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From my perspective as someone who hopes to enter the medical field to contribute directly to the health and welfare of patients and communities, the most important advantage of the physician assistant position is that it allows a much quicker transition into the field in ways that will allow me to begin making the contribution that motivated my vocational interest in the first place.
Finally, I am also hoping to contribute my energies and my professional medical training to some of the poorest communities in the world. In particular, there is a tremendous unmet need for quality medical services on the African continent. Everyday, thousands of Africans (most of them infants and children) succumb to diseases and deprivations that do not require especially sophisticated medical interventions to treat and prevent. The nature of many of the most serious health and medical issues in Africa means that the people of African…
In this, the assistant can play a very important role. The physician and assistant together can for example work to resolve ethical dilemmas and find solutions with the help of the patient. It is important to remember the principle of meeting the patient's needs in such a case.
As a leader in this field, I believe my first moral responsibility would be towards patients. They are to be treated according to the main principles mentioned above; with dignity and respect for their needs. My responsibility would also be to provide the professionals working under me with very clear guidelines regarding ethical issues. As such, my job would entail researching all ethical codes related to the medical profession. I would then combine these into a set of core principles. In practical terms, I would organize all the principles that are important in treating patients into a comprehensive document, in front of…
American Medical Association (2001, June 17). Principles of Medical Ethics. http://www.ama-assn.org/ama/pub/category/2512.html
2006, Sept. 14). AMA activities to eliminate health disparities. http://www.ama-assn.org/ama/pub/category/7983.html
Forester-Miller, Holly & Davis, Thomas. (1996). A Practitioner's Guide to Ethical Decision Making. American Counseling Association. http://ethics.iit.edu/codes/coe/amer.couns.assoc.practitioner.html
Rutecki, Gregory W. (2006, Aug 4). The Future of Medicine: When Will Quality and Safety Become Job Number One? http://www.cbhd.org/resources/healthcare/rutecki_2006-08-04_print.htm
physician assistants at the Emory University Physicians Assistant Program. A letter of introduction and why this program
MY CHOICE OF MENORY PHYSICIAN PROGRAM
The choice of being a physician's assistant has been one of my desires since the time that I was little and met my first physician's assistant. PA's are able to provide healthcare services under the supervision of a physician. Selecting this field will give me opportunity to diagnose illnesses and offer preventative healthcare services under the care of a physician. I will be part of a healthcare team that will take medical histories, examine and treat patients. This is part of the program that I am looking forward to. I love people and have always wanted to take care of different people ranging from children to adults. As a physician assistant I will able to assist in treating minor injuries, such as sprained wrists to setting a…
Physician assistant (PA) students, like many students preparing for careers in the medical field, are required to learn a great deal of material. Given the potential costs involved in the future if a student does not retain information it is important for these students to develop a method to allow them to effectively memorize large amounts of material quickly and efficiently.
To determine whether the use of a pneumonic device will result in better initial learning and retention for new to be learned material in a group of PA students compared to a group of students who do not use a pneumonic device.
A between groups design will be utilized. Two groups of participants will be exposed to a version of the California Verbal Learning Test (CVLT-original version). The participants will be randomly assigned to one of two learning conditions. Before the test is administered, one group will be given…
Physician Assistant: My Response
My dedication to patients and resolve to ensure that they receive the appropriate personal attention they deserve remain steadfast. I understand and cherish my duty to make a positive impact with regard to the delivery of health care, particularly to underserved patients in New York City and Hudson Valley. I do not intend to disappoint. To begin with, my greatest desire remains the promotion of healthy living. I have seen, first hand, the effects and consequences of not complying with basic health principles. My own dad was a smoker for years -- a factor that contributed to his heart condition. This is a mistake I would not like to see someone else repeat. For this reason, I intend to play my part towards the further enhancement of well-being in New York City and Hudson Valley by correctly and enthusiastically counseling and instructing patients so as to…
Currently, I am working as a surgical technologist in two hospitals in Arkansas - Arkansas Children Hospital and the VA Hospital. I do surgical scrub on various cases of all surgical services, general, orthopedics, vascular, ENT, neurology, urology, and burns. To update and enhance my skills, I attended different medical training courses.
Since my youth, I had been in the scene of medicine. At the age of seventeen I was diagnosed with diabetes. Hence, in y sophomore years in college, I did a presentation on diabetes where I provided information on the symptoms, complications, and how to cope with diabetes. During my Junior year, I had family members that were diagnosed with breast cancer, glaucoma, heart attacks and thyroid problems.
Such experiences are my motivations in becoming a Physician Assistant. The feeling that I get from providing medical services is unfathomable and cannot be measured by anything.
Jerry McCall Dr. Williams Office Assistant
Licensed Practical Nurses and Medical Assistants: Legal and Ethical Implications
According to recent reports from the U.S. Bureau of Labor Statistics, medical assistants and licensed practical nurses (LPN) are two of the fastest growing jobs in the country (Bureau of Labor Statistics, 2010). In an effort to save costs, the demand for these professionals is increasing in both in-hospital and outpatient settings. The licenses and registrations, however, remain unstandardized; while LPNs are required to receive a license, some medical assistants receive a one or two-year degree and still others are only trained on the job. The responsibilities and restrictions of the profession are likewise only loosely regulated and vary between states. This has both ethical and legal implications for patient care. The following case scenario illustrates these ramifications and discusses the appropriate course of action for medical assistants working in a clinical setting.
Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2010-11 Edition, Medical Assistants, on the Internet at http://www.bls.gov/oco/ocos164.htm (visited October 17, 2011).
Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2010-11 Edition, Licensed Practical and Licensed Vocational Nurses, on the Internet at http://www.bls.gov/oco/ocos102.htm (visited October 17, 2011).
Couch, C., Minchella, K., Walker, R., Watson N. Occupational Analysis of the CMA (AAMA). (2008). American Association of Medical Assistants, 2007-2008. Available from http://www.aama-ntl.org/resources/library/OA.pdf .
Ferrell, C.W., Aspy, C.B., Mold, J.W. (2006). Management of Prescription Refills in Primary Care: An Oklahoma Physicians Resource/Research Network (OKPRN) Study. Journal of the American Board of Family Medicine, 19, 1, 31-38.
Physician Assistant Program Narrative
Personal Statement: My Motivation towards Becoming a PA
We all have dreams and aspirations. As a young child, my dream was to become a chef. When asked why I wanted to become a chef, my answer was always consistent; "I wanted to delight people by preparing them delicious dishes." As I grew up, I became more informed and my view of the world became clearer -- and it was then that I realized that deep inside, I wanted to end up in a profession that impacted positively on the lives of others. A profession that brought delight to those I interacted with. Then, something happened that completely convinced me that I would most comfortably serve in any of the helping professions. A couple of months after my 10th birthday, my younger brother got bitten by a dog in his face -- right below his left eye.…
Certified nursing assistants are an important part of health care settings today. Certified nursing assistants and professional health care settings experience challenges and barriers in their day-to-day experiences. They are challenges that certified nursing assistants must go through during their training or during their career, so that they may learn and experience different situations and how to deal with those situations.
I experienced a barrier at one point when I saw blood and could not handle the situation. One day, I was placed responsible for a certain patient, along with another certified nursing assistant. We would take care of her at certain times of the day. During an evening shift, the patient was going to have some blood work done and the registered nurse on duty came in to take her blood. The other certified nursing assistant and I were asked to observe the situation that was about to occur.…
ole of Family Physician
It is important for us to understand the role of a family physician before we begin our discussion on the importance of family physicians in any health care system of the community. Many reforms have been made in the health care systems of various communities all over the world. Almost all of these reforms lay their focus on the prevention as well as the treatment of any disease along with the promotion of health and management of conditions that have become a chronic problem for the patients. All of these areas are the center of the family physicians and therefore family medicine has a huge role to play in here.
In this paper, we shall look at the current health care system in Libya and see how the government and other organizations like WHO are playing their role to improve the health care system in the…
(2005). Libya country profile. Library of Congress Federal Research Division (April 2005).
(2004). Pfizer Clear Health Communication Initiative. What it Health Literacy? [Online].
(2004). The American Heritage Dictionary of the English Language, Fourth Edition; 2000. [Online].
Kates N. (1997). Psychiatry and family medicine: sharing care. Can J. Psychiatry. Vol. 42:913-14.
Personal Digital Assistants in Healthcare
Current Applications and Future Trends in the Use of Personal Digital Assistants in Healthcare
Today, healthcare practitioners enjoy a wide range of digital equipment that can help them provide more efficient healthcare services, including laptop computers, cellular telephones and personal digital assistants, or PDAs. These devices have been used in various ways by clinicians to improve their ability to deliver more timely and accurate diagnoses and treatments, and it is clear that the use of these devices will continue to increase in the future. The purpose of this study is to provide a current snapshot of how personal digital assistants are being used in various healthcare settings, including military and government tertiary facilities and the use of PDAs on the battlefield in times of war, but with a specific focus on how PDAs are being used in nongovernmental healthcare facilities today. To this end, a…
Blow, F.C., Barry, K.L., Walton, M.A. et al. (2006). The efficacy of two brief intervention strategies among injured, at-risk drinkers in the emergency department: Impact of tailored messaging and brief advice. Journal of Studies on Alcohol, 67(4), 568.
Cieslak, D.M., & Van Winkle, M. (2004). Carry your office in the palm of your hand; a pocket-size device is your computer when you're on the road. Journal of Accountancy, 198(2), 52.
Corbett, M.L. (1996, January). Choosing the perfect PDA: Personal digital assistants help busy professionals. Black Enterprise, 26(6), 34.
Greisler, D.S., & Jackson, J.R. (2000). The changing nature of physician power: Understanding physician power and its future. Journal of Power and Ethics, 1(4), 260.
All Medical Assistants
The importance of customer service in a tertiary healthcare setting
As you all know, the healthcare industry has been transformed in substantive ways as a result of the Patient Protection and Affordable Care Act and the growing need for timely recordation of services rendered in order to attain appropriate reimbursement of physician services and overall expense reimbursement for the medical facility. This memorandum explains how and why customer service is the one thing that sets their organization apart from their competitors.
Importance of Customer Service from Medical Assistants' Perspective
Please know that our organization appreciates your unwavering efforts to provide the best possible medical care to our valued patients. Medical assistants are on the forefront of the provision of this care, and we need your support to ensure that your services are compensated appropriately. This is in everyone's best interests because unplanned turnover can cost this organization…
AAPA, NJPAS, and NJSSPA are professional bodies representing the Physician Assistants. AAPA is a nation wide body which claims to be the sole national level organization, which is representing the Physician Assistants in the United States and is working for the benefit of PAs in all specialty areas. This organization mainly provides support to the Physician Assistants in employment matters and other professional issues. AAPA stands for "American Academy of Physicians Assistants. On the other hand, NJPAS and NJSSPA are New Jersey-based organizations representing the PAs in the New Jersey region. NJPAS is basically a student organization, which provides educational and professional support to PA students while NJSSPA is a professional body of Physician Assistant practitioners operating at the state level.
The development of the website "NJPAS.com" will be beneficial for both the Physician Assistant students and the working students. This website will serve as a platform for sharing the…
The American Academy of Physician Assistants: from the World Wide Web:
New Jersey Physician Assistant Students: from the World Wide Web:
Medical Care Services
The current delivery of health care services represents one of the most important subjects for discussion both in the Obama Administration as well as the epublican one and the Administrations that preceded the Bush one. egardless of political color, it must be pointed out that the health care system in the United States does not only depend on the ideological orientation, but also on the people and their own beliefs in terms of human action and interaction. It is a clear fact that "Ten years ago, the U.S. healthcare system was declared "broken," and it has not improved. Fixes promised by managed care have not materialized. Premiums are rising. Hassles for patients and physicians abound. Nearly 45 million Americans are uninsured." (Garson, 2000)
One of the most severe problems facing the health care system in the United States is the discussion that is being held between those…
Garson, Arthur. "Current Perspective. The U.S. Healthcare System 2010. Problems, Principles, and Potential Solutions" 2000. Available at http://circ.ahajournals.org/content/101/16/2015.full#sec-7
ImpediMed. "Pre-emptive vs. Reactive Models of Care: Pre-emptive Care Model Prospectively Managing Lymphedema in Breast Cancer Patients" 2012. Available at http://www.impedimed.com/knowledge-center/health-insurance-providers/pre-emptive-versus-reactive-models-of-care.htm
Yale School of Medicine. "The PA Profession." 2013. Available at http://medicine.yale.edu/pa/profession/index.aspx
Nurse Practitioners Should Work Independently of Physicians
One of the problems facing health care is the inadequate number of primary-care physicians, more so among the rural population. There are fears that shortages will only get worse as a rising number of patients look for care Under Affordable Care Act. esides the provision of advanced nursing care, nurses have licenses to offer clinical care, including the ordering of X-rays and lab work, and are particularly helpful in helping patients having chronic conditions like high blood pressure and diabetes cope (Holmes, 2013).
Nearly one third of states now permit nurse practitioners to practice in the absence of physician supervision. Nursing groups as well as health-care interests are however lobbying that nurses be granted the same level of autonomy in all states as in the other states that do not require physician supervision. Some interest group, while still appreciating the efforts put forth…
Dueker, M.J., A.K. Jacox, D.E. Kalist, and S.J. Spurr. The Practice Boundaries and Advanced Practice Nurses: An Economic and Legal Analysis. Journal of Regulatory Economics, 27, 2005, 309-29.
Holmes, L. (2013, June 13). Should Nurse Practitioners be able to treat patients without Physician Oversight. Retrieved from The Wall Street Journal: http://www.wsj.com/articles/SB10001424127887324715704578480911396098592
John, P. (2009, January 10). The rise and impact of nurse practitioners and physician assistants on their own and cross-occupation incomes. Retrieved from FPO: http://www.freepatentsonline.com/article/Contemporary-Economic-Policy/211959183.html
Page, L. (2014, October 29). Physicians, NPs and PAs: Where's all this going? Retrieved from Medscape Multispeciality: http://www.medscape.com/features/content/6006318
graduate Sociology ( Communauty development ) University Lome, Togo West Africa, french speeking country Now serving a class Aviation Boxwain Equipment Navy My plan crossrate (change rate- change job) corpsman I gain experience school Physician assistant I 38 years .
I am currently serving in the United States Navy. However, my ultimate career goal is to become a physician or a physician's assistant when I leave the service. A desire to help others has been the driving force in my life path and education. My passion for service is one of the reasons I joined the military in the first place, combined with the experiences in leadership it offered me. I will continue to serve the public even after I retire through my professional work in healthcare. My long-term goal is to become a health care Foreign Service specialist, merging my knowledge of foreign cultures and healthcare delivery…
My life has centered upon answering a central question. This question has been a in my mind since I was 10 years old. At that age, my first image of medicine was largely influenced by the doctors and nurses who were always helping my grandfather battle a rare form of brain cancer. His illness was a life changing experience for me, as, at that age, I watched his condition gradually deteriorate over a period of three months, and I detested I could do nothing to help. This thought, however painful then, has motivated my entire life, and has led to my choosing of nursing as a profession,
Though some did not approve of this particular career path, I never gave up my dreams. For this reason, I began studying and volunteering so as to combine education in theory with education in practice. Giving back to…
total I have 13 years in the nursing field. Throughout that combined time I have worked in nursing homes / assisted living facilities, home health, as well as in a hospital setting. During the time that I worked in the hospital I worked in a program called share the care. This entailed me working throughout the entire hospital as a nursing assistant, which gave me experience in various areas, i.e. The emergency room, intensive care, pediatrics, oncology and etc. By being apart of this program it has afforded me the opportunity to do what I truly love, be a part of the whole process of nursing sick patients back to health. This has always been a passion of mine.
A Nurse practitioner is a nurse who has completed a graduate nursing degree and training in providing preventive and medical health care to individuals and families in association with a physician.…
Greensboro AHEC Kids (2005). Nurse practitioner. Retrieved 09/23/05, from www.aheckids.com/nurprac.htm
U.S Department of Labor (2004-2005). Physicians Assistant. Occupational Outlook Handbook,, . Retrieved 09/23/05, from http://stats.bls.gov/oco/ocos081.htm
Utilization of the data and collection of the data should be one of the main aims of the policy makers. The data can be used by the policymakers in order to develop the policies and implement these in order to make sure that improvement can be ensured (Basch, 2011, p. 9).
3. One of the main roles that can be played by the policy makers includes reviewing the policies that have already been designed for the schools. How these previous policies have played roles in an improvement of academics of the children, their environments and their health are important parts of the review by the policymakers. It is important that funding is collected for the issues that affect health and academics of children.
4. The policymakers should make sure that the importance of school-based health clinics that can play roles in looking after the needs of the students.
Basch, C. (2011). Executive Summary: Healthier Students Are Better Learners. Journal of School Health 81, pp. 4-107.
Bruzzese, J., Sheares, B.J., Vincent, E.J., Du, Y., Sadeghi, H., Levison, M.J., Mellins, B.R., and Evans, D. (2011). Effects of a School-based Intervention for Urban Adolescents with Asthma: A Controlled Trial. Am. J. Respir. Crit. Care Med. April 15, 2011 183, pp. 998-1006.
Gall, G., Pagano, M.E., Desmond, S., Perrin, J.M., and Murphy, J.M. (2000). Utility of Psychosocial Screening at a School-based Health Center. Journal of School Health 70, pages 292 -- 298.
Geierstanger, P.S., Amaral, G., Mansour, M., and Walters, R.S. (2004). School-Based Health Centers and Academic Performance: Research, Challenges, and Recommendations. Journal of School Health 74, pages 347 -- 352.
Dr. obb-Nicholson's data best supports the scenario that more incidents of breast cancer will be discovered due to the reduced number of screenings that the new guidelines suggest. According to the numbers she gives, the mortality rate for breast cancer decreases every year and this decrease can be attributed to the previous screening guidelines. She writes that the USPSTF has based the new guidelines on statistics rather than clinical data and the message that they are conveying to the public is that the number of deaths that regular screenings at beginning at the age of forty is too small to keep the guidelines as they were previously. (6)
The best approach would be to keep the guidelines the way they were before the change. There was not enough clinical data to support the change in guidelines. Also, because the mortality rate for breast cancer has steadily declined with women following…
1. Cancer Weekly. Concerned Federal Screening Mammography Guidelines to Limit Access for Younger Women. Susan G. Komen for the Cure. 2010: 1665.
2. Earthtimes.org. Stick with Older Mammography Recommendations. Stanford Experts Say. March 3, 2010 (Press Release from Stanford Hospital & Clinics).
3. Hoppel, Ann M. To screen, and when to screen: the mammography age divide. Clinician Reviews. 2009: 19.12.
4. Journal of the American Academy of Physicians Assistants. USP-STF: no routine mammography for women younger than 50 years. 2010; 23.2, p.66.
Healthcare is one of those industries and fields of work where the promotion of innovation and change management is key. It is also one of those fields where managing that change through tried-and-true practices such as evidence-based practice and so forth is a must. One change that is changing nursing a lot, especially when it comes to the advanced levels of nurses, is the flattening of the hierarchy that typically exists when it comes to what nurses are allowed to do, what they are expected to do and what they must do. Whether it be the aging of the population, the shortage of some types of doctors (or doctors in general) or general access to quality care for patients in general, there is often a distinct reason for the need and thus the prior mentioned need for innovation and proper change management in the nursing field is necessary…
Bassett, E. (2010). Doctors face cash flow problems with Medicare. Fort Worth Business
Press, 22(47), 29.
Delgado, C., & Mitchell, M. M. (2016). A Survey of Current Valued Academic Leadership
Qualities in Nursing. Nursing Education Perspectives, 37(1), 10-15. doi:10.5480/14-1496
Strategic Planning May Successfully Aid the Patient-Centered Medical Home Model's Implementation and Value to Our Health Care System
How Using Strategic Planning May Successfully Aid the Patient-Centered Medical Home Model's Implementation and Value to Our Health Care System
In 1967, the AAP (American Academy of Pediatrics) introduced the concept of Medical Homes. These homes were at first assigned for obtaining children's medical records. Several decades later in 2002, the Academy expanded its policy statement on the concept, making it more comprehensive, accessible, compassionate and culturally-effective. The new policy also changed the focus of medical home from the child to the family. The ACP (American College of Physicians) and the AAFP (American Academy of Family Physicians) have also developed their own patient-care models which they refer to as "advanced medical home" and "medical home," respectively (PCPCC, 2007).
Many health care experts agree that the basic components of medical home definition include…
AHIMA. (2013). Assessing and Improving EHR Data Quality. Journal of AHIMA, 84(2), 48-53.
AHIMA Board of Directors. (2011). New View of HIM: Introducing the Core Model. American Health Information Management Association.
AHRQ. (n.d.). Defining the PCMH. Retrieved March 11, 2016, from Agency for Healthcare Research and Quality: https://pcmh.ahrq.gov/page/defining-pcmh
Alexander, J. A., Paustian, M., Wise, C. G., Green, L. A., Fetters, M. D., Mason, M., & Reda, D. K. (2013). Assessment and Measurement of Patient-Centered Medical Home Implementation: The BCBSM Experience. Annals of Family Medicine, 11(1), S74-S81.
The Victorian and Other Healthcare Facilities still have issues with horizontal violence in their work environments where many of these incidents occur, however, their facility feels, according to the Contemporary Nurse web site, that the main reason that there is so much animosity in the Victorian health center is because of the constant aggression that these nurses receive from dementia patients which causes some of these nurses to be more anxious, uptight, restless, and more likely to say something to offend other nursing staff especially the younger, less experienced, new graduates that have just joined the healthcare team. The Victorian chairman addressed in a letter he had wrote to the Minister for Health to politely ask him to think about his opinion on the report that the Victorian's Taskforce hostile working environment even though he shares his own beliefs and facts, noted in the "Victorian Taskforce on Violence…
Morand, M. (2005, November). Victorian task force on violence in nursing. Retrieved from http://www.health.vic.gov.au/__data/assets/pdf_file/007/17674/victaskforcevio.pdf
Neill, J. (2007, February 28). Qualitative vs. quantitative research: key points in a classic debate. Retrieved from a http://wilderdom.com/research/QualitativeVersusQuantitativeResearch.html
Critical Thinking and Analysis
Developing critical thinking skills and using those skills to analyze the nursing practices, guidelines and standards provides the individual with the ability and capabilities to advance in a nursing career, helps the individual to assist others in achieving their goals and objectives, and assists the individual in the quest to become a more effective and efficient nurses. One recent study determined that nurses can also benefit from enhanced critical thinking skills "by describing the mental processes, or vigilance, nurses use to differentiate the significant from the non-significant observations made with regard to patients" (Robert, Petersen, 2013, p. 86). If that is true then critical thinking skills can be quite important to the nurse who is seeking to develop a relationship with his or her patients that provides for the optimum recovery through comprehensive observation.
A nurse who understands that thinking through what he or she is…
Bozorgmehr, K.; Bruchhausen, W.; Hein, W.; Knipper, M.; Korte, R.; Razum, O.; Tinnemann, P.; (2014) The global health concept of the German government: strengths, weaknesses, and opportunities, Global Health Action, Vol. 7, pp. 1-4
Christou, A. & Thompson, S.C.; (2013) Missed opportunities in educating Aboriginal Australians about bowel cancer screening: Whose job is it anyway? Contemporary Nurse: A Journal for the Australian Nursing Profession, Vol. 46, Issue 1, pp. 59-69
Garrity, M.K.; (2013) Developing nursing leadership skills through reflective journaling: a nursing professor's personal reflection, Reflective Practice, Vol. 14, Issue 1, pp. 118-130
German, M.; (2013) Developing our cultural strengths: Using the 'Tree of Life' strength-based narrative therapy intervention in schools, to enhance self-esteem, cultural understanding and to challenge racism, Educational & Child Psychology, Vol. 30, Issue 4, pp. 75-99
Quality Improvement Project
Diabetes -- Chronic Condition Background
Type 1 and Type 2 Diabetes
isk factors for type 1 diabetes
isk factors for prediabetes and type 2 diabetes
isk factors for gestational diabetes
The ationale for Selection
The Target Population
It has been estimated that in New York there is roughly two million people, or over twelve percent of the population, that have diabetes; furthermore, of this population, over half a million people have the condition but are not aware that they have it (American Diabetes Association, N.d.). It is further estimated that nearly five and a half million people, or over a third of the population, have prediabetes. Diabetes and diabetes-associated cardiovascular diseases have become the leading cause of death in the region accounting for roughly two-thirds of the deaths and the rates of diabetes has lead this trend to be referred to as the…
American Diabetes Association. (N.d.). Health Disparities. Retrieved from American Diabetes Association: http://www.diabetes.org/advocacy/advocacy-priorities/health-disparities.html
American Diabetes Association. (N.d.). New York, New York. Retrieved from American Diabetes Association: http://www.diabetes.org/in-my-community/local-offices/new-york-new-york/
CDC. (2013). Diagnosed Diabetes, Age Adjusted Rate (per 100) Adults - Total 2013. Retrieved from Center for Disease Control: http://gis.cdc.gov/grasp/diabetes/DiabetesAtlas.html
Department of Health. (N.d.). Diabetes. Retrieved from New York State: https://www.health.ny.gov/diseases/conditions/diabetes/
Personal Statement Application for the Nurse Practitioner Program at UCSF
I first experienced the duties of a nurse practitioner in WHATEVER, a small mountain village in Nepal.
From 1996-1998, I worked as a Community Health Volunteer with the American Peace Corps. During those two years, I worked with Nepalese women and children, teaching classes on first aid, family planning and nutrition. I also organized immunization clinics, ran a health library, and conducted community needs assessments.
I have always found great fulfillment in healthcare and in being part of people's recoveries. For this reason, I majored in Kinesiology and Biology at the University of Minnesota, even working towards an application to the Physician Assistant program during my last two years. After graduation, I worked as a nursing assistant.
Since then, I have also gained greater familiarity with pharmaceuticals and the managed healthcare system in my present work with the Daiichi Corporation.…
Personal and Professional Accountability
Personal Growth and Development
The concept of professional nurse accountability has been defined by professional nursing bodies and nurse education credentialing bodies as an essential factor underpinning professional practice. As a nurse, I realize this fact and take accountability and responsibility for whatever behavior and actions exhibited, on my part, at the workplace. Moreover, I have understood the need to appraise myself, strive to improve my practice, and continuously fulfill learning outcomes I determine. Lastly, I attempt to sustain my physical, emotional and psychological wellbeing for being able to practice effectively (CRNC, 2017).
Ethical Conduct and Practice
In this profession, I have acquired skills to operate within the boundaries of my personal competence levels, the legally accepted practice scope, and every applicable law. Acting to support safe, ethical and proper patient care comes under my personal and professional nursing accountability as well (CRNC, 2017).
Bell, L. (2015). Reflection In Personal And Professional Development. 30.
Campbell, C. C. (2011). Advance Practice Nursing Roles. Retrieved from http://corneliacampbellportfolio.weebly.com/uploads/1/4/0/8/14089963/nu602reflectionpaper_advanced_practice_nursing_roles.pdf
CRNBC. (2017). Standard 1: Professional Responsibility and Accountability. Retrieved from College of Registered Nurses of British Columbia: https://crnbc.ca/Standards/ProfessionalStandards/Pages/ProfessionalAccountability.aspx
Savrin, C. (2009). Growth and development of the nurse practitioner role around the globe. J Pediatr Health Care., 310-14.
On March 23, 2010 the Patient Protection and Affordable Care Act (PPACA) was signed into law by President Barack Obama. Along with the Health Care Reconciliation Act of 2010, the PPACA became part of the overall Health Care Reform concept of 2010. The health care reform process was promoted as a way to completely transform the health care industry and ensure that all Americans received affordable health care. hile supporters praise the legislation as a revolutionary law which will benefit ordinary Americans, critics claim that the Obama Administration used the health care reform process as a means of gaining control over the entire health care system. In an attempt to compare and contrast the provisions of this new law, this essay will discuss several provisions of the new health care legislation and compare the benefits as well as the criticisms of them.
Section 5501 of the PPACA provides for…
Appleby, Julie. (2011, Jan. 10). Effort To Reward Medicare Advantage Plans Draws Criticism. Kaiser Health News. Retrieved from http://www.kaiserhealthnews.org/Stories/2011/January/10/Medpac-on-Medicare-Advantage-bonuses.aspx
"Side Effects: Obamacare Could Punish Docs for Better Quality Care." (2010, July 16). The Heritage Foundation. Retrieved from http://fixhealthcarepolicy.com/health-care-news/side-effects-obamacare-could-punish-docs-for-better-quality-care/
Gold, Jenny. (2011, Jam. 18). "Accountable Care Organizations, Explained." NPR. Retrieved from http://www.npr.org/2011/04/01/132937232/accountable-care-organizations-explained
"Health Care Reform: Annual Fee on Prescription Drug Manufacturers and Excise Tax on Medical Devise Manufacturers." (2010, Apr.). Covington & Burling LLP Retrieved from http://www.cov.com
U.S. Healthcare System: An Analysis
Healthcare System: An Analysis
The United States healthcare system is far more than simply a health insurance system with multiple contributors, neither is the government solely responsible for funding the system -- thus it is a hybrid health insurance system. The funding pattern depicts the system aptly, in the year 2010, 12% of funding came from local and state coffers, 38% from the federal government and 50% from private funds. egardless of the source of funding, most people seek care from private health facilities (Dorning, 2014).
Individuals seek primary care for almost all the health concerns they encounter, for instance, one may look for primary care even for common afflictions such as viral fever, bacterial infection or influenza. Individuals also look for primary care if they think they have broken a bone; have skin rash or a sore muscle. Primary care providers (PCPs)…
Baldwin, D. M. (2003). Disparities in Health and Health Care: Focusing Efforts to Eliminate Unequal Burdens. The Online Journal of Issues in Healthcare, 8(1).
CDC. (2014, March 13). Healthy People 2020. Retrieved from National Center for Chronic Disease Prevention and Health Promotion, Division for Heart Disease and Stroke Prevention: http://www.cdc.gov/dhdsp/hp2020.htm
Dorning, J. (2014, June). The U.S. Health Care System: An International Perspective. Retrieved from Department for Professional Employees: http://dpeaflcio.org/programs-publications/issue-fact-sheets/the-u-s-health-care-system-an-international-perspective/
Squires, D., & Anderson, C. (2015, October 8). U.S.Health Care from a Global Perspective: Spending, Use of Services, Prices, and Health in 13 Countries. Retrieved from The Commonwealth Fund: http://www.commonwealthfund.org/publications/issue-briefs/2015/oct/us-health-care-from-a-global-perspective
Nursing Knowledge: A Controversy
The scope of the nursing profession has increased dramatically over the last thirty years. The demarcation between medical and nursing tasks is quickly dissolving as the nursing profession is becoming increasingly multidisciplinary and complex. In 1996, nurse practitioners were mandated to obtain master's degrees to address their changing role in medical care (Nicoteri & Andrews, 2003). In this multidisciplinary and evolving healthcare environment, adaptation is paramount to providing effective patient care. Currently, there is a controversy in nursing regarding the direction that the development of nursing knowledge should take. There are many critics who believe that developing new nursing theories is an effective way to promote this development. However, theories are often abstract and not adaptable to specific healthcare settings. The belief that the knowledge base for nursing should evolve entirely from theory has important implications for nursing as an academic discipline and by extension the…
Attree, M. (2001). Patients' and relatives' experiences and perspectives of 'good' and 'not so good' quality care. Journal of Advanced Nursing, 33, 456 -- 466.
Burman, M.E., Hart, A.M., Conley, V., Brown, J., Sherard, P., Clarke, P.N. (2009). Reconceptualizing the core of nurse practitioner education and practice. Journal of the American Academy of Nurse Practitioners, 21, 11-17.
Hart, A.M., Macnee, C. (2007). How well are NPs prepared for practice: Results from a 2004 survey. Journal of the American Academy of Nurse Practitioners, 19, 35 -- 42.
Mantzoukas, S., Jasper, M. (2008). Types of nursing knowledge used to guide care of hospitalized patients. Journal of Advanced Nursing, 62, 3, 318-326.
Nursing associations: Is there a need for professional organizations? If yes, why? If no, why not?
Throughout its history, nursing has struggled to establish itself as a separate, worthy profession with a unique set of paradigms and ways of knowing. Nurses are not simply inferior doctors or the helpers of doctors, as was once commonly thought. Professional associations play a vital role in establishing nurses' credibility. Such associations often take on the responsibility for systemizing theories of professional knowledge; defining specializations of the profession and specialist definitions; raising educational and practice standards; offering professional education; creating a base of authority and approval within the profession and larger society; defining ethics and enabling the profession to self-regulate and define its ethical standards (Matthews 2010).
Although professional associations serve a vital function for all professions, it could be argued that for nurses the need is particularly acute, given the volatility of the…
American Nursing Association. Retrieved from: http://www.nursingworld.org/
Greggs-McQuilkin, D. (2005). Why join a professional nursing organization? Nursing, 35 (19).
My solution has the potential benefits including the following. First, our hospital would be hailed as a progressive institution that serves all members of its community. Second, our hospital would benefit from improved quality of care. As a family nurse practitioner, I value the holistic approach to nursing. All aspects of the patient's life are taken into consideration. Other benefits more directly impact the patient's outcomes, and also workplace morale. As Oberle & Hughes (2008) point out, "administrators should provide opportunities for discourse to help staff reduce moral distress and generate creative strategies for dealing with this," (p. 707). Finally, benefits include ascription to the most fundamental of tenets of nursing. The American Nurses Association (2010) states that humanist, feminist, and social ethics should at all times be adhered to in the advanced nursing practice. The only costs associated with my solution would be the time and energy spent convincing…
American Nurses Association (2010). Code of Ethics for Nurses. Silver Spring: ANA.
Kaplan, C. (n.d.). Ethical dilemmas. Advance Healthcare Network. Retrieved online: http://nurse-practitioners-and-physician-assistants.advanceweb.com/article/ethical-dilemmas-2.aspx
Oberle, K. & Hughes, D. (2008). Doctors' and nurses' perceptions of ethical problems in end-of-life decisions. JAN 33(6): 707-715.
Medical trauma triage management requires skillful curriculum development, which in turn depends on an assessment of needs and an anticipation of potential barriers to implementation. The initial needs assessment has revealed required resources of about four or five medical services providers such as physician assistants and nurse practitioners. Support personnel may be provided, but an additional challenge will arise when implementing the curriculum in a real world setting such as a trauma center, emergency room, or intensive care unit. Adequate space and time must be carved out for the curriculum implementation, without disturbing standard operating procedures. At the same time, improving trauma triage management will ultimately facilitate patient service delivery and maximize care outcomes, goals that should continually be communicated to the institutional administration as well as all participants in the program.
Each phase of the ADDIE model, an industry benchmark for curriculum development, "requires constant evaluation," (Allen, 2006, p.…
Allen, W.C. (2006). Overview and evolution of the ADDIE training system. Advances in Developing Human Resources 8(4): 430-441.
Bass, E.B. (n.d.). Step 1: Problem identification and general needs assessment.
Swanson, R.A. & Holton, E.F. (2009). Training and development practices. Chapter 12 in Foundations of Human Resource Development.
Prior to Launching Technology Initiatives
Over the past seven years, many healthcare organizations, like OUUCH, have begun to transition from the traditional paper-based systems to EH systems. esearch has shown that over a period of time. EH systems can improve quality of care for patients, provide more accurate information, and overall improve safety issues relating to reducing mistakes with patients. In the exploratory study, "Change factors affecting the transition to an… [EH] system in a private physicians' practice: An exploratory study," Aaron D. Spratt, Social Security Administration and Kevin E. Dickson (2008), Southeast Missouri State University, report that the U.S. health care industry reportedly ranks among the world's leading inefficient information enterprises. Although the system needs major changes, the transition process however, creates a high change in the business aspect of an organization. Spratt and Dickson (2008) explain that for an EH system to be successful, doctors must be involved…
Amatayakul, M. (2009). EHR vs. EMR: what's in a name? Healthcare Financial
Management. Healthcare Financial Management Association. Retrieved May 13, 2010
from HighBeam Research: http://www.highbeam.com/doc/1G1-202487730.html
Bennett, D. (2009). EMR market includes small and large system vendors. Managed Healthcare
Major depressive disorder, or MDD, may affect up to twenty percent of the adult population. The recognition of depression as a serious and common mental disorder has been vital in the identification and treatment of depression in adults. Leaps and bounds have been made in the field of depression research. The widespread recognition of the many possible causes of depression, including chemical imbalances with genetic or medical origins as well as traumatic life events, has made it possible for those suffering from depression to openly seek treatment options and discuss their depression without necessarily feeling the same overwhelming shame and isolation that were inevitable in generations past. Depression is more likely to be identified in an affected individual by family members, physicians, or others because of the public information that is available for professionals and the common people. Research is constantly revealing new treatment options, identifying causal factors,…
Fremont, W.P. (2004, April) Childhood reactions to terrorism-induced trauma: a review of the past 10 years. Journal of the American Academy of Child and Adolescent Psychiatry. v43, i4, 381(12).
Gaughan, D.M., et al. (2004, June) Psychiatric hospitalizations among children and youths with human immunodeficiency virus infection. Pediatrics. v113, i6, 1793(1).
Gazelle, H. & Ladd, G.W. (2003, January-February) Anxious solitude and peer exclusion: a diathesis-stress model of internalizing trajectories in childhood. Child Development. v74, i1, 257(22).
Louters, L.L. (2004, September) Don't overlook childhood depression: an effective approach to childhood depression requires that you maintain a high index of suspicion and understand the disorder's full spectrum of manifestations. JAAPA - Journal of the American Academy of Physicians Assistants. v17, i9, 18(7).
People who are in poor health are less likely to work and, when in work, are less prolific. They are less probable to invest in their own schooling or to save for retirement, and so to support the broader economy. Experts believe that the present economic and labor market, social security arrangements, retirement age and the relations between all of them will need to be considered when addressing the economic benefits of better health in the future. The substantiation is clear; a healthy population including healthy older people can add substantially to the economy (Figueras, McKee, Lessof, Duran & Menabde, 2008).
4. The wisdom of depending on International Medical School Graduates (IMGs) to fill gaps in physician supply, while U.S. medical schools hold class size constant, is questionable. In addition, the aging of the physician workforce, the decreasing hours worked by both physicians in practice and physicians in residency, and…
ANA's Health System Reform Agenda. (2008). Retrieved from http://www.nursingworld.org/ MainMenuCategories/HealthcareandPolicyIssues/HealthSy
Figueras, J., McKee, M., Lessof, S., Duran, A. & Menabde, N. (2008). Health systems, health and wealth: Assessing the case for investing in health systems. Retrieved from http://www.euro.who.int/__data/assets/pdf_file/0009/83997/E93699.pdf
Sultz & Young, (2011). Health Care USA Understanding its Organization and Delivery.
Nursing and the E
The Emergency oom is often one of the most visible parts of healthcare for political debate. It is also one of the most difficult environments for a modern nurse. It is interesting that one of the founders of modern nursing had emergency experience prior to developing her overall theories. Nightingale also looked at negatives and positives that are the conditions, which could help make people recover and reach their actual potential, as also noted by Maslow hierarchy of needs. She did not look or speak directly of the disease per se, but rather, looked at air, clean water, environment, and sanitation. She published her book in1860 with the title a "Notes on Nursing: What it Is and What it Is Not," connecting human beings and quality of human life, and comparing the stagnant sewage she saw in Scutari, as well as in London. She…
Americans at Risk. (March 2009). Families USA. Retrieved from:
Patient Perceptions in the Emergency Department: Physicians, Physician Assistants,
Nurse Practitioners. (30 August 2010). Retrieved from: http://idiopathicmedicine.wordpress.com/2010/08/30/patient-perceptions-in-the-emergency-department-physicians-physician-assistants-nurse-practitioners/
More times than not, a patient will argue that he did not understand what the physician stated to him; even amidst documented proof the medical professional and the patient did engage in an informed conversation. "The fact that a meeting took place does not necessarily mean that there was a meeting of the minds" (Informed consent…, 2010, ¶ 5). This issue leads some health care providers to assert that informed consent forms possess little value, particularly when a legal battle ensues and the professional cannot prove the patient did, in fact, understand the informed consent process.
Currently, lawyers routinely challenge informed consent forms in courtrooms throughout the United States (U.S.). "The model consent forms incorporate substantial details of anesthesia techniques, risks and other elements of 'informed consent', so that a strong presumption is established on its face" (Informed consent…, 2010, ¶ 7). During the informed consent process, to help inoculate…
Anaesth, B.J. (2009). Perioperative visual loss: What do we know, what can we do? Department
of Anesthesia and Critical Care. University of Chicago. Retrieved January 25, 2010 from http://bja.oxfordjournals.org/cgi/content/short/103/suppl_1/i31
Booth, B. (2008). Informed consent at the heart of New York lawsuit. Retrieved January 26,
2010 from http://www.ama-assn.org/amednews/2008/03/10/prca0310.htm
Nursing Practice Expected to Grow and Change
Ageing of population and healthcare providers, coupled with reforms to healthcare, will raise demands for professionals in the field, also expanding existing professionals' required skill sets and roles. Physicians, physician assistants, nurse practitioners, nurses, and medical assistants are included in this growth area. Fortunately, healthcare is characterized by a swiftly expanding and large workforce (with 23000 new entrants every month, nationally); this sector progressed even in recent economic recessions (Survey, 2013). Registered Nursing (RN) is one of the leading U.S. occupations which is projected to grow 26% and add the highest number of jobs by 2020 (an estimated 1.2 million RNs overall), as per U.S. ureau of Labor Statistics (Survey, 2013). This stems from a projected rise in demand, as well as a need for replacing the current ageing RNs. Nursing careers are being pursued in America increasingly; the number of students enrolled…
Buerhaus, P., DesRoches, C., Applebaum, S., Hess, R., Norman, L., & Donelan, K. (2012). Are Nurses Ready for Health Care Reform? A Decade of Survey Research. Nursing Economics, 329.
Dunbar-Jacob, J. (2011). The Changing Role of Nursing in Health Care Reform. Pittsburgh: Pitt Nurse. Institute for Nursing Centers Survey (2008). Retrieved from http://nursingcenters.org/PDFs/INC%20Highlight%20Report%2010_6_08.pdf.
NURSE-MANAGED HEALTH CENTERS. (2011). Retrieved from: http://www.nncc.us/pdf/NMHC_Quality_Standards.pdf
Pohl, J.M., Tanner, C., Barkauskas, V.H., Gans, D., Nagelkerk, J., & Fiandt, K. (2010). Nurse-managed health centers' national survey: Three years of data. Nursing Outlook, 58(2), 97-103
Health Information System
Promoting Action Design esearch to create value in healthcare through IT
ecently there has been varying proof showing that health IT reduces costs while improving the standard of care offered. The same factors that had caused delays in reaping benefits from IT investment made in other sectors (i.e. time consuming procedural change) are also very common within the healthcare sector. Due to the current transitive nature of the Healthcare sector, new IT investment is likely not going to provide maximum value unless this new investment is backed up with a total reform of healthcare delivery. The overall ability of healthcare IT value researchers to add value to practice will be severely limited as a result of the traditional ex-post approach to measuring IT and the fact that government spurs significant investment. It may be risky to generalize or compare results from traditional IT value research with those…
Fichman, R., Kohli, R., & Krishnan, R. (2011). The role of information systems in healthcare: Current research and future trends. Information Systems Research, 22(3), 419-428.
Goh, J.M., Gao, G., & Agarwal, R. (n.d.). Evolving work routines: Adaptive routinization of information technology in healthcare. Information Systems Research, 22(3), 565-585.
Hoffnagel, E., Woods, D., & Leveson, N. (2006). Resilience engineering: Concepts and precepts. Abingdon: GBR: Ashgate Publishing.
Jones, S., Heaton, P., Riudin, R., & Schneider, E. (2012). Unraveling the IT productivity paradox lessons for health care. The New England Journal of Medicine, 366(24), 2243-2245.
Entrepreneurship: Nurse-Owned Clinics and Beyond Mobile FNP (Family Nurse Practitioners)
There are over 125,000 NPs (nurse practitioners) in the U.S., as per estimates of the AANP (American Academy of NPs). Compared to physician assistants, NPs enjoy greater autonomy and responsibility, and have been increasingly assuming roles in administrative leadership, aside from their conventional patient-care duties at clinics and hospitals. However, owing to the thorough knowledge required to succeed within private practice settings, NPs often establish independent practices after many years of experience at healthcare centers such as hospitals, in the role of salaried NPs (Furlow, 2011).
According to the Chief Executive of the NNCC (National Nursing Centers Consortium), Tine Hansen-Turton, a substantial growth has been observed in nurse-run health clinics, before as well as subsequent to the implementation of the ACA (Affordable Care Act). She claims the number of nurse-run clinics across the nation has now grown to five-hundred; this…
Aiken, L.H. & Sage, W.M. (1992). Staffing national health care reform: a role for advanced practice nurses. Akron Law Review, 26. Retrieved from https://www.uakron.edu/dotAsset/3ed241d2-f4fa-4afe-aca6-deacf419abcb.pdf
Fraino, J.A. (2015). Mobile nurse practitioner: A pilot program to address service gaps experienced by homeless individuals. Journal of Psychosocial Nursing, 53. Retrieved from http://repository.usfca.edu/cgi/viewcontent.cgi?article=1000&context=health_stu
Furlow, B. (2011, May 30). Business advice for nurse practitioners considering private practice. Clinical Advisor. Retrieved from http://www.clinicaladvisor.com/your-career/business - advice-for-nurse-practitioners-considering-private-practice/article/203953/
Helseth, C. (2010, May 7). Advanced practice nurses fill health care gaps in rural areas. Rural Health Information Hub. Retrieved from https://www.ruralhealthinfo.org/rural- monitor/advanced-practice-nurses-fill-gaps/
Samson is herself a minority and half of the nursing staff in the office are non-white. One of the senior doctors is Latino. Samson helped staff trace some of the office miscommunications to a lack of cultural sensitivity. Diversity issues are on the table at one of every two staff meetings, according to Samson. Diversity awareness has improved as a result of directly confronting stereotypes that had previously prevailed in inter-office communications. Samson also believed that diversity awareness was most important in regards to patient relations. Therefore, Samson encouraged staff members to take into account communication differences and other issues related to diversity when addressing patients.
7. Synergy and Human Capital
Generating cooperation and fostering personal strengths is one of Samson's main goals as the Senior Administrator. Achieving the goals of the organization depends on a positive workplace environment, which in turn is fostered by synergy. Samson helped create an…
"Health Care Administrator," (nd). The Princeton Review. Retrieved online: http://www.princetonreview.com/Careers.aspx?cid=76
Samson, D. (2010). Interview.
Healthcare System -- Linkages and Alliances
The healthcare system is a complex but integrated system that allows patients, providers, pharmacists, insurance agencies, hospitals, and regulators to all come together so that the needs of each are met. This paper will select one healthcare delivery organization in the U.S. that provides care to patients and discuss the relationship between this organization and the other stakeholders in healthcare -- in particularly how it links and aligns with these stakeholders.
As the Institute of Medicine (2009) points out, "healthcare delivery organizations play a critical role because of their ability to drive practice trends, set standards, and influence smaller practices by sharing information, resources, and guidelines." This is something that Humana Care Delivery Organization is able to help achieve through its extensive network within the overall Humana family. By employing a balanced team, innovative pioneers, and using great locations to reach the population it…
First of all only a scant few of these Veterans groups will acknowledge the "promise" of free health care; for the most part these groups will tout the benefits already promised by the Veterans Administration and assert that cuts in these benefits are the same a broken promise-or contractual breach in legal terms. The idea of the United States military making a "promise" or forging a legally binding agreement between individual veterans or groups of veterans is barred by the United States Constitution. As will be demonstrated in the Literature eview, specific Constitutional language from Article I give Congress and only Congress the express authority to make laws and regulations pertaining to the armed forces. Therefore, the idea the military breached a contract with service members is, ultimately, inherently inaccurate. Combining the lack of specific language within the materials provided by any governmental agency with the clear language of the…
.... (n.d.). The RETIRED MILITARY ADVOCATE. The RETIRED MILITARY ADVOCATE. Retrieved November 29, 2010, from http://mrgrg-ms.org/
Best, R. (2003, August 7). Military Medical Care Services: Questions and Answers. Congressional Research Service, 1, 1-17.
Birkey, a. (2010, July 21). Fraudulent vets charity raised big money in Minnesota. The Minnesota Independent, p. 3.
Burrelli, D. (2008, August 12). Military Health Care: The Issue of Promised Benefits. Congressional Research Service, 1, 1-14.
Health Care Staff Trends
The healthcare system has seen various changes over the decades with the aim of making the care more efficient and quality to the citizens. One of the most important changes is the Patient Protection and Affordable Care (PPAC) which has significantly changed the demand for healthcare professionals and the vacancies they have as well as the hiring and staffing practices by the healthcare organizations. These changes occasioned by the PPAC have various tenets and also implications that come with them especially for the healthcare sector in the future.
The PPAC has resulted in the rising of the nurse practitioner and the physician assistant roles within the healthcare system. This has made many healthcare organizations to focus more on the team approaches to providing care which is geared towards employing more nursing practitioners and physician assistants who will help in providing care to the aging population. This…
Barnet S., (2015). 5 ways the PPACA has changed healthcare staffing and workforce trends. Retrieved November 12, 2015 from http://www.beckershospitalreview.com/workforce-labor-management/5-ways-the-ppaca-has-changed-healthcare-staffing-and-workforce-trends.html
Moore M., (2015). What are HRM Strategies. Retrieved November 12, 2015 from http://smallbusiness.chron.com/hrm-strategies-59260.html
Wright P.M., (2015). Human Resource Strategy. Adapting to the Age of Globalization. Retrieved November 12, 2015 from http://www.shrm.org/india/hr-topics-and-strategy/strategic-hrm/Documents/HR%20strategy%20EPG-%20Final%20Online.pdf
The Purpose of E/M Codes
E/M codes are generic and are intended for use by all medical practitioners including nurse-practitioners, physicians and physician assistants. They can be used in both specialty care and primary care. All E/M codes can be used for reporting services. The decision on which E/M code to use is informed by which code describes most accurately the service the patient is to receive. The flexibility of E/M codes allows for easy and flexible reporting when service provided has more medical content or when more of coordination and counseling of care is given than psychotherapy (Codes and Documentation for Evaluation and Management Services).
The Creator of E/M Codes
E/M codes were created by the E/M Guidelines. The E/M Guidelines documents what is required for all E/M code documentations. The Centre for Medicare and Medicaid Services (CMS) together with the American Medical Association developed the E/M guidelines. So…
Force 12: Image of Nursing. The VA recognizes the importance of individual care to the perception of quality healthcare in its facilities. Even if the entire organization operates in an effective and compassionate manner, if the nurse that cares for a patient fails to deliver on this level of care, the individual perception of nursing care will be diminished. To this end, the organization's nursing fact sheet proclaims, "VA Nursing Service is dedicated to promoting optimal health, patient safety, quality health care, and the highest professional standards, in order to ensure that our veterans receive the best possible care and that our staff work in the best possible health care system" (VA Nursing Service, 2005).
Force 13: Interdisciplinary elationships. The VA's Web page, "VA & Experienced Professionals" (2008) states, "Our doctors, physician assistants, nurses, therapists, pharmacists, and other professionals work together in an interdisciplinary care team structure" (p. 3).
About Office of Nursing Services. (2008). Department of Veterans Affairs. [Online]. Available: http://www1.va.gov/nursing/page.cfm?pg=111.
About VA. (2008). Department of Veterans Affairs. [Online]. Available: http://www.va.gov/about_va/ .
Bliss-Holtz, J., Winter, N., Scherer, Elaine M. (2004, September). An invitation to magnet accreditation. Nursing Management, 35(9), 36-42.
Facts about the Department of Veterans Affairs. (2008). Department of Veterans Affairs. [Online]. Available: http://www1.va.gov/opa/fact/vafacts.asp.
Nursing: Today and Throughout History
The occupation of nursing has been around for almost all of history in some form or another. In the ancient Roman Empire are found records of the nursing practice, where nurses provided care to in-patients at local Roman hospitals. In Constantinople—the Rome of the East—nurses were “known as hypourgoi” (Kourkouta, 1998). These nurses (both male and female) were tasked with jobs much like today’s nurses: they provided a wide variety of services to patients. Kourkouta (1998) states that the main tasks of the hypourgoi (male nurses) and hypourgisses (female nurses) were to give “psychological support of patients, everyday care of patients’ bodily needs and elementary comfort, cleaning of patients and providing them with proper food, the administration of medicines according to a doctor’s instructions, supervising wards when the physicians were not present, the performance of enemas, cuppings and bloodletting, the main therapeutic means used at…
Staff Nurses' Perceptions of the Advantages and Disadvantages of apid esponse Teams
apid esponse Teams (T) are critically important in hospital settings to reduce the failure to resuscitate patients however, there are questions as to the perceptions of nurses concerning Ts.
The significance of this study is the knowledge that will be added to the existing base of knowledge on the perceptions of nurses of Ts.
The work of Heintz and Schreiner (2007) entitled "Improving Patient Safety Through the Use of apid esponse Teams" states in relation to the perceptions of nurses to rapid response teams that staff nurses "… may be fearful that T members will criticize their clinical judgment." In a separate work entitled "apid esponse Teams: educing Codes and aising Morale" it is reported that many hospital nurses like the idea of a apid esponse Team and in fact "an addition to their significant value as a…
Johal, Jagdeep (2008) Staff Nurses' Perceptions of Rapid Response Teams in Acute Care Hospitals. Queens Research & Learning Repository. Retrieved from: http://qspace.library.queensu.ca/handle/1974/1503
Heintz, Anne and Schreiner, Mary Ann (2007) Improving Patient Safety Through the Use of Rapid Response Teams" Dateline. Vol. 6, No. 1. Online available at: http://www.mlmic.com/portal/Files/Dateline/DatelineSpring07_6.pdf
Tee, A., et al. (2008) Bench-to-Bedside Review: The MET Syndrome -- the Challenges of Researching and Adopting Medical Emergency Teams. Critical Care 23 Jan 2008.
Rapid Response Teams: Reducing Codes and Raising Morale. Institute for Healthcare Improvement. Online Retrieved from: http://www.ihi.org/IHI/Topics/CriticalCare/IntensiveCare/ImprovementStories/FSRapidResponseTeamsReducingCodesandRaisingMorale.htm
The healthcare industry has widely adopted IT solutions in the development and maintenance of information systems for this sector. These information system applications will go a long way in boosting medical care goals by reducing costs significantly, increasing efficiency in the process and achieving a zero error. With this, client satisfaction will be realized. At the core of this is the electronic medical records (EHR) which is representative of all the health information of an individual that is available in a database and can be shared across healthcare service providers (Rouse, 2016). Also integral to this system are two components; mobile health (mHealth) and telehealth (telemedicine). Though the two are interconnected, they have a slight difference. Telehealth includes home monitoring of health conditions through desktops, laptops and other online material (Terry, 2016), while mobile health is restricted to mobile devices.
Considering the impact of electronic medical records (EHR), it is…
Special education allows children with special needs to gain knowledge and develop skills that can help them lead normal lives and gain independence. Although some consider special education as separate from the total educational enterprise, it is not. It is an integral part of it and serves the community in more ways than one. The specific function of special education in schools is to recognize the needs of children that suffer from mental and learning disabilities and help them get the services they need to thrive in an academic setting. Early childhood special education services provide parents and children with the tools to promote success in education early on, giving these students early access to support and services that will help them throughout their childhood and into adulthood.
Because every child has needs, the special education aspect of schools provides extra assistance so every child can be aided versus only…
Hedeen, T., Peter, M., Moses, P., & Engiles, A. (2013). Individualized Education Program (IEP)/Individualized Family Service Plan (IFSP) Facilitation: Practical Insights and Programmatic Considerations. Center For Appropriate Dispute Resolution In Special Education (CADRE). Retrieved from http://eric.ed.gov/?id=ED558077
Hong, S. & Shaffer, L. (2015). Inter-Professional Collaboration: Early Childhood Educators and Medical Therapist Working within a Collaboration. Journal Of Education And Training Studies,3(1), 135-145. Retrieved from http://eric.ed.gov/?q=early+childhood+special+education&pr=on&ft=on&pg=2&id=EJ1054910
Hooper, S. & Umansky, W. (2009). Young children with special needs. Upper Saddle River, N.J.: Pearson Merrill Prentice Hall.
Khan, A., Ahmad, R., Hamdan, A., & Mustaffa, M. (2014). Educational Encouragement, Parenting Styles, Gender and Ethnicity as Predictors of Academic Achievement among Special Education Students. International Education Studies, 7(2), 18-24. Retrieved from http://eric.ed.gov/?q=special+education&pr=on&ft=on&id=EJ1068932
Working With the Aging
Ladies and gentlemen, I stand here before you at a time in which the health care of older Americans has become a critical issue. Or should I say issues? We have more people needing more and more specialized care -- this is critical. We have fewer and fewer people being asked to do more and more -- that is critical. Current healthcare policy, especially for the aging, seems inadequate to address the challenges of what lies ahead. The situation seems very bleak at times. All signs seem to show that it will get bleaker. Well, I am here to tell you that I am the weatherman. I have weathered this storm with you. And I can tell you that the forecast looks good, if we can just keep our eyes on what is important and understand what tools we have to get through this, and overcome…
Web conferencing, though it is a very effective tool has its own drawback. The lack of human element and the absence of nonverbal feedback, particularly when dealing with clients constitute the negative side of electronic communication.
The field of medicine is one that uses web conferencing to great success. Telemedicine success stories are a good indication of the useful application of web conferencing. Web Conferencing, for example allows physician assistants and nurses to consult physicians and experts pertaining to patients symptoms and start appropriate treatment method for patients in hospitals and health care units running in remote locations. Similarly educational institutions embrace the technology offering e-learning modules for students from geographically diverse areas.
With careful planning and implementation of access privileges for different group of end-users internal security concerns can be allayed. Sensitive information can thus be protected by authorization. VOIP security concerns are a deterring factor as time and…
1) Matt McKenzie. Five Web Conferencing Packages: Not Just Conference
Calls Anymore. NetworkComputing.com Dec 1, 2005 http://www.networkcomputing.com/showArticle.jhtml?articleID=174403432
2) Kelly Jackson-Higgins. Video IP Project Boosts Network's Profile: A Look at Cisco Media Network. NetworkComputing.com Apr 19, 2004 http://www.networkcomputing.com/showitem.jhtml?docid=1508centerfold
3) Kelly Jackson-Higgins. Concrete Company Trades Travel for Web
THE ISSUE OF ACCIDENTAL FALLS
At some point, anyone who had learned how to walk has had the experience of falling down -- it is a universal experience for infants as they gain ambulatory ability. In hospitals, however, the accidental fall is the most reported type of patient safety incident, with elderly patient populations displaying a particular vulnerability (Oliver 2007, p.173). Approximately one-third of adults over the age of sixty-five will experience an accidental fall this year (CDC 2012, n.p.) Fischer (2005) offers some clarification as to how these incidents should be defined -- the simplest basic definition is "a sudden, uncontrolled, unintentional, downward displacement of the body to the ground or other object" (p822). This definition takes into account the unpredictable nature of the incident, and the fact that it frequently involves a certain loss of control on the part of the patient; it also reminds us that…
CDC (2012). Adult falls. Web. Accessed at: http:/ / www.cdc.gov/HomeandRecreationalSafety/Falls/adultfalls.htm
Currie, LM. (2006). Fall and injury prevention. Annual Review of Nursing Research. 24(1):39-74.
Fischer ID; Krauss MJ; Dunagan WC et al. (2005). Patterns and predictors of inpatient falls and fall-related injuries in a large academic hospital. Infection Control and Hospital Epidemiology. 26(10):822-7.
Grubel, F. (1959) Falls: A principal patient incident. Hosp Manage. 88:37-8.
Individuals performed low-level jobs (that is, jobs with low prestige, low salaries, and a narrow range of required skills and duties), on the other hand, are generally not satisfied with their jobs and would welcome an increased range of responsibilities. Thus the concept of an universal healthcare worker is especially relevant in a medical context in which a very high degree of the care is provided by personnel who are neither doctors or nurses. Such a locale that is ideal for the insertion of a universal healthcare worker is a long-term care facility.
Increasing the job satisfaction of workers in long-term care facilities is especially important because such facilities experience very high turnover rates. This is expensive for the institution, stressful on the workers, and traumatic for the patients.
While some assisted living facilities still operate within this model the industry as a whole is moving toward a more "holistic"…
Kolus, K. (2010). Activities angst. Retrieved from http://www.ltlmagazine.com/ME2/dirmod.asp?sid=&nm=&type=Publishing&mod=Publications::Article&mid=8F3A7027421841978F18BE895F87F791&tier=4&id=4EC15B97B92D47EEA1AE40DF0E4C8292 .
Peter Senge and the Learning Organization.
Widdes, T. (1996). Assisted living's universal worker. Nursing Homes.
Using an alpha level of.05, it is hypothesized that the analysis will be significant, F (#,#) = #, Mse = #, p
Austad, C.C., & Simmons, T.L. (1978). Symptoms of adopted children presenting to a large mental health clinic. Child Psychiatry and Human Development, 9, 20-27.
Brand, A.E. & Brinich, P.M. (Nov, 1999). Behavior problems and mental health contacts in adopted, foster, and nonadopted children. Journal of Child Psychology and Psychiatry, 48 (8), 1221-9.
Brodzinsky, D.M. & Smith, D.W. Stress and Coping in Adopted Children: a Developmental Study. Journal of Clinical Psychology, 23, 91-99.
Cohen, N.J., Coyne, J., & Duvall, J. (May, 1993). Adopted and biological children in the clinic: family, parental and child characteristics. Journal of Child Psychology and Psychiatry, 34 (4), 545-62.
Arizona State University (ASU) is a leading metropolitan research international institution in the United States that is committed to excellence in teaching, research, and public service. Established in Tempe in 1885 by a legislative act, ASU was initially formed as a teachers college. The core of the Tempe campus was a 20-acre cow pasture donated by leading citizens who desired an institution to educate public school teachers and offer instruction to their children in agriculture and mechanical arts.
In 2002, Michael M. Crow became the University's sixteenth president. In his inaugural address, he outlined his vision for the transformation of the school into a prototype for a new American university. This future institution will be a comprehensive research university that continues its academic excellence as well as have a strong commitment to social, economic, cultural, and environmental issues to meet the needs of the growing Phoenix area. The city has…
Safety net hospitals have traditionally provided medical services vital to public health. Unfortunately, the recent economic recession has dealt a hard blow to safety net hospitals, even to the point of forcing hospital closures. Fortunately, Health Care Reform has already positively impacted U.S. health care and will even revolutionize American health care in some respects.
The Effect of the Closure of Safety Net Hospitals on Public Health
Safety net hospitals, such as Grady Memorial Hospital, serve the public health through providing vital treatment of uninsured, underinsured, Medicaid, and Medicare patients, along with some privately insured patients (Dewan & Sack, 2008). In addition, some safety net hospitals are also teaching hospitals that train medical professionals who contribute considerably to public health. Unfortunately, economic pressures are forcing the closure of some safety net hospitals, resulting in the severe reduction of medical care in certain communities for the "poor and underserved" (Altman, Shactman,…
Altman, S.H., Shactman, D., & Efrat, E. (2006, Jan/Feb). Could U.S. hospitals go the way of U.S. airlines? Retrieved September 1, 2012 from Proquest.com Web site: http://search.proquest.com/docview/204650663/138ED25BFA63A547161/5?accountid=28844
Amalberti, R., Auroy, Y., Berwick, D., & Barach, P. (2005, May 3). Five system barriers to achieving ultrasafe health care. Retrieved September 1, 2012 from Proquest.com Web site: http://search.proquest.com/docview/222267835/138ED3FE9A36E21E74A/6?accountid=28844
Dewan, S., & Sack, K. (2008, January 8). A safety-net hospital falls into financial crisis. Retrieved September 1, 2012 from Nytimes.com Web site: http://www.nytimes.com/2008/01/08/us/08grady.html?pagewanted=1&_r=1
Felland, L.E., Cunningham, P.J., Cohen, G.R., November, E.A., & Quinn, B.C. (2010, January). The economic recession: Early impacts on health care safety net providers. Retrieved September 1, 2012 from Rwjf.org Web site: http://www.rwjf.org/files/research/55109.pdf
Therapeutic Hypothermia Review
Lucero, Catherine (2010) Therapeutic Hypothermia. Clinical Correlations. Retrieved from: http://www.clinicalcorrelations.org/?p=2032
Lucero (2010) writes of therapeutic hypothermia "resumption of spontaneous circulation after prolonged ischemia due to cardiac arrest carries significant morbidity and mortality and much effort has been directed toward reducing the debilitating consequences." Lucero reviews the studies that demonstrate an association between therapeutic hypothermia in post-cardiac arrest patients and improved neurological outcomes.
Tran, Bau P., et al. (2010) Use of Mild Therapeutic Hypothermia to Treat Cardiac Arrest. Journal of the American Academy of Physician Assistants. 1 Mar 2010. Retrieved from: http://www.jaapa.com/use-of-mild-therapeutic-hypothermia-to-treat-cardiac-arrest/article/164767/
Tran, et al. (2010) reviews the key findings of research studies on the usefulness of therapeutic hypothermia following cardiac arrest.
3. Lutes, Michael and Larsen, Nathan (2007) Focus on: Therapeutic Hypothermia. Clinical Practice and Management March 2007. Retrieved from: http://www.acep.org/content.aspx?id=26776
Lutes and Larsen (2007) reviews recent studies that examine the use of therapeutic hypothermia,…
dispel the notion that many students have concerning research. That particular notion is that research can answer all questions. This particular paper attempts to clarify what types of questions research is able to address and when research is useful in healthcare (Beya & Nicoll, 1998, p. 1044).
There really is no formal introduction in the paper. Instead, this is a conceptual review article and does not follow the formal format of a research study. The paper covers several considerations that should be made in deciding whether particular question is amenable to a research study and then discusses how a research study should be approached.
There are no formal methodology or results sections in this paper. This paper is a conceptual paper describing the limitations of research studies and how good research studies should be constructed.
The part of the paper that best resembles a methodology has to do with the…
Beyea, S.C., & Nicoll, L.H. (1998). Dispelling the myth that research answers all questions.
Association of Operating Room NursesJournal, 68(6), 1044-1047.