...Running head: REHABILITATION CARE IN A SPECIALIZED SETTING Rehabilitation Care in a Specialized Setting: A Multidisciplinary Concept Analysis Dorota M. Loney University of Texas at Arlington school of Nursing In partial fulfillment of the requirements of N5327 Analysis of Theories in Nursing Rhonda Mintz-Binder, RN, MN, DNP April 29, 2012 Rehabilitation Care in a Specialized Setting: A Multidisciplinary Concept Analysis First we need to understand what Rehabilitation is to be able to focus on its concept analysis. It is a part of the continuum of care as it focuses on increasing a patient’s function for self care and mobility. The need for a rehabilitation care concept in a specialized rehabilitation hospital increases as the length of stay decreases in acute hospitals after surgery or procedures due to the financial burden on insurances, Medicare, Medicaid, and the acute hospitals themselves. No longer do we see in the United States two week long acute hospital stays after major surgeries, strokes or other injuries that affect the activities of daily living (ADL). The hospitals discharge patients back home much sooner than before or transfer them to facilities for further recovery. Unfortunately some of these facilities are long term acute care hospitals or nursing homes where continuing daily therapy is very limited. The fortunate ones get admitted to a specialty hospital called a rehabilitation (rehab) hospital that this paper will focus on. Here, nurses, occupational...
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...Traumatic Brain Injury WUT2 Task Western Governors University A. Investigated Disease Process The disease process I will be reviewing is traumatic brain injuries. A traumatic brain injury occurs when sudden trauma occurs to an individual’s brain. Traumatic brain injuries are considered closed or penetrating. Traumatic brain injuries are categorized as mild, moderate or severe based on the amount of damage that occurs to the brain. (ninds.nih.gov, 2015) A1. Pathophysiology To understand traumatic brain injuries, we must first discuss the numerous causes of brain injury. When injury occurs to the brain, the patient encounters the primary injury that is directly related and occurs at the time of the injury. Secondary injury occurs as a result of the primary injury but often leads to a more significant sequela based on the type of initial trauma. Non penetrating injuries to the cranium that lead to traumatic brain injuries are not always related to direct blows of the cranium. Rapid acceleration and deceleration injuries along with compression injuries may lead to traumatic brain injuries. This type of injuries can lead to injuries to the brain tissue that could include compression, stretching and shearing injuries to the brain tissue. These type of injuries are classified as “diffuse axonal injuries”. Diffuse axonal injuries are one of the most common and extensive types of traumatic brain injuries. These injuries often lead to death or severe irreversible...
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...psychiatric and casework services to residents of Broward County. 2. How did Henderson become a community mental health center? “During the late 1950's, the innovation of psychotropic medications revolutionized the mental health field. The Clinic became a multi-purpose organization with broad programs meeting the federal requirements of a community mental health center.” 3. Why was the center named “Henderson”? “In 1960, the late Mr. Alexander D. Henderson and his wife Lucy gave the Clinic stocks in Avon Products as well as property which is the current site of our "Central" Program on SW 27th Avenue in Fort Lauderdale. The money from the sale of the stock enabled us to build the structure and purchase the furnishings. The Clinic was renamed Henderson Clinic of Broward County in 1961.” 4. What populations does the center serve today? Henderson serves “more than 20,000 people of all ages, including 5,000 youth under 18 years of age.” FIND SERVICES CRISIS 5. What is the goal of Crisis Services? “ To provide immediate intervention to people experiencing a psychiatric crisis. Early intervention in a time of need can prevent hospitalization and stabilize acute situations. Crisis Services include mobile community outreach or walk-in services, psychiatric evaluation, consultation and medication monitoring, brief therapy, and short-term inpatient psychiatric treatment and stabilization.” 6. What crisis servies are included? Walk-In Evaluation and Treatment ...
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...Adolescent Substance Abuse Isaiah.R 3/27/14 In society today, a common problem among teenagers is the use of drugs. Teen age years are probably the most challenging periods of life. It is a stage of finding yourself versus confusion of knowing oneself. Belonging and being accepted in a group seems to be very important, as well as being “cool”. Troubled, teens turn to things such as drugs to help Suppress or ease the emotional/mental pain of things such as the common rejection. During these years of maturing, teenagers encounter their share of positive and negative experiences. Peer pressure, curiosity, and the availability of drugs are some of the factors that youthful and vulnerable teenagers have to cope with in their young lives. One of the significant reasons for teenage drug use is peer pressure, particularly from the influences among friends, acquaintances, school, and the media. If a teenager’s main social group is using drugs, then there is a strong pressure due to the fact that drugs are present and can easily be offered. Also, the person might get convinced to think that there is nothing wrong with trying drugs because “everybody else is doing it.” In the effect that teenagers will try drugs just to fit in the social norms, they might do it to impress their buddies to be considered “cool” as part of being in the group and gain acceptance by friends. The issue of using drugs is everywhere in this country and around the world. It’s available and accessible...
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...Article Critic II This paper will review Lin article, Effects of Forgiveness Therapy on Anger, Mood, and Vulnerability to Substance use among Inpatient Substance-dependent Clients, and critic population of the study vs. population of interest, Operationalization aspects, Evaluation of DV measurement, and Evaluation of DV measurement. Lin, Wei-Fen. Mack, D, Enright, R, Krahn Dean, &Thomas Baskin (2004), states that the level of anger and violence observed among alcohol and substance abusers are far higher than the levels found in the general population, and coping skills have been implemented in many substance abuse programs to teach patients how to become aware of their anger and also manage their emotions effectively. Many researchers have directed their focus on Forgiveness Therapy (FT) as an alternative option to any other treatment for patients to overcome their emotional bondage, which leads them to misuse alcohol and dependency to controlled substances. The hypothesis in this study is that Forgiveness Therapy decreases the frequency and severity of anger, anxiety, and depression, and patients in residential treatment for alcohol and drug dependency have demonstrated less anger and urge towards drug use after receiving this treatment. Critic of Population of the Study This study, which took place in a residential drug rehabilitation facility, targeted the effects of Forgiveness Therapy in decreasing the frequency and severity of anger, anxiety, and depression in the recovery...
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...individual is critically ill, then, this information is usually obtained from a family member. Specialist clinics Specialist clinics provide planned, non-admitted services for people who need the focus of an acute setting to ensure the best outcomes. Specialist clinics provide an interface between primary care services and acute inpatient services, with access to: • medical, nursing, midwifery and allied health professionals for assessment, diagnosis and treatment • ongoing specialist management of chronic and complex conditions in collaboration with community providers...
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...Principles of Healthcare Reimbursement Anne B. Casto, RHIA, CCS Elizabeth Layman, PhD, RHIA, CCS, FAHIMA Copyright ©2006 by the American Health Information Management Association. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, photocopying, recording, or otherwise, without the prior written permission of the publisher. ISBN 1-58426-070-X AHIMA Product No. AB202006 Ken Zielske, Director of Publications Susan Hull, MPH, RHIA, CCS, CCS-P, Technical Reviewer Marcia Loellbach, MS, Project Editor Elizabeth Lund, Assistant Editor Melissa Ulbricht, Editorial/Production Coordinator All information contained within this book, including Web sites and regulatory information, was current and valid as of the date of publication. However, Web page addresses and the information on them may change or disappear at any time and for any number of reasons. The user is encouraged to perform his or her own general Web searches to locate any site addresses listed here that are no longer valid. AHIMA strives to recognize the value of people from every racial and ethnic background as well as all genders, age groups, and sexual orientations by building its membership and leadership resources to reflect the rich diversity of the American population. AHIMA encourages the celebration and promotion of human diversity through education, mentoring, recognition, leadership, and other programs. American...
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...As I have mentioned previously, provide a new file name for the assignment you are working on using the Northcentral naming convention: Learner’s last name, first initial, course code, dash, and assignment number (DoeJXXX0000-1) EXAMPLE: John Doe, PSY300, Assignment 1 = DoeJPSY300-1. BUSINESS ETHICS OKECHUKWU AKANNO Sr. NORTHCENTRAL UNIVERSITY ASSIGNMENT#8 MGT7019-8 Dr. JENNIFFER SCOTT September 16, 2012 Learner: OKECHUKWU AKANNO || MGT7019-8| Dr. JENNIFFER SCOTT| || BUSINESS ETHICS | #8| || Faculty Use Only TABLE OF CONTENTS PAGE Abstract --------------------------------------------------------------------------------------4 Introduction ------------------------------------------------------------------------------5 & 6 The role of Auditors at HealthSouth ---------------------------------------- 7 & 8 SEC Investigation ----------------------------------------------------------------------------9&10 Impact on Stakeholders ---------------------------------------11, 12, 13 & 14 Outcome and Fairness In Punishment ---------------------------------------- 15, 16 & 17 Conclusion -----------------------------------------------------------------------------------------18 References-------------------------------------------------------------------------------19...
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...a multitude of sources including: epidemiological surveys, focus groups, interviews with healthcare professionals and healthcare facilities’ planning guidelines. Risk Factors Oncology Services The needs assessment revealed that 15% of the population will be older than age 65 within the next 5 years. 50% of men and 33% of women are expected to develop cancer during their lifetime. New cases of cancer are expected to grow by 34% in the next 5 years. Current physician practices that serve oncology patients are at their full capacity. Additional facilities and equipment are needed to be able to provide the care that is needed. There is poor coordination of care between the different disciplines that provide care to these patients. There are delays in scheduling care for oncology patients. There are no established programs focused on cancer prevention and control. Educational programs on the risk factors for cancer are limited. Orthopedic Services The needs assessment reveals that there will be anticipated growth in orthopedics. Orthopedic cases are expected to increase by 46%. Inpatient volume is expected to increase by 30% and outpatient procedures by 350%. The community needs additional physicians in order to accommodate this growth. There will need additional imaging equipment, operating rooms and rehab facilities. There needs to be better coordination of care to ensure timeliness of scheduling. Educational programs need to be implemented on accident prevention and...
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...Running head: LIN ARTICLE CRITIQUE 1 Article Critique Effects of Forgiveness Therapy on Anger, Mood, and Vulnerability to Substance Abuse Among Inpatient Substance-Dependent Clients Liberty University March 31, 2013 LIN ARTICLE CRITIQUE 2 Introduction In the article Effects of Forgiveness Therapy on Anger, Mood and Vulnerability to Substance Use Among Inpatient Substance-Dependent Clients (Lin 2004) the researchers wanted to test Forgiveness Therapy (FT) as a tool for treating clients dealing with substance abuse related to negative emotional overload. They focused on anxiety, depression and anger which, according to Lin, are triggers for substance abuse (2004, pg. 1114). They set out to talk and interview forty three potential participants who were recommended by their counselors from a residential drug rehabilitation center. This population was chosen due to the rigid course of treatment they were already receiving from the treatment facility in response to the personal calamity being experiences by the client. These were the most severe cases since they usually experienced repeated relapses, petty crimes and a lower motivation for change. While conducting the research what they found was not really surprising but rather normal for this group of clients. The participation started to fall off and by the end of the research they had fallen to less than half of the original commitment...
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...Running head: LIN ARTICLE CRITIQUE 1 Article Critique Effects of Forgiveness Therapy on Anger, Mood, and Vulnerability to Substance Abuse Among Inpatient Substance-Dependent Clients Liberty University C. Campbell March 31, 2013 LIN ARTICLE CRITIQUE 2 Introduction In the article Effects of Forgiveness Therapy on Anger, Mood and Vulnerability to Substance Use Among Inpatient Substance-Dependent Clients (Lin 2004) the researchers wanted to test Forgiveness Therapy (FT) as a tool for treating clients dealing with substance abuse related to negative emotional overload. They focused on anxiety, depression and anger which, according to Lin, are triggers for substance abuse (2004, pg. 1114). They set out to talk and interview forty three potential participants who were recommended by their counselors from a residential drug rehabilitation center. This population was chosen due to the rigid course of treatment they were already receiving from the treatment facility in response to the personal calamity being experiences by the client. These were the most severe cases since they usually experienced repeated relapses, petty crimes and a lower motivation for change. While conducting the research what they found was not really surprising but rather normal for this group of clients. The participation started to fall off and by the end of the research they had fallen to less than half of the original...
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...by improving one of the gaps that’s identified. I will discuss financial implications that this strategy may have on the organization. I will identify potential members for the multidisciplinary team who could assist in improving the identified gap. I will discuss the purpose and scope of the team to include the member’s roles, and importance of diversity within the team. The team will focus in a meaningful way using self-assessment, and awareness of self-reflective techniques. I will use PDAC to monitor whether the strategy was effective in increasing patient and family centered care. Self-Assessment Tool The PFCC tool was used to evaluate Medical Center Health System (MCHS) see attached. Setting Description Medical Center Hospital System (MCHS) is an acute care, not for profit regional 402 bed Level II Trauma Center, located in West Texas of the Permian Basin. It serves a 130,000 community along with the surrounding 17 counties. It is the most comprehensive healthcare provider in the area. Founded over 65 years ago, it has grown from one facility into a family of healthcare provider’s delivering a broad range of advanced medical services to the people of West Texas. The hospital serves these communities with a high level of...
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...the past 2 decades, as seen in a survey by Vera institute, an independent, nonpartisan, nonprofit center for justice policy and practice. The survey referenced above included 40 states where the price of incarceration has skyrocketed to an unignorable $33,495,070 for imprisoning persons. Prison costs are now the 2nd largest cost to the US taxpayer, behind Medicaid (Vera). In a study conducted by Professor Donald Black, an instructor at the university of Iowa’s department of psychology, it was found that 20% of prisoners have antisocial personality disorder or ASPD, consequently this data shows a large amount of prison costs can be attributed to those with ASPD. However, in comparison...
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...of today’s population. The baby boomer generation is aging, and the cost of health care is at the forefront in the news. Case managers facilitate the process of navigating through the health care system to attain the proper treatment necessary for the patient, thus integrating a complex multidisciplinary health care system. Preparing new nurse case managers in this specialized field requires an advanced professional background based on education and experience. Keywords: case management, case manager, health care system The Growing Need for Case Managers The 65 years and older cohort in the United States will reach 20% of the population, reaching an estimated number of 80 million by the year 2050; while by the year 2020, a severe professional nursing shortage of two hundred and eight hundred thousand nurses is projected to occur. The discrepancy between the supply of nurses and the demand of health care services for an aging population is driving much emphasis on issues related to health care coverage, health promotion and prevention, and treatment of escalating chronic diseases that afflict this country, such as diabetes and dementia. The underlying message of this emphasis is the containment of health care cost, a burden patients will have to face when undertaking medical services, and revisions in health care places case management as an essential element for cost-efficiency and effectiveness of identifying health services for the client (Catalano...
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...Service Line Development Task 2 A. Analyze the community health needs assessment in the case study by doing the following: Trinity Community Hospital conducted an assessment of three of their services including cardiovascular, cancer, and orthopedics. The gathered information was received from numerous avenues including the healthcare’s guidelines, interviews of healthcare employees, focused groups, and surveys. A.1. Discuss major risk factors identified in the assessment. 1. Cardiovascular Services In the United States, there are many cases of coronary artery disease and this is expected to increase. This increase will cause an increase in cardiac catheterization procedures done in Trinity Community Hospital. They are predicting that they will have an increased amount of catheterizations up to 22% and angioplasties up to 25.8% more in the upcoming five years. There will be a need for more cardiac procedure rooms and rehab programs. The addition to these needs should be done to make sure the patient is getting adequate and timely care. Otherwise, the patient’s health could be placed in jeopardy. The hospital should consider offering some programs to offer patients and their family’s educational information regarding surgical procedures and the preceding problems that can occur due to their eating habits, hypertension, diabetes, and any tobacco or substance use. These programs could offer education to assist the patients and others about how to assist themselves with...
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