...Demographic Paper Demographic Paper The patients living with AIDs in America at this current time is currently around one point two million people. And a fifth of these are unaware that they have this infection. Early on in the United States the normal affected persons with this disease was men who have same sex partners, and those who used drugs and needles. But in today’s society AIDs has become more serious in the Black American and Hispanic/Latino population. Today many are still affected directly like thousands of gay and bisexual men and others injecting drug users daily. Many of the poor Americans are more likely to be affected with this disease. Within this population the homosexual poor males are more likely to become affected because of the lack of disease control and preventative contraception. The federal budget for spending on domestic HIV epidemic has risen many AIDs organizations have become mobile to help with testing and treatment. On average an AIDs patient annual health care cost is around twenty thousand dollars. The sicker the AIDs patient the higher the cost of care. Patients with low CD4 cell count average around forty four thousand year in health care coverage and at home care. This total is in medical supplies as well. The prescriptions are included in the amount of health care coverage costs yearly as well. This is an expensive disease and there are so many ways to prevent one from contracting it. But it is still an epidemic in America. There...
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...Minimizing errors with point-of-care glucose testing Katie Guy Harper College Minimizing errors with point-of-care glucose testing Evidence based practice is an integrated approach of research and clinical trial and error for the promotion of health. Instead of basing practice on what previous health care providers have used, this method is based on scientific evidence. In the health care field, this is being used more often with the accelerating discovery of new technology for treatments and individualizing the plan of care for each patient. For the treatment of diabetes, it is vital to monitor glucose for effective administration of insulin to avoid such conditions as hypoglycemia or hyperglycemia. In the hospital setting, a common practice is point-of-care glucose testing, also known as POCGT. “It provides rapidly available results that facilitate clinical decision-making, especially for insulin administration. Compared with standard laboratory testing, POCGT has several liabilities, such as increased cost per test, decreased accuracy, technique sensitivity, storage condition sensitivity, and interfering substances” (Eastham, Mason, Barnes & Kollins, 2009). Research has allowed for these errors to become minimized in the clinical setting. Decreased accuracy and interfering substances with POCGT can become life threatening. “The impact of Hct on the POCGMD [point-of-care glucose monitoring device] accuracy in critically ill patients has received attention. Some studies...
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...Demographic Paper Demographic Paper The patients living with AIDs in America at this current time is currently around one point two million people. And a fifth of these are unaware that they have this infection. Early on in the United States the normal affected persons with this disease was men who have same sex partners, and those who used drugs and needles. But in today’s society AIDs has become more serious in the Black American and Hispanic/Latino population. Today many are still affected directly like thousands of gay and bisexual men and others injecting drug users daily. Many of the poor Americans are more likely to be affected with this disease. Within this population the homosexual poor males are more likely to become affected because of the lack of disease control and preventative contraception. The federal budget for spending on domestic HIV epidemic has risen many AIDs organizations have become mobile to help with testing and treatment. On average an AIDs patient annual health care cost is around twenty thousand dollars. The sicker the AIDs patient the higher the cost of care. Patients with low CD4 cell count average around forty four thousand year in health care coverage and at home care. This total is in medical supplies as well. The prescriptions are included in the amount of health care coverage costs yearly as well. This is an expensive disease and there are so many ways to prevent one from contracting it. But it is still an epidemic in America. There...
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...private sector, doctors, clinics, hospitals and healthcare groups with the focus point of care diagnostics, timely treatment and compliance. TMed’s purpose is focusing on diagnosis at the point of care with a vision to change the way patients experience medical treatments in the community. OUR PRODUCTS TMed provides rapid diagnostic test, drug of abuse, medical devices and Rapid Point of Care Screening Test. Our VALUE TMed is committed to supply premium products and dedicated after sales service to our clients, thereby adding value to all our customers and their respective businesses. Our VALUE TMed is committed to Supply Premium Products and dedicated after sales service to our clients, thereby adding value to all our customers and their respective businesses. Corporate and Medical Supply Objectives • Diagnostic testing at primary care level for early detection of potential threats and allowing reduction of hospital / bed days • Promote use of testing with network providers to extend patient medical savings benefits, include more testing and reduce pathology costs • Increase wellness screening to include Glucose, cholesterol, haemoglobin, Troponin, D-Dimer, and Uric Acid • Increase infant paediatric screening to include RSV, Rotavirus, Adenovirus, CRP, Strep A and Strep B • Increase maternal screening to make standard Strep B testing prior to delivery, • Allow for PoC testing of infectious disease such as Hepatitis B&C, HIV, TB, • Gonorrhoea, chlamydia...
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...longer than before. Development in the global population has been distinguished in the 20th century. The old and young population has increased pressure on medical care resources internationally with the intention that no nation is currently capable to compete with the demand for medical -care and its supply. Scientists hence are under growing pressure to extend fresh technologies to raise consumers prompt access to medical -care A most noteworthy and ground-breaking progress in the field of medicine has been development of point-of-care testing. Consistent with (15) POCT is described as patient samples examination at or close to the patient carrying the supposition that test outcomes will be obtainable instantaneously or within an extremely short timeframe thereby helping caregivers in the instantaneous diagnosis and medical intervention(26) .Point-of-care testing is performed away from the traditional central laboratory setting , and has created easier self-management as individuals can examine themselves and react to the outcomes as counseled by their doctors. POC testing machinery is vital to the accomplishment of life-saving and disaster management undertakings as assessments can be conducted in intensive care units or in an ambulance where judgments are time-susceptible. Reliability of POCT and central lab testing As mentioned, POCT is regularly executed outside of the clinical laboratory and carried out by non-laboratory staff. Therefore, it is obvious that the consistency...
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...Page 1 of 4 CURE DECISION POINT REVIEW PLAN (DPRP) DISCLOSURE NOTICE How To Comply with the DPRP Requirements Of Your CURE Policy The 'Automobile Insurance Cost Reduction Act' was signed into law on May 19, 1998, and it has led to changes in your no-fault (Personal Injury Protection or PIP) medical coverage. In enacting these reforms, the Legislature found that the substantial increase in the cost of medical expense benefits over the years had to be addressed by providing controls to eliminate medically unnecessary treatments, diagnostic testing and use of durable medical equipment. As a result, in accordance with the provisions of your CURE auto policy including its Decision Point Review Plan (DPRP) requirements, you have certain obligations that you must satisfy so that we may provide coverage for medically necessary treatment, diagnostic testing and use of durable medical equipment arising from an automobile accident in which you are injured. See EXHIBIT I for a copy of the DPRP section of your PIP coverage provisions. Failure to comply with the policy requirements as summarized below may affect the reimbursement for medical treatment, diagnostic tests and durable medical equipment. No decision point requirements shall apply within 10 days of the insured event or to treatment administered in emergency care. YOUR OBLIGATIONS 1. Treatment of "Identified Injuries” 'Pursuant to N.J.A.C. 11:3-4, the New Jersey Department of Banking and Insurance has published standard...
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...leadership development opportunities are important. For example, you may aspire to be a Certified Registered Nurse Anesthetist (CRNA). Or, you may be currently interested in becoming a Certified Wound Care Specialist, Emergency Department Nurse or Medical-Surgical Nurse. Other organizations may be considered on a case-by-case basis AFTER approval from your instructor. An example would be if you want to become a CDE (Certified Diabetes Educator). This certification is sponsored by the American Association of Diabetes Educators which is not exclusively a nursing organization. Or, becoming certified as an IBCLC may be of interest to RNs working in Mother-Baby Departments and is sponsored by the International Lactation Consultant Association. The organization MUST offer certification for registered nurses. If you have any questions about whether the organization is a “fit” for this assignment, contact your instructor. You will complete the form provided in Doc Sharing carefully providing all the information requested. Course Outcomes This assignment enables you to meet the following course outcome(s). CO 1: Apply leadership concepts, skills, and decision making in the provision of high quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO #2) CO 6: Develop a personal...
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...screened is dangerous and sometimes deadly, thereby creating a liability for the hospital. Baptist Memorial Hospital has outgrown its current capacity creating overcrowding and delays. Hospital capacity is an organizational barrier faced by Baptist Memorial Hospital. Patient presentations over the past several years have increased substantially as well as an increase in hospital diversion and a decrease in overall patient satisfaction. The current ED operates out of 11 beds with one around the clock physician and a mid-level provider during peak times. Nurse to patient ratios are 4:1 with a dedicated charge nurse. The department also has a dedicated triage nurse, and one secretary during peak hours. The ED does not have a patient care technician or a dedicated housekeeper. So, bed turnover, equipment cleaning, and patient transport are nursing responsibilities. Over the past three years, patient monthly volumes have increased from an average of 1300 to 2200 patients. The hospital is licensed for 100 inpatient beds and...
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...have a considerably high prevalence (1). Since Rebecca was having unprotected vaginal sex with her male partner for 9-months, an un-safe sex preference must be considered in this situation. Which means, Rebecca is likely to have unprotected sex with her casual male partners (e.g. no condoms), and STIs must be considered. Trichomonas vaginalis is a common bacterial cause of abnormal vaginal discharge (1), also the commonest non-viral STI across the world (2), it should be considered in this case. Thus, three most likely conditions of Rebecca may be, * Bacterial vaginosis (BV) * Vulvovaginal candidiasis * Trichomoniasis Testing According to the Australian STI Management Guidelines and the STI Treatment Guideline (2010) provided by US CDC, the tests of each listed possible causes can be performed as, 1. BV a) Point of care tests Generally, BV can be diagnosed using gram stain microscopy and Amstel’s criteria (3,4,5). Direct observation of vaginal discharge (using speculum), vaginal pH test (using pH paper) and whiff test (using 10% KOH) need to be performed (3,4,5). High vaginal swab sample needs to be collected for gram-staining and microscopy (3,4,5). BV can be diagnosed with three of the following four criteria (3,4,5), i. The presence of white, homogenous vaginal discharge ii. An increased vaginal pH, >4.5 iii. Fish-odor vaginal discharge iv. Clue cells b) Laboratory tests No further laboratory...
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...AIDS/HIV Demographic Case Summary Michael Eiden January 9, 2012 n Abstract Health care in the United States is impacted by numerous demographic populations such as individuals with chronic diseases; such as chronic obstructive pulmonary disease, diabetes etc. Long term care patients, the uninsured and Emergency management also have a significant impact on health care system. But none of these demographic populations has the impact on health care in the United States as individuals with Acquired Immune Deficiency Syndrome, better known as HIV/AIDS. HIV/AIDS impacts virtually every community in the U.S. and around the world. Almost everyone has been affected in some way by this preventable but incurable disease. The disease can be managed to some extent but at a high cost. AIDS/HIV Demographic Case Summary Population Demographics and Origins of HIV/AIDS According to the Center for Disease Control (CDC) estimates there are believed to be more than 1.5 million individuals living with HIV in the United States as of 2011 (CDC, 2011). The earliest known case of HIV was detected in a blood sample collected in 1959 from a Kinshasa man of the Democratic Republic of the Congo. How he became infected is unknown. It is not precisely known how the disease entered into the United States, but it is believed to have been around 1969 or so. In the early 80’s Doctors in various large cities on both coasts began seeing young gay men for Kaposi’s sarcoma; a cancer associated with...
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...Involved in Animal Testing Hobbes, the cat, has been under experimentation for most of his life. This is probably the last time that he will ever have to be experimented on again. Why? Because he is probably not going to make it through this time. The makers of Herbal Essences are about to force shampoo down his throat to see what happens to its organs. Even if the cat lives through the process, they are going to have to kill it to see which organs it could have damaged. If this was an actual human going through this deadly experiment, people would be in shock. Instead, scientists are testing whether or not swallowing shampoo would affect a cat. Testing on animals is a very disagreeable process that should not be allowed. Animal testing started a numerous years ago to help provide humans with information. The process of animal testing is one of the most disturbing experiments ever done. Many cosmetics and personal care products are made every year and are put into the market after being tested on animals. Almost every product has been animal tested at some stage in its development. The website titled "Animals in Product Testing" stated, "...these products have gone through a long and complex testing process that leaves millions of animals mutilated, burned, poisoned and gassed in outmoded and unnecessary tests." From these different experiments, animals are often left with different diseases like Syphilis, herpes, or AIDS ("Animal Rights: Animal Testing"). Manufacturers...
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...damaged. If this was an actual human going through this deadly experiment, people would be in shock. Instead, scientists are testing whether or not swallowing shampoo would affect a cat. Testing on animals is a very disagreeable process that should not be allowed. Animal testing started a number of years ago to help provide humans with information. The process of animal testing is one of the most disturbing experiments ever done. Many cosmetics and personal care products are made every year and are put into the market after being tested on animals. Almost every product has been animal tested at some stage in its development. The website titled "Animals in Product Testing" stated, "...these products have gone through a long and complex testing process that leaves millions of animals mutilated, burned, poisoned and gassed in outmoded and unnecessary tests." From these different experiments, animals are often left with different diseases like Syphilis, herpes, or AIDS. Manufacturers of these different products say that they are performing these tests to assure our safety for these products. They want to make sure that humans are not in any amount of danger. Why do companies even agree with animal experimentation? Some companies, like Clairol, demand that they do not use animal testing on their shampoo product. Even though they have cut down on animal testing, they have not eliminated the complete line of cosmetics and other products of animal...
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... Professor Vega St. Joseph’s College of Maine Prepared on November 30, 2009 1. Of all the people using the health care system today, how important are social problems on the use of the health care system? Social problems including AIDS, drug abuse, violence, and teen pregnancy are very important when considering the economy of the United States Health Care System. Unprotected sexual contact and sharing dirty needles account for the majority of persons infected with AIDS. HIV and AIDS affect human capitol due to the increased mortality of this group. Bonnel (2000) notes that younger individuals are dying of this disease, which translates to a decreased taxable population and reduction in resources for public expenditures. Medications such as antiretrovirals are very expensive. Henderson (2002) points out that drug therapy costs up to $16,000 dollars per infected individual per year. Additional economic impact can be thought of in terms of lost productivity, and lost days from work, which account for a significant impact on the labor supply. With regard to substance abuse, Henderson (2002) states “substance abuse is the leading health problem in the United States today” (p. 310). Costs associated with substance abuse include increased costs of medical care, lost productivity from work, and increased rates of crime. Henderson also mentions that in 1995, drug abuse cost the United States $110 billion dollars. Violent...
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...Investigating the impact and challenges of implementing the National Counselling and Testing Campaign in the Ga-Motupa Community in Limpopo Mushwana Sipho Simeon An assignment submitted in partial fulfilment of the requirements for the degree of Masters of Philosophy (HIV & AIDS Management) at the University of Stellenbosch Africa Centre for HIV &AIDS Management Faculty of Economic and Management Sciences Supervisor: Gary Eva March 2011 Declaration I hereby declare that the entire work contained in this document is my original work and I have not previously submitted the same work to the same or another institution for another qualification. All sources used are herein acknowledged and referenced. Date: 22 January 2011 Copyright©2011 Stellenbosch University All rights reserved Abstract The National Department of Health and The South African National AIDS Council (SANAC) jointly agreed to launch a massive campaign for HIV Counselling and Testing. The campaign was launched as an effort to step up and supplement and modify the programmes that are already running in the country, to fight HIV and AIDS. The campaign is known as the National HIV Counselling and Testing Campaign and it is based on the National HIV Counselling and Testing Campaign Strategy of SANAC (2010). The study aimed to investigate the impact of the campaign in terms...
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...BILL #4 A BILL TO END COSMETIC TESTING ON ANIMALS Tests that use animals to assess the safety of cosmetics and personal care products—such as lipstick, mascara, shampoo, and cologne—are still extremely common in the United States. It's estimated that thousands of mice, guinea pigs, rats, and rabbits suffer and die in these tests every year in the U.S. alone. Each ingredient in a cosmetic or personal care product that needs to be tested can be run through the tests listed below. Pain relief is rarely provided and the animals used are always killed at the end of each test. Statistic: There are an estimated 300,000 animals that die each year during cosmetic animal testing. Modern science is replacing last centuries animal tests with kinder, faster and more humane ways to provide safe products to consumers without killing animals. Around The world: People in Australia are petitioning their government to introduce a national ban on cosmetic animal testing. In Brazil cosmetic animal testing was banned in January of 2014. In Canada people are working with politians to end cosmetic animal testing. In India national cosmetic animal testing was banned in June 2013 and there was an import ban effective November 2014. Here in the United States there are leading efforts to support federal legistlation that will phase out animal testing and prohibit the import of tested products. (hsi.org) (human society international . org) There is no reason to kill millions of animals...
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