...Telenursing: The Way of the Future for Nursing Paula Heser, RN Chamberlain College of Nursing NR361: RN Info Systems in Healthcare Fall 2015 Telenursing: The Way of the Future for Nursing “The concept of Telehealth is not really new. When humans first began space exploration in the 1960s, astronauts’ health was monitored by transmitting physiologic parameters back to physicians on earth” (Stokowski, 2013). “Telehealth is the use of telecommunications technologies ad electronic information to exchange healthcare information and to provide and support service such as long distance clinical healthcare to clients” (Hebda &Czar, 2013). Telenursing is a new and exciting way of nursing that is innovative and shows the potential for growth in the ever-changing world of technology. Hebda & Czar defines Telenursing as the use of telecommunication and IT for the delivery of nursing services. An important role of the nurse is to completed the nursing process; assess, diagnosis, plan, implement and evaluate. In telenursing, a nurse conducts their patient centered care in the same way. As stated in Healthy People 2020, in addition, despite increased access to technology, other forms of communication are essential to ensuring that everyone, including non-Web users, is able to obtain, process, and understand health information to make good health decisions. Buy using telenursing, the nurse can assess and monitor the patient then advise and educate the patient and send...
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...Evolution of Health Care Information Systems There has been a very fast growth in the U.S. health care system since the early 1980s with regard to the information technology related to health care. This can be viewed as an attempt towards the standardization of the fragmented health care system. Information technology like in every other field of life has become a necessity even in the health care system and is covered by the federal regulations. The implementation of the Electronic Health Records (EHR) by 2014 has become mandated as ordered by President George.W.Bush in 2004 which was seconded by the Joint Commission for the Accreditation of Health Care Organizations (JCAHO) and Health Insurance Portability and Accountability Act (HIPAA). These organizations asked the health care providers to comply with the new legislation and those community-based physician practices who were earlier reluctant to accept and implement it have now realized that the health care in sequence systems in the form of CPOE (computerized physician order entry), EMR (electronic medical records), the tele-medicine, complex disease management, and automated billing systems are very beneficial to them The paper intends to showcase the comparison and contrast between a contemporary health care facility and a traditional health care facility which prevailed before twenty years. At least two major events and technological advantages influencing the practice of the current health care information system...
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...Examples include -Germany, Ghana, Grenada, Greece, Hungary, Iceland, India, Ireland, Israel, Italy, Jamaica, Japan, Kiribati, Latvia, Lithuania C) Dictatorship= A dictatorship occurs when one person has complete control of a nation. Dictators are often associated with brutality, violence and ruthlessness and typically use armed force and fear to keep citizens under control. -Examples include Belarus, Chad, Cuba, Equatorial Guinea, Cameroun, Kazakhstan, Iran D) Monarchy= refers to a "royal family." Considered to be a type of autocracy, a monarchy is similar to a dictatorship minus the violence. Although history is smeared with violent kings, queens, sultans and czars, modern day monarchs are considered benign. Monarchies are labeled absolute or constitutional. -Examples of absolute monarchies include Russia's czars, prior to the creation of the...
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...PEREVOZNAYA, Russia — Stretching from Lake Baikal to the Sea of Japan, the first trans-Siberian oil pipeline is to run 4,150 kilometers - more than three times as long as the trans-Alaska pipeline. At a cost of $15.5 billion, it looms as modern Russia's biggest infrastructure investment, President Vladimir Putin's answer to the Trans-Siberian Railway of the czars. Because China and Japan both rely on the Middle East for about 85 percent of their oil imports, both economic giants competed fiercely over what could be the world's longest and most expensive oil pipeline. Trumping China with a more generous financing offer, Japan, the world's second-largest oil importer, hopes that the pipe, 1.2 meters, or four feet, in diameter, will bind it to Russia, the world's second-largest oil exporter. It may be a decade before the 2,580-mile pipeline is completed. But the line would represent an increase of about one-third in Russia's oil pipeline export capacity and would signify a major Russian shift toward the Pacific, where oil could be sold to any country, including the United States. The project faces major hurdles. There are no guarantees that there will be enough oil to fill the pipeline, although Russia has as much as 67 billion barrels of untapped oil reserves along the pipeline route. When the oil reaches the Sea of Japan, there are no public commitments binding Russia to sell it to Japan, whose ports are only a day's sail away. And Russia's last-minute switch of the...
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...becomes obvious to the majority that multiculturalism, equality and diversity isn’t working. Well documented, it's open for anyone to research further into, as western politicians engage in utopia building, using 21st century identity politics in place of the 20th century workers. The aims are identical; produce an elite rule, which is all communism ever was, but by first dumbing down the population, using cultural Marxism, to accept it. The consequences of belief turn to reality as the gullible millennial generation finally start to catch on. Forget the soundbites of ‘change, forward’ and ‘progress’; this is progressivism and this is the reality of European Union progressivism. Welcome to Europe and meet the real Obama and his comrade ‘Czars’. There is no conspiracy theory, five eyes or shape shifting reptiles, read the eleven points proposed by the Frankfurt school and relate them to today’s society. Understanding the basics of cultural Marxism goes a long way to demystifying the current actions of western politicians and gaining knowledge of what the future holds. The following extract is the preface to, Cultural Marxism - Social Chaos, which I specifically designed for the beginner, in an easy-to- understand and illustrated format. An hour spent browsing this article may provide you with the knowledge to prepare for the coming collapse, as it did me, or at least gain an understanding of the chaos around you. The promised utopia party is over, the progressive crackdown is...
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...Ivan the not so terrible Ivan Vasilyeevich, the fourth ruler of Russia, also called Ivan the Terrible of Russia. He was the ruler and first czar of Russia in the 1400’s, although he is called “the terrible” he did many good things for the, now known, country of Russia. Many historians believe that to the Russian people who lived under the rule of Ivan had one of the worst lives that there could be in Russian history, but no, Ivan unified the Russian people so that only one ruler was in control of all that was inside the Russian borders, he expanded Russia through conquest because of the creation of an organized Russian military, and he ordered the building of St. Basils Cathedral. His rule was one of the most influential to the Russian Federation and how it became to be the Russian federation, and although many professors of history say he was truly a terrible ruler, he did some fantastic things for the Russian civilization. Ivan did some bad things to his country in the time when he was ruling it, and his did some great things, Ivan unified the Russian people, before Russia was a monarch it was ruled by a bunch of fiefdoms that controlled one of the 83 oblasts of modern day Russia. Ivan was the grand prince of Moscow before changing the government and forming a tsarist Russia, with the formation of this new Russia many things changed for the lower classes. The powers of the nobility were pretty much stripped from the high influential nobles almost as to protect the common...
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...this time was his friendship and relationship with one of the founders of modern anarchism, Pierre-Joseph Proudhon. They were very much alike in personality and shared the passion for freedom that each of them yearned for. “Both deal more readily in negations, and their attacks are directed against the same objects: the state, religion, and property. Both recommend ‘social revolution’ as a means of escape from the intolerable social situation” (Pyziur 32). However, it would be a while yet before Bakunin finally took the standard of anarchism and made it his own, for his revolution in this period was still with Pan-Slavism. In 1847 he was invited to speak at a banquet for Polish revolutionaries, and the speech he gave proved that he was a great orator and helped give him recognition as a revolutionary. In the speech, Mikhail “...proposed a form of revolutionary alliance between the Russian and Polish oppressed. He emphasized how miserable the Russian people were under the regime of Nicholas I...” so that the two Slavic peoples could unite to end each others’ suffering (Masters 83). Following his speech in 1847, he published his Appeal to the Slaves in 1848, which is “...one of his most famous works” (Masters 100). In this book he expressed his opinions on bringing all the Slavs together. His revolutionary spirit shone brightly these years, as it would for the rest of his life....
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...an evening suit, and Rainsford, as he put it on, noticed that it came from a London tailor who ordinarily cut and sewed for none below the rank of a duke.” Zaroff also used to be a part of the military, revealed on page 7, when he refers to himself as an “officer of the Czar”. For him, this is...
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...Army Surgeon, Major Bacot, writing in 1869 pointed out that the climate and the healthiness of the Islands made them ideal for tourists. The greatest problem was getting or encouraging tourists to the islands. Acts passed in 1851, 1859, and 1879 to encourage the travel of tourists to The Bahamas by ships never really proved successful, as many sea disasters occurred. Encouraged by the arrival of 500 tourists to Nassau in 1875, Governor Robinson suggested that The Bahamas make an effort to divert some of the 100,000 tourists, who were going annually to Florida. Making a step in the right direction, a most important hotel and steamship act was passed in 1898 and a ten year contract was signed with H.M. Flager, founding father and Czar of Miami, who also brought the Royal Victoria Hotel. Purchasing the site of Fort...
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...conducted an inquiry into this and I have determined that drug prohibition laws came for reasons of racism, empire building, and ignorance.”(Booth) The War on Drugs is politically motivated as a means of profiting. One may ask them self how government can financially benefit from such policies. In fact, they benefit in a myriad of ways. The government spends an exorbitant amount of money in an attempt to combat drug production and drug usage. The U.S. government has spent over a trillion—that’s right a trillion—dollars in its attempt to eradicate the drug problem. With so much time, effort and money there should be something to show, right? Wrong. Today drugs are more prevalent, more potent and cheaper than they ever have been. Even the drug czar of the United States, Gil Kerlikowske, admits that the current policies have not worked. "In the grand scheme, it has not been successful. Forty years later, the concern about drugs and drug problems is, if anything, magnified, intensified."(Mendoza) It seems that this would signify a need for a shift in current policy. However, more money than ever has...
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...beaten the previous record of 30.8 recalled vehicles set in 2004 by a substantial margin. One question that comes to our mind reading these staggering numbers is whether the automobile industry becoming more and more inefficient or is there something more to the picture? This decade has already seen more cars recalled than the entirety of the 1970s, despite there being fewer recall campaigns. Image: Society of Automotive Analysts/NHTSA data The SAA report also found, based on NHTSA data, that the number of recalls for safety-related components has also increased, although the data is more volatile than trends as a whole. New technologies in automobile industry Automobile industry has seen a lot of changes in the last decade. Now days, cars are becoming more and more like a high tech device on four wheels. Technological improvements in wireless communications, smartphones and computers have left a huge mark on the automobile industry. Cars are becoming more electronics and data driven. Engines are getting smaller and more powerful. Vehicles have become more fuel efficient with new technologies like MPFI, automatic transmission coming into the picture. Security and legal regulations have become more stringent leading to technologies like ABS, Rear View...
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...Russia 1. General Information: St. Petersburg, Russia is the country’s second largest city and is located in the Northwest Federal District. It is approximately 1400 square kilometers in size and has a population of 4.6 million people (as of 2005). The time zone is +3 GMT and +8 from the east coast of the United States. The government of St. Petersburg includes a governor, a city administration and a single-chamber legislative body, the City Legislative Assembly. In 2006, the governorship became an appointed position. The current governor, Valentina Matviyenko, was elected to the position in 2003, and then appointed by the President of the Russian Federation in 2006. The main airport servicing St. Petersburg is Pulkovo International Airport. If traveling by train, St Petersburg has five railway terminals – Baltiysky, Finlyandsky, Ladozhsky, Moskovsky and Vitebsky – within its borders. St. Petersburg features an extensive public transportation system consisting of an underground metro, trams and buses. The underground metro system, the most efficient of the options, opened in 1955 and features five color-coded lines. The fare for the underground transport system is always the same, no matter the distance traveled, and can be paid by token or metro pass. 2. Recent foreign investment: In 2009, the top five countries investing in St. Petersburg (categorized by percentage of total investment volume) were Belarus (15.8 percent), Switzerland (14.7...
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...He has said that he wanted to show “the rich, noisy, madness of the place” which he does flawlessly as he describes the large crowds, and the people he meets who lead him to religion. Numbers are very important in this book. Pi gets his name from the Greek symbol π, or 3.14. Pi is closest to the number three, which is important because Pi follows three religions. Pi was born a Hindu, but he found Christianity one day after stumbling into a church. He is so confused by Jesus and how human he was. Pi wonders what kind of god allows himself to be killed. The priest tells him that Jesus died because of his love for the world. Pi is drawn into this and decides to follow Christianity as well as Hinduism. Shortly after that encounter, he runs into an old Muslim man. The man tells Pi about Islam and shows him how to pray on a prayer mat. Pi falls in love with the beauty of Islam and decides that he is going to follow all three of the religions. Pi’s sudden interest in religion shows that “his main goal is to understand god as a whole” rather than submitting to one version of god (Detar). Pi’s family decides to move to Canada for political reasons, but they never...
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...Medical Marijuana ENG 215 By Medical Marijuana, the use of marijuana for medicinal purposes is an extremely controversial subject. There are many supporters, as well as many that are in opposition to the use of marijuana in any situation. Parties on both sides of the issue are regularly bringing forth new information to endorse their case. Marijuana, made from an Indian hemp plant that bears the name cannabis sativa, is a mixture of stems, leaves, and flowering tops. The flowering tops are smoked for the tetrahydrocannabinol, or THC, that is concentrated there. THC is the main psychoactive ingredient in marijuana. The use of marijuana as folk medicine began in Central Asia as far back as 3000 B.C. It’s use as a pleasure-inducing drug began in the 1900’s, becoming widespread in the 1960’s and 1970’s. In the 60’s and 70’s, marijuana became the second most popular drug, alcohol being the first. This trend continues today (Berger). Throughout the 1970s, public opinion about marijuana was mixed. A growing number of people were smoking marijuana to cope with medical problems that were not responsive to conventional medicine— particularly the pain and nausea associated with cancer and chemotherapy. Moderate politicians in both political parties began to argue in favor of marijuana decriminalization, which would waive serious penalties for possession of small amounts of marijuana for personal use. By the late 1970s, the American Medical Association, the American Bar Association...
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...Why This Person is Superior George Orwell as a Novelist George Orweel is one of the leading novelists of modern age. His novels express a powerful sattire on the political and social hypocrisies. By thw quality of his writing, he has achieved international fame and recognition. In his evolution as a novelist he moved from simple narration to symbolic expression. But he has been criticised by many critics due to the lack of sincere characteristics of a novel in his novels. It has bveen proved that he has failed as a novelist. Tom Hopkinson opines, “Orwell’s reputaion as awriter rests largely on his novels, but his gifts are not those of a novelist; and, if the novel had not happened to be the prevailing literary form during the twenty years when he was writing, he would proably never have been attracted to it. Orwell had little imagination, little understanding of human relationshipl, little sympathy with individual human beings- though much with humanity in general.” O.D. Leavis also found that he had “wasted a lot of energy trying to be a novelist. I think I must have read three or four novels by him and the only impression those dreary books left on me was that nature didn’t intend him to be a novelist.” Edward M. Thomas also found that he did not possess the temperment of a novelist. Thus Orwell, who wished to produce more than thirty novels, had to admitin aletter, written to his friend, Julian Symons, “You are perfectly right about my own character constantly intruding...
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