). The International Medical Graduate's Guide. Philadelphia, PA: ACP Press.
Johnston, A. (2012). State Hospitals become more Transparent. Times Record News. Retrieved from: http://www.timesrecordnews.com/news/2012/jan/13/state-hospitals-become-more-transparent/
Kilipi, H. (2000). Patient's Autonomy. Amsterdam: ISO Press.
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.
Nursing role is…
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
business plan provides a process change for bedside patient handoffs at Samaritan Medical Center, Watertown, New York. An overview of the medical center is followed by its mission and vision statements, and organizational values. A discussion of the assumptions involved together with a breakdown of associated costs involved in the business plan are followed by a discussion of the importance of timely patient handoffs and a description of the proposed bedside handoff protocols for Samaritan Medical Center.
Overview of Samaritan Medical Center:
"Samaritan Medical Center (Watertown, New York) is a 294-bed not-for-profit community medical center, offering a full spectrum of inpatient and outpatient healthcare services. From primary and emergency care to highly specialized medical and surgical services, such as cancer treatment, neonatal intensive care, behavioural health and addiction services, and imaging services, Samaritan Medical Centre and its team of healthcare professionals proudly serves the medical needs of our civilian and…
Centers for Medicare & Medicaid Services. (2008). Facts sheet: HCAHP facts. Retrieved from http://www.cms.gov/Newsroom/MediaReleaseDatabase/Fact-sheets/2008-Fact-sheets-items/2008-03-28.html?DLPage=4&DLSort=0&DLSortDir=descending
Centers for Medicare & Medicaid Services. (2013). HCAHPS facts sheet (CAHPS hospital survey). Retrieved from http://www.hcahpsonline.org/Facts.aspx
Friesen, M.A., White, S.V., & Byers, J.F. (2008). Handoffs: Implications for nurses. In Hughes, R.G. (Ed.). Patient safety and quality: An evidence-based handbook for nurses,
(pp. 2-285 -- 2-332). Rockville, MD: Agency for Healthcare Research and Quality.
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…
ecurity Management Plan
Privacy of client information is an assurance that every patient wants and this assurance is what the hospital can build patient confidence on. The lack of it therefore may have consequences such as loss of confidence in the hospital, loss of clientele and the emergence of a poor reputation. This paper looks at the t. John's Hospital which has experienced the leakage of confidential information a problem that needs to be addressed. It highlights the steps the hospital must take in its management plan. In the first step, hospital must identify how widespread the problem is and where exactly there are weaknesses in the system. econdly, the hospital's staff must receive adequate training in methods to deal with confidential information especially its destruction. A culture must be developed to deal with this information discreetly. In this same breadth breach must be understood by all staff…
Shred it (2013), Security Breach, Shred --It making sure it is secure, http://www.shredit.com/en-us/document-destruction-policy-protect-your-business (Retrieved 16/11/2015)
Scallan T. (2013), Disaster recovery solutions underscore the importance of security, Health Management Technology, http://www.healthmgttech.com/disaster-recovery-solutions-underscore-the-importance-of-security.php (Retrieved 16/11/2015)
U.S. Department of Health and Human Services (HHS) (2000), Health information privacy, HHS.gov, http://www.hhs.gov/ocr/privacy/hipaa/understanding/srsummary.html (Retrieved 16/11/2015)
oom Size Matters in Behavioral Health Outpatient Facilities
The following proposal highlights the considerations that must be satisfied in planning the size of rooms to serve behavioral health situations in an outpatient environment. The housing facilities contribute a great deal to the smooth recovery of patients in a hospital and healthcare nursing homes alike. In outpatient healthcare services, the room size for consultation and residential should meet certain standards. This proposal focuses on the space planning criteria that would help to develop an environment that suits the goal of every behavioral health environment.
Components of a research study
a) The comfort of the patient: The nature of rooms that will host the clients should not come out in a way that makes the clients uncomfortable. The influence of the size of rooms on the behavioral health of a child patient is not the same as that of an adult patient.…
Bland, K. I., & Copeland, E. M. (2009). The Breast: Comprehensive Management Of Benign And Malignant Diseases. Philadelphia, PA: Saunders/Elsevier.
Craig, L., Dixon, L., & Gannon, T. A. (2013). What Works In Offender Rehabilitation: An Evidence-Based Approach To Assessment And Treatment.
Devlin A. S. (2015). Transforming the Doctor's Office: Principles from Evidence-Based Design Contributor. Routledge Hall, S. S. (2006). Size Matters: How Height Affects The Health, Happiness, And Success Of Boys -- And The Men They Become. Boston: Houghton Mifflin Co.
The expanding roles that nurses play in the healthcare field include taking the health history of patients. There are many important components to the task of taking patient histories, and this paper reviews those important aspects and components that are published in the Nursing Standard article by Lloyd H. Craig.
Craig says taking the history of patients is "…arguably the most important aspect of patient assessment" (Craig, 2007, p. 42). The reason it is so vital to the practitioner (or doctor) is that every healthcare issue or concern that the patient has encountered in his or her past -- recent or not -- may have implications for how the patient is to be treated.
Nurses do not always see the patient in a doctor's office or a hospital patient room. The nurse might encounter patients in the following environments, according to Craig: a) in an accident scene or…
Craig, Lloyd H. (2007). A guide to taking a patient's history. Nursing Standard, 22(13), 43-48.
Patient histories can often provide a great deal of information about their condition and what the underlying causes may be. As such, taking an accurate patient history can be one of the most important aspects of a patient's visit to a medical facility. There are a number of factors that are important with respect to taking a patient's history, and they include one's ability to gain accurate information, one's ability to have a rapport with the patient that encourages trust, honesty and openness, and being very thorough, so as to not miss important information, such as current medications or past medical events. The following is a review of an article presented in Nursing Standard concerning the details of how to take a patient's history.
The article is very thorough in its instructions on how to take a proper patient history. The article begins by emphasizing the importance of taking…
Craig, L.H. (2007). A gudie to taking a patient's history. Nursing Standard, 22(13), 42-48.
Examples of 'red flag' usage include logging in during odd hours (over the weekend and in the middle of the night) or unusual activity not typical of specific users. Cloud computing can also lessen the risks by making it more difficult to actively 'transport' data away from secure premises. "According to an HHS database, more than 40% of medical data breaches in the past two and a half years involved portable media devices such as laptops or hard drives" (Schultz 2012)
Q3. How can we minimize injury and harm after such incidents occur?
First and foremost, it is important to inform the affected patients of the nature and extent of the security breach. Patients can take action by putting a credit freeze on their accounts, if they are at risk for identity theft. Offering patients free credit protection might be one way to reduce anger and concern. Passwords must be…
Schultz, D. (2012). As patients' records go digital, theft and hacking problems grow
Kaiser Permanente Health News. Retrieved: http://www.kaiserhealthnews.org/Stories/2012/June/04/electronic-health-records-theft-hacking.aspx
Another way to put the patient at ease during moments like this is for the nurse to be absolutely certain that she is not showing any signs of being judgmental. If this happens, it could throw the patient off guard and create an uncomfortable situation where the patient no longer feels comfortable being honest with the nurse. Once this happens, the nurse will have an inaccurate patient history and the patient runs the risk of not being treated properly for the underlying symptoms.
In order for the history to be as accurate as possible, the nurse should ask questions regarding several issues that may affect the patient's health. The patient's past medical history is vitally important to the process because it can serve as a guide to what has worked in the past and what treatments are ineffective. The patient's mental health is also important. This will give the nurse…
Lloyd, H. And Craig, S. (2007). A guide to taking a patient's history. Nursing Standard. 22(13),
Confab, howeve, is an achitectue that is able to bypass these limitations and combine both appoaches. It is limited, though, and a tue pevasive envionment calls fo complex pefeences that can be easily manipulated by the end use.
Moeove, all these appoaches ae not completely sufficient in meeting the challenges mentioned in section 3.2. Fo instance, PETs and pivacy models do not explicitly contibute in a eduction of data collection, no is that thei intent o pupose. Although anonymous data collection is based on the assumption that if data is collected anonymously then it cannot be linked with any individual, and if data cannot be elated to an individual then it poses no theats in tems of pivacy. Thus, detailed pivacy policies and safeguads fo data ae not seen as citical in this model. By collecting anonymous data, one may ague that a tue minimum amount of pesonal data is…
references that can be easily manipulated by the end user.
Moreover, all these approaches are not completely sufficient in meeting the challenges mentioned in section 3.2. For instance, PETs and privacy models do not explicitly contribute in a reduction of data collection, nor is that their intent or purpose. Although anonymous data collection is based on the assumption that if data is collected anonymously then it cannot be linked with any individual, and if data cannot be related to an individual then it poses no threats in terms of privacy. Thus, detailed privacy policies and safeguards for data are not seen as critical in this model. By collecting anonymous data, one may argue that a true minimum amount of personal data is being collected. However, ensuring complete anonymity remains both technically and practically difficult.
For example, mix zones and changing pseudonyms are used to maintain anonymity but it is also possible to break the anonymity and track a user in a mix zone. Pervasive computing, then, needs other, more robust means to minimize the amount of data collection. Moreover, there are usability and efficiency issues that arise with any of these approaches. Testing, for example, is typically done in a controlled environment under limited conditions. The effectiveness of many of these solutions, then, has not been adequately tested under typical, real-world, conditions. In a true pervasive computing environment, users will move extensively between different computing environments and will interact with various devices (e.g. starting from small portable hand held device to large wall sized displays), and applications. It is difficult to predict how privacy solutions will perform in a true user-environment under more typical conditions.
Thus, it will be necessary to find and incorporate a unique privacy model that accentuates both social and legal norms, while ensuring the technical ability to protect privacy.
Newman, a. 2008, Protectors of Privacy: Regulating Personal Data in the Global Economy, Cornell University Press.
Patient Electronic Access
The objective of this study is to investigate the application of the electronic health record at the inner City health hospital. The goal of implementing the program is to allow patients to have easy access to their health data and information to assist them sharing their health information with other healthcare and personal care providers. This study investigates the application of Measure 1 Stage 1 for the City Health organization. Following the benefits of the electronic health records, the City Health has decided to implement the new program. The program will allow patients to access their information on demand through PH (personal health record). However, the City Hospital will be able to derive benefits from the program by setting aside $170,000 for the implementation costs and $90,500 maintenance expenses. Moreover, the City Hospital should organize a training program for the staff to make the program be successful.…
ASCRS (2015). Patient Portal Requirement in Meaningful Use Guidance for Providers. ASOA.
CMS (2016). EHR Incentive Programs in 2015 through 2017 Patient Electronic Access. EHR.
Department of Labor (2015). Computer and Information Technology Occupations. Occupation Handbook Outlook.
Fleming, N.S. Culler, S.D. Mccorkle, R. et al. (2011). The Financial And Nonfinancial Costs Of Implementing Electronic Health Records In Primary Care Practices. Health Affairs. 30 (3): 481-489.
The subject of DNA fingerprinting has become a prominent issue on several fronts. The applicable paradigms involved include law enforcement, privacy concerns and immigration, just to name a few. A few questions and concerns about DNA will be included in this repot including what precisely DNA fingerprinting is, how it is done, the step-by-step methods of fingerprinting, how DNA is compared on an electrophoresis (EPG), what precisely EPG is, whether the author of this report agrees with DNA fingerprinting everyone for medical reasons, why DNA is considered potential evidence in a court of law and whether the author of this report aggress with the government wanting to DNA-fingerprint everyone so that they can learn about disease propensity and other pieces of information. hile DNA fingerprinting has and will continue to render a large amount of benefit, the privacy and other rights of people to be fingerprinted are a…
Aarli, Ragna. "Genetic Justice And Transformations Of Criminal Procedure." Journal Of
Scandinavian Studies In Criminology & Crime Prevention 13.1 (2012): 3-
21. Academic Search Premier. Web. 14 Oct. 2014.
Ai, Bingjie, et al. "The Elimination Of DNA From The Cry Toxin-DNA Complex Is A
Clinical Activity: Maintaining Alignment to Legal Changes
Policy and Procedures on Information System
My organization's priorities are maintaining the confidentiality of patients and also protecting the organization as a whole from any security impingements. All information is password-protected with strong passwords requiring six characters or more, at least one capital letter and one lower case letter, a number and a symbol of some kind. Passwords are also regularly changed. There is also an additional level of screening with security questions.
Employees are prohibited from using their work email address to conduct personal business. All work emails are monitored to ensure that employees do not disclose private data of patients, work passwords, or open up potentially corrupted files that could damage the system. Mobile devices must likewise be secured and data must only be accessed on secured networks. All employees are prohibited from disclosing any private data about patients with any…
HIPAA. (2016). HHS. Retrieved from: http://www.hhs.gov/hipaa/
HIPAA: Electronic Data Interchange (EDI) Rule. (2016). ASHA. Retrieved:
Your rights under HIPAA. (2016). HHS. Retrieved from:
The cases of Todd vs. Mr. Gomez
When dealing with a situation in which communications between a patient and a physician is difficult -- for example, if the patient has limited English proficiency or is deaf -- inevitably barriers are created which prevent a fully patient-centered communications process. Physicians often cite limited time as a reason for being insufficiently patient-focused. In the case study of Todd, the interaction was challenging because of the lack of the presence of an ASL interpreter. This was a lose-lose situation for both the patient and the physician. The physician was frustrated because of the extra time needed to complete the interaction by writing everything down; the patient was frustrated because of the fact the physician often misunderstood him and tried to lip-read as a shortcut or ask him yes and no questions which did not sufficiently address his concerns.
Perhaps the area…
Employee Privacy Torts
Issues relating to employee privacy have been at the forefront of businesses for many years. This has been fuelled by the dynamic workplace which changes constantly and also by employees and employers being more litigation-conscious. Technology has also spurred on employee privacy issues with e-mail and the internet being related to heightened concerns about vulnerability of employers to litigation. Many employers have thus exacerbated their concerns relating to employee privacy and especially monitoring of employee behavior. Employee privacy is respected in many of the large corporations. However, there still exist some breaches in employee privacy. Small business owners are at most risk as a result of their increased monitoring practices and close employer-employee interaction.
oberson v. ochester Folding Box Company
One of the major cases that brought employee privacy to the limelight was oberson v. ochester Folding Box Company
Franklin Mills Co. decided to appeal…
Anderson v. City of Philadelphia, 845 F. 2d 1216 (1988).
Borse v. Piece Goods Shop, 963 F.2d 611 (1991).
Burlington Industries, Inc. v. Ellerth, 524 U.S. 742 (1988).
City of Ontario v. Quon, 130 S.Ct. 2619, 560 U.S. (2010).
Patient Privacy ights and the elated Scientific esearch
The medical research and the use of data collected from patients is not a strange phenomenon in the medical field across the globe, with most medical trend and infections or disease being handled and controlled based on the information collected from patients. Mr. Oberman found himself in a dilemma since being a medical practitioner, he had the internal and professional urge to do anything that would contribute to the furthering of medical research and well being of the population in general. Yet on the other hand, being an individual from the society which he treated its members, he felt that their right to privacy and concealing of private information when they so wished nodded to be respected. All his colleagues were against the legislation that restricted the kind of questions that could be asked of a patient and wanted the pregnant women…
Salmon D.A. & Omer S.B., (2006). Individual freedoms versus collective responsibility: immunization decision-making in the face of occasionally competing values. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1592474/
This information, stored on a computer and used to correlate with other data could be considered invaluable by many researchers, but the patients have a right to keep certain information private, and to suggest anything else would be an ethical violation of the patient's privacy.
Because computer ethics is such a volatile issue, an entire branch of study has grown up around computer ethics, which proponents who believe the computer age caused these ethical issues, and others who believe these issues would have surfaced anyway. One of the proponents of computer ethics, who actually was the first to teach the concept, Walter Maner, from Old Dominion University, is a proponent of the computer creating brand new ethical issues. An expert quotes Maner, "For all of these issues, there was an essential involvement of computing technology. Except for this technology, these issues would not have arisen, or would not have arisen…
Adams, H.R., Bocher, R.F., Gordon, C.A., & Barry-Kessler, E. 2005 Privacy in the 21st Century: Issues for Public, School, and Academic Libraries. Libraries Unlimited, Westbrook, CT.
Bynum, Terryl 2008 Computer and Information Ethics, Stanford University, URL=" http://plato.stanford.edu/entries/ethics-computer/ "
Fisher, C.B. 2006 Privacy and Ethics in Pediatric Environmental Health Research-Part I: Genetic and Prenatal Testing. Environmental Health Perspectives, 114(10), 1617+.
Rennie, John 2008 Who's Watching You: The Future of Privacy, Scientific American, URL=" http://www.sciam.com/podcast/episode.cfm?id=28825D7D-D772-2192-12177C05B4B2AED7 "
They would subsequently call them at home, leave literature and fetus dolls at their door, and even call families and distant relatives of the patients to inform them of the patients' plans to ask them to intercede. The Pro-Life advocates argued that they were lawfully exercising their right of free speech on public property (such as across the street fro doctors' offices) to verbally attack patients by name as they exercise their equally important right to personal physical autonomy under the recognized privacy penumbras.
The Value of the Legal Approach Suggested by the Article
The Yale Law Journal article (Clapman, 2003) explained various ways that the general right of free speech is limited by more important privacy rights. For example, truth is ordinarily an affirmative defense to defamation. However, existing law already recognizes that certain statements, despite being truthful, serve no valid purpose besides injuring another person, such as by…
Clapman, A. "Privacy rights and abortion outing: a proposal for using common-law torts to protect abortion patients and staff." The Yale Law Journal. Yale University,
School of Law. 2003. Retrieved May 25, 2010 from HighBeam Research:
Dershowitz, A. (2002). Shouting Fire: Civil Liberties in a Turbulent Age. New York:
Boulton, Martha (2005) Exploring alexithymia, depression, and binge eating in self-reported eating disorders in women. Perspectives in Psychiatric Care
Dahm, Lori (2005) Obesity update: are we getting any thinner?(Special Report)
Private Label Buyer
Merrick, Joav (2005) Psychosomatic reasons for chronic pains.(Editorial)
Southern Medical Journal
____(2006) Obese people may be more sensitive to pain.(NEWS Breaks)(Brief article) Nutrition oday
PORER, LAWRENCE C. WAMPLER, RICHARD S (2000) Adjustment to Rapid Weight Loss. Families, Systems & Health
Rubin, Jay J. (2005) Psychosomatic pain: new insights and management strategies.(CME opic: Psychosomatic Pain) Southern Medical Journal
ucker, Miriam E. (2005) Depression tied to poor adherence to cardiac Rx: results of two studies show that use of aspirin and [beta]-blockers was lower in depressed patients.(Psychosomatic Medicine) Clinical Psychiatry News
his study will seek to determine whether or not obese post operative patients have a higher incidence of psychosomatic disorders and illnesses than non-obese post op…
The need for this study is evident. The cost factor of psychosomatic illnesses may be reduced if it can be determined whether or not the obese patient population has a higher incidence of psychosomatic illness in post op. If it does then future steps can be taken to better prepare the obese patient population for surgery to reduce the incidence of post op psychometric illness.
Tucker, Miriam E. (2005) Depression tied to poor adherence to cardiac Rx: results of two studies show that use of aspirin and [beta]-blockers was lower in depressed patients.(Psychosomatic Medicine) Clinical Psychiatry News
" (South Australia, p. 8)
This demonstrates the balance which is necessary in protecting the rights of the patient and simultaneously ensuring that physicians have the freedom necessary to perform to the best of their abilities. In a respect, this underscores the nature of the strategies used for the protection of patients' rights. The intention is primarily to provide a basic forum for the constructive interaction of patient and physician with legal recourse serving as a failsafe. So is this implied by the LSCSA, which indicates that the demands of existing Patients' Rights standards are designed to make the physician actively accountable to the patient's interests. Therefore, the LSCSA indicates a strategy for preserving the right to consent, reporting that "although the first step usually should be to speak to the doctor or other health care provider who has treated the patient, if any doubts remain, a patient should not…
Legal Services Commission of South Australia (LSCSA). (2010). Patients' Rights. Law Handbook.sa.gov.au.
South Australia (1995). Consent to Medical Treatment and Palliative Care Act 1995. Legislation Revision and Publication Act 2002.
South Australia1 (2009) Mental Health Act 2009. Legislation Revision and Publication Act 2002.
The modern nurse must then be willing to move beyond a simple catch-all of medical jargon and bureaucracy and become someone who is both supportive and critical of the system. This may seem dichotomous, but in reality is not. The system is designed with beneficence in mind -- to help the patient at all costs. It is thus up to the nurse advocate to ensure that that actually happens (Sheldon, 2009).
Undertake assessments which are sensitive to the needs of the patient- Assessment is one of the key factors in management of clinical medicine. The nurse is often at the forefront of that process simply due to the logistical nature of the situation -- taking vitals, preparing the patient for blood work, etc. However, it is in two particular areas that the nurse can be most effective when assessing the actual needs of the patient; culturally and when questions are…
Edwards, N., et.al. (2003). Aging, Heart Disease, and Its Management. Humana Press.
Lundy, K. And Janes, S. (2003). Essentials of Community-Based Nursing. Sudbury, MA:
Jones and Bartlett.
Miller, C. (2009). Nursing for Wellness in Older Adults. Philadelphia, PA:
Magnetic esonance System on patients
Magnetic resonance System (Imaging), here after referred to as (MS), or nuclear magnetic resonance imaging (NMI), is a medical imaging technique widely used in radiology to visualize detailed internal structure and limited function of the body. It provides great contrast between the different soft tissues of the body, making it particularly useful in neurological (brain), musculoskeletal, cardiovascular and ontological (cancer) imaging. MS uses a powerful magnetic field to align the nuclear magnetization of (usually) hydrogen atoms in water in the body (Adams, 1989). To systematically alter the alignment of this magnetization, adio frequency (F) fields are used, enhancing the generation of a rotating magnetic field by the hydrogen nuclei that can be detected using a scanner.
MS can detect the chemical composition of diseased tissue and produce color images of brain function. This signal can be controlled by more magnetic fields to build up adequate…
Adams, R.D. & Victor, M. (1989). Intracranial neoplasm: Principles of neurology. (4th Ed.) New
Clark, C.A., et al. (2003). White Matter Fiber Tracking in Patients with Space-Occupying Lesions of the Brain: A New Technique for Neurosurgical Planning? Neuroimage 20: 1601-1608.
Hammell K. (1994). Psychosocial outcome following spinal cord injury. Paraplegia 32: 771 -- 779.
If I found myself in a conversation with a citizen from a country where healthcare is socialized, I would be more than likely to speak with candor by expressing my disapproval for the nature of America's healthcare industry. As the same time, I would connect this to the more general nature of America's economy, political culture and socioeconomic hierarchy. The healthcare industry's monetarily-based exclusivity is consistent with most other aspects of public life in America such as the distribution public services, access to education and infrastructural maintenance. The way that Americans experience all of these things is highly subject to socioeconomic status. That said, I would explain quite simply that this constitutes one of the single greatest flaws in American public governance.
Indeed, the problem of a lack of insurance for many is related to the problem of the cost of healthcare. So confirms the article by Consumer Reports…
Consumer Reports (CR). (2008). High Health Care Costs. Consumer Reports Health.org.
Gawande, A. (2009). The Cost Conundrum. The New Yorker.
Hussey, P.S.; Vries, H.D.; Romley, J.; Wang, M.C.; Chen, S.S.; Shekelle, P.G. & McGlynn, E.A. (2009). A Systematic Review of Health Care Efficiency Measures. Health Services Research, 44(3), 784-805.
Waldman, J.D.; Kelly, F.; Arora, S. & Smith, H.L. (2010). The Shocking Cost of Turnover in Health Care. Health Care Management Review, 35(3), 206-211.
Internet Privacy for High School Students
The unrestrained stream of information is conceived necessary for democracies and market-based economies. The capability of the Internet to make available the vast quantity of information to practically everyone, irrespective of their locations thus entails large benefits. The Internet provides access to the greatest libraries of the world to the students even in the smallest towns and permit the medical specialists to analyze the patients situated about thousands of miles away. The attribute of interactivity of the Internet fosters communication and personal and political expression. The Internet also assists to make the economies progress as it enhances the ease, speed and cost effectiveness with regard to the collection, compilation and delivery around the world to the multiple extent. The electronic commerce will decline the business costs as companies are able to take the benefits of enhanced access to customers, products and suppliers worldwide along…
Baskin, Joy Surratt; Surratt, Jim. "Student Privacy Rights and Wrongs on the Web" School Administrator. Vol: 35; No: 2; pp: 102, 114-116
Beth Givens, (February 2000) "Privacy Expectations in a High Tech World" Computer and High Technology Law Journal. Retrieved from http://www.privacyrights.org/ar/expect.htm Accessed on 14 April, 2005
'Board Policy with Guidelines Date Subject: Student Technology Acceptable Use Policy" (17 July, 2001) North Sanpete School District Policy. Number V-30. Retrieved from http://www.nsanpete.k12.ut.us/~nshs/nslibrary/accuse.html Accessed on 14 April, 2005
Brooks-Young, Susan. (November-December, 2000) "Internet usage update" Today's Catholic Teacher. Vol: 17: No: 2; pp: 53-56
Clients' rights are not being overtly violated because when they register for our referral services, they do not divulge any sensitive information. One could say they are assuming risk when they fill out our forms. On the other hand, when the client sees the doctor, social worker, or therapist, he or she does divulge sensitive information and does expect total confidentiality. The office workers also keep the jokes, and especially client names, within office walls. From this point-of-view, clients' rights are not actually being violated at all.
Similarly, it would be almost impossible for the client, the brunt of the joke, to find out about or be hurt by the gossip because when employees joke they do so without any references to the client's address or other vital information. A utilitarian could therefore argue that because the gossip causes more pleasure for the employees than it does pain for the…
The following questions pertain to:
McMillan, S.C., & Small, B.J. (2007). Using the COPE intervention for family caregivers to improve symptoms of hospice homecare patients. Oncology Nursing Forum, 34(2), 313-21.
What is the purpose of this research?
The purpose of this research was to describe the unexpected and distressing symptom experiences that women may have after undergoing breast cancer treatment, with the goal of enhancing follow-up care through practitioner education and an increase of the knowledge base.
What is the research question (or questions)? This may be implicit or explicit.
What symptoms may be experienced after breast cancer treatment that contribute to symptom distress and psychological stress that are may be temporal, situational, or attributive -- and that may be ameliorated during follow-up care?
What theories, frameworks, models or concepts may have influenced the researchers' choice of a research design?
The qualitative approach stems from a phenomenological philosophical background…
What does the patient have the right to know?
What the patient has the right to know (regarding genetic tests) is: a complicated matter and many people, including experts, have varying opinions. The information patients receive from genetic testing can have significant consequences, especially if it leads a pregnant woman to have an abortion. The ethical principles that arise in situations like this are varied and are often in conflict with each other. The ethical decisions in genetic counseling would be fairly cut and dry if the principle of autonomy was the only one that was considered. However, by doing this a counselor may be ignoring the other ethical concerns like: what is best for society and being fair to other people (regarding who the patient's decisions are affecting).
Who should have decision making power in our society on issues of genetic / medical testing?
Regarding the "Dwarfism…
Biesecker, Barbara. "Future Directions in Genetic Counseling: Practical and Ethical Considerations." Kennedy Institute of Ethics Journal 8.2 (1998). 145-160. Web.
Flackelman, Kathy. "Beyond the genome: the ethics of DNA testing." Science News. 5 Nov. 1994: 66-70. Print.
Flackelman, Kathy. "DNA dilemmas: readers and 'experts' weigh in on biomedical ethics." Science News. 5 Nov. 1994: 64-66. Print.
Incarcerated Mentally Ill Patients
It may sound unbelievable, but on any given day, scholars estimate that almost 70,000 inmates in U.S. prisons are psychotic; and up to 300,000 suffer from mental disorders like depression, schizophrenia, and bipolar disorders. In fact, the U.S. penal system holds three times more people with mental illness than the nation's entire psychiatric hospitals (Kanapaux, 2004). Indeed one of the most telling trends, say some sociologists, is to incarcerate the mentally ill in order to remove them from society. This is sometimes the only alternative because public mental health hospitals have neither the space nor the funding to treat this special population. In fact, the very nature of incarceration tends to have a more traumatic effect on the individual, causing additional damage to their fragile psyche. omen, it appears, are especially vulnerable. These women have often been victimized during an abusive childhood and succession of relationships.…
Majority of Mentall Ill Inmates Don't Get Treatment. (2010, April 7). Retrieved October 2011, from Physorg.com: http://www.physorg.com/news189882907.html
ACLU. (2007, January 30). Solitary Confinment Called Inappropriate for Mentally Ill. Retrieved October 2011, from ACLU.org: http://www.aclu.org/prisoners-rights/solitary-confinement-called-inappropriate-mentally-ill-prisoners-indiana
American Psychatric Assocaition. (2000). Psychiatric Services in Jails and Prisons. Washington, DC: American Psychatric Press.
American Psychiatric Association. (2006, December). The Use of Restraint and Seculusion in Correctional Mental Health Care. Retrieved October 2011, from Pysch.org: http://www.psych.org/lib_archives/archives/200605.pdf
Treating the Patient Using Jungian Psychotherapy
The theory that would be best suited for treating the client is the Jungian theory. This is because the theory would allow the analyst and the client to work together in order for the client to increase their consciousness, which would enable them to move towards achieving psychological wholeness and balance. The concepts that make the Jungian theory most appropriate include conscious, unconscious, archetypes, and individuation (Jung, 2014). These concepts would assist the client to attain relief and meaning to their psychological suffering. Since the client is evidently suffering from depression and anxiety, making use of this theory would ensure the client attains psychological growth. The Jungian theory is a well-rounded theory, and it offers the client an opportunity to access their unconscious thoughts and relate them to their current situation (Jung, 2014). The client has some reservations that are mainly related to her…
Hewison, D. (2014). Evidence for psychodynamic psychotherapy in specific mental disorders: a systematic review by Leichsenring, F., & Klein, S. Journal of Analytical Psychology, 59(4), 596-599.
Jung, C.G. (2014). The practice of psychotherapy (Vol. 16). New York, NY: Routledge.
Roesler, C. (2013). Evidence for the effectiveness of Jungian psychotherapy: a review of empirical studies. Behavioral Sciences, 3(4), 562-575.
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…
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.
Huntington's disease (HD) was the first autonomic dominant disorder for which genetic prediction became possible" (Harper, et al., 2000, Journal of Medical Genetics, p. 567). HD is a disease that occurs due to an inherited disorder leading to the death of brain cells. A diagnosis of HD is accomplished through genetic testing which can be implemented at any age regardless of whether the symptoms manifest or not. Although, the specific symptoms vary between people, nevertheless, symptoms can start with people between 35 and 45 years of age and can also start in some individuals at even anearlier age. The disease may affect successive generations if health interventions are not implemented (Mandel, 2016).
Additionally, "the cause of HD is due to a dominant mutation of autosomal form of the gene called Huntington. This shows that a child born by an affected person has a 50% chance of developing or inheriting the…
Causes and risk factors. (2016). Health Communities. Retrieved from http://www. healthcommunities.com/huntingtons-disease/cause.shtml.
Denbo, S. M. (2013, January 1). Balancing the rights of children, parents and the state: The legal, ethical and psychological implications of genetic testing in children. Southern Journal of Business and Ethics, 5, 188-190.
Domaradzki, J. (2015, January 1). Lay constructions of genetic risk. A case-study of the Polish Society of Huntington's Disease. Polish Sociological Review, 189, 107-111.
Draper, B. (2004). Dealing with dementia: A Guide to Alzheimer's Disease and other dementias. Crows Nest, NSW: Allen & Unwin.
Patient portals, electronic medical records, and personal monitoring devices are three of the most revolutionary technologies in the healthcare sector. Each of these technologies presents patients with the potential to empower themselves, taking control of their own healthcare outcomes, and taking part in their overall healthcare goals. These technologies also streamline healthcare administration and minimize medication and billing errors. However, each of these technologies is also constrained by a range of issues related to accessibility, with potent socioeconomic class disparities evident. Security and standardization of healthcare technologies are also proving problematic. Patient portals, electronic medical records, and personal monitoring devices are all technologies that have the potential to radically improve the quality of healthcare and patient outcomes, as well as improve overall patient experiences. Because of their abundant benefits, these technologies need to be embraced and promoted through effective public health policies. Otherwise, disparities will continue to threaten to exacerbate…
American History: Discussion
Today, the existence of America is often assumed to be obviously good because of the existence of American democracy and positive American democratic values exported all over the world. However, that was not always the case. The American colonists did not find untouched, virgin land but land that was already occupied by native peoples with unique cultural worldviews. Because the Indians did not 'own' land in a manner that was comprehensible to the Europeans the colonists viewed the territory as effectively 'up for grabs.'
The initial motivation of many of the early colonists was purely mercenary such as in Jamestown: "The colony was sponsored by the Virginia Company of London, a group of investors who hoped to profit from the venture. Chartered in 1606 by King James I, the company also supported English national goals of counterbalancing the expansion of other European nations abroad, seeking a northwest…
What is quality improvement? (2014). Duke University. Retrieved from:
Health Promotion and Preventative Care Plan
The purpose of this paper is provide information about the process of conducting a health assessment and a care plan based on the findings of the several assessments that were conducted for the benefit of the patient. The paper will describe the health history consisting of a review of systems, and will provide information about the assessment and its relevance to the plan of care developed for the patient.
The patient (CM) is a 24-year-old single black female who was born in the Democratic epublic of Congo (DC) and arrived in the United States three years ago to pursue an education. CM lives at home with her siblings, nieces and nephews, and her parents who just moved to the U.S. five months ago from the DC. CM works in retail and has been working extra shifts in order to help with the expenses of…
Gulanick, M. (2012). Knowledge deficit: Patient teaching, health education. Elsevier Publishing.
Jarvis, C. (2012). Physical examination and health assessment (6th ed.). St. Louis, MO: Elsevier.
In the United States and other part of the world where internet is rapidly developing, cyber threats have continued to be on the increase. Essentially, online shopping has become a modern way of doing business, and in the United States, millions of people purchase goods and services online. To make an online shopping, individuals will need to submit their credit cards or other private information to make a purchase. Some private organizations even ask for the social security number and bank information of consumers before allowing them to make purchase of good and services. In the face of continuous use of internet for variety of activities, private consumers are increasingly facing the internet privacy threats because their private information could be compromised while sending their private data online. In the face of threats to internet privacy, effective regulations to enhance internet privacy are very critical. Although, the government have made…
Falzone, a. (2013). Regulation and Technology Harvard Journal of Law & Public Policy. Vol 36.
Lugaresi, N.(2010). Electronic privacy within the workplace: Transparency & Responsibility. International Review of Law, Computers & Technology. 24 (2) 163-173.
Jacquelyn M. & Polito, R.(2012). Ethical Considerations within the Internet Use of the Electronic Protected Health Information. Neurodiagn J. 52:34-41.
Activity Studies found common features high-performing health departments manage diabetes. These departments include receiving external funding programming, a -management education program recognized American Diabetes Association, partnership opportunities.
While obesity and obesity-related complaints such as Type II diabetes are a problem all over the United States, in my home state of Georgia, the condition has been of particular, growing concern. According to the Centers for Disease Control (CDC), "64.8% of adults were overweight, with a Body Mass Index of 25 or greater" and "29.6% of adults were obese, with a Body Mass Index of 30 or greater" in the state (Georgia's response to obesity, 2012, CDC). Even more worrisome, amongst adolescents who should be at the most active stage of their lives, "14.8% were overweight (>85th and < 95th percentiles for BMI by age and sex) 12.4% were obese (>95th percentile for BMI by age and sex)" (Georgia's response to obesity,…
Rivard, P. (2003). Accountability for patient safety: A review of cases, concepts, and practices.
Massachusetts Coalition for the Prevention of Medical Errors. Retrieved: http://www.macoalition.org/Initiatives/docs/Accountability%20LitReview%20Final_Rivard_new%20copyright.pdf
elevance to Human Service Practice
According to Australian Government - Office of the Privacy Commissioner (2007), the Australian human services confidentiality is a major principle defining the relationship between the human service workers and the clients. In the two cases the human services have privileged the notion of confidentiality over the more fundamental right of privacy. They argue there is a persistent confusion between these two concepts and that privacy is an important but neglected ethical concept within human services. The two cases are examples of breach of confidentiality and privacy and implications.
Following her accident, Sara was liable to compensation from her insurer in accordance to the New South Wales road accident compensation scheme. In New South Wales, people who suffer personal injuries because of road accidents can claim compensation under the New South Wales Motor Accidents Scheme, which is administered by the Motor Accidents Authority. Motor accident compensation…
Australia. Human Rights Commission. (1983). Review of Crimes Act 1914 and Other Crimes Legislation of the Commonwealth. Australian Government Publication Service.
Australian Government - Office of the Privacy Commissioner. (2008). M v Commonwealth Agency  PrivCmrA 13. Retrieved April Monday, 2012, from www.privacy.gov.au: http://www.privacy.gov.au/materials/types/casenotes/view/5929
Australian Government - Office of the Privacy Commissioner. (2001, November). Privacy in the Private Health Sector. Retrieved April Monday, 2012, from www.privacy.gov.au: http://www.privacy.gov.au/index.php?option=com_icedoc&view=types&element=guidelines&fullsummary=6517&Itemid=1021
Australian Government - Office of the Privacy Commissioner. (2005, March). Review Issues Paper. Retrieved April Monday, 2012, from www.privacy.gov.au: http://www.privacy.gov.au/index.php?option=com_icedoc&view=types&element=other&fullsummary=6728&Itemid=1021
The dilemma is often easier to resolve once those emotions and assumptions are put into their rightful context.
For this paper, critical thinking came into play was logic. It is understood that initially the nursing profession had issues with HIPAA. These issues were practical, however, and when the law was matched up against the underlying principles and the Code of Ethics, it became apparent that the guidelines that can be used for resolving any ethical dilemma are fairly consistent. There is still some leeway for professional judgment, as Lo et al. (2005) wrote but the Code of Ethics does a strong job of filling in the blanks left behind by the legislation. Once this was pieced together, the argument for easy resolution of ethical dilemmas became clear.
American Nursing Association. (2009). Code of ethics for nurses with interpretive statements. American Nursing Association. etrieved October 17, 2009 from http://nursingworld.org/ethics/code/protected_nwcoe813.htm#3.1
American Nursing Association. (2009). Code of ethics for nurses with interpretive statements. American Nursing Association. Retrieved October 17, 2009 from http://nursingworld.org/ethics/code/protected_nwcoe813.htm#3.1
Bendix, J. (2009). News: New "red flags rule' focuses on medical identity theft. Contemporary OB/GYN. Retrieved October 17, 2009, from http://contemporaryobgyn.modernmedicine.com/obgyn/Modern+Medicine+Now/News-New-Red-Flags-Rule-focuses-on-medical-identit/ArticleStandard/Article/detail/597492
Lo, B.; Dornbrand, L. & Dubler, N. (2005). HIPAA and patient care: The role for professional development. Journal of the American Medical Association. 2005; 293: 1766-1771.
No author. (2003). What is HIPAA? HIPAAps.com. Retrieved October 17, 2009, from http://www.hipaaps.com/main/background.html
Protection of Digital Health Information
With increase health information technology store access patient information, likelihood security breaches risen. In fact, Canadian Medical Association Journal (CMAJ): In United States, a whopping 97% increase number health records breached 2010-2011
Ensuring that patient information is protected at all times is vital for any health care institution. Patient information records contain sensitive information that can be used for malicious purposes like identity theft, credit card fraud, and leaking of information for malicious intent. The advancement and use of technology has made it easier for patient information to be accessed within the health care facility Shoniregun, Dube, & Mtenzi, 2010.
This increases the speed of service delivery to the patient and improves the care given to the patient. Technology has allowed for the use of portable electronic devices by the healthcare practitioners in entering and accessing patient records and information. Portable electronic devices are small…
Green, M.A., & Bowie, M.J. (2005). ESSENTIALS OF HEALTH INFORMATION Management: PRINCIPLES AND PRACTICES: Principles and Practices. Independence, KY: Thomson/Delmar Learning.
Harman, L.B., & Association, A.H.I.M. (2006). Ethical Challenges in the Management of Health Information. Burlington, MA: Jones and Bartlett Publishers.
Laurinda B. Harman, C.A.F., and Kesa Bond. (2012). Electronic Health Records: Privacy, Confidentiality, and Security. American Medical Association Journal of Ethics, 14(9), 712-719.
Shoniregun, C.A., Dube, K., & Mtenzi, F. (2010). Electronic Healthcare Information Security. New York / Heidelberg: Springer.
None of the findings are not surprising to a lot of experts. Apart from large systems that are integrated, like Kaiser Permanente in California and the Veteran's Administration, a lot of doctor practices are adopting different EMs. Also in so many different situations they do not talk to one another (Sittig & Singh 2012). So, a doctor's record is not necessarily able to get access notes from his regional hospital if different systems were utilized. A lot of doctors in that condition could just re-order a test, instead of going through all of the changes of finding the records from the hospital.
Actually many experts make the point that the true power of digital records come when using a sole, unified system that can be retrieved by altered health sites. With the exclusion of large combined health arrangements, there sometimes can be fragmented EMs. Experts mention that perhaps with the…
Cook, P.J., Lawrence, B.A., Ludwig, J., & Miller, T.R. (1999). The medical costs of gunshot injuries in the United States. JAMA, 282(5), 447-54.
Eckman, B.A., Bennett, C.A., Kaufman, J.H., & Tenner, J.W. (2007). Varieties of interoperability in the transformation of the health-care information infrastructure. IBM Systems Journal, 46(1), 19-41.
Heselmans, a., Aertgeerts, B., Donceel, P., Geens, S., Van, d. V., & Ramaekers, D. (2012). Family physicians' perceptions and use of electronic clinical decision support during the first year of implementation. Journal of Medical Systems, 36(6), 3677-3684.
Simons, W.V., Mandl, K.D., & Kohane, I.S. (2005). The PING personally controlled electronic medical record system: Technical architecture. Journal of the American Medical Informatics Association, 12(1), 47-54.
A deposition is "conducted by parties to a legal action to obtain information that cannot as readily be learned through written records or general investigation. During a deposition, the lawyer for one side orally questions a witness on the opposing side. In addition to the defendants named in a lawsuit being deposed, others called to deposition can be fact witnesses" (Preparing for a deposition, 2011, World Law). Above all, preparation is an essential component of preparing for a deposition. Before entering into the deposition the administrator should consult with the attorney about the specifics of the case and the law as they pertain to the issue at hand. Answers should not be memorized to likely questions, but the administrator should be aware of key talking points he or she wishes to communicate.
Meyer, C. (2013). Discovery. About.com. etrieved:
Preparing for a deposition. (2011). World Law. etrieved:
Health care reform and health it stimulus: ARRA and HITECH (2009). AHIMA.
Government Created a Committee
An electronic health record is a digital record of a patient's health information generated from every medical visit a patient makes. This information includes the patient's medical history, demographics, known drug allergies, progress notes, follow up visits, medications, vital signs, immunizations, laboratory data and radiological reports. The EH automates and streamlines a clinician's workflow. (Himss, 2009)
Due to the multiple advantages of an EH, health care agencies have been aiming to push up this technology. In 2004, the FDA approved of an implantable EH microchip into patients. Each microchip has a specific code which is identified through sensors. The device is implanted under the skin, in the back of the arm, requiring a twenty minute procedure, without needing the use of sutures. ("Fda approves computer," 2004)
According to the Center for Disease Control and Prevention, deaths due to preventable medical errors rank as the fifth most…
CDC. (2011, October 24). Deaths and mortality. Retrieved from http://www.cdc.gov/nchs/fastats/deaths.htm
Fda approves computer chip for humans. (2004, October 13). Retrieved from http://www.msnbc.msn.com/id/6237364/ns/health-health_care/t/fda-approves-computer-chip-humans/
Himss. (2009, September 2). Implanet using ibm software to protect patients in the event of medical device recalls. Retrieved from http://www.healthcareitnews.com/press-release/implanet-using-ibm-software-protect-patients-event-medical-device-recalls
Prutchi, D. (2011, December 30). Verimed's human-implantable verichip patient rfid. Retrieved from http://www.implantable-device.com/2011/12/30/verimeds-human-implantable-verichip-patient-rfid/
Schneck Medical Center
Provide a description of the company, its mission, and values
SMC (Schneck Medical Center) is a nonprofit healthcare organization that provides specialized and primary care services. The center was established in 1911 with a donation of five thousand dollars and a land from Mary Schneck (Jcr, 2007). It was established in memory of the founder's Husband to provide healthcare requirements to people of Jackson County. Initially, the center had a seventeen-bed capacity but it has now developed to ninety five-bed capacity. SMC celebrated its 100th centenary in 2011. This medical center is located in Jackson Country where it provides medical services to people of this area and the surrounding communities. Schneck Medical Center provides a full continuum of primary care services (Jcr, 2007). Particularly the medical center focuses on the health of women, noninvasive cardiac care, bariatric surgery, cancer care and joint replacement. Schneck Medical Center provides…
Biller, J. (2008). The interface of neurology & internal medicine. Philadelphia: Wolters Kluwer Health/Lippincott Wiliams & Wilkins.
Cribb, A. (2005). Health and the good society: Setting healthcare ethics in social context. Oxford: Clarendon Press.
Rahman, N., & de Feis, G.L. (2009). Strategic decision-making: models and methods in the face of complexity and time pressure. Journal Of General Management, 35(2), 43-59.
Johnson, K., Uecke, R., & Austin, R.(2006). The essentials of project management. New York: Harvard Business Press.
Health-Care Data at Euclid Hospital Security and Control: A White Paper
Protecting Health-Care Data
The efficiency of the modern healthcare system is increasingly becoming reliant on a computerized infrastructure. Open distributed information systems have been initiated to bring professionals together on a common platform throughout the world. It needs to be understood that easy and flexible methods of processing and communication of images; sound and texts will help in visualizing and thereby cure illnesses and diseases effectively. Another aspect is that the easy access and usage can risk patient privacy, accountability, and secrecy associated with the healthcare profession. Therefore, Information Technology -- IT must be able to focus mainly on improving the health of the patient and should not put the patient's health in danger. (IO Press)
This implies that right data has to be made available to the right person at the right time. IT strongly affects the confidentiality…
A WWW implementation of National Recommendations for Protecting Electronic Health
Accessed 21 September, 2005
IO Press. Retrieved from http://www.iospress.nl/loadtop/load.php?isbn=9051992661
Ethics in Practicing Nursing
Nursing ethics is an important part of treating patients. It is important for nurses to understand and abide by the nursing ethical code of conduct. The Health Information Privacy Act (HIPAA) protects the patients' rights, and it protects their privacy. Health care professionals must adhere to the rules of HIPAA to ensure the rights of patients are not violated and their privacy is protected. In this paper I will discuss some strategies that can be employed to help nurses stay current in their practices. I will also discuss ethical practices in nursing, including confidentiality and privacy.
According to Silva & Ludwick (2006) ethics is one of the most important issues in nursing. Nurses should consider their ethical responsibilities when working with each patient in every aspect of practice. The fundamentals for practicing nursing are their social responsibility, their respect for the person, their commitment to do…
Erickson, J. & Millar, S. (2005). Caring for Patients While Respecting Their Privacy: Renewing Our Commitment. OJIN: The Online Journal of Issues in Nursing. Vol. 10 No. 2, Manuscript 1. Retrieved on Jan 20, 2011 from
A patchwork of laws provided narrow privacy protections for selected health data and certain keepers of that data." (Administrative Simplification in the Health Care Industry) Therefore, new technologies such as relational databases have simplified the data gathering and maintenance processes of all types of healthcare related data like the physician information process. It is not unheard of today for healthcare and insurance providers matching or 'sinking data' on a monthly or quarterly basis because of the availability of better communication capabilities as well as compatible database comparison processes.
Even the doctors themselves have access to providers' systems and databases today. Through automatic telephone systems, business to business Internet portals, and tape or disk delivery processes, all of a physician's personal, office and patient information can be updated easily. In many cases, the entire process including security and confirmation is a completely hands free operation. In other words, without human intervention,…
Administrative Simplification in the Health Care Industry. Ed. HIPAA. Health and Human Services. 23 Oct. 2004 http://www.hipaa.com/.
HMO Patients Can Contact Their Doctors Electronically as Blue Shield of California Expands Online Communication Services. Ed. Unknown. October 29, 2003. Relay Health. 23 Oct. 2004 http://www.relayhealth.com/rh/general/news/newsRecent/news49.aspx .
Hoffer, Prescott, and McFadden. Modern Database Management. 7th ed. Add City: Add Publisher, Add Year.