...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...
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...RN) in Virginia on the use of simulation in lieu of direct client care hours in the fulfillment of the clinical hour requirements for nursing education programs. As of April 2008, all RN nursing education programs approved in Virginia shall provide a minimum of 500 hours of direct client care supervised by qualified faculty, and all PN nursing education programs approved in Virginia shall provide a minimum of 400 hours of direct client care supervised by qualified faculty [18 VAC 90-20-120.E]. This document will outline the essential components and major concepts that are necessary when using simulation in lieu of direct client care. Background in Simulation Technological innovations are advancing practice across all domains of education and industry, and the same is true in nursing education. Simulation is gaining popularity as a means to provide innovative learning experiences and foster a richer understanding of didactic content. As nursing programs prepare to integrate simulation into nursing education, the Virginia Board of Nursing has prepared this outline of major concepts that need to be addressed when preparing and integrating simulation into nursing curricula. Simulated experiences provide the student with the opportunity to be involved in patient care experiences they may otherwise not experience in actual clinical settings (e.g., no laboring patients, no post-partum mothers, no pediatric experiences, no patients with cardiac issues, no patients with...
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...need to be able to describe our current professional identities. We need to use the critical thinking skills that are so essential to the practice of nursing to analyze how we apply current theories and philosophies to our own nursing practice. How do our personal theories and philosophies compare to the current thoughts out there today and how can we develop a plan to continue to grow professionally as nurse leaders? We are simply applying certain steps in the nursing process to our way of thinking about our practice and future growth – assess, plan, and implement. I. Professional Identity – Knowledge, Theory and Philosophy I am currently a direct care provider in an emergency department at a Level I trauma center academic hospital. As an emergency room registered nurse (ER RN) I know that I am in a unique role as a provider of care. The American Nursing Association has recognized emergency nursing as a specialty practice ("Emergency Nursing a Specialty," 2011). With standing orders and protocols based on patient presentation and chief complaint that can be nurse initiated prior to the MD’s exam, an ER RN functions at a higher level of autonomy than most RN’s. In this role, knowledge, skills and abilities are essential. The ability to identify a sick patient can literally make the difference between...
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...able to describe our current professional identities. We need to use the critical thinking skills that are so essential to the practice of nursing to analyze how we apply current theories and philosophies to our own nursing practice. How do our personal theories and philosophies compare to the current thoughts out there today and how can we develop a plan to continue to grow professionally as nurse leaders? We are simply applying certain steps in the nursing process to our way of thinking about our practice and future growth – assess, plan, and implement. I. Professional Identity – Knowledge, Theory and Philosophy I am currently a direct care provider in an emergency department at a Level I trauma center academic hospital. As an emergency room registered nurse (ER RN) I know that I am in a unique role as a provider of care. The American Nursing Association has recognized emergency nursing as a specialty practice ("Emergency Nursing a Specialty," 2011). With standing orders and protocols based on patient presentation and chief complaint that can be nurse initiated prior to the MD’s exam, an ER RN functions at a higher level of autonomy than most RN’s. In this role, knowledge,...
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...Cosmetic; hyaluronic acid and collagen based dermal fillers; and physician dispensed skin care products. Allergan Medical also offers the industry's widest range of breast implant options for reconstructive and aesthetic breast surgery, and leading minimally invasive devices for obesity intervention treatment. The Product Manager/Sr. Product Manager, Plastic Surgery directs the development, market analysis and implementation of marketing plans for the U.S. Breast products in Augmentation to support achieving sales and profit objectives. This position is responsible for the development and execution of professional and consumer customer marketing plans and resource allocation to ensure realization of long-term product/brand strategies and financial goals. The incumbent will direct and manage sales forecasts, budgets and production forecasts. Along with the Sr. Director Marketing, Plastic Surgery, this position develops Breast business strategy consistent with business unit goals. Qualifications Education and Experience • Bachelors degree in related field, MBA preferred • Five to seven years professional Product Management experience • Knowledge of health care and/or pharmaceutical industry • Supervisory experience preferred • Two years health care field sales experience preferred • Highly desired: DTC and PR experience, or other health care consumer marketing experience Essential Skills and Abilities Exhibits: • Results Orientation – ability to create...
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...Chapter 10, "Biomedical Research, Health Services Technology, and Technology Assessment" * Chapters 11, "Overview of the U.S. Health Services Delivery System" * Chapter 13, "Primary Care" * Chapter 14, "Secondary Care" * Chapter 15, "Long-Term Care" (pp. 349–369 only) * Chapter 16, "Tertiary Care" * Chapter 17, "Palliative Care" * Chapter 18, "The Care of Special Populations and Special Disorders" (pp. 399–406 only) * Chapter 19, "The Health Services Delivery System: How Managed Care Has Influenced Delivery" (Note: This chapter was assigned in a previous week; review it as needed with this week's focus in mind.) * Article: The Scan Foundation (2011). Improving the continuum of care: Progress on selected provisions of the affordable care act one year post-passage. http://www.thescanfoundation.org/improving-continuum-care-progress-selected-provisions-affordable-care-act-one-year-post-passage As you have learned, health care services are provided through a range of organizations. For this Discussion, you will consider how direct- and indirect-care organizations integrate by examining your own experiences as a health care consumer. Begin by brainstorming all the health care organizations that have helped to meet your health care needs within the last few months to one year. Consider the settings and providers you have visited, as well as how and when you have decided to utilize their services. Think about referrals and...
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...suffering, to find meaning in their experiences, to promote health and wellness and to die with dignity. CARING is action that nurtures; action that fosters growth, recovery, health and protection of those who are vulnerable. CARING is the empowering of those for whom care is given (Roach, 1997). CARING is the framework through which we as nurses implement the art and science of professional practice. 1. COMPASSION: Compassion means to be with another in their suffering. It is empathy and sensitivity to human pain and joy that allows one to enter into the experience of another. It is the understanding of whom that person truly is for whom one is caring. According to Simone Roach, “With compassion, one becomes a colleague of humanity” (Roach, 1992, p. 18). Compassion is an essential component of the nurse patient relationship. 2. COMPETENCE: Competence is acquiring and using evidence-based scientific and humanistic knowledge and skill in the application of therapeutic interventions in the current practice of nursing. Competence is reflected in the cognitive, affective and psychomotor domains of learning. It is the knowledge of the role of the nurse in the health care delivery systems of the hospital and the community. 3. CONSCIENCE: Conscience directs moral, ethical and legal decision-making. It motivates us to increase the knowledge and skills needed to respond appropriately to moral, ethical and legal issues faced by oneself and others. It directs us to adhere to the standards of...
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...Baccalaureate Generalist Nursing Practice o A solid base in liberal education provides the cornerstone for the practice and education of nurses. · Essential II: Basic Organizational and Systems Leadership for Quality Care and Patient Safety o Knowledge and skills in leadership, quality improvement, and patient safety are necessary to provide high quality health care. · Essential III: Scholarship for Evidence Based Practice o Professional nursing practice is grounded in the translation of current evidence into one’s practice. · Essential IV: Information Management and Application of Patient Care Technology o Knowledge and skills in information management and patient care technology are critical in the delivery of quality patient care. · Essential V: Health Care Policy, Finance, and Regulatory Environments o Healthcare policies, including financial and regulatory, directly and indirectly influence the nature and functioning of the healthcare system and thereby are important considerations in professional nursing practice. · Essential VI: Interprofessional Communication and Collaboration for Improving Patient Health Outcomes o Communication and collaboration among healthcare professionals are critical to delivering high quality and safe patient care. · Essential VII: Clinical Prevention and Population Health o Health promotion and disease prevention at the individual and population level are necessary to improve population health and are important components of ...
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...Patient-Centered Care Delivery Model, a Multidisciplinary Team Approach NR532 Healthcare Operational Planning and Management Patient-Centered Care Delivery Model, a Multidisciplinary Team Approach Increased emphasis from the Institute Of Medicine (IOM) and the Patient Protection and Affordable Care Act (PPACA) on improving quality, safety and reducing care cost has brought forth challenges among hospital executives (Cama, 2009). Nurse executives must develop low cost, innovative and effective ways to deliver patient care. The focus of this manuscript is to develop and implement a care delivery model emphasized in a patient-centered care delivery model using multidisciplinary team approach. Patient-centered Care Delivery Model According to the Institute of Health Improvement (IHI), “patient-centered family care is care through a patient’s experience that is coordinated, informed and grounded in respectful interactions with providers that are consistent with the patient’s values, expectations and care decisions” (Balik, 2011). Evidence-based practice has drastically increased this past decade with one of its cornerstones being “patient-centered care and nursing being at the frontline to lead this change. Professional nurses are prepared to effectively lead the healthcare team to achieve patient and organizational goals. Patients are unique in every facet of their needs and therefor multiple disciplines are critical to best deliver patient-centered outcome (Cama, 2009)...
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...Effective Communication: Dissecting a Health Care Experience Axia College of University of Phoenix Communication is an integral part of the health care interaction. Proper and effective communication can have many positive effects in all areas of health care from provider and patient interactions to inter-provider collaboration. Communication is the conveying of messages through speech, writing, and/or nonverbal methods to share a message (Oates, n.d.). This is a two-way process involving parties of at least two people in an effort to convey information with the goal of reaching a shared meaning (Oates, n.d.). Effective health communication can help contribute to all positive aspects of health care delivery such as disease prevention, health promotion, information sharing, and treatment compliance are just to name a few (Office of Disease Prevention and Health Promotion, n.d.). Often times, because of the high volume and high stress of the health care setting effective communication is commonly overlooked and is not considered a priority by many. Unfortunately, this can lead to a high amount of stress and anxiety for the patient and create a negative face for the health care industry. The wrong type of communication can actually have the opposite effect that is desired when caring for a patient. Improper and ineffective communication can actually lead patients to become wary of their providers and noncompliant with recommended treatments. One goal all providers should...
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...com/samples/0763757144/57144_ch02_018_049.pdf http://www.ncbi.nlm.nih.gov/books/NBK2643/ http://currentnursing.com/nursing_management/nursing_standards.html http://nursing.pages.tcnj.edu/about/mission-philosophy/metaparadigm-concepts/ Experience One of the hallmark studies in nursing providing keen insight into understanding the influence of experience was a qualitative study of adult, pediatric, and neonatal intensive care unit (ICU) nurses, where the nurses were clustered into advanced beginner, intermediate, and expert level of practice categories. The advanced beginner (having up to 6 months of work experience) used procedures and protocols to determine which clinical actions were needed. When confronted with a complex patient situation, the advanced beginner felt their practice was unsafe because of a knowledge deficit or because of a knowledge application confusion. The transition from advanced beginners to competent practitioners began when they first had experience with actual clinical situations and could benefit from the knowledge gained from the mistakes of their colleagues. Competent nurses continuously questioned what they saw and heard, feeling an obligation to know more about clinical situations. In doing do, they moved from only using care plans and following the physicians’ orders to analyzing and interpreting patient situations. Beyond that, the proficient nurse acknowledged the changing relevance of clinical situations requiring action beyond what was planned or...
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...University of Phoenix Material Career Spectrum Scavenger Hunt Part 1 Find, and list, at least 10 different careers from various sectors in the health care industry. Describe the role of each career and explain what makes that profession different from the others. You can include, but are not limited to, factors such as education and experience requirements, services rendered or products offered, licensure, pay, involvement with other health care sectors, and type of work duties. |Career |Description |Differences | |radiologist |Read x-ray results |They don’t take the x-rays they read x-rays. | |nephrologist |Doctor that take care of kidney patient. |They are specialized on treating patient on dialysis. | |dentist |Fixes and cleans teeth |Focuses on the health of teeth | |chiropractor |Takes x-rays of people with broken bones |They just take the x-rays not read it. | |Nursing |Doctors assistant |Help direct the doctor with patients | |Pediatrician |Children’s doctor |Specialized on children ...
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...“The emergency department: Experiences of patients, families, and their nurses.” In this research, the subjects were investigated with regards towards lived experiences to gain insights on how each key elements correlate in the Emergency Department. This academic critique will highlight its strengths and gaps by operating an analytic approach based on the research process in which it exemplifies the parts and qualities of a qualitative research Research Design There is a commitment in maintaining the social context/emic perspective in this study to capture and reflect worldviews...
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...Differences in Competency Between ADN and BSN Nurses Katie Rha Grand Canyon University August 5, 2011 The debate over minimum education requirements for nurses has been going on for decades and there still seems to be no general agreement. As health care shifts from hospital-centered, inpatient care to more primary and preventive care throughout the community. The health system requires registered nurses who not only can practice both within and beyond hospitals but can function with more independence in direct bedside care, clinical community environment, case management, supervision of unlicensed other support personnel, and educating patients on treatment. The focus will be on the differences in competency between ADN and BSN nurses in this paper. Associate Degree Nurse The associate degree level of nursing was developed out of a need to produce nurses in response to a shortage during and following World War II. It was proposed as a temporary solution to a shortage but was not intended to replace the professional level of nursing education. It was proposed that graduates from associate degree nursing programs would work a“technical” nurses, assisting and working under the supervision of professional nurses. The associate degree level of nursing education became popular and has come to be viewed as an attractive career path for those who desire a shortened, less expensive route to becoming a registered nurse 1. Nursing Program Associate degree programs...
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...accessibility to health care for Aboriginal and Torres Strait Islander peoples. INTRODUCTION 150 words Nurses have an extensive role in caring for the health and wellbeing of people and ensuring they have accessibility to health care. This paper will explore and provide evidence into how the social determinants of health, especially racism or racial discrimination impacts on Aboriginal and Torres Strait Islanders or Indigenous Australian people’s access to health care. Exploring the impact of social determinants of health on Indigenous Australians and the numerous poorer health outcomes experienced by this population group will...
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