...to a fever in the blood[1], with the hard work and long hours fading in importance against the vocational rewards. But community nursing has shown how the nursing profession is no longer viewed as merely hard work and long hours, it has illustrated nursing is a skill, a crucial facet of government health strategy, and a social and medical science. This passion extends from hard work and includes the profession shifting its core functions providing a flexible service that meets the changing health and social needs of society. The rewards to the profession and the community include personalized and case specific localized care, health program implementation, and guiding improved social trends at the ‘coal face’. Community based nursing is now at the forefront of social awareness and this important benefit is discussed throughout this essay. This essay focuses on the importance of community based nursing to the profession looking at aspects such as the role’s expanded influence on social trends, analysis, palliative care, outreach to vulnerable groups, and program implementation to the wider community. These functions in combination play a key role in ensuring this aspect of the nursing profession is effective in prevention and in tune with society’s needs. Community based nursing comprises several fields of expertise, including community health, public health, home health, and community mental health nursing. This essay looks at the collective benefits of these and the...
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... INTRO- Healthcare disparities continue to be a major problem in our present-day society, creating uncertainty about access to necessary services and health outcomes. This essay aims to analyze the complicated structure of healthcare disparities while shining a light on the approach to universally fair healthcare outcomes and access. This essay will explore the complicated link between healthcare disparities and how factors such as socioeconomic status, race, location, and differences in cultures affect health outcomes and unequal access to medical treatment. This essay does this by drawing on the information offered by numerous studies. It will address the root causes of healthcare inequality...
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...Long Term Care Hospitals and Long-Term Care Facilities Glennis Bogard Dr. Angela J. Smith Health Services Organization – HSA 500 February 17, 2011 Abstract Hospitals can be set up as nonprofit or for-profit facilities. The differences between the nonprofit and for profit hospitals will be discussed. Hospitals have experienced different trends in the last thirty years. This paper will identify at least three major trends that have occurred within the hospital sector. Three examples that describe and differentiate the roles of hospitals and nursing homes are providing long-term care. The conclusion of this paper will be a brief critiquing of the current state of long-term care policy in the United States. Hospitals and Long-Term Care Facilities Describe the differences between nonprofit and for-profit hospitals. A characteristic as stated by Williams and Torrens (2008) of nonprofit hospitals is that these hospitals do not function under the realm of regular corporate law but under a special provision of the corporate law in each state. It is also noted that nonprofit hospitals also function under special federal and state tax provisions because of recognition of their community service function. Other characteristics of nonprofit hospitals are they do not have owners and their governing body is a community based board that has complete authority over operations. Nonprofit hospitals, in general, are not required to pay most of the taxes at federal, state...
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...3000 word essay on patient with left sided stroke with one identified health need/problem: Dysphagia Student Name: Dashante` Burgess Green Cohort- Group 1 Module: NIP 1000 Word count: 3,010 A stroke is a life changing disease and sudden attack of weakness to one side of the body resulting from a interruption to the flow of blood going to the brain that can be a minor attack and resolved in a few days or major attack leaving the person with physical disabilities and cognitive deficit (McFerran 2008). Therefore, stroke can affect the quality of life of an individual from the lack of communication, mobility and independence and intern can cause one to become depressed. This essay is concerning the case of Mr. Alfred Smith who was admitted to hospital with muscle and facial weakness with asymmetry and no movement to the left side of his body. He was eventually diagnosed with left-sided stroke resulting in right-sided hemiplegia affecting his balance and mobility. With the many health problems associated with stroke this essay will focus more on the problem of dysphagia and the patient’s needs related to this particular problem. Dysphagia is a condition in which the action of swallowing is either difficult or where the swallowed material seems to be held in its passage (McFerren 2008). The assessment, planning, implementation and evaluation (A.P.I.E) of the patient on admission and discharge will be discussed in further and more precise detail throughout the essay while maintaining...
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...This review essay is based on the report “Building Safe, Active Communities: Strong foundations by local people”, the third report written by Baroness Helen Newlove, the Government’s Champion for Active, Safer Communities (Newlove, H, 2012). The report covers issues in areas of community safety, voluntary and community sector as well as community engagement. In Baroness Newlove’s view, “local people are the foundations for safe, active communities”. (Newlove, H, 2012). The report, which highlighted various case studies from different communities, is aimed at offering advice, know-how and a map for grassroots activists to follow, which will bring new ideas that have been proven to work. In essence the report called for a change of culture so neighbourhoods no longer see crime, antisocial behaviour and disorder as someone else’s problem. Furthermore, this review essay will highlight how the policy report engages with the ideas and concept of community as discussed in Book 3 of DD208. It will show how the report draws on evidence and constitutes evidence itself. This review will also reflect the entanglement of community, social welfare and crime control concerns as well as responses to the same. Baroness Newlove was appointed the government’s Champion for Active, Safer Communities in October 2010 and has since then worked with communities across the country to discover the needs and wants of grassroots activists. She highlighted the progress in her first two reports and also...
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...Trends ------------------------------------------------- Exam 2 ------------------------------------------------- Essay Questions – Turn in by midnight Tuesday, February 25, 2014 via www.turnitin.com Each question should be answered with 2-4 paragraphs for maximum credit. Answer the question (which may be your opinion) and then substantiate your answer. 1. Discuss the major problems facing hospitals today. Offer some possible solutions to each of these problems. Some of the major problems that face hospitals today include; cost increases, bed surpluses, and the overemphasis of specialized care vs. primary care. Cost increases for hospitals are caused by several different factors. According to a report by the American Hospital Association, labor cost accounts for more than half of hospitals’ total expenses. This number grew by between 5 to 8% a year from 2002 to 2009. Another issue effecting hospitals is the growth in patients covered by Medicare and Medicaid. These patients represent 60% of all admissions. These programs do not pay the full cost of care. The AHA claims the amount each program pays has decreased significantly year after year. Patients unable to pay for care amount to about 6% of hospitals’ cost. To me a universal health care system would definitely assist in this problem. If everyone paid a portion for the same health care, then costs would not rise so high. Bed surpluses are detrimental to healthcare for several reasons. First, money is invested...
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...Essay #1 ( One objective of the state stipend program is to recruit students who know and understand the underserved communities served by the public mental health system. Explain how you meet this objective) I understand the struggle underserve communities, such as minorities face because I am part of that population. I grew up in a poor neighborhood were resources were limited and we struggle to get access to government health agencies. There is a need of competent counselors who are able to understand underserve communities especially, professionals who are able to speak another language. I have seen the struggle my clients have finding a therapists that speaks Spanish. As a Latino professional, I understand the barriers underserved communities face, specially when these communities do not have the knowledge or strength to look for mental health resources because of stereotyping and lack of information. As a Spanish speaker, marriage and family therapist, I have the power to make a difference and serve people who need my services. It is extremely important to help underserved communities obtain access to resources that can help them live a healthier life. Essay #2 (One objective of the state stipend program is to recruit students with the capacity to serve the culturally diverse needs of persons in mental health care. Explain how you meet this objective) By having knowledge of diverse cultural groups we can help others more effectively. The needs of a person from one...
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...ISB DEADLINE | DATE | 1ST Deadline | 15th September 2014 | 2nd Deadline | 30th November 2014 | Essay - 1 (300 words max) Innovation or doing things differently it is said is a key to future success. Could you substantiate or negate this idea based on your experience. Please provide examples from your own experience – either examples of your own innovation or examples of others whom you have worked with. (300 words maximum) Essay - 2 (300 words max) Applying to and enrolling in a Business Scholl is an important career decision. Critically look at your career to date, the choices you have made, the key influences behind those choices, your goals for the future and how you expect to benefit from the ISB experience in achieving your goals. (300 words max) Essay – 3 (200 words Max.) One of the following * This experience completely changed my way of thinking * An instance when you went out of the ordinary to achieve something significant, but in hind sight feel you could have done better * Tell us about your role in a team that made a significant contribution to the organization * Contribution to peer learning and engagement with the ISB student body are important aspects of the ISB experience. What contribution do you expect to make in this direction during the one year at ISB OTHER IMPORTANT THINGS 1. They have a separate format for recommendations. 2. Have to submit 2 recommendations. 3. Application fee 50 USD 4. Total expenses...
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...systems of health care. Many different ideas have been tried and have failed. How would you design a better health care system for the U.S. population? Who would control the health care decisions? Would everyone be required to join? Who would control the costs of care? If the government provided the care, would malpractice lawsuits increase? HLT 418V WEEK 1 DISSCUSSION 2 What impact has health care reform had on the way you receive care for yourself or your family members? HLT 418V WEEK 1 ASSIGNMENT – FOUR COMPONENT OF HEALTH CARE Max Points: 150 Details: There are many reasons why a bill is introduced into legislation, helping a select group of people to make sure that everyone in the country is being protected. It is important as a healthcare provider to understand, how different bills effect the healthcare profession. Select a current health care bill that addresses one or more of the components of healthcare. You will use three to five academic sources to write this paper. Write a 1,250-1,500-word paper about how the bill affects health care services in the community in which you live. Include the following: 1. Summarize the components of the health care bill. 2. Describe the health care components that are addressed in this bill. 3. Who sponsored this bill? Who are the proponents of the bill and who opposes this legislation? What is their position (i.e., why do they disagree?). 4. Does this bill helps or hinders health care services in the community. Describe how it...
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...graduates with a Bachelor of Science in Nursing (BSN) degree. In 1951, Mildred Montag proposed the innovative idea of a 2-year Associate Degree in Nursing (ADN) program at the community college level to remedy the severe nursing shortage following World War II. Nursing faculty regarded ADN nurses as competent in basic nursing practice as they demonstrated the ability to pass state nursing licensing examinations. This commenced the national ADN educational movement followed by public confusion regarding the credentialing requirements and competencies of a professional nurse (Creasia & Friberg, 2011). Over the past 40 years, the entry-level education and qualifications for nursing have been widely debated by the medical community (Institute of Medicine, 2011, p. 169). This essay serves to provide a comparative view of registered nurses prepared at the associate and baccalaureate levels, detailing the specific competencies of each. According to the Institute of Medicine, the ADN “prepares nurses to provide direct patient care and practice within the legal scope of professional nursing responsibilities in a variety of health care settings” (2011, p. 44). This includes the utilization of critical thinking in patient assessment and the implementation of interventions based on the individual plan of care and physician’s orders. Additionally, that ADN nurse is responsible for collaboration with other disciplines and patient advocacy. According to the Bureau of Labor Statistics...
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...This essay will discuss issues that nurses have to consider when caring for a person that either lacks or have compromised capacity. At the same time, the author will explain important terms in the essay and include several examples from placement. Similarly, explanation of consent, capacity, best interest, Deprivation of liberty, advanced decisions and risk assessment would be included. The author will also discuss the principles of the Mental Capacity Act (2005) and the Mental Health Act (1983) and how it protect an adult who is vulnerable and lacks capacity. Likewise, the author will discuss ranges of nursing interventions, person-centred care, and ethical dilemmas. Due to confidentiality and according to the Nursing and Midwifery Council...
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...contemporary debate about community development. It is evident that existing literature highlight the complex nature of the concept of ‘community development work’. It is also true to say that there are constant changes in the political setting, and the disparity between theory and practice for community development work. To begin, this essay will attempt to define the key concepts of ‘community’ and ‘community development’ in order to understand the process. It will then explore the role of community development programs in aiding local communities to exercise control over the issues that affect their lives, in this case, the refugee women community in UK. Finally, it will also discuss about the role of critical practice in tackling the issues of social justice, such as social exclusion, poverty and inequalities. Community development is a very complex field and before attempting to define it, it is imperative to explain the meaning of ‘community’, which is in itself a contested term (Shaw, 2007). Different perspectives have been presented to define the term, for example Smith (2001) argues that ‘…some [definitions] focused on geographical area; some on a group of people living in a particular place and others which looked to community as an area of common life’. Again, according to Stacey, ninety four definitions of ‘community’ were given (Stacey, 1969 cited in Craig et al., 2008, p.14). Consequently, it becomes problematic to give a precise meaning of ‘community development work’...
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...Title Page Assignment Title Specific elements of essay: * Describe the Goals & objectives of my organisation * Understand the specific responsibilities of middle management in enabling an organisation to achieve its goals Gareth Lewis Date: 12 June 2013 Birth: 08/03/1956 Phone: 01656 773163 Email: gareth@lewis453.orangehome.co.uk Page 2 This assignment has been produced to provide evidence of my organisations goals & objectives, the evidence provided gives clear distinction between the goals & objectives of my organisation. The essay also includes essays on how my organisation shall meet its objectives & goals, and the specific responsibilities of middle managers in enabling my organisation to achieve its goals. There are sections describing the differences between goals & objectives and the different role in relation to Leaders and managers Page 3 Introduction I am the Site Manager for the Princess of Wales Sterile Services department; I have worked in Sterile Services for 27 years and have progressed through nearly every role prior to becoming Manager. My responsibilities are to provide a Sterilization of instrumentation service to firstly Main Theatres within the Princess of Wales Hospital and Neath Port Talbot Hospital and to all NHS services who require re-process of surgical instruments for safe patient use. This role requires me to have knowledge of all aspects of the decontamination re-process of surgical instruments...
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...The purpose of this essay is to define the term debate and to explore the educational strategy in the development of knowledge, skills and attitudes required to deliver and manage patient care. The topic was due to financial considerations advancement of acute and critical care should be or not curved. In this essay will summarise the key points made by the proposition and opposition with the support of evidence and will explore the relative strengths and weakness of both arguments. It will also discuss whether this has changed in light of debate. Debate is a formal argumentation between two teams or individuals. It is also an essential tool for developing competencies and maintaining freedom such as, controversial issues without descending to insult, emotional appeals, or personal bias (Garreth, et al, 1996). The key trademark of debate is that it rarely ends in agreement, but rather allows for robust analysis of the question at hand (Sather, 1999). Perhaps this is what French philosopher Joseph Joubert meant when he said. “It is better to debate a question without settling it, than to settle a question without debating it.” Debating may be considered as an educational strategy in the development of knowledge. It allows a person to find out if they have a good understanding and also by answering questions from of the audience. The students will enhance the critical thinking through debating process, however, DeYoung (1990) suggest that debating helps students develop the...
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...has its origins in socioeconomic deprivation or long-term psychosocial issues, it is easy for both patient and GP to feel overwhelmed and reluctant to open what could turn out to be a can of worms. Settling for a short-term medical fix may be pragmatic but can easily become a conspiracy of silence which confirms the underlying sense of defeat. Can or should we try to do more during the precious minutes of a GP consultation? Where there are psychosocial issues GPs do suggest social avenues, such as visiting a Citizens Advice Bureau for financial problems, or a dance class for exercise and loneliness, but without a supportive framework this tends to be a token action. The big picture difficulty with leaving underlying psychosocial problems largely hidden in the consulting room is the medicalisation of society’s ills. This ranges from using antidepressants for the misery of a difficult life, to the complex pharmaceutical regimes prescribed to patients with obesity and type 2 diabetes. This sort of medicalisation may help immediate problems (including driving the economy through jobs in the healthcare industries) but it is not enough if our society is to have a sustainable future. Another way of looking at this is in terms of choice. The consumerist type of choice of provider beloved of the government, is what Canadian philosopher Charles Taylor calls ‘weak evaluation’.1 By this he means a utilitarian ‘weighing-up’ of generally short-term consequences of a choice. These choices represent...
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