...Impact of Bed Nets on the Incidence of Malaria in Lumi, West Sepik Province Divine Word University Faculty of Health Sciences, Health Extension Department, MADANG By Gideon Waiya Jzeckesonni Resident Health Extension Officer A COMMUNITY DIAGNOSED RESEARCH PROJECT A PROSPECTIVE STUDY MARCH 2008 FACULTY OF HEALTH SCIENCES DEPARTMENT OF HEALTH EXTENSION DIVINE WORD UNIVERSITY Page | 3 Contents Title Page… ………………………………………………………………………………...........……….3 Table of Contents…………………………………………………………………………………………...4 Map of West Sepik Province……………………………………………………………………………….5 Lateral View of the study site……………………………………………………………………………....6 Acknowledgements………………………………………………………………………………………....7 Glossary and Abbreviations………………………………………………………………….......................8 Summary…………………………………………………………………………………………………....9 Introduction…………………………………………………………………………………………….10-11 Background……………………………………………………………………………….….....................11 Provincial & District Profile…………………………………………...........................................11 Aims and Objectives of the study…………………………………………………………………………12 Methods and Materials………………………………………………………………………………...12-13 Study population and sites…………………………………………………………......................12 Data collection tools……………………………………………………………………………....12 Verbal interview questionnaires…………………………………………………………………..13 Results……………………………………………………………………………………….................14-17 Figure 1-Simple & Treatment Failure malaria cases in table…………………………………….14 Figure...
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...problem, and it often manifests in the form of angina or chest pains. Windale pointed out that such disorder is associated with cultural lifestyle of various nations (2010). Patients with cardiac problems often seem to have lowered functional and physical impairment, decreased quality of life (QoL), increased caregiver responsibilities, especially during hospitalizations (Remme & Swedberg, 2001). Increased hospitalizations for cardiac patients are one of the results of the problem. However, compliance to intervention strategies often poses a greater problem for the healthcare community. Such intervention strategies done by the healthcare team can optimize the quality of healthcare services and provision of care to patients. Daily weighing of cardiac patients is one important intervention strategy to monitor the fluid volume intake and output of the patients. This type of management is usually done whether ordered by the physician or not. Analyzing the importance of daily weighing or cardiac...
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...professional nursing care because of the severity of their health or because of the recommendations of patients’ physician or surgeon (Williams, S. & Torrens, P. 2010). The patient is only there for a day and then is discharged for the facility. There are services that be provided in a day starting from registering the patient to providing them with medication. There many different kind of services that falls under ambulatory care such as outpatient clinics, urgent care centers, emergency rooms, ambulatory or same-day surgery centers, diagnostic and imaging centers, primary care centers, community health centers, occupational health centers, mental health clinics, and group practices. There has been an increase in the ambulatory care because it is inexpensive and more appropriate health care setting. It is hard for the health care personnel and patients to adjust because of the changing technology and complex reimbursement systems. There are spending costs involved in health care like money paid to health care providers in hospitals, outpatient centers, Veterans Affairs and other clinics, doctor and dentist practices, physical therapists, nursing homes, home health services and on-site care at places such as schools and work sites. There are few ways to fund ambulatory system like the money tax payers and the money provided by the government. Health centers were intended to serve poor but federal policy changed and now fees have to be collected from the patients. Also the patient...
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...Primary, Secondary, and Tertiary Levels of Health Promotion Rhonda Hornstein Grand Canyon University Primary, Secondary, and Tertiary Levels of Health Promotion “Health promotion is defined as the process of enabling people to increase control over and improve their health.”(World Health Organization, n.d.) It not only involves a person’s health but the education they receive regarding their health, and the help they receive for health promotion. Ultimately the goal of health promotion is to develop a sense of well-being. The nurse’s role in that development of well-being and health promotion has changed from focusing only on a patient’s illness and a cure for that illness but to also focusing on the patient’s overall wellness and quality of life. Due to the changes in health care in the United States, the levels of health care delivery are also changing. At the primary care level, a new model of care delivery was created call the Patient-Centered Medical Home (PCMH). This method emphasizes a collaborative approach among health care providers that offers high quality, easily accessible and cost effective health care that is centered around the individual patient’s needs whether they are acute, chronic or disease prevention. By implementing the PCMH we have already seen a decline in patient mortality and morbidity, decreased emergency room visits and hospital stay, not to mention a decrease in cost. In addition we have seen an increase in quality of care, patient access...
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...Running Head: DRUGS AND ALCOHOL ABUSE Drugs and Alcohol Substance Abuse What is substance abuse and addiction? Substance abuse is a pattern of use of drugs and/or alcohol for non-medical purposes for altering the mood, mind, and behavior. This is a serious problem and people that abuse drugs and/or alcohol can get sick, destroy their lives and the lives of family and friends. Death has resulted from substance abuse. Commonly abused is alcohol, prescription or over the counter drugs such as amphetamines, cocaine, depressants, inhalants, marijuana, narcotics, and even tobacco. Substance abuse can occur in all ages, social statuses and races. Addiction is dependence and a compulsive need to use the substance no matter what the outcome may be. Addiction is the compulsion to use the substance to feel satisfied and a person that is addicted to drugs or alcohol will have withdrawal symptoms if they stop using the substance. With addiction there is a psychological and physical aspect in that the person is unable to control the addiction without help. Addiction is not a habit. A habit can be controlled and a person can choose to stop a habit without issues. Addiction puts a person out of control of choices and not in control of their life. The drugs or alcohol are controlling the person. The cause of addiction can be a combination of physical, emotional, mental and a change of circumstances in a person’s life. According to Hammer (2012), addiction has been understood...
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...Nurse Driven Education for A Patient Diagnosed With Chronic Systolic Heart Failure Refusing Diagnostic and Interventional Procedures Heather Horsley Wilkes University School of Nursing Abstract Heart failure (HF) is a chronic progressive disease, arising from structural or functional disorders of the heart, in which incidence increases with age. This review attempts to describe the types and causes of HF while focusing on variable aspects of patient education that have a positive effect on patient outcome and quality of life. Specifically, the potential benefits of this education for a 55 year old male patient diagnosed by transthoracic echocardiogram with chronic systolic heart failure, who has refused physician deemed necessary diagnostic testing and treatment. Keywords: heart failure, nurse driven education, heart failure, self-care Nurse Driven Education for Patient Diagnosed With Chronic Systolic Heart Failure Refusing Diagnostic and Interventional Procedures Heart failure (HF) is a major health care concern affecting over 5.7 million people in the United States. It is responsible for 1 in 9 deaths and costs the nation over 32 billion in health care expenses each year (Center for Disease Control, 2013). HF is the most common reason for hospitalization of people older than age 65 (Hinkle and Cheever, 2014). According to Hinkle and Cheever, HF is a “clinical syndrome resulting from structural or functional cardiac disorders that impair the ability of the ventricles...
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...effective when providing care to their patients and families about symptoms of CHF. The length of stay for an average hospital visit can be two days however, for more chronic issues warrant an even longer stay. To avoid readmission of the disease processes of CHF warrants additional care and resources during and after discharge. . Some patients cannot follow up with their primary care physician because of transportation, language barriers and economic status. These lessen their chances of follow-up care causing frequent hospitalizations. The strategy used for the study conduct a Cochrane Q and I squared statistics reviewed 141 studies with screening by the title and the abstract. 119 papers were eliminated because of data including the interventions and the electronic data related to CHF. 22...
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...Patient Safety Project Week Six Dawn Frizell NURS/588 Linda Horton University of Phoenix Patient Safety Project Week Six Executive Summary One out of five falls results in major injuries such as fractures and head trauma. Medical cost for such falls are $34 billion yearly, and hospital cost account for two-thirds of the total of falls (CDC, 2013). Along with this information, hospital losses from falls occurring as inpatients have lost millions of dollars in revenue. Many of these fall can be avoided, and can also decrease extended inpatient care along with decrease profit loss. A process must be developed here at Davis Healthcare System (DHS), in response to patient falls, injuries and profit loss. In the Mission and Vision statement at the DHS, it states several key words: high-quality care, safety, innovation, patient-centered care, and that is the reasons that we must initiate the quality improvement plan immediately. Safety deals with lack of harm to the patient and Quality is an effective, efficient and focused direction that to get to safety. Our team of experts in quality improvement will use our mission, tools, communication along with collaborating with the patients to get to the root and cause of this problem. There are several ways to accomplish this goal, 1). Purchasing an item called Radio Frequency Identification...
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...their experience in how healthcare is/is not accessible in America. We will attempt to convey to the reader each generation view on the accessibility of health care; how they paid for health care; where they received their health care; how they viewed their health care and health care providers; what changes they have seen in the health care system; and any other facts or information. Moreover, this paper will list all questions and answers as posed and stated by both the interviewer and the interviewee. As I have stated I will be interviewing three generation of women my mother an 85 year old, my sister a 60 years old and my niece a 37 years old. When referring to health care in this interview we will be discussing inpatient care, outpatient care and long term care. What is your name and age? What has been the biggest barrier to healthcare for you? Understanding the healthcare system in itself has been a hurdle for me to conquer. Medicare Part A, B, C, and D. (non-financial hindrance to access healthcare) How do you see healthcare in America today? If we had a more nationalized healthcare system, we could do a better job for our patients and physicians would feel more satisfied with their jobs. How has the ACA affected you? situation or obstacle you have overcome What do you think the future holds for aging in Canada? ie) you could refer to Baby Boomers, technological advancements that could prolong life, cure for diseases etc. What steps have you taken...
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...Psychosis - CBT Word count: 4898 Content Introduction Referral letter Theoretical perspectives * Formation of paranoia Assessment * Assessment tools and baseline measures * Individual belief ratings * Management of risk Case Formulation Treatment Plan & Interventions Evaluation Critical review References Appendix 1 – Assessment Summary (diagrammatic) Appendix 2 – Formation of paranoia Appendix 3 – Risk assessment and management Appendix 4 – Letters Appendix 5 – Judging by appearances a behavioural experiment Confidentiality statement The name and other identifiable information relating to this patient have been changed to maintain confidentiality. Introduction This case study describes the CBT assessment, formulation and treatment of delusions of persecution and associated paranoid beliefs. Referral Letter Roger, a 29 year old single man was referred to the Psychological Therapies Department. The letter noted that he had had one inpatient admission three years previously due to paranoia and risk of suicide. He was currently being supported by community mental health services. A differential diagnosis of Delusional Disorder – Paranoid Type, (ICD 10- F22.0) and Paranoid Personality Disorder (ICD 10 – F60.0) as defined by the ICD 10 manual (World Health Organisation, 1992) was indicated. Theoretical perspectives Delusions are irrational beliefs, held with a high level of conviction, that are resistant to change even when the...
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...is an important and fundamental aspect when it comes to diabetes teaching and education. Assessment of the feet daily and at a primary care office will provide information such as noncompliance, risks for neuropathy, peripheral vascular disease, macro-vascular disease, and possible amputation. Education provided by health care practitioners to the diabetic population will promote decrease in risk for further complications and the patient to be involved in their own care. Assessment, treatment, and education on wound care management with the involvement of the patient will increase the patient’s quality of life and be very beneficial to both the practitioner and the patient. Keywords: diabetic wound care management, diabetic ulcer care, outpatient diabetes management, diabetic care management Introduction Working in a primary care setting will involve a multitude of disease processes- diabetes mellitus being one of them. Diabetes is a disease that is characterized by high levels of blood glucose with a defect in insulin secretion and cell resistance. Without proper management, diabetes may lead to other issues in health. Examples of such, would be, delay in wound healing, leading to foot ulcerations, which thus increases the risk for amputations (Sheridan, 2012). There is an estimated 15.7 million Americans that are affected by diabetes, with an unknown number of people who have not been properly diagnosed. Many of the ones diagnosed not managing this disease process appropriately...
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...Series Alma-Ata: Rebirth and Revision 7 Integrating health interventions for women, newborn babies, and children: a framework for action Björn Ekman, Indra Pathmanathan, Jerker Liljestrand Lancet 2008; 372: 990–1000 See Editorial page 863 This is the seventh in a Series of eight papers about Alma-Ata: rebirth and revision Lund University, Lund Sweden (B Ekman PhD); Kuala Lumpur, Malaysia (I Pathmanathan PhD); Ystad, Sweden (J Liljestrand PhD) Correspondence to: Dr Jerker Liljestrand, Götgången 12 27144 YSTAD, Sweden jerker@ystad.nu For women and children, especially those who are poor and disadvantaged, to benefit from primary health care, they need to access and use cost-effective interventions for maternal, newborn, and child health. The challenge facing weak health systems is how to deliver such packages. Experiences from countries such as Iran, Malaysia, Sri Lanka, and China, and from projects in countries like Tanzania and India, show that outcomes in maternal, newborn, and child health can be improved through integrated packages of cost-effective health-care interventions that are implemented incrementally in accordance with the capacity of health systems. Such packages should include community-based interventions that act in combination with social protection and intersectoral action in education, infrastructure, and poverty reduction. Interventions need to be planned and implemented at the district level, which requires strengthening of district planning and management...
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...As mentioned above, the in-service education was conducted during mandatory monthly ‘lunch and learn’ staff meeting at Maryvale HD outpatient clinic on two consecutive days (03/30/17 and 03/31/2017) at 11:15 am to accommodate both MWF and TTS staff. The main population targeted for the presentation are the interprofessional team of Maryvale HD clinic. The primary stakeholders involved are: FA, CC, PCTs, administrative assistant, nurses, dietitian (RD), social worker (SW), and patients. The clinic’s nurse practitioner (NP) and nephrologist were not present for the meeting. For the successful execution and completion of this project, permission was sought from the CC and FA. The clinic’s FA communicated the date and time of the staff...
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...Would manual monitoring of blood pressure be more accurate than machinery monitoring in adult medical patients for detecting variations in blood pressure? Introduction Today’s health care applies evidence based practice in patient care with the purpose of easing the clinical decision making with standard practice and provide high quality care to patients. Evidence Based Practice is a problem solving method in clinical care on the basis of best available findings from patient preferences, clinical expertise and sound evidences. EBP provides best clinical decision making and better outcomes to patients, than normally designed research studies. The intention of this activity is to identify evidences for answering the research question of would manual monitoring of blood pressure be more accurate than machinery monitoring in adult medical patients for detecting variations in blood pressure? The collection of relevant information suggests that the use of manual monitoring of blood pressure helps to provide the ability to the health practitioners to offer the patient care with evidence support. It is imperative to monitor the blood pressure in every clinical setting to assess the physical condition and it is of vital importance to consider the measurements in clinical decision making (Bern et al. 2009). As shown by Heinemann et al (2008), the accuracy and the reliability of the method adopted for monitoring the blood pressure preclude the possibility of unnecessary complication...
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...HOSPITAL MANAGEMENT INFORMATION SYSTEM Group Members- Rohan Rodrigues-03 Deepa patel-32 INTRODUCTION Hospitals are the key institutions in providing relief against sickness and disease. They have become an integral part of the comprehensive health services in India, both curative and preventive. Significant progress has been made in improving their efficiency and operations.Effectiveness of a health institution - hospitals or nursing homes, depends on its goals and objectives, itsstrategic location, soundness of its operations, and efficiency of its management systems. The administrator's effectiveness depends upon the efficiency with which he is able to achieve the goals and objectives. Some of the major factors determining the effectiveness of a health institution includes patient care management and patient satisfaction. Hospitals are very expensive to build and to operate. Administrators and professionals have to be extremely cost conscious. Effective computerised systems and procedures need to be implemented to ensure proper utilization of limited resources toward quality health care. It becomes even more important when an in-house medical facility is provided by an industry for it’s employees, as is the case for Tata Steel. Patient care management in Tata hospital has fully utilised the power of computers in Medicare, whereby network of integrated systems maintaining patient database for the hospital services in the areas of Pathology, Radiology, Medical Research...
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