...NURSING MANAGEMENT OF A STROKE PATIENT INTRODUCTION Stroke is the only largest cause of adult disability which leaves a devastating and lasting effect on people and their families (DoH, 2007a). The government of the United Kingdom had recognized stroke as a health care priority. Several government agencies developed clinical guidelines which are being implemented today in local health care settings (Williams et al, 2010a). This essay will focus on stroke as the cause of impaired mobility and will tackle on the patient-centered rehabilitation care plan along with its evidence-based rationales. Health and social care policies and its effect on the patient’s chosen journey will also be discussed. PATIENT PROFILE This is a case of a 68 year-old, married female who lives in the south of England. Mrs. G was admitted on 12 October 2010 with a presenting complaint of left-sided weakness. Prior to admission, she experienced persistent pain on the back of the head for 2 days, which was unrelieved by Paracetamol intake. On the morning of admission, she collapsed in the bathroom and was found by the husband after 3 hours. She was brought to the hospital via ambulance and upon initial assessment, no shortness of breath, slurred speech, dizziness, palpitation and chest pain were noted. Her vital signs were as follows: blood pressure of 169/59 mmHg, pulse rate of 80 bpm, respiratory rate of 18 breaths per minute, body temperature of 37.5 degrees...
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... Terri Schiavo Who Has the Right to Die? [pic] GM520 Legal, Political and Ethical Dimensions of Business June 10, 2009 Terri Schiavo’s death has become a key element in the right-to-die argument she plays a key role in the case of who should decide what the value of life is? Terri Schiavo’s case was front page news for advocates of both the pro-life and right-to-die organizations, and each side believed they had the winning argument to support their position. The case became so big that both Congress and President Bush weighed in on the issue. On February 25, 1990, at approximately 4:30 a.m. EST at the age of 26, Terri Schiavo collapsed in her home and suffered a heart attack which interrupted the flow of oxygen to her brain. Paramedics were called to the scene and administrated first aid until she arrived at Humana Northside Hospital. Physicians continued attempting to revive Terri until it was determined that she had been without oxygen for too long and was placed on a ventilator. This lack of oxygen caused a condition called hypoxic encephalopathy (a neurological injury caused by lack of oxygen to the brain). Many people wondered what caused a healthy 26 year old woman to have a heart attack and some thought that there was foul play involved, but her Husband Michael Schiavo claimed that his wife was battling bulimia and a chemical imbalance was the cause of the heart attack....
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...Lavish Lifestyle and Philanthropy p. 8 12. Impact on Stakeholders p. 9 13. Charges p. 10 14. Outcome and Fairness of Punishment p. 10 15. Conclusion p. 12 16. References p. 13 HealthSouth and the Scrushy Way Richard Scrushy overcame challenging teenage years, dropping out of high school and later obtaining his GED to become one of the most successful executives in the United States. Scrushy did so by subsequently getting his respiratory therapist certification and opening his own rehabilitation center, an all-in-one medical facility that led many to copy his idea. Scrushy founded HealthSouth in 1996 using $1 million in seed capital and turned it into a hugely successful medical services empire worth over $4 billion at its prime (Haddad, Weintraub, & Grow, 2003). HealthSouth had become the largest provider of outpatient surgery, rehabilitation, and diagnostic and imaging services as well as the third largest publicly held company in Alabama (Chaubey, 2006). Scrushy is best known, however, for his deplorable lack of ethics and the massive fraud he perpetrated during his tenure with HealthSouth. Government Subsidies Scrushy mistakenly assumed that generous...
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...Early June 2011 my grandfather suffered a minor stroke at the age of 76. He was quickly admitted to John Muir in Walnut Creek, a few days went by and he only seemed to be getting worse; when unfortunately my family’s worst nightmare became a reality. My grandfather endured another stroke, but this time it was much more serious. This put my family in an enormous amount of emotional distress, everyone was terrified and we had no idea what was going to happen to my grandfather. It happened so fast, all we wanted were answers. But, when we got answers, they were far from what we wanted to hear. A few days after my grandfather’s second stroke my family met with his doctors who showed little hope or optimism. They told us we were lucky he was still alive, but with the condition he was in now we were never going to see him walk again, he would probably never talk again, and he was definitely never going to be able to live independently ever again. As he kept explaining to us what was going to happen to my grandfather’s life, the words cut like daggers. My cousins and I watched our parents bewail with sorrow as we just sat aside our grandfather’s hospital bed feeling helpless and confused. About a month went by while my grandfather was still in John Muir, and his progress was nothing to rave about. We would visit him daily, but he never seemed to be getting much better. He couldn’t eat, talk, or move, but we just reminded him to keep fighting and we knew, with hope, he would be able...
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...Medical University of South Carolina, Charleston, SC, USA Abstract Tube feeding can be an appropriate and effective means of providing nutrition for individuals who are unable to achieve adequate nourishment orally because of various medical problems. However, the delivery of nutrients by tube feeding can cause ethical dilemmas in cases where the effectiveness of tube feeding diminishes and medical complications increase. The decision to tube feed is often influenced by regional and cultural preferences, as well as the high cost of providing mealtime assistance. The effectiveness and appropriateness of tube feeding has been the subject of much debate as it applies to those with severe cognitive impairments and those who are in a persistent vegetative state (PVS). Recent research shows that in these vulnerable populations, tube feeding alone does not necessarily prevent malnutrition and risk of infection or improve functional status and comfort. While advanced directives allow an individual to make decisions about his or her care at the end of life, court cases and religious doctrine examine the individual’s right to autonomous decision making in opposition to preserving the sanctity of life. As long as the outcome of this debate is largely undecided, the process of dying may be prolonged for those who can no longer advocate for themselves. Keywords: Enteral feeding, tube feeding, ethics, persistent vegetative state, dementia, palliative care Introduction Nutrients...
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...student nurse, will be incorporated and collaborative team working addressed. The Department of health (2002) describes discharge planning as a pathway used to decide patient needs, for a smooth move from one level of care to another (Hunt 1996) and is the process through which patient’s needs are identified and plans are written, facilitating continuity of health care (Jackson 1994). According to the department of health (2000) discharge planning illustrates well, the role of the nurse within the inter-professional team the balance between goals set, care delivered and evaluation of care from a nurse and team perspective. Nurse involvement is considered integral and, aims to provide effective discharge plans (Department of Health 2000). The Royal College of Nursing (RCN 2002) supports the concept of nurses taking the lead and recommends the development of nurse led protocols in discharge planning. However the NMC (2004) highlights the importance of nurses being able to integrate within the team, seeking advice and sharing knowledge where appropriate. Effective and ineffective communication will be addressed, using the Victoria Climbie Report (Laming 2003) to highlight poor team communication. Effective discharge planning seeks to maintain the benefits of rehabilitation after the patient has been discharged from hospital (Department of Health 2003)....
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...Resource Links Wounded Warrior Resource Center The Wounded Warrior Resource Center Web site (WWRC) is a Department of Defense Web site which provides wounded Service Members, their families, and caregivers with information they need on military facilities, health care services, and benefits. It supports access to the Wounded Warrior Resource Call Center and trained specialists who are available 24 hours a day, 7 days a week by phone at 1-800-342-9647 or by e-mail at wwrc@militaryonesource.com. Advocacy/Support - Disabled American Veterans* www.dav.org The DAV’s 1.2 million members provide grassroots advocacy and services in communities nationwide. From educating lawmakers and the public about important issues to supporting services and legislation to help disabled veterans — the DAV is there to promote its message of hope to all who have served and sacrificed. Advocacy/Support - National Veterans Foundation* www.nvf.org Our Mission: to serve the crisis management, information and referral needs of all U.S. Veterans and their families through: * Management and operation of the nation’s only toll-free helpline for all veterans and their families. * Public awareness programs that shine a consistent spotlight on the needs of America’s veterans. * Outreach services that provide veterans and families in need with food, clothing, transportation, employment, and other essential resources. Advocacy/Support - Salute Inc.* www.saluteinc.org SALUTE, Inc. is a...
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...created from portions of Alachua, Hillsborough and Orange Counties and centered between Citrus County to the north and Pasco County to the south. Its county seat is Brooksville and its largest community is unincorporated Spring Hill. According to “Hernando County History” 2010, the county has a total area of 589.08 square miles, of which 478.31 square miles is land and 110.77 square miles is water. Hernando County is a relative small community but is known for its wild life and national parks. Chassahowitzka National Wildlife Refuge is a National protected area of Hernando, and Weeki Wachee Springs (home of the mermaids) along with Withlacoochee State Forest are State protected areas. The county is known best for its nature preserves and is called the Nature Coast of Florida. This community has a census of 173,000 people, 93,425 households, and 79,575 families residing in this community (U.S. Census Bureau, August 16, 2009). The racial makeup of the community is 92.85% white, 4.07% black or African American, 0.30% Native American, 0.64% Asian, 0.02% Pacific Islander, and 0.98% from other races. It is also estimated that out of the 55,425 households 21.80% had children under the age of 18 living with them, 60.40% were married couples living together. 23.30% of all households were made up of individuals and 14.70% hand someone living alone who was 65 years of age or older. The average household size is around 2.70. The median income for a household in the community is...
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...ATM_____________________________________________ 7 Patient Meals___________________________________ 7 Snacks__________________________________________ 7 Guest Trays_____________________________________ 7 Vending Machines_____________________________ 7 Cafeteria________________________________________ 7 Financial Expectations for Admissions________ 7 Wireless Internet Access_______________________ 7 Valuables_______________________________________ 8 TV_______________________________________________ 8 Television Channel Listings____________________ 8 Your Privacy & Information___________15 Do You Have Pain? ________________________16 Don’t Leave Until… ________________ 17-18 Preparing for Discharge ________________19 Going Home _________________________________ 19 Billing ________________________________________ 19 Coordination of Benefits (COB) _____________ 19 Medicare _____________________________________ 19 Commercial Insurance ______________________ 19 For Self-Pay Patients ________________________...
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...MWENGE UNIVERSITY COLLEGE OF EDUCATION (A Constituent College of St. Augustine University of Tanzania) FACULTY OF ARTS AND SOCIAL SCIENCE DEPARTMENT OF SOCIOLOGY The Role of Guidance and Counseling Services on Behavioral Modification among MVCs in Children Rehabilitations Institution A Case study of Mkombozi Children Centre and Amani Centre for Street Children in Moshi Municipal Yusta P. Mahiku Sunguya F Sunguya (Research supervisor) CHAPTER ONE BACKGROUND TO THE STUDY 1.0 INTRODUCTION It covers the back ground to the study, the statement of the problem, and objectives of the study others are, the research questions, significance of the study, limitation and delimitations of the study, conceptual frame work, definition of operational terms and organization of the study. 1.1BACKGROUND TO THE STUDY This study focuses on looking at the roles of guidance and counseling services on behavioral modification to MVCs in Moshi municipality, the case of Amani Centre for Street Children and Mkombozi Centre for children. The study will focus on examine the roles of guidance and counseling on behavioral modification to MVCs in Rehabilitation Institutions in Moshi Municipality Guidance and Counseling major role on improving children life, behavior change in general wellbeing. (k, 2008) However in globally particularly Chinese guidance and counseling have played many roles in children behavioral modification by helping the child to develop a positive attitude...
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...HEALTH SOCIETY & CARE PROVISION BY JACQUELINE WALKER HEALTH, SOCIETY & SOCIAL CARE INTRODUCTION The purpose of this essay is to write a patient case study surrounding the care of an in- patient at the local hospital where I was on placement. It should allow the reader to focus, on the appraisal of the nursing model used in practice during the patients care. The social and cultural components of care that demonstrate the authors’ knowledge, and awareness of the patients needs and beliefs, any health promoting activities and patient education opportunities undertaken. Inter/ Multidisciplinary teams approach to care provision and access to specific services and facilities will also be included. I would like to take this opportunity to state that confidentiality will be maintained throughout this work. All true names and clinical settings changed, in order to protect the patients’ identity in line with the NMC (2004) guidelines on confidentiality, which states, “that we must protect confidential information”. Therefore, the patient will be referred to as “Rick”, his wife Shelia, the clinical setting as “the ward” and the geographical environment as “the local hospital”. In addition to this, I would also like to say that whilst asking for permission, I explained to the patient what my study would be about, that all confidentiality would be maintained, and that he would not, in any way be able to be recognised by any other persons...
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...cutting edge technology; it is the only country that has witnessed the wrath of the atomic bomb, and it has the most massive economy in the world. The Japanese have interesting and amazing traditions that have been passed on from generation to generation for thousands of years. Japanese people can be very modern but till hold onto traditions that have been passed on for centuries. They wear amazingly beautiful clothes, have interesting art techniques and have one the largest markets for music. Japan is also known for their Geisha girls, martial arts, and bizarre foods. Origins “The Japanese Archipelago includes more than 3,000 islands, covering a total area of 377,835 square kilometers. The four main islands, from north to south, are Hokkaido, Honshu, Shikoku, and Kyushu” (Szczepanski, n.d.). There is evidence that people inhabited Japan 30,000 years ago. According to Szczepanski (n.d.), these people were called Jomon and were hunter and gatherers who lived off the land. Japan first appears in the historical records of China in about 300 BC. There are many theories regarding the evolution of Japan. The most popular is that “Japanese gradually evolved from ancient Ice Age people who occupied Japan long before 20,000 B.C., and widespread in Japan is a theory that the Japanese descended from horse-riding Asian nomads who passed through Korea to conquer Japan in the fourth century” (Diamond, 1998). Japan gained its independence and culture while emerging from isolation...
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...high-quality healthcare depends upon where you live. Throughout rural America, nearly 50 million people face challenges in accessing health care. The past several decades have consistently shown higher rates of poverty, mortality, and limited access to a primary health care provider in rural areas. With the recent economic downturn, there is potential for an increase in many of the healthcare disparities and access concerns that are already elevated in rural communities. High poverty rates and job loss in the current economic recession highlight the challenges of accessing health care and rising health care costs in rural areas. Rates of poverty are higher, with fifteen percent of people in rural areas living below the poverty level compared to twelve percent of people in urban areas. The rural economy is dominated by small businesses, which are struggling as the cost of healthcare continues to skyrocket. In the current recession, the rural economy is losing jobs at a faster rate than the rest of the nation, and loss of jobs can lead to loss of healthcare coverage. In particular, rural communities dependent on manufacturing have lost nearly five percent of their jobs since the recession began. Many rural residents work part-time, seasonally, or for themselves, making them less likely to have private, employer-sponsored health care benefits. Research shows that ninety percent of farmers have insurance coverage; one-third purchased it directly through an insurance agent...
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...BRAC Bangladesh: Building a Better Tomorrow James Mason Lindgren Marshalltown, Iowa 2011 Borlaug-Ruan Intern BRAC, Bangladesh May 28, 2011-July 23, 2011 BRAC and The World Food Prize Foundation Lindgren: 2 As I was leaving the comfort of home, the thought of being thrown into a developing country halfway across the globe was an exciting but extremely scary thought; however, it was worth every second. My development, climate change, and mitigative agriculture based internship in Bangladesh forced me to confront discomforting ideas and situations, which altered my global perceptions. My assigned readings and conceptual research were enlightening, however my twelve interviews in four rural villages were illuminating. Not only could I learn from the best, but I was able to help them with my independent research inputs. Table of Contents Acknowledgments Preface: Truth in Poverty Introduction Internship Abstract The People of Bangladesh Climate Change in Bangladesh BRAC: Basics Agriculture and Food Security Crop Intensification for Achieving Food Self-Sufficiency in the Coastal Regions of Bangladesh Research: Case Studies Methodology Severely Affected with Assistance from BRAC Mohammad Jahargiur Maghi Abdur Rahman Talukdar Mohammad Rasul Sheikh Severely Affected with Assistance from GO or other NGO Abdul Halim Sikder Kazi Razzak Mohammad Sakhatwat Hossain Severely Affected with No Assistance Mohammad Suleiman Fazlul Haque Hawladar ...
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...Today’s Physical Therapist: A Comprehensive Review of a 21st-Century Health Care Profession Prepared by the American Physical Therapy Association January 2011 Foreword The American Physical Therapy Association (APTA) created Today’s Physical Therapist: A Comprehensive Review of a 21st-Century Health Care Profession to provide accurate information for government entities and the public about the history, role, educational preparation, laws governing practice, standards of practice, evidence base of the profession, payment for physical therapy services, and workforce issues unique to the physical therapy profession. As government, private health care entities, and provider groups pursue solutions to the considerable health care provision challenges the United States faces, it is imperative that accurate information about the qualifications and roles of specific providers, in this case physical therapists, be available to inform all entities as they engage in these discussions. APTA is the national professional association representing more than 77,000 physical therapists, physical therapist assistants, and students nationwide. The association acknowledges and thanks the Federation of State Boards of Physical Therapy, the national organization representing 51 boards of physical therapy licensure, for input and assistance with this document. © 2011 American Physical Therapy Association. All rights reserved. i | American Physical Therapy Association Table of Contents ...
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