...column and your editions in the right-hand column. You have an example. (30 pts) CAN MEDICATION CURE OBESITY IN CHILDREN? A Review of the Literature In March 2004, U.S. Surgeon General Richard Carmona called attention to a health problem in the United States that, until recently, we have overlooked: childhood obesity. Carmona highlighted that the “astounding” 15% child obesity rate constitutes an “epidemic.” Since the early ‘80s, that rate has “doubled in children and tripled in adolescents.” Now more than nine million children are classified as obese. While the traditional response to a medical epidemic is to hunt for a vaccine or a cure-all pill, childhood obesity has proven more elusive. Lacking success of recent initiatives suggests that medication mightn’t be the answer for the escalating problem. In this literature review, I will consider whether the use of medication is a promising approach for solving the childhood obesity problem by responding to the following questions: 1. What are the implications of childhood obesity? 2. Is medication effective at treating childhood obesity? 3. Is medication safe for children? 4. Is medication the best solution? Understanding the limitations of medical treatments for children highlights the complexity of the childhood obesity problem in the United States and underscores the need for physicians, advocacy groups, and policymakers to search for other solutions. What Are the Implications of Childhood...
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...Public Relations Review 34 (2008) 399–402 Contents lists available at ScienceDirect Public Relations Review Short communication Issues management and inoculation: Tylenol’s responsible dosing advertising Shari R. Veil ∗ , Michael L. Kent 1 Gaylord College of Journalism and Mass Communication, University of Oklahoma, 395 West Lindsey, Norman, OK 73019, United States a r t i c l e i n f o a b s t r a c t Issues management developed as a long-term process interested in the continued health and success of organizations. This essay presents a contemporary issues management case that uses inoculation and a priori solutions as issues management tactics. The case study involving Johnson & Johnson’s responsible dosing campaign demonstrates that organizations perceived to have a high standard of corporate social responsibility are not above using deceptive tactics to protect their brand. © 2008 Elsevier Inc. All rights reserved. Article history: Received 29 April 2008 Received in revised form 11 July 2008 Accepted 28 August 2008 Keywords: Issues management Corporate social responsibility Inoculation Crisis communication Public relations practitioners increasingly need to serve as ethical counselors to the dominant coalition (Health, 1994) and as the ethical conscience of the organization (Ryan & Martinson, 1983; Wright, 1996). Despite the role of issues management in guiding ethical decision making (Bowen, 2005), some communication campaigns have suspended...
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...Review of Literature Nancy D. Guerrero Grand Canyon University: NRS-429V Family-Centered Health Promotion March 31, 2013 Health promotion has been defined by the World Health Organization's (WHO) 2005 as "the process of enabling people to increase control over their health and its determinants, and thereby improve their health.” Health Promotion is focused on bringing awareness to the public in order to prevent an increase in disease. Health promotion can also give the individual the tools and teaching needed to live a healthier life style, therefore optimizing their level of health and decrease the incidence of disease. Health promotion is essential in the community, in schools and in the workplace. It brings very important information to the public, and sometimes lifesaving .interventions to certain individual. There are also other benefits to health promotion such as reducing health care costs. Individuals who choose healthier alternatives lower their chances of disease, which in turn can lower their health care costs. This is also beneficial in the work place, where employers can lower costs of health insurance. The purpose of health promotion in nursing practice is to not only providing patient teaching on their particular disease process, but to also be that frontline educator on preventive health practices to remain healthy. It is also important that health promotion be given at the bedside. As Nurses we are not just a care giver to our patients, we also play the...
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...significant part of their day. In this setting, Millichap (2010) recommends individualized attention by a support worker or education assistant, for example. The same type of techniques, rules and expectations should be transferred from the home setting to the school setting to assure consistency. Studies examining the success rate of this type of intervention show contradicting results. In a meta-review of nonpharmacological treatments for ADHD, Hodgson et al. (2014) found that behavior modification therapy as a treatment for ADHD showed a decrease in the children’s level of hyperactivity, inattention, and impulsivity, and showed an increase of self-control, classroom performance and sociability. However, Millichap’s (2010) challenges the previous results by claiming that behavioral modification interventions are in fact rarely successful on their own and should be paired with monitored doses of medication for better results. Further Exploration of the Topic The literature on this topic of ADHD treatment for children show many risk factors and adverse drug reactions associated to medications. However, as previously stated in this paper, these drugs, particularly psychostimulants, are the most prescribed class of drugs in school aged children. Why does such a larger number of psychiatrists and parents chose to treat children with ADHD with pharmaceutical rather than utilizing the safer treatment alternatives? Perhaps this can partially be explained by the lack of studies on the...
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...reduce the amount of these incidents. Though researchers have consistently found that traditional attacks are not largely motivated by and underlying mental disorder or condition, the same cannot be said of lone-wolf attacks. The presence of untreated mental illnesses and/or undiagnosed mental disorders allows for the progression of violence in these individuals and could lead to a potential catastrophe. An example of a mental illness causing a catastrophe would be the shooting in Newtown, Connecticut. Medical experts at Yale University had called for measures to help Adam Lanza, the offender, in the years prior to his attack at Sandy Hook Elementary School but nothing was ever accomplished. “Allowing ailments that are responsive to medication to go untreated and resisting other kinds of emotional support were missed chances for the parents to help their son.” Said by Dr. Julian Ford, an author of the report of the University of Connecticut’s Center for Trauma Recovery and Juvenile Justice. This incident, in which 20 students and 7 adults were shot...
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...individually. RECOVERY's mission is to spread the word that people can recover from Mental Health problems and to encourage capacity. RECOVERY is a user led service so many volunteers are survivors that have recovered from Mental Health problems. RECOVERY also campaigns against compulsion. They believe they are a lot of therapies that can help person with mental health problems such as art, jewellery making, creative writing, poetry, music and coping skills without forcing patients on medication instead they have a right of choice RECOVERY encourage people to talk about their experiences with mental health, we teach centering therapy and creative therapy, we blog, we learn and we try to remove the stigma. We go into the community and hospitals to act as advocates for and support people suffering from wellbeing issues. . RICAPP project reaches out into the community. It provides social inclusion and support with trained RECOVERY Support Workers for those in need. RICAPP’s (RECOVERY Independent Community Advocacy Personalisation Project) aim is to empower people to have capacity to choose the best outcomes for their Mental Health recovery RICAPP’s objectives are to visit survivors at their residence to enable their views and needs to be listened to and acted upon. RICAPP is limited to self-referral so allowing clients to be responsible for their own choice of action. RICAPP’s scope includes Leicester, Leicestershire and Rutland. RICAPP Advocates...
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...Nurse Driven Education for A Patient Diagnosed With Chronic Systolic Heart Failure Refusing Diagnostic and Interventional Procedures Heather Horsley Wilkes University School of Nursing Abstract Heart failure (HF) is a chronic progressive disease, arising from structural or functional disorders of the heart, in which incidence increases with age. This review attempts to describe the types and causes of HF while focusing on variable aspects of patient education that have a positive effect on patient outcome and quality of life. Specifically, the potential benefits of this education for a 55 year old male patient diagnosed by transthoracic echocardiogram with chronic systolic heart failure, who has refused physician deemed necessary diagnostic testing and treatment. Keywords: heart failure, nurse driven education, heart failure, self-care Nurse Driven Education for Patient Diagnosed With Chronic Systolic Heart Failure Refusing Diagnostic and Interventional Procedures Heart failure (HF) is a major health care concern affecting over 5.7 million people in the United States. It is responsible for 1 in 9 deaths and costs the nation over 32 billion in health care expenses each year (Center for Disease Control, 2013). HF is the most common reason for hospitalization of people older than age 65 (Hinkle and Cheever, 2014). According to Hinkle and Cheever, HF is a “clinical syndrome resulting from structural or functional cardiac disorders that impair the ability of the ventricles...
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...Competition Law & Pharmaceutical Industry Adithya Krishna Chintapanti About CENTAD Undertakes policy research and advocacy on issues related to trade and development, with a primary focus on South Asia. Centad’s work on access to medicines currently focuses on issues pertaining to access in India and aims to Secure a legal and policy environment to ensure access to medicines. Ensure transparency and accountability in public spending on drugs. Examine the impact of industry practices on access. Focus of the Presentation Bring to light anti-competitive practices prevalent in the pharmaceutical industry and healthcare sector. Indicate the approach proposed to be taken for executing the study and analyzing the data collected in pursuance thereof. Broad Scheme of Presentation Indian Pharmaceutical Industry a Snapshot Access to Medicines Situation in India Objectives of the Study Anti-competitive Practices Competition Act 2002 Regulation of Combinations Anti-competitive Agreements Abuse of Dominance Proposed Chapterisation Proposed Methodology 1. 2. 3. Indian Pharmaceutical Industry a Snapshot Net Worth 8 Billion Dollars Growth Rate of 8-9% PA. 4th in the World in terms of Volume of Drug Output Exports to nearly 212 countries @ USD 4795.33 million (2005-06) Has an important role to play in promoting public health and Right to Health. Highly technology and knowledge intensive. Indian Pharmaceutical Industry a Snapshot Industry growth highly dependent on...
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...Abstract Healthcare unlike many high-risk industries has made slow progress in improving patient’s safety. The role of nursing in improving medication safety has been largely underestimated. Much of the research undertaken to date in relation to adverse medication events has neglected the impact that nurses have or could have in improving patient safety. In examining literature regarding adverse medication events one can see the urgent need for significant improvement in medication practices and processes. In addition that this health care issue will only improve with the participation of all disciplines working towards a common goal of improving the safety of those in our care. Introduction Medications play a key role in healthcare but can also be a significant key cause of medical error and of adverse patient outcomes. Nurses by the nature of their roles in medication administration can be the last line of defense in eliminating or reducing adverse medication events. The administration of medication is a common and almost routine activity in a nurse’s daily work, yet it is fraught with complexity and risk for both the patient and nurse. As a student nurse working in partnership with a registered nurse I have observed a variety of practices in medication administration that have varied from what I have been taught in class. On reflecting on these practices and questioning nurses why such practice has been adopted has illustrated to me both the flawed processes and environment...
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...Chamberlain College of Nursing NR500 January 8, 2016 Evaluating a Website for Credibility Receiving healthcare information for professional nurses and their patients is an important topic in today’s society. The term “just Google it” is as common as drinking a cup of morning coffee. This paper will evaluate the website Healthfinder.gov. This is a government website that provides access to disease management and tools to keep healthy. The website can be found by accessing Google.com and typing healthfinder in the search or by entering the domain name http://healthfinger.gov in the search engine browser. This paper will examine if this is a credible website to use as a professional nurse for reference material. I chose this site to review based on the wide array of healthcare topics found on this site. Characteristics of a Credible Website A website with authority helps determine if a site is credible. The site Healthfinder.gov identifies itself as a site that provides the latest health news that is evidence based. The site launched April 15, 1997 with the backing of the US government. This sites authority can be found by looking in the “about us” section. Dr. Wright is listed as the Chief Medical Advisor. His credentials of being a physician and his title of Deputy Assistant Secretary at the US Department of Health and Human Services provides authority for this site. In addition the two coordinator for the site, Office of Disease Prevention and Health Promotion and...
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...to gain knowledge, to monitor performance, and to justify interventions” (IOM, 2014). Beginning in the latter half of the 20th century and continuing through present-day, patient health records have increased in use and function. A significant portion of patient records, treatment history, and medication data are still stored in paper format however, and full transition to digital formats is likely decades away, or may not be achieved for many more years to come. This text will examine the modern electronic health record (EHR), and how it impacts, and is impacted by, the U.S. healthcare industry in political, technical, and economical environments. The focus on how and why the transition process is occurring, and the challenges therein, will be prevalent throughout examination of the three environments. This is a subjective description, although not comprehensive exploration of factors surrounding the HER, and is not to be taken as criticism or advocacy of any component of U.S. health care policy and/or practices. In each of the environments described below, efforts have been made to provide considerable and timely data, as well as references to influential industry literature and legislation. However, due to the dynamic nature of policies and mandates, technologies, and financial forces, new information will emerge which can alter their respective environment, and the U.S. industry as a whole. Electronic Health Records Every aspect of a patient’s care ultimately...
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...requirements for the degree of Masters of Arts in Psychology Project Committee: Theopia Jackson, Ph.D. Date Abstract FAMILY PAMPHLET TO MINIMZE STIGMA FOR PERSONS LIVING WITH A SEVERE MENTAL ILLNESS R. Paul Johnson Saybrook University Individuals with mental illness have long experienced societal prejudice and discrimination, including among healthcare professionals. However, the stigma that comes from family and friends may have greater adverse impact. This project-reviewed literature on the stigmas associated with a diagnosis of a serious mental illness (SMI), as experienced by the person and family, as factors that may contribute to family/friends inadvertently perpetuating stigmas. Therefore this project integrates literature review findings and the author’s personal/professional experiences in the design of a pamphlet intended to be utilized by family and friends of persons living with SMI in order to minimize stigma and maximize advocacy. It is hoped that such a pamphlet will increase awareness and empathy, thereby countering some of the known barriers persons with SMI may experience across the life span. Acknowledgment I would first like to thank my family, especially my Mother, who has endured many stressful moments as a...
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...The Journey into Cultural Care and Diversity in Nursing: A Personal Framework I have had the opportunity to work in many different areas of nursing, and have learned a great deal regarding cultural care and diversity among patients and their families. I have used my past experiences in each different unit and healthcare facility to improve my communication and rapport with my patients and their families to improve the continuity of care. I have been exposed to patients from different countries, cultures, and religions on a daily basis. I believe that it is crucial for the nurse to build a trusting non-judgmental relationship with the patient and their families to show compassion. When caring for patients I listen to their concerns, decrease the stress levels and improve communication and recovery. As a nurse I must take in consideration the culture and religion in which they come from, and care for them appropriately to avoid upset and miscommunication. My goal and focus is to use holistic care to provide the patient with a successful recovery. My personal framework paper will be expressing my own personal journey as a bedside nurse and using my own personal beliefs, values, and philosophies related to caring for culturally diverse patients. Madeleine Leininger’s Cultural Care Diversity and Universality Theory, and the nursing metaparadigm will be discussed, and shown how it is incorporated into my daily nursing practice. Philosophy In McEwen and Wills (2011), Empiricism...
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...Why Are There So Many Deaths Caused By Medical Errors and What Solutions Can Decrease Them? Health Service Systems – HSM541 June 20 2015 Background Medical errors kill at least 44,000 people and perhaps as many as 98,000 people per year. Or do they kill over 180,000 per year? Maybe even 440,000 people killed by medical errors? Allen (2013) In 1999 the Institute of Medicine (IOM) published a report titled “To Err Is Human: Building A Safer Health System” that leveled the healthcare community. They reported that according to two studies “perhaps as many as 98,000 people die in hospitals each year as a result of medical errors that could have been prevented”. IOM (1999) Then the Office of Inspector General for Health and Human Services followed up with a report in 2010 that stated “bad hospital care contributed to the deaths of 180,000 patients in Medicare alone in a given year”. Allen (2013) And finally in 2013, the numbers were once again raised. Per a report from the Journal of Patient Safety that approximately “440,000 PAEs (preventable/potential adverse events) that contribute to the death of patients each year from care in hospitals. This is roughly one-sixth of all deaths that occur in the United States each year”. They are now the U.S.’s third leading cause of death, behind only heart disease and cancer. All of the numbers mentioned in the first paragraph are medical errors that were “preventable”. Mistakes by the people you put your trust in killed you...
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...JUSTICE AND DIVERSITY WORD COUNT 3846 Introduction The aim of this assignment is to consider whether mental health patients have autonomy or do staff and the healthcare environment merely allow them a measurable quantity of autonomy based on legal, ethical and moral restrictions, if this is the case, is this autonomy at all? Placement experiences will be given in relation to patient autonomy and related ethical, legal and professional issues will be supported and/ or contrasted by relevant literature. Patient autonomy and capacity, consent, compliance, coercion and paternalism with be considered. In an attempt to show a deeper understanding and ability to apply theory to practice, the moral theories of liberal individualism, utilitarianism, Kantianism and communitarianism will be discussed in relation to patient autonomy. Attitudes, values, assumptions related to patient autonomy, implications for practice and care provision will also be reviewed. This topic has been chosen, due to personal interest following practice experiences on an adult acute mental health unit. All identifying factors relating to the patients have been changed to maintain client confidentiality (Nursing and Midwifery Council’s (NMC) Code of Professional Conduct 2002). A conclusion will be offered to evaluate findings, finalising with a reflective summary focusing on the process of enquiry. Autonomy Autonomy means self rule (Dworkin 1988). It as the ability to think, choose and act freely and...
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