...use were fully known. If Jerry gets the heart, his chances of living another 10-15 years are very high. The second is a 12 year old girl named Lisa. She is the only child in the family, and they cannot bear more children. She reads voraciously and yet likes playing with her Barbie Dolls. Lisa has suffered health issues all her life due to various viral infections and a lupus-like immune deficiency. Her heart was damaged during a nasty bout with pneumonia last year and actually stopped for a brief period. Even with a transplant, her chances of surviving into her 20’s are not good. Finally we have a 38 year old male named Ozzy who is homeless and a former crack cocaine abuser. His heart condition is due to continued abuse and overdosing of crack cocaine and without a transplant he will not live out the month. Ozzy has no family and has lived homeless and in shelters for at least 10 years. He was brought to the Hospital through the work of a local charity that assists such men...
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...evidence-based research and patient care. Quality improvement based statistics are done by using software such as IBM SPSS Statistics. Continuous quality improvement plans involve patient and staff satisfaction and safety protocols (such as the use of restraints and number of patient falls). Statistics are also used to determine how many cases of particular diseases there are in the hospital, to estimate incidence and prevalence and number of deaths in the hospital. Each unit is thorough with evaluating outcomes by performing a pre-test, audit on the charts, and a post-test along with another audit. Statistics Used Descriptive statistics are used in the workplace to describe and share specific data to get information, but not draw any conclusions. According to Bennett, Briggs, and Triola (2009), "descriptive statistics deals with describing raw data in the form of graphics and sample statistics" (p. 7). Some examples of descriptive study currently in place in a variety of areas are emergency room wait times, the number of homeless veterans being cared for and numbers of readmissions in the hospital. Wait times for the emergency room are averaged through the computer system from the time the patient checks into the time the patient is seen. The information collected is the age and ethnicity of the individual, and the amount of time spent waiting for care. This information is used within the hospital in improve patient care and patient satisfaction. Homeless Veterans are an immensely...
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...Objective: Certified Patient Care Technician with various other training certificates in the field of medical patient care seeking to join a new environment and contribute my expertise in health care administration. My goal is to alleviate discomfort that the patient feels due to their limited health condition.To utilize my experience in the field for a position with greater responsibilities in patient care. PROFILE SUMMARY An enthusiastic fresher with highly motivated and leadership skills SUMMARY OF SKILLS: Patient care technician with experience, possessing expertise in the following areas: Extensive knowledge of working with patients with myriad health conditions and needs Excellent interpersonal skills that include empathy and patience Ability to function efficiently in a team as well as individually without supervision Capable of handling patient handling equipment needed to lift, transfer, and reposition patients Proficient in the use of Microsoft Office and the Internet Patient Care Technician Obtaining 12 lead electrocardiograms Performing venipuncture for blood collections Performing vision and hearing test Performing finger stick glucose testing, Naso-pharyngeal suctioning, skin care and post mortem care Providing one to one monitoring Assisting in applying patient restraints Experienced with adults/youths conflict resolution in a residential environment Experienced working with homeless patients that abuse substances...
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...Application of Community Health & Population-Focused Nursing Western Governors University Introduction This paper is about an epidemic outbreak of tuberculosis in Haiti after January 2010’s 7.0-magnitude earthquake, which killed and injured about 600,000 people and left about 1.5 million displaced. This disease will be described; involved risk factors will be discussed. The following topics will also be discussed: how the outbreak could affect the community, reporting protocol if the outbreak were to occur. A plan on how to report about the outbreak to stakeholders in the community will also be discussed as well as strategies recommendation to prevent the outbreak in the community. A1. Description of disease Tuberculosis is a disease caused by a bacterium called Mycobacterium tuberculosis. The bacteria usually attack the lungs, but TB bacteria can attack any part of the body such as the kidney, spine, and brain. If not treated properly, TB disease can be fatal curable and preventable. The symptoms may include bad cough that lasts 3 weeks or longer, chest pain, coughing up blood or sputum, weakness or fatigue, weight loss, no appetite, chills, fever and sweating at night (Population reference Bureau, 2010). A situation where there are more Tuberculosis cases than expected within a population during a particular period of time and there is evidence of recent cases is called a TB outbreak (CDC, 2012) * A.2 Epidemiological determinants If there is a health...
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...IRB Law Questions 1. Which of the following studies is linked most directly to the establishment of the National Research Act in 1974 and ultimately to the Belmont Report and Federal regulations for human subject protection? The Public Health Service Tuskegee Study of Untreated Syphilis in the Negro Male. 2. The Belmont principle of beneficence requires that: Potential benefits justify the risks of harm. 3. Humphreys collecting data for the Tearoom Trade study under the pretense that he was a lookout is an example of a violation of the principle of: Respect for persons. 4. According to the Belmont Report, the moral requirement that there be fair outcomes in the selection of research subjects, expresses the principle of: Justice. 5. Which of the following is an example of how the principle of beneficence is applied to a study involving human subjects? Ensuring that risks are reasonable in relationship to anticipated benefits. 1. Which of the following are the three principles discussed in the Belmont Report? Respect for Persons, Beneficence, Justice. 2. Which of the following is an example of how the Principle of Beneficence can be applied to a study employing human subjects? Determining that the study has a maximization of benefits and a minimization of risks. 3. All of the following are true regarding the Belmont Report, EXCEPT: The Belmont Report defines and delineates the differences between "Practice" and "Research". The Belmont...
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...Services Administration, United States Department of Health and Human Services, to the National Health Care for the Homeless Council, Inc., and its subsidiary, the Health Care for the Homeless Clinicians’ Network. The views presented in this paper are those of the author and do not necessarily represent those of the United States government or of the National Health Care for the Homeless Council. Nothing in this paper should be construed as providing authoritative guidelines for the practice of medicine or for treatment of medical conditions. This paper may be reproduced in whole or in part with appropriate recognition to the author, John Y. Song, MD, and the publisher, the Health Care for the Homeless Clinicians’ Network, National Health Care for the Homeless Council, Inc. Second Printing February, 2000 National Health Care for the Homeless Council Health Care for the Homeless Clinicians’ Network Post Office Box 60427 Nashville TN 37206-0427 Phone 615/226-2292 Fax 615/226-1656 council@nhchc.org or network@nhchc.org http://www.nhchc.org i PREFACE HIV/AIDS and homelessness are twin plagues that take a staggering toll. Each condition complicates the other, and lives hang in the balance as health care providers and their patients try to sort through the complications and assure critical services. This paper is dedicated to the improvement of HIV/AIDS care for homeless people, and to the end of both of these plagues. In considering HIV/AIDS and...
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...nursing are ‘necessary for achieving mastery in the discipline’. I believe that implementing those four patterns of knowing into daily nursing care is vital in order to provide best quality care for each patient. Nursing care should be implemented in flexible, thoughtful manner and should be carefully executed in unique situation with unique patients. Empirical Way of Knowing Empirical way of thinking is defined in article as a ‘factual, descriptive…exemplary, discursively formulated and publically verifiable which is ultimately aimed at developing abstract and theoretical explanation’ (Carper: 15). This way of thinking is executed using Evidence Based Practice. I have been a nurse for the past 10 years and I believe that empirical way of knowing is most familiar to me. For example, my facility is using Congestive Heart Failure protocol (policy created by facility based on clinical practice guidelines CPG) for patients admitted to hospital with either new onset of CHF or exacerbation of the disease. Each patient with CHF has comprehensive assessments, symptoms management, appropriate use of medications (ACE inhibitors), daily weight monitoring, resident and family education throughout the hospital stay. This is achieved by using multidisciplinary approach for patient care and by following Evidence Based Practice. Personal Way of Knowing Personal way of knowing is probably easiest for me to understand. As quoted in article this...
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...syphilis study b) Nazi medical experiments c) Jewish chronic disease study d) Obedience to authority study (Milgram study) 160) IRB continuing review of an approved protocol must: a) Must occur only when the level of risk changes. b) Occur at least annually. c) Must be conducted by a convened IRB. d) Include copies of all signed consent forms. 161) A subject in a clinical research trial experiences a serious, unanticipated adverse drug experience. How should the investigator proceed after the discovery of the adverse event occurrence? a) Report the adverse drug experience to the IRB only if there are several other occurrences. b) Report the adverse drug experience as part of the continuing review report. c) Do not report the adverse drug experience to the IRB since it is a common adverse experience. d) Report the adverse drug experience immediately to the IRB using the forms or the mechanism provided by the institution. 162) How long is an investigator required to keep consent documents, IRB correspondence, and research records? a) As long as the investigator is at that institution b) Until the IRB gives permission for them to be destroyed c) Until the study is closed d) For a minimum of three years after completion of the study 163) Amendments involving changes to IRB approved protocols do NOT need prior IRB approval if: a) They are eligible for review using expedited procedures. b) They only involve changes to the consent form. c) The changes must...
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...Professional Roles & Values Project This is an examination of the professional roles of the author, highlighting the thoughts, processes, nursing concepts, and theories of his nursing practice. We will examine here some of the concepts necessary for the professional practice of nursing, together with examples and implementation from the author’s practice. These will combine to show the Professional Nursing Mission Statement of the author. In reading this paper, please understand that author practices nursing in several different types of clinical settings. . Functional Differences Between Regulatory Agencies and Professional Organizations The author currently practices nursing in the state of California. Registered Nursing in the State of California is governed by the California Board of Registered Nursing (BRN). The Board of Registered Nursing is a division of the Division of Consumer Affairs. By its own definition the BRN “ protects and advocates for the health and safety of the public by ensuring the highest quality registered nurses in the state of California.”(State of California) Registered nursing is authorized and regulated by title 16 of the California Code of Regulations.(State of California ) This section of the code is also known as the California Nursing Practice Act. The responsibilities of the California Board of Nursing include, but are not limited to: setting educational standards, approving California nursing programs, evaluating licensure applications...
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...Aristocratic Upbringing British royalty Princess Diana Spencer was born on July 1, 1961, near Sandringham, England. Diana, Princess of Wales, was one of the most adored members of the British royal family. Daughter of Edward John Spencer, Viscount Althorp, and Frances Ruth Burke Roche. Her parents divorced when Diana was young, and her father won custody of her and her siblings. Educated first at Riddlesworth Hall and then went to boarding school at West Heath School. She became Lady Diana Spencer after her father inherited the title of Earl Spencer in 1975. Known for her shyness growing up, she did show an interest in music and dancing. Diana also had a great fondness for children. After attending finishing school at the Institut Alpin Videmanette in Switzerland, she moved to London. She began working with children, eventually becoming a kindergarten teacher at the Young England School. Diana was no stranger to the British royal family, having reportedly played with Prince Andrew and Prince Edward as a child while her family rented Park House, an estate owned by Queen Elizabeth II. In 1977, she became reacquainted with their older brother, Prince Charles, who was 13 years her senior. As the heir to the British throne, Prince Charles was usually the subject of media attention and his courtship of Diana was no exception. Garden-loving prince and the shy young woman with an interest in fashion and popular culture. When the couple married on July 29, 1981, the...
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...The implications of the Garling Report In order to provide quality of patient care, delivering efficient care is important but also recognising the factors affecting patient care is also significantly important. By identifying the implications of the Garling Report (2008), it enables to recognise problems related with health care system and to have better understandings and abilities to effectively deal with the problems. Accordingly, there are also significant issues affecting mental health, which should be investigated. The major findings and recommendations of the Garling Report will be overviewed and also the nursing and workforce issues will be explored. Furthermore, drug and alcohol abuse and lack of resources will be explored and recommendation for a new Registered Nurse will be drawn. Garling Report (2008) indicates that New South Wales (NSW) public hospitals have one of the better health care systems in the developed world, because they have well-trained, skilled and dedicated doctors, nurses and clinical staffs. On the other hand, NSW health care systems are too often unable to cope with the increasing cost of treatment, sudden increase in patients, and the pressures on a skilled workforce (Garling Report, 2008). Notably, there is a serious shortage of workforce including medical, nursing, and allied health professionals (Garling Report, 2008). Furthermore, there are insufficient experienced clinical staffs who can supervise and guide inexperienced...
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...Take Home Final Examination Hamline University School of Law 2013 Spring Semester Exam Number __ __ __ __ __ Instructor : Course Title : Section : Format : Total Time for Exam : Total Number of Pages : Professor Thaddeus Pope Bioethics & Law Law 9558, Section 1 Take Home 72 hours 13 Pages Reference Materials Allowed Open Book (all reference materials allowed) Take-Home Exam Instructions 1. Please know your correct Spring 2013 exam number and include this number at the top of each page of your exam answer (for example, in a header). To locate your exam number, go to www.hamline.edu and follow the steps below. A graphic guide to locating your exam number is attached to these instructions. Click on Logins in the header. Go to Piperline Log in to the secure area Enter your Student ID and PIN Click Student Services Click Registration Click Student Detail Schedule Select the appropriate term from the drop down menu Exam Numbers are listed below Total Credit Hours at the top of the page 2. Confirm that you are using and have typed the correct exam number on your exam document. 3. You may download the exam from the course TWEN site any time after 12:01 a.m. on Monday, April 29, 2013. All exams must be submitted within 72 hours of download. But, in any case, all exams must be submitted by the end of the final exam period, i.e. by 11:59 p.m. on Monday, May 13, 2013. Therefore, you will want to download...
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...triangle, and finally discuss the role of community nurses in the prevention and treatment of the disease. Tuberculosis is a respiratory disease spread through the air. This is of course a simple definition and robs the disease of its true nature. In order to fully understand tuberculosis one must leverage the rules of communicable disease investigations. In that vein, tuberculosis is an infectious disease caused by mycobacterium, specifically mycobacterium tuberculosis. TB, as it is often referred, is indeed spread through infected sputum, carried through the air from a host to a new host. Once in the lungs, the bacteria become latent or active. Latent TB infection means the patient is not symptomatic, yet will test positive on skin test. The second route leads to active tuberculosis disease. A patient who has active tuberculosis disease will show a variety of symptoms including weakness, chills, loss of appetite, night sweats, and of course respiratory symptoms such as persistent cough of three weeks or more, bloody sputum, and chest pain (CDC). The World Health Organization reports the combined manifestations of TB infect approximately one third of the...
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...CIP Preparation Course Summer 2008 Project Lead: Susan Rose, Ph.D. Office for the Protection of Research Subjects Instructors: Darcy Spicer, Frances Richmond, Kathy Hurtado, Sandy Jean, Kristin Craun, Susan Rose, Peter Mestaz, Gordon Olacsi, Marlene Krammer HRA 7th Floor, Conference Room Weekly on Mondays from 4:30pm – 6:00pm From June 16, 2008 – August 18, 2008. Genora Baker, John Revilla, RoseAnn Fleming, Nasairah Carter, Marie Reyes, Scott Maul Location: When: Attendees: Course Objectives: The objective of this course is to provide IRB staff with the necessary tools, information, training, and support needed to prepare for and successfully pass the Certified IRB Professional (CIP) examination. Course Content Week 1 (6/16/08) Lecture Content and Speaker(s) Introduction, Overview, History, Common Terminology (Susan, Gordon, Peter) HHS/OHRP regulations, definitions, guidances (Kristin) FDA regulations & definitions, FDA/HHS similarities & differences, applicability (Kathy & Sandy) Reportables: Adverse Events, Unanticipated Problems Involving Risks to Subjects or Others (Darcy) HSPP/IRB Organizational & Administration International Research (Kristin, Sandy) Vulnerable Populations (Frances Richmond) Week 2 (6/23/08) Week 3 (6/30/08) Week 4 (7/7/08) Week 5 (7/14/08) Week 6 (7/21/08) Updated 6/19/08 1 of 2 Week 7 (7/28/08) Revisit FDA & OHRP ICH & GCP (Kathy & Kristin or Sandy) HIPAA, COI, State Law (Marlene) *Pre-post practice test, Q&A, CIP Discussion...
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...heart is weakened and unable to pump effectively to meet the body’s needs for nutrients or has lost adequate filling capacity. Clinical presentations of heart failure depends on which ventricles have failed to pump blood adequately; left ventricular failure, also known as congestive heart failure (CHF) is more common than right ventricular failure (McCance & Huether, 2014). The most common symptoms of heart failure are shortness of breath, fatigue, and peripheral edema. HF is not a disease, but rather a manifestation of a diseased heart. Large number of disorders can lead to heart failure, and with the aging population and many surviving primary cardiac events, it is no surprise that the most common reason for hospitalization in patients older than 65 years old is heart failure (McClintock, Mose, & Smith, 2014). Heart failure has become a major public health problem because it is the only cardiac condition that continues to increase in prevalence (McClintock, Mose, & Smith, 2014). Organizations such as American Heart Association (AHA), National Heart, Lung, and Blood Institute (NHLBI), and Heart Failure Society of America (HFSA) are helping raise awareness and are invaluable resources to the increasing heart failure population. Because heart failure affects so many Americans, it is important to discuss heart failure in its complexity and analyze the pathology...
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