...Summary In supporting this model of care through home care services, informatics should be taken into account. As claimed by Parks (2015), home-based technologies like telemedicine and robotic care may certainly be useful tools in providing care for persons at home. Offering home-based technologies may result in better processes of informed consent in health care decision-making, since it allows individuals to make medical decisions or to reflect on options in the familiarity of their homes, where there are unique cues, practices, and configurations of objects and furniture that allow for more complete and authentic decision-making (Parks 2015). New telemedical and assistive technologies now make it possible for individuals to safely remain...
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...This practice based learning is a case study that involves discrimination towards a patient who is part of the traveling community. This practice based learning is a case study that involves discrimination towards a patient who is part of the traveling population within our society. My group colleagues and I decided to use the same methods of collecting information as in the previous case studies. I feel very frustrated because there is a lot of ignorance within our society, lack of information and understanding of people who disregard others because of were they come from. Firstly I make reference to the NMC’s guidance on anti-discrimination practice; As a qualified nurse I am personally accountable for my practice, and when caring for my patients I must; 1.1 Respect the patient as an individual 1.2 Protect and support the health needs of individuals 1.4 I have a duty of care to patients, who are entitled to receive safe and competent care. 2.3 As a registered nurse I am personally accountable for ensuring that I promote and protect the interests and dignity of patients and clients, irrespective of gender, age, race, ability, sexuality, economic status, lifestyle, culture and religious or political beliefs. 2.4 I must promote the interest of patients. This includes helping individuals and groups gain access to health and social care, information and support relevant to their needs. The NHS is accountable for all acts and omissions that relate to equality and human...
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...Research > Research Briefs > RB-9336 > Invisible Wounds Mental Health and Cognitive Care Needs of America’s Returning Veterans RESEARCHHIGHLIGHTS View the print-friendly version: PDF (0.2 MB) Key findings: * Approximately 18.5 percent of U.S. servicemembers who have returned from Afghanistan and Iraq currently have post-traumatic stress disorder or depression; and 19.5 percent report experiencing a traumatic brain injury during deployment. * Roughly half of those who need treatment for these conditions seek it, but only slightly more than half who receive treatment get minimally adequate care. * Improving access to high-quality care(i.e., treatment supported by scientific evidence) can be cost-effective and improve recovery rates. | Since October 2001, approximately 1.64 million U.S. troops have deployed to support operations in Afghanistan and Iraq. Many have been exposed for prolonged periods to combat-related stress or traumatic events. Safeguarding the mental health of these servicemembers and veterans is an important part of ensuring the future readiness of our military force and compensating and honoring those who have served our nation. In the wake of recent reports and media attention, public concern about the care of the war wounded is high. In response, several task forces, independent review groups, and a Presidential Commission have examined the care of the war wounded and recommended improvements. Policy changes and funding shifts...
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...Telehealth…. The Future is now Sandra M. Sielinski Chamberlain College of Nursing Abstract Tele-health is defined as “The use of health informatics, disease management, and home telehealth technologies to enhance and extend care and case management to facilitate access to care and improve the health of designated individuals and populations with the specific intent of providing the right care in the right place at the right time.” (Barr, McElnay, & Hughes, 2010) Telehealth services can offer timely and cost effective alternative means to healthcare for a patient, but nurses need to be aware of the less visible potential effects of providing nursing care, thus needing to more specific and more focused in their patient assessment. While telehealth has the potential to offer patients and nurses easier access to each other, privacy and ethical concerns are now more prevalent when it comes to the use of telehealth. (Hebda & Czar, 2013) Properly secured communications are a must-have in the telehealth industry. Advantages and Disadvantages While most people think that telehealth is a more recent venture based on current technology, it actually originated in 1980 when the United States Government ”played a major role in development and promotion of teleheath through various agencies” (Hebda & Czar, 2013)When government funding decreased, interest in telehealth subsided until the Department of Agriculture’s Rural Development Act of 1991 renewed interest with...
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...Professional Goals Throughout life we have all set goals for ourselves. Whether it be something as small as learning out ABC’s or completing collage with a degree. In order to be successful in life one should always have goals and this is also important for growing in both our personal and professional goals. When setting goals it is important to set short term goals and long term goals. When starting with short term goals and accomplishing those, then one is on the way to reaching long term goals. My Personal goals are to successfully complete my first online class in HCS/301 Undergraduate Nursing Studies class and to complete my Bachelor’s degree in Nursing. My Professional goals are to obtain a Supervisory position in Community Health nursing and to obtain my certification in Case Management Nursing. I believe that with learning time management skills and perseverance that I will be able to reach my goals, both personal and professional. One of my Personal goals is to complete my first online nursing class successfully. By completing HCS/301, will help me complete my personal short term goal. I feel that if I learn time management skills with this first class, complete my work in a timely manner and learn how to navigate the online classroom that I will be successful. I feel that with working full time, have three children that range in age from thirteen, ten and my youngest is six years old, and being married that going back to school...
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...Furthermore, individuals should have the right to access the health care provider of their choice. Legislatures at the national and state levels should advocate for individuals to have reasonable access to health care services. Nurse Practitioners as direct care providers of medical care implements simple, practical and inexpensive methods in utilizing NP’s in private practice. NPs provide services for the diagnosis, treatment and management of disease as well as illness prevention and health maintenance. Numerous studies conclude that nurse practitioners perform as well as physicians in their specialty area of practice, in patient diagnosis, management of specific diseases and patient outcomes. NPs have improved access to and affordability of health care by consistently offering high quality and cost-effective services. Nurse practitioners should be active partners and providers of health care as they insure delivery of quality health care in a cost-effective...
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...April 02, 2015 Introduction In many nursing home facilities, patient safety is little to non-existent and if they are, there displayed on a need be and not obliged basis. They are displayed case by case rather than nursing home protocol. Even with changes in regulations, reporting systems, and documentation over the past couple of years, the nursing home industry still has its share of problems. Patient safety is meant to provide patients freedom from healthcare associated preventable harm, meaning when things go right, nothing bad happens. Nursing home organizations have been constantly trying to improve their reputation and the way people view them, but how? Don’t patients make up a nursing home? What about their safety? Shouldn’t we start there? How do we make improvements? Telehealth, a new approach to improving patient safety in nursing homes, will use telecommunication technologies to deliver health related services and information that support patient care, administrative activities, and health education (Dixon, Hook, McGowan, 2008). In this paper I will explore the major benefits of Telehealth and how its implications can improve patient safety in nursing home care. What is Telehealth and why is it important? Telehealth is the means and methods to improving access to care and reducing healthcare associated costs. It is also a system that can be used for education purposes, to keep physicians and medical staff in the know on healthcare changes and updates; in which...
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...Health Care Coordination Models: Benefits and Challenges Traci L French Salem International University Abstract: Care coordination refers to several forms of patient care management that is patient- rather than provider-focused and has the end goal of the “Triple Aim”-improved patient experience, improved population health and decreased per capita costs. These goals are achieved by developing healthcare models which promote collaborative care between providers, increase communication between health care entities, actively engage patients in health care and lifestyle choices and rely heavily on health technology to extend provider services, personalize care and monitor quality improvement efforts. The main barriers to care coordination implementation include poor reimbursement for services, difficulties with provider network communications, shortages of trained care coordination personnel and ambiguity in provider roles and responsibility, which can lead to provider accountability issues. When well-established, care coordination models allow patients to form substantive, long-term personal relationships with providers and increase personal accountability for health care choices. These relationships increase compliance with care regimens in the ambulatory setting and decrease costs with overall improvement in patient quality of life. Care coordination refers to several forms of patient care management which is patient- rather than provider-focused and has the end goal of...
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...Are Controlled Clinical Trials Really Ethical? Case Study In 2009, two cousins, Thomas and Brandon were diagnosed with the same type of deadly skin cancer within a 2 month time frame of each other. To date, here is no cure for skin cancer and once diagnosed the average life expectancy is approximately 8 months. Current standard of care treatments are aimed at shrinking the tumors and prolonging life. Unfortunately, these standard of care treatments only work in a very small percentage of patients and are very toxic with terrible side effects. Thomas learned of a new Phase 3 clinical research trial sponsored by Roche with an unapproved yet promising drug. His doctor explained that in earlier trials, a majority of volunteer patients who took the wonder drug had seen a drastic reduction in the size of their tumors with very few side effects. The only way ill patients can get the drug is by participating in this trial. The trial is a randomized controlled trial (RCT) which means half of the volunteers will get the experimental drug while the other half will be treated with another standard of care treatment. The purpose of the standard or control arm is to allow researchers to compare the long term effects of the new drug to that of the current standard treatment and determine whether it actually shrinks tumors and prolong remissions. Participants have a 50/50 chance of being placed in either arm of the study. Arm assignments are random and cannot be changed. With limited options...
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...Women’s Nightmare: Fistula Meron Vallery University of Maryland University College Dr. Gemeinhardt HCAD 600 Oct 26, 2012 Abstract Since in the United States and Europe Fistula was eradicated in the beginning of twentieth century, if you ask women and men about fistula they would not know. To answer what fistula is to know how many kinds there is. There are two kinds of fistulas. The first is obstetric fistula which is a devastating illness that affects young girl who suffers from prolonged labor and the second one is traumatic fistula where it is caused by violent sex or rape. As a result it causes tearing of the vaginal and bladder tissue and passes feces and urine involuntarily. Both fistulas were once a global problem but in the US women are educated to postpone early marriage and pregnancy until their young body mature to have a child. Also a cure was discovered by two American surgeons J. Marion Sims and Thomas Addis Emmet, that cure was c-section and surgical procedure to fix the tearing of bladder and vaginal tissue. Although fistula is eradicated in industrialized countries, it is still a major problem for young girls in the most impoverished rural and remote area of in the developing countries especially the sub-Saharan African and some Middle East countries. To eliminate fistula several NGO’s have been working with those countries that has been affected by fistula. Hamlin Fistula Ethiopia Foundation (UFE) and United Nation Population Foundation (UNFPA)...
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...undocumented aliens have limited access to health care due to lack of identity papers. This is due to the fact that they earn very low income and medical insurance coverage is lower for the undocumented aliens. As a result, they rely on the safety-net medical care providers such as social health centers as this centers continue to provide care for the undocumented aliens. This research also reviews the limitations and problems faced by the undocumented aliens in accessing health care and as a result the ploys they use to access medical care. The findings of this research show that they mostly rely on treating themselves with over counter drugs or in the cases of extremes they use unofficial networks to seek treatment. Also, it is evident that they would do anything to safeguard their cover from being discovered and these results in stress and psychological disorders. Another finding is that despite the healthcare reforms, undocumented aliens still have no rights to access health care compared to the US citizens. This research recommends designing of programs which focus on the issue of undocumented aliens being excluded from the medical care reform. Designing this reforms may involve adding more policies that favour the rights of the undocumented aliens to access medical care such as rights to have medical insurance cover. Also since the main fear of the undocumented aliens to access medical care is the fear of deportation, designing anonymous health care cards may be a solution....
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...Navigation and the Impact on Breast Care Christina Reid-Brown California Baptist University Foundations of Management BUS 503A February 9, 2015 Dr. Marc Weinger Abstract This research paper evaluated the relationship between navigation and navigator roles as they relate to the patient journey with breast cancer. The goal of the research was to determine if these care coordination models eliminated institutional barriers experienced by patients trying to coordinate breast care in a complex healthcare system. It also evaluated the effectiveness of the navigator role as it supports the elimination of barriers to care for minorities and women living in low-income and underserved communities. This study reviewed the results from surveys given to women being treated for breast cancer at different hospitals, and cancer clinics to determine if navigation improves patient access to appropriate evidence-based healthcare. The findings showed higher patient satisfaction and compliance, continuity of care, decreased anxiety levels, and increased social support systems from families and friends when navigation services were provided. Key Words: Patient Navigator; Breast Care Coordinator; Breast Care Patient Navigator; Breast Cancer in Women; Current Studies involving Breast Cancer Introduction Breast cancer is the second leading cause of death and the most common disease found in women living...
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...The accessibility of health services is often cited as a critical determinant of health-care choice in developing world (Timyan, Brechin, Measham & Ogunleye 1993). Several research findings concluded that the association of distance of health institution with utilization of maternal and child health services is negative, as distance increases the level of utilization decreases. Factors such as scarcity of vehicles and poor road condition, high transportation charges etc. limit the accessibility to the health services. A study in rural Tanzania, for example, found that 84 per cent of women who gave birth at home intended to deliver at a health facility but did not due to distance and lack of transportation (Bicego et al. 1997). A number studies...
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...system. It also predicts the cost of the system and the money it will save the business that is using it. The system I am going to be using is the implementation of Electronic Health Records (EHR) into small rural health care facilities. This particular one is for D.W. McMillan Memorial Hospital. D.W. McMillan Memorial Hospital is a 49 bed community hospital who are located in Brewton, Alabama. D.W. McMillan Memorial Hospital decided they wanted to take a shot at implementing HER to make their organization more modern and up to date on technology that is being used nationwide. Not only will it benefit their patients, but also the workers, and the organization as a whole. D.W. McMillan Memorial Hospital realized they needed and EHR system when they started using the bar code medication administration system. Up until the point they realized they need an automated system, they always used the traditional paper version of medical records. They used system analysis to take a look at their current paper medical records that were being used and they wanted to implement a software that would be an easy transition, with easy-to-navigate screens that “mirrored paper-based processes” (EHR implementation in a smaller hospital: A case study, 2014) This helped the health care providers to adapt to...
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...Community Health Center Case Study Analysis Abstract Arroyo Fresco (AF) currently provides services through eleven clinics and four mobile service vans across western Arizona. The three counties that are served through AF provide high quality primary care and preventative services to demographic areas with diverse geography, culture, income, and other varying factors (“Arroyo Fresco,” 2006). The facility guides its decision making process for organizational strategies with the combination of FOCUS and SWOT analysis. This allows for a well-rounded check and balance system to manage and prepare for current and future strategies for short term and long term processes. The increase in financial demands, consumer expectations, partnerships and mergers, quality of care given, and health care reform restructuring have placed a lot of expectations on health care facilities (“Creating an ethical culture,” 2011). The organizational strategy proves to be an important structure in order to provide a clear definition on how AF can change over time in order to successfully deliver a strategy and action plan that will benefit the short term and long term projections within the company (“Executive Insight,” 2008). AF has an found areas to improve the job descriptions, relationships, and management processes (Miles, Snow, Meyer, and Coleman, 2013). The organization strives to establish a strategic set of goals that will monitor, advance, and demonstrate health care results within a continuously...
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