Quality Care Clinic (QCC) will aid in meeting current health needs, improving access to care, and providing high quality patient-centered care for citizens in Carson City. QCC will offer efficient, safe, effective, timely, and unbiased primary care to patients from birth to end of life. The NPs of QCC have experience in primary care and emergency room settings and will offer increased patient satisfaction due to open communication, skills in interviewing, therapeutic listening, and counseling. QCC will lease an estimated 1300 square feet of commercial real estate. Direct competitors for similar services are 10 primary care clinics and 40 physician offices. Indirect competitor is one emergency department at the local hospital. The fundamental key to success for QCC is cultivating knowledge for the public on services offered and effectively managing reimbursement for staff and NPs.
Statement of Funding Summary

To begin, the first year's costs is projected to be $125,000. The….

Management of Obesity in Primary Care Settings
The prevalence of obesity has reached epidemic levels in the United States and the human and economic toll of this condition is staggering. Besides the adverse effects that obesity has on quality of life in general, the condition is also highly correlated with a number of negative and expensive sequelae, including most especially diabetes and heart disease. While the research into the precise causes of obesity continues, most authorities agree that increasingly sedentary lifestyles and poor diet choices have exacerbated the problem. Likewise, many authorities also agree that primary care settings are the most appropriate for obesity interventions. This study proposes an experimental design in a primary care setting to evaluate the efficacy of an intervention using an activity monitor for a 6-month period in combination with other treatment protocols in reducing body mass index levels. The purpose of this study will be to….

Midwifery in Primary Care
New Directions for Midwives:

Addressing Novel Primary Care oles

Looking towards the future, radical changes are sweeping the United States healthcare system with the advent of a new public healthcare system. This change and the economic reality of care should motivate all healthcare providers to question of who can best meet the healthcare needs of women. Nurse midwives are advanced practice nurses educated in the field of primary health care for essentially normal women and newborns. Their focus is wellness and health education. Once patients are introduced to the concept of a nurse practitioner and the services provided, the majority are satisfied with the quality of the care received. Evidence suggests that women, if given a choice, prefer the ministrations of a female practitioner over that of a male for their intimate healthcare needs. As a predominantly female group, nurse midwives are an excellent source of qualified providers for….

Nurse Practitioner Affect the Shortage of Primary Care Physicians?
Can the Nurse Practitioner Affect the Shortage of Primary Care Physicians?

Topic Background and Issue Introduction

The objective of this work in writing is to examine the issue of whether the Nurse Practitioner can affect the shortage of primary care physicians? Specifically this work will examine whether Nurse Practitioners can improve access to care and fill the void of the primary care physician shortage. It was stated in the American College of Clinicians position statement released October 14th, 2009 that it has become clear that the American healthcare system "is in need of an overhaul. Current figures indicate that there are over 46 million people who are uninsured. This equates to 15% of nation's citizens who may not be able to access health care." (American College of Clinicians, 2009) The American College of Clinicians states that it "submits that Physician Assistants (Pas) and….

Providers
Over the last several years, the majority of graduating medical students (90%) has been focused on careers in specialized care. (Pickert, 2009) This is because they will make more money in comparison with doctors that are working in a primary care environment. As a result, a shortage has developed with many health care providers turning to Nurse Practitioners. These are nurses with some kind of advanced degree in Nursing. Their job is to diagnose / treat patients and prescribe medication. To fully understand what is happening requires looking at how this trend is having an impact on accountability, quality, costs / health promotion and risk reduction. These different elements will provide the greatest insights as to how Nurse Practitioners are having an effect on a health care environment.

The Current Trends with Nurse Practitioners

There is a crisis happening with many primary care providers. The number of doctors working in these….

Management
Utilization management has in the recent past sparked heated arguments in the health sector with controversies arising as to the needs for the interventions. Medical practitioners heavily criticize the practice considering the increased workload it presents to them. Utilization management in primary care clinics presents a rigorous exercise for the patient and the medical professionals. ight from the initial patient data taking process to testing, treatment, admission, medicine prescription and discharge, the process requires precise record taking and follow of procedure (Yedidia, Gillespie, & Moore, 2000). Physicians consider the requirements stipulated in Utilization management to curtail on their autonomy and a burden in terms of the administrative work. The processes despite being rigorous and cumbersome to both the patient and the medical personnel, they influence the optimal utilization and management of health service as well as influencing a positive treatment outcome (Yedidia et al., 2000).

Utilization management covers the measures….

Additional training in substance abuse can help to ensure that nurses are prepared to effectively deal with these types of situations. esearchers such as Jackson, Alford, Dube and Saitz assert that despite the widespread substance abuse problems in our nation, there is a considerable lack of training for primary healthcare providers in this area. Both psychotherapeutic (such as cognitive and behavioral strategies) and pharmacological (such as Buprenorphine, Methadone, LAAM and Naltrexone) interventions have shown to be successful at treating substance abuse. However, if the medical professionals making contact with these individuals are not properly trained to deal with these issues, nobody benefits.

As a primary care nurse, it is also important to know the best treatment centers for referral in the community. While most communities have Alcoholics Anonymous and other twelve step programs readily available, knowing where to refer a client for in-patient treatment is critical as well. Some in-patient treatment….

Blood Pressure Monitoring of Hypertensive Veterans in Primary Care
Hypertension has been identified as one of the major public health issues in the United States. A significant portion of the American population has been diagnosed with this condition and are mostly treated with medications for blood pressure. According to the findings of a study that was conducted in 2008, it is estimated that 13% of active duty service members have been diagnosed with hypertension (The Diagnosis and Management of Hypertension Working Group, 2014). In addition, its reported that more than 37% of Veterans have hypertension, which makes it the most common chronic health condition among this population. While the control of hypertension has significantly improved among Veterans, there is need for more improvements in blood pressure monitoring of this population in the primary care setting. Healthcare professionals are faced with the need to enhance blood pressure monitoring of hypertensive Veterans in….

Bonding Process between Primary Caregiver and Their Babies
For many parents, bonding with their babies is a virtually instantaneous experience at the moment of birth, while for others the process takes longer or may never fully develop. Although it is impossible to discern when bonding will take place, the theories of researchers such as Lorenz, Harlow, Bowlby and Ainsworth provide some insights into the process. This paper provides a review of these theories and an explanation concerning the ways attachment happens followed by a discussion of a long-term effects of each type of attachment on individuals at all stages of their development. More specifically, the paper provides an overview and popular definitions of attachment, a description of the major concepts of Ainsworth's theory, and discussion concerning how attachment comes about. An analysis concerning how attachment is experienced by the infant and primary caregiver and what happens between an infant and….

The study by Flynn et al. (2013) is a quantitative retrospective cohort study conducted to determine what types of patients were visiting the primary care, express care and emergency department of a group practice facility over the course of a year. Patient typology was based on whether the individual required an interpreter or not and whether the patient had mental health issues. Flynn et al. (2013) stated that the purpose of their study was “to examine health care utilization patterns of adult outpatients requiring interpreters, with a focus on the PC [primary care] setting” (p. 387). They alsos identified a secondary aim, which they described as “to compare frequencies of mental health diagnoses and somatic symptoms between patients requiring interpreters and those not requiring interpreter services” (Flynn et al., 2013, p. 387). No specific research question was identified in the study, but a hypothesis was stated along with the purpose….

Clinical Preventive Services and Advocacy Letter1 Clinical Preventive ServicesThere are a number of reasons why clinical preventive services like lung cancer screening, breastfeeding support, and skin cancer prevention counseling should be covered by health insurance plans. First, these services can save lives. For instance, early detection of lung cancer through screening can dramatically improve survival rates (National Lung Screening Trial esearch Team, 2011). Similarly, skin cancer is one of the most preventable types of cancer, and yet it continues to be a leading cause of cancer death in the United States. Second, these services can save money in the long run. Third, these services improve the quality of life for patients: patients who receive breast cancer screenings often report feeling more empowered and in control of their health; patients who catch lung cancer in time are spared a worse fate down the road; and the same goes for skin cancer.….

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

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

As well as expanding patient's abilities to obtain primary care, virtually, telemedicine can enable patients in isolated locations to see specialists. When rural patients are connected to a hospital network such as the Grinnell egional Medical Center, they are able to access high-quality physicians through some of the more advanced healthcare technology available, although this is not always possible in a local healthcare system with fewer physicians and less access to high-level technology. Technology can still enable patients in a variety of settings to keep track of vital signs such as heart rate, blood pressure, and blood sugar, and to alert their physician immediately if their readings are abnormal.
While some surgeons have even performed procedures through virtual consults, certain aspects of medicine remain challenging to provide rural patients, such as physical rehabilitative services, which may require the patient to travel to receive the full benefit of the services. Patients….

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

The emphasis is on normal, everyday activities provided for residents. According to the authors, however, little research has been conducted to investigate the actual effect of such activities and settings upon residents. The assumption is that such settings have a better effect that traditional institutions, but there is little empirical research to support this.
Hence, Verbeek et al. (2010) conducted a study to compare small-scale living with regular care in nursing homes in the Netherlands. Interestingly, they found no significant difference between the quality of life experienced by residents in traditional institutional settings and those in small-scale living facilities. Furthermore, there was also no significant difference in the job satisfaction levels of nursing staff between both types of institution was found. Another important aspect, namely neuropsychiatric symptoms and agitation were also significantly similar for both institution types. According to the authors, a difference was found in the satisfaction level of….

I. Introduction
A. Background information on health inequalities in the UK
B. Importance of addressing health inequalities
C. Thesis statement: The impact of health inequalities in the UK and strategies to address them

II. Impact of health inequalities in the UK
A. Disparities in life expectancy
B. Differences in access to healthcare services
C. Higher rates of preventable illnesses and diseases
D. Social determinants of health contributing to inequalities

III. Factors contributing to health inequalities in the UK
A. Socioeconomic status
B. Education level
C. Occupation
D. Ethnicity
E. Gender

IV. Strategies to address health inequalities in the UK
A. Improving access to....

Emotional Development: A Comprehensive Examination

Introduction:
Emotional development, the gradual acquisition of the ability to express and regulate emotions, is a crucial aspect of human growth and well-being. This essay aims to explore the multifaceted nature of emotional development, examining the research, theories, and historical perspectives that have shaped our understanding of this complex process.

Research-Based Perspective:
Contemporary research has provided significant insights into the mechanisms underlying emotional development. Studies in neurobiology have identified specific brain regions and pathways involved in emotional processing, such as the amygdala and the prefrontal cortex. Cognitive theories have emphasized the role of cognitive appraisals, beliefs, and expectations in....

Essay Topic 1: The Intersectional Challenges of Womanhood

Introduction:
Explore the complex intersectionality of womanhood, examining how race, ethnicity, socioeconomic status, and other factors shape the experiences and challenges faced by women.

Body Paragraph 1:
Discuss the historical and systemic barriers women have encountered in education, employment, and political representation. Analyze how these barriers have disproportionately impacted women of color, LGBTQ+ women, and women from marginalized communities.

Body Paragraph 2:
Examine the unique challenges women face in the workplace, including wage disparities, occupational segregation, and workplace discrimination. Discuss the gender stereotypes and biases that perpetuate these inequalities.

Body Paragraph 3:
Explore the intersectionality of gender and race, highlighting....

1. The role of hospice care in providing comfort and support at the end of life
2. The importance of advance care planning and discussing end of life wishes with loved ones
3. Ethical considerations surrounding end of life decision-making and assisted dying
4. The impact of grief and loss on family members when facing the end of a loved one’s life
5. Cultural differences in beliefs and practices surrounding death and dying
6. The stigma and fear surrounding death and how to approach the topic openly and honestly
7. The role of palliative care in managing symptoms and improving quality of life at the end....