...intriguing to me. To become a orthodontist you must first obtain a four year bachelors degree in a medical field usually a biology or pre-dental is what they get. I am majoring in Biomedical Science because it opens up the most fields for me. After you have finished you bachelor degree you must then go and apply to a Doctrine program specified in dentistry. Then you become certified and do a residency at a dental clinic while in the program. After you have finished you have now become a dentist and may open your own clinic if you wish. After that you will go to another school where they teach you to be a orthodontist. Day to day duties for a orthodontist would be to open up the clinic, adjust braces on patients, apply braces, mold for a retainer, meet with patients to see if they need braces, instruct on how to brush and floss with braces, and remove braces. Of course you will also have a staff that would do other jobs for you from what I learned at shadowing a orthodontist they have a well trained staff that all help in making the facility run smoothly without them the orthodontists job would be much...
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..."Concierge Medicine, A Solution, Or A Problem?" The landscape for health care delivery has evolved significantly over time. What initiated as a home service by a family physician grew into predominately inpatient service, followed by the expansion of outpatient service. Now, the trend is starting to drift back to a more "family physician" approach with an added cost. Reduced reimbursement rates, increased paperwork, increased operating costs, and increased patient case loads have made it difficult for primary care physicians (PCPs) to be successful compared to their peers. Medicare and Medicaid reimbursement rates continue to be adjusted downward, and PCPs are expected to broaden their practices to compensate. Medical school graduates are choosing careers as specialists for an increased income, stability, set hours, and reduced case loads. As a result, the decline of PCPs has increased resulting in fewer providers coupled with a growing population. Those providers remaining in the PCP field, or deciding to enter that area of service, are looking for new ways to generate revenue and reduce the patient case load. As a result, concierge medicine, also known as boutique medicine, retainer medicine, VIP medicine, executive health program, platinum practice, personalized health care, or luxury health care, has evolved and is currently growing (Harris, 2008). Reasons for the shift in care are continued downward pressure on health plan reimbursement rates both from private...
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...Concierge Medicine Usually, when we think of a concierge doctor, we picture a traveling small-town doctor with his iconic black bag. The doc would make his rounds to the folks who were unable to come to his office. This image that comes to mind is based on stories we have heard or the movies we have seen. Concierge doctor’s services were more popular in the past, but they are making a comeback in our current culture. Concierge medicine is said to be for those who have plenty of money, but not a great deal of extra time. This type of medical service definitely has its benefits. The doctor travels to patient; the patient is seen without a wait, more face-to-face time with the doctor, and better all-around care. Unfortunately, along with the positive benefits of concierge medicine there are also some unfair aspects, which is why this is considered to be one of today’s new social justice issues. Although concierge medicine has been around awhile and has been a beneficial practice, it has just recently started creating legal and ethical issues. There are many benefits of concierge medicine, same day appointments, 24/7 access to the doctor via email, and house calls when the patient is too ill to travel. Beyond the added convenience, patients benefit from additional attention when it comes to discussing preventive health care and individual lifestyle issues. Due to time constraints, these issues are often pushed aside in traditional medical practices (“Concierge Medicine 101…)...
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...Stop the violence, start the diet It is known throughout history, it has commonly been understood that nature provides the best medicine for all animals of this planet. Humans are no exception; so how does a human get the needed nutrients to maintain a healthy body? The answer is through its constant fuel supply. When the body has everything it needs, it runs efficiently and with the story, it shows that these statements are true. When a proper diet comes into play, you can have a noticeable switch when it comes to emotions. People, who have what they need, show that there is something about them that just gives off a glow. This is interesting for the fact that if we were to do something such as change our diet and how we get our food, could we stop things such as drug abuse, or PTSD. The most interesting thing about this whole story was the fact there is facts supporting change; if we change our diets we can change who we are. Everyone may not want to change but there is an outlet for those who do. We can make our own food and make our fuel to maximize our machines we call bodies. First off, this so called glow that people get is actually a good indication that your skin is healthy. I had found this interesting in the story that they focus on mainly mental health. This is factual that mental health is drastically important when you’re speaking on the behalf of your wellbeing; when you, speak about the physical part of your body, it is usually an indication of that individual’s...
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...Focus Assessment Date: 11/14/2013 Client Initials: B.M Age:93 Sex: F Code Status: DNRCC-A Primary Medical Diagnosis: CVA Allergies: Sulfonamides, iodine, iodine contrast dye. Significant Medical History and/or Other Medical Diagnoses Hypertension, Hyperlipidemia, Colon cancer, Uterine cancer, CVA, legally blind, macular degeneration, Ileostomy, renal insufficiency. Current Treatments & Interventions for the Client Anticoagulation therapy, Transfer with 1 person assist, physical therapy consult, occupational therapy consult. Recent Tests & Procedures and the Results CBC: High hematocrit, low platelets, normal WBCs CT Scan of Head: 2 areas of ischemic attacks. EEG: Signs cerebral ischemic attacks parietal and occipital lobes. Assessment Focus Assessment (specify): | Data: Pt. stated she woke up during the night and noticed the right side of her body was weak and she found it difficult to move her right arm and right leg. Pt. brought to the ED where a CT scan was performed. This showed areas of ischemic attacks. Pt. is alert and oriented to place and situation. The patient is aware of time but is unable to give the exact time. May or may not be attributed to her being legally blind. Pupils round equal and reactive bilaterally. Right hand grasp slightly weaker then left. Lungs bilaterally clear and diminished in bases. Bowel sounds active times 4 quadrants. Pt. has ileostomy which is pink, draining watery...
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...Why Healthcare Must Embrace Cloud Computing Regulatory compliance for the healthcare industry is a hot-button issue. The overriding compliance requirements that this industry faces are dictated by the Health Insurance Portability and Accountability Act (HIPAA), enacted by Congress in 1996. HIPAA was designed to protect the privacy of patients’ medical records and restrict who has access to them. Regulatory compliance for the healthcare industry is a hot-button issue. The overriding compliance requirements that this industry faces are dictated by the Health Insurance Portability and Accountability Act (HIPAA), enacted by Congress in 1996. HIPAA was designed to protect the privacy of patients’ medical records and restrict who has access to them. The latest HIPAA standards surrounding the security and privacy of patient data makes many in the healthcare industry understandably cautious about adopting new technologies. In the past, healthcare companies preferred to keep any electronic data concerning business operations and patient care behind a secure firewall. Now, HIPAA omnibus and the American Recovery and Reinvestment Act (ARRA) requirements stipulate everyone in the healthcare industry begin migrating patient records and other data to cloud computing. Essentially, by 2015, all medical professionals with access to patient records must utilize electronic medical and health records (EMR and EHR), or face penalties. A recent study by the firm MarketsandMarkets indicates that...
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...Why RN TO BSN The Need for Highly-Educated Nurses In the 21st century, the health challenges facing the nation have shifted dramatically. The American population is older—Americans 65 and older will be nearly 20 percent of the population by 2030—as well as more diverse with respect not only to race and ethnicity but also other cultural and socioeconomic factors. In addition to shifts in the nation’s demographics, there also have been shifts in that nation’s health care needs. Most health care today relates to chronic conditions, such as diabetes, hypertension, arthritis, cardiovascular disease, and mental health conditions, due in part to the nation’s aging population and compounded by increasing obesity levels. While chronic conditions account for most of the care needed today, the U.S. health care system was primarily built around treating acute illnesses and injuries, the predominant health challenges of the early 20th century. The ways in which nurses were educated during the 20th century are no longer adequate for dealing with the realities of health care in the 21st century. As patient needs and care environments have become more complex, nurses need to attain requisite competencies to deliver high-quality care. These competencies include leadership, health policy, system improvement, research and evidence-based practice, and teamwork and collaboration, as well as competency in specific content areas such as community and public health and geriatrics. Nurses also...
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...can cost billions of dollars each year increasing health costs. There are many examples of medical errors that take place within hospitals, but the most common and frequent error is due to medications. Many people believe medication errors are the result of abbreviations handwritten by physicians. Medical errors are a global issue and although, it is the most common, it can be the most preventable (Null et al. 2009, 56) As stated in “Death by medicine”, it found that 18-28% of people who were recently ill had suffered from a medical or drug error in the previous two years (Null et al.2009, 48). The affects of these errors lead to lost wages or productivity cost of employees. A medication error can easily take place if correct measures are not followed. For example, administering the incorrect medication or dosage amount to the wrong patient can be of great concern, which can result in long term injuries based on the depth of which the error resulted from. According to the American Association for Justice, the Institute of Medicine (IOM) preventable medical errors study estimated that at least 98,000 people die yearly totaling 29 billion dollars, which could have been prevented (www.Justice.org). In the past, errors were revealed primarily through a morbidity and mortality committee and malpractice claims data. In 1992, a yearlong survey was conducted by a national pharmacy database and found a total of 429,827 medication errors in over 1,081 hospitals (Null et al. 2009...
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...Evolving Practice of Nursing and Patient Care Delivery Models The Speech Hello, my fello nurses. Thank you for being here at the Summit of Nursing Evolution. My name is Chhay Yann-Ly and I am a nurse. We are living in an era where the United States (US) health care system is going through tremendous changes and challenges, with sky-rocketing health care costs, fragmented and poor quality of care, high volume of aging population, and passage of the Patient Protection and Affordable Care Act (PPACA) in 2010. A summary of the PPACA is basically to improve the health care delivery system, expand coverage, and control cost (Democratics Senate Gov/Reform, n. d.). With these changes, comes the evolutionary nursing professional transformation process. This speech is a crash course on the evolving practice of nursing and patient care delivery models. The goal of this speech is to discuss the continuity or continuum of care in relation to accountable care organizations, medical homes, and nurse-managed clinics health care models. Since nursing is the backbone of health care, all of these care delivery models require a robust nursing contribution for success (American Nurses Association (ANA), 2010). The first model is the accountable care organizations (ACO). ACOs is a “shared savings” with Medicare (part A & B). The ACO, according to the ANA (2010), is “a collaboration among primary care clinicians, a hospital, specialists and other health professionals who accept joint responsibility...
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...I really enjoy exercise; it improves my mood, stamina and life. I find I don’t stay sick as long if I have been and work out regularly. Obesity affects one in three Americans and has become a global epidemic in all industrialized societies. The overweight and obesity epidemic is primarily attributed to lifestyle and environmental changes that have occurred in the industrialized world the last few decades (Lee et al., 2010). Health psychologists are interested in how biological, psychological and social factors affect health and illness. They identify the kinds of medical treatment people seek and get; how patients handle illness; why some people don’t follow medical advice; and the most effective ways to control pain or to change poor health habits. They also develop health care strategies that foster emotional and physical well-being. Psychologists team up with medical personnel in private practice and in hospitals to provide patients with complete health care. They educate medical staff about psychological problems that arise from the pain and stress of illness and about symptoms that may seem to be physical in origin but actually have psychological causes. Health psychologists also investigate issues that affect a large segment of society, and develop and implement programs to deal with these problems. Examples are teen pregnancy, substance abuse, smoking, lack of exercise, and poor diet (Kazak, 2012). Our cognitive abilities change as we grow older, while we gain experience...
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...Disease Trends and the Delivery of Health Care Services Paper Johnny Williams III Hca/240 September 29, 2013 Jessica Grippo Johnny Williams III HCA/240 Week Eight September 29, 2013 Jessica Grippo Aging What the current age composition of the U.S. population looks like. Today the age composition is made up of about 12.9% of the American population. This means that there are 1 and every 8 persons in America that are elderly. Americans are living longer than that of the past with the baby boomers being a generation that have been able to celebrate seeing their 60th Birthday. The current age composition of the U.S. population will increase drastically in the next 20 years is that the will be such an increase that it will no longer be the 1 to every 8. It has been projected the by year of 2030 the population of elderly is going to increase and then will be 1 to every 5. It was also projected that people will be able to enjoy at least part of their life expectancy into retirement. The big change in the demographics is that there has been a decrease in the mortality rates. With the decrease of mortality rate people this is allowing us to have an older generation. Along with that there is another factor that also contributes to the growing aging population. This is due the lower fertility rate. The environmental factors in the older population also have a factor with the increase of life expectancy. The older population is more active than that of past times...
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...Working in the ward has made me to appreciate life the more and never to take anything for granted, during my placement I saw a lot of patients suffer from all kinds of illness that I never knew existed, some of them crying for pain killers because of their pains and some with stab/gunshot wound. I have also seen people die during my placement, for example, there was this incidence that happened on a night shift where a patient was admitted to the ward through accident and emergency department, the doctor asked for his vital signs to be checked hourly because of the nature of the patient’s illness and because the patient was staying in the bay that I was looking after that night, I was asked by the nurse I was working with to check the patients vital signs hourly and to report any changes to her. The patient was ok the first time I went to check on him but when I went there the second time I noticed that he was not breathing and his body was cold, I pressed the emergency buzzer and all the nurses came to the patient’ bedside and within five minutes I saw more than six medical doctors coming into the ward to check if they can resuscitate the patient and that was the first time I saw a patient die so suddenly and the crash trolley being used. The whole experiences of that night left me in shock because that was my first time of seeing someone...
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...Reimbursement and Pay for Performance University of Phoenix Lori Stemen October 28, 2013 Reimbursement and Pay-for-Performance The United States has gone through some dramatic changes over the last forty years and currently we are in the middle of some additional changes with the Affordable Care Act. Pay-for-performance is intended to improve the efficiency, quality, and the overall worth of health care. The expectation is that these changes will provide to physicians, hospitals and other health care providers with financial incentives to finance improvements and accomplish improved results for the patient. There are positive and negative affects of the pay-for-performance programs, although we can’t predict the future and the outcome of these initiatives, the health care system will definitely feel the pressure to perform with respect to outcome accountability. With the continuous changes of government regulations the pressure to provide reliable high quality health care will increase. Pay-for-performance is the newest regulatory effort in health the insurance industry. Health care providers who participate with the insurance carrier are compensated for meeting pre-set goals for how they deliver health care services. This is an important modification from the fee for service method of payment. Pay-for-performance has been well liked by politicians as well as, Medicare, Medicaid and private insurance companies. The Affordable Care Act increases the usage of...
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...Media, Medicine and American Expectations What constitutes the media? Changed over time? What constitutes medicine? Health or health culture as alternate name to describe what course encompasses? Bert Hanson – medical breakthrough = social phenomenon * How has promise of medical breakthroughs influenced: media culture and patients expectations relationship between medicine and media place of medicine in American political culture How and why does the medical community use media to communicate with public? Increasingly interdependent spheres w/ differing perspectives on vision of media’s role is in “media-ted” world What makes health “news”? Producing Medical Heroes How and why has American society selected its medical heroes? How has this changed over time? What functions do depictions of heroic doctors (Walter Reed, and House, M.D.) and patients serve? How have fictional medical characters – in novels, Hollywood films, on TV – shaped expectations of medical culture? VD, HIV, and the Media How did the media contribute to the publics perception of venereal diseases and HIV? What images (both visual, and stories told to make a point) came most powerfully to cultural prominence? What were the aims of medical and public health authorities, the state, and media professionals in working to make those images publically visible? What role did the media play in changing public’s image of HIV? Stigmatization, Destigmatization, and Medical...
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...relationships with the others around us. The negative betrayal of marijuana by the government is all a lie. The statistics and facts clearly show that marijuana is safer then alcohol and all other drugs because no body as ever died from a over dose of this so called drug marijuana and nor has anybody died from stupid behave like alcohol. Alcohol is legal and statistics show that it makes people aggressive and takes away their ability to make sensible decisions and yet it is legal. So why isn’t marijuana legal if alcohol is, when facts show that marijuana is a lot safer. Marijuana is also used for medicinal purposes. For those who did not know this, in other countries where marijuana is illegal it is legal if used as a medicine. For example in some states of America, it is legal to smoke marijuana with a prescription from your local doctor if you have a certain diseases. Some disease that people might have, by law they are aloud to smoke...
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