...Health Care Delivery Systems Ja*** Sta***** 04/12/2011 Health Care Delivery Systems Exam Paper The challenges faced in our most extreme healthcare facilities The Dialysis, Correctional, Mental Health, and Substance Abuse health care facilities are four very diverse settings in many ways. Yet in others they are similar. They represent many of the aspects of society that are orphaned, discarded, or swept under the rug, challenging both the caregiver and patient alike. Each represents an environment of extremes. Professionals must exercise the highest degree of vigilance in order to successfully provide patients with the care they need under the unique circumstances that each environment presents. In many ways each one of these facilities has a captive cliental with little or no choice but to be compliant or face dire consequences. In the dialysis setting compliance is enforced by the simple fact treatment is necessary to maintain their life. The correctional setting is harsh and restrictive with many imposed limitations, presenting the potential for serious health risk to inmate and care provider alike. The mental health facility is challenged by the lack of stability within the mind of the patient who is viewed as having “disordered thinking” presenting healthcare providers with the challenge of helping someone who is unable to follow orders or unwilling to even be treated. Substance abuse facilities have a patient base of substance dependent clients who present many...
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...Abstract The population of mental illness who seek treatment solely through a primary care physician raises question for concern. Many healthcare facilities and organizations are working on a plan to integrate diverse professions into one comprehensive medical model home to optimize effective patient-centered care outcomes. The goal is to reduce costs, expand the healthcare teams knowledge base while improving patient outcomes. How can the core competency of teamwork and collaboration impact the healthcare delivery system? How can we treat older adults that are more likely to seek and accept psychological services in primary care verses specialty mental health care settings? What are the challenges healthcare providers are facing that impede collaboration? There are many obstacles to face and barriers to cross before health care providers can work together more efficiently to achieve a higher level of teamwork and collaboration. Teamwork & Collaboration in Health Care Teamwork and collaboration among health care providers allows each profession to function competently within their own scope of practice as part of the interdisciplinary team to collaborate on shared goals, respect different views, communicate measureable processes for a positive effective outcome, and expand our knowledge base while providing patient-centered care. The IOM stated that: “An inter-disciplinary /inter-professional team is composed of members from different professions...
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...intervention regulated by Mental Health Act 1986 (New South Wales Government, 2012). In the light of advocate for the person’s rights, privacy, dignity or self-respect for individual with brain- affected illness the practice of seclusion is the current main concern of mental health. According to the prescribed article, this issue was raised again as a main focus of ACT forum reviewing on the achievement of seclusion reduction, the barriers of elimination of this practice and experts’ opinions regarding alternative interventions (Peake, 2013). The negative impact of this practice on health care providers and mental health service recipients has been acknowledged. However, seclusion receives wide support from health care providers, particularly nurses as a necessary behaviour management therapy (Happell & Koehn, 2010). Many efforts have been made to reduce the use of seclusion but elimination of the practice is still controversial. This essay will discuss the use of seclusion as an intervention of maintaining safety in psychiatric setting and the detrimental impact of the practice on the individuals involved and, at the same time examine on better alternative measures and the opportunities to eliminate the practising of the intervention in different mental health care settings. Aggression and violence that leads to the consequence of injury to self or other and damaging property are considered as destructive, challenging, behaviours in mental health setting, where zero violence...
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...regarding getting employed, it has rules that must be followed when the employee is working. So, if an individual feels that they are being treated differently because of their age, they are able to make a complaint against that staff member/colleague and/or sue them. A strength of the Age Discrimination act is that when employers are looking for new staff members, they will employ staff based on how suited they are to the job. Sometimes, when employers don’t think that someone of an older age will be the best for the job, this can be a mistake. In some cases, the applicant who is slightly older might be better for the job as it might mean that they have more skills to offer for the job. In a health and social care profession, looking after the service users is the main priority of any care professional. For this type of job, the amount of skill a person has is absolutely paramount. This act ensures that people will be employed...
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...PUEBLO COMMUNITY COLLEGE NURSING NUR 211 Psychiatric-Mental Health Nursing Supplemental Learning Guide Course Objectives * Relate the minimum requirements for the course. * Illustrate the use of competencies for learning. * Formulate own needs and responsibilities relative to meeting course competencies. * Relate course/clinical assignments and evaluation * Distinguish how the major concepts (see Nursing Student Handbook) of the program are affected by the variety of conditions and diseases within this course for all age groups. Outline A. Orientation to course 1. Course descriptions 2. Course outcomes/competencies 3. Textbooks B. Course Requirements 1. Student assignments and responsibilities 2. Minimum level of achievement 3. Evaluation tools C. Course/ Clinical Assignments and Evaluation D. Major Concepts 1. Caring 2. Clinical judgment, clinical reasoning, and nursing judgment 3. Clinical microsystem 4. Collaboration 5. Critical thinking 6. Cultural competence and Diversity 7. Ethics 8. Evidence-based care 9. Healthcare environment 10. Human flourishing 11. Informatics and Information management 12. Integrity 13. Knowledge, skills, and attitudes 14. Leadership 15. Nursing and Nursing Process 16. Nursing-sensitive indicators 17. Patient and Patient-centered care 18. Personal and Professional development 19. Professional identity ...
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...Leo Agbulos Current Mental Health Care Systems Health care is need around the world from the rich to the poor ranging from emergency services, general care, to vision, and even mental health. Mental health comes in many forms to accommodate a wide variety of mental health issue. Services are rendered in inpatient and outpatient setting, focusing on the patients needs and encouraging patients that can function in society. A care team of health care professionals are available to the patient along with the client’s families to reflect a fundamental change in the client’s attitude and behavior. Some Clients may not be able to afford to pay for these services so how can they receive treatment? Further developed countries offer mental health care coverage the some sort of insurance program private or as free to the community. Mental health is delivered in an outpatient and an inpatient care setting. People are admitted to an inpatient psychiatric care facility based upon need. The decision is based on the client’s severity of the problem, the level of dysfunction, willingness to cooperate, and ability to pay for treatment. Clients admitted will remain institutionalized for 24 hours a day focusing on therapeutic assistance providing safe and stable surroundings. The most important advantage is that inpatient care is it offers a place to focus in a safe and secure environment. Outpatient care is providing in the home environment. Here clients are more responsible for...
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...09/06/2012 The clinical practice of psychiatric nursing can occur within an inpatient or outpatient setting. Registered nurses work with individuals, families, groups, and communities; assessing mental health needs, developing diagnoses, plan, implement, and evaluate nursing care. They deal with nursing practices characterized by interventions that promote and foster health, assess dysfunction, assist clients to regain or improve their coping abilities, and prevent further disability. These interventions focus on psychiatric-mental health clients and include health promotion, preventative management, assisting client with self-care activities, administering and monitoring treatment regimens, health education including but not limited to psychoeducation crisis intervention, counseling and case management. This specialty of nursing is one that cares for people of all ages with mental illness or mental distress, such as; Schizophrenia, bipolar disorder, psychosis, depression, and dementia. In the inpatient setting, the patient population mainly consists of those patients who will benefit more from a structured, safe, and supervised environment with a direct care approach. The RN’s in the inpatient setting are not only involved in care planning, scheduling, and charting, they are constantly supervising, dealing with medication administration, and performing health checks. Outpatient services are provided to those individuals who may be better served by remaining in their home...
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...Unit 11 Task 2 In this essay I will be outlining key legislations and regulations which govern safeguarding adults work. Legislation is a law or set of laws suggested by a government. Regulations are rules that then have to be following that coincide with the regulations that are set. I will also be outlining working strategies and procedures used in health and social care to reduce the risk of abuse. Care Act 2014 Before the care act came into place people had different rights for different types of care. So the care act 2014 made it simpler. It ensures that service user’s personal budget was recognised by law to give more rights and prevent abuse. It helps reduce risk of service users suffer from financial abuse and from discriminatory abuse. They should protect adults at risk of all types of abuse. Equality Act 2010 The Equality Act 2010 legally protects people from discrimination in the workplace and in wider society. It replaced previous anti-discrimination laws with a single Act, making the law easier to understand and strengthening protection in some situations. It sets out the different ways in which it’s unlawful to treat someone. The equality act protects you from harassment which is when you are subjected to unwanted behaviour that makes you feel intimidated, humiliated, or degraded, or that creates a hostile environment, because of your age or another protected characteristic. For example, if a nurse repeatedly made jokes about your age, which were offensive...
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...Week Four INTRODUCTION The structure of the U.S. health care system is complex and fragmented. Navigating the system to achieve maximum health outcomes is challenging for most consumers. Two concepts designed to overcome barriers to quality health care are the continuum of care and continuity of care. The continuum of care refers to the variety of health care services across the life span. Continuity of care refers to provider and informational consistency within those services. Integrated delivery systems are health care delivery entities working together to promote continuity and coordination of care across the health care continuum. Continuum of Care The health care delivery components in the public and private sector health care systems provide services from preconception to death resulting in a lifetime continuum of health care services. Health services are available for every stage of life, health, and even death. Your texts organize the health services delivery system into primary, secondary, tertiary, long-term, and palliative care. Within that framework, health care delivery services can be categorized as ambulatory, acute, or long-term. Ambulatory care, such as visits to a physician's office, is defined as care that does not involve admission to an inpatient facility. Preventive care such as immunizations or screening, wellness exams, and other routine care are part of the ambulatory care domain. Medical and surgical procedures provided in outpatient...
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...11/2/2015 11/2/2015 Integration of Mental Health and Primary Care Integration of Mental Health and Primary Care Roberts, Jada LeTourneau University Roberts, Jada LeTourneau University Integration of Mental Health and Primary Care The nation’s mental health policy emphasizes the prevention of mental disorders. People with mental health issues are said to have access to quality care that helps advocate for recovery. Health is recognized as a condition of total physical, mental, and social well-being not only the absenteeism of infirmity or disease (Funk, Saraceno, Drew, and Faydi, 2008). With that being said, healthcare systems have not been meeting the requirements for providing mental health care to populations. Here are a few reasons why the government should reform the mental health policy into integration with primary care in which the ACA would provide. Integrating mental health and primary care will produce better health outcomes for both those suffering from mental disorders and those who suffer from physical problems. There are approximately 7.3 billion people in the world. Out of those 7.3 billion more than 33 million are using health care services for mental health issues (Petterson, Miller, Payne-Murphy, & Phillips, 2014). Not very many people receive treatment due to their conditions co-existing with other medical problems. Occasionally, mental health patients can have physical health issues such as HIV/AIDS, cancer, etc. Some patients...
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...INFORMATION BOOKLET V Patel P4 Explain how national initiatives promote anti discriminatory practices. Legislation is set by the government to regulate how care services are run nationally. Each service has a different charter or set of responsibilities that enable it to understand its roles and responsibilities. The client’s rights are also set in law. This way the client knows his/her rights and can complain if services are not up to standard. General Social Care Council The council has codes of practice that are written in law to help those in need of care understand the way that social care workers need to perform their tasks. These are rules that regulate conduct and training for the care worker. The same rules educate the clients to know what to expect from the care worker. This way the client has a right to complain about services if needed. The GSCC has rules that apply to England, Wales and Northern Ireland. Rules and guidelines are set out and organised as follows: Legislation The law of the governing country set by convention Conventions These are usually legal standards drawn up by governing bodies that set out principles and rights in the HSC setting. These are international in nature and are binding to countries. For example UNICEF is the worldwide body that governs conventions on the rights of a child. (Ref Unicef.org.uk) Charters These are documents defining the formal organisation of a formal body, for example The United Nations has a charter. (Ref...
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...known for his contributions to the field of sociology. Goffman studied social interactions through microsociology and created a framework for studying social interaction in everyday life. In Goffman’s study of mental institutions, a participant observational study, he constructed the framework for defining social situations as total institutions. In his essay, “Characteristics of Total Institutions,” Goffman discusses the totalistic features as well as the mortification processes that effect members of the institution. While this concept has been used by many researchers and writers, it lacks scientific methods and measurements of data collection and may contain biases. However, this does not discredit Goffman’s model but...
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...exercise, substance use, problem-solving skills, engaging social support systems, and setting personal goals. In the second phase of TTIM, the nurse educator and peer specialist engage participants in brief maintenance sessions over the telephone. In a randomized control trial of 200 adults (mean age 53 years old) with serious mental illness (schizophrenia 25%, major depressive disorder 48%) and diabetes mellitus, TTIM program participants reported improved psychiatric symptoms and general functioning compared to usual care 37. TTIM participants demonstrated significantly greater knowledge of diabetes compared to the control group and 98% of TTIM participants considered the program to be useful. However, no differences were found between the intervention and control group with respect to general health status, self-management of diabetes, systolic blood pressure or body mass index. Integrated Illness Management and Recovery (I-IMR) Integrated Illness Management and Recovery (I-IMR) is a recovery-oriented intervention that combines training and coaching in both psychiatric and medical illness self-management into a single integrated curriculum and program aimed at improving outcomes for older adults (age 50+) with SMI and chronic health conditions38,39. Integrated Illness Management and Recovery (I-IMR)...
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...on the Crewkerne Specialist Day Care Centre, a mental health initiative. It assesses the initiative's aims, its benefit to well-being and its contribution to public health. It also discusses why the initiative was required, the service users' needs and what contributed to them. The essay looks at a government policy which may have influenced the centre's development, who is involved, and the extent to which it makes use of multi-agency and partnership working. The centre welcomes older clients suffering mostly from forms of dementia, such as Alzheimer's. It aims to allow clients a better quality of life and make them feel like part of the community for longer (Project manager, 2008). This is achieved by providing a safe, comfortable and happy atmosphere as well as helping and listening to clients and their relatives. Physical, mental and practical activities stimulate clients and encourage interaction with others and self-worth. The centre is an extension of a day hospital situated in a separate location, and is governed by the Somerset Partnership NHS Foundation Trust (2008). This initiative has been chosen because it is close to home and having met some clients the centre cares for, it is clear to see how beneficial it is to the community and its service users. 'Public Health' refers to preventing disease, prolonging life and promoting health through society, communities and individuals (Wanless, 2004). Mental illnesses are a public health issue as they affect many people...
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...Mental illness policy under “The Patient protection and Affordable care Act” (ACA) According to Medicaid office, the Patient Protection and Affordable Care Act, provides Americans with better health security by putting in place comprehensive health insurance reforms that expand coverage, hold insurance companies accountable, lower health care cost, guarantee more choice, and enhance the quality of care for all Americans. The attempts of 1985 case “Metropolitan Life Insurance Company V. Massachusetts to improve mental health system Act was extensively amended and failed coverage of certain mental health conditions. How? The Court went on to apply the deemer clause to conclude that the mandated benefit law could not be enforced-. Blackman J. (1985). This is an example of the health care dilemma. The healthcare disparity was shining upon the general population. The issue was patchwork in the public and private health care providers (hospitals, clinics, and doctors ‘offices) resulting in clear differences and no underlying safety among the vulnerable...
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