...Nursing Homes throughout the United States are facing challenges and yet they are getting little to no attention from the policy-makers on both state and federal level. A nursing home is usually the place where most chronically ill individuals and older adult with complicated health conditions spend the last days of their lives, but majority of the public have a negative perception of nursing home. It is every person’s right to spend the last days of his/her life in a comfortable environment. There are over 15,634 nursing homes across the state and over 1.7 million residents were living in nursing homes in the year 2014 (Center for Medicare and Medicaid services, 2015). More than 15% of nursing home residents are under the age of 65, 2.5%...
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...Introduction SAMPLE CASE ‐ Instructor has added comments in brackets[] Good Hands Healthcare (GHH), a nursing home provider and a major player in the American healthcare industry, is at a crossroads: the company has been facing financial trouble in recent years and the board must decide whether the current founder and CEO, George Jackson, is fit to revive the company and what can be done to turn the precarious situation around. External Analysis Environmental and industry opportunities for GHH include: • The increasing need for eldercare services due to increasing life expectancies and aging baby boomers • Rapid expansion and increasing consumer preference for assisted living and home health care Environmental and industry threats to GHH include: • Highly regulated and fragmented industry (difficulty in gaining significant market share) • Reduced nursing home use (due to growing availability of alternatives such as home‐delivered eldercare) • Pressure from the government and general public to increase quality of care while reducing expenses • Reduced federal funding and healthcare reform measures (changing regulations and reimbursement cuts) • Increased number of lawsuits and patient care liability costs (leading to reduced liability ...
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...Working in a nursing home for 4 years has really educated me about living with old age, it’s definitely an experience I value. I know for a fact I would not have had any knowledge about nursing homes otherwise. When you’re young and your parents are both still healthy you don’t bother to think about these complications and it’s definitely something a family or someone should start planning ahead for. When I started working in the nursing home as a receptionist, I would tell my mother “I don’t understand how children can just dump their parents in here, it’s such a sad place” as the years went on and I met some of the family members I understood how hard of a decision it was for them and how they didn’t really have a selection of choices to choose from....
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...A BRIEF STUDY OF NURSING THEORIES ACCORDING TO FLORENCE NIGHTINGALE, JEAN WATSON AND MADELEINE LEININGER TOLULOPE ADEDIWURA MINOT STATE UNIVERSITY ABSTRACT Nursing as a profession is based on concrete (scientific, philosophical, behavioral, social, and humanities among others), concepts and theories by past and current nursing theorists. These theorists have helped shape the profession from 19th century till date. New theories are emerging due to advance in health care, as off-shoot of previous theories and also as addition to suit present day application. This paper shall look at the works (theories) of Florence Nightingale; Environmental theory, Jean Watson; Human caring theory, and Madeleine Leininger; Culture care diversity and universality and how it relates with Minot State University’s mission statement and philosophy. In addition, the paper will venture into the merits and demerits of these theories. These nursing theorists viewed nursing differently but, have a common goal in aiming to deliver service to clients using different methods. This adds to the dynamism inherent in nursing profession and provides platform upon which improvements are made. Nightingale focuses on manipulating the environment to cater for health needs of patients and prevention of illnesses. Jean Watson presents a care approach view at nursing. She ultimately support the value of caring relationship in dealing with clients. While Madeleine Leininger stress the importance of cultural understanding...
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...whether it’s interpersonal or intrapersonal, is a very important part of the healthcare process and may be transformed by the excessive and valuable use of every communication tools. Health information is the most valuable support of the healthcare industry. Therefore, use of the communication systems are the ground point of the entire healthcare system, as far as interacting and exchanging ideas and information from one another. The care of patients in the nursing homes, are very big concern especially when dealing with people of different backgrounds, cultures, ethnics, and treatment of care. Each person residing in a nursing home needs to be cared for, information is kept on each patient, and different healthcare professions are in the positions to transfer and discuss different matters that apply to each individual. As more people enter into these nursing homes and healthcare facilities, there is an e increase in attention of the information and communication technology being used in the healthcare field. As the nursing home administrator of Garden Manor, I will be discussing the different types of communication methods for my health care organization (Garden Manor), including the advantages and disadvantages of using traditional, electronic, and social media for health care communication. Then I will going into discussing the effects of HIPAA and other regulations on the use of media for health care communication. Communication plays an important role in healthcare and is...
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...what kind of computer they need and for what. The first thing you should think into before even looking for a laptop would be the budget you are going to set for yourself. Think about how much money you are really willing to spend on a computer. They come in many different options so choose wisely on what you need the computer for whether it would be for school or work or even a basic home computer. The next topic to take into consideration before making a purchase would be what purpose will it serve? Is this computer you are going to buy for school? For just school maybe looking into a basic laptop for using word which could be a cheap way out of it. Maybe this computer is for gaming, which money will come into play for this. A gamming computer typically needs a fast processor, a lot of RAM and a large hard drive and good graphics cards. The next thing to take into consideration is where are you going to use this computer at? Basically do you need to take it with you to school? If you are on the go a lot a laptop would be a great choice. If you are always at home maybe taking online classes at home pick the desktop. Another question to ask yourself is who...
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...what kind of computer they need and for what. The first thing you should think into before even looking for a laptop would be the budget you are going to set for yourself. Think about how much money you are really willing to spend on a computer. They come in many different options so choose wisely on what you need the computer for whether it would be for school or work or even a basic home computer. The next topic to take into consideration before making a purchase would be what purpose will it serve? Is this computer you are going to buy for school? For just school maybe looking into a basic laptop for using word which could be a cheap way out of it. Maybe this computer is for gaming, which money will come into play for this. A gamming computer typically needs a fast processor, a lot of RAM and a large hard drive and good graphics cards. The next thing to take into consideration is where are you going to use this computer at? Basically do you need to take it with you to school? If you are on the go a lot a laptop would be a great choice. If you are always at home maybe taking online classes at home pick the desktop. Another question to ask yourself is who...
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...medications. 4. What are the top three nursing diagnosis priorities for a patient with an acute exacerbation of chronic pain? 5. Identify and explain at least two adjuncts, other than medications, that are used for chronic pain management. 6. Describe the possible impact of chronic pain on the psychosocial, spiritual, cultural, and developmental levels of a patient. Asthma 1. What are the risk factors for asthma? 2. Describe routine nursing care that would be appropriate for a homecare patient. 3. Describe education a patient requires to self-administer nebulizer treatments. 4. What are the top three nursing diagnosis priorities for the patient having an asthma attack in the home. 5. Identify three common complications for untreated asthma. Explain the nursing care designed to prevent each of these complications from occurring. 6. Describe the effects of common asthma medications. 7. Prepare for teaching a patient with limited English proficiency how to manage asthma at home. Tuberculosis 1. What are the risk factors for tuberculosis? 2. Describe three different types of tuberculosis and the common treatment recommendations for each. 3. Identify common concerns related to long-term administration of tuberculosis medications. 4. What are the top three nursing diagnosis priorities for a patient with tuberculosis? 5. Describe combination medications for tuberculosis and identify pros and cons to this approach to treatment. ...
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...Withdrawing/Withholding Life Support: Pros and Cons November 16, 2012 ABSTRACT When a person is being sustained by life support, families and loved ones are frequently confronted with the resolve about when to terminate these supports (Meeker, 2012). Recently it has turned into “pulling the plug” prior to death regardless of the tubes and machines keeping the patient alive. Withdrawal choices are informal and quietly decided. If these life-ending decisions were standardized and validated, maybe some of these safety measures can be useful to other choices approaching the idea of drawing life to a close, even for those who aren’t dependent on life-supports (Meeker, 2012). As we advance towards the twenty first century, it will become more common for us to be supported by equipment and medications the last few days or weeks of our lives. If some disease or condition that would, as a rule, take months or even years to bring death, the need for life-support could be longer. “Withdrawing life-sustaining treatment such as artificial ventilation means to discontinue it after it has been started. Withholding life-sustaining treatment means never starting it,” (Fremgen, 2012). If in fact we are being kept alive by any form of medical equipment, any choices made about the best time to die and the best means to allow our deaths should contain queries about what to do with the life-support systems in place, sustaining life (Lin, 2003). Withdraw/Withhold Life Support: Pros and Cons Ending Life-Supports:...
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...going to say about me. Doing the right thing will get you far in life. When you’re trying to fit in all the time and do what you think is right isn’t a mindful thing to do. I would suggest you do the right thing. Working together has always made me get a better understanding of my work and get me better grades. Working together has its pros and cons. I use working together as a pro because it helps me in varies ways. I use mine in school, home, extracurricular activities/ organizations, and etc. Working together will help me with my S.T.E.M career that I’m going to achieve when I head to college, Middle Georgia State College. There will be learning and studying sessions, for when you need help with your classes. You will always need help with something in life and will always put into a group where you have to work together. I would describe myself as always doing the right thing and working together. I would look at myself and could tell that I could do nothing wrong and get away with it. I love myself. 2. S.T.E.M is the careers of science, technology, engineering, and mathematics. I have chosen the science career of nursing, registering nursing to be specific. Right now in this world we need a lot more doctors and nurses. There are many illnesses and diseases that are going around now. If the upcoming doctors and nurses could come up with a medicine or a cure. 3. My parents never really had nothing while they were growing up, but my mother grew up in a single mother household...
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...senior vice president of operations and ambulatory services where he managed several different areas including ambulatory care, cardiac care and physicians’ services. Under his skillful leadership, we have constructed several new health complexes, a surgical center and sleep center. He has been able to add more than 100 new physicians. Next we have our Vice President of Medical Affairs. This person services as the Chief Medical Officer/Chief Medical Information Officer. This officer is a seasoned MD and is mainly responsible for the medical staff, quality programs and regulatory compliance. Our Vice President of Surgical Services is responsible for overall management of our surgery program. She has a master’s degree in nursing and many years of nursing experience. Our General Counsel is an attorney whose duties are to determine, manage and direct our legal affairs. The Vice President of Information Technology at 21st Century Hospital, also the Regional Chief Information Officer for World One Health system provides vision...
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...Dogs versus Cats: Which Makes a Better Pet? Vicki Fournier COM/155 November 13, 2011 Genevieve Fraser Dogs vs. Cats: Which Makes a Better Pet? There is no right or wrong answer to this question. Some people say they are dog people, some people say they are cat people, and some people say they are both. Beyond the pros and cons, the decision to what makes a better pet often comes down to a person’s lifestyle, expectations, or in certain circumstances a person’s needs. Remember “Beauty is in the eye of the beholder.” (Hungerford, 1878) Both dogs and cats are common domesticated pets. Dogs have been domesticated for 14,000 years and cats for 7,000 (Cats vs Dogs, n.d.). It appears in my research that most people that were asked this question “which makes a better pet, a dog or a cat” replied with the answer “dogs,” but if dogs are the better pet then why is it that there are 96.3 million homes that own cats and only 77.5 million homes that own dogs. The scientists at Oxford University released a study that claims dogs are smarter than cats and The London Daily Telegraph has reported dogs have been named as more social animals and therefore have bigger brains than the “alone loving cat” (Gatton Star, 2010, p.11). Here is something to think about: have you ever heard of a cat running full speed into a glass door? Sure a dog is a “man’s best friend” and is always there by your side, he can catch a ball in his mouth, and he knows exactly...
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...be more patients waiting to see fewer doctors. Nurse practitioners (NPs) can help to ease this crisis” (Hansen-Turton et. al, 2013). Nurse practitioners are health care professionals who are more than capable of providing and critical access to primary care, particularly for vulnerable populations. Nurse practitioners are vital resources to help rural hospitals, create more financial sustainability by reducing costs to per patient, and maximizing patient outcomes. It would be extremely advantageous to expand the roles of NPs to include preventive services (Marsh, Diers, & Jenkins, 2012). It is vital for the sake of the nation's healthcare to break the barriers preventing nurse practitioner to provide care for the patient-centered medical home (Auerbach et. al, 2013). Measurable Goals for the Proposed Amendment 1. As a result of these changes to the amendment, by January 2015 there will be funding available to ensure that APN can make quality patient-centered care to the...
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...longer if you decide do go through residency. Once this is complete, physical therapists must be licensed by the state in order to practice. Physical therapists work often one on one with their patients. They diagnose issues that impair movement and work to treat and restore movement. These therapists often work in hospitals, clinics, nursing homes, and in their own private office. The median pay for this job (as of 2015) is $84,020 a year or $40.40 an hour. This job has a very low...
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...Week 4. Submit it to the basket in the Dropbox by Sunday at 11:59 p.m. mountain time. Post your questions to the weekly Q & A Forum. Contact your instructor if you need additional assistance. See the Course Policies regarding late assignments. Failure to submit your paper to the Dropbox on time will result in a deduction of points. Background Our text (Hebda, 2013) provides us with a broad perspective on telehealth. However, the specialty of telenursing is only briefly discussed. Healthcare is readily embracing any technology to improve patient outcomes, streamline operations, and lower costs. This technology includes the use of various applications based in various environments where registered nurses indirectly provide professional nursing care. Scenario The following scenario serves as the basis for your paper: You have worked with Tomika for the past five years. Tomika...
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