...Since the beginning of humanity, death has been a constant that every human being has faced and feared time and time again in war and in peace, young and old, man and woman. In all of that time the easing of passing has been a difficult job that fell on caretakers, physicians and more specifically hospice doctors, nurses, social workers and counselors. All of whom care for both the patients who must bear the knowledge that they are dying for as much as six months ahead of time and for their families and loved ones who are present throughout the whole process. Unfortunately, this branch of medicine, palliative medicine, is relatively new. Thus it is critical now more than ever that more funding and research are dedicated to its advancement and upkeep. The need for hospice care throughout...
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...practice problem A survey of the nursing literature shows that supporting medical nurse staffing guarantees quality nursing watch over patients and has been a progressing test for attendant directors and executives. Inability to guarantee adequate numbers and empathetic medical attendant staff has been shown to adversely affect tolerant fulfillment and results. The medical nurse staffing issue is not restricted just to guarantee sufficient quantities of staff that are being lost in the intense consideration settings because of workaholic behavior, burnout, sympathy exhaustion and wounds; the attendant staffing issue additionally incorporates the effect to patient consideration and to the nursing work power when empathy and caring is truant and the negative impacts this has on both the patient and the medical attendant. Customary systems for tending to medical nurse staffing issues with monetarily based enrollment and maintenance arrangements have not determined these issues; be that as it may, applying the theory of human caring to the issue of attendant staffing gives critical knowledge and arrangements that can help supervisors, executives and associations to enhance the conveyance of consideration, bolster medical attendants as a profitable asset and enhance tolerant results. The deficiency of qualified nursing experts is frequently connected with the interest for nursing staff. To be sure, medical attendants speak to clinics' biggest work cost, containing the single most...
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...akinesia or slow movement, and postural instability. According to the National Institutes of Health, about 500, 000 individuals in the United States suffer from Parkinson’s Disease, and it is estimated that males are more often affected than females. Parkinson’s disease has a large economic impact and directly affects medical costs, as well as the affecting the person financially, such as lost wages and decreased productivity. According to a recent interview with a client suffering from PD over the course of ten years, the disability directly impacted his personal life, financial status, and family members. The next discussion talks about how the patient learned about his disease and the personal impact it created at the beginning of the disease process until the peak onset later in his life. How the patient learned about his disease During the interview with the 65 year old male client, who was recently hospitalized for shortness of breath and worsening peripheral edema, the wife also gave a brief history on how the disease was discovered. The patient currently lives at home with his wife as the caretaker and the mother of two young adults. According to the recent studies, signs and symptoms typically begin between 40 and 70 years of...
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...Child abuse is a very common occurrence in society today, although some people may not be aware that the abuse occurs in the home where the bruises can be hidden behind clothes, makeup and lies. There are four different types of abuse, physical, sexual, emotional, and neglect, unfortunately many cases of abuse become fatalities. Emotional abuse includes acts or the failure to act by parents or caretakers of the child that have caused or could cause serious behavioral, cognitive, emotional or mental disorders (International Child Abuse Network-ICAN). This can include bizarre forms of punishment, such as confinement in a closet , belittling, rejecting, threatening, terrorizing, scapegoating or blaming the child. According to the National Child Abuse and Neglect Data System (NCANDS) 2.9% of child abuse fatalities were associated with emotional abuse. Sexual abuse is the inappropriate sexual behavior between an adult and a child. It includes fondling a child, making a child fondle an adult, intercourse, incest, rape, sodomy, and sexual exploitation. To be considered child abuse these acts have to be committed by a person responsible for the care of the child (baby sitter, parent, day care provider) or related to the child. According to NCANDS 0.3% of child abuse fatalities are due to sexual abuse. Physical abuse, is the infliction of physical injury upon the child. This can include burning, hitting, punching, shaking, kicking, beating, or otherwise hurting a child. ...
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...individuals no matter where or what they do. This discussion focused on the overlap of religion and medicine and whether they should even overlap at all. In my opinion, if you are a Christian or of another religion, that will govern how you do things and how you perceive what are the right decisions to make. It is evident that each person thinks differently from others and I believe that this is due to certain beliefs that are a part of that individual. Doctors have extremely important roles in society. They have actual lives in their hands meaning they must do all things that are in their power to keep a person alive. Regardless of how a person believes, a doctor or other medical professional should use all the knowledge and information they have to best treat a patient in need of care. In this case study, I believe that the doctor was doing all that he could to give the best care to his patient. After realizing the family’s opinions towards care there may be some controversy on the matter of how treatment should be given based on age, type of care, and religion. It is my understanding that the doctor wanted to provide care for the patient in order to keep her alive longer. The doctor did nothing wrong since he was following his healthcare pledge that he made when he became a...
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...not the case in all children. Many children undergo much abuse during their childhood. From the physical abuse, sexual abuse, emotional abuse, physical neglect, emotional neglect, to that of edcational neglect, child maltreatment not only affects the child’s childhood years, it affects the indivudual’s adult life as well. Child abuse comes in many different forms and types. The one we are most familiar with is that of physical abuse. Such abuse includes deliberate acts of violence that injure children. Verbal abuse, in forms of shouting, humiliation, threats, and severe put-downs are forms of emotional abuse. Such abuse lowers individual’s self-esteem and disrupts a healthy emotional development. Another type of child abuse would be that of sexual abuse. Sexual acts of any form on a young child are all examples of child maltreatment. For victims of sexual abuse the symptoms are even more severe. A child who is the victim of prolonged sexual abuse usually develops low self- esteem, a feeling of worthlessness and an abnormal perspective on sexuality. The child may become withdrawn and mistrustful of adults, and can become suicidal. Physical and emotional neglect are forms of child abuse that we might not be as familiar with. Such abuse involvve’s the parents failure to provide food, clothing, shelter, or medical assistance to a young child. Emotional neglect is shown with the lack of affection or comfort. Unaffection from the parents or caretakers lowers...
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...and our society. Officer often work really hard to promote a climate of security but we all have to help in the process of making a better world. One of the task that police officer have, in the prevention and intervention on child abuse and neglect cases. As wrong as it sounds there are plenty of people abusing of our kids in a day to day basis. This is been done by physical abuse, emotional abuse, sexual abuse and neglect, where in cases the child do not received the necessary help on time and we will encounter child death. Throughout our study we are going to see how our police enforcement received the required training to handle such cases, which differ from the traditional cases officer are used to work with. Child abuse consist on the physical, psychological and/or sexual mistreatment of children that affect their physical or emotional health and development. This mistreatment in any intentional physical injury such as hitting, pushing, spanking, beating, burning, and so on. Child abuse a happen to any child and in some cases their parents are the ones responsible for it. In our country, the most predominant of the abuses is neglect, which makes 55 percent of all the cases. This is due to the lack of food, clothes, medical care and supervision of the child. There are two types of courts that deals with child abuse. The first one is the criminal court system that put in trial defendants charged with child abuse and sentences those who are guilty of the accusation. The...
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...2014 Negative Side-Effects from Bariatric Surgery Attending a bariatric conference, Dr. Bartels, a bariatric doctor and lawyer at Bartels Medical Associates, PLLC, once told me that, “Surgery shouldn't be someone's first option into losing weight, unless the individual is morbidly obese and the only viable choice is a surgical intervention.” He also stated that, “Some people are born with an abnormally large heart, and they need a smaller heart to make them better. If people were born with an abnormally large stomach, then I would see the need for needing a smaller stomach.” Bariatric surgery has grown in popularity over the last decade and shows no signs of slowing down anytime soon, especially since most healthcare insurances cover the procedures after meeting lax qualifications. Currently, the two most popular surgeries are roux-en-y gastric bypass (RYGB) and the adjustable gastric band (AGB). Even though these surgeries offer the same outcome, they do come with different post surgical side effects. Parents of obese children and adolescents are beginning to take notice of the benefits of bariatric surgery. With longterm studies of the surgeries still being performed, it is cautioned for pediatrics to utilize this form of treatment for obesity due to their ongoing need for growth and development. It's not just the longterm studies that should be of concern either, it's also the preoperative deficiencies that can become exacerbated after the surgery. Adolescents don't...
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...Elder Neglect and Abuse The latter years of a person's life have been called the "golden years" unfortunately the numbers of elders being abused are growing each year. Gray-Vickrey (2001) reports that neglect occurs in 49 percent of substantiated elder abuse cases, emotional abuse is found in 35 percent of cases, financial abuse is found in 30 percent of cases, and physical abuse or use of physical force is found in 25 percent of cases. The U.S. Department of Justice estimates more than half a million of our nation’s elders are mistreated each year, of course the numbers may be three times higher since few cases of abuse are reported or investigated (Axmaker, 2003). Experts estimate the number of older adults who are mistreated annually at more than two million (Swagerty, 1999, p.2804). A U.S. National Elder Abuse Incidence Study confirmed that reported elder abuse cases are only the "tip of the iceberg" (National Center on Elder Abuse, 2003). The study also shown that two-thirds of the offenders were adult children or spouses. Additionally, elders are being abused in nursing homes, hospitals, or other institutions; in one study, 36 percent of nursing home staff stated that they had witnessed at least one physical abuse incident with an elderly patient (Nelson, 2002). Clearly, elder mistreatment or abuse of the elderly is a growing social occurrence. Unfortunately, our elder population is considered to be easy targets because they are perceived to be fragile and defenseless...
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...spot these issues, create an anonymous hotline for elderly and/or their family members, and even a firm that conducts an investigation of the accused. I believe that this will eventually end this horrible thing from ever occurring again. This topic came from my grandma being abused while she was living in nursing homes. While visiting my grandmother I fell in love with the elderly, they are in my opinion the most interesting people, they are funny and I love to hear of their life stories. That is why I want to be a Geriatrician, a doctor who specializes in the care of the elderly. Recently in my health science class we sparsely went over what abuse was and that was it. That is how it is very often in medical and nursing school. This subject is treated as a minor part of the medical field, but more time should be spent educating future healthcare providers of this issue. The definition of abuse is to treat (a person or an animal) with cruelty or violence, especially regularly or repeatedly. And the definition of neglect is to fail to care for properly. This is happening very often in places that residents are supposed to feel safe. I interviewed John Kelly the owner/manager of Highland House assisted living in Highlands TX. Although he has a degree in computer sciences he received a certification in assisted living management. He fell in love with it and has been doing it since 1998. He stated that he is aware of abuse and neglect, and that in his training he went over it very...
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...any act or series of acts of commission or omission by a parent or other caregiver that results in harm, potential for harm, or threat of harm to a child. Most child abuse occurs in a child's home, with a smaller amount occurring in the organizations, schools or communities the child interacts with. There are four major categories of child abuse: neglect, physical abuse, psychological/emotional abuse and child sexual abuse. Different jurisdictions have developed their own definitions of what constitutes child abuse for the purposes of removing a child from his/her family and/or prosecuting a criminal charge. According to the Journal of Child Abuse and Neglect, child abuse is "any recent act or failure to act on the part of a parent or caretaker which results in death, serious physical or emotional harm, sexual abuse or exploitation, an act or failure to act which presents an imminent risk of serious harm". Causes Child abuse is a complex phenomenon with multiple causes. Understanding the causes of abuse is crucial to addressing the problem of child abuse. Parents who physically abuse their spouses are more likely than others to physically abuse their children. However, it is impossible to know whether marital strife is a cause of child abuse, or if both the marital strife and the abuse are caused by tendencies in the abuser. There are 3 different kinds/causes of abuse: • Parental Causes • Ecological Causes • Child Problems Parental...
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...establishment. As per Ingham-Broomfield, (2015) a desire of medical caretakers graduating is that they will get to be basic consumers of research. The reason for this paper is to fundamentally appraised a qualitative research article by Burhans and Alligod, (2010), which incorporates assessing each structures of exploration procedure beginning from title, author/s, abstract, introduction, methodology, findings, discussions and lastly conclusion. Basically evaluating articles permits one to sift through the low quality studies and recognize deceiving data (Gerrish & Lacey, 2006). Title: The title of this article is Quality of nursing care in the words of nurses. Here the title represents that the research is about the study of meaning of quality nursing care in the expressions of medical caretakers. Author/s: The writers of article ought to have the essential aptitudes to do the concentrate so their capabilities are leaned to guarantee their capacity for the study. In this article both the authors are from the university and have achieved their PHD. Linda Mass Burhans had done Phd RN CPHQ and she is a research expert. Martha Raile Alligood has done Phd RN ANEF and she is a content expert. Their qualification and professions relevant to the research study which will help to improve quality care and patient outcome. Abstract: Abstract is a smaller version of the article. It ought to have the capacity to answer why and how the study was led which is typically around two hundred words...
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...The Misuse of Antibiotics and Bacterial Resistance Samantha Onda Penn State Worthington Scranton Abstract The growing issue of bacterial resistance to antibiotics is growing more rapidly than anticipated. Numerous factors contribute to this growing issue and it creates a major concern for society today. The main factor in this growing issue is the continuous misuse and overuse of antibiotics. For example, people use them by prescribing antibiotics to themselves, even if they have acquired a viral infection. Furthermore, livestock is pumped full of antibiotics to promote growth and prevent infections. Moreover, bacteria have become smarter and evolved so that they are able to transmit the resistance to other bacteria. This is an important issue in today’s society because if antibiotics are continuously misused, they will no longer be affective. The world will go back to a time period when diseases, even something as simple as the common cold, killed mass numbers of people. From reading this paper, readers will learn that they need to properly educate themselves and others in our society to prevent complete resistance. Keywords: antibiotics, bacteria, resistance, misuse, educate The Misuse of Antibiotics and Bacterial Resistance Antibiotics have been used throughout centuries of medicine. An antibiotic is a medication used to treat infectious diseases. There are many different types of antibiotics, such as penicillin and tetracycline, that work differently to treat infections...
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...Oxford journals Impact of a community-based integrated management of childhood illnesses (IMCI) programme in Gegharkunik, Armenia Results The assessment confirmed the population's poor health status and limited knowledge and application of recommended child care practices. The campaign reached its target: at follow-up, 67% had seen media messages within the past month, 82% had received the IMCI informational booklet, and 30% had seen other materials. Evidence of the success of the programme included the following: exclusive breastfeeding increased 31.4%, maternal knowledge of child illness signs increased 30%, knowledge of HIV increased 28.5%, and physician attended deliveries increased 15%. Conclusions This evaluation documented the significant and substantial impact of the community IMCI programme on both knowledge and practice in rural areas of Armenia. Consideration should be given to continuing and expanding this project as a complement to health sector development activities in this region. Impact of a community-based integrated management of childhood illnesses (IMCI) programme in Gegharkunik, Armenia 1. Michael E Thompson1,* and 2. Tsovinar L Harutyunyan2 +Author Affiliations 1. 1 Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC, USA. 2. 2 Center for Health Services Research and Development, American University of Armenia, Yerevan, Armenia. 1. * Corresponding author. Department of Public...
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...mental health and substance abuse services, case management, and limited housing services for people experiencing serious mental illnesses. On February 2009 Congress passed the American Recovery and Reinvestment Act, which gave $1.5 billiion for homelessness prevention and rehousing. Programs Not many homeless programs focus on mentally ill people except perhaps the mental houses. Most programs do not focus on the mentally ill homeless people because they are uncommon. Some programs may not of even heard of such a thing. Those who do house the mentally ill include the Mental House American of Los Angeles and the Substance Abuse and Mental Health Services Administration. The Mental House American of Los Angeles first founded in 1924 in one of Los Angeles’ biggest mentally ill organizations. They have been dedicating themselves for over 80 years helping people with mental illness get back on their feet. They have also been helping veterans who are homeless or at risk of being...
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