...developed. A psychiatry division comprised of five specialists will be responsible for implementing psychological methods which will enable the treatment of the patient on a more complete level. Taking into consideration the undeniable presence of stress in any instance of illness and the fact that stress not only effects behavior responses but also impairs immune functioning by changes in the body’s physical systems the role of psychology becomes even more evident in providing patient care (Sarafino, 2006). By incorporating psychology in to health care the patient can experience a reduction in stress will ultimately enhance their overall health. Patients will be better equipped with the necessary skills to successfully adapt and cope with a variety of illnesses. Effective coping strategies can only be obtained through use of psychological methods. This will result in shorter hospitalizations and an increased patient compliance with treatment plans. Each case is a specialized issue, which requires treatment for the five different areas of Psychology input and or treatment. These five areas include a Psychologist that will work on specific issues that pertain to their specific area of study and or profession. The five psychologists will include a substance abuse counselor, an inpatient-only psychologist, a child psychologist, an adult psychologist, and a rehabilitation psychologist which will focus on the post-care portion of...
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...A venous leg ulcer is a chronic wound as it takes longer than six weeks to heal. It is caused by venous hypertension which is high blood pressure exerted in the veins of the legs which causes damage to the skin. Fluid can leak from the veins and pool under the skin causing swelling and thickening, this then leads to the skin breaking down to form an ulcer. Before a venous ulcer can be treated it is important to rule out peripheral arterial disease being the cause of the ulcer. Symptoms of peripheral arterial disease include pain in limb when exercising or walking, intermittent claudication, skin changes such as hair loss, cold to touch, oedema and ulceration. An arterial leg ulcer is caused by poor blood flow in the arteries and due to the current treatment of venous ulcers which is bandaging. This would reduce blood flow further and cause more damage making the ulcer worse. Having a history of varicose veins and a lack of mobility increases the chance of developing venous leg ulcers . According to SIGN (2010) when assessing a patient for the first time with a venous ulcer it is important to obtain their medical history in case of previous varicose veins and deep vein thrombosis as well as their mobility. Knowing these factors will contribute to managing the patients treatment, care and help with the rate of improvement. The framework model used to assess leg ulcers is the leg ulcer care pathway which is dived up into four stages 1. Patient...
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...synopsis of MA and her LU. Community nurses are increasingly seeing patients with LU as insurers only pay for three episodes of treatment for one condition (Medins 2011). This disadvantages those patients like MA, as if they have a long term or chronic condition they may not receive treatment or care and this in turn will raise the country’s morbidity and mortality rates. In the UK the Government provides all healthcare free at the point of delivery and prevention of ill- Health and patient’s taking responsibility for managing their own illness or disease is viewed as an important Public Health Strategy ( DH 2010). In this assignment I will discuss strengths and limitations of evidence based practice (EBP),sourcing different forms of evidence which will enable me to provide the best evidence-based practice I can for my patients. How I sourced evidence will be discussed, but a wide range of literature will be utilised to support my discussion and assist my acquisition of further knowledge around not only management of leg ulcers but also EBP. Evidence based Practice (EBP) is a term referring to reliable, clear and sensible use of up to date best evidence in constructing decisions about the care of individual...
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...source that I have chosen to use is Child sexual abuse this source will contribute to my paper because it is talking about how child sexual abuse is universal concern. According to Johnson (2004) the pain and tissue wound from sexual abuse can entirely heal in time, but psychological and medical penalties can persist through adulthood. The source also states that 96% of our children are assessed for suspected sexual abuse will have regular examinations, or even medical interview by professional must be trusted on to document doubt of abuse. Child abuse is serious problem that should be handling in professional way. The next source that I believe will contribute to my paper is Forgotten Families I feel like this source will be very helpful because it is basically talking about how remarkable that it is how within two-year period nearly a thousand kids needed case management service. According to Northcott (2013) this article discover the far more distinguished fact that the number is outrageously small when one considers the growing population of children in foster care who have family connections overseas. Reason I pick this article is because there is so many families adopting children from other countries and the child welfare system has multifaceted home studies,...
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...Academic reflective essay The essay will focus on the patient involved in the given case study named as Mrs. S. In addition, the essay will give a relevant and brief history of the patient. It will also define the term ‘bio-psycho-social’ and its relevance to holistic care. For the point of discussion, the essay will focus on the management of care for patient with gastrointestinal illness resulting in stoma operation and will discuss the biopsychosocial factors affecting the patient and how this changes ‘normal’ biology, psychology and sociology. The individual chosen to focus on is named as Mrs. S. The patient involved in this case study Mrs. S. is a 48 years old lady who works in school as a teacher. She lives with her husband, Mr. S, in a small town. Her husband works as a builder, which has long working hours, leaving him not much time to look after their children. They have two girls and they are aged 12 and 10. They are a loving family. Mrs. S looks after the children, takes them to school and pick them up. Mrs. S is a very active lady with a very active social life, she likes to meet up with her friends during the weekend; she swims four days a week with her children, and she balances her time with family and her job. She is suffering from mild hypertension, drinks minimal amount of alcohol during the weekends and smokes 5-10 cigarettes a day. The term ‘bio-psycho-social’ refers to the relationship amongst biological, psychological and social characteristics of an...
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...designed in a way that clearly directs healthcare executives in their interactions with patients, employees, and the community. The ACHE Code of Ethics also clearly defines the responsibilities of the healthcare executive to the profession of healthcare management and also the responsibilities of the healthcare executive to the organization, as well as the responsibility of the healthcare executive to report violations of the code to the appropriate entities. The ACHE Code of Ethics is comprehensive and provides guidance for healthcare executives in the many facets of the profession. One of the areas of strength of the ACHE Code of Ethics is the focus on ensuring that there are adequate processes in places for nearly every area of patient care, including conflict resolution, safeguards to prevent discrimination, ensuring autonomy, ensuring confidentiality, and many others. Because the ACHE Code of Ethics outlines the importance of having these processes in place, it is vital that the healthcare executive ensure that these processes are in place so that he/she can be in compliance with the ethical code and exhibiting the utmost competence in the field. One of the major areas of weakness that the ACHE of Code of Ethics possesses is the lack of any principle stating that the patient must come first. Although there are principles involving ensuring autonomy and self-determination, there is not a principle outlining the statement that patients must come first, including ensuring...
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...healthcare providers, learners, specialists, patients, customers, families and other groups intently to empower ideal wellbeing outcomes for clients. IPC is a collective operation which takes place when various medicinal services providers work with individuals from inside their own calling, with individuals outside their calling and with patients and their families jointly to achieve good health outcomes collaboratively. This complex relationship, occurs over a period of time. The objective of this paper is to demonstrate how interprofessional cooperation creates a relationship of appreciation and respect for other disciplines...
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...Associate-Degree Level versus Baccalaureate-Degree Level According to the Institute of Medicine (IOM), the improvement in quality of education for health professionals is necessary to continue to meet the needs of the health care delivery system. (“Health Professions,” 2003). Nursing has evolved throughout the centuries; from the male-dominated religious caregivers dated as far back as 250 B.C., to the registration of nursing created by Elizabeth Grace Neil in 1901. Moreover, the continuous rapid advances and demand in health care has prompted alternatives in educational programs. Mildred Montag, the founder of the 2 year Associates degree, created this program to combat scarcity in nursing during World War II. (Creasia and Friberg, 2011, p.15). Countless research and investigation has been conducted to analyze the differences between nurses' competencies prepared at the Associate-degree level to the Baccalaureate-degree level in dealing with the outcome of patient care. Differences in Curriculum The Associate Degree in Nursing (ADN) is a 2-year program that focuses on clinical experiences and technical competence. On the other hand, the Bachelor’s Degree of Science in Nursing (BSN) is a 4-year program that focuses on preparing professional nurses for acute care, community-based treatment, and the inception of leadership and administrative positions. The BSN level integrates with the infrastructure of knowledge that was built during training at the ASN level in preparation to...
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...Review SKIN FUNCTION AND WOUND HEALING PHYSIOLOGY John Timmons is Clinical Manager, Wounds UK and Tissue Viabiliy Nurse, Aberdeen Regular evaluation and the setting of goals is essential to monitor the progress of the patient and their wound.To do this, is important to understand the physiology of the skin and the way normal wound healing progresses in order to plan and provide effective wound management. This article describes the structure and function of the skin and outlines the four normal phases of healing. Wound healing is an exciting and continually developing field, with new technologies and research playing a large part in improving the quality of patient care. The role of the nurse in wound care is all encompassing, stretching from the initial assessment of the wound and the patient, to making the correct decisions about treatment and beyond. Regular evaluation, and the setting of goals is essential to monitor the progress of the patient and the wound. To do this, a baseline knowledge of the functions and anatomy of the skin and wound healing physiology is required. Figure 1. When the skin is breached, it is important to close the defect as quickly as possible, thereby preventing infection from occurring. vital substances (Graham-Brown and Burns, 1998). the nerve endings present in the skin allow the body to detect pain, and changes in temperature, touch and pressure. 8Sensation: Functions of the skin The skin, often referred to as the largest body...
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...Abstract: Aim: To search and critically review research literature, concerning management and technique of compression bandaging. Background: Compression bandaging is required for venous leg ulcers, which is due to damage and loss of skin above the ankle that is the result of a problem with the veins in the leg. Although leg ulcers are not a life-threatening condition, it can have considerable effects, not only on health, but also on the quality of life, self-esteem and healthcare cost. Method: Extended literature review, to extrapolate best available evidence, in order to address the focus question. Computerised and manual searches of previous literature were used; refining searches by means of constantly re-evaluating inclusion and exclusion criteria. Results: Eight (8) articles were decided upon, seven (7) of which were quantitative and one (1) which was qualitative in design. Two main themes emerged from these articles, that of management strategies for leg ulcers and technique of applying compression bandages. Recommendations: Episodes of venous ulceration can be reduced with management strategies, such as graduated compression therapy with comprehensive technique. However, without further education for nurses and patients towards compression therapy, venous ulceration will prolong and management strategies will fail. Conclusion: Knowledge of compression bandaging technique needs to be increased through further training/education. ...
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...patient’s recovery and quality of life. Accordingly, it has been suggested that burn patients should undergo both long and short term systematic mental health care, in order to minimize and avert these psychopathological responses. Moreover, psychological interventions helps burn patients and staff to reduce burdensome as well as decline depressive symptoms. Notably, dissatisfaction tendencies with post-burn body image and appearance, have been pinpointed as a leading cause of psychological impacts, resulting to protracted recovery and impaired social life. According to Thombs et al. (2007) burn scars following a deep dermal injury are often cosmetically disfiguring and impel the scarred individual to deal with an alteration both in body image and appearance. The patient is also forced to adjust to significant impairments in motion and limitations of activities. However, according to Henry (2011), it is the disfigurement or change in appearance and body image that has a profound impact on the patient. Lau & Van Niekerk (2011) note that the alteration in appearance from ordinary to a conspicuous one is often abrupt and adjustment becomes complex as the patient is forced to confront personally, the alterations as well as, deal with the reaction of others to the disfiguring conditions. Further, disfiguring burns in many cases, elicit psychosocial problems especially in the area of social functioning which impairs the quality of...
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...works by redistributing pressure to other areas by removing the constant pressure on pressure points along boney surfaces. This assist with minimizing the risk from getting a pressure ulcer prior to having a pressure ulcer. I think this is importance because some patients may have a disease processes that if a wound exist, the possibility of that said patient condition worsening is high. We also implement the evidence-based practice of putting the patients on a turn schedule. The nursing staff are to turn the patient every 2-hours in hope of preventing pressure ulcers. Some best practices utilized to prevent medical device-related pressure ulcers are: Choosing the correct size Cushioning and protecting the skin Assess the site and observe for edema and skin breakdown. References Pressure Ulcer Fact Sheet. (2014). Just the Facts. Retrieved from http://www.npuap.org/wpcontent/uploads/2014/09/STOP-PU-Day-Fact-Sheet-color-20141.pdf Stryker Mattress. (2015). General Information Page. Retrieved from http://www.stryker.com/enus/products/PatientHandlingEMSandEvacuationEquipment/Beds/index.htm 1. The hypothesis of the clinical research study is: immunization and vaccine hesitancy is affected by the environment and the situation of its...
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...between a doctor and nurse. Both roles, however, are essential for the medical industry and of equal importance. In this essay I will objectively compare and contrast the role of the doctors and the role of the nurses, and maybe this will give more insight on who’s who in the healthcare industry. Doctors and nurses first differ in their job descriptions. In most cases, the doctor is tasked with examining and diagnosing patients. A nurse, on the other hand, will have a more hands-on role with physically treating a patient based on the doctor's diagnosis. Nurses often joke that they are just as knowledgeable, yet are paid less and charged with performing the "dirty work". However, both jobs can be physically and emotionally demanding. It should be pointed out that the role of a nurse is not always as a subordinate to doctors. Advanced nurses, such as nurse practitioners, will also diagnose patients and can even prescribe medication. Another major difference between a doctor and nurse is their salary. While not always true, the average doctor earns a higher yearly income than the average nurse. According to a 2006 study by...
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...This makes mobility much easier in some cases. It is commonly used for conditions like back pain, fibromyalgia, rotator cuff tears, Parkinson's disease, balance disorders, arthritis pain, hip or knee surgery, ankle sprains, and strokes (360 Physical Therapy). The pool puts less stress on the muscles, joints, and ligaments that therapists would be working on improving. The buoyancy of the water helps enhance exercise and functional training for the patient with musculoskeletal, neuromuscular, cardiovascular, and integumentary diseases, disorders, or conditions (“Aquatic...
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...In this assignment I am going to talk about someone was diagnosed with type 2 diabetes in 2007, the effect their lifestyle has had on their condition and what exactly the healthcare provision is doing to help. I will be changing the names of all people and places in line with the NMC(2008) Code of Conduct. I am doing my report on a 47 year old female who i will be referring to as Mrs X, she received the diagnosis of type 2 diabetes 5 years ago. Mrs X is currently classed as obese, very rarely exercises, drinks excessive alcohol and smokes around 20-30 cigarettes a day, so was at a high risk of developing type 2 diabetes, also she was 42 at the time of diagnosis and studies show that ‘’type 2 diabetes occurs mainly in people over 40 “Nice (2008)”. When she was younger Mrs X exercised regularly, ate healthily, very rarely drank alcohol and before being diagnosed with type 2 diabetes never had any health problems. However after having children it became hard for Mrs X to make time to exercise and she also took to eating ready meals and fast food as it was quicker and easier. It is likely that her change in lifestyle gradually contributed towards developing type 2 diabetes. Recent statistics (NHS 2008) show that of all people aged 35 and over, classified as having a raised waist circumference, men were twice as likely and women four times as likely to have type 2 diabetes. Eating unhealthily and being inactive are contributory factors when it comes to diagnosing diabetes type...
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