...Future Challenges for Health Care Management The scope of health care management encompasses administrating how services get delivered to patients, persons delivering services, locations to which services get delivered, and the financing of all involved procedures. In these, institutions like nursing homes, rehabilitation centers, public hospitals, and private clinics get involved. At the same time, groups of service providers and associations play instrumental roles in controlling the quality of services and procedures of implementation (Gururajan, 2012). Thus, health care management encompasses the organization and administration of individual physicians, associations, involved institutions, and control of funds. Quintessentially, the challenges that affect the health care industry concern the functionality of one of these elements. It is worth noting that the industry has continuously faced various challenges related to diseases, aging, health care insurance, and human resource limitations (Benington, 2014). The future challenges for health care management include securing adequate finances for health care operations, training adequate human resources, managing an increasingly aging population of patients, and controlling emerging chronic diseases. Despite the fact that most world economies have grown substantially, health care sectors have remained underfinanced across the world. Perhaps, the nature of services in this sector requires large recurrent amounts of money to...
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...Jennifer Jackson Respiratory and Metabolic Acidosis and Alkalosis Unit 7 Assignment 10/13/15 Anatomy and Physiology 2 Prof. Maryjoyce Rotella The acid-base balance in the body largely depends on the hydrogen ion (H+) concentration. In general, high H+ makes the solution acidic with pH less than 7 while low H+ will make the solution basic or alkaline with pH higher than 7 (Lewis, 2013). Acidosis develops when the arterial pH drops below 7.35 while alkalosis develops when the arterial pH rises above 7.45 (Appel & Downs, 2008). The normal metabolic balance generally keeps the carbonic acid and bicarbonate ion to 1: 20 ratio. As the ratio changes, the body will respond to acid-base imbalance through compensation mechanisms to control acids through buffer system by either releasing or taking up H+ depending on the pH changes. Deviations from normal PCO2 cause respiratory problems while deviations from the normal HCO3− cause metabolic problems. Respiratory alkalosis is a condition that occurs when there is carbonic acid deficit as PaCO2 drops to less than 35 mm Hg. The blood pH increases while PaCO2 decreases but the bicarbonate (HCO3−) undergoes no changes (Apple & Downs, 2008). Respiratory alkalosis is primarily caused by hyperventilation due to conditions that stimulate the respiratory center such as oxygen deficiency at high altitudes, pulmonary diseases, congestive...
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...What is Physical Therapy? Physical therapists (PTs) are health care professionals that utilize techniques to “promote the ability to move, reduce pain, restore function, and prevent disability.” Physical therapists are responsible for an array of treatments, both post-operative and preventative. PTs help people in literally every age demographic, from newborn to elderly, so long as they have a medical condition that inhibits their ability to perform functional tasks in their normal lives; this includes rehabilitative care following an injury or procedure, as well as preventative fitness and wellness strategies to lessen the risk of future injury due to activities or aging. Educational Requirements In order to become a practitioner of physical...
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...Gerontology - is the study of the social, psychological and biological aspects of aging. It is distinguished from geriatrics, which is the branch of medicine that studies the diseases of the elderly.2 Geriatric Nursing - Nursing care of the aged patient given in the home, the hospital, or special institutions such as nursing homes, psychiatric institutions, etc.3 Issues Facing the Elderly Being old can mean being sick, poor, hungry and depressed, even in developed nations like Australia. What are the issues? In Australia, the ‘elderly’ is generally a reference to people over the age of 65. Lots of over 65ers lead healthy and empowered lives, and many are involved in community volunteering. But for the elderly, health can be a big concern. Their bodies are more susceptible to illness, they may be physically frail, and many are on medications which are costly and ongoing. An elderly person who is able to fund their own retirement is called a retiree. This means they had a job that paid them enough superannuation. Someone who is unable to fund their own retirement, and is paid welfare money by the government is called a pensioner. Pensioners may have difficulty affording medications or groceries on their allowance, especially if they are very sick, or have to pay rent. Care for the elderly can take place in their homes. Groups such as Meals on Wheels deliver nutritious food for a small fee and home care programs clean houses for those elderly people who are unable to do...
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...Running Head: ELDERLY LESBIANS AND BREAST CANCER 1 Elderly Lesbians and Breast Cancer California State University, Dominguez Hills School of Nursing MSN 533-08 Theoretical Aspects of Aging Running Head: ELDERLY LESBIANS AND BREAST CANCER 2 Elderly Lesbians and Breast Cancer Cancer health disparities have been documented in specific populations in the United States. Elderly lesbians are one such population, with factors related to lifestyle, socioeconomic status, healthcare practices, and access to services (Brown & Tracy, 2008). There is a pressing need for understanding of the health care disparities faced by elderly lesbians, so that the needs of this group can be adequately met. In the United States, breast cancer is the most common cancer among women. Several risk factors for breast cancer are at least partially modifiable, and are present more among the lesbian population than heterosexual women (Brown & Tracy, 2008). Breast cancer is the most common invasive cancer among women worldwide, with rates significantly higher in developed nations. Over 80% of all female breast cancers occur among post-menopausal women. Breast cancer is not primarily found to be hereditary, but women who have the BRCA1 and BRCA2 genes (which can be inherited) have a considerably higher breast cancer risk (Miller, 2012). Lesbian elders have particular well-being requirements, but often suffer from subpar care and reduced access to services. Fear of discrimination, low rates of health...
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...Running Head: DEMOGRAPHICS PAPER Demographics Paper- Aging population in Southwest Florida Keisha Henry University of Phoenix Demographics Paper- Aging population in Southwest Florida Port Charlotte Harbor, Fl is a small rural town in Southwest Florida. Surrounded by the Mexican Gulf inlets it is known for its private residential communities and easy living. This community formerly was mostly cattle pasturealnd, but now it is popular for its retirees and vacationers. After Hurricane Charley in 2004, the population in Charlotte County increased significantly and the town suffered significant damage from the storm(Huff, 2011). Luckily, the people affected by the disaster were quickly assessed by public health agencies in the area. Hurricane preparedness is divided into pre- and post-storm responses, according to Jeffrey Goldhagen, director of the Duval County Health Department in north Florida (Krisberg, 2011). Before, during and after a hurricane, public health workers are responsible for, among other things, the safety of the sick and elderly, preventing diarrheal diseases, education on food and water contamination, and watching for the spread of infectious diseases in shelter. The impact of the demographics in this situation is affected by many factors. Some elderly may not have access to the internet or other mass media channels that are emerging today. Healthcare costs and services can vary depending on how many people are in need versus those who cannot afford...
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...about Alzheimer’s: As mentioned before, the disease was first described by a scientist named Alois Alzheimer when he was looking at the brain of a patient who died most likely from the disease. Alzheimer’s can best be defined as a progressive brain disorder that damages and destroys brain cells which ultimately leads to a decline in cognitive abilities (“About Alzheimer’s and Dementia,” 2016). Once the onset of symptoms begin to occur, it is expected that the AD patient can live on average of up to 20 years and may go through all the stages of the disease (Chiappelli, 2006). Although less likely to occur, the Alzheimer’s disease has been diagnosed in patients as young as 30 years of age, thus providing evidence which suggest that AD and aging are not synonymous, and you do not have to be old in order to have Alzheimer’s (Small et al., 1997). However, AD is more prevalent in patients who are 65 and older, which accounts for about 6 percent of the population who have the disease (Burns, 2009). As an individual becomes older than 65, the rate at which they might have AD increases exponentially (Burns, 2009). Alzheimer’s is the most common form of dementia and consist of 60-80 percent of all dementia cases (“About Alzheimer’s and Dementia,” 2016). One interesting fact about Alzheimer’s is that it is globally recognized and cases have been reported from all over the world, some places include Taiwan and Japan (Matsushita et al., 2016). There have been estimates of up to 36 million...
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...Examining the Truth in Drug Advertising Vanessa Buchannon Clayton State University Duloxetine (Cymbalta) is an FDA approved selective serotonin norepinephrine reuptake inhibitor indicated for the treatment of major depressive disorder (MDD). Television commercials for Cymbalta can be viewed on major and cable networks, during daytime and early evening hours. The television commercials are run during the broadcast of soap operas and other daytime programming. Advertisements also appear on home improvement channels such as Home and Garden (HGTV) and the Food Network. The commercials depict active, attractive women and men that appear to be in their mid-forties and fifties participating in enjoyable life activities. The emphasis of the message in the advertisement for major depression disorder is depression is treatable and manageable by the use of Cymbalta. Cymbalta commercials also advertise the treatment of Fibromyalgia pain. The television commercial briefly describes the major side effects of Cymbalta such as nausea, dry mouth and constipation. The commercial also states that Cymbalta should not be taken by patients that take monoamine oxidase inhibitor (MAOI) and in patients with uncontrolled narrow angle glaucoma. Even with air time being limited, I believe the television advertisement to be truthful however, the focus of the advertisement is on the benefits of the medication and they do not give adequate time to disclose side effects, adverse reactions or contraindications...
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...The Devastation of Dementia: Pathophysiology and Case Study Introduction Relatively little is known about dementia, a disease which affects over 35 million people worldwide (Norton, et al., 2012). Early signs and symptoms may be confused with the “normal” aging process. Those with the disease often try to cover up their mental decline in the early stages, making early diagnosis even more difficult. Educating the medical community and the general population about the signs, symptoms and causes of dementia is an important step in seeking out a cure for this fatal disease. Dementia is a general term for a syndrome that is progressive in nature and is marked by deterioration in cognitive function that is greater than what would normally be expected. There are many types of dementia, the most common of which is Alzheimer’s Disease. Alzheimer’s Disease accounts for over 60% of the cases of dementia. Vascular Dementia is the second most common form. Others include Lewy Body Dementia, Parkinsonian Dementia, and Frontotemporal Dementia. There is no cure for any type of dementia, although there are treatments that help lessen the symptoms. Dementia is a progressive disorder and always results in death, either from complications such as falls" or pneumonia or the dementia itself. The number of people with dementia worldwide is expected to reach over 115 million by the year 2050. The current cost of treating dementia is over 1.5 times that of all cancers combined (Hurd...
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...Diabetes and the Older Adult Christine McDermott Metro State University of Denver DIABETES AND THE OLDER ADULT General description of the Gerontological care issue The ageing population is unusually increasing in the history of humanity. With increase in number of the older persons, there is a decline in that of the younger people and it is estimated that by 2050 the percentage of the older persons would have increase by 10% from the current 15% (Cisneros & Hickie, 2012). These changes come with major challenges not only to the health sector, but also to the pension and welfare system in both the first and second world countries. Diabetes mostly among the old people is continuously being diagnosed in an epidemic magnitude. It is estimated to affect 592 million people in 2035 compared to 382 million people in 2013 (Guariguata et. al 2012). Type 2 diabetes is mainly more prevalent in the ageing population compared to type one diabetes, which affects mostly the going thus creating burden to the society as the sick mostly depend on the society. China is the leading country with the largest number of people with diabetes, followed by India, the United States, brazil and Mexico in the fifth position. These statistics bring about a considerable concern for the national healthcare system which come with various challenges in provision of focused diabetes management to the ageing population. This problem becomes complex by the different modalities of managing diabetic patients in...
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...Alzheimer's Disease Research Paper Alzheimer’s disease is a progressive, degenerating disorder that affects the brain cells. It is NOT a normal part of aging and it is also not something that happens inevitably in later life. The disease was named after Dr. Alois Alzheimer, a German physician in 1906, after he had performed an autopsy on the brain of a dead woman who had experienced severe memory loss, confusion and difficulty understanding questions and found dense deposits around her nerve cells. It is the most common type of dementia, which is a progressive dysfunction of the brain which results in a restriction of daily activities. A lot of kids grow up being first introduced to this disease in their grandparents or older people in their...
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...Analysis of CK and the K Family Jane Doe Introduction Family nursing is a fairly new concept relative to the history of nursing practice. With any type of nursing process, assessment is the first (and ongoing) part of the process, followed by care planning and intervention. In delivering comprehensive care, the nurse must incorporate assessment of the family unit, or lack there-of, associated with the identified patient. Many family assessment tools have been devised to assist the nurse in gathering accurate data while opening up lines of communication and reflection for all members involved in the process. Selection of the appropriate tool for the identified family is crucial. Effective tools must be easy to administer in a fairly short amount of time and the data collected needs to be immediately available and useable. Family members need to see the relevance of the information gathered, and how it assists in improvement of their care- ideally soon after discussion, either by the nurse or a clinician. An initial interview and follow up discussion with the K family was completed over the course of 3 sessions. The first encounter involved only the identified patient (IP). The second was the remainder of the family, and a third was with CK’s perceived family. After an initial assessment and evaluation of the K family a suggested direction of care emerged, but was re-evaluated after the second interview. This development was then paired with...
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...disorders, such as anorexia nervosa; mood disorders, such as depression; personality disorders, such as antisocial personality disorder; psychotic disorders, such as schizophrenia; sexual disorders, such as sexual dysfunction; and others. Multiple psychological disorders may exist in one person ( Health Grade, 2013). The causes of these disorders are unknown; however major factors that contribute to these disorders are a person’s descent, chemical imbalances in the brain, childhood experiences, illnesses, stress, and prenatal exposures while one is still in their mother’s womb. Psychological disorders are serious and can be very detrimental to that person that has it as well as society. One psychological disorder that will be discussed in this paper is anxiety disorder, more specifically obsessive-compulsive disorder. This paper will discuss the relationship between human development and socialization, along with how this relationship affects obsessive-compulsive disorder. Throughout history Elderly Offenders Behind Bars While Reducing the Cost Over time offenders that have been sent to correctional institutions in the United States are sometimes forced to live out the rest of their lives behind bars, in the end causing overcrowding in facilities, increase numbers of aging prisoners and tax payers millions of dollars (Aday, 1994). In 2008 alone, the cost for correctional systems for federal, state, and local systems was $75 billion, much of it spent on older inmates (Warner, Schmitt...
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... INDEX S.N | CONTENT | PG.NO | 1 | Introduction | 5 | 2 | Definition Cardiomyopathy | 5 | 3 | Classification | 6 | 4 | Risk Factors | 7 | 5 | Clinical Manifestations | 7 | 6 | Diagnostic Evaluation | 7-9 | 7 | Dilated CardiomyopathyDefinition,Charecteristics,Types , Causes,Diagnostic Evaluation,Pathophysiology,Clinical Manifestations,Medical Management | 10-17 | 8 | Hypertrophic CardiomyopathyIncidence,Causes,Charecteristics,Clinical Manifestations,Medical And Nursing Management | 18-21 | 9 | Restrictive Cardiomyopathy-Other Names,Causes,Pathophysiology,Clinical Manifestations,Diagnostic Evaluation,Medical Management | 23-26 | 10 | Surgical management | 27-32 | 11 | Prevention | | 12 | Nursing Management,Home Care Management | 32-40 | 13 | Complications | 40-42 | 14 | Conclusion | 42 | 15 | Research Abstract | 42-43 | 16 | References | 44 | GENERAL OBJECTIVE: On completion of the course the students aquires indepth knowledge regarding cardiomyopathy and able to apply this knowledge with a positive attitude. SPECIFIC OBJECTIVE: On completion of the course the students are able to * Define cardiomyopathy * Classify cardiomyopathy * Enumerate the risk factors of cardiomyopathy * Describe the charestic pathophysiological changes in different types of casrdiomyopathy * Enlist the clinical...
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...Nursing 122 Fundamentals of Neuro-Sensory nursing --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- Review major structures and functions of both central and peripheral nervous system. (Carolyn Jarvis, Physical Examination and Health Assessment, 3rd ed., pages 688-692 Structure and function of the CNS and PNS --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- --- Potter and Perry, Fundamentals of nursing (8th), Chapter 16 p. 210-211 Types of Data --There are two primary sources of data: subjective and objective. Subjective data are your patients’ verbal descriptions of their health problems. Only patients provide subjective data. For example, Mr. Jacobs's report of incision pain and his expression of concern about whether the pain means that he will not be able to go home as soon as he hoped are subjective findings. Subjective data usually include feelings, perceptions, and self-report of symptoms. Only patients provide subjective data relevant to their health condition. The data sometimes reflect physiological changes, which you further explore through objective data collection. --Objective data are observations or measurements...
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