...Running head: ANALYSIS AND IMPLICATIONS FOR PRACTICE OF Analysis and Implications for Practice of Qualitative Research Report Analysis and Implications for Practice of Qualitative Research Report Palliative care education is an educational factor that could give education to undergraduate nursing and medical students on how they can be a part of broad management of the physical, psychological, social, and spiritual, needs of patients. Palliative care education is needed especially for those who will be involved in caring for patients who are terminally ill to assist them to obtain the best quality of life possible by providing relief of pain and suffering, controlling symptoms, and reinstating functional capacity. Nurse educators have recognized that traditionally nurses have not been well prepared in caring for dying patients. Research also has acknowledged that nursing students have nervousness about dealing with death and dying. Many aspects have been recognized as influencing nurses’, nursing students’, and medical students’ feelings towards caring for the ill. Providing palliative care to dying, elderly patients will always be a challenge for healthcare providers. In 2009, Germany implemented palliative care as an essential part of medical curriculum. In many western countries, the number of patients with multimorbidity is increasing which makes it difficult to care for them. As recognized by the ministry of health and health experts, teaching palliative...
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...ANALYZE ETHICAL AND LEGAL CONCEPTS VERNOICA HENRY MANAGING IN HEALTH &HUMAN SERVICE SUSAN VELLEK August 1, 2016 I chose Analyze Ethical and Legal concepts; because Healthcare has become one of the main issues United States is facing. Great powers of transformation exist on labor contained by the American health-care organization. The community discussion regarding health-care funding also admission to coverage analysis is increasing. Nevertheless lower the superficial, a discreet however eventually possibly additional important method of adjustment is ongoing: the change of health-care administration and distribution—certainly, well-being expert effort the situation—concluded the knowledge and transformation development of health-care excellence development. The management development in motherhood ladies concerning delivery duties increases moral quandaries connected to concern for females throughout delivery. Generous delivery is an authoritative, life-changing occasion that verdures an eternal impression on the motherhood lady. The labor involvement might be apparent certainly or damagingly or with moods of uncertainty. This expressive qualitative education requested which elements impact a lady's alteration in her specified delivery favorite since an unmediated labor to an analgesic labor. A nearness example of 33 prim parous and multiparous pregnancy females who had altered their detailed delivery favorite for discomfort controlling throughout birth partaken in conferences...
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...this paper I will discuss patient privacy and the population it affects the most. Along with ethical and legal issues dealing with breaches of patients records and explain managerial responsibilities related to patient privacy. Identify any proposed solutions. The issue is patient privacy” previous regulations had required a practice to notify affected patients and the federal government only if it determined that a breach involving patient records had occurred and that it carried a significant risk of financial or reputational harm to patients”. “Which raised concerns from privacy advocates that practices should not have the discretion to determine those matters” (Lubell, Jenifer, HIPPA gets tougher on physicians, February 4, 2013 www.amednews.com/APPS/PBCS.DLL/PERSONALIA?ID=JLUBELL). This issue has had and impact on physicians, “under the new privacy rules doctors must assume the worst case scenario in the event of a possible privacy breach”. “Now any incident involving patient records is assumed to be a breach, unless a practice conducts a risk assessment that proves a low probability that any protected information was compromised the breach must be reported”(Lubell, Jenifer, HIPPA gets tougher on physicians, February 4, 2013 www.amednews.com/APPS/PBCS.DLL/PERSONALIA?ID=JLUBELL). The argument that is being used is that “some of the largest security breaches have involved business associates of plans, doctors, and other professionals”.” An analysis of large data breaches reported...
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...healthcare office. Malpractice is when the improper or negligent treatment of a patient, as by a physician, resulting in injury, damage, or loss of life. Physicians have insurance for this in case an incident occurs. Physicians follow a code that states do no harm but sometimes harm occurs due to their negligence to underlined issues. If underlined issues dealing with your diagnosis is not checked out then it can lead to further injuries and even death. Medical malpractice can cost a facility or hospital millions even billions of dollars each year. Medical malpractice not only will cost money but it can also hurt a hospital or facility reputation for treatment for patients. Medical malpractice cases require stringent and comprehensive clinical review, and hospitals always employ medical experts to review their cases. The clinical issues are always analyzed, but often overlooked is the evaluation of the corporate responsibilities of the hospital involved in the matter. It is becoming increasingly likely that the hospital will be included in the claim as plaintiff attorneys are very aware that courts are finding corporate negligence as a factor in many claims, and more and more states are recognizing corporate negligence as a contributing issue (Steinberg, Becker Hospital 2012). Dr. Steinberg states “As a consultant and expert witness, I see many cases that could be avoided with some thoughtful review and analysis. Typically, the cases I review are either related to the hospital not following...
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...care → refers to only what doctors do ▪ How is it different than reasonable SOC? • (1) Must have expert testimony to establish SOC o Must be relevant to what doctors do ▪ Cannot give % of risk of conduct or “What I would do” ▪ Will not get to jury o Exception → Do not need expert testimony for things apparent to laymen or gross negligence • (2) Custom Sets Standard → Different than T.J. Hooper where Custom does not set standard → Only way to prove is with expert testimony ▪ “HONEST MISTAKE” • Disfavored → Few will instruct jury of “honest mistake” • Some courts do not admit apologies as evidence o Locality Rules (3 Approaches → Split of Authority→ Minority Approach) ▪ (1) Local SOC → Used to be generally → The expert must know the SOC in their exact locality ▪ (2) Modified Locality SOC → The testimony is sufficient if the expert knows the SOC that is same or similar to locality in which the practitioner practices → General rule but not for specialist. ▪ (3) National Locality SOC → Every practitioner held to the same SOC → Prevalent when dealing with specialist • Informed Consent (Causation. NOT DUTY) o Duty: Duty to disclose in a reasonable manner all significant medical information that the physician possesses or reasonably should possess that is material to an intelligent decision by the patient whether to undergo a proposed procedure. ▪ Injury has to Materialize o...
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...abuse of patients, substance abuse, financial abuse to name a few. Awareness of violence or abuse within the healthcare system is rapidly growing. The significance of abuse results in the negative impact on the health of individuals and the health consequences that they can encounter in their own mental, financial, and physical health (McIntyre & McDonald, 2014). This paper examines three different articles from different sources as follows: news feed, scholarly journal, and a website posting discussing abuse which impacts the health of the effected individual and bringing...
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...UniMed’s business model? UNIMED Medical Supplies is an expert supplier of therapeutic supplies and extras item. The organization built up following 2002 by Dr. Zachary and his child Oscar. Plan of action of UniMed's make the business sector engaging quality by enter United States and Europe. UniMed's main goal is was to drastically enhance restorative administrations for patients living in the Middle East by making Western pharmaceutical promptly available. UniMed's business idea was to join telemedicine capacities with a world class system of restorative organizations and doctors to make a productive medicinal administration. By giving access to a broad system of restorative establishments through telemedicine innovation and UniMed's tried to offer second assessments, e-counseling and patient referral administration administrations for the patient who can travel abroad for medicinal analysis and treatment. The UniMed's additionally had accessible assets and generally low preparing costs. The business sector figures likewise make the Unimed get to be solid and the building associations with the other. 2. What were some of the core elements in creating the UniMed business? The center component in making UniMed’s business is enhancing restorative administrations for patients by making western promptly available. Satellite office likewise the center components of UniMed's which is make a referral administration. Patients ready to go outside the Middle East to get second conclusions...
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...PERSONAL FRAMEWORK Examining Nursing: A Personal Framework Cortney Airhart The University of Texas at Arlington School of Nursing In Partial Fulfillment of the Requirements of N5327 Analysis of Theories in Nursing Ronda Mintz-Binder, DNP, RN March 27, 2012 Examining Nursing Practice: A Personal Framework After graduating nursing school in 2008, I started working as an Operating Room nurse (OR) at a level one trauma center, which specializes in neurosurgery. I now scrub and circulate neurology, urology, ENT (ear, nose and throat), and plastic surgeries. I am also a charge nurse and in charge of orienting new nurses and graduate nurses. The OR is fast paced and challenging. One never knows what is going to come through the doors, but you have to be ready at any given moment, to do anything from removing tonsils to clipping an aneurysm, in a matter of minutes. In the OR, often times the team gets caught up in tasks that need to be performed to get the case going, and sometimes forget that a human being is lying on the table with both physical and emotional needs. That is why, I teach my new graduates and everyone that I precept to act like it is a member of their family lying on the table. Often times just a friendly word or a smile before the patient is put under anesthesia can make a world of difference. If there is time, I also update the family to what is going on in the OR and try to answer any questions that I am able to. Sometimes surgeries...
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...including dealing with their business associates and ensuring that patient information is adequately protected to avoid breaches. The healthcare sector, as well as government sector systems handling health-related data, are increasingly targets of cybercriminals because of the information those systems contain, which ranges from Social Security numbers to health insurance identification numbers. What are healthcare entities' key struggles? What are they doing to step up compliance while also improving overall protection of patient data? We conducted our third annual Healthcare Information Security Today survey to find out. The 2014 survey sheds light on seven hot topics: * HIPAA Omnibus: Compliance is Challenging * Breach Prevention: Trend Analysis * Risk Assessments: Getting Better or Cutting Corners? * Encryption and Authentication: Room for Improvement * Mobile Tech: Inadequate Protection * Web Portals: Work in Progress * Priorities, Investments and Staffing Keeping records secure is a challenge that doctors, public health officials and federal regulators are just beginning to grasp. And, as two recent incidents at Howard University Hospital show, inadequate data security can affect huge numbers of people. On May 14, federal prosecutors one of the hospital’s medical technicians with violating the Health Insurance Portability and Accountability Act, or HIPAA. The employee used her position at the hospital to gain access to patients’ names, addresses...
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...better method of rating employees. It differs from "standard" rating scales in one central respect, in that it focuses on behaviors that are determined to be important for completing a job task or doing the job properly, rather than looking at more general employee characteristics (e.g. personality, vague work habits). Behaviorally Anchored Rating Scales (BARS) are designed to bring the benefits of both qualitative and quantitative data to the employee appraisal process. BARS compare an individual’s performance against specific examples of behavior that are anchored to numerical ratings. For example, a level four rating for a nurse may require them to show sympathy to patients while a level six rating may require them to show higher levels of empathy and ensure this comes across in all dealings with the patient. There are different ways in effectively structuring a BARS system. They are 1. Identification of Critical Incidents: This step involves supervisors and other in authority identifying specific incidents of effective and unsatisfactory behavior. These incidents should be related to the job performance. 2. Selection of performance dimensions: These incidents are further dissected into performance dimensions. An average of 5 to 7 performance dimensions is ideal. This classification is based primarily on the Critical incidents selected. 3. Retranslation of the incidents: Another group of participants who are familiar with the job are asked to reclassify the critical incidents...
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...Issues in Patient Care Student Name School Name ABSTRACT Healthcare transformation is recently an issue which has attracted the public attention in the global world and is being discussed not only in statehouses but also in public. Though it is believed that any rising issue in patients should be catered in the health checks but the aspect can also be undertaken in the homes. In essence, the care of patients should be prioritized and emphasized by the practioneers to be done in homes, since it is cost effective and a better component reform effort undertaken (Guadagnino, 2008) Patients should be empowered in taking care of their health without merely depending on the decision given by the health practioneers. Health issue is a critical subject which should be prioritized and taken with a lot of caution since it means one contemplating between life and death. Therefore, apart from one being empowered to take care of him/herself it is also vital for one to adhere to the prescriptions and steps given by the health checks (Guadagnino, 2008) ISSUES IN PATIENT CARE A patient is therefore obliged to take care of his or her health regardless of the circumstances and situations which they encounter and thus the issues involved in the patient care should not be a hindrance towards the practioneers taking an extra care to the patients. A considerate care to the patients should therefore be an imperative and vital aspect and thus the practioneers...
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...on a regular basis. Behavioral health emergencies in patients, however, require a skill set that is not practiced often and for some, the lack of competency leads to ineffective care, frustration, endangered environments and staff (Soreff, 2009). When trying to intervene appropriately, it is education and an effective protocol that will yield the best outcome. This essay will develop various strategies and a performance improvement plan that will assist staff in their understanding of handling behavioral health emergencies as well as introducing them to the best methods of approaching these scenarios in the acute care setting. This essay uses both FOCUS and PDCA models to foster an effective solution to the given scenario. The FOCUS model requires first to find the practice or problem to be improved, organize a team for development of the process, clarifying current knowledge about the process, understanding the problem and selecting the most appropriate solution for improvement. Caring for patients with behavioral health crisis presents a multitude of challenges to healthcare professionals. It is imperative for healthcare staff, such as first responders of code scenarios or rapid response teams, to have a defined protocol for dealing with these situations effectively. As leaders it is key to recognize various challenges that destabilize efforts of the healthcare team to be able to provide high quality care to patients with behavioral health emergencies. Behavioral health...
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...Medicinal innovation is a legitimate subset of wellbeing innovation, it incorporates an extensive variety of social insurance items and is utilized to diagnose, screen or to treat infections effecting people, such advances are planned to enhance the nature of human services conveyed through prior analysis, less obtrusive treatment choices and decreases in clinic remains. Late advances in medicinal innovation have likewise centered around expense decrease. Restorative innovation might extensively incorporate therapeutic gadgets, data innovation, bio-innovation and medicinal services administrations. Restorative innovation can be considered as any innovation used to spare lives in people experiencing an extensive variety of conditions. It can...
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...Health Care Utilization The Patient Protection and Affordable Care Act otherwise known as “Obamacare”, was signed into law in 2010. It was implemented to make health insurance more affordable to people and to increase access to a more affordable health care insurance. Although it works through the existing health care industry, it is still a political target from both ends of the political spectrum. The conservatives prefer to remain silent and not have any involvement into the health care system. The liberals that do agree with the health care reform do not like the “Obamacare” because the for-profit insurance company model stays the same instead of a single payer system administered through the government. Implementation of Obamacare “Obamacare” was rolled out to be spread over several stages rather than being rolled out at once. After the signing of the law, certain parts of the law was implemented. A couple of those changes implemented as part of the law are children remaining on their parents insurance until age 26 and people not being denied insurance coverage due to pre-existing health conditions. The expansion of access to health care was also written into the law. This mainly referred to the younger adults whose income was too low to be able to afford health insurance and for those people with chronic health issues in which pre-existing caused them to be denied new insurance plans. The individual and business mandates and the state insurance...
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...The totality of expert who train in gerontological health and public services is not growing to help meet the growing demand (Munk, (2007). Based on history psychologists have been unskilled to work in the medical field, and for those people who were skilled in medical training were not ready to care for the needs of older adults who needed unique health care. According to American Psychological Association Presidential Task Force on Integrated Health Care, (2008, pg.46) “In geropsychology, there is a growing trend in graduate programs and clinical internships to train graduate students in the management of mental disorders in nonmental health settings. Along standing central tenet of geropsychology is the need to be part” of the organizations...
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