...Technology and U.S. Health Care Over the course of history, medical technology has continued to evolve in more ways than one. The advancements in surgical procedures, imaging techniques and the use of computer technology has allowed for patients to receive health care in a more convenient and efficient way, but with this convenience and the ever evolving technology comes the burden of cost on the U.S. economy. This paper will review how early medicinal practices have evolved into the technologically advanced world of medicine we live in today, as well as discuss how these advancements play a role in the accessibility, affordability and quality of life and care the patients of the United States receive today. In the early 1800’s, medicinal practice in the U.S. was considered to be very primitive. Unlike the European countries of Britain, France and Germany, “American medicine lagged behind in the advances of medical science, experimental research and medical science education” (Shi & Singh, 2008 p. 85). Instead, America focused more on applied science rather than the research of basic sciences. In return, the United States’ “early practices of medicine were regarded more as a trade than a profession. It did not require the rigorous course of study, clinical practice, residency training, board exams and licensing, without which it is impossible to practice today” (Shi & Singh, 2008 p.85). This meant that pretty much anyone during this time could call themselves a physician, and...
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...Charlinne Rivera Professor Clark ENC 1101 Research Paper 7 August 2012 Work Count: 1,227 The Unexposed Dangers of Blood Transfusions Blood is not considered the “fluid of life” without valid reason. This essential liquid is circulated throughout the human body within veins, capillaries and arteries to our heart, where it is cleaned from contaminants and waste products, then replenished with nutrients and oxygen needed to maintain life. That is the way the human body system nourishes its cells. Blood provides the necessary nutrients to our cells to keep them alive. When this process is compromised by chronic blood loss, trauma, clotting abnormalities (hemophilia, anemia, etc.), the most common treatment is the use of blood transfusions. How wise would it be to consider all of the risk factors involved with blood transfusions before making a decision to utilize one? “There is increasing evidence that blood transfusions are dangerous and often unnecessary” (Hupston, “Quality Blood Transfusion Alternatives” 1). According to the article “Blood Transfusions- Risks”, published by the Mayo Foundation Medical Education and Research (MFMER), several risks are associated with blood transfusions. Included are the possibilities of getting an allergic reaction, even when the two blood types are compatible. Such reaction can cause from hives and itching to greater problems pertaining to breathing problems and blood pressure, tachycardia, vomiting, anxiety and fever. If a reaction of...
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...order to better understand the respective roles of the ligaments involved (6), (7). Through the research published in The Journal of Bone and Joint Surgery by John Kennedy and Peter Flower, it was learned that the medial capsular ligament and tibial collateral ligament failed under rotational loading prior to failure of the ACL (7). Even though the results definitively suggested that ACL failure was induced by isolated trauma, the surgical advancements developed in the era were predicated around resolving the rotational instability of the...
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...As we move through our daily lives, our muscles become binded, underactive, and dysfunctional. Many of us never pay any attention to this occurrence until pain elicits a response urging us to seek medical attention. Of course, many people will turn to traditional medicine for a solution, often receiving medication to cover the pain caused; never correcting the root cause of the pain. As time moves on surgery may be suggested by the traditional practitioner and that solution only affords a few more years before the same symptoms will return or even less time to create a new problem in a surrounding tissue, then the process comes full circle. A reason for the binded, under active, and dysfunctional muscles is the accumulation of scar tissue. By definition scar tissue, or cicatricial tissue, is the dense fibrous tissue forming a matrix, derived directly from granulation tissue. For the purpose of this paper I will use the term scar tissue throughout its length. Scar tissue binds up and ties down tissues that need to move freely. This dense, fibrous tissue affects us all and is an underlying factor in many injuries. As scar tissue builds up, muscles become shorter and weaker, tension on tendons causes tendinosis, nerves can become trapped, and altered movement patterns result causing discomfort often pain. “All these problems can cause reduced range of motion, loss of strength as well as tingling, numbness, and weakness” [1]. Scar tissue forms two different ways: first, if a muscle...
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...2012 Tina Folk-Comartie Positioning and Differentiation Positioning and differentiation in health care is two health care facilities not far from the same location. Catskills Regional Hospital and Orange County Regional Hospital are situated 30 miles from each other. These two facilities are both in the state of New York Hudson Valley Region. These two hospitals focus on catering to the same clientele. The paper will reflex the differences and similar attributes. The facilities cater to geriatrics, gynecological, rehabilitation centers, and other similarities. Positioning and differentiation is Orange County Regional competitive strategy advantages over Sullivan County Regional. Discipline of the Organization Planning a health care system positioning and differentiation paper will have a excellent plan and tactic position. Marketing at a hospital and it brand name is vital to success in profitability. Catskill Regional Hospital and Orange County Community General both have well known toes to the community in Sullivan and Orange Counties. The paper will discuss some of the different strategies both organization uses to convince the community of excellence in health care services, and products. Both facilities have undergone a huge transformation to enhance marketing to produce profitability. Both organizations have a unique clientele attraction. The hospital’s has distinguished the market to attract consumers to become regular patients. Strategy ...
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...organizational protocols for system use, and strategies to promote interprofessional collaboration). 1 Department of Surgery, 2Division of Continuing Professional Development and Knowledge Translation, 3Division of Emergency Medicine, University of British Columbia, Vancouver, BC, Canada. Key words: clinical telehealth, videoconferencing, literature review, quality of service Introduction Abstract Videoconferencing technologies can vastly expand the reach of healthcare practitioners by providing patients (particularly those in rural/remote areas) with unprecedented access to services. While this represents a fundamental shift in the way that healthcare professionals care for their patients, very little is known about the impact of these technologies on clinical workflow practices and interprofessional collaboration. In order to better understand this, we have conducted a focused literature review, with the aim of providing policymakers, administrators, and healthcare professionals with an evidence-based foundation for decision-making. A total of 397 articles focused on videoconferencing in clinical contexts were retrieved, with 225 used to produce this literature review. Literature in the fields of medicine (including general and family practitioners and specialists in neurology, dermatology, radiology, orthopedics, rheumatology, surgery, cardiology, pediatrics, pathology, renal care, genetics, and psychiatry), nursing (including hospital-based, community-based...
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...important role from the early stages of life until the body starts to deteriorate. Information needs to be stored in our memory in order for it to be processed and accessible when needed. The memory portion of the brain allows us to furnish our mind with emotions, knowledge and thoughts that aids in accomplishing everyday tasks. Memory contributes to the ability of recalling events, connecting one point to another, and incorporates the world of the implicit. In other words, memory has the ability to guide the mind through effortless tasks without being consciously aware. For example, a person does not need to recall every motion in riding a bike after the process is already learned. However, memory may be affected by amnesia. The purpose of this paper is to discuss the role of memory and brain structures involved with anterograde and retrograde amnesia Amnesia is a condition that involves partial or complete loss of memory. The severity of memory loss is determined by which part of the brain was affected. Major brain structures involved with memory are the hippocampus and the temporal lobes. The hippocampus is a structure within the brain and part of the limbic system. This structure significantly contributes to memory, and may be related to processing information and the formation of recent memories. According to Kim and Fanselow (1992), damage to the hippocampus results in the impairment of recent memories, but not remote A study conducted by Kim and Fanselow (1992) found damage to...
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...Specialized Setting: A Multidisciplinary Concept Analysis First we need to understand what Rehabilitation is to be able to focus on its concept analysis. It is a part of the continuum of care as it focuses on increasing a patient’s function for self care and mobility. The need for a rehabilitation care concept in a specialized rehabilitation hospital increases as the length of stay decreases in acute hospitals after surgery or procedures due to the financial burden on insurances, Medicare, Medicaid, and the acute hospitals themselves. No longer do we see in the United States two week long acute hospital stays after major surgeries, strokes or other injuries that affect the activities of daily living (ADL). The hospitals discharge patients back home much sooner than before or transfer them to facilities for further recovery. Unfortunately some of these facilities are long term acute care hospitals or nursing homes where continuing daily therapy is very limited. The fortunate ones get admitted to a specialty hospital called a rehabilitation (rehab) hospital that this paper will focus on. Here, nurses, occupational therapists, physical therapists, speech therapists, case managers, dieticians, and physicians work all closely together to see the best results of recovery and to achieve this goal before the patient is ready to return home at the optimum level of wellness. As a nurse working in a rehabilitation hospital I see this multidisciplinary approach to regain a patient’s strength...
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...Screening and Decolonization of MRSA in the Preoperative Patient Suzanne Miller Aspen University HUM410 Abstract Staphylococcus aureus is the most common organism responsible for surgical site infections. The colonization of Methicillin-resistant staphylococcus aureus (MRSA) has been identified as a significant risk factor for patients undergoing orthopedic surgery, putting this patient at a higher risk of developing a surgical site infection. Screening preoperatively and treating colonization is a tool to aid in the prevention of surgical site infections in patients undergoing elective joint surgery. Results of various studies of patients undergoing elective joint replacement surgery have been reviewed. A nasal swab was obtained and cultured during preadmission testing. If the culture showed that the patient was positive for MRSA colonization they were treated with nasal mupirocin. They also were instructed to bathe with surgical wipes containing chlorhexidine prior to the procedure. The results of the research suggest that the use of a screening protocol prior to surgery can decrease the risk of MRSA in the postoperative patient. Table of Contents 1. Literature Review........................................................................................................................4 2. Discussion....................................................................................................................................7 3. Conclusion................
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...MIDW113 – Jodie Sparke S00163149_assess2 b). Postnatal case study – Gina is a 34 year old G2 P2 woman, day 2 post caesarean section. You enter her room to find her teary and upset; she tells you she had planned on having a natural birth in a midwifery led model of care. However, she experienced an emergency caesarean section after her baby showed signs of fetal distress. Describe and discuss the role and responsibilities of the midwife in providing pre and post-operative care to a woman in Gina’s position. You are expected to demonstrate, plan and evaluate safe, holistic, woman centred evidence-based midwifery care. This paper considers a postnatal case study of Gina, a day two post-operative, 34 year old Gravida 2 Para 2 woman. She experienced an Emergency Caesarean Section (ECS) resulting from fetal distress. This essay will investigate why birth can become an emergency and the evidence-based indications involved in decision making. It will explore the roles and responsibilities of a midwife in both the pre and post-operative support of a woman; based on a safe, woman centred and holistic approach to maternal care. It will discuss the emotional effects an ECS can have on a woman and her family as a crucial aspect in this case. An integral part of the preparation for birth is a birth plan. This allows the woman to detail how she would like her labour/birth to progress. It often includes the expectation of a natural vaginal birth. However, due to a variety of physiological...
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...Foundations of Psychology 28 March 2016 Abstract Thesis Statement: In this paper we will discuss different kinds of brain injuries, the functions of neural plasticity and the limitations of neural plasticity. The first thing that is discussed in the paper in different brain injuries. We go into depth about five different brain injuries that include blood clots, hematomas, concussions, strokes and cerebral edema. Once we have covered brain injuries we discuss the functions of neural plasticity in brain injuries. An important thing that is discussed with neural plasticity is the recovery from a brain injury, what is required during recovery and how long recovery from a brain injury can take. The last thing that is discussed in this paper is the limitations of neural plasticity with brain injuries. Keywords: brain, injuries, plasticity, neural “Each year, traumatic brain injuries (TBI) contribute to a substantial number of deaths and cases of permanent disability. TBI is a contributing factor to a third (30.5%) of all injury-related deaths in the United States.” (cdc.gov) Robert has experienced a traumatic brain injury that is going to affect him for the rest of his life. Brain injuries are serious, and should be treated as such. For some people brain injuries go unnoticed and untreated leaving it to be deadly, but for others it is caught and treated but the healing process is extensive. In this paper we will discuss different kinds of brain injuries, the functions of neural...
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...Positive and Negative Impact of Computer in Society The Social Impact of Computer in Our Society From the time of the invention of the computers to the present day, computers have met tremendous changes. Time to time incorporation of the latest technical achievement has made the use of computer easier. More and more application have been developed and almost all the areas of the professions have been computerized. Computerization is continuously becoming an important part of many organizations. Computer have proved almost all the fields whether related to numeric processing or non numeric processing or document processing in the developed countries and all the walks of life. Computers have become the part of every organization. Beneficial or Positive Impact of Computer in our Society * Any professional individual like doctors, engineers, businessmen etc. undergo a change in their style or working pattern after they get the knowledge of computer. * An individual becomes more competent to take a decisions due to the computer because all the information required to take the decision is provided by the computer on time. As a result, any individuals or institutions get success very fast. * The person working at the managerial level becomes less dependent on low level staff like clerks and accountants. Their accessibility to the information increases tremendously. This improves their working patters and efficiency, which benefit the organization and ultimately affects the...
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...operational without the oncology department within the next couple of months. Said Debashish Poddar, managing director, BP Poddar Hospital & Medical Research Limited, "It will not be a so called state-of-the-art hospital but a hospital, which will ensure healthcare deliver of international standards within the affordable limits of the common man. The hospital is the culmination of the dream of Arun Poddar, Chairman of the Group and his family to perpetuate the memory of his father Late BP Poddar, he added. Despite being a multispeciality unit, the focus area of the hospital will be oncology. All possible imaging facilities will be provided at the hospital. The management has applied for necessary regulatory clearances from Bhaba Atomic Research Centre (BARC) to start radiation therapy for treatment of cancer. According to Dr Subrata Das, medical director, BP Poddar Hospital & Medical Research Limited, "With a few dedicated hospitals in the region dedicated to oncology, the proposed hospital will take care of all the needs of the cancer patients. We are in the process of installing the latest equipment in the hospital to provide the best possible medical care." The management will be investing substantially on training of human resources. Said Shantanu Ray, a renowned academician and a director of BP Poddar Hospital & Medical Research Limited. To make patient feel that he is not in a hospital, the management has emphasized on adding a dash of colour to the costumes of...
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...invasive solutions with latest technology. Faced with environmental changes and new competition on the horizon, Intuitive Surgical has some challenges to face while maintaining positive results for investors. Overview This paper is based on research performed on Intuitive Surgical Inc, (NASDAQ: ISRG) and includes details about company’s line of business, place within its industry, and overall business situation as it is perceived by its customer based. Certain company financials will be introduced, analyzed, and discussed throughout the paper to help describe the perspective of value that this company has to investors and consumers alike. An industry analysis will help explain the strengths, weaknesses, and challenges this company faces amidst policy changes and increasing competition. Line of Business and Overall Business Situation Intuitive Surgical, Inc. is a leader in minimally invasive robotic-assisted surgery and competes in the global market. This company has capitalized on the growing demand from surgeons and patients desiring minimally invasive procedures across many surgical disciplines. In January of 1999, the da Vinci System was launched and was the first robotic surgical system cleared by the FDA for general laparoscopic surgery. The FDA cleared the da Vinci system in following years for additional procedures such as thoracic, cardiac, urologic, and gynecological. ...
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...HSM430—Planning and Marketing for Health Services Organizations | FINAL COURSE PAPER | New Orleans Public Hospital | 8/21/2011 | Final Course Paper HSM430 Planning and Marketing for Health Services Organizations My market analysis is that New Orleans needs a public hospital and needs one rather badly. It’s been since August 29, 2005, that this city has been without a “true operational” public hospital and that is one year too long. I will include demographics of the area and citizens, a marketing analysis and a sure marketing plan to get this project from a dream to a reality. As I have stated in the above paragraph, my demographic site will be the New Orleans Metropolitan Area. The parishes that will be covered are Orleans and Jefferson Parish. The cities involved will be New Orleans, Metairie and Kenner. In 2006, New Orleans had an estimate of 223,388 citizens. The figure for New Orleans is low based on the year before Hurricane Katrina hit New Orleans and devastated the city. A great number of citizens left the city and the state. In 2010, Jefferson Parish had 432,552 citizens. The state of Louisiana in 2010 had 4,533,372 citizens. Of the citizens that live in Jefferson Paris , persons 65 years old and over was 13.7%. Females represented 51.9%, White persons 62.9%, black persons 26.3% American Indian and Alaska persons, 0.5%, Asian persons 3.9%, persons of Hispanic or Latino origin 12.4%. High school graduates over the age of 25 82...
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