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We have over 112 essays for "Urinary Tract Infection"

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indwelling urinary catheter care

Words: 3095 Length: 4 Pages Document Type: Research Paper Paper #: 59934499

Research Proposal for Catheter Associated Urinary Tract Infections

Catheter Associated Urinary Tract Infections (CAUTI) affects timely reimbursement and prolongs patient stays in the healthcare facility. Many hospitals strive for ways to reduce CAUTIs and take specific medical measures to aid patients in recovery from the same and avoid recurrence of the cases of CAUTIs. These deliberate measures ensure so they can have better patient outcomes and improve patient care. This also improves the reimbursement received from insurance providers.

Research question

The research seeks to investigate the effect of frequent CAUTI education, among the in-hospital patients with indwelling urinary catheter, conducted over six months.

Background and Significance of the Problem

It is common medical knowledge that urinary catheters have the potential to cause urinary tract infections, known as catheter-associated urinary tract infections (CAUTIs). Indwelling catheters are a part of many plans of care, specifically for emergent and critical care patients within…… [Read More]

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Hospital Acquired Infections a Discussion

Words: 1592 Length: 5 Pages Document Type: Term Paper Paper #: 49934314

Nurse burnout is a common occurrence. This can exacerbate an ongoing problem that is seen in hospitals, nosocomial infections. Nosocomial infections remain prevalent for patients with extended hospital stays like those in intensive care units. An infection that starts roughly 48 hours after admission, those in intensive care units (ICUs) experience a continued rate of infection leading to increase length of stay, mortality, and morbidity. The number of patients that develop a nosocomial infection are from 7 to 10% internationally (Dasgupta, Das, Hazra, & Chawan, 2015). As such, hospitals have decided to classify nosocomial infection sites based on clinical and biological criteria.

esearch has led to the discovery of several bacterial strains that involve the formation of nosocomial or hospital acquired infections. "The agents that are usually involved in hospital-acquired infections include Streptococcus spp., Acinetobacter spp., enterococci, Pseudomonas aeruginosa, coagulase-negative staphylococci, Staphylococcus aureus, Bacillus cereus, Legionella and Enterobacteriaceae family members,…… [Read More]

References

CDC. (n.d.). HAI Data and Statistics. Retrieved from  https://www.cdc.gov/hai/surveillance/ 

Cheng, C., Bartram, T., Karimi, L., & Leggat, S. (2016). Transformational leadership and social identity as predictors of team climate, perceived quality of care, burnout and turnover intention among nurses. Personnel Review, 45(6), 1200-1216. doi:10.1108/pr-05-2015-0118

Cimiotti, J. P., Aiken, L. H., Sloane, D. M., & Wu, E. S. (2012). Nurse staffing, burnout, and health care -- associated infection. American Journal of Infection Control, 40(6), 486-490. doi:10.1016/j.ajic.2012.02.029

Dasgupta, S., Das, S., Hazra, A., & Chawan, N. (2015). Nosocomial infections in the intensive care unit: Incidence, risk factors, outcome and associated pathogens in a public tertiary teaching hospital of Eastern India. Indian Journal of Critical Care Medicine, 19(1), 14. doi:10.4103/0972-5229.148633
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Evidence-Based Care for Urinary Incontinence

Words: 2065 Length: 5 Pages Document Type: Essay Paper #: 99966280

The condition was shown to be the second-most common cause of older adults being institutionalized because of the inordinately demanding nature of caring for them that is typically beyond the ability of many spouses or other family members. In the final analysis, the chances of older adults suffering from urinary incontinence are fairly high given that the population will increasingly include older adults, many of whom will be among the very old.

eferences

Beling, J. (2004). Impact of service learning on physical therapist students' knowledge of and attitudes toward older adults and on their critical thinking ability. Journal of Physical

Therapy Education, 18(1), 13-14.

Burke, M. & Laramie, J.A. (2000). Primary care of the older adult: A multidisciplinary approach. St. Louis, MO: Mosby.

Ebersole, P. & Hess, P. (1999). Toward healthy aging: Human needs and nursing response.

St. Louis, MO: Mosby.

Fantl, J.A., Newman, D.K., Colling, J. et al. (1996).…… [Read More]

References

Beling, J. (2004). Impact of service learning on physical therapist students' knowledge of and attitudes toward older adults and on their critical thinking ability. Journal of Physical

Therapy Education, 18(1), 13-14.

Burke, M. & Laramie, J.A. (2000). Primary care of the older adult: A multidisciplinary approach. St. Louis, MO: Mosby.

Ebersole, P. & Hess, P. (1999). Toward healthy aging: Human needs and nursing response.
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Reducing Nosocomial Infections through Planned Behavior Theory

Words: 1095 Length: 4 Pages Document Type: Term Paper Paper #: 86799842

Applying the Theory of Planned Behaviors to Nosocomial Infections

Identify a public health theory you will use to support the implementation of your prevention and health promotion activities. Provide evidence that supports the use of this theory within the program you designed

According to the tenets of the theory of planned behavior, individuals first think about a behavior (e.g., the intent to act) and only then proceed to act (Chambers & Benibo, 2011). The dependent variables of intent to act in the theory of planned behavior include individual attitudes, perceived behavioral control, self-efficacy, and behavioral norms which are in turn dependent variables to the actual behavior demonstrated (Chambers & Benibo, 2011). The theory of planned behavior has been applied in a number of different settings, including in the context of nosocomial infections (Hughes, 2008).

In this context, the planned behavior theory conceptualizes individuals' intent to engage in handwashing as involving…… [Read More]

References

Bijari, R. & Abassi, A. (2014, January 1). Nosocomial infections and related factors in southern Khorasan hospitals. Iranian Journal of Public Health, 43(2), 197.

Chambers, V. & Benibo, B. R. (2011, October 1). Reactions to the 2008 economic crisis and the theory of planned behavior. Academy of Accounting and Financial Studies Journal, 15(4), 17-20.

Davis, R. & Anderson, O. (2012, April). Predictors of hospitalized patients' intentions to prevent healthcare harm: A cross sectional survey. International Journal of Nursing Studies, 49(4), 407-415.

HAIs at a glance. (2017). U.S. Centers for Disease Control. Retrieved from  https://www.cdc.gov/hai/surveillance/ index.html" target="_blank" REL="NOFOLLOW">
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Use of Chlorhexidine to Prevent Healthcare Associated Infections

Words: 2972 Length: 10 Pages Document Type: Peer Reviewed Journal Paper #: 21470544

In the U.S healthcare environment, the clinical practice guidelines are the effective healthcare protocol to enhance patient’s safety as well as achieving evidence-based practice. The clinical guidelines provide recommendations to the best available practice to assist clinicians and other healthcare professionals to deliver best and quality care. More importantly, the clinical practice guidelines are designed to optimize patients’ care using the systematic assessment and evidence based review to assess pros and cons of the alternative care options. The guidelines serve as the strongest resources to assist the healthcare professionals to make clinical decisions as well as incorporating evidence gained through practice and scientific investigations into patient practice.  Healthcare organizations develop the guidelines in form and policies, which are endorsed across the organization to create a platform that employees will follow and holding employees accountable to achieve a standard of care.  

Clabsi Hospital is one of the best healthcare organizations…… [Read More]

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Dealing With Nosocomial Infections in a Long-Term Nursing Facility

Words: 1259 Length: 4 Pages Document Type: Essay Paper #: 56986473

Long-Term Nursing Facility Management Risks

FACILITY-ACQUIRED INFECTIONS

Long-Term Nursing Family Management Risks

The major risk management issue of our hospital is the spread of nosocomial infections, more popularly known in the medical circle as hospital-acquired infections. This infection is something that a patient can contract or develop besides the condition for which he is admitted (Duel et al. eds, 2004). The include infections, which surface after discharge and occupational types among the workforce of the facility. These are widespread globally and assert strong impact among patients and facility workforce. The most common sites, according to a recent survey, are the urinary tract, the catether site, respiratory tract, bacteremia, skin and soft tissue, lower respiratory, surgical and the eyes (Duel et al., eds).

In our 150-bed facility in Chicago, pneumonia is a critical respiratory nosocomial infection concern. Our facility is a component of one of the biggest network of medical care…… [Read More]

BIBLIOGRAPHY

Anderson, BM. And Roschm N, (2000). Hospital-acquired infections in Norwegian long-

term care institution. Vol. 46 Issue 4, Journal of Hospital Infections: The Hospital

Infection Society. Retrieved on March 18, 2015 from http://www.lofhospitalinfection.com/article/S0195-6701(00)90840-5/abstract?showall=true=

Conly J. And Johnston, L. (2001). The impact of health care structures on nosocomial infections and transmission of antimicrobial and resistant organisms. Vol. 12 # 5,
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Evidence-Based Project Proposal

Words: 1213 Length: 3 Pages Document Type: Research Paper Paper #: 75614056

Urinary tract infections (UTIs) are typically the most prevailing healthcare-associated infection (HAI) in acute care facilities in the U.S. The Centers for Disease Control and Prevention (CDC) has estimated that up to 150,000 hospital-onset, symptomatic catheter-associated UTIs (CAUTIs) occurred in 2013, resulting in as much as $161 million in excess direct medical costs (Kuntz, 2010, p. 319). Current research examines the reason for such a high occurrence of infection. oughly 75% of healthcare-associated UTIs are connected to improper use of indwelling urinary catheters, to which up to a quarter of hospitalized patients are exposed. Adult ICUs have the highest exposure rate for catheter use and reveal over 95% of UTIs related to catheter use.

In the last twenty years, various strategies have been implemented to aid in reducing the risk of CAUTI in healthcare settings. One of which includes identifying proper times to use catheters and proper care and insertion…… [Read More]

References

Deron, D.C., Edwards, J.R., Srinivasan, A., Fridkin, S.K., & Gould, C.V. (2011). Trends in Catheter-Associated Urinary Tract Infections in Adult Intensive Care Units -- United States, 1990 -- 2007. Infection Control and Hospital Epidemiology, 32(8), 748-756.

Flynn, M.B., Martins, S.A., Burns, S., Philbricks, D., & Rauen, C. (2013). Putting Evidence Into Nursing Practice: Four Traditional Practices Not Supported by the Evidence. Critical Care Nurse, 23(2), 37. Retrieved from  http://www.aacn.org/wd/Cetests/media/C1322.pdf 

Goeschel, C.A., Cosgrove, S.E., Romig, M., & Berenholtz, S.M. (2011). Prevention of Central Line -- Associated Bloodstream Infections: A Journey Toward Eliminating Preventable Harm. Current Infectious Disease Reports, 13(4), 343-349.

Kuntz, G. (2010). Guideline for Prevention of Catheter-Associated Urinary Tract Infections 2009. Infection Control and Hospital Epidemiology, 31(4), 319-326.
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Evidence-Based Solution to Reducing Incidence the Goal

Words: 2666 Length: 7 Pages Document Type: Research Paper Paper #: 63294087

Evidence-Based Solution to educing Incidence

The goal of this assignment is to increase my ability to appraise and synthesize evidence to provide experience a logical argument in support of a proposal for practice change, and to provide experience in designing a detailed implementation and evaluation plan for my project. I need to discuss my project plan with you.

An evidence-based solution to reducing incidence of hospital acquired infections through indwelling medical devices

Hospital-acquired or nosocomial infections are the fourth leading cause of disease in developed countries. The increased insertion and implanting of prosthetic or indwelling medical devices is a leading cause of these infections since the introduction of a foreign body significantly reduces the body's immunity and decreases the number of bacteria needed to produce an infection. Prosthetic or indwelling medical devices such as urethral catheters, suprapublic catheter, nasogastric tubes, hemodialysis catheters, central venous catheters, and tracheostomy tubes are associated…… [Read More]

References

Chambless, J.D., Hunt, S.M., & Stewart, P.S. (2006). A three-dimensional computer model of four hypothetical mechanisms protecting biofilms from antimicrobials. Appl Environ Microbiol, 72(3), 2005-2013. doi: 10.1128/aem.72.3.2005-2013.2006

Chu, V.H., Crosslin, D.R., Friedman, J.Y., Reed, S.D., Cabell, C.H., Griffiths, R.I., . . . Fowler, V.G., Jr. (2005). Staphylococcus aureus bacteremia in patients with prosthetic devices: costs and outcomes. Am J. Med, 118(12), 1416. doi: 10.1016/j.amjmed.2005.06.011

Cookson, S.T., Ihrig, M., O'Mara, E.M., Denny, M., Volk, H., Banerjee, S.N., . . . Jarvis, W.R. (1998). Increased bloodstream infection rates in surgical patients associated with variation from recommended use and care following implementation of a needleless device. Infect Control Hosp Epidemiol, 19(1), 23-27.

Digiovine, B., Chenoweth, C., Watts, C., & Higgins, M. (1999). The attributable mortality and costs of primary nosocomial bloodstream infections in the intensive care unit. Am J. Respir Crit Care Med, 160(3), 976-981. doi: 10.1164/ajrccm.160.3.9808145
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Adolescent Obesity in Saudi Arabia

Words: 3430 Length: 8 Pages Document Type: Essay Paper #: 52239278



There are remedies (albeit not easy ones for the individuals involved), as suggested by the research. However, and this is very important, the current public health approaches that the Saudi government has taken, as Mabrey et al. (2010) note, have focused fairly narrowly on medical approaches. This focus includes research that has been conducted on metabolic syndrome (which is caused primarily by being overweight). This is caused by clear-cut factors and has a number of possible poor consequences.

Mabrey et al. (2010) note that metabolic syndrome is on average 10 to 15% higher in the GCC states than in the rest of world and that females are disproportionately affected by metabolic syndrome. These researchers are among those who note that a strictly medical approach to such medical problems is far from sufficient. For while metabolic syndrome itself can be identified and described in purely medical terms, such an approach does…… [Read More]

References

Abraham, S. & Nordsieck, M. (1960). Relationship of excess weight in children and adults. Public Health 75: 263-273.

Alghamdi, K.M. (2010). The use of topical bleaching agents among women: A cross-sectional study of knowledge, attitude and practices. Journal of the European Academy of Dermatology and Venereology, 24(10): 1214-1219.

Al-Qahtani, D.A., Imtiaz, M.L., Saad, O.S., & Hussein, N.M. (2006). A comparison of the prevalence of metabolic syndrome in Saudi adult females using two definitions. Metabolic Syndrome and Related Disorders, 4(3): 204-214.

Al Qauhiz, N.M. (2010). Obesity among Saudi Female University Students: Dietary Habits and Health Behaviors. Journal of the Egyptian Public Health Association 85(1-2):45-59.
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Delegation in Order to Have a Successful

Words: 1209 Length: 3 Pages Document Type: Essay Paper #: 75464778

Delegation

In order to have a successful clinical setup, it is necessary to provide constant care. The new supervisor nurse should install an Interdisciplinary team of the health providers within clinic. They must fulfill the needs of every individual client. All the members of the interdisciplinary team belong to diverse fields but in order to provide a quality care to the patients they should work as a team, which can be achieved by coordinating with each other and most important by sharing a common aim for the patients. The initial step is to appoint which team member will handle which specific complaint of patient. The interdisciplinary team works by coordinating, communicating and the sharing of responsibilities. Such team efforts can enhance the satisfaction of the clients and allow the health care practitioners to excel in other fields and learn new skills. In order to provide quality care in primary health…… [Read More]

References

Gott, Marjori.O'brien Martin.(1990).The role of nurse in health promotion. Oxford Journal 5 (2):137-143. Retrieved from  http://heapro.oxfordjournals.org/content/5/2/137.short 

Ilyas, Mohamed .(2006).Public health and Community Medicine. Karachi:Time Publisher.

Worster A, Sardo A, Thrasher C, Fernandes C, Chemeris E.(2005). Understanding the role of nurse practitioners in Canada. Canadian Journal of Rural Medicine 10 (2):89-94
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Nursing Define the Problem Today There Is

Words: 870 Length: 3 Pages Document Type: Essay Paper #: 95827795

Nursing

Define the Problem

Today, there is a serious problem within the nursing field. There is a huge shortage of nurses in general, but an even greater shortage of nurses with higher levels of education. This ultimately means there are less capable nursing staff that can take on specialty and leadership roles. Unfortunately, "without a more educated nursing workforce, the nation's health will be further at risk" (Tri-Council of Nursing, 2010). Without greater numbers of RNs with advanced degrees, there is only so much the available nursing population can contribute within the field of healthcare. It is clear that "nurses with advanced education are needed in large numbers to serve as teachers, scientists, primary care givers, specialists, and leaders throughout the healthcare delivery system" (Tri-Council of Nursing, 2010). Currently, there is a huge shortage of more advanced nursing specialists and practitioners. s the nation's healthcare demands continue to grow and…… [Read More]

A survey of the existing research that provides statistics to show how alarming the problem is becoming, but also to provide foundation for the most potentially successful solutions. The projected numbers of needed advanced nursing specialists, as well as the goals for future benchmarks, all need to be documented within the context of this research in order to show how dire the problem is and create a foundation for potential solutions. The research was carefully surveyed and thus, data was collected through comprehensive means. The ideal target / benchmark uncovered in this search was that 80% of nursing staff should hold baccalaureate degrees (Pecci, 2013). This research also helps focus in on the most lucrative proposed solutions as a way to promote them within actual practice. It needs to uncover solid alternatives that can help increase the number of advanced practice nurses in this country in a practical and feasible manner. Essentially, the data collection is a survey of prior research, and can be done independently. This means I will personally scour the published resources from academic and scholarly sources, as well as from professional nursing organizations.

Analyze

A number of alarming statistics were uncovered in this comprehensive search of the research. If the situation continues as it is today, by 2025, there will be a shortage of 260,000 nurses in this country (American Nurses Association, 2010). Only about 50% of RNs working today have a baccalaureate degree, with only 13.2% holding a master degree or higher (American Nurses Association, 2010). Even more alarming, the enrollment growth of entry-level baccalaureate nursing programs from 2008 to 2009 was only 3.5%
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Cranberries Vaccinium Macrocarpon Are Indigenous

Words: 1750 Length: 5 Pages Document Type: Term Paper Paper #: 92232797

A., eynolds, Y., odriguez, G., Camesano, T.A. (2008). Cranberry changes the physicochemical surface properties of E. coli and adhesion with uroepithelial cells. Colloids Surf B. Biointerfaces. 2008 Feb 26 [Epub ahead of print]. etrieved April 5, 2008 at http://www.ncbi.nlm.nih.gov/pubmed/18378432?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_esultsPanel.Pubmed_VDocSum

Mirkin, G. (2003). Acid/Alkaline Theory of Disease Is Nonsense. Quackwatch. etrieved April 5, 2008 at http://www.quackwatch.org/01QuackeryelatedTopics/DSH/coral2.html

National Center for Complementary and Alternative Medicine (NCCAM). Cranberry. etrieved April 5, 2008 at http://nccam.nih.gov/health/cranberry/

Natural Standard esearch Collaboration (2006). Cranberry. MedlinePlus. etrieved April 6, 2008 at http://www.nlm.nih.gov/medlineplus/druginfo/natural/patient-cranberry.html

az, ., Chazan, B., Dan, M. (2004). Cranberry juice and urinary tract infection. Clin Infect Dis. 2004 May 15;38(10):1413-9. Epub 2004 Apr 26. etrieved April 5, 2008 at http://www.ncbi.nlm.nih.gov/pubmed/15156480?ordinalpos=3&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_esultsPanel.Pubmed_VDocSum

Schmidt, D.. & Sobota, a.E. (1988). An examination of the anti-adherence activity of cranberry juice on urinary and nonurinary bacterial isolates. Microbios. 1988;55(224-225):173-81.

Sobota, a.E. (1984). Inhibition of bacterial adherence by cranberry juice: potential use for the treatment…… [Read More]

References

The Cranberry Institute. Emerging research. Retrieved April 5, 2008 at  http://www.cranberryinstitute.org/emerging.htm 

Duthie, S.J., Jenkinson, a.M., Crozier, a., Mullen, W., Pirie, L., Kyle, J., Yap, L.S., Christen, P., Duthie, G.G. (2006). The effects of cranberry juice consumption on antioxidant status and biomarkers relating to heart disease and cancer in healthy human volunteers. Eur J. Nutr. 2006 Mar;45(2):113-22. Epub 2005 Jul 20. Retrieved April 5, 2008 at  http://www.ncbi.nlm.nih.gov/pubmed/16032375?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DiscoveryPanel.Pubmed_Discovery_RA 

Greenberg, J., Newmann, S.J. & Howell, a.B. (2005). Consumption of sweetened dried cranberries vs. unsweetened raisins for inhibition of uropathogenic Escherichia coli adhesion in human urine: a pilot study. J Altern Complement Med. 2005 Oct;11(5):875-8. Retrieved April 5, 2008 at  http://www.ncbi.nlm.nih.gov/pubmed/16296921?ordinalpos=1&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DiscoveryPanel.Pubmed_Discovery_RA 

Liu, Y., Black, M.A., Caron, L. & Camesano, T.A. (2006). Role of cranberry juice on molecular-scale surface characteristics and adhesion behavior of Escherichia coli. Biotechnol Bioeng. 2006 Feb 5;93(2):297-305.
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Pseudomonas Aeruginosa

Words: 1496 Length: 5 Pages Document Type: Research Paper Paper #: 97332427

Psuedomonas Aeruginosa

Pseudomonas aeruginosa

Epidemiology

The Gram-negative, motile, rod-shaped bacterium Pseudomonas aeruginosa is an opportunistic killer that takes advantage of people suffering from medical problems (Van Delden and Iglewski, 1998).For this reason, P. aeruginosa is one of the most common nosocomial infection that occurs in hospitals. P. aeruginosa is responsible for causing 16% of pneumonia cases, 12% of urinary tract infections, 10% of bloodstream infections, and 8% of surgical infections due to hospital care. Patients who are immune-compromised are also susceptible to P. aeruginosa infections, such as patients undergoing chemotherapy, suffering from HIV / AIDS, recovering in burn units, and suffering from cystic fibrosis. With death rates ranging from 30 to 60% for these patients, P. aeruginosa is considered to be a significant threat to patient health.

Ecology

P. aeruginosa can switch between a free-swimming planktonic form and colonies enclosed within slime-protected biofilms attached to surfaces (Baltch and Smith, 1994,…… [Read More]

References

Baltch, A.L. And Smith, R.P. (Eds.). (1994). Pseudomonoas aeruginosa Infections and Treatment. New York, NY: Marcel Dekker, Inc.

Botzenhart, Konrad and Doring, Gerd. (1993). Ecology and Epidemiology of Pseudomonas aeruginosa. In M. Campa, M. Bendinelli, H. Friedman (Eds.), Pseudomonas aeruginosa as an Opportunistic Pathogen (pp. 1-18). New York, NY: Plenum Press.

Hawkey, Peter M. And Kerr, Kevin G. (2004). Laboratory investigation of health care-associated infection. In P. Hawkey and D. Lewis (Eds.), Medical Bacteriology: A Practical Approach (pp. 331-354). Oxford, UK: Oxford University Press.

Hurley, Matthew N., Camara, Miguel, and Smyth, Alan R. (2012). Novel approaches to the treatment of Pseudomonas aeruginosa infections in cystic fibrosis. European Respiratory Journal, published online ahead of print, 1-19. Retrieved 23 July 2012 from  http://erj.ersjournals.com/content/early/2012/06/27/09031936.00042012.long .
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Healthcare Reimbursement and Billing

Words: 1160 Length: 4 Pages Document Type: Essay Paper #: 91090578

Health Care Reimbursement and Billing

Both Mrs. Zwick and Mr. Davis face significant issues in the presented scenarios. Mrs. Zwick has multiple considerations under Medicare Parts A, B and D, in addition to her hospital-acquired urinary tract infection. Meanwhile, Mr. Davis must address the severe time constraints and costs of COBRA in light of his job termination. These two scenarios underscore current difficulties and complexities of current health care in the United States.

Discussion of Mrs. Zwick's coverage under Medicare Parts A, B and C

Medicare Part A (often called "hospital insurance") (U.S. Department of Health and Human Services, 2011, p. 15) assists in covering inpatient hospitalization and skilled nursing facilities, hospice and home health care (U.S. Department of Health and Human Services, 2011, p. 14). There is usually no monthly premium if you and/or your spouse paid Medicare taxes while employed (U.S. Department of Health and Human Services, 2011,…… [Read More]

Ethical implications of Mrs. Zwick's incurring costs related to her hospital-acquired condition are applicable despite the rehabilitation facility's exemption from POA/HAC Medicare laws. Having no first-hand knowledge of the cause of the urinary tract infection, no clear indication that I work at the rehabilitation facility and neither the privilege nor the duty of diagnosis, it would be unethical for me to tell Mrs. Zwick about my suspicions. Rather, a nurse is required to maintain his/her professional boundaries (American Nurses Association, 2001, p. 6). Simultaneously, a nurse is supposed to assure "responsible disclosure of errors" to patients and act to stop bad practices and promote best practices (American Nurses Association, 2001, p. 6). Consequently, a nurse in my position faces a dilemma: lack of personal knowledge and authority vs. my concern for the patient's well-being and constant improvement of the profession. In the face of this dilemma, I would: contact the rehabilitation facility's newly-hired nurse and advise/remind him/her of the duty to report to the appropriate supervisor and responsible disclosure to Mrs. Zwick; contact Mrs. Zwick's personal physician and explain the entire situation; direct Mrs. Zwick to discuss her health issues with her personal physician, who can review, diagnose and discuss the ramifications of her medical records, including but not limited to the urinary tract infection (American Nurses Association, 2001, p. 7). The desired outcomes would be: the rehabilitation center's absorption of Mrs. Zwick's costs related to her hospital-acquired infection through pressure exerted by its own nursing staff and Mrs. Zwick's personal physician; Mrs. Zwick's awareness of the true cause of her infection by health care providers who are directly responsible and capable.

Explain how the COBRA will allow Mr. Davis to continue his insurance coverage while he is out of work.

Due to Mr. Davis' termination from an employer of more than 20 employees, he can obtain coverage for himself, his spouse and his dependent children for up to 18 months (U.S. Department of Labor, 2012). In addition, due to his chronic cycle cell anemia, he may be entitled to an additional 11 months' extension for disability (U.S. Department of Labor, 2012). His employer is required to give a qualifying event notice to COBRA; then, COBRA sends a notice of the right to elect to continue coverage and an explanation of the steps that must be taken to continue coverage; Mr. Davis, his spouse and either or both of them in behalf of dependent children may elect for continuation of coverage
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Public Health information

Words: 2455 Length: 4 Pages Document Type: Essay Paper #: 71584020

What are Bacteria and Viruses?

The most basic difference between bacteria and viruses is their size. Whereas both bacteria and viruses are too tiny to notice with the naked eye, most bacteria are about one micrometer in length and can be perceived with a good optical microscope. On the other hand, viruses are smaller than the wavelength of visible light, which suggests that they can only be perceived by using an electron microscope (Nursing Times, 2006). Infection, every so often the initial phase, takes place when bacteria, viruses or other microbes that cause disease enter the human body and start to multiply. Disease comes about and ensues when the cells in the human body are damaged, as a result of the infection, and signs and symptoms of a disease appear.
Causes

Bacterial and viral infections are contaminations caused by bacteria and viruses. Bacteria release poisons known as toxins into the…… [Read More]

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Nurse's Knowledge Migrating Catheters Washing

Words: 2079 Length: 7 Pages Document Type: Research Proposal Paper #: 62610661



As to catheter straps, if fastened too tightly they can act as tourniquets, cutting off the needed flow of blood and presenting. And at least theoretically, use of straps brings about a risk of increasing the complications such as "…deep vein thrombosis and pulmonary embolism" in those patients with "impaired lower extremity circulation" (Billington 504). Research presented in this article shows that the problem of infection due to poorly attached catheters can be reduced significantly through the use of a product called "Bard StatLock" -- which, the authors insist, is an effective stabilization device because it allows movement (through a swivel clip), because it is a "sterile latex-free, tug-resistant product" (Billington 504). An article in the journal RN, incidentally, states that treating "hemodialysis catheter-related bacteremia" can cost a hospital up to $45,000.

ashing "Bloody Hands": An article in the Australian Nursing Journal asserts, "…hand hygiene is the single most effective…… [Read More]

Works Cited

Aziz, a.M., Ashton, H., Pagett, a., Mathieson, K., Jones, S., & Mullin, B. (2009).

Sharps management in hospital: an audit of equipment, practice and awareness.

British Journal of Nursing, 18(2), 92-98.

Billington, a., Crane, C., Jownally, S., Kirkwood, L., & Roodhouse, a. (2008).
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Bacteria and Viruses

Words: 1326 Length: 4 Pages Document Type: Essay Paper #: 58077988

What are Bacteria and Viruses?

The most palpable variance between bacteria and viruses is their size. Whereas both bacteria and viruses are too tiny to notice with the naked eye, most bacteria are about one micrometer in length and can be perceived with a good optical microscope. On the other hand, viruses are smaller than the wavelength of visible light, which implies that they can be solely perceived by using an electron microscope (Nursing Times, 2006). Infection, every so often the initial phase, takes place when bacteria, viruses or other microbes that cause disease enter the human body and start to proliferate. Disease comes about and ensues when the cells in the human body are damaged, as a result of the infection, and signs and symptoms of a disease appear.
Causes

Bacterial and viral infections are contaminations caused by bacteria and viruses. Bacteria release toxins into the blood stream whereas…… [Read More]

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Genitourinary Disorders Healthcare Plan and Management

Words: 2366 Length: 8 Pages Document Type: Research Paper Paper #: 41801097

Healthcare Plan for the Management of Genitourinary Disorders

Objective of this paper is to carry out a care plan for the patient, aged 60 years, who is suffering from genitourinary disorder. The study carries out the case evaluation and identifies the symptoms of the patient complication. The study also provides a comprehensive healthcare plan used for the treatment of the patients.

Case Study Evaluation

HPI (History of Present Illness).

Evaluation of the case study reveals that the patient is a Hispanic male, aged 60 years of age and complains of a decline of urinary flow. While the patient has experienced the symptom for more than two years, however, the symptom has increased significantly for the past two weeks. Although, the patient has not been diagnosed in the past, however, he faces difficulties in achieving a free flow of urine that interferes in his daily activities. The gradual worsening of the…… [Read More]

Reference

Benedetti, F. (2008). Placebo Effects: Understanding the Mechanisms in Health and Disease. Oxford Scholarship Online.

Bluie, T. Campbell, D.B. Fuchs, G.J. et al. (2010). Evaluation, Diagnosis, and Treatment of Gastrointestinal Disorders in Individuals With ASDs: A Consensus Report. Pediatrics. 125( 1): S1-S18;

Finnegan-John, J. & Thomas, V.J. (2013). The Psychosocial Experience of Patients with End-Stage Renal Disease and Its Impact on Quality of Life: Findings from a Needs Assessment to Shape a Service. Journal of Renal Care. 40(1): 74-81.

Jaarsma. T. (2005). Inter-professional team approach to Patients with Heart Failure. Heart. 91(6): 832-838.
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Analyzing the Management Theories

Words: 849 Length: 2 Pages Document Type: Research Paper Paper #: 20645877

Management Theory and Associated Urinary Tract Infections

Infection of the urinary tract constitutes a great share of all infections acquired in hospitals (Klevens, Edwards, & ichards, 2007); of these, most cases are of CAUTI or catheter-associated urinary tract infection, which is "reasonably preventable," according to the CMS (Centers for Medicare and Medicaid Services). CMS doesn't reimburse medical facilities for this disease any more. Of the best strategies to reduce CAUTI is ensuring never to employ urinary catheters unless one perceives an appropriate symptom.

Several research works, some even dating back many decades, can be found, of ways to decrease or prevent the development of CAUTI. Over the years, a few of the recommendations have reformed; for instance, at one time, routine catheter irrigation was recommended; however, presently, the medical profession deems it as a practice that must be avoided. Therefore, it is imperative for healthcare organizations to make sure their…… [Read More]

References

Barnard, C.I. (1952). Leadership and the law. New York University Law Review, 27(1), 112-116

Fanning, M., & Oakes, D. (2006). A tool for quantifying organizational support for evidence-based practice change. Journal of Nursing Care Quality, 21(2), 110-113.

IHCI. (2011). How-to guide: Prevent catheter-associated urinary tract infections. Cambrige, MA. Retrieved from  http://www.mnreducinghais.org/documents/CAUTI_How_to_Guide.pdf 

Klevens, R. M., Edwards, J. R., & Richards, C. L. (2007). Estimating health care-associated infections and deaths in U.S. hospitals, 2002. Public Health Rep, 122(2), 160-166.
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Prokaryotes Consist of Millions of Genetically Distinct

Words: 2739 Length: 10 Pages Document Type: Term Paper Paper #: 60665561

prokaryotes consist of millions of genetically distinct unicellular organisms. A procaryotic cell has five essential structural components: a genome (DNA), ribosomes, cell membrane, cell wall, and some sort of surface layer which may or may not be an inherent part of the wall (1). Functional aspects of procaryotic cells are related directly to the structure and organization of the macromolecules in their cell make-up, i.e., DNA, RNA, phospholipids, proteins and polysaccharides. Diversity within the primary structure of these molecules accounts for the diversity that exists among procaryotes (1). Identifiable groups of prokaryotes are assembled based on easily observed phenotypic characteristics such as Gram stain, morphology (rods, cocci, etc.), motility, structural features (e.g. spores, filaments, sheaths, appendages, etc.), and on distinguishing physiological features (e.g. anoxygenic photosynthesis, anaerobiasis, methanogenesis, lithotrophy, etc.). Prokaryotes are commonly known as bacteria, and it is estimated that bacteria have been around for at least 3.5 billion years…… [Read More]

BIBLIOGRAPHY

1. Bergey's Manual of Systematic Bacteriology (2nd Edition). 1989. Williams, S.T., Sharpe, M.E., Holt J.G. Lippincott Williams & Wilkins

2. Breiman RF, Butler JC, Tenover FC, Elliott JA, Facklam RR. (1994). Emergence of drug-resistant pneumococcal infections in the United States. JAMA. 1994 Jun 15;271(23):1831-5.

3. Center for Disease Control and Prevention. Antibiotic/Antimicrobial resistance.  http://www.cdc.gov/drugresistance/actionplan/html/ 

4. Jones RN, Pfaller MA (1998). Bacterial resistance: a worldwide problem. Diagn Microbiol Infect Dis. Jun;31(2):379-88.
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Evidence-Based Practice in Nursing and Health Care

Words: 2673 Length: 8 Pages Document Type: Research Paper Paper #: 30716007

Methicillin-esistant Staphylococci (MSA), most common Healthcare Associated Infections

The PICOT question to be discussed is: For adult patients using catheters, does the use of sterilization practices reduce the future risk of health associated infections like MSA compared with standard procedure in one week?

The answer is yes.

The support given to answer the question will be based on peer-reviewed journals and scientific literature. A summary of the evidence will be availed in a chart plus a conclusion that summarizes evidence used will also be given.

Methicillin-resistant Staphylococcus aureus (MSA) bacteria is resistant to several antibiotics. A significant proportion of MSA infections in the community are on the skin. It results in alarming infections of the bloodstream, surgical site infections and pneumonia in health facilities. Studies have revealed that one person in every three individuals have staph in the nose - most of the time they don't show any illnesses (General…… [Read More]

References"

1)

General Information About MRSA in the Community. (n.d.). Retrieved February 21, 2015, from  http://www.cdc.gov/mrsa/community/index.html 

2)

Sydnor, E., & Perl, T. (2011). Hospital Epidemiology and Infection Control in Acute-Care Settings. Clinical Microbiology Reviews,24(1), 141-173. Retrieved February 21, 2015, from  http://cmr.asm.org/content/24/1/141.full
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Maintaining the Health of Patients

Words: 343 Length: 1 Pages Document Type: Research Paper Paper #: 50277039

Keeping Patients Very Healthy
The foremost challenge regarding HAI Catheter Associated Urinary Tract Infections (CAUTI) is that they are fairly prevalent. In fact, CAUTI is the most commonly occurring HAI and is directly responsible for a third of HAIs among patients in hospital settings (Iowa Department of Public Health). The challenge, then, is in agreeing to the emphasis placed on CAUTI within the organization, and taking adequate risk management measures to prevent this condition from occurring.
Still, the very nature of this challenge presents opportunities for the aforementioned organization to engage in preventative action to preclude the occurrence of CAUTI as much as possible. Specifically, this organization should implement a number of strategies to help CAUTI from affecting patients in clinical environments. These strategies are readily stratified into two components: early prevention, necessary, and post procedure.
Early prevention strategies are centered on the notion that the organization should acknowledge the…… [Read More]

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Circumcision the Benefits and Risks

Words: 2159 Length: 6 Pages Document Type: Article Critique Paper #: 22544278

egardless of one's personal opinion on the issue, it is difficult to determine which is the best course of action regarding nursing practices and the development of evidence-based guidelines for nursing practice. Unfortunately, in an issue where support exists for both sides, the nurse must often make a difficult decision as to how to present information on the decision of whether to circumcise or not to circumcise to the parents. The current body of information provided to patients, if any information is provided at all, does not present a balanced view of the issue, the rather reflects the cultural opinions of physicians of in the United States.

ecommended Actions

It is not the role of the nurse to make cultural decisions for patients. Yet, the nurses have an obligation to help of patients make informed medical decisions about the care of their newborn. Therefore, it is recommended that nurses implement…… [Read More]

References

Dickerman, J. (2007)in . Circumcision in the Time of HIV: When Is There Enough Evidence to Revise the American Academy of Pediatrics' Policy on Circumcision? Pediatrics. 119 (5): 1006-1007.

Fortier, S. (2009). Debating Circumcision. RN. April 2009.

Jia, L., Hawley, S., & Paschal, a. et al. (2009). Immigrants vs. Non-Immigrants: Attitudes Toward and Practices of Non-Therapeutic Male Circumcision in the United States of America. Journal of Cultural Diversity. 16 (3): 92-98.

Provencio-Vasquez & Rodriguez, a. (2009). Circumcision Revisited. Journal for Specialists in Pediatric Nursing. 14 (4): 295-297.
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Green Provides Some Clear Guidelines to Assist

Words: 7107 Length: 24 Pages Document Type: Term Paper Paper #: 35613731

Green provides some clear guidelines to assist health education and promotion specialists in the identification and design of health promotion techniques for implementation in health promotion and disease prevention programs. Discuss how five of the guidelines presented by Dr. Green could assist you in the selection of an appropriate health promotion technique. Support your answer with appropriate examples.

The module gives really simple guidelines as to the how the process of health education promotion can work in today's world. Healthcare is a social industry and hence understanding the community structure and its needs is the primary concern. According to the directions given by Dr. Green, the following factors have to be considered before designing and implementing health promotion and disease prevention programs. Hence the process is structured by first identifying the needs of the community and then setting the goals (short-term and long-term) accordingly. Once this is done the following…… [Read More]

References

Adair, J.E. And Thomas, N. (2004). The Concise Adair on Teambuilding and Motivation. Thorogood. London.

Agron P, Berends V, Ellis K, Gonzalez M. (2010). School wellness policies: perceptions, barriers, and needs among school leaders and wellness advocates. J Sch Health. 2010; 80: 527-535.

Eddy, J. Module 5. Policy Development as a Health Promotion Technique- Dr. James Eddy (59:40). Accessed from: mms://mediasrv1.ccs.ua.edu/CCS-AO2/HHE530/HHE530_Module5_D_combined.wmv

Fitzhugh, E. Module 5a. The Focus Group- Dr. Eugene Fitzhugh (1:00:14). Accessed from: mms://mediasrv1.ccs.ua.edu/CCS-AO2/HHE530/HHE530_Module5_A_combined.wmv
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Analyzing Female Gender Mutilation

Words: 2208 Length: 6 Pages Document Type: Essay Paper #: 90870605

Female Gender Mutilation

Female Genital Mutilation

The procedures that constitute the removal of the external genitalia of the females, whether in part or wholly, is referred to as female genital mutilation or briefly as FGM. It also constitutes other forms of injury to such organs for non-medical reasons. The practice is usually carried out by traditional circumcisers who are recognized individuals in communities, and are often present at important functions such as child births. There are instances when health care providers carry out the procedures under the false assumption that it is safe to do it in controlled medical facilities (UNICEF 87). However, the world Health organization requests all medical professionals to refrain from carrying out such procedures. The practice has been recognized all over the world as a violation of the rights of women. It is a sign of major inequalities between males and females of the human species,…… [Read More]

References

Diallo, Khadi. "Taking the Dress." UNESCO Courier july 2001: 40.

Dorkenoo, Efua. Cutting the Rose: Female Genital Mutilation: The Practice and Its Prevention. London: Minority Rights Publishers, 1995.

England, Joseph. "Circumcision in America." The Objective Standard 10.1 (2015).

Kern, Soeren. UK: The Crisis of Female Genital Mutilation. 9 may 2013. 18 February 2016 .
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Nursing Shortage in Canada Causes and Strategies to Solve

Words: 1971 Length: 7 Pages Document Type: Term Paper Paper #: 45856616

Nursing Staff Levels Affect Patient Mortality

Managing unnecessary variability in patient demand to reduce nursing stress and improve patient safety.

Litvak, E., Buerhaus, P.I., Davidoff, F., Long, M.C., McManus, M.L. & Berwick, D.M.

Date of publication: June 2005

Examination of the operational issues affecting health care delivery, including patient driven peaks in demand and effects of nursing shortages or inadequate staffing on clinical outcomes for patients.

esearch question and/or hypothesis:

In this study the researchers propose that increases in adverse clinical outcomes occur when hospital nurse staffing is inadequate. Further the researchers suggest that increases in census rates increase the potential for serious stresses for patients and nurses working in the field. Lastly the researchers suggest that if hospitals reduce unnecessary variability of staff levels in a hospital, the hospital can reduce the probability of negative patient outcomes, improve safety for patients and improve the overall quality of care.

Sample…… [Read More]

References:

Aikan, L.H., Clarke, S.P., Sloane, D.M, Sochalski, J. & Silber, J.H. (2002 -- Oct).

"Hospital nurse staffing and patient mortality, nurse burnout and job dissatisfaction." JAMA, 288(16): 1987-93.

Halm, M., Peterson, M., Kandels, M., Sabo, J., Blalock, M., Braden, R., Gryczman, A.,

Krisko-Hagel, K., Larson, D., Lemay, D., Sisler, B., Strom, L., Topham, D. (2005 -- Sept). "Hospital nurse staffing and patient mortality, emotional exhaustion and job dissatisfaction." Clin Nurse Spec, 19(5): 241-5.
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Coli and IT's Filamentous Morphology

Words: 916 Length: 3 Pages Document Type: Thesis Paper #: 98976208

"Elimination of these and other pathogens from the lower respiratory tract is made possible by an effective innate immune response, which is necessary yet potentially dangerous to the infected host."

E. coli Outbreak:

There have been numerous E.coli outbreaks over the years. Pakalniskiene, Falkenhorst, Lisby, and Madsen (2009) studied one of the larger single source outbreaks. On November 11th, 2006, there was an outbreak in Greater Copenhagen, Denmark. The director of a high school had contacted the regional health authority to report an outbreak of diarrhea and vomiting among guests of a school dinner party. A total of 750 people, nearly all of the teachers and students at the school, had attended the dinner. The evening, the first people became sick. Three days later, when the director made the report, approximately 200 to 300 teachers and students had reported gastroenteritis. It was found that the fresh basil used in the…… [Read More]

References

Cegelski, L., Marshall, G., Eldridge, G., Hultgren, S. (Jan 2008). The biology and future prospects of antivirulence therapies. Nature Reviews: Microbiology. (6). Retrieved May 7, 2009, from Proquest.

Hacker, J. & Blum-Oehler, G. (2007). In appreciation of Theodor Escherich. Nature Reviews. Microbiology, 5(12) Retrieved May 7, 2009, from ProQuest.

Justice, S., Hunstad, D., Cegelski, L., & Hultgren, S. (2008). Morphological plasticity as a bacterial survival strategy. Nature Reviews. Microbiology, 6(2). Retrieved May 7, 2009, from ProQuest.

Pakaliniskiene, J., Falkenhorst, G., Lisby, M., Madsen, B., Olsen, K., Nielsen, E., Mygh, A., Boel, J., & Molbak, K. (2009). A foodborne outbreak of enterotoxigenic E. coli and Salmonella Anatum infection after a high-school dinner in Denmark, November 2006. Epidemiology and Infection, 137(3) Retrieved May 7, 2009, from ProQuest.
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Relevance and Effective of the

Words: 6848 Length: 25 Pages Document Type: Thesis Paper #: 37098702



The chambers approach may be more suitable for states that seek a quick resolution to a particular dispute or for other compelling reasons; however, like the full Court, these alternatives are likewise voluntary in nature and require the consent of the disputants to have the case heard by one of the three foregoing chamber types. According to the Court's published information concerning "Chambers and Committees" (2009), "Despite the advantages that chambers can offer in certain cases, under the terms of the Statute their use remains exceptional. Their formation requires the consent of the parties. While, to date, no case has been heard by either of the first two types of chamber, by contrast there have been six cases dealt with by ad hoc chambers."

Given the significant representation by most of the countries of the world in the UN, the UCJ has the capability to provide a valuable forum in…… [Read More]

References

Alvarez, Jose E. And Thomas M. Franck, "Judging the Security Council." American Journal of International Law, 90(1), 2 (1999).

Basic Facts about the United Nations, Department of Public Information. New York: United

Nations (2004).

Black's Law Dictionary. St. Paul: West Publishing Co. (1990).
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Two Concept Maps of Two Different Diseases

Words: 715 Length: 4 Pages Document Type: Chapter Paper #: 81769465

Map of Benign Prostatic Hyperplasia and Breast Cancer

Lifestyle

Eating Better

Cutting down on alcohol

Giving up Tobacco

Exercising

Controlling Stress

Medications/Surgical

Medications approved to treat breast cancer:

Abitrexate

Abraxane

Ado-Trastuzumab Emtansine

Afinitor et al. (National Cancer Institute, 2016).

Concept Map of Benign Prostatic Hyperplasia and Breast Cancer

Breast Cancer

ETIOLOGY

Primary

The etiology of breast cancer remains mainly unidentified. isk factors linked with breast cancer can be clustered into three comprehensive contributing factors: i. family history (hereditary) factors, ii. hormonal reproductive factors

environmental factors (DeBruin and Josephy, 2002).

Secondary

Polymorphisms of drug-metabolizing enzymes may influence risk of breast cancer from environmental chemicals, dietary agents, and endogenous steroids (DeBruin and Josephy, 2002).

BEAST CANCE

DIAGNOSIS

History/Physical

Lump or contour change

Skin tethering

Nipple inversion

Dilated veins

Ulceration

Paget disease

Edema or peau d'orange (Medscape, 2015)

Diagnostic/Lab Tests

Chest x-ray (CX) Complete blood count (CBC)

Basic metabolic panel (BMP)

Lactate Urine…… [Read More]

References

Lepor, H. (2005). Pathophysiology of benign prostatic hyperplasia in the aging male population. Reviews in urology, 7(Suppl 4), S3.

Roehrborn, C. G. (2008). Pathology of benign prostatic hyperplasia. International journal of impotence research, 20, S11-S18.

Dhingra, N., & Bhagwat, D. (2011). Benign prostatic hyperplasia: An overview of existing treatment. Indian journal of pharmacology, 43(1), 6.
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Challenges and Opportunities Essay

Words: 367 Length: 1 Pages Document Type: Paper #: Array

The major challenge is how to keep track of any inserted urinary catheter in a patient.  It has been shown that most times physicians and nurses will forget about a urinary catheter, and this is one of the major causes of infections in patients.  Therefore, there should be a strategy in place for monitoring any urinary catheter that has been inserted in a patient and ensuring that it is removed when it is no longer needed.  Removal of unnecessary catheters ensures that HAIs associated with the catheter is prevented.  Another challenge is the time it takes to recognize that a catheter is in place and the physician determines it is no longer needed and issues a removal order.  This might take hours or days.  According to (Meddings et al., 2014) any delay in removing a catheter increases the patient's risk of infections and catheter-associated complications.
Maintaining awareness of any urinary…… [Read More]

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Vaginosis a Growing Scourge Among

Words: 4124 Length: 15 Pages Document Type: Research Proposal Paper #: 84440910

A newer and easy test is the OSOM Vlue, which mixes a swabbed specimen from the vagina with a reagent. The test yields sialidase activity or presence in the vaginal fluid in 10 minutes. Sialidase is produced by V pathogens (Mashburn).

pH Level

The most reliable criterion for detecting V is a pH>4.5 (Mashburn, 2007). A normal pH should, therefore, rule out V. A pH >4.5 can also indicate trichomoniasis or muco-purulent cervicitis. Vaginal inflammation more strongly suggests trichomonas or muco-purulent cervicitis, in turn associated with gonorrhea or chlamydial trachomatis (Mashburn).

The patient's pH level is 6, indicating V.

Wet Smears

These are an inexpensive and relatively easy screening procedure for the most common sexually transmitted diseases, such as V (Iglesias, Alderman & Fox, 2000). The practitioner should be appropriately trained and experienced in using this procedure. Hence, the proper protocol and quality control are needed to insure accurate diagnosis.…… [Read More]

BIBLIOGRAPHY

Alfonsi, G.A.; Cshlay, J., and Parker, S. (2004). What is the best approach for managing

Recurrent bacterial vaginosis? Journal of Family Practice: Dowden Health Media,

Inc. Retrieved on July 7, 2009 from  http://findarticles.com/p/articles/mi_m0689/is_8_53/ai_n6169486/?tag=content;col1 

Brown, M (2007). Treating a case of bacterial vaginosis -- case study. Health and Republic News: Health Republic. Retrieved on July 12, 2009 from  http://www.healthcarerepublic.com/res/clinical/article/572868/treating-case-bacterial-vaginosis
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Security Consulting Firm

Words: 3345 Length: 12 Pages Document Type: Research Paper Paper #: 26764992

Critical Pathway: Chronic enal Failure

Advanced Pathophysiology

egents Online Degree Program

Critical Pathway: Chronic renal failure

Chronic renal failure is often occasioned by chronic kidney disease, immune disorder, trauma among other conditions. It does not have any specific symptoms and might include feeling unwell generally and experiencing a reduced appetite. It is diagnosed following screening of individuals who are identified to be at risk of kidney problems, like individuals with diabetes or high blood pressure and others who have blood relative with chronic kidney disease. It always seems complex when trying to come up with the right diagnosis for a patient.

M.A. is a 60-year-old man who has a stage V chronic kidney disease mainly as a result of diabetic nephropathy and a 12-year of type 2 diabetes. He has symptomatic peripheral vascular insufficiency, and 3 years ago he had undergone coronary artery bypass 3. Within the ten months that…… [Read More]

References

Ahern J, Kruger DF, Gatcomb P, Petit W, Tamborlane W.,(1989). The Diabetes Control and Complications Trial (DCCT): the trial coordinators perspective. Diabetes Educ 15:236 -- 281

Bassilios N, Launay-Vacher V, Khoury N, et al. (2001) Gabapentin neurotoxicity in a chronic haemodialysis patient. Nephrol Dial Transplant.

Blum RA, Comstock TJ, Sica DA, et al.(1994). Pharmacokinetics of gabapentin in subjects with various degrees of renal function. Clin Pharmacol Ther;56(2):154-159

Brawek B, Loffler M, Dooley DJ, Weyerbrock A, Feuerstein TJ.(2008) Differential modulation of K (+)-evoked (3)H-neurotransmitter release from human neocortex by gabapentin and pregabalin. Naunyn Schmiedebergs Arch Pharmacol.:376(5):301-307
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Icd-9 Coding

Words: 1233 Length: 4 Pages Document Type: Term Paper Paper #: 94973844

Advanced Nursing Practice

Advance Nursing Practice

Ignoring symptoms that are clearly indicative of something wrong is a bad idea. The idea becomes even more ill-advise as the symptoms become more and more prominent and/or numerous in nature. While chronic diseases and other disorders take time to do their work, waiting until they become unbearable is something that should never occur as the chances of an optimal outcome are not nearly as good as they could or should be. Further, become the opposite of a hypochondriac and avoiding the diagnosis and care of a doctor is also less than wise. For example, a person might think they have cancer when instead they just need a little modest medical care and lifestyle changes to their health back on track. Indeed, it would seem that precisely that is going on with the patient described and diagnosed below.

Patient Initials: Not Known Age: 60…… [Read More]

References

CMS. "ICD-9 Code Lookup." ICD-9 Code Lookup. N.p., 20 Oct. 2014. Web. 20 Oct. 2014. .

E-Medicine. "Enlarged Prostate Causes, Symptoms, Treatment - Enlarged Prostate Treatment - eMedicineHealth." eMedicineHealth. N.p., 20 Oct. 2014. Web. 20 Oct. 2014. .

Mayo. "Benign prostatic hyperplasia (BPH)." Prostate gland enlargement Treatments and drugs. N.p., 20 Oct. 2014. Web. 20 Oct. 2014. .

NYT. "Enlarged Prostate." New York Times. N.p., 20 Oct. 2014. Web. 20 Oct. 2014. .
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Genitourinary in Women the Things to Expect

Words: 457 Length: 3 Pages Document Type: Case Study Paper #: 94202555

Genitourinary

SENSOY INDOO/OUTDOO ENVIONMENT

What further questions do you have for Laura at this visit?

1,) Are you having frequent urination?

Do you have any pain in your abdomen?

Do you noticed that there is a change in color and odor of your urine?

Do you have painful intercourse?

Do you have any nausea, vomiting?

Do you have any fever, or chills?

Any history of mental illness?

Do you have any changes in sleep pattern?

Do you have any kind of abnormal uterine bleeding?

What is your differential diagnosis list for this visit thus far with rationale?

Cystitis in Females

Multiple Sclerosis

Prostatitis

Spinal Cord Neoplasms

Spinal Cord Trauma and elated Diseases

Spinal Epidural Abscess

Urinary Obstruction

Urinary Tract Infection in Males

Uterine Prolapse in Emergency Medicine

Vaginitis

Based on your differential diagnoses list, identify what body systems you'd examine along with pertinent positive/negatives in each system and any diagnostic…… [Read More]

References

Genitourinary Assessment. (2016, February 15). Retrieved from  https://www.crnbc.ca/Standards/CertifiedPractice/Documents/FirstCall/713GenitourinaryAssessmentAdultDST.pdf 

J. Maxwell White, J. (2012, May 7). Chapter 180An Overview of the Genitourinary System. Retrieved from Clinical Methods: The History, Physical, and Laboratory Examinations. 3rd edition.:  http://www.ncbi.nlm.nih.gov/books/NBK290/ 

Medscape. (2016, February 15). Retrieved from  http://emedicine.medscape.com/article/797295-treatment
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Impact of Unlicensed Personnel Leadership in Nursing

Words: 1414 Length: 4 Pages Document Type: Term Paper Paper #: 92261508

Unlicensed Personnel

The use of unlicensed assistive personnel (UAPs) has sent a poor message to nursing professionals. In general, the medical establishment has used UAPs in ways that have disregarded the principles of the nursing practice and that have demeaned the value that nurses provide. Rather than showing a willingness to compensate nurses for years of training and performing a demanding job, health care institutions attempted to replace nurses with UAPs without regard to the welfare of the patient.

The misuse of UAPs rather than the use of UAPs is a having a tremendous negative impact on the nursing profession. Of major concern is the increasing use of UAPs to perform services that should be restricted to licensed professionals. y placing untrained, non-credentialed individuals in a position that affects the patient's health, public protection is being sacrificed for increased profits. UAPs should play a role in providing support services to…… [Read More]

Bibliography

Buchanan, D. Unlicensed Assistive Personnel (UAPs). Retrived March 11, 2003 from Medical/Legal Consultants Web Site: http://www.medical-legal- consultants.com/newsletter/dec99.htm#3

Delegation: Concepts and Decision-Making Process. Retrieved March 11,2003 from NC Board of Nursing Web Site: http://216.239.57.100/search?q=cache:OStnT6ClxFsC:www.ncbon.com/forms/Delegatio n%2520Process%2520and%2520Concepts%2520_final_.pdf+%22Unlicensed+Assistive

Personnel%22&hl=en&ie=UTF-8

DeMoro, D. (2000 March-April) How Hospitals Created a Shortage of Nurses. Retrieved March
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Kidney Stones for Those Who

Words: 720 Length: 2 Pages Document Type: Essay Paper #: 85551728



Meanwhile, kidney stones are not a new medical problem, according to the National Kidney & Urologic Diseases Information Clearinghouse (NKUDIC), a component of the U.S. Department of Health and Human Services (National Institutes of Health). In fact scientists have found evidence of kidney stones "…in a 7,000-year-old Egyptian mummy" (NIH). The NIH explains that the number of patients with kidney stones "has been increasing over the past 30 years" and researchers are not sure why. In the late 1970s, not even 4% of the American population had kidney stones but by the 1990s more than 5% of the population suffered from kidney stones (NIH). Caucasian men are the most likely people to get kidney stones, and from the age of 40 up to 70 men are particularly susceptible to kidney stones (NIH).

Kidney stones can be several shapes, even jagged shaped, which can be more painful than a smooth stone,…… [Read More]

Works Cited

Mayo Clinic. "Kidney Stones." Retrieved April 5, 2012, from  http://www.mayoclinic.com/health/kidney-stones . 2009.

National Kidney & Urologic Diseases Information Clearinghouse. "Kidney Stones in Adults."

National Institute of Diabetes and digestive and Kidney Diseases / National Institutes of Health. Retrieved April 5, 2012, from  http://kidney.niddk.nih.gov/kudiseases/pubs/stonesadults/ . 2008.
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Circumcision Ethical Religious Medical and

Words: 2622 Length: 10 Pages Document Type: Term Paper Paper #: 89120708



Donald then concluded that when a child is found suffering from genital irritation, it was best to have circumcision performed on him "during the first year of life, so that to a degree at least danger of future moral contamination may be avoided."

he obvious and well-documented benefits of circumcision led to a sudden increase in its popularity and by 1889, it was getting circumcised was in fashion. Circumcision gained even greater support when it was presented not as a cure but also as a prophylactic. Since the benefits were well-known and circumcision was widely advocated, people decided that it was better to get their children circumcised as soon as it was possible. hus, instead of waiting for diseases to develop or other signs of discomfort to emerge, it was thought best to have circumcision done before it was too late and thus neonatal circumcision became popular. By 1910 and…… [Read More]

Task Force on Circumcision (1999)

John Firman & Ann Gila, The Primal Wound: A Transpersonal View of Trauma, Addiction, and Growth (1997

Thomas Metcalf, et al., Circumcision: A Study of Current Practices, 22 Clinical Pediatrics 575, 576 (1983)
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Cryptorchidism Acute Scrotum Case Study When a

Words: 1290 Length: 4 Pages Document Type: Research Paper Paper #: 40121166

Cryptorchidism

Acute Scrotum Case Study

When a male presents with acute scrotum pain and swelling a number of different diagnoses are possible; however, if the diagnosis is testicular torsion then the patient needs to be evaluated by a competent surgeon immediately (reviewed by Kass and Lundack, 1997). Of the many possible diagnoses that can produce similar symptoms, including epididymitis, hernia/hydrocele, varicocele, epididymo-orchitis, torsion of a testicular or epididymal appendage (appendiceal torsion), or Henoch-Schonlein purpura, only testicular torsion represents a bona fide medical emergency. For this reason, a detailed patient history and physical examination should be undertaken at once in order to preserve testicular function. Every effort should be made to gather a complete urologic and surgical history for the patient to exclude other conditions, including a urinary tract infection and epididymitis.

A recent study examined the diagnosis distribution for 388 boys under the age of 17 who were treated at…… [Read More]

References

Kass, Evan J. And Lundak, Bruce. (1997). The acute scrotum. Pediatric Clinics of North America, 44(5), 1251-1266.

Makela, E., Lahdes-Vasama, T., Rajakorpi, H., and Wikstrom, S. (2007). A 19-year review of paediatric patients with acute scrotum. Scandinavian Journal of Surgery, 96, 62-66.

Nelson, Caleb P., Williams, JeffreyF., and Bloom, David A. (2003). The cremasteric reflex: A useful but imperfect sign in testicular torsion. Journal of Pediatric Surgery, 38, 1248-1249.

Ringdahl, Erika and Teague, Lynn. (2006). Testicular torsion. American Family Physician, 74, 1739-1743.
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George Ritzer Ajun Appadurai Anthony Giddens

Words: 413 Length: 1 Pages Document Type: Term Paper Paper #: 97556962

Hyperconsumption may be one of the key word of George Ritzer's post- modern theory. In order to survive, we must consume because the society surrounds us with the most different forms of consumption structures and convinces us to spend money on leisure. The main difference between the new structural forms and the old ones is that the present day forms tend to become rather hyperreal and rely excessively on simulations, signs, etc. with the intention of selling out their product or service. However true, in my opinion, in order to survive we must ensure that the hyperreal world where time and space seem to belong elsewhere, does not steal us away completely. The world we live in is quite real and there are real things that can still be enjoyed. The hyperreal world does not have all the benefices of real life.

Ajun Appadurai choses to discuss globalization and its…… [Read More]

Bibliography

1.  http://highered.mcgraw-hill.com/sites/007234962x/student_view0/chapter9/chapter_overview.html 

2. Fuchs, Christian. Globalization and Self-Organization in the Knowledge-Based Society. On the Internet at http://triplec.uti.at/articles/tripleC1(2)_Fuchs.pdf

3. At  http://www.theory.org.uk/giddens3.htm 

Fuchs, Christian. Globalization and Self-Organization in the Knowledge-Based Society. On the Internet at http://triplec.uti.at/articles/tripleC1(2)_Fuchs.pdf
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Ajun Appadurai and George Ritzer

Words: 369 Length: 1 Pages Document Type: Term Paper Paper #: 77321085

Ajun Appadurai and George Ritzer

George Ritzer offers us a "hyperreal" view on globalization and the modern society. Indeed, in his opinion, consumption is becoming more and more influenced by non- real things that stimulate it. The non- real society is formed of things like credit cards or telemarketers or Las Vegas and Disneyworld. Take for example Las Vegas. A city built in the desert, out of nothing, and populated with some of the most extravagant constructions in the world. A place where you can lose all your money over the weekend and wonder where you were all along. Hence, one of the best examples of what the hyperreal is actually all about. I prefer to refer to it as the globalization of the hyperreal than the globalization of nothing as George Ritzer names it. However, we cannot deny that globalization nowadays does tend to insist on things that do…… [Read More]

Bibliography

1. Fuchs, Christian. Globalization and Self-Organization in the Knowledge-Based Society. On the Internet at (http://triplec.uti.at/articles/tripleC1(2)_Fuchs.pdf

Fuchs, Christian. Globalization and Self-Organization in the Knowledge-Based Society. On the Internet at (http://triplec.uti.at/articles/tripleC1(2)_Fuchs.pdf
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Interstitial Cystitis IC treatment using CAM Modalities

Words: 6757 Length: 12 Pages Document Type: Essay Paper #: 54434974

Abstract
The prevalence of interstitial cystitis (IC) has seen different treatment methods that have been aimed at reducing the level of pain and ensuring that the patients are comfortable. However, the continued failure of most of the conventional methods to treat the condition has necessitated physicians to recommend complementary and alternative methods of managing the condition. An analysis of the complementary and alternative methods (CAM) modalities is therefore, critical in understanding the different conceptual attributes that are significant in addressing the problem. IC is a condition that is characterized by chronic pain or discomfort in the bladder and the surrounding pelvic region. It differs depending on the pain, frequency or both pain and frequency. The condition affects the patient and in some cases may lead to stress since it impacts the work-life, family and sexual enjoyment for the women. In most cases there are different methods of managing the condition…… [Read More]

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Interstitial Cystitis IC treatment using CAM Modalities

Words: 6757 Length: 12 Pages Document Type: Essay Paper #: 54434974

Abstract
The prevalence of interstitial cystitis (IC) has seen different treatment methods that have been aimed at reducing the level of pain and ensuring that the patients are comfortable. However, the continued failure of most of the conventional methods to treat the condition has necessitated physicians to recommend complementary and alternative methods of managing the condition. An analysis of the complementary and alternative methods (CAM) modalities is therefore, critical in understanding the different conceptual attributes that are significant in addressing the problem. IC is a condition that is characterized by chronic pain or discomfort in the bladder and the surrounding pelvic region. It differs depending on the pain, frequency or both pain and frequency. The condition affects the patient and in some cases may lead to stress since it impacts the work-life, family and sexual enjoyment for the women. In most cases there are different methods of managing the condition…… [Read More]

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Mrs Mansfield Is Being Handed Over to

Words: 1948 Length: 6 Pages Document Type: Case Study Paper #: 87175716

Mrs. Mansfield is being handed over to care from the operating theatre nurse. We would require an update chart information. She has had an ovary removal (bilateral salpingo-oophrectomy) and is currently on an IV infusion of .8% Normal Saline. In order to continue her care, we would need previous vitals, lab work, and any details on her condition. We know she has a bellovac drain insitu and a PCA along with O2 via nasal prongs. We would need the orders on the PCA and the physician's assessment of pain medications. There would likely be instructions on wound draining, as well as potential additional fluids and/or blood transfusion information (part of vitals in chart). Post-operative care instructions would be mandatory -- including diet, hourly rounding instructions and additional materials to assist with her post-operative care condition (Fogel & Woods, 2008 p. 428).

Q2 -- esearch shows that unrelieved pain has a…… [Read More]

REFERENCES

Beattie, S. (2008, June 1). Beside Emergency: Wound dehiscence. Retrieved from Bedside Emergency: Wound dehiscence: http://www.modernmedicine.com/modern-medicine/news/bedside-emergency-wound-dehiscence

Chumbley, G., et al. (2004). Pre-Operative information and patient-controlled analgeisa. Anaesthesia, 59(4), 354-8.

Common Postoperative Complications. (2013, April). Patient.co.uk. Retrieved from patient.co.uk:  http://www.patient.co.uk/doctor/common-postoperative-complications 

Doctor QA.com. (2009, April). Compression Socks. Retrieved from doctorqa.com:  http://www.doctorqa.com/vein/procedures/compression-socks
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Achieving Baby-Friendly Hospital Designation Baby-Friendly

Words: 2900 Length: 10 Pages Document Type: Term Paper Paper #: 26970491

496).

Evidence-based practice indicates the universal need for the implementation of better maternal and newborn infant care, especially with regard to breastfeeding support and encouragement. This is evidenced by countless research works that both report the optimized goals of better rates of exclusive breastfeeding among infants 0-6 months and the evidence of current trends and practices (AAP, 2010; Scanlon et. al, 2007; Naylor, 2010; Grummer-Strawn & Shealy 2009). These researchers, reviewers an experts base their observations on a need that is well documented in the literature, i.e. both the current state of breastfeeding support in maternity settings and clinical short- and long-term health related outcomes associated with breastfeeding and lack of breastfeeding. The literature associated with this need is demonstrative of many issues regarding breastfeeding and support that the best overall scenario for maternal and infant health is exclusive breastfeeding of infants till six months of age with supplements or…… [Read More]

Resources needed for the implementation of the Baby Friendly Hospital designation are relatively limited, due in large part to the extensive work the Brookdale Hospital has recently done to begin to implement better breastfeeding and maternal practices, as noted at the close of the Problem statement section of this work. The hospital must implement additional changes, file the proper application for assessment and designation and prove and justify implementation of the 10 steps associated with the designation over a period of five years. The resources needed for this process will include participation by existing staff including nurses, nurse managers and the hiring of a certified lactation specialist. The most costly of all the implementation strategies will be hiring of a certified lactation specialist, other costs will be further detailed in the budget section of this work and will include administrative, office supplies, additional signage and support training of nursing and support staff.

Barriers to Change

Barriers to change must begin with a clear understanding and elimination of the kinds of hospital practices that are shown in evidence-based research to be particularly contraindicative of early, long-duration and successful breastfeeding including the; use of artificial nipples (pacifiers), bottles, and even nipple shields in mainly healthy newborns (McKechnie & Eglash, 2010) supplementation that is unneeded for natal nutrition, limitations in the practice of rooming in (infant stays with mother as much as possible over the first 24 hours after birth to ensure on demand nursing opportunities), limitations in skin to skin contact of infant with both mother and father, and other institutionally practiced barriers are not only common but traditionally accepted as standards of practice in most hospitals and birthing centers ("Breastfeeding-related maternity practices…" 2008 ). The Baby-Friendly Hospital Designation, and all the steps to prepare and implement it will go far to demonstrate change in hospitals including but not limited to Brookdale Hospital in NYC.

Barriers to change, that are specific to Brookdale hospital have been briefly developed in the problem statement of this work and demonstrate mostly institutional practices that are not only accepted but supported by the hospital and L&D and neonatal staff. Rooming in, where the newborn infant spends as much time as possible with the mother during the first 24-48 hours of life, leaving the bedside of the mother only when absolutely necessary is essential to change. The existence of a highly staffed and large newborn nursery, where infants spend a good deal of time and receive a great deal of care from staff rather than the mother is one of the first institutional issues that needs to change. This reduction of reliance on the newborn nursery may offset some of the costs of implementing change, as stricter rooming in policies and practices would indicate the need for fewer staff resources in the newborn nursery. Skin-to-skin contact of mother to infant should begin at the moment of birth, as is indicated by the hospital's new policies and procedures for breastfeeding support. Newborns should be given screening tests in the presence of the mother, and if at all possible while the mother is holding and/or nursing the child during skin to skin contact. Breastfeeding education should be continuous, beginning in prenatal clinics, extending throughout the hospital stay and supported and supplemented by follow up care with a certified lactation specialist and/or nursing staff that has taken CEC courses in breastfeeding support, and the number class offerings per week should be increased to every other day to support the usual uncomplicated discharge of mother and baby at 48-72 hours post delivery and the course for mothers should be a condition for discharge. L&D and nursery nurses should continue to be encouraged to take the available course with a first year goal of 100% completion. Lastly, cultural barriers to breastfeeding in the patient population should be mitigated with culturally sensitive training and breastfeeding support, long-term breastfeeding follow up and a sensitive but essential reiteration of the many benefits of breastfeeding for both child and mother, reiteration, for those who qualify, of the benefits of the Women Infant Children program which supports breastfeeding mothers with additional food and benefits for the mother not just by supplying formula or food for the infant after birth.

Role of Nurse Executive
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Washing in Nursing and Medicine

Words: 580 Length: 2 Pages Document Type: Thesis Paper #: 86741092



Moreover, the specific cause of transmission are the low compliance rates of hospital personnel with basic antiseptic protocols such as simple hand washing. Surprisingly, the worst offenders were those with the highest degree of formal training: namely physicians and registered nurses. In some studies, compliance rates among hospital personnel were only between fifteen and thirty percent. Finally, empirical studies have also concluded that compliance rates are lowest in high-volume institutions and among understaffed medical units.

Solution

The solution is rather obviously quite simple. Among the most important aspects of reducing hospital-acquired nosocomial hospital infections is increasing the rates of hand washing among hospital personnel. Naturally, the more direct patient contact individual personnel have, the more important adherence to strict hand-washing policy is. Since physicians and nurses routinely care for many patients during a typical shift, it is crucial for them to become the most compliant rather than the least compliant…… [Read More]

References

Sheridan-Leos, Norma. "Oncology care setting design and planning Part II: Designing healthcare settings to prevent fungal infections and improve handwashing."

Clinical Journal of Oncology Nursing (June 1, 2008).

Full Text of Article Below

This is the second in a two-part series on designing healthcare settings to improve patient safety. Part I addressed concepts of error theory and evidence-based practice as they relate to planning safe care environments (Sheridan-Leos, 2008). Part II describes the design and planning of oncology care settings to prevent fungal infections and improve provider handwashing.
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Readmission Rates and How to Define Them

Words: 526 Length: 2 Pages Document Type: Annotated Bibliography Paper #: 74967083

Amin, B et al. (2013). Pitfalls of calculating hospital readmission rates based on nonvalidated administrative data sets. Journal of Neurosurgery: Spine, 18(2): 134-138.

This study examines the University of California's Medical Center in San Francisco in order to determine if its all-cause readmission rates accurately reflect the readmission rates for spine injury patients. The secondary purpose of the study is to identify readmission predictors. The researchers collected data from 5780 consecutive patient visits. 5% of the visitors were readmitted within a month of their discharge. The researchers examined variables that led to their readmission and regression analysis was conducted in order to spot predictors. A t-test was also used to see if there was any difference in admission vs. non-readmission incidents. The researchers found that infection was the number one variable leading to readmission, inoperable management the second most common variable, and planned surgery the third most common variable for…… [Read More]

Kachalia, A. (2013). Improving patient safety through transparency. New England

Journal of Medicine, 369: 1677-1679.

This study provides a qualitative review of why transparency is helpful in health care. The researcher shows that openness with patients and clinical health care providers is essential to maintaining a relationship of trust, accountability, and of improving patient safety. The more forthcoming with information that health care providers are with patients, the more forthcoming patients are likely to be with their providers. The research indicates that many health care organizations are still behind the curve when it comes to developing a workplace culture that actively promotes and facilitates transparency. The study indicates that a principled and formal approach to addressing errors in disclosure would go a long way in supporting a culture of transparency. This study is helpful in identifying an issue in nursing that requires attention for the good of both patient and practitioner.
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Nursing and Catheter Usage an Analysis

Words: 557 Length: 2 Pages Document Type: Research Paper Paper #: 63422322

Wilde, M. et al. (2015). Self-management intervention for long-Term indwelling urinary catheter users. Nursing Research, 64(1): 24-34.

The method employed in this quantitative study is the random clinical trial and the research tradition was congruent with the methods used to collect and analyze the data: the researchers collected data during face-to-face home interviews and follow-up phone interviews with more than 200 participants involved over a 12-month period; and analysis was generated using generalized estimating equations. Thus the sample size was consistent with a standard quantitative study and the duration was of sufficient length to monitor changes/developments alongside a control group. There was no evidence of reflexivity, as the self-management approach to catheter use eliminated problems.

The sample was adequately described: the participants were adult long-term urinary catheter users split between the trial group testing the effectiveness of the self-management treatment and the control group receiving normal treatment. Thus triangulation was…… [Read More]

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Sepsis

Words: 2976 Length: 8 Pages Document Type: Essay Paper #: 28003603

New Sepsis Guidelines and Nurses: Factors, Compliance and Consideration

Introduction to Sepsis

Sepsis refers to the body’s dangerous reaction to an existing infection. Sepsis is extremely serious and if not treated swiftly with appropriate action it can lead to fast tissue and organ damage and death. The medical community has long been focused on getting better control of sepsis, as it is a damaging and debilitating condition that contributes to a host of preventable deaths. In fact, sepsis is one of the primary reasons for death in the number of hospitalized patients and is the cause of 20% of all admissions to intensive care units. (Ferrer et al., 2008). This data clearly indicates that sepsis is an aggravated problem that experts need to have better protocol for and preventative measures to counteract. In America, the rate of death from sepsis is one of the highest rates in the world with…… [Read More]

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Intubating in the Event of

Words: 312 Length: 1 Pages Document Type: Term Paper Paper #: 71726451



In addition to the key point that intubating is an unnecessary and undesirable step in the handling of a pyeloplasty, Sarin et al. reveal something which may be seen as a serious obstacle in the face of what can ultimately be a problematic health concern. There is a strength in the study's design where the support of its hypothesis is concerned, with the comparison of control and experimental groups serving almost as secondary to the aim of simply establishing the absence of need for the process of intubating. Still, there is a weakness in the study's failure to obtain numerically comparable sample groups. With only four subjects of the 24 being intubating, the resultant 75% infection rate here may not tell the full story.

Still, the study's value to the nursing profession is quite clear, denoting that where they pyeloplasty is concerned, the practicing nurse may diminish the threat of…… [Read More]

According to the 2006 article by Sarin et al., traditional perspective and procedure on how best to accommodate the post-operative needs of infants suffering from pelviureteric junction obstruction is being shown to have flaws. Particularly, the article highlights the fact that, in cases where this obstruction to the drainage of renal fluid may exist, the traditional use of intubating or stent drainage of said fluid following the necessary pyeloplasty procedure is not only unneeded but also can diminish recovery opportunity. In a study which ultimately featured the experiences of 24 infants undergoing pyeloplasty procedures, Sarin would find that a significant set of evidence exists to indicate that intubated patients will undergo a longer recovery period and will likewise be more vulnerable to the onset of possible urinary tract infection or kidney infection.

In addition to the key point that intubating is an unnecessary and undesirable step in the handling of a pyeloplasty, Sarin et al. reveal something which may be seen as a serious obstacle in the face of what can ultimately be a problematic health concern. There is a strength in the study's design where the support of its hypothesis is concerned, with the comparison of control and experimental groups serving almost as secondary to the aim of simply establishing the absence of need for the process of intubating. Still, there is a weakness in the study's failure to obtain numerically comparable sample groups. With only four subjects of the 24 being intubating, the resultant 75% infection rate here may not tell the full story.

Still, the study's value to the nursing profession is quite clear, denoting that where they pyeloplasty is concerned, the practicing nurse may diminish the threat of complication or infection by foregoing the intubating drainage process.
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Healthcare Reform and Economic Implications

Words: 514 Length: 2 Pages Document Type: Essay Paper #: 41356985

For example, prior to 2007, there were approximately 1 million confirmed cases of hospital-acquired ("nosocomial") infections in American hospitals and other healthcare institutions (clinics, nursing homes, etc.), resulting in the premature and preventable deaths of nearly 100,000 patients who would otherwise have survived the illnesses or surgeries for which they originally received treatment in those institutions (eid, 2009).

Approaches to educing Healthcare Costs

Because the problem of treating those nosocomial infections alone was the source of an estimated $1 - $2 billion, the Centers for Medicare and Medicaid (CMS) terminated reimbursement for several kinds of urinary tract infections in healthcare institutions in 2007, to force healthcare providers to take the necessary steps to prevent those infections (eid, 2007). Another important component to fighting healthcare costs are the oversight mechanisms, such as the Health and Human Services Inspector General's Audit Services and Medicare's recently enacted ecovery Audit Contractor (AC) program. In…… [Read More]

References

Kennedy, E. (2006). America: Back on Track. Viking: New York.

Reid, T. (2009). The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care. New York: Penguin Group.
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Healthcare Quality Hospital Quality Measures

Words: 581 Length: 2 Pages Document Type: Essay Paper #: 83909995

If a hospital has a poor record of infections and patient falls, those patients who have a choice will avoid the hospital. So, as the hospitals begin recording and tracking the information, those that do not choose to improve lose patients (HQA 2011). Contrary wise, those hospitals that remain on the cutting edge of improving the quality of care for patients are hospitals that will be sought after by patients who have an option.

Another possible reason for the desire to improve conditions is for the sake of attracting better physicians. Many physicians are selective as to the hospitals they serve with. For instance, most Catholic physicians tend to only seek admission to Catholic hospitals.

It is possible that hospitals may seek reimbursement as a means of dealing with quality issues with patients. Currently, when a hospital makes a mistake the patient is still expected to pay the full amount…… [Read More]

Works Cited

Hospital Quality Alliance (2011). Quality Measures. Extracted February 4, 2012.  http://www.hospitalqualityalliance.org/hospitalqualityalliance/qualitymeasures/qualitymeasures.html 

Washington State Hospital Association (2011). Quality Indicators Search Page. Extracted February 4, 2012. http://www.wahospitalquality.org/index.php
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Alterative Ways a Vague Term a Group Herbs Discuss Alternatives Beneficial Relation Body Systems Support

Words: 595 Length: 2 Pages Document Type: Essay Paper #: 6787636

Alterative ways a vague term a group herbs. Discuss alteratives beneficial, relation body systems support.

Alterative is a vague term assigned to an herb which acts as blood purifier, meaning that it gradually modifies the condition of the body in a positive manner. These plants have been use for centuries in dealing with toxicity of the blood, infections, or arthritis, skin eruptions, and even cancer. Moreover, this category of herbs also helps the body to assimilate nutrients and eliminate waste products of metabolism.

As in the case of administering any sort of medicine, the choice of alterative herb depends upon matching its system-specific properties with the condition which has to be treated. Therefore, red clover is known to effects on protein assimilation, and is thus employed in cancer, whereas Echinacea is used to fight against acid conditions in the bloodstream associated with a stagnation of lymphatic fluids. In addition, sarsaparilla…… [Read More]

References

Agarwal, K.C. (1996), Therapeutic actions of garlic constituents. Med. Res. Rev., 16: 111 -- 124. doi: 10.1002/(SICI)1098-1128(199601)16:13.0.CO;2-5.

Pizzorno, J. E, Murray, M.T. (2013). Textbook of Natural Medicine. St. Louis: Elsevier Churchill Livingstone.

Tierra, M. (1998). The Way of Herbs. New York: Pocket Books.
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Marital Rape Intervention Practices

Words: 3561 Length: 10 Pages Document Type: Research Paper Paper #: 73666622

Marital rape is defined as sex without mutual agreement, which can occur through the vagina, anus or even the mouth. The definition is not consistent; it changes from one country to another (Bergen, 1996; Russell, 1990). Marital rape is marked as one of the most widespread ways of violation against women with most studies indicating that victims are legally married couples, those separated, divorced or living together. The basic concept is that the different forms of sexual violence between couples who have lived together for long and those that are married remains the same (Mahoney & Williams, 1998). In as much as no publications of marital rape between gay and lesbian couples have been found, am emergence of such literature is slowly coming up (Bergen & Barnhill, 2006).

The extent of marital rape was brought to light by Diana Russell's research that was done in 1990 in San Francisco. The…… [Read More]