...or the movies we have seen. Concierge doctor’s services were more popular in the past, but they are making a comeback in our current culture. Concierge medicine is said to be for those who have plenty of money, but not a great deal of extra time. This type of medical service definitely has its benefits. The doctor travels to patient; the patient is seen without a wait, more face-to-face time with the doctor, and better all-around care. Unfortunately, along with the positive benefits of concierge medicine there are also some unfair aspects, which is why this is considered to be one of today’s new social justice issues. Although concierge medicine has been around awhile and has been a beneficial practice, it has just recently started creating legal and ethical issues. There are many benefits of concierge medicine, same day appointments, 24/7 access to the doctor via email, and house calls when the patient is too ill to travel. Beyond the added convenience, patients benefit from additional attention when it comes to discussing preventive health care and individual lifestyle issues. Due to time constraints, these issues are often pushed aside in traditional medical practices (“Concierge Medicine 101…) I feel that there is a definite need for concierge medicine in today’s fast paces world. However, there are a few quirks that still need to be worked out. Concierge medicine officially began in 1996, and the first practice was brought around by Dr. Howard Maron and Dr. Scott Hall...
Words: 1603 - Pages: 7
...Accreditation Audit AFT Task 4 Regulatory Audit Organization Plans Compliance Facility Compliance The following represents the level of compliance in the pain assessment area of patient care that was audited for Nightingale Community Hospital: There were 3 departments audited for Pain Assessment compliance over a 12 month period, NIGHTINGALE COMMUNITY HOSPITAL averaged 86.94% compliance. Audit | Audit Period | Location | Compliance % | Pain Assessment | 12 Months | ED | 70.66% | Pain Assessment | 12 Months | 3E | 93.5% | Pain Assessment | 12 Months | PACU | 96.66% | There were 3 departments audited for Pain Reassessment compliance over a 12 month period, NIGHTINGALE COMMUNITY HOSPITAL averaged 80.415 % compliance. Audit | Audit Period | Location | Compliance % | Pain Reassessment | 12 Months | ED | 54.83% | Pain Reassessment | 12 Months | 3E | 92.916% | Pain Reassessment | 12 Months | PACU | 93.5% | The following are the results of the audit that was completed for use of prohibited abbreviations in an aggregate of ICU, Telemetry, 3E and 4E over a 12 month period: Audit | Audit Period | Abbreviation | Occurrences per 50 opportunities | Prohibited Abbreviations | 12 Months | “cc” | 33.75 | Prohibited Abbreviations | 12 Months | “qd” | 15.916 | Fire Dill History of drills held once per shift per quarter over a 12 month period: Quarter | Shift 1 | Shift 2 | Shift 3 | Compliance Analysis | 1st (Jan-Mar) | √ | √ |...
Words: 1812 - Pages: 8
...http://wiseamerican.us/product/hlt-314v-week-2-complete-assignment-dqs/ Contact us at: SUPPORT@WISEAMERICAN.US HLT 314V WEEK 2 DISCUSSION 1 Select one area of health policy and describe the impact that policy formation places on direct patient care delivery. What component of the policy area you selected could be improved to provide better care or patient outcomes, and how? HLT 314V WEEK 2 DISCUSSION 2 View the “Patient Protection and Affordable Care Act” video: (http://lc.gcumedia.com/zwebassets/courseMaterialPages/nur508_healthcare-reform-video-series-v1.1.php) This video was developed just as the Patient Protection and Affordable Care Act (commonly referred to as ACA) was due to be implemented. Now that the ACA is operational, contrast the information from the video with actual outcomes and provide your assessment of whether or not the stated goals of the ACA are being met for direct patient care. Support your position using sources inclusive of peer-reviewed literature as well as governmental statistics (state or national) or other nonpartisan resources. HLT 314V WEEK 2 ASSIGNMENT HEALTH POLICY FORMULATION AND ANALYSIS Details: Choose a topic on which to develop a health policy. This topic may address a needed change in technology, health care literacy, staffing, billing, diagnosis, etc. In a 1,000-1,250-word composition, construct a health policy and analysis according to the following: 1. Use the seven steps of policy formation to construct your health policy framework:...
Words: 1264 - Pages: 6
...Cultural Influences on Health Grand Canyon University Family Centered Health Promotion NRS-429V October 15, 2015 Cultural Influences on Health The heritage assessment is useful and gives the health care professional a detailed picture of how cultural differences influence health. The three individuals that were interviewed place importance on the cohesiveness on their families in health and illness. The family influences from the older members in their cultures place importance on folk medicine. When a member of the family is ill, they apply their faith and pray for that person. They value their religious belief in curing an illness with modern medicine. The food preferences varied somewhat from the different cultures however, pastries were common at cultural celebrations (Heritage Assessment Tool, 2015). It is evident that is important to be culturally competent before assessing a patient. It removes biases about a culture and the health care professional is culturally sensitive to give effective quality care and education. Polish Culture A large percentage of Poland’s population practices the Roman Catholicism religion. There is an order of priests, monks and nuns in the Roman Catholic Church. Rituals are part of the Catholic Church’s religious services. They encourage the continuation of folk culture like roadside shrines that are built and maintained by the community. There are yearly pilgrimages to these shrines such as Lankorona. On February 2 of each year...
Words: 1573 - Pages: 7
...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 (BLS, 2012), registered nurses also are responsible for educating and extending emotional support to patients, families, and the public....
Words: 1135 - Pages: 5
...Abstract: In this assignment, I will discuss how pressure ulcers are essentially a severe problem with in healthcare setting and how prevention is accountable in the development in pressure ulcers. I will also address several ways to prevent pressure ulcers, reducing the risk factors, the responsibility of the duty of care of patients and the use of risk assessment tools. We must remove the risk to prevent pressure ulcers. Methods used is researched and reviewed articles discussing the responsibility of the healthcare staff. Pressure Ulcer Sores Pressure ulcers also known as pressure sores bedsores and decubitus ulcers, are confined damaged to the skin and/or underlying tissue that usually occur over bony prominence because of pressure in combination with shear and/or friction. These sores affect 9% of patients admitted to hospital and 23% of those admitted to nursing homes. Early detection and treatment accelerates recovery and reduces complications....
Words: 1260 - Pages: 6
...“People with Learning Difficulties are unique individuals with their own likes and dislikes, history and opinions. They have the same rights as everybody else” To begin my assignment I will be discussing the history of social exclusion in relation to people with l’earning difficulties/disabilities . I will then outline process of Social work and in particular I will be focusing on intervention and how intervention has been used in relation to my chosen case study. In addition to this I will pay attention to a number of key issues in relation to society’s views on people with Learning Difficulties. I will also be discussing what Laws, Policies and Practices have been implemented to protect people with learning difficulties from oppression and discrimination and how effective these Laws have actually been in assisting people with Learning Difficulties to live the life they choose to live. During the late 19th century in particular, socially excluding people with learning disabilities was particularly inherent. At the time, those with ‘mental deficiencies’ were regarded as degenerates, and would often be blamed for social problems such as crime and poverty. This in turn led to the removal and institutionalisation of people thought to be ‘feeble minded’ and those referred to as ‘idiots’. Wolf Wolfensberger first published his thoughts about normalisation in 1972, through his works ‘The principle of Normalization in human service’. Wolfensberger argued that many of the problems...
Words: 1748 - Pages: 7
...be two years in length based to prepare practical bedside nurses for secondary care settings, such as community hospitals and long-term care facilities. The Associate degree nurse is prepared .to function at the intermediate level, not in leadership and management position. The professional behaviors, communication, assessment, clinical decision making, caring interventions, teaching and learning, collaboration, and managing care are the eight center competencies of ADN. By using clinical and thinking skills ADN graduate is responsible for caring for others while keeping the values of nursing profession for better outcomes. The inclusion of public health nursing as a part of curriculum is main difference between nursing in baccalaureate and diploma programs. BSN Program The Baccalaureate graduates are prepared in order think reasonably, evaluate critically, and communicate effectively with clients and other health care professionals. Baccalaureate programs are four academic years in length, and the nursing major is typically concentrated at the upper division level. There are vital components to prepare the baccalaureate graduate as generalist to practice nursing in beginning leadership position in a variety of settings. These components are liberal education, quality and patient safety, evidence-based practice, The following competencies are the nurse who prepared for BSN -.Direct care to the patient by using nursing process with applicable nursing diagnosis. - Independent...
Words: 1003 - Pages: 5
...RISK MANAGEMENT ASSESSMENT OF LYDIA BEVINS Risk management Assessment of Lydia Bevins Venkata Pulakanti HSM 542_W5_You Decide Keller Graduate School of Management Risk Management Assessment of Lydia Bevins Director of Risk Management- Felicia Larue, CEO for Little Falls Hospital Has brought the Case of Lydia Bevins to my attention to assess and ensure the rights of the patients and the risks that may be associated with Little Falls Hospital are minimal. Lydia Bevin is a 45 –year-old woman, has been on a ventilator for respiratory assistance for over six months because of an automobile accident. Lydia Bevins is paralyzed and is only able to communicate through head nods. It is uncertain as to whether Lydia Bevin is able and capable of making healthcare decisions on her own. She is married to Harry Bevins for four years. Mr. Bevins requested that the life sustain support keeping Lydia alive to be withdrawn. The Health Care Proxy Law of New York states that Harry Bevins has the “legal right to make decisions on behalf of his wife, since he is her legal guardian and surrogate decision maker.” (Health Care Proxy, 2001). Mr. Bevins states that his decision is made because, he and his wife had discussed this prior to the accident and what she would want to happen. There is an advanced directive: however, Mr. Bevins does not know the whereabouts as Lydia has the advance d directives prior to their marriage. Eileen Redfield, Lydia’s mother wants to give her child every...
Words: 782 - Pages: 4
...Risk and Quality Management Assessment Summary Beverly L. Rivera HCS/451 April 1, 2015 Kevin Stevens Risk and Quality Management Assessment Summary The healthcare industry is growing rapidly with significant changes directing new trends and advance technology for the future. Within recent years, the shift from manual medical records to electronic medical records allows individuals to be an active participant in direct control of their health care. As these changes continue to increase, the risk and quality departments within health care organizations has an enormous duty to enhance the quality of care for its internal and external customers. Gwinnett Medical Center is one of many healthcare organizations that embraces change along with enhancing the quality of care their patients receive. The executive summary assessment will describe details of Gwinnett Medical Center, the risk, and quality management department policies, and how the risk and quality management determines the quality outcome for the goals the hospitals. Gwinnett Medical Center Gwinnett Medical Center (GMC), also known as Gwinnett Hospital System, Inc. (GHS), was established in the early 70s and is a not-for-profit health care network. The hospital is a 553-bed facility, which includes 464-inpatient and 89-skilled licensed nursing and long-term facility. Gwinnett Medical Center has two acute-care hospitals, and facilities in different cities and the metro Atlanta area. The facility in Lawrenceville...
Words: 2174 - Pages: 9
...emphasize this intervention. Article 1 The first article was entitled “Increasing Hand Hygiene Compliance Requires Culture Change” written by Treon, Kelley, Kneebone, and Miles (2007). The purpose of this research focused on designing an innovative educational intervention to increase overall awareness of infection control practices, and to increase overall hand hygiene compliance. The research question proposed was looking to determine if education can cause change behavior and increase hand hygiene adherence. The design of this research consisted of both qualitative and quantitative research providing a blended project. Likert surveys about infection control were given prior to the educational intervention to obtain a baseline and needs assessment. Then, an interactive hand culturing experience took place to show culture and organisms that end up on hands after touching common surface. Finally, a “Glow-Germ” experiment was performed to visually examine the cleanliness of the volunteer’s hands...
Words: 3206 - Pages: 13
...advancing professional nursing roles and highlighting the connection between well-educated nurses and quality health care. As a leading supporter of academic institutions that educate advanced practice registered nurses (APRNs), AACN is keenly aware of the direct link between graduate-prepared nurses and both patient safety and positive outcomes. Within the APRN community, Clinical Nurse Specialists (CNSs) play a unique role in the delivery of high quality nursing care. These clinicians are experts in evidence-based nursing and practice in a range of specialty areas, such as oncology, pediatrics, geriatrics, psychiatric/mental health, adult health, acute/critical care, and community health among others. In addition to direct patient care, CNSs also engage in teaching, mentoring, consulting, research, management and systems improvement. Able to adapt their practice across settings, these clinicians greatly influence outcomes by providing expert consultation to all care providers and by implementing improvements in health care delivery systems. AACN supports the full definition of the Clinical Nurse Specialist outlined in the American Nurses Association’s 2004 publication titled Nursing: Scope & Standards of Practice. (See Attachment A). Further, the growing body of research on CNS outcomes shows a strong correlation between CNS interventions and safe, cost-effective patient care. CNS practice has been directly linked to reducing hospital costs and lengths of stay, reduced frequency of emergency...
Words: 3039 - Pages: 13
...xxxxxxxxxxl@yahoo.com ------------------------------------------------- Areas of Specialty * Family Support and Education * Mental Health Issues/ Inpatient &Outpatient Treatment * Assessment * ------------------------------------------------- Community Liaison/ Marketing Services Experience Comfort Keepers, Somerset/London, KY August 2013-Present Territory Sales and Marketing Coordinator * Generates sales through cold calls, presentations and networking with key influence groups * Services existing accounts and acts as liaison between client and referral source * Maintains data base for referrals, compiles sales reports and generates quarterly sales plans * Conducts home visits to evaluate potential clients needs and contracts for services Oklahoma Department of Human Services, Tulsa OK June 2010-March 2012 Clinical Consultant, Department of Child Welfare * Served as clinical support for Family Group Conferencing Unit * Provided clinical expertise to child welfare workers, natural and foster families in writing Individualized Service Plans, Safety Plans, Planned for Trial Reunification and Evaluation of Current Placement. * Assisted child welfare workers in avoiding potential foster care placement disruptions. Parent Child Center of Tulsa, Tulsa OK April 2010-June2010 Supervised Visitation Facilitator * Monitored visitation of children and families as referred by the...
Words: 531 - Pages: 3
...standards and competencies needed to advance from an associate’s degree in nursing (ADN) to a bachelor’s of science degree in nursing (BSN) are essential to provide superior care to patients. The health care fields are ever advancing and in turn, demanding higher education from nurses. Therefore, many nurses are continuing their education to advance with the ever-changing demands of their profession. Obtaining a BSN over an ADN is essential for nurses to provide a higher quality of care and learn to make complex decisions that go above and beyond direct patient care. An associate’s degree in nursing (ADN) provides a nurse with general clinical competencies and technical proficiencies to practice safely in a general nursing field. The nurse achieves the basic knowledge and skills needed to pass state boards and practice in multiple clinical settings to provide direct, quality patient care. Additionally, they learn how to use their critical thinking skills and care management to provide quality care to patients. These skills are critical to the everyday work of an ADN professional. Furthermore, the ADN graduates are taught skills to teach patients self care as well as the ability to communicate effectively with patients and professional staff. These skills are crucial for the nurse to facilitate quality basic patient care (Raines & Taglaireni, 2008). A bachelor of science in nursing (BSN) is a more in depth degree of nursing. The nurse will study a more comprehensive program. The program...
Words: 796 - Pages: 4
...NWAEFULU-OSEMENE NOVA SOUTHEASTERN UNIVERSITY, TRANSITIONAL DOCTOR OF PHYSICAL THERAPY PROGRAM. PHYSICAL THERAPY IN HOME HEALTH CARE: PHT 7975. DR. SCOTT S. HARP, PT, PhD, DPT. JUNE 8, 2014 TABLE OF CONTENT Cover page.......................................................................................................................................1 Table of content...............................................................................................................................2 Types of communication in home health........................................................................................3 Comparing communication in acute care setting vs. home health..................................................4 Challenges physical therapy/physical therapy assistant team need to overcome in home health...............................................................................................................................................4 Timeframes for initial telephone contact and assessment visit.......................................................6 Communication challenges between different types of provider during transition of care............7 Documentation comparism between home health and acute care setting......................................8 Reason for documentation differences between home health and acute care setting.....................9 References.................................................................................
Words: 2206 - Pages: 9
