...To become a Pediatrician, one has to graduate medical school and then complete a three years residency program in pediatrics. They must pass several exams given by the American Board of Pediatrics; and, if they want to remain certified then they must regularly meet the educational requirements (WebMD). About Pediatricians, they are medical doctors who are primarily known to help maintain children’s health problem such as “physical, behavioral, and mental health of children from birth to the age of 21” (WebMD). Their roles in family lives are very important; Pediatricians are educated to make a diagnosis and then treat children with minor health problems to serious illnesses. With that, they will be working closely with the child’s family through...
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...AFT Task 2 A1. Sentinel Event The Joint Commission’s definition of a sentinel event is “an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof. Serious injury specifically includes loss of limb or function. The phrase “or risk thereof” includes any process variation for which a recurrence would carry a significant chance of a serious adverse outcome.” (http://www.jointcommission.org). The Joint Commission list specific events that are considered reviewable. One of those events is the abduction of a patient On Thursday, September 24th, at approximately 12:30 p. m., a mother arrived to pick up her daughter from the hospital’s outpatient surgery department. The mother left 2 ½ hours earlier to run an errand. When the mother arrived, she was told that the child had been discharged. The child’s mother and father are divorced, and the mother has sole custody of the child. A “code pink” child abduction was called, and local law enforcement notified. The child was found unharmed thirty minutes later at the home of the child’s father. The mother brought the child to the hospital for outpatient surgery that was to take approximately 45 minutes with a period of recovery of one hour. The mother requested that the nurse call her on her phone should the child get out of surgery early, and she left her cell phone number with the nurse. After the mother left, the father came to visit the child. The nurse stated...
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...Hong Kong. 2. Violeta Lopez, PhD, is a Professor and Head of School, School of Nursing (NSW and ACT), Australian Catholic University, North Sydney, NSW, Australia. SUBMITTED DATE : January 25, 2007 ACCEPTED DATE FOR PUBLICATION : July 21, 2007 PUBLISHED DATE : April, 2008 JOURNAL : Journal for Specialists in Pediatric Nursing INTRODUCTION It can be observed today that nursing is a dynamic profession,both internally and externally due to constant change occurring in the profession. As a dynamic profession, nursing is responsive and is adapting to meets the needs of patients and the public.Nursing is a practice discipline, which is dependant upon a high level of professionalism,ethics and human values that demand for intellect, skills and a high sense of social responsibility.The knowledge and essential skill that increased dramatically make nurses leading and developing new services in health care delivery. Nurses roles and resposibilities will continue to change in line with the health reforms that are improving care for patients.Therefore, nurses need to be encouraged to integrate the best available evidence with clinical judgment and the current climate in health care requires nuses to be able to apply the best evidence, usually through using research in order to provide the most effective health care. EVIDENCE BASED PRACTICE Evidence- based practice(EBP) is currently seen as being central...
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...unpredictable with the symptoms that cause clinical distress and impairment in social setting and a work environment. Hypomania episode and Depressive Disorder fluctuate between Bipolar I and II disorders. Researcher has found that Bipolar Disorder is genetically connected at an early age. Diagnosis is very difficult to recognize at such an early age, because is connected to other illness such as medical diagnoses or ADHD. Bipolar disorder is highly unpredictable with students were missed diagnosed and never being treated for any bipolar symptoms that is associated ADHD. Medical research has found that 15% of patients suffer with Bipolar disorder, if not treated effectively results are very harmful to the patient. Introduction Bipolar disorder has many facets that are challenging to diagnose and the ability to implement a treatment plan in accordance to the patient...
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...PATIENT ASSESSMENT PROCESS * Scene size-up * Initial assessment * Focused history and physical exam * Detailed physical exam * Ongoing assessment A. SCENE SIZE-UP - how you prepare for a specific situation - includes dispatch information and must be combined with inspection of scene Helps identify: scene hazards, safety concerns, MOI, NOI and number of patients you may have, as well as additional resources BODY SUBSTANCE ISOLATION - Assumes all body fluids present a possible risk for infection Personal Protective Equipment (PPE) - Latex or vinyl gloves, Eye protection, Mask, Gown * Reduces your personal risk for injury or illness SCENE SAFETY Information provided by dispatch may help in determining potential hazards Potential Hazards - Oncoming traffic, Unstable surfaces, Leaking gasoline, Downed electrical lines, Potential for violence, Fire or smoke, Hazardous materials, Other dangers at crash or rescue scenes, Crime scenes Scene Safety 1. Park in a safe area - allows rapid access to your patient and your equipment (infront of the scene) 2. Speak with law enforcement first - ask to accompany you if the victim is a suspect in a crime 3. Do not enter until a professional rescuer has made the scene safe - Carefully evaluate scene & request specific help to manage the scene threats Professional Rescuer: law enforcement, firefighters, utility workers, hazardous materials crew * Remember that hazards do not need to be dramatic situations...
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...FNP Role Development Katy Lehigh Concordia University Wisconsin FNP Role Development For five decades nurse practitioners have been providing safe, 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 &...
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...leukemia, lymphoma, Hodgkin’s disease and myeloma, and improves the quality of life of patients and their families. Providing free information and support services, Leukemia and Lymphoma funds lifesaving blood cancer research around the world. | LEUKEMIA & LYMPHOMA SOCIETY TAWANDA BRYANT 11410 COUNTY ROAD 20 BOLIGEE, AL 35443 (205) 336-9851 tbryant3030@yahoo.com LEADERSHIP and ORGANIZATIONAL MAR12 SEC AA March 9, 2012 INSTRUCTOR: SHAROLYN HERGOTT LEUKEMIA & LYMPHOMA SOCIETY I have picked this organization because my best friend passed away last year with leukemia and I wanted to find out more on this disease and what I can do to help. Been passionate and concern about not only her health but the health of her kids, my research will show why it is important to me as well as others. Having a passion for helping other in any way I can is what I am going for. I also like the face that I can somewhat relate to their illness and pain they endure within their life. I would love to find a quicker cure for these diseases, but I know others are working on something better. Having someone close to you with any type of disease, not just leukemia or lymphoma is hard to take in and understand. Having the ability to communicate, have critical thinking, collaboration, and the ability to problem solve is what I aim for. What I do will reflect on others within the society as well as patients and families. Raising money to help families who can’t get the medication needed,...
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...Nurses: Objective Measures . . . . . . . . . . . . . . . . . . . . . . . . . Asthma Management Component 2: Environmental Control Measures. . . . . . . . . . . . . . . . Allergens . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Irritants . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Actions/Implications for Nurses: Environmental Control . . . . . . . . . . . . . . . . . . . . . . Asthma Management Component 3: Pharmacologic Therapy . . . . . . . . . . . . . . . . . . . . . . . Two Major Groups of Asthma Medications: Anti-inflammatory and Bronchodilator . . . . . . . . Step-Care for Chronic Asthma and Acute Asthma Episodes . . . . . . . . . . . . . . . . . . . . . . . . . . . Written Medication Plans for Patients— An Important Aid . . . . . . . . . . . . . . . . . . . . . . . . . . Recommendations for Exercise-Induced Asthma . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vi vii 1 3 3 3 4 4 4 6 6 6 7 7 7 8 8 8 9 9 ii Table of Contents...
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... and preventing disease. The word also refers to any drug used to treat an illness or injury. Physician or Doctor: Person trained and licensed to practice medicine; one who treats the entire body is a general practitioner (G.P.) . Surgery: medical specialty of cutting into, or performing operative procedures on the patient. A doctor who does this is a surgeon. Acupuncture: Method of curing illness or relieving pain by inserting needles into the body at certain points; originally developed by the Chinese. Epidemic: Contagious disease which spreads rapidly throughout large portions of the population. The bubonic plague is a famous example of an epidemic which ravaged Europe in the Middle Ages. Modem medical science has found means of preventing most epidemics. Skeleton: Bony framework of the body, including the spinal column, the rib cage, the skull, and the bones of the arms and legs. Anatomy: Science of the structure of organisms, including the human body; can be studied by dissecting, or cutting into organisms. Pharmacy: Store where medicines are sold, especially by prescription; also known as a drugstore or an apothecary. Licensed pharmacists prepare medications, selling certain 3 drugs only when they are prescribed by a physician. Disease: Pathological condition which causes abnormal body functions and presents certain symptoms or signs; can be caused by a germ, such as a bacterium or a virus. Drug: Substance used to treat illness. Antibiotics, such as penicillin...
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... * What is cultural competence? What is not? 1. It’s not cultural awareness, cultural sensibility. 2. According to the anthropologist, Williams Haviland: Cultural 3. According to the office of Minority Health, defined Cultural and linguistic ( Website: www.competence (http://minorityhealth.hhs.gov/) 4. Kate Berardo as Cultural Awareness is the foundation of communication. 5. Stephanie Quappe and Giovanna Cantatore( 2007). * Why is cultural competence important in the health field? 1. I’ am an immigrant (My experience) : I have seem poor quality of care 2. Personal experience as an interpreter. (Example). * The Benefit and the lack of cultural competence:(Negative & positive effects): 1. Zborowski, M. (1952). Cultural Components in Responses to Pain. Journal Of Social Issues, 8(4), 16-30. 2. Dr Elyse R. Pork PhD from, Massachusetts General Hospital/Harvard Medical School, Boston, MA, (2006) 3. http://xculture.org/why-cultural-competency 4. Used: Schwartz, M. C. (1978). Helping the worker with counter-transference. Social Work, 23(3), 204. 5. Cultural Competence in Psychosocial and Psychiatric Care: A Critical Perspective with Reference to Research and Clinical Experiences in California, US and in Germany. Social Work In Health Care, 39(3-4), 231-247. doi:10.1300/J010v39n03_ 6. Used:Easterby, L. M., Siebert, B., Woodfield, C. J., Holloway, K., Gilbert...
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...Shaping Parental Authority over Children’s Bodies ALICIA OUELLETTE* INTRODUCTION....................................................................................................... 956 I. SCULPTING, SHAPING, AND SIZING CHILDREN: FOCUS CASES.............................. 959 A. WESTERNIZING ASIAN EYES..................................................................... 960 B. HORMONES FOR STATURE ........................................................................ 961 C. LIPOSUCTION ON A TWELVE YEAR OLD.................................................... 963 D. GROWTH STUNTING ................................................................................. 964 II. THE LAW, MEDICINE, PARENTAL RIGHTS, AND CHILDREN’S BODIES ................. 966 A. BACKGROUND LAW ................................................................................. 966 B. APPLICATION IN SHAPING CASES .............................................................. 969 C. ROOM FOR REGULATION .......................................................................... 971 III. WHAT IS REALLY WRONG WITH MEDICAL AND SURGICAL SHAPING OF CHILDREN? ............................................................................................................ 973 A. THE NONSUBORDINATION PRINCIPLE AS A LIMIT ON INDIVIDUAL RIGHTS 974 B. CHILDREN AS PERSONS, PARENTAL RIGHTS ............................................. 977 C. MEDICAL AND SURGICAL SHAPING OF CHILDREN IS DIFFERENT ............... 981 IV. CONCERNING...
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...Emergency Medical Technician-Basic: National Standard Curriculum EMT-Basic: National Standard Curriculum Instructor's Course Guide ------------------------------------- EMT-BASIC: NATIONAL STANDARD CURRICULUM PROJECT DIRECTOR David J. Samuels, MBA System Director Samaritan AirEvac/Emergency Medical Services Samaritan Health System Phoenix, AZ CO-MEDICAL DIRECTORS Henry C. Bock, MD, FACEP Emergency Physician Methodist Hospital of Indiana, Inc. Indianapolis, IN Kimball I. Maull, MD, FACS Director R Adams Cowley Shock Trauma Center Baltimore, MD PRINCIPAL INVESTIGATOR Walt A. Stoy, Ph.D., EMT-P Director of Educational Programs Center for Emergency Medicine Research Assistant Professor of Medicine University of Pittsburgh School of Medicine Pittsburgh, PA Contract Number DTNH22-90-C-05189 -------------------------------------United States Department of Transportation National Highway Traffic Safety Administration EMT-Basic: National Standard Curriculum i EMT-Basic: National Standard Curriculum Instructor's Course Guide ------------------------------------- CURRICULUM DEVELOPMENT GROUP James Bothwell, EMT-P National Flight Paramedics Association William Brown, RN, NREMT-P National Registry of Emergency Medical Technicians Ricky Davidson International Association of Fire Chiefs Karla Holmes, RN National Council of State EMS Training Coordinators Richard Judd, Ph.D., EMSI National Association of Emergency Medical Technicians Kathryn Lewis, RN, Ph...
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...0 3 0 Electronic Health Records in the Physician Office CHAPTER OUTLINE Patient Flow in the Physician Practice Step 1. Pre-Visit: Appointment Scheduling and Information Collection Step 2. Patient Check-in and Payment Collection Step 3. Rooming and Measuring Vital Signs Patient Examination and Documentation Step 4. Patient Checkout Step 5. Post-Visit: Coding and Billing Post-Visit: Reviewing Test Results Coding and Reimbursement in Electronic Health Records Computer-Assisted Coding Clinical Tools in the Electronic Health Record Decision-Support Tools Tracking and Monitoring Patient Care Screening for Illness or Disease Identifying at-Risk Patients Managing Patients with Chronic Diseases Improving the Quality and Safety of Patient Care with Evidence-Based Guidelines E-Prescribing and Electronic Health Records Keeping Current with Electronic Drug Databases Increasing Prescription Safety Saving Time and Money LEARNING OUTCOMES After completing this chapter, you will be able to define key terms and: 1. 2. 3. 4. 5. 6. 7. 8. 9. List the five steps of the office visit workflow in a physician office. Discuss the advantages of pre-visit scheduling and information collection for patients and office staff. Describe the process of electronic check-in. Explain how electronic health records make documenting patient exams more efficient. Explain what occurs during patient checkout. Explain what two events take place during the post-visit step of the visit workflow. Describe the advantages of computer-assisted...
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...Dear nutrition student, Thank you for inquiring about my RD/DTR study guide. And yes, there is no catch, the study guide is COMPLETELY FREE! All I ask for is some feedback. So feel free to shoot me any questions/comments! A little background: This study guide is the culmination of years of my own research. And after careful thought, I put into the study guide what I feel are the most important concepts you need to know for the RD/DTR exam. If you notice, I spent much time teaching you in detail the concepts you need to know, not just “spitting” you questions with little or no explanation. I believe this is important. I know you might be thinking “oh, how am I going to absorb and learn all this material?” I say, just read and answer the questions at your own pace. Simply test yourself and of course take some breaks along the way. Just take it one concept at a time. After you have mastered one concept, then move on to the next. I know if you study whole-heartedly what I have outlined in this study guide, you are sure to pass! GOOD LUCK! YOU CAN DO IT! ϑ Your nutrition friend, -Jonathan Brown, B.S, DTR THE “NO FLUFF” RD/DTR STUDY GUIDE *Updated as of July 2011 The “NO FLUFF” RD/DTR STUDY GUIDE Tips for taking the RD/DTR exam 1. PERIODICALLY CHECK THE CLOCK TO MAKE SURE YOU’RE GOOD ON TIME! If you wish, get a basic digital watch with a timer for...
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...The Relationship between Obesity and Poverty Obesity in the United States and similar societies is a socioeconomic problem. Obesity is defined as an abnormal or excessive fat accumulation that presents a risk to one’s health. The energy intake coming from food is stored as fat since the body does not use it. This ultimately impacts one’s physical health that many degenerative diseases are directly and indirectly linked to obesity. Throughout the history of obesity, its reputation varies from appreciation and the opposite among cultures over time. For instance, Ancient Egyptians are said to consider obesity as a disease, having been drawn in a wall of depicted illnesses. The Aztecs believed that obesity was supernatural, an affliction of the gods. Hippocrates, the father of medicine, was aware of sudden deaths being more common among obese men than lean ones as stated in his writings. In certain cultures and areas where food is scarce and poverty is prevalent, obesity is viewed as a symbol of wealth and social status. Throughout the history of obesity, the public’s view and status of obesity started to considerably change in the 1900’s. During this time the government started to become more involved by initiating campaigns against the problem and publishing ideal weights for various heights. In 1996, the Body Mass Index (BMI) was published, which was a statistical calculation and index to determine if a person is obese or not. In the 21st century, obesity is considered an epidemic...
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