...Alzheimer’s: A Team-Based Approach to Health Care Susan Medhurst Grand Canyon University: HCA 515 10/5/2013 Unfortunately, there is no single form of identifying test that can tell you if you have Alzheimer’s or if you are just forgetful. For those patients dealing with other illnesses like thyroid problems, depression and other health problems, memory loss is a very common side effect to their illness, which makes identifying Alzheimer’s even more difficult (Alzheimer’s association, 2013). This disease often goes unnoticed until the patient has reached a moderate to advanced stage because of the commonality of the indicators in early stages such as forgetfulness of where you put your car keys (Alzheimer’s association, 2013). Currently over five-million American’s have Alzheimer’s. This number will begin to increase as the baby boomers age and life expectancy is extended. The risk of getting Alzheimer’s only increases as we age with number of people doubling every 5-year interval beyond the age of 65 (Alzheimer’s association, 2013). Case Study Eaton, a 72 year old male patient, was found roaming downtown Denver with no recollection of how he got there. Paramedics brought him to the hospital for evaluation. The patient presents with progressive memory loss, confusion, agitation, and doesn’t know his last name. Identification in his wallet helped the hospital staff contact his wife. Upon the wife’s arrival, the patient seemed distant and unable to identify his wife Ethel...
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...20001 NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance. This study was supported by Contract No. 65815 between the National Academy of Sciences and the Robert Wood Johnson Foundation. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the organizations or agencies that provided support for this project. International Standard Book Number 0-309-XXXXX-X (Book) International Standard Book Number 0-309- XXXXX -X (PDF) Library of Congress Control Number: 00 XXXXXX Additional copies of this report are available from the National Academies Press, 500 Fifth Street, N.W., Lockbox 285, Washington, DC 20055; (800) 624-6242 or (202) 334-3313 (in the Washington metropolitan area); Internet, http://www.nap.edu. For more information about the Institute of Medicine, visit the IOM home page at: www.iom.edu. Copyright 2011 by the National Academy of Sciences. All rights reserved. Printed in the United States of America Cover credit: Photos...
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...JAN DISCUSSION PAPER JOURNAL OF ADVANCED NURSING The use of theory in qualitative approaches to research: application in end-of-life studies Hung-Lan Wu & Deborah L. Volker Accepted for publication 24 July 2009 Correspondence to D.L. Volker: e-mail: dvolker@mail.nur.utexas.edu Hung-Lan Wu PhD RN Nursing Instructor Meiho Institute of Technology, Pingtung, Taiwan Deborah L. Volker PhD RN AOCN Associate Professor The University of Texas at Austin School of Nursing, Austin, Texas, USA W U H . L . & V O L K E R D . L . ( 2 0 0 9 ) The use of theory in qualitative approaches to research: application in end-of-life studies. Journal of Advanced Nursing 65(12), 2719–2732. doi: 10.1111/j.1365-2648.2009.05157.x Abstract Title. The use of theory in qualitative approaches to research: application in end-of-life studies. Aim. This paper is a report of an analysis of the use of theory in qualitative approaches to research as exemplified in qualitative end-of-life studies. Background. Nurses researchers turn to theory to conceptualize research problems and guide investigations. However, researchers using qualitative approaches do not consistently articulate how theory has been applied, and no clear consensus exists regarding the appropriate application of theory in qualitative studies. A review of qualitative, end-of-life studies is used to illustrate application of theory to study design and findings. Data sources. A review of theoretical literature was carried out, focusing on definitions...
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...Accountable Care Organizations: Key to Transforming Healthcare? The Talia Goldsmith, MHA Candidate 2011 Suffolk University Sawyer Business School HLTH 890AE: Healthcare Strategic Management Professor Richard H. Gregg, M.A., M.B.A. April 28, 2011 Table of Contents Objective .....................................................................................................................................3 Introduction ..............................................................................................................................3 Overview of ACOs as a Mandate and an Opportunity for Healthcare Organizations............................................................................................................................4 Examples of Missions, Visions, Values and Goals for ACOs........................................6 Mission ................................................................................................................................................. 6 Vision ....................
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...framework for practice Joe Smith University of Mine Praxis, a framework for practice Differentiating between praxis and practice is important for an advance nurse practitioner. Practice pertains to doing words of a nurse practitioner (NP), while, praxis relates to NP’s theoretical establishment. Taking time to reflect on personal believes, creates a moment for an advance practice nurse (APN) to realize, and understand the need for providing patient care, with up to date knowledge. The paper aims to discuss; the overview of nursing praxis and its benefits, overview of the APN, Empiricism influences on practice, comfort theory (CT) influences, deontology influences and utilization of the praxis in practice. Praxis Overview Merriam-Webster Dictionary (nd) defines praxis as first originating from Medieval Greek, and means doing, performing or practicing a skill, art or science. Chinn and Kramer (2011), explains praxis as a freedom of knowing that makes one reach a full potential, and optimal well-being. Praxis is different from one nurse to another. Nurse expertize develops overtime, through ongoing knowledge, critical thinking skills, and how one perceive the situation. Experience encourages self-motivation and promotes change (Chinn & Kramer, 2011). APN’s encounter with each patient is different, unique, and requires self-reflection of the encounter. With the current changes in patient care needs, praxis should be geared towards the APN area of practice (Masters, 2011)...
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...National Human Resource Standard Competencies Framework & Body of Knowledge PEMBANGUNAN SUMBER MANUSIA BERHAD 2014 0 TABLE OF CONTENTS TABLE OF CONTENTS ....................................................................................................................... 1 THE STANDARDS ~ AT A GLANCE ................................................................................................... 2 THE FIVE DIMENSIONS ..................................................................................................................... 3 THE THREE LEVELS OF HR PROFESSIONALS ............................................................................... 4 HR COMPETENCIES .......................................................................................................................... 6 HR CORE COMPETENCIES ............................................................................................................... 7 HR FUNCTIONAL COMPETENCIES .................................................................................................. 8 HR COMPETENCIES FRAMEWORK.................................................................................................. 9 HR COMPETENCY LEVELS ACCORDING TO DIMENSIONS......................................................... 10 HR BODY OF KNOWLEDGE............................................................................................................. 19 CONCLUSION .....................................
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...David L. Gettis Marketing Management Marketing Plan Week 7 Keller Graduate School of Management Larry Kennedy- Professor December 14, 2011 Advanced Support Solutions Inc. Table of Contents Introduction………………………………………………………………………….3 2.0 Situation Analysis…………………………………………………………………3 2.1 Market Summary…………………………………………………………………..3 2.2 SWOT Analysis……………………………………………………………………4 2.3 Competition………………………………………………………………………..5 2.4 Product (Service) Offering…………………………………………………………6 2.5 Keys to Success…………………………………………………………………….7 2.6 Critical Issues………………………………………………………………………7 3.0 Marketing Strategy…………………………………………………………………8 3.1 Mission………………………………………………………………………………9 3.2 Marketing Objectives……………………………………………………………….9 3.3 Financial Objectives……………………………………………………………….10 3.4 Target Markets…………………………………………………………………….11 3.5 Positioning…………………………………………………………………………12 3.6 Strategies………………………………………………………………………… 12 3.7 Marketing Mix……………………………………………………………………13 3.8 Marketing Research……………………………………………………………….14 4.0 Controls……………………………………………………………………………15 4.1 Implementation…………………………………………………………………….16 4.2 Marketing Organization……………………………………………………………..17 4.3 Contingency Planning………………………………………………………………..17 5.0 Conclusion…………………………………………………………………………..18 Works Cited…………………………………………………………………………….19 Advanced Support Solutions Inc. will be created as a C Corporation based in Jacksonville, Florida, owned by its principal investors and principal operators. The main office...
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...Professional Nursing Practice April 14, 2014 Sharon Little-Stoetzel University of Phoenix Material Questions for Critical Thinking Caps Worksheet Read the description of the six caps and the “Case Study for Six Caps” on p. 175 of Professional Nursing. Answer the following questions individually. Then, discuss your answers in your Learning Team forum online. After you have discussed each question and achieved a consensus, compile a group response, which will be submitted as a Learning Team assignment. White cap: What pieces of information are needed to assist the family in making a decision regarding Marianne’s care? The information provided explains that Marianne, 79, was admitted to the emergency department yesterday with a sever headache. She became unresponsive and a CT scan of her brain revealed she had a hemorrhagic stroke. Her pupils are dilated and unresponsive to light. She is breathing only with a respirator. The piece of information to assist the family in decision-making is the fact that her pupils are dilated and she is unresponsive breathing only with a respirator device. The surgeon cannot guarantee quality of life even with the clot removed (Black, p. 175, 2010). We know that Marianne’s children and husband are involved in the decision making regarding her care and have differing opinions on what medical measures should be done. Her doctor wants to perform surgery but not much information on her quality of life post-surgery is available...
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...Dana Agovino WGU A. Explain the difference between a regulatory agency and a professional nursing organization as it pertains to your professional nursing practice. A regulatory agency would best be described using the example of the State Board of Nursing, which regulates the standards of nursing practice by providing policies or laws to ensure safe practice within a scope. The State Board of Nursing provides and enforces these policies to protect society from unsafe practice and unqualified practitioners. It is this agency that qualifies a nurse to sit for the state board examination which entitles a nurse to practice in his or her state. This regulatory agency also has the authority to discipline nurses who violate the standard of practice and even revoke the license. A professional nursing organization such as the ANA or American Nurses Association is a voluntary joined organization that provides nurses with information regarding current nursing policies and continuing education opportunities. This organization promotes unity in nursing and strives to keep nurses informed of changing standards of practice in the field. As a member of the ANA, I feel that I am more educated and prepared for the future of nursing. The state board of nursing issued my license over twenty years ago and is the regulatory agency that qualifies me to practice. I am monitored and expected to abide by the laws of the state board of nursing in order to practice as a registered nurse...
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...Today’s Physical Therapist: A Comprehensive Review of a 21st-Century Health Care Profession Prepared by the American Physical Therapy Association January 2011 Foreword The American Physical Therapy Association (APTA) created Today’s Physical Therapist: A Comprehensive Review of a 21st-Century Health Care Profession to provide accurate information for government entities and the public about the history, role, educational preparation, laws governing practice, standards of practice, evidence base of the profession, payment for physical therapy services, and workforce issues unique to the physical therapy profession. As government, private health care entities, and provider groups pursue solutions to the considerable health care provision challenges the United States faces, it is imperative that accurate information about the qualifications and roles of specific providers, in this case physical therapists, be available to inform all entities as they engage in these discussions. APTA is the national professional association representing more than 77,000 physical therapists, physical therapist assistants, and students nationwide. The association acknowledges and thanks the Federation of State Boards of Physical Therapy, the national organization representing 51 boards of physical therapy licensure, for input and assistance with this document. © 2011 American Physical Therapy Association. All rights reserved. i | American Physical Therapy Association Table of Contents ...
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...os St. Catherine Specialty Hospital Designing the Future of IP-based Healthcare Data Networks _________________ Project Charter Document with Scope Table of Contents A. General Project Information Page 3. B. Project Objectives -Project Mission Statement -Business Case -Problem Statement -Goal Statement -Definition of Terms Target Project Goals Page 4. Acceptance to Terms of Deliverables Key Project Directives Page 5. C. Project Assumptions Page 6. Telecommunication Location Specification Page 8. Telecommunication Room Specifications Telecommunication Power Requirements Additional Network Requirements Page 9. Project Deliverables Page 12. D. Project Scope Page 14. ScopeAgenda Fulfilling IP Convergence Requirements Network Verification Requirements Page 16. Work Area Designations Infectious Control Requirements Page 17. Cable Run Specifications Page 18. Scope Exclusions Page 20. E. Project Milestones Page 21. F. Impact Statement Page 22. G. Roles & Responsibilities Page 23. H. Resources Page 24. I. Project Risks Page 25. J. Success Measurements Page 26. K. Project Participant Signatures Page 27. A. - General Information Project Title: | St. Catherine Specialty Hospital - Network and Data Infrastructure | Brief Project Description: | New hospital...
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...effective, quality primary care services to all ages and populations. As a testament to their commitment and excellence nurse practitioners are being chosen as provider of choice by millions of Americans. Becoming a skilled provider is a dynamic process that occurs over time. Effective role development is essential in becoming a dynamic, compassionate, and knowledgeable clinician. Political Perspective Not all threats to our nation derive from foreign enemies. Our nation suffers within our own borders due to chronic illnesses, rising medical costs, wasted resources, poor coordination of care, and a lack of nationalized healthcare. “America’s health care system is in crisis: It is a ‘sick care’ system, not a health care system” (Blumenthal, 2012). The current healthcare system is fragmented, mismanaged, and poorly financed. Americans receive healthcare insurance through various means, such as government run programs, like Medicare and Medicaid, privately through their employer, private pay, or the purchase through an open market. Regardless of the many healthcare options the United States has to offer, 14.7% of the population remains uninsured (Shi & Singh, 2015, p. 199). “The existence of multiple payers makes the system cumbersome” and poses a billing and collection nightmare for healthcare providers (Shi & Singh, 2015, p. 9). According to the CDC (2011) our total national health expenditures reached $2.7 trillion. Millions of that estimate are wasted annually...
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...Successful Aging (Flood, 2005) was developed to addresses a nursing theory for care of the older adult regarding to the lack of nursing theory that offers clearly delineated guidelines for care of aging. Flood’s(2002) unique definition of successful aging among other explanations includes mental, physical, and spiritual elements of the aging person and emphasizing the individual's self appraisal. She used existing knowledge derived deductively from the Roy adaptation model, one of the most widely accepted nursing theory model, and integrated these ideas with Tornstam's sociological theory of gerotranscendence and literature related to the concept of successful aging to comprise the foundation of the theory (Flood, 2005). The author adequately explains the specific nursing actions that constitute these attributes. Clarity: The attributes of the theory and the model (Flood, 2005) clearly defines the major concepts relevant to successful aging. Flood provides examples of person with cancer that would exemplify the attribute although the physical health is not stated in the assumptions. In addition, there are no ambiguous statements, nor abstract or complex language employed. Nurses can readily understand the language used in the theory. Moreover, guidelines for interventions to help not only for nurses but caregivers to care for elders are provided for a completely understanding. Consistency: Flood’s views of aging and definitions of successful aging addresses the definitions’ consistency...
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...limitations in traditional health care delivery; 7. an increasing emphasis on transparency and accountability, 8. evidence based practice (EBP) and clinical governance structures; and 9. the increasing cultural diversity of the community. These challenges provoke discussion of the necessity of developing services around a model of care. What do we mean by a model of care? Ambiguity exists in the literature, with the terms, model of care, nursing model, philosophy, paradigm, framework and theory often used interchangeably, despite referring to diverse, yet parallel concepts (Tierney 1998). In their recent review of the literature, the Queensland Government (Australia) reported that they found no consistent definition of ‘model of care’ (Queensland Health 2000). They concluded that a model of care is a multidimensional concept that defines the way in which health care services are delivered (Queensland Health 2000). More specifically, Davidson and Elliott (2001) described a model of care as a conceptual tool that is ‘a standard or example for imitation or comparison, combining concepts, belief and intent that are related in some way’ (p. 121). They consider it to be critical that models of care should: * be evidence based and/or grounded in theoretical propositions; * be based upon assessment of client and health provider needs; *...
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...Health & Medical Informatics Review Article Raghupathi and Raghupathi, J Health Med Informat 2013, 4:3 http://dx.doi.org/10.4172/2157-7420.1000132 Open Access An Overview of Health Analytics Wullianallur Raghupathi1* and Viju Raghupathi2 1 2 Graduate School of Business, Fordham University, New York, NY, USA Finance and business management, Brooklyn College, City University of New York, Brooklyn, NY, USA Abstract Objectives: We examine the emerging health analytics field by describing the different health analytics and providing examples of various applications. Methods: The paper discusses different definitions of health analytics, describes the four stages of health analytics, its architectural framework, development methodology, and examples in public health. Results: The paper provides a broad overview of health analytics for researchers and practitioners. Conclusions: Health analytics is rapidly emerging as a key and distinct application of health information technology. The key objective of health analytics is to gain insight for making informed healthcare decisions. Keywords: Data warehousing; ETL; Descriptive analytics; Discovery Introduction analytics; Health analytics; Informed decision; Insight; Predictive analytics; Prescriptive analytics management, and preventive care. In one scenario, for example, the use of health analytics technologies can ensure that emergency room doctors are briefed and ready to treat patients prior to their arrival...
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