Essays on Hospitalization

According to the Betty Neuman's theory, a human being is an open system which interacts with both internal and external environments (Alligood, 2014). In addition, a human is always exposed to constant stressors and he/she must move in the direction where there is holistic stability. This theory views both environments as stressors which a person is exposed to on a daily basis (Sitzman & Eichelberger, 2015). In accordance with Betty Neuman's theory, the external factor which affects the health of Mr. Reynolds include the state of being hospitalized, being a widower, living in isolation and environmental risk factors for falls. ...

Executive Summary: Eliminating Discharge Delays

Executive Summary: Eliminating Discharge Delays Bed capacity has emerged as a critical issue in hospital quality management with evidence indicating that inefficient discharges contribute to slow care and patient flow while further increasing costs. Changes made to the prospective payment system by Medicare in recent years have increased pressure on hospitals to cut costs through, among other ways, reducing patient length of stay (LOS) (El-Eid et al., 2015).

‘Eliminating discharge delays’ is a quality management project that focuses on reducing patient length of stay and as such improving hospital throughput. The project entails implementation of several strategies that collectively ...

There are times when a nursing problem arises as a result of a number of findings, and these findings are pulled together into a summary in order to see the big picture created out of these findings. This act of pulling together is what Brown & Ochs (2018) calls a systematic research review (SRR) or systematic review, which helps researchers identify “what is known with certainty, what is tentatively known, and what the gaps in knowledge are regarding an issue” (p.175). It serves as a link between the individual studies performed and the decision making done in order to create ...

The centers for Medicare and Medicaid define an accountable care organization as a group of medical professionals and hospitals, whose aim is to share medical and financial responsibilities for coordinated care to patients (McCarthy, 2013). The team members unite to provide harmonized and high eminence care to the Medicare patients, who visit the medical institutions. The coordinated care that is provided assists in ensuring that patients, particularly the chronically ill patients, have access to timely and quality care. Additionally, it helps in preventing medical errors from occurring as well as reducing pointless replication of services. If the ACO programs ...

Introduction

Nurses play an integral, challenging, and complex role in the healthcare system. Nurses are considered as the backbone of the complex and diverse system that comprises patients and a multidisciplinary team of experts. Nurses are educated and trained to cater to a large group of patients and often seek continuing education and upgrade their skills and knowledge. It is only through clinical exposure that nurses learn and implement new strategies and techniques. Nurses are known to transform the healthcare system by acting as mediators between the patient population and the medical team (physicians and other allied healthcare members). Through ...

Abstract

Numerous attempts to reform health care in the United States on the federal level have been made since the 1930s, but differences between each state represent a significant barrier to every previous federal health care reform. In 2010, the Affordable Care Act (ACA) was signed into law, but the current implementation and effects of the law are not the same across different states. The purpose of this paper is to compare and contrast the effects of the health care reform in California and Florida, as well as the positions of the two states. It was found that the insurance ...

Introduction

The situation is getting out of control at Good Health Hospital (Tampa Bay) since the outbreak of Escherichia coli, a specie of bacteria that can be found in many daily items. The incident involved Ward 10, which is located in the second floor. A recommendation from the Centers for Disease Control and Prevention (CDC) stated that the investigation of the bacterial source must begin with the hospital kitchen as the bacterium can be transmitted through contaminated vegetables and delicatessen meats (e.g. salami and other cold cuts). The Epidemiological Summary provides a brief description of the data obtained. Environmental review ...

Virginia Henderson- Need Theory

Virginia Henderson developed the Nursing Need Theory based on her personal experience gained through practice and education (Zamanzadeh, et al. 2015). Henderson’s core objective was not to form or develop a theory but focus on the core principles associated with nursing practice. She focused on the various factors that contribute to be a successful nursing professional. Henderson through her theory proposed the concept of patient’s independence and improved health outcomes. She states that letting patients independently perform key tasks would fasten the recovery process and decrease the overall hospitalization stay. She states that nursing practice is closely ...

Institutions:

In reference to the case scenario, it is quite apparent that discharge planning is the key variable that should be addressed by the RN (Registered Nurse) in planning the discharge for the patient. Essentially, discharge planning usually involves identifying the patient needs and what he/she requires in order to have a safe as well as smooth transition from the hospital to the next care destination. As such, developing an effective and efficient discharge plan for the patient would enable the healthcare provider to identify the needs of the patient and the support required by the patient and come up ...

Mental wellbeing has in the recent past attracted a lot of attention from stakeholders in the health industry after they noted that holistic caring of a patient must involve ensuring mental wellness. In the past, this section of healthcare was overlooked, as mental diseases were not considered ‘illnesses’ but were rather thought to be associated with witchcraft. As a result, any person exhibiting signs of mental illness was shunned and secluded from the community and family members, until he/she passed on. Mental healthcare has as a result lagged behind in terms of providing quality care services to affected patients. ...

Achieving optimal staffing levels of nurses especially in the cardiac unit is a huge milestone that would help in minimizing adverse events, increase job satisfaction among nurses and ultimately foster quality outcomes. Hence, this emphasizes the need to develop a comprehensive implementation plan relating to the proposed solution in order to ensure that the intervention is properly integrated into the organizational system and subsequently enhance care delivery. The project is based in a cardiac care unit and shall involve various stakeholders including: the senior hospital administrators, nurse managers and the general nursing staff. Thus, it is important to obtain ...

Abstract

There are limited or no effective interventions for recurrence of coronary heart diseases among the patients who smoke. Smoking cessation interventions has been suggested to have little benefit; however, there is little evidence on its cost- effectiveness and efficacy of such programs for cardiac inpatients. This study describes the efficacy and cost- effectiveness of intensive smoking cessation methods for cardiac patients admitted in the hospital cardiac unit. The experimental design assesses the efficacy and cost- effectiveness of the intervention that includes face- to- face counselling in combination with the nicotine replacement therapy using 8 cardiac wards of hospitals in ...

XAP Task 1

XAP Task 1

Introduction

Various studies are pertaining to the nursing discipline are available in journals and on the web. Understanding these pieces of information is essential when it comes to increasing one’s knowledge towards the nursing discipline. Normally, these studies encompassing the nursing practice are based on the evidence gathered either through quantitative or qualitative method of research. An exploratory type of research that aims to establish an understanding about the related motivations, opinions, and reasons is the main characteristics of a qualitative research. On the other hand, the quantitative approach aims to gain understanding of the topic ...

Influenza Vaccine on the Elderly

Introduction Based on current evidence, there is an overwhelming response with respect to the clinical efficacy, safety, and feasibility of influenza vaccine in the elderly. The impact of the vaccine is observed in elderly patients with chronic diseases with an influence on reduced mortality and hospital admissions. Based on a recent publication, the influence of the vaccine is also observed among health elderly population around the globe. Researchers and healthcare providers state that the declining age is associated with poor antibody response coupled with various confounding factors. However, these factors have not been clearly stated in literature. On the ...

Introduction

The nursing profession is one of the chief cornerstones of health care delivery worldwide. The role that nurses play in delivering heath care to populations cannot be overemphasized, which makes the profession such an integral part of the medical sector. One of the basic tenets of the nursing profession is that it comprises an integrated approach to various nursing models that work to ensure the effectiveness of the professionals while ensuring patient safety. This paper explores the models and their importance to the overall health care delivery system. Specifically, it reviews journal articles that examine both the synergy and ...

Abstract: The present paper focuses on the examination and presentation of the study conducted by one of the most influential medical institutions – the University of Michigan Medical Center. Thus, the study with its results, including statistical data, is summarized. However, the paper goes beyond the summary in the sense that it explores the significance of it and tries to project its future applicability. Furthermore, some key medical concepts are also discussed in regards to the study in question. The research that will be dwelt upon in the paper dealt with the medical condition known as congestive heart failure. Congestive ...

Background

The present-day advancements in the field of technology present a major breakthrough or opportunity for the healthcare system at large. This is purposely due to the myriad of information management, analysis and sharing products that come with health information technology (HIT). This means that accurate health information can be quickly and safely transacted between the patient and the healthcare provider as well as between the healthcare providers. One of the areas that the contemporary advancements in technology could be feasibly harnessed is through the provision of post-discharge patient care. The post-discharge phase of care presents a unique care situation ...

Patient safety is a critical element in the health care since it guarantees the wellbeing of a patient while receiving treatment and ensures their hospitalization period is short and free from any harm. Thus, it is the responsibility of nurses and other health practitioners to carry out frequent assessments of health facility status to assess the safety and quality of clinical practices. As such, research in a clinical setting is essential in identify problems which have the potential of diminishing wellness of the patients and provide solutions to address the identified clinical problem. Therefore, nurses have to advance their ...

Ray WA, Chung CP, Murray KT, Hall K, Stein C. Prescription of Long-Acting Opioids and Mortality in Patients With Chronic Noncancer Pain. JAMA. 2016;315(22):2415-2423. doi:10.1001/jama.2016.7789.

Prescription of Long-Acting Opioids and Mortality in Patients With Chronic Noncancer Pain Wayne A. Ray, PhD1; Cecilia P. Chung, MD, MPH2; Katherine T. Murray, MD2,3; Kathi Hall, BS1; C. Michael Stein, MB, ChB2,3 [+] Author Affiliations JAMA. 2016;315(22):2415-2423. doi:10.1001/jama.2016.7789.

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Abstract ABSTRACT | INTRODUCTION | METHODS | RESULTS | DISCUSSION | CONCLUSIONS | ARTICLE INFORMATION | REFERENCES Importance  Long-acting opioids increase the risk of unintentional overdose deaths but also may increase ...

Communication in Healthcare Teams

Complementary Roles, Decision Making and Shared Responsibility Effective communication is necessary to be incorporated in the healthcare teams in order to ensure the enhanced wellbeing of patients by means of developing and implementing the patient care plans in an effective manner. The effective implementation of the care plans is based on the shared responsibility of the healthcare teams or multidisciplinary teams, in which the individual members of these teams are responsible to provide care to the patients. The patients in the intensive care units or long-term residential facilities require services from the individuals of different departments and team members, ...

Abstract

Bipolar disorder is one of the various clinical disorders that affect millions of people worldwide. There is no known cause for the disorder though genetics and environment play a significant role in exacerbating it. This paper examines the journey of one Carrie Mathison, a CIA agent who suffers from bipolar disorder. Like other patients with bipolar disorder, Mathison experienced frequent maniac episodes. She also exhibited high-risk behaviors, which are characteristic of bipolar disorder patients. That behavior was evident in her lack of inhibition and excessive drinking. Mathison also exhibited psychotic behaviors, particularly when she saw herself as a heroine ...

Bacteraemia in Cellulitis Article Review Bacteraemia in Cellulitis Article Review

Purpose of the article The main purpose of the article is to determine the medical results of bacteraemia in cellulitis of a human being’s leg. To achieve the purpose, the article shall explore the occurrence of bacteraemia in cellulitis. The article also highlights the risks involves in bacteraemia cellulitis and also the duration of time in which a patient stays at a hospital. The rate of the recurrence of cellulitis is also determined with the morality in patients put into consideration. In order to achieve the objectives of the experiment, records of about 214 patients diagnosed with cellulitis ...

Background of the problem

Childhood asthma is among the major widespread chronic illnesses affecting the pediatric population. According to CDC, about 6.3 million children in the United States have asthma (Centers for Disease Control and Prevention, 2016). Essentially, childhood asthma is mainly characterized by the inflammation of the lungs as well as the airways due to exposure of children to certain triggers that include respiratory infections and inhaling of airborne pollen. Pediatric asthma is associated with various bothersome symptoms that usually interfere with engagement of children in the daily activities such as sports, school and play. In addition, asthma contributes to incidences of ...

The reasons behind persisting health disparities across socioeconomic class in America are not fully understood. A 1.2:4.0 mortality rate ratio exists among people in the lowest socioeconomic class and those in the highest socioeconomic class (Cohen, Farley, & Mason, 2003). The difference in mortality ratios indicates that socioeconomic status plays a significant role not only in mortality rates, but also in the quality of life across socioeconomic classes. In the year 2012, a report by the New York City (New York City Health Department, 2012))Health Department indicated that hospitalization rates in neighborhoods with high poverty levels more than tripled ...

Abstract:

Mental illnesses altogether place a significant burden of disorder on young people. They induce adequate negative outcomes short- and long-term in several domains. Many youths with mental illnesses such as Bipolar disorder and Schizophrenia fall into the clutches of the criminal justice system (CJS) due to their risky behavior. This leads to a problematic quality of life. The main objective of the paper is to highlight about the mental illnesses in youth and the criminal justice system. A web search was conducted and quality articles were retrieved. It was observed that mentally ill youth encounter trouble with regard to ...

A care delivery process encompasses the following tasks: assessment, diagnosis, planning, and implementation. The practice of family medicine also incorporates these aspects of care process in care delivery efforts. This paper seeks to analyse health care delivery process practised in family medicine. To start with, consultation constitutes the main aspect of care delivery process in family medicine. There are several models of consultation used in family medicine practice. The Calgary Cambridge Model is the most widely employed model of consultation in family medicine practice (Bleakley, 2014). The model basically outlines five steps in conducting a consultation (Thomas & Haynes, 2005; ...

Abstract

Alcoholism is one of the major problems in many communities around the world. Regardless of ethnicity and economic status, alcoholism can be problem that can affect the person’s finances in the event that alcoholism already requires rehabilitation or hospitalization if there is already a negative health effect. It was presented in the articles that ethnicity and religious belief can be the reason of either alcoholism or declining alcohol consumption. In the UK, it shows that Blacks and Asians are occasional drinkers, while Whites and Sikhs are the ones who frequently consume higher amounts of alcohol. In effect, alcoholism ...

Response 4

Response: 1 In the ethical violation news about the woman in Texas, the primary concern is that, can we consider her parents’ and husband’s decision as her own free will? A person who is medically declared as brain-dead cannot take a decision. In most of the cases, such patient’s relatives take the decision. As we discuss the right of the patient to be freed from life support, we should also think about the right of the baby in her womb to live. Removing the life support will kill the baby as well, which leads to another serious ...

Introduction

Healthcare organizations in the United States strive to achieve quality in every area of operations to meet the National Quality Improvement Goals. An analysis of different hospitals demonstrates how each tries to maintain quality by developing different strategies and creating new departments to help serve the community effectively. The report shows a comparison between two hospitals located in Texas State, Las Colinas Medical Center and Amarillo VA Health Care System. The comparison analyzes the performance of each hospital regarding fulfilling National Quality Improvement Goals.

Quality awards received by each hospital

Las Colinas Medical Center The hospital received the Top Performer on Key Quality Measures Award ...

Abstract

Food safety remains a serious issue in public health. Foodborne disease is the main threat to public health. It occurs when food gets contaminated with pathogens and is then ingested into the body. Food contamination occurs when there is a flaw in the food handling process that allows food to get into contact with the pathogens. Many efforts have been made to deal with food contamination. However, the food industry still faces many challenges some of which are emerging challenges. The dairy sectors are one of the sectors in the food industries facing numerous challenges. Nevertheless, it is one ...

Part 1

Patient safety, ethical stand and patient centered care is more concerned with healthcare givers providing patients which they deem harmless and also takes into account their wellbeing both emotionally and physically. Effective communication is the key tool that can be used to address the problem of undesirable patient outcomes since it has been established that a reduction in stress and anxiety is usually brought about by patients complying with their medication and also being involved in a proactive form of effective communication. In addition to reduced stress levels, it is also crucial to note that effective communication boosts the ...

Clinical problem

The common concept surrounding palliative care is that it is afforded to patients within inpatient care units and hospice care by specialty palliative care nurses. This has meant that palliative care is only confined to those patients within these settings and thus limiting the accessibility of these services for outpatients populations with chronic or caner illnesses. Patients in need of palliative care usually have physical and psychological problems that require early and constant monitoring and intervention which can only be afforded through palliative care (Zimmermann et al., 2014). While these patients do not seek to cure their illnesses, their ...

Waiting Time Problem in the Canadian Health Care System

For decades, long wait times have plagued the Canadian health care system, causing significant human and economic costs to patients, their families, and the economy as a whole. In 2004, the government enacted the Health Accord to strengthen the system by addressing long wait times in specific medical procedures (Canadian Institute for Health Information [CIHI], 2015). While the accord has caused marked improvements in the overall reduction of wait times, some gaps and challenges remain in certain areas such as consultation with specialists, diagnostic imaging, and surgeries (CIHI, 2015). The result is an unnecessary pain, mental distress, health deterioration ...

Customer Inserts name of instructor:

(14th March 2016)

Mission Statement

EduCare’s mission is to provide care to the mentally challenged, critically ill, elderly, and substance abuse victims in the society (Texas). In particular, the organization is a non-profit firm dedicated to the provision of excellent services to humanity that enhances their living conditions, especially the mentally challenged. Through efficiency and effectiveness, EduCare ensures that persons with disability achieve the highest quality support. EduCare has over 30 years experience in providing mental health home services to clients in Texas. The organization mission relates to social work practice whereby service is based on skill, compassion, respect and ...

(Author, Department, University,

Corresponding Address and email)

Abstract Smoking is one of the most hated habits of the present generation. It affects almost every part of the body. Over 16 million people in the U.S. are living with some smoking-related disorder. Among the most important problems arising from smoking, include cardiac problems. Smoking is not only related to myocardial infarction, but smoking behavior could increase the chances of a second myocardial infarction, and these chances increase with increased smoking. Moreover, the number of deaths of people, who stopped smoking after CABG, within 20 years, was less as compared to persistent smokers, i.e. 46% ...

Urinary tract infection (UTI) due to catheter usage is a common nosocomial infection that results to discomfort to the patient, activity restriction, and delay in hospital discharges. Added to these, it is an added medical expense to the patient’s own pocket because Medicare and other Medicaid Services have decided to stop reimbursing hospitals for the additional expense of caring for inpatients with catheter-associated urinary tract infection(CAUTI) (Sanjay et al, 2009). Thus, I am proposing Michigan Health and Hospital Association (MHA) Keystone Center’s “ABCDE” approach on preventing CAUTI(Sanjay, et al, 2009):

A- adherence to strategies that help prevent infections such as proper education, hand washing and use of aseptic techniques

bladder ultrasound could be ...

Introduction

In the United States, Medicaid was launched to provide social security (social health programs) for individuals and families in the low income group. The main objective of Medicaid was to provide comprehensive healthcare services at low-cost for individuals with limited resources. As per the Health Insurance Association of America, Medicaid is defined as a government funded health insurance program aimed to provide healthcare services for individuals of all age groups irrespective of caste/creed/ethnicity and those with low income and limited resources. It is the largest source of funding in the US with respect to medical and health-based services. It ...

The contemporary world has seen the exponential rise of cancer prevalence in the aging population to somewhat alarming levels. This segment consists of individuals aged 65 years and above and is the fastest growing age group in the United States not only as absolute numbers of persons in the general population but also as a proportion of the total population. (Ershler & Longo, 1997). Recent statistics indicate that one in every eight people in America aged 65 years, and above develops cancer, with women accounting for 58% of all cancer cases (Browner, 2015). Since cancer risk increases with advancing age, ...

Health care costs are increasing throughout the world (Stabile et al., 2013). US spend more on health more than any of its European peers. For instance, in 2013, US spent 17.1% of its total GDP on health care while France and Germany spent only 11.7% and 11.3% respectively, of their total GDP on health (World Bank, 2015). Despite this massive expenditure health, the Europeans receive better health care quality than the Americans. There is a correlation between health care spending and quality of care provided (Stabile et al., 2013). Therefore, reforms in the health care spending might be associated ...

The contemporary world has seen the exponential rise of cancer prevalence in the aging population to somewhat alarming levels. This segment consists of individuals aged 65 years and above and is the fastest growing age group in the United States. Recent statistics indicate that one in every eight people in America aged 65 years, and above develops cancer, with women accounting for 58% of all cancer cases (Browner, n.d.). Since cancer risk increases with advancing age, the elderly account for 56% and 70% of all new cancer diagnoses and mortalities in the country (Browner, n.d.). The cancer burden in ...

Influenza injection program

Abstract Influenza which is at times referred to as flu is a highly communicable disease that attacks the respiratory system. It is a viral disease caused by the Influenza virus (CDC, 2015). The severity of the condition can range from mild to serious depending on the immunity of an individual towards the disease. In extreme situations, hospitalization or death may occur. As such, from the proverbial prevention is better than treatment, it is imperative that persons who are likely to be affected by this virus receive vaccination to cushion them against the effects that are likely to be brought ...

Argumentative essay

Abstract Introduction Detection Degrees of severity General risk factors Suicidal behavior Intervention Prevention Postvention Conclusion Abstract In the society of today, adolescents experience constant stress, and many of them consider suicide as the only possible solution to their problems. Examinations of the risk factors and prevention programs are extremely important because suicide claims more than five thousand adolescents per year. Determining the individuals who are at-risk is a difficult task because frequently suicidal signs are exhibited in a subtle way. Moreover, the occurrence of suicides depends on factors such as gender, sexual orientation, family problems, etc. everyone who deals ...

The first article that will be examined in this paper is Impact of Hospital Nursing Care on 30-Day Mortality for Acute Medical Patients by Tourangeau1, A.E., Doran, D.M., McGillis Hall, L., O’Brien Pallas, L. and Pringle, D.

Review of Data Analysis

Brief Statistic Summary

The study represents two regression models: multiple regression model and backward regression model. Some of the assumptions were met while some of them were not. The type of data can be considered appropriate for these statistical tests because the results of the tests supported the assumptions that were made at the beginning of the study (Bellolio, Serrano ...

An investigation into whether polypharmacy in hospice and palliative care patient population can be reduced, thereby affecting quality of life

Introduction Polypharmacy simply refers to the use of several medications by patients. Sometime patients are prescribed several medications than what is clinically allowed or a patient may be given too many pills of drugs despite being clinically indicated. In addition, sometimes the drugs given to patients may not be evidence based but their use is only based on the speculations. Polypharmacy has been described to have a lot adverse effect on patients despite the patients being on medication. Instead of improving the quality of life, polypharmacy may sometimes prove to be adverse on patients. Common consequences of polypharmacy include negative ...

Question 1

As a result of reforms in health care encapsulated in the Affordable Care Act, health care exchanges that are state or federally run have been established. The establishment of health care exchanges is bound to alter outpatient treatment as a concept in health care. Some of the benefits that those covered under health insurance enjoy include consultation fees paid to doctors including specialists and payment for examinations and tests requisite to the treatment of illnesses (Carey, 2010).

The implementation of health exchanges has organized the market, making it easier for people to purchase insurance. The ...

Discussion Question One

Patients who are terminally or seriously ill will often prefer hospice and palliative care to being inpatients in hospital wards. Looking at the pros and cons of hospice and palliative care helps vet this option. One of the advantages of hospice and palliative care is that it allows the patients to live the final phase of their life with dignity, purpose, support and grace. When hospice care is provided at the home of the patient, hospice and palliative care enables the patient to spend the final phase of life in a comfortable and familiar environment, in the midst of loved ...

Effective communication is overly important in the operation theatre. It is one of the ideal ways of ensuring that the operation theatre is operating efficiently. However, this has emerged to be a challenging task with the vastly changing healthcare system and the heightened complexities in patient care. Rather than having one individual conduct a surgery, modern healthcare requires that the joint efforts of the healthcare professionals in the operation theatre take play. Given this, communication is primal to coordinate the teamwork efforts. Healthcare professionals find this to be a challenge, and hence, leading to unintended morbidity (Weller et al., 2014). Research shows ...

A descriptive theory would be a good approach in addressing the acute Cholecystitis medical condition. This theory would be of great significance due to the approach it takes in addressing the problem. This would be achieved through using a quantitative method. This is because the method looks into all the relevant details that may need to be changed in order to acquire the desired results. Through this theory, medical practitioners are in a position to carry out a survey to establish the number of cases that are being recorded in relation to acute Cholecystitis. This would help in laying the foundation to develop ...

Fall prevention is important in both hospital settings and at home because they can result in fractures, head trauma, soft tissue trauma, prolonged rehabilitation, emotional trauma, loss of confidence, and high patient readmission rates (Oliver, Daly, Martin, & McMurdo, 2004). For the healthcare providers, fall prevention is an essential practice because poor prevention measures can result in increased anxiety or guilt among the staff and litigation from the injured patient’s family if the fall occurs within the hospital.

The elderly population is at a significant risk for adverse events when they fall in contrast to other age groups. According ...

1) How long did you have to notify OSHA about the death of Jeremy Sines?

According to the guidelines on reporting fatalities to OSHA, it was clearly stipulated that “within eight (8) hours after the death of any employee from a work-related incident or the in-patient hospitalization of three or more employees as a result of a work-related incident, you must orally report the fatality/multiple hospitalization by telephone or in person to the Area Office of the Occupational Safety and Health Administration (OSHA), U.S. Department of Labor, that is nearest to the site of the incident” (Dept. of Labor par. 1). ...

Question 1

Fiduciary Relationship

A patient in a comatose state presents to the physician with diabetes and high blood pressure. The patient needs mechanical ventilators, dialysis machines and artificial hydration to prolong life. The doctor is informed by the patient’s wife that the patient had previously indicated that he never wanted mechanical ventilation if he fell ill. The doctor is presented with the conflict of interest on the basis of the principle of respect for patient’s autonomy. On the hand, the doctor can ascertain that it is in the best interest of the patient to put him on the life ...

Abbey St. Claire Quality Care Services and Certifications is a home health care company that provides medical services that include, physical therapy, occupational therapy, and nursing from medical professionals who qualified and competent to handle other services such as bathing and eating.

For the sake of records, the company has compiled an extensive records and information that provides details of funding and state dealings. For many consumers, the cost of home healthcare warrants a proactive planning that weighs on the budget and income level. Abbey St. Claire Quality Care Services and Certifications charge a high of their visits a week to an approximate ...

Position Paper on the Feasibility

Advancement in technology has become widely spread all over the globe. Implementation of utilization of technology in everyday life applications is increasing at a high rate. Technology has been seen to improve the quality of life of the elderly people. In addition to that, it is evident that technology enhances, the safety, independence as well as the security of the elderly people. It has been noted that the technologies involved in the limitations that people face in their old age has, for a long time not drawn the interest it deserves.

The main aim of this paper is to give the ...

Introduction

It is essential that nurses understand the issues related to health care, which are local and state financing, national healthcare policies, and initiatives that affect healthcare delivery. As a patient advocate, the professional nurse is in a position to work with patients and families to access available resources to meet health care needs. Nurses also have an ethical responsibility to be fiscally prudent in all practice settings to eliminate inefficiencies, and to promote best practices. 

Task: Scenario 1: Note: For parts A and B, the suggested length is a combined total of 1–2 pages. 

Mrs. Zwick, a 77-year-old widow and permanent resident of the United States, was admitted as an inpatient and hospitalized for five days following a mild stroke. She was ...

1. Title of the article – How Bingeing become the new college sport In this article I expect to find a brief description of bingeing and its roots. A brief development of this activity will probably be followed by a problem. This problem is most likely to be described and perhaps a couple of solutions would be presented. 2. The topic of this article is “pregaming”. This type of activity very often results in hospitalization of young students and the author believes that there is a way to stop this. He sees the reason of the change in drinking habits in the ...

Financial Support for the Older Population

As reported by the Administration for Community Living (2015), there were over 39.6 people in the older population bracket in 2009. This accounted for 12% of the total population in the country. It is estimated that in 2030, the older population will have increased to 72.1 million people, a number that will have increased double fold to the figure reported by the break of the millennium. This means that the current trend where the federal funding for the ageing population will increase even more marginally. There are a variety programs designed for the ageing population. These programs are meant to ...

Background Information

Crimson Inc. is a leisure restaurant and is offering all kinds of luxuries and amenities at a competitive price to provide the best customer experience. Crimson Inc. is located in the heart of San Bruno, California and is ideal for either business or leisure activities and is positioned within the nearest range of city malls and business emporium. Crimson Inc. is offering vast variety in cuisines along with business conference facilities. It is also providing an in-house coffee shop, indoor dining restaurant, and sun-drenched dining restaurant. Crimson Inc. is providing an enormous mix of traditional and conventional cuisines to its ...

David Rosenhan’s experiment, conducted in several psychiatric institutions throughout the USA, served to be the topic of his well-known article “On Being Sane in Insane Places” (1973). The experiment has uncovered some serious issues in the field of patient treatment in psychiatric hospitals as well as determining the diagnosis of those who really need psychiatric treatment. With the outcome of the experiment shaking the ground of trust to and competence of psychiatrists, it gave much food for thought in terms of improving ways of identifying psychiatric patients and providing them with suitable conditions for effective treatment. According ...

Amongst mentally ill patients at high risk for early readmission, does the utilization of a multi-component transition care plan as compared to usual care help to improve early readmission rates?

Abstract

The early hospital readmission rate in a 30-bed psychiatric unit in California is 25%. This figure is higher than the 13% reported in the literature for high-income countries like the US (Vigod et al., 2013). Early readmissions are problematic as they are costly and disruptive to the personal and professional lives of patients and their family members. In addition, they are construed to be negative patient outcomes and negative indicators of ...

Introduction

The article “predictors of fracture from falls reported in hospital and residential care facilities: A cross-sectional study” is a detailed analysis of a study conducted to identify the predictive association between fall related factors in health facilities and the fracture outcomes for those clinical fall incidents that are routinely reported. The study is a retrospective study with findings analyzed through logistic regression analysis. The study was done on a total of 197 public health care institutions in Queensland, Australia. The study had two sets of participants picked from these institutions. The first group of participants was comprised of 24, 218 adult patients admitted ...