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Antipsychotic Medication and the Physical Health Problems of the Patient With Mental Illness
More and more attention is now being given to the mental disorders especially in U.S. And due to this increase in attention an increase has also been noticed in the treatment of these mental health issues (Zuvekas, 2005). About 30% of the total U.S. population that is between the ages of 18-52 is being affected by mental health issues which make up a large part of the public health problem (Kessler et al., 2005; Narrow et al., 2002). The risk of morbidity and smaller life expectancy is very high in the patients who suffer from the mental health issues (Millar, 2008; Skodol, 2008). It has been observed from numerous researches that the chances of suffering from various health issues such as diabetes, cardiovascular disease and hypertension are a lot more for the patients suffering from schizophrenia (Millar,…
Robson, D. And Haddad, M. (2012). Mental health nurses' attitudes towards the physical health care of people with severe and enduring mental illness: The development of a measurement tool. International Journal of Nursing Studies 49; 72 -- 83
Rosenberg, S., Goodman, L.A., Osher, F.C., 2001. Prevalence of HIV, Hepatitis B and Hepatitis C in people with sever mental illness. American Journal of Public Health 91, 31 -- 37.
Ruigomez, A., Rodriguez, L.A.G., Dev, V.J., Arellano, F., Raniwala, J., 2000. Are schizophrenia or antipsychotic drugs a risk factor for cataracts? Epidemiology 11, 620 -- 623.
Ryan, M.C., Thakore, J.H., 2001. Physical consequences of schizophrenia and its treatment: the metabolic syndrome. Life Sciences 71 (3), 239 -- 257.
Unlike physical health, psychological health cannot be measured by a machine or screened for via a blood test. However, psychological health is absolutely critical to the well-being of patients and cannot be disregarded by a responsible health practitioner. Mental health is composed of emotional health (compassion for others and an understanding that the self is not the center of the universe and a balanced perspective on the world); mental health (resiliency to adversity); and spiritual health (a sense of higher purpose in life) (Hales 2008: 25). However, while mental health is something which may be said to be striven for on a universal level, the manifestations of these components of psychological health are expressed in culturally-specific ways, something which a healthcare practitioner must be mindful of when assessing psychological health in a responsible fashion (Hales 2008: 26).
Positive psychology stresses that it is essential not simply to study…
Hales, D. (2008). An invitation to health: Brief edition. 5th ed. Wadsworth.
Temperament Correlate to Physical health and Longevity?
This research project explores if an individual's temperament is correlated with longevity or physical health. Temperament, "…refers to those aspects of an individual's personality…" (Kagan, 2005). The traits of temperament are considered more innate, and less learned. If a specific temperament could be labeled as associated with increased physical health or longevity, perhaps researchers could aid individuals who become ill earlier. This research could provide important research for the medical community.
Some major reasons this study is important:
Provide insight into relationship of emotions and the physical effects they can have on an individual.
Learn more about life longevity and ways to increase it for patients.
Learn more about temperament
Potentially find evidence of an internal chemical association with temperament.
Emotions can affect overall well-being and health. This has been studied for some time. An individual who is depressed may over-eat or under-eat,…
The Effects of Spirituality:
The Mental and Physical Aspects of Spirituality for the Elderly
The relationship of spirituality to aging is not a new idea. Society, as a whole, has been thinking about spirituality and its effects on aging since the first recording of religious history. The relationship is examined by scientists, medical doctors, spiritual healers, and individuals alike. The effects of spirituality on the elderly population have been shown to be positive, long lasting, and generally beneficial to all who are preparing for their final days.
The first step to examining the effects of spirituality and the elderly is to determine what spirituality really means. By definition, spirituality is "sensitivity or attachment to religious values" or "concerned with religious values." So the concept is obviously related to religion, of a sort. Religion is defined as "relating to or manifesting faithful devotion to an acknowledged ultimate reality or deity."…
Aiken, Charles. "Religion," The Catholic Encyclopedia, Volume XII. Nashville, TN: Nelson Reference, 1908.
Archdiocese of Boston, "The Catholic Vision of Life and Death," Cardinal Law's Pilot Column, 5 March, 1999, http://dying.about.com/gi/dynamic/offsite.htm?site=http%3A%2F%2Fwww.rcab.org%2Fpilotlaw%2FColumn030599.html
Bliss, J.R., McSherry, E. & Fassett, J. NIH Conference on Spirituality and Health Care Outcomes, 1995.
Boyle, Philip. "Integrating Spirituality into Healthcare for Aging: An Unalloyed Good?," Long-Term Care Ethics, 7 Dec, 1998, 4, 12-15.
Obesity is a psychological and physical health epidemic in America, and is leading to skyrocketing health care costs and spending. hat to do about the problem is a contentious political issue, though. One side of the argument pushes for government programs, policies, and interventions such as public service announcements or prohibitions on junk food in public schools. The other side of the argument decries government intervention, suggesting that market-driven economics will at least price poor fat people out of the health care insurance market and could motivate rich fat people to change their behaviors. In between these two polarizing points of the spectrum are various ideas that might help end the obesity and overeating epidemic in the United States. This is the most sensible place to rest on the spectrum of what to do about obesity because like most political issues, obesity is not black-and-white but many shades of gray.…
Balko, Radley. "What You Eat is Your Business." In Graff, Gerald, Birkenstein, Cathy, and Durst, Russel. They Say, I Say.
Warner, Judith. "Junking Junk Food." In Graff, Gerald, Birkenstein, Cathy, and Durst, Russel. They Say, I Say.
Zinczenko, David. "Don't Blame the Eater." In Graff, Gerald, Birkenstein, Cathy, and Durst, Russel. They Say, I Say.
Many people discount the correlation and connection between optimism and general good health. Further, many people wrongly equate spirituality with religion. Indeed, spirituality is often strongly correlated or related to religion but that relationship is not absolute and present in all people that are technically spiritual. With those thoughts in mind, the author of this report shall explain some aspects of spirituality on both a professional and personal level. There will also be a linkage drawn between the optimistic determinants of health as learned from the facets of learned optimism as well as how spiritual bankruptcy or dormancy can be changed into a hunger for spirituality and better living. While some people are very resistant to religion and spirituality, there are benefits for everyone and this would even include people like atheists and agnostics.
In looking at the world today and what is happening, it is not hard…
Conversano, C., Rotondo, A., Lensi, E., Vista, O., Arpone, F., & Reda, M. (2010). Optimism and Its Impact on Mental and Physical Well-Being~!2009-10-14~!2010-02-28~!2010-05-14~!. Clinical Practice & Epidemiology In Mental Health, 6(1), 25-29. http://dx.doi.org/10.2174/1745017901006010025
HealthyPeople.gov,. (2016). Social Determinants of Health -- Healthy People 2020. Healthypeople.gov. Retrieved 11 January 2016, from http://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-of-health
Health of Indigenous Australian Using Ecological and Holistic Health Paradigm
Patterns of health and illness
Impact of Broader Environments
Health is a basic component of human life that comprises of multiple facets. The description of health has witnessed dramatic change during past few years, as it has become a holistic phenomenon. Previously, it was considered that a healthy person is the one who does not suffer from any ailment or illness. However in recent times, the physical, psychological and communal aspects of human life have been amalgamated to give a broader perspective to human health which is identical to the concept of indigenous communities (Hjelm, 2010).
Numerous organizations are working extensively for providing adequate health care to the world population since many decades. However, it is appalling to notice that discrimination on social, economic and…
Australian Institute of Health and Welfare 2012, Australia's health 2012, AIHW, Australia.
Biddle, N & Yap, M 2010, Demographic and Socioeconomic Outcomes Across the Indigenous Australian Lifecourse: Evidence from the 2006 Census, ANU E. Press, Australia.
Caltabiano, ML & Ricciardelli, L 2012, Applied Topics in Health Psychology, John Wiley & Sons, Great Britain.
Carson, B, Dunbar, T & Chenhall, RD 2007, Social Determinants of Indigenous Health, Allen & Unwin, Singapore.
Health and Psychology
In the past, research findings have pointed out that illnesses are brought about by a constellation of factors. This effectively means that contrary to popular belief, no single factor can be said to cause illness and hence social, psychological and biological factors all have a role to play in relation to illness. It is on this realization that health psychology is founded. In this text, I concern myself on health and psychology.
The elationship between Health and Psychology
In basic terms, psychology concerns itself with mental processes and behavior. According to Pitts and Phillips (1998), health psychology addresses a number of questions regarding the link between health and psychology through identifying how health and illness relates to an individual's emotional psychological bases. In a large way, an individual's physical health remains intertwined (sometimes inexorably) with his or her mental state. Thus effectively, our vulnerability to ailments can…
Pitts, M. & Phillips, K. (1998). The Psychology of Health: An Introduction. Routledge
The information contained in Health ars is of tremendous benefit to all readers. e need to take more control over our own health, especially given the rising cost of health care insurance and the exorbitant prices of doctor and hospital bills. Preventing problems depends largely on paying attention to our genetic history: finding out what problems our mothers, fathers, and grandparents and adapting our lifestyle accordingly. Reading Day's book also encourages readers to learn more about common problems and possible solutions that involve diet and lifestyle changes. Taking responsibility for our health is one of the main themes in Health ars. Readers should take heed of what Day believes to be a crisis in modern medicine: the inability or unwillingness to practice common sense prevention.
I would recommend Health ars highly for several reasons. First, I believe that the health care crisis might be one of the most important problems…
Day, Phillip. Health Wars. Credence, 2001.
Hispanic Community and Healthcare
This paper is an examination of how the Hispanic community experiences healthcare. The data from a number of articles related to the subject form the basis for the conclusions reached in the analysis.
One study looked at whether Hispanic-specific training should be included for healthcare worker training. It was found that there is a serious lack of training that is currently implemented regardless the community examined. Healthcare workers were unaware of social conventions that were normal among their Hispanic clients which limited the effectiveness of the healthcare treatment given. Because women were unable to discuss personal problems with male healthcare workers and males had similar issues with females, it was difficult for the various agencies to be truly effective. The recommendation, of course, was to include a training curriculum that included cultural training.
Another issue that Hispanic individuals faced is that they were underrepresented in…
It is from this spiritual foundation that I wish to approach healthcare as a professional nurse. Healthcare is my duty, and I shall see to it that I "freely give" of my energy to heal the sick and communicate the word of God via my work.
Heartfelt concern for human beings is a core Christian ideal. In a Christian light, healthcare is not as controversial as it is made out to be in the American media. Rather, the issue of healthcare parallels the three Christian norms of love, justice and peacemaking. To love others is to put into practice Jesus' advice to love our neighbors as ourselves. No matter what a patient's background or physical condition, that individual has the right to receive the best care possible. Love is caring in action, which is the job of the nurse. Justice refers to equal treatment of all patients. Within a Christian…
Health and Social Sciences
Health, Well Being and Social Care in UK
Sociological Perspective of Health and Well Being in UK
Psychological Perspective of Health and Well Being in UK
Psycho-Social Needs of Service Users in UK
Health and Social Sciences
This report casts light upon the various aspects of physical and mental health of people living in United Kingdom. The selected sample chosen for this study belongs to the settings of people who do not belong to UK from their old generations and they are spending the lives of homelessness there. In other words, the paper is about physical and mental health of people who belong to other areas of the world but are settled in UK for education of job purpose. Since they are outsiders, they do not have permanent place to live in, they make temporal arrangements depending upon their requirements. Their priorities are different…
BBC News, 2011. Archbishop calls for NHS bill to cover spiritual health. [Online] Available at: < http://www.bbc.co.uk/news/uk-politics-15570290 > [Accessed 07 Oct 2012]
Department of Health, 2012. Public Health, adult social care and the NHS. [online] Available at: < http://www.dh.gov.uk/en/index.htm > [Accessed 07 Oct 2012]
International Health Insurance, 2012. 3 Easy Steps to Health Insurance. [Online] Available at: < http://www.international-health-insurance.com / > [Accessed 07 Oct 2012]
Men's Health News, 2012. The Hardest Workout You're not Doing. [online] Available at: < http://news.menshealth.com/the-hardest-workout-youre-not-doing/2012/02/10 / > [Accessed 07 Oct 2012]
The absence of illness does not thoroughly explain "Health", it can as well be described as wellness of the body and mind. More technically, health can be defined from two perspectives -- bodily and psychological health. A state of well-being due to regular exercises, adequate nutrition, sufficient rest, sensitivity to signs of sickness and when to seek help is referred to as Physical health. A person's fitness is showcased by his/her body make-up, cardiorespiratory endurance, muscular stability, and adaptability. Mental wellness refers to psychological and emotional welfare.
As defined by the World Health Organisation (WHO), mental health is "a state of wellness in which an individual discovers and harnesses his abilities, make headways regardless of stress encountered in life, can complete tasks adequately and profitably with substantial end product, and also contributes immensely to the uplift of his or her locality." (Nordqvist, 2015). A means of enabling people…
Boundless, 2016. Research Methods for Evaluating Treatment Efficacy - Boundless Open Textbook. Boundless. Available at: https://www.boundless.com/psychology/textbooks/boundless-psychology-textbook/treating-psychological-disorders-19/introduction-to-the-treatment-of-psychological-disorders-99/research-methods-for-evaluating-treatment-efficacy-382-12917/ [Accessed June 27, 2017].
Brassai, L, Piko, B, & Steger, M 2011, 'Meaning in Life: Is It a Protective Factor for Adolescents' Psychological Health?', International Journal of Behavioral Medicine, 18, 1, p. 44, Advanced Placement Source, EBSCOhost, viewed 27 June 2017.
Cuijpers, P. et al., 2014. EU-Compass for Action on Mental Health and Well-being. PREVENTION OF DEPRESSION AND PROMOTION OF RESILIENCE. Available at: https://ec.europa.eu/health/sites/health/files/mental_health/docs/ev_20161006_co03_en.pdf [Accessed June 27, 2017].
Gillham, J.E. et al., 2012. Preventing Depression in Early Adolescent Girls: The Penn Resiliency and Girls in Transition Programs. Handbook of Prevention and Intervention Programs for Adolescent Girls, pp.124 -- 161.
Health Care & Faith Diversity
It is quite obvious how different religions hold different philosophical views on various aspects and even when it comes to healing. Each religion highly upholds their spiritual values hence the need for health practitioners to be cautious while handling varied clientele whether they hold the same religious sentiments or not. In this research we will major on the views held by the Sikh, Buddhist and Judaist religions in comparison to the Christian belief on healing.
The Sikh hold the belief that when one is sick it is the will of God and that He is merciful to heal; however one has to consider medical treatment in order to get well. During illness: Sikh patients engage in prayers to seek God for help, seek to obtain peace by remembering Gods name, recite sacred hymns (Gurbani) which are words from the holy scriptures (Guru Granth…
Dharma Haven, (2005).Tools for Healing Relaxing and Awakening. Retrieved March 30,
2012 from http://www.dharma-haven.org/tibetan/healing.htm
Manitoba, (2006). Core Competencies for Spiritual health care Practitioners. Retrieved March 30, 2012 from http://ahpcc.org.uk/pdf/compaudittool.pdf
Marinell & James (2009). Jewish Views of Illness and Healing. Retrieved March 30, 2012
Usually, diagnosis is symptom driven, then combined with testing, forms an opinion, sometimes verified by lab tests, of a specific diagnosis. For instance, someone may have symptoms of nausea, pain, depression, anxiety, and their skin has a yellowish hue. The physician runs blood tests and finds that the liver is malfunctioning and there is likely a diagnosis of hepatitis. In this case, there are both physical and mental symptoms, but it is the physical nature that is diagnosed first. For mental diagnosis, symptoms are also important, but are based more on the functioning of the individual in social systems, or by observing the patient's behavior (How are Mental Illnesses Diagnosed? 2012). Thus, both use symptoms as a guide, but mental diagnosis is more empirical and uses observation, while physical diagnosis uses quantitative measurements.
Etiology- Etiology is the study of basic causation. We now know that there are a number of…
American Psychiatric Association Practice Guidelines. (2006). PsychiatryOnline. Retrieved from: http://psychiatryonline.org/guidelines.aspx
How are Mental Illnesses Diagnosed? (2012). WebMD. Retrieved from: http://www.webmd.com/anxiety-panic/guide/mental-health-making-diagnosis
Curtis, a.J. et.al. (2000), Introduction to Health Psychology, New York: Routledge.
Dombeck, M. (2003). Blurring the Boundary Between Mental and Physical. Seven Counties Services, Inc. Retrieved from: http://www.sevencounties.org / poc/view_doc.php?type=doc&id=1855&cn=74
Healthcare for Mentally Impaired Patients
Probing what information is available about the current status of placement or accommodation and level of personal healthcare available to mentally impaired and emotionally disturbed individuals, it is clear that the analysis is as diverse as there are different mental illnesses. While statistics on managed care treatment for people with severe and disabling mental illnesses are sparse, it is evident that the financial responsibility to care for and house these patients is enormous.
According to Dr. David Satcher, the Surgeon General (1999), approximately 20% of the U.S. adult population has a mental illness. He says, "These illnesses include anxiety disorders, mood disorders, anorexia nervosa, and severe cognitive impairment. More serious mental illnesses include ipolar disorder and schizophrenia. Mental illness accounts for 15% of overall burden of disease -- more than malignant cancer and respiratory diseases -- and as far back as 1996 the direct cost…
Boulard, G. (2000, April). Forgotten Patients the Mentally Ill. State Legislatures, 26, 12. Retrieved February 13, 2004, from Questia database, http://www.questia.com .
Callahan, D. (1993, October) Minds and hearts: priorities in mental health services.
The Hastings Center Report.
Fox, M. & Kim, K. (2004, January) Evaluating a Medicaid Home and Community-based Physical Disability Waiver. Family and Community Health. Vol 27: 37.
Identify which three of the six dimensions of health you are strongest in.
According to this self-assessment instrument, my three strongest health dimensions are Social Health, Spiritual Health, and Intellectual Health. I scored a 4 out of 5 in each of those areas. By comparison, I scored a 3 in each of the other three measures (Physical Health, Emotional Health, and Environmental Health.
Describe why you think the identified three dimensions are your strongest.
I scored well in Social Health because I am comfortable with the impressions that I make on people and because I tend to get along well with others. I also participate in various social activities and genuinely enjoy interacting with others, including those who are different from me. My family relationships are healthy and fulfilling, I am fully present and available in my personal relationships, I am considerate of others, I contribute positively to…
Health Needs for Teenage Pregnancies
hat are the special needs of teenagers who are pregnant? Certainly the fact that an expectant mother in her teens is quite different than a married woman in her mid-twenties in terms of the psychology -- and the physical needs -- of her condition, and so there are things a pregnant teenager needs that are likely different from a mature woman. This paper delves into those special needs and basic situations that teenagers face when pregnant.
The Healthcare Needs of Pregnant Teenagers
First of all, according to Tricia Michels, writing in Public Health Reports, pregnant teens are already facing "stigmatization in many aspect of their lives" just by the mere fact that they are pregnant and all their friends are living normal teenage lives (Michels, 2000, p. 557). Hence, tending to their new unborn babies is another challenge that must be approached with intelligence and…
Coila, Bridget. (2010). Health Risks for Pregnant Teens. Livestrong.com. Retrieved December
13, 2012, from http://www.livestrong.com .
Michels, Tricia M. (2000). "Patients Like Us": Pregnant and Parenting Teens View the Health
Care System. Public Health Reports, Volume 115, 557-575.
Health, Culture & Globalization
Health, Culture and Globalization
Culture plays an integral role in the lives of societies and individuals all over the world. Across countries and societies, different kinds of culture exist and govern the daily lives of people. Defined technically, culture is the system of beliefs, norms, values, and traditions that a specific group of people perceives and considers as their worldview. Countries have different cultures, and within each culture exists sub-cultures, created because of the diversity/differences existing from even the same group of people with the same nationality, race, or ethnic membership.
Culture inadvertently affects every aspect of an individual's life. Its influence could be as mundane as deciding what to wear and eat for the day, or as critical and important not only to the individual but also to the society, such as deciding who to vote for depending on the candidate's similarities in beliefs and…
Eckersley, R. (2007). "Culture, spirituality, religion and health: looking at the big picture." The Medical Journal of Australia, (186)10 Suppl.
The Global Fund to Fight AIDS, TB and Malaria. Available at: http://www.theglobalfund.org/en/
Huynen, M., P. Martens and H. Hilderink. (2005). "The health impacts of globalization: a conceptual framework." Globalization and Health, (1)14.
Does Socio-economic Status Impact lives of People with HIV and AIDS?
Individuals with a lower socio-economic status are more prone to contracting HIV and AIDS virus. This measure also determines how individual status, relates to proper medical care. Lack of socioeconomic strength associated to the practice of risky sexual behaviors results to HIV contraction. Men engage in sexual intercourse with many partners without using a condom (Will 2000). Women at this lower level engage in riskier sexual behaviors. Homeless people are more vulnerable to infection, women in such situations are prone to rape and, men are most likely drug users. Individuals with low socioeconomic resources are prone to injury, which makes the susceptible to the effects of the virus that affects the central nervous system (Earnshaw, Valerie and Stephenie 2009).
Does HIV Infection Affect the Socio Sconomic Status of Infected Persons?
HIV and AIDS have negative impacts on the productivity…
Semple, S.J., Patterson, T.L., Temoshok, L.R., McCutchan, J.A., Straits-Troster,
K., Chandler, J.A., & Grant, I. 2003. "Identification of psychobiological stressors among HIV-positive women." Women & Health, 20(4), 15-36.
Earnshaw, Valerie a., and Stephenie R. Chaudoir.2009. "From conceptualizing to measuring HIV stigma: a review of HIV stigma mechanism measures." AIDS
and Behavior 13.6 (2009): 1160-1177.
I want to die knowing that I did everything I could with my life to feel and be as successful as possible.
During my golden years, I will continue to exercise as much as possible. The type of exercise I do will be varied, as it will be necessary to incorporate some cardiovascular activity using a gym or personal trainer. I will do yoga and meditate also, perhaps even more often than before. Turning inward for introspection will help me to reflect regularly on my life and how I hope to spend my later years. By the time I die, I will feel ready and at peace with myself.
My personal eulogy will be humble and reflect the fact that I did my best. I want to be remembered as someone who was intelligent and balanced in their approach to life. Being healthy is one of the most important things…
Health and Fitness Survey
Hour Fitness, a global leader in fitness, is committed to making fitness accessible and affordable to people of all fitness levels. The company is the largest privately owned fitness chain in the world, with clubs in the United States, Europe and Asia. In the United States, 24-Hour Fitness and its Q. Sports Clubs division are the industry leaders in fitness. In Asia clubs operate as California Fitness. In Europe clubs operate as S.A.T.S. Sports Clubs. In Norway, Sweden and Denmark, clubs operates as Form and Fitness.
Convenient locations, the latest equipment, affordable prices, knowledgeable staff and outstanding service, as well as facilities that are open up to 24 hours a day, seven days a week, are all factors that have contributed to the company's tremendous growth and success.
For this project, Steve Gordon, Personal Training Director of 24-Hour Fitness, Northern California Division, was interviewed on November…
Some doctors believe that genetic factors are the core cause of a lot of eating disorders. esearchers have found specific chromosomes that may be associated with bulimia and anorexia, specifically regions on chromosome 10 that have been linked to bulimia as well as obesity. There has been evidence that has shown that there is an association with genetic factors being responsible for serotonin, the brain chemical involved with both well-being and appetite. esearchers have also determined that certain proteins such as brain-derived neurotrophic factor (BDNF) are thought to influence a person's vulnerability to developing an eating disorder (Eating disorders -- Causes, 2010).
The advance of food in Western countries has become extremely problematic. The food that is produced in the U.S. every year is enough to supply 3,800 calories to everyone on a daily basis. This is far more than is needed for good nutrition. Obesity is a worldwide epidemic,…
Eating Disorders. (n.d.). Retrieved June 19, 2010, from National Mental Health Information
Center Web site: http://mentalhealth.samhsa.gov/publications/allpubs/ken98-
Eating Disorders. (2009). Retrieved June 19, 2010, from National Institute of Mental Health
Evolution of Nursing oles in an Enlarged National Health Care System
The Affordable Care Act enables the provision of health insurance to 30 million people above the coverage figures prior to the enactment of the law. Because of this precipitous rise in the number of health insurance members, access to care as a function of the availability of primary care providers has been a leading issue in the transition to the nation-wide system of health care insurance. Public health models and nursing practice arrangements are changing in order to meet the immediate and anticipated care needs that have been brought to bear on the health care systems.
Public Health and Nurse Managed Health Centers (NMHCs)
From the earliest days of public health, the roles of nurses have been embedded in the social, educational, and political needs of communities. Health education has functioned as a springboard to community organizing, patient advocacy,…
Centers for Medicare & Medicaid Services. (2005, January). CMS.gov. Retrieved from http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/ACO/index.html
Kulbok, P.A., Thatcher, E., Park, E., & Meszaros, P.S. (2012, May). Evolving public health nursing roles: Focus on community participatory health promotion and prevention. The Online Journal of Issues in Nursing (OJIN), 17(2). DOI: 10.3912/OJIN.Vol17No02Man01. Retrieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No2-May-2012/Evolving-Public-Health-Nursing-Roles.html
National Conference of State Legislatures. (2012, September). The Medical Home Model of Care. Retrieved from http://www.ncsl.org/research/health/the-medical-home-model-of-care.aspx
Reid, R., Haggerty, J., & McKendry, R. (2002, March). Final Report. Defusing the confusion: Concepts and measures of continuity of healthcare. Canadian Health Services Research Foundation, the Canadian Institute for Health Information, and the Advisory Committee on Health Services of the Federal/Provincial/Territorial Deputy Ministers of Health. Retrieved from http://www.hpm.org/Downloads/Bellagio/Articles/Continuity/cr_contcare_e.pdf
health is affected by behaviors, economics, and social structure.
Health is affected by behaviors in that if good habits are formed from the latter, the former is then influenced positively. However, if practices like smoking and excess alcohol consumption, the former is impacted negatively. Williams and Torrens (2010) has noted that intake of alcohol "beyond a moderate level is associated with numerous physiological complications including cirrhosis of the liver, various cancers, intestinal disorders, and brain function deterioration…Alcohol abuse results in illness and injury to others, including-but certainly not limited to-vehicular accidents, workplace injuries, poor fetal outcomes associated with fetal alcohol syndrome, and spousal and child abuse." The dietary behaviors people make in their lives has an effect in their lives, for example it may cause "enhanced morbidity and mortality…elevated consumption of fat, sodium, and sugar, leading to an epidemic of obesity and associated problems" (Williams and Torrens, 2010). Health is…
Cohen, M. (2000). Changing patterns of infectious disease. Nature, 406, 762-767.
Fauci, A. (2001). Infectious Diseases: Considerations for the 21st Century. Clin Infect Dis, 32(5), 675-685.
OTA. (1976). Development of medical technology opportunities for assessment.. Washington, D.C.: U.S. Congress, Office of Technology Assessment.
Olshansky, S., Passaro, D., Hershow, R., Layden, J., Carnes, B., Brody, J., et al. (2005). A Potential Decline in Life Expectancy in the United States in the 21st Century. N Engl J. Med, 352, 1138-1145. Retrieved April 24, 2011, from http://www.nejm.org/doi/full/10.1056/NEJMsr043743#t=article
The healing of Hezekiah in 2 Kings 20:1-11 explains that God can provide proper treatment for terminal illnesses and add years to life, but the necessity is to heal your inner self, your soul, which is in your hand. ("The biblical basis of healing in Old Testament," n. d.)
The idea is considered to be very true. Anxiety, distress and tension because of bad habits, irrational ways of living and improper routine practices often brings up the illnesses in a healthy body. By healing one's inner self and practicing meditation and patience, one can improve their inner health that provides strength to improve the physical health. This strength works as perfect aid for the outside healing process assisted by doctors and physicians.
Siegel, Bernie. (1990) "Love, Medicine and Miracles: Lessons Learned about Self-
Healing from a Surgeon' Experience with Exceptional Patients," Harper Paperbacks.
John ev. (2009) "The Currency of…
Siegel, Bernie. (1990) "Love, Medicine and Miracles: Lessons Learned about Self-
Healing from a Surgeon' Experience with Exceptional Patients," Harper Paperbacks.
John Rev. (2009) "The Currency of Healing: Old Testament' & 'The Currency of Healing: New Testament" Retrieved 21 July 2010 from http://www.mountainsideunited.ca/node/311
N.A. (n. d.) "The biblical basis of healing in Old Testament" Retrieved 21 July 2010
Human Services Intervention for the Homeless
Working with homeless people is one of the challenging tasks in the social sector. Similar to other social worker position, supporting homeless people can be very difficult and challenging because most of the homeless people are a drug addict, jobless, and suffer from mental disorders. Homelessness is a condition without having access to a regular dwelling. Thus, homeless are people who are unable to acquire safe, regular, and secure housing units. Thus, anybody cannot just work with this set of the population, social workers or other professionals ready to work with this set of people should possess interpersonal skills to work successfully with them.
The objective of this paper is to address the interpersonal skills to work homeless.
Interpersonal skills to work with Homeless
A strong communication skill is one of the interpersonal skills needed to work with homeless people. A social or health…
Finfgeld-Connett, D. Bloom, T.L. & Johnson, E.D. (2012). Perceived Competency and Resolution of Homelessness Among Women With Substance Abuse Problems. Qualitative Health Research
Finfgeld-Connett, D. (2010). Becoming homeless, being homeless, and resolving homelessness among women. Issues in Mental Health Nursing, 31, 461-469.
The term health care refers to the inter-related system of care provided to persons during illness. In most of the cases, healthcare begins with the family doctor who refers patient to specialists if needed or directly order further diagnostic testing. Community health clinics perform the same procedure as a family doctor, but alongside with that, clinics also provide insight into patterns of health or illness seen within the community. Hospital just form one part of the healthcare community, as are mostly visited when a patient's condition is more acute and requires intervention by the hospitals high-end staff, since more can be done for him in a hospital rather than in a clinic where he is just an out-patient.
Clinics of various types provide very specific services, such as "pain management clinics" these clinics are targeted for towards people suffering from pain conditions. ehabilitation services also form a needed part…
DDI (2006) Health Care Global Comparison: Leadership Forecast 2005|2006. DDI, Pennsylvania.
DDI (2007) Leading the Past: Preparing the Future. DDI, Pennsylvania.
Fischer (2007) Culture and cultural analysis as experimental systems. Cultural Anthropology. 21(1) 1-65.
Greenfield D (2007) The enactment of dynamic leadership. Leadership in Health Sciences. 20(3) 159-168.
Health Structures in Government Levels
Health at different Government Levels
Health Structures at Government Levels
Health at Government Levels
A national government has a task in ensuring quality health assurance standards across its region are up-to-date. Similarly, increased rates of unexpected epidemics have put governments under the surge of dealing accordingly with factors that can affect the nation directly and indirectly. Different governmental levels of health are identified and objectified in various agency websites. In this context, I have identified with a state level website; Illinois Public Health Institute website. Information presented to the website articles prioritizes in reducing and preventive, curative diseases, complementing health policies and championing for environmental changes.
Website Article eview
The Illinois Public Health institute articulates its review and implication to health quality through partnership programs. The website has supported state-oriented health involvement in ameliorating health levels, in Illinois. The institution has show-cased partnering programs with…
Baum, F and Kahssay, H.M. Health development structures: an untapped resource. World Health Organization. Vol 1 Issue 1. Pg 96-114.
Ladeia, M.L., Jacob, P., Borges, M.C., Rogero, M. M and Ferreira, S.R.G. (2011). Studies of Gene variants related to Inflammation, Oxidative, Stress, Dyslipidemia and Obesity: Implications for a nutrigenetic approach. Journal of Obesity. Vol 1, Issue 1. Pg 1-31.
5th March 2012. Illinois Public Health Institute. Retrieved from URL http://www.iphionline.org / Accessed on 27th March, 2012.
Psychosocial Model of Health
Use questions 2, 3, 5, 11, and 12
Many times a health professional will look at a health issue and see only the problem at hand. The difficulty with this approach is that most health problems affect the entire person whether or not the issue is localized or not. The psychosocial model of health looks at more than an individual's physical state to determine how they will respond to treatments in the short- and long-term. A patient's psychological well-being and their support system are as important as a willingness to see a treatment through to the end. The following paper looks at two patients and whether they were well-served from a psychosocial perspective, and, if not, what improvements could be made to serve the patient better.
In the documentaries, two of the patient interviews stood out as especially relevant to this discussion. One of these…
Back, A.L., Arnold, R.M., Baile, W.F., Fryer-Edwards, K.A., Alexander, S.C., Barley, G.E., Gooley, T.A., & Tulsky, J.A. (2007). Efficacy of communication skills training for giving bad news and discussing transitions too palliative care. Arch International Medicine, 167, 453-459.
Douglass, J.L., Sowell, R.L., & Phillips, K.D. (2003). Using Peplau's Theory to examine the psychosocial factors associated with HIV-infected women's difficulty in taking their medications. Journal of Theory Construction & Testing, 7(1).
Ellingson, L.L. (2002). Introduction to the field of healthcare communication. Communication Research Trends, 21(3).
Holland, D.J., Bradley, D.W., & Khoury, J.M. (2005). Sending men the message about preventive care: An evaluation of communication strategies. International Journal of Men's Health, 4(2).
Health Organization Case Study
The mission of Banner Healthcare is to make a difference in the lives of people through excellent patient care. They achieve this by providing leadership for excellence in patient safety and clinical care. Traditionally, healthcare institutions focused on analyzing aggregate performance, questioning causation, monitoring scorecards and identifying gaps. Planning and managing stages at integral to the process of achieving Banner Healthcare's vision. Planning entails the development of standards, rules, and work teams necessary for the work. Concurrent management involves patient-oriented care and coordinated health care. Across the various work teams, care management efforts and the number of people are involved in making clinical improvements across the organization have been gradually increasing.
This occurs regardless of whether they are work groups, system wide teams, strategic initiatives, and special projects. The work is organized under functional teams. Besides the functional teams, initiative work groups and clinical consensus groups…
Wickramasinghe, N. & Sharma, S.K. (2010). Creating knowledge-based healthcare organizations. Hershey Penns: Idea Group Pub.
Since being healthy includes a sound mind, less worrying over financial problems leads to a stronger, sounder mind.
Drinking a lot of water throughout the day is another health-promoting behavior. Drinking a lot of water adds natural moisture to your skin, giving a fresh glow today and helping the aging process tomorrow. It also helps when I exercise to drink more water because being properly hydrated during exercise allows me to have a better, more productive workout. Drinking water also improves my energy and increases both my mental and physical performance. Additionally it allows for proper digestion and relieves headaches and dizziness. For those reasons I believe that not smoking and drinking water regularly are two of my important health-promoting behaviors.
My Detrimental Health ehaviors
As improvements in health become more necessary and evident, the medical industry will continue to work to improve the overall health of all individuals. However,…
The American Heritage Dictionary of the English Language. (2005).
Health Care oles in Communication
Communication is a fundamental piece of health care education and has been shown to improve health outcomes, patient compliance, and patient satisfaction. Quality health care emphasizes knowledge and utilization of communication skills. Health care professionals often express anxiety and lack of confidence and are deficient in a creating a situations that are conducive to open and candid communication with patients (Kameg et. al., 2009).
Effective communication involves gathering information, establishing a relationship or connection with a patient, and supporting the person through words and other non-verbal forms of interactions. Effective communication involves not only the interactions between the staff and the patient but also the interactions between staff and the interactions between the staff in front of the patient. Many times the high demand for services in a health care facility cause the staff to overlook the importance of good communication skills and enables situations…
Beer, J.E. (2003). Nonverbal Communication: Communicating across cultures. Cultures at work. Retrieved May 29, 2011 from http://www.culture-at-work.com/nonverbal.html
Coiera, E. (2006, May). Communication systems in healthcarre. Clinical Biochemist Reviews. nursing.Vol. 27, Issue 2, 89-98. Retrieved May 28, 2011 from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1579411/
Gamble, T.K. & Gamble, M. (2006). Communication works. Burr Ridge, IL: McGraw-Hill.
Health Communication. (2010). Health communication. Healthy people 2010: Objectives for improving reproductive health. Office of Disease Prevention and Health Promotion. Retrieved May 29, 2011 from http://www.hhs.gov /opa/pubs/hp2010/hp2010rh_sec2_healthcomm.pdf
Such equipment should be adequate to ensure personnel are protected from chemical exposure to the eyes, skin, and respiratory tract. PPE may be upgraded or downgraded by the site industrial hygienist, HSM, or qualified Site Safety Officer based upon site conditions and air monitoring results (Levin, et al., 2002)
Work practice and administrative controls
Administrative controls or work practice controls are changes in work procedures such as written safety policies, rules, supervision, schedules, and training with the aim of reducing the interval, frequency, and sternness of exposure to hazardous chemicals or situations. Workers who handle hazardous chemicals in the workplace should be familiar with the administrative controls required fewer than 29 CF 1910.1200, and the OSHA Hazard Communication Standard. This controls are perhaps most important, because they impact your people directly. On the one hand, they are the simplest, since all it takes is education. On the other hand, education…
Annual report on 9/11 health (September, 2009). Retrieved on March 20, 2010 from http://www.nyc.gov/html/fdny/pdf/2009_wtc_medical_working_group_annual_report.pdf
Burright, D. et al., (1999). Evaluation guidelines for air sampling methods utilizing chromatographic analysis. OSHA Salt Lake Technical Center, U.S. Department of Labor: Salt Lake City, UT.
Harris, J.S., (ed.) (1997). Occupational medicine practice guidelines: Evaluation and management of common health problems and functional recovery in workers. The American College of Occupational and Environmental Medicine. Beverly, Mass.: OEM Press.
Levin, S. et al.,. (2002). Health effects of World Trade Center site workers. America Journal of Industrial Medicine 42:545 -- 547.
Pender's is a theory of preventive medicine, for the healthy rather than the chronically ill. However, in an age where lifestyle-related disease are on the rise, it can provide an important function, particularly for nurses facing an epidemic of pre-diabetic and diabetic adolescents reared on poor diets and little physical activity. Some might protest that the genetic component to even Type II Diabetes, or obesity in general, might be unacknowledged in the model, but Pender would no doubt respond to her critics that although it is true that certain individuals have a greater predisposition to certain lifestyle diseases, everyone can act within those parameters to improve their life with preventative medicine, as counseled by her model.
McEwen & illis. (2007). "Chinn & Kramer Model." From Chapter 5 of Theoretical bases for nursing.
Pender, Nola J. (2003). "Most frequently asked questions about the Health Promotion
Model and my professional…
McEwen & Willis. (2007). "Chinn & Kramer Model." From Chapter 5 of Theoretical bases for nursing.
Pender, Nola J. (2003). "Most frequently asked questions about the Health Promotion
Model and my professional work and career." Last modified 4 Aug 2006. Retrieved 14 Sept 2007 at http://www.nursing.umich.edu/faculty/pender/pender_questions.html
Pender, Nola J., Murdaugh, C.L., & Parsons, M.A. (2002). "Assumptions and theoretical principles of the Health Promotion Model." Retrieved 14 Sept 2007 at http://www.nursing.umich.edu/faculty/pender/HPM.pdf
Day treatment programs can provide services at less cost because the patient goes home at night after being treated during the day, which often is used for rehabilitating chronically ill patients (Sharfstein, Stoline, & Koran, 1995, p. 249). The mere fact of having more choice benefits some patients by giving them more say in their care.
Patient-focused care involves a method for containing in-patient costs for hospitals and for improving quality by "restructuring services so that more of them take place on nursing units rather than in specialized units in other hospital locations, and by cross-training staff on the nursing units so that they can do several 'jobs' for the same small group of patients rather then one 'job' for a large number of patients" (Kovner, 1995, p. 186). Kovner notes a number of barriers to this type of care. One reason has been that hospitals have not had to…
Doctors Say Managed Care Strains Patient Relationships (1997, June 9). Westchester County Business Journal 36(23), p. 24.
Kovner, a.R. (1995). Hospitals. In Jonas's Health Care Delivery in the United States, a.R. Kovner (ed.), pp. 162-193. New York: springer Publishing.
Moore, G.T. (1991,
April 24). Let's provide primary care to all uninsured Americans ? now! JAMA, pp. 2108-2109.
The SG2 report (2010, p. 9) also mentions academic medical centers (AMCs), which will have enter into affiliation agreements in order to comply with the reformed care laws. This will furthermore mean more integrated physician networks and it integration, as mentioned above.
Two further important factors are mentioned by Moyers (2010). She notes that the inclusive nature of health care definitions for occupational therapists is a significant step forward in terms of recognizing the profession as a legitimate health care service. Occupational therapy, for example, is specifically included in the "Innovations in the Health Care Workforce" section of the new legislation. This is significant, because occupational therapists will now be eligible for state workforce grants, slots on the national commission on workforce, and other similar privileges enjoyed by other health care providers.
Other items, excluded from the bill, is the second item the author mentions. She notes that one of…
Davis, P.A., Hahn, J., Morgan, P.C., Stone, J., and Tilson, S. (2010, Apr. 23). Medicare Provisions in the Patient Protection. Retrieved from: http://www.nasuad.org/documentation/aca/CRS%20Reports/April%2023%20-%20Medicare.pdf
Moyers, P. (2010, Mar. 25). What Health Care Reform Means to Occupational Therapy.
Retrieved from: http://otconnections.aota.org/blogs/moyers/archive/2010/03/25/what-healthcare-reform-means-to-occupational-therapy.aspx
Sg2 Special Report: (2010, May). The Impact of Health Reform
While it may not be just to hold an organization liable, absolutely, for every instance of employee negligence, there is a rationale for imposing such liability in many cases. For example, many types of industries entail potential danger to others that are inherent to the industry.
Individual workers are not likely to be capable of compensating victims of their negligence, but the employer benefits and profits financially by engaging in the particular industry. Therefore, the employer should not necessarily escape liability for compensating all harm caused by their activities, regardless of fault in particular instances.
10.A nurse is responsible for making an inquiry if there is uncertainty about the accuracy of a physician's medication order in a patient's record. Explain the process a nurse should use to evaluate whether or not to make an inquiry into the accuracy of the physician's medication order.
Like other highly trained professionals, experienced nurses…
Abrams, N., Buckner, M.D. (1989) Medical Ethics: A Clinical Textbook and Reference for the Health Care Professionals. Cambridge, MA: MIT Press
Caplan, a.L., Engelhardt, H.T., McCartney, J.J. Eds. (1981) Concepts of Health and Disease: Interdisciplinary Perspectives. Reading, MA: Addison-Wesley
Starr, P. (1984) the Social Transformation of American Medicine.
New York: Basic Books
Two elements that are extremely useful in the examination of health care. In this regard therefore, quality is also differentiated along SES. Persons who are higher on the socioeconomic ladder experience better "desired health outcomes."
The access to quality health care also has cultural and SES elements to it. Dressler & Bindon (2000) identify cultural consonance as a factor in determining blood pressure in African-American communities. The implications of this work are that cultural elements play a big role in health care quality and access. Whites tend to have greater access to better health care than minority groups. This access is in terms of the proximity of quality physicians, medical services, and facilities.
The ethical implications of the differential access to health care are troubling (Kulczycki, 2007). This is primarily because a health care discussion is a life and death discussion. Quality health care is the right of every citizen,…
Dressler, W.W., Balieiro, M.C., & Dos Santos, J.E.(1988). Culture, Socioeconomic Status, and Physical and Mental Health in Brazil Medical Anthropology Quarterly, New Series, 12
Dressler W.W., & Bindon, J.R. (2000).The Health Consequences of Cultural Consonance:
Cultural Dimensions of Lifestyle, Social Support, and Arterial Blood Pressure in an African-American Community American Anthropologist, New Series, 102
Healthcare Case Study Schuylkill County, PA
County Overview - Schuylkill County, Pennsylvania is located in the heart of the anthracite Coal region of Pennsylvania where the Schuylkill iver originates. Pottsville is the county seat, and the county showed a population of just under 150,000 as of 2010 with a density of 190 persons per square mile. The total area of the county is 782 square miles, almost all land, less than 1/2 a per cent water. The county's history, likely due to large coal deposits, focused on the railroad and industrialization (Schuylkill Chamber of Commerce, 2011).
The county experienced the high point of its population during the 1920s and 1930s, and has been losing people ever since, most between 1950 and 1970, with about a 1-2% population loss since the turn of the century. This is likely due to the lack of appropriate jobs and opportunities within the county. Schuylkill…
County Health Statistics - Healthcare 2010. (2009, March). Retrieved from Pennsylvania Department of Health: http://www.portal.state.pa.us/portal/server.pt-in_hi_groupoperator_1=or&in_hi_req_objtype=18&in_hi_req_objtype=17&in_hi_req_objtype=512&in_hi_req_objtype=514&in_hi_req_objtype=43&in_hi_req_objtype=1&in_hi_req_apps=7&in_hi_req_page=10&in_ra_topoperator=or&
Comprehensive Plan. (2010, March). Retrieved from City of Pottsville, PA: http://www.city.pottsville.pa.us/html/cp1.htm
Election Statistics. (2010, June). Retrieved from Pennsylvania Department of State: http://www.dos.state.pa.us/portal/server.pt/community/running_for_office/12704
Schuylkill County. (2010, June). Retrieved from Sperling's Best Places USA: http://www.bestplaces.net/economy/county/pennsylvania/schuylkill
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.
Furthermore, and despite its popularity as a tourist destination because of its natural beauty, the Appalachians are not a sterile environment by any means and the people who live there have higher risks for certain types of conditions than their counterparts elsewhere. According to Bauer and Growick (2003), "Americans who live in Appalachia experience unique and different ways of life than most Americans. Appalachian culture runs from the bottom half of the State of New York through the mountains of West Virginia and Southeast Ohio to the flatlands of Alabama. This area of the country offers different perspectives and challenges to life. Because of the geographical vastness and uniqueness of the Appalachian culture, many people with disabilities who live in Appalachia are unable to access rehabilitative services and agencies" (emphasis added) (p. 18).
Likewise, many rural residents throughout Appalachia may have septic tanks and will lack access to other…
Anguiano, R.P., & Harrison, S.M. (2002). Teaching cultural diversity to college students majoring in helping professions: The use of an eco-strengths perspective. College Student Journal, 36(1), 152.
Barrett, E., Hackler, R., Highfill, K.A., Huang, P., Jiang, X., Monti, M.M., & Peipins, Lucy. (2002). A Norwalk-like virus outbreak on the Appalachian Trail. Journal of Environmental Health, 64(9), 18.
Bauer, W., & Growick, B.M. (2003). Rehabilitation counseling in Appalachian America. The Journal of Rehabilitation, 69(3), 18.
Brown, J.W., & May, B.A. (2005, April). Rural Appalachian women's formal patterns of care. Southern Online Journal of Nursing Research, (2)6, 1-21.
Integrity is a major issue for healthcare organizations because there are many avenues for fraud, and for people to demonstrate a lack of ethics. The problem is that the temptation is sometimes too great and despite the fact that there are laws in place to guard against these practices unethical behavior takes place anyway. The government, which supplies a lot of the money which goes for treatments through Medicare and Medicaid, has structured certain laws to make sure that the practices of healthcare organizations are ethical, but billions of dollars in fines are still doled out every year. The big drug companies complain of arcane and hard to decipher legalese, but the fact is that although they realize the issue and the penalty they continue to subvert the law. This paper looks at qui tam statutes and cases, Medicare and Medicaid admissions criteria, installing a corporate integrity program, and…
American Speech-Language-Hearing Association (ASLHA). (2010). Summary of self- referral and anti-kickback regulations. Retrieved from http://www.asha.org/practice/reimbursement/medicare/regulations_sum.htm
Hanford, J.T. (2001). Regulation of the healthcare professions. Ethics & Medicine, 17(3), 188-190.
Louthian Law Firm. (2012). Healthcare fraud qui tam whistleblower protection lawsuits.
Mattie, A. & Ben-Chitrit, R. (2009) The federal False Claims Act and qui tam actions: What every healthcare manager should know. Journal of Legal, Ethical and Regulatory Issues, 12(2), 49-65.
The health of any single person is the most important and most limiting factor about that person's ability to complete physical tasks and live a useful and purposeful life. Healthcare is a term that is widely used but never discussed in how it can best be accessed. The purpose of this essay is to identify and describe a useful plan that helps solve the dilemma of people acquiring a proper and useful source of healthcare. The ethical component of the situation will also be introduced to help demonstrate how practical this plan can be.
To many, healthcare is often associated with doctors, nurses, hospitals, drugs and surgery. It seems that more people are sick or are diseased with some sort of affliction than ever before. Tanner (2008) made the point that "a closer look shows that nearly all health care systems worldwide are wrestling with problems of rising…
Cohen, J. (2008). Does Preventive Care Save Money? The New England Journal Of Medicine, 14 Feb 2008. Retrieved from http://www.nejm.org/doi/full/10.1056/NEJMp0708558
Lowes, C. (2011). Reviewing Medical Ethics. Philosophy International Journal Of Health, 12 June 2012.
Tanner, M. (2008). The Grass is Not Always Greener: A Look at National Health Care Systems Around the World. CATO Institute, 18 Mar 2008. Retrieved from http://www.cato.org/publications/policy-analysis/grass-is-not-always-greener-look - national-health-care-systems-around-world
Healthcare Legislative Bill
The expanded and improved Medicare for all Acts
The Expanded and mproved Medicare for All Act was introduced to the House of Representatives in 2009 and seeks to lobby for the implementation of a common single-payer health care system throughout the United States o0f America. The bill if enacted would require that all medical care costs be paid for automatically by the government instead of private insurances for the same. The move will significantly alter the role of private insurance companies as merely offering supplemental coverage especially when the kind of medical care sought is not all that essential (McCormick, 2009).
With the Expanded and mproved Medicare for All Bill, the country's national system will be paid for through taxes and the monies that will replace the regular insurance premiums. Proponents of the bill argue that by eliminating the need for private insurance companies in the national…
Institute of Medicine of the National Academies of Science, (2010), Insuring America's Health: Principles and Recommendations
The American Journal of Medical Practices, (2011), The Impact of single-payer Medicare
Program, New York
Healthcare in Sweden
The healthcare system in Sweden is used as one of the model systems in the world. hen Johan Hjertoqvist from the Timbro Policy Group spoke before the Montreal Economic Institute in 2002, he said, "...you refuse to accept the consumer as an equal partner, you still look upon the client, the patient, as an inferior partner in the relation" and "you deny the need for good working condition when it comes to the staff, etc." (http://www.iedm.org/conference5_en.html).Moreover, he stressed the need to move interests and priorities away from the processes and production organization to "the quality of the outcome for the consumer" (http://www.iedm.org/conference5_en.html).Quality seems to be synonymous with healthcare in Sweden.
Two important characteristics of the Swedish healthcare system are that it is "decentralized and it is run on democratic principles" (http://www.si.se/docs/infosweden/engelska/fs76.pdf).All residents of Sweden are covered by the national health insurance system which covers medical care, pharmaceuticals,…
Fact Sheets on Sweden: The Health Care System in Sweden. Swedish Institute. May 1999. http://www.si.se/docs/infosweden/engelska/fs76.pdf .(accessed 06-27-2003).
Gennser, Margit. "Sweden's Health Care System." http://oldfraser.lexi.net/publications/books/health_reform/sweden.html.
A accessed 06-27-2003).
Hadenius, Stig; Lindgren, Ann. "Sweden: On Sweden Health care." Countries of the World. January 01, 1991.
Health Promotion Lesson Plan
The concept of health promotion is thought of as "the science and art of helping people change their lifestyle to move toward a state of optimal health" (Dunphy et al., 2011, p 25). Serious heart conditions can be prevented, which is why it is so important to utilize community education techniques in order to help try to warn community members of the complications before they occur. This current lesson plan works to create three separate community lesson plans, based on specific age ranges. The age 18-29 focuses primarily on the use of social media and health advocacy efforts in association with the American Heart Association. For ages 30-49, there is also a focus on these two, combined with more community oriented issues, and for 50-60, there is much more of a focus on financial training along with community organized workshops.
Prevention has become a major issue…
References McLeod, Saul. (2010). Erik Erikson. Developmental Psychology. Simply Psychology. Web. http://www.simplypsychology.org/Erik-Erikson.html
A 2006 study that examined the rates of depression and other mental health disorders following the December 2004 tsunami found that large numbers of people still faced significant health impairment from the event, and that treatment had been negligible when compared to relief and rebuilding efforts in other areas (CDC 2006). These efforts would likely be made far more effective and efficient, however, if mental health issues were dealt with. Addressing the depression and other mental health maladies that the people suffered from following the tsunami would have led to a better adjusted and more productive (as well as healthier) population.
There was an effective degree of trauma care provided immediately after the tsunami struck, but preventative care measures could have been stepped up during this time to forestall and mitigate the spread of infectious diseases that often comes after a major disaster event (WHO 2005). Obviously, trauma care was…
CDC (2006). "204 South Asia tsunamis." Center for disease control. Accessed 14 November 2009. http://www.bt.cdc.gov/disasters/tsunamis/
WHO (2005). "South Asia earthquake and tsunamis: Inter-agency rapid health assessment." World health organization. Accessed 14 November 2009. http://www.who.int/hac/crises/international/asia_tsunami/final_report/en/index.html
Changes to Healthcare Practice and Delivery: A Study of Two Detroit, MI Healthcare Facilities Separated by Twenty Years
Changes to technology and to the political and regulatory landscape have led to many changes in the ways that businesses in all manner of industries operate. Increased communications capabilities, the shrinking size and cost for advanced technologies, and a variety of other changes have provided many businesses with an opportunity to operate more efficiently, and in so doing have also made many industries and markets more competitive. An examination of some typical businesses operating in these industries today as compared to their counterparts that were in operation twenty years ago provides ample evidence of the changes that have occurred and the ways in which businesses have adapted.
The healthcare industry has by no means been immune from these changes, but in fact has changed more than many other industries due…
Anderson, J. & Aydin, C. (2005). Evaluating the organizational impact of health care information systems. New York: Springer.
Armoni, A. (2000). Healthcare information systems: challenges of the new millennium. Hershey, PA: Idea Group.
Wager, K., Lee, F. & Glaser, J. (2009). Health care information systems: a practical approach for health care management. New York: Wiley.
Healthcare Finance: hat is the break-Even analysis approach and its application in health care organizations?
Unfortunately, hospital and health care budgeting of resources has become increasingly important in this cost-conscious era of health care. The last decades of cost-controlled medicine have required fiscally conscious approaches to the healthcare for many organizations, often at the expense of patient services. A financial analyst must strive to minimize this, yet still keep the organization afloat. A segment that does not make money or at least break even for the health care provider may have to be eliminated.
Health care facilities may take longer to break even on their initial investment than other forms of businesses. Also, the break-even period for primary care is different compared to tertiary care. Still, developing any break-even action plan begins with a clear understanding of any significant shortfalls against benchmark, with a special focus on provider productivity in…
Halley, Marc D. & Lloyd. (Nov 2000) "How to Break Even on an Acquired Primary Care Network." Healthcare Financial Management. Retrived 17 Apr 2005 at http://www.findarticles.com/p/articles/mi_m3257/is_11_54/ai_66936335/pg_2
While promoting and encouraging diversity in hiring and advancement policies and actions is a definite area of concern for health care managers and executives, and this necessarily has an effect on the diversity of care ultimately offered to patients, this latter issue should be dealt with between physicians and patients themselves as much as possible (IDHM 2010). Manager involvement in this issue should consist of a broader appraisal of the physician's attitude towards cultural diversity in the patients seen by the physician; it could be that the efficacy and quality of care being provided by this doctor is diminished by a lack of cultural understanding. Developing a full plan of care for the individual patient in question, however, is not something that a manager at the health care organization should become involved in directly.
The ethical provision of healthcare includes meeting each individual patient on their own terms, applying their…
ACHE. (2010). Amercian College of Healthcare Executives. Accessed 4 August 2010. http://www.ache.org/
IDHM. (2010). Institute for Diversity in Health Management. Accessed 4 August 2010. http://www.diversityconnection.org/
Nurses, who have first hand knowledge and understanding of how to live healthy and how to take proper care of themselves, are far better equipped to teach others about these concepts. Certain populations can benefit greatly from prevention, especially those who are prone to specific types of diseases or conditions.
One of the most common behaviors that leads to many chronic and often very damaging health conditions is smoking. Smoking can cause a multitude of diseases and conditions from emphysema to heart disease to lung cancer (Chapman, 2007). The list goes on and on. But smoking is 100% preventable and nurses need to understand not only how to treat these smoking-related diseases but how to more importantly discourage and prevent people from smoking in the first place. Many nurses agree that this behavior leads to many of the worst case scenarios for people with pre-existing chronic conditions. It is therefore…
Chapman, Simon. (2007). Public Health Advocacy and Tobacco Control: Making Smoking
History. Blackwell Publishing, New York, NY. Pp. 55-56.
Chung, Daniel C. (2008). "Stool DNA Testing and Colon Cancer Prevention: Another Step
Forward." Annals of Internal Medicine, Vol. 149, No. 7. pp. 509-510.
The health care industry is heavily regulated and has several special risk areas that need to be looked out for. An effective compliance program is necessary in order to mitigate these risks. In addition to the challenges that are associated with taking care of patients, health care providers are subject to huge and sometimes intricate sets of rules that govern the coverage and reimbursement of medical services. Because federal and state sponsored health care programs play such a big role in paying for health care, compliance with these rules are necessary in order to avoid penalties that can occur. These penalties can include such things as recoupment of improper payments, along with sanctions imposed by Medicare and Medicaid against health care businesses that engage in abuse or fraudulent practices (Corporate esponsibility and Corporate Compliance: A esource for Health Care Boards of Directors, (n.d.).
A good health care administrator will…
Corporate Responsibility and Corporate Compliance: A Resource for Health Care Boards of Directors. (n.d.) Retrieved April 3, 2009, from Office of the Inspector General Web site:
Health Administration. (n.d.). Retrieved April 3, 2009, from Web site:
" (AAF, nd)
The Health Maintenance Organization further should "…negotiate with both public and private payers for adequate reimbursement or direct payment to cover the expenses of interpreter services so that they can establish services without burdening physicians…" and the private industry should be "…engaged by medical organizations, including the AAF, and patient advocacy groups to consider innovative ways to provide interpreter services to both employees and the medically underserved." (AAF, nd)
One example of the community healthcare organization is the CCO model is reported as a community cancer screening center model and is stated to be an effective mechanism for facilitating the linkage of investigators and their institutions with the clinical trials network. It is reported that the minority-based CCO was approved initially by the NCI, Division of Cancer revention Board of Scientific Counselors in January 1989. The implementation began in the fall of 1990 and the program was…
Principles for Improving Cultural Proficiency and Care to Minority and Medically-Underserved Communities (Position Paper) (2008) AAFP -- American Academy of Family Physicians http://www.aafp.org/online/en/home/policy/policies/p/princcultuproficcare.html
Volpp, Kevin G.M. (2004) The Effect of Increases in HMO Penetration and Changes in Payer Mix on In-Hospital Mortality and Treatment Patterns for Acute Myocardial Infarction" The American Journal of Managed Care. 30 June 2004. Issue 10 Number 7 Part 2. Onlineavaialble at: http://www.ajmc.com/issue/managed-care/2004/2004-07-vol10-n7Pt2/Jul04-1816p505-512
Darby, Roland B. (2008) Managed Care: Sacruificing Your Health Care for Insurance Industry Profits: Questions You must ask before joning an HMO. Online available at: http://www.rolanddarby.com/br_managedhealth.html
Health Disparities in Louisville KY
Health inequities have become a major problem in the United States. Hofrichter stresses in Tackling Health Inequities Through Public Health Practice:
A Handbook for Action ( 2006) that, "The awareness of the existence of inequities in health, health status and health outcomes between racial and ethnic groups in America is as old as the nation itself" (Hofrichter, 2006,P. vii). As will be discussed in this paper, these inequalities have a wide range of repercussions, including social and psychological implications. A definition of health disparity is: "... The difference in the incidence, prevalence, morbidity, mortality, and burden of diseases and other adverse health conditions that exist among specific population groups" ( Samuels, 2005).
There is also a consensus in the literature that inequalities in health and healthcare throughout the world are on the increase. This is largely due to the increasing gap between rich…
Eliminating social and economic barriers to good health and safety: Louisville
Center for Health Equity. Retrieved from http://www.preventioninstitute.org/component/jlibrary/article/id-278/127.html?tmpl=component&print=1
Galvin, J.R. (2006) Diabetes. Ebony, 61 p. 157.
GradNation - Making the Connection: Health & Student Achievement. Retrieved from http://www.silentepidemic.net/Our-Work/Dropout-Prevention/~/media/Files/Our%20Work/Dropout%20Prevention/Grad%20Nation%20Action%20Forum/Steve%20Tarver%20working%20sess%20PPT.ashx
These were categorized into three aspects, which the care provider could control for the benefit of the patients. These were satisfaction with the punctuality of the caregiver; the quality of interaction between the patient and the caregiver; and the overall dependability of health care. Promptness or punctuality with care or service was rated most highly by both groups. eing on time affected their functioning and comfort throughout the day, specifically with dressing, bathing and daily activities. Promptness was considered the easiest and most controllable aspect for the provider. The quality of interaction made the patients feel safe, respected and valued. And satisfaction with the overall dependability of health care mostly involved the caregiver's following through with the patient's suggestions, especially those by the more frail patients. This last aspect was also well within the control of the health care provider (Kolodonsky, et al.).#
Champlin, L., (2004), surprising number of…
Champlin, L., (2004), surprising number of U.S. elders do not have health insurance coverage -- not even Medicare (Online). American Academy of Family Physicians.
http://www.aafp.org/online/en/home/media/releases/2004/uninsured-elders-4-1-04 (Accessed 18 August 2009).
Cummings, S.M.; Neff, J.A.; and Husaine, B.A. (2003), functional impairment as a predictor of depressive symptomatology: the role of race, religiosity and social support (Online). Health and Social Work, National Association of Social Workers. http://findarticles.com/p/articles/mi_hb138/is_1_28/ai_n28983552 (Accessed 18 August 2009)
Kolodinsky, J.; Junghun, N.; Lee, J.K.; and Dorzewiczewski, M. (2001). Degree of frailty and elderly satisfaction with personal care services in a community setting (Online). Journal of Consumer Satisfaction, ProQuest Information and Learning Company. http://www.findarticles.com/p/articles/mi_qa5516/is_200101/ai_n21465985 . Accessed 18 August 2009).
ef: The Health Care bill signed by Andrew M. Cuomo -- Governor for Treatment of Autism Spectrum Disorder
I wish to state that the legislation must have come in earlier than this. Autism is a condition that requires medication and care for children and the legislation passed by the Governor Albany, NY on November 1, 2011 requires that the treatment of Autism Spectrum Disorder be brought under the health care coverage. This is a laudable step in New York and it will be a blessing to such families with autistic children to afford the expensive health care costs. The law now makes it mandatory for the health insurance companies to provide coverage for treatment of autism spectrum disorders, and the companies however may resort to 'deductibles, co-pays, and coinsurance consistent with those imposed on other benefits.' (Cuomo, 2011)
Discussing the law Governor Andrew M. Cuomo said that the…
Cuomo, Andrew M. (2011) "Governor Cuomo Signs Law to Expand Health Care
Coverage for Treatment of Autism Spectrum Disorder"
Retrieved 12 November 2011 from http://www.governor.ny.gov/press/1112011Spectrum%20Disorder
National Conference of State Legislatures. (2011) "Insurance coverage for Autism"
It would be impractical, for example, to expect Cardiac Medicine, Billing Services, Supply, and Maintenance functions to be supervised by the same individuals. In essence, the many services and functions provided by modern hospitals are so different from one another that they are actually completely distinct operations, each with its own organizational substructure and supervisory hierarchy.
The Hierarchical Nature of Hospital Administration
Generally, the various different areas of hospital services and functions all use a hierarchical supervisory structure. Within medical departments, senior attending physicians supervise residents based on professional seniority and experience. The same is true within nursing services. Other non-medical service areas such as administration and billing function much more similarly to general business offices. Usually, they are headed by a director or supervisor who performs the same role as supervisors responsible for administrating general business offices. Finally, departments such as supply and maintenance operate within a hierarchical structure…
Health Care -- Philosophy of Graduate Nursing Education
In many senses, the nurse practitioner (NP) takes the profession of nursing to the next level. While the treatment of illness important, the NP also has broader focus of total well-being, including wellness, rights, education and preventative medicine for the patient, his/her family, and local, state, national and global communities. Consequently, in addition to treating the physical ailments of a patient, the modern NP must be clinically and intellectually excellent, an eternal student and teacher who fulfill numerous roles in nearly every health care situation.
A crucial aspect of nursing is the caregiver's relationship with the patient. Patient education is an important aspect of nursing and when carried over to the NP role, patient education greatly improves treatment because the patient has a greater understanding of the reasons for treatment and is likelier to effectively participate in treatment. A NP is a…
Healthcare Team Members
HEALTH CARE TEAM
The healthcare team is assembled and trained to meet the special needs of patients and their families (Ezziane, et al., 2012). A skilled health care team can consist of doctors, nurses and many other health care professionals. A patient may encounter many different team members, each playing a special role in delivering quality care (Allen, 2009).
Attending Physicians (M.D., Doctor of Medicine) are experts in very specialized areas such as obstetrics or pediatrics. Most physicians treat injuries and illnesses in patients by giving exams, taking medical histories, prescribing medications, and ordering, performing, and interpreting diagnostic tests. They oversee and lead the healthcare team.
Education - Physicians complete at least 4 years of undergraduate school, 4 years of medical school, and 3 to 8 years of internship and residency, depending on their specialty.
Anesthesiologists (M.D., Doctor of Medicine or D.O., Doctor of Osteopathic Medicine) administer…