Essays on Internal Medicine

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 ...

Insurance for Arab women migrants v their counterparts in their homelands

In the United States, Arab migrant women are part of an immigrant population from the Middle Eastern and North African (MENA) regions. Health insurance coverage for this group depends on their legal and income statuses. In essence, several thousand have gained coverage under the now threatened Affordable Care Act, with others covered under Medicare, Medicaid, or alternative sources of private insurance. This group majorly comprises of current U.S citizens of Arab origin (Amer & Awad, 2015). However, non-citizen Arab women migrants fall under the 21 percent uninsured residents. These individuals include both undocumented and legally present Arab immigrants. In essence, ...

Cardiovascular Disease (CVD)

CVD includes all ailments of the heart and circulatory system, including angina and heart attack. Other CVD diseases include carditis, cardiomyopathy, and congenital heart disorder. Edmunds (2014), states that CVD develops when there is plaque build-up on vessel walls. The mechanism of CVD differs significantly depending on the disease involved. For instance, coronary artery ailment includes atherosclerosis, and may occur due to hypertension, smoking, overweight, high-fat diet or diabetes. Despite the high deaths caused by CVD, it is approximated that 90 percent of CVDs are preventable (McGill, McMahan, and Gidding, 2008). Atherosclerosis can be decreased by controlling the risk ...

Method

Research Design and Research Tradition Sample and Setting The researchers employed purposive sampling which is the most appropriate to use in a qualitative study. They considered the family members of elderly patients and chose those who they judged would be best able to relate their experiences in the ED. They made sure that different age groups, gender, and civil status were represented. The authors did not set a sample size beforehand and is also appropriate in a qualitative study because sample representativeness is not based on the size but on how much participant narratives mirror reality (Everest, 2014). As ...

Dear Sirs;

I am writing to express my interest in a nephrology fellowship for the academic year 2017/2018. The selection of nephrology as a future career path had particular interest for me in the years of my training before clinical practice. The pathology of disease is fascinating to me. During clinical training, the intellectual challenge of internal medicine drew me with the problem-solving and teamwork aspects of the specialty. It appears to me that internists and nephrologists work together to assist in the best possible patient care by combining superior skills in diagnostics and cutting-edge procedures. During my time in medical ...

Source #1:

Web address where the site can be located where you are lurking: N/A A Summary of The Stated Purpose of the Site or Mission Statement: promoting fashion for people who are overweight Observational Notes: This site is a good source for black plus-size women since it promotes fashion suitable for them. The members of the group are active as evidenced by the fact that at the time of writing this paper, a photo posted seven hours before had recorded 1,690 likes. I would recommend this site since it encourages women who are overweight to develop a positive attitude ...

Part 1: Paper Proposal

The Patient- Centered Medical Home (PCMH) is a model of care delivery that ensures the coordination of patient treatment with the primary care physician to enhance the essential care when needed, and in a way that can be understood. The objective of the PCMH is to create a centralized setting that promotes individual patients and physicians partnerships. The care services offered is enabled by registries, exchange of health information, information technology, or any viable means that guarantees patients access to care when need. Care is offered in an accepted cultural and linguistic manner. PCMH is related to the future ...

Abstract

In today's world, there are hundreds of developments that are taking place in medicine and nursing. These advances are made possible through thorough research and verifications using clinical projects. The steps in propelling forward the field of medicine are made upon identification of an individual problem that gives researchers a basis for their research, or rather a problem statement. One of the problems that have been identified is the CLABSI (Central Line Associated Blood Stream Infections). Many patients suffer severe infections that arise during treatment of an initial infection. Most of these infections, especially when not handled appropriately lead ...

Pressure ulcers are injuries that break down the skin and any other underlying tissue. This happens especially when a part of the skin is placed under some pressure hence reducing blood flow to that part of the skin (Smith et Al., 2013). Lack of enough blood causes the skin to die causing an ulcer. Most patients get this kind of ulcer as a result of staying in bed for a long time. The symptoms of a pressure ulcer are: the skin on that part becomes red and later forming a blister and an open sore. It mostly occurs in ...

Introduction to healthcare-associated infections

Hospital associated infections (HAI) a patient safety issue of concern to all hospitals The Joint Commission considers the reduction of hospital-associated infections as an essential intervention in the provision of safe patient care. Prevalence of HAI as reported in Magill et al. (2014)

In 2011, 722,000 HAIs were reported in American acute care hospitals

One in every twenty-five hospital patient gets at least one HAI on any given day More than 50% of the HAIs occur outside intensive care units Effect of HAIs on health care system An estimated 75,000 HAI patients die while hospitalized (Magil et al., 2014) HAIs lead to longer length of stay HAIs are associated ...

Quality and Safety Practice: Prevention of Patient Falls - Literature Review

Introduction Whether an elderly person is living alone, with others, within a nursing home, or under care in a medical facility, falling is a major threat. For seniors older than 65 years of age living in a community situation, one in three will suffer a fall every year; for individuals over 85 years of age, the rate climbs to half of all residents (Cameron et al., 2010; CBO, 2004; Neyens, 2007; Tinetti, 2003). If an elderly adult is institutionalized, the possibility of falling in a year rises to 1.5 to 2 times (Dijcks et al., 2005) and a serious ...

Externship just like internships and apprenticeship are learning opportunities that allow students to get a firsthand experience of the professional word before their graduation. Externship involves job shadowing and is conducted over a short period. As a medical assistant student, externships are a major part of the course as they allow one to gain different skills, which are rarely taught in class. The externship is usually followed by a report explaining the various activities and skills learned in the externship. This report provides a description of my externship at Best Care Ever medical group.

Company Description

Best Care Medical Group is ...

Is there such a thing as healthy obesity?

Is there such a thing as healthy obesity?

The research published online by Caroline K. Kramer in the Annals of Internal Medicine, has busted the several myths stating that obesity may be healthy and gentle . This research report revealed that there may be a major flaw in many of the literature published on this topic. It concludes that even though abnormal metabolic conditions like increased blood pressure and glucose levels may not be present, there is no such thing as being healthily obese. The research ...

Abstract

Technological inventions in the healthcare sector are ever-growing. Healthcare providers are always looking for advanced technologies that will help in the efficient and effective delivery of healthcare. There are numerous technology-based healthcare solutions, and most are striving to reduce the common face-to-face practitioner-patient interactions. There are numerous benefits of this such technologies, as well as a host of limitations. Technology has modernized healthcare delivery because modern technologies help empower patients to be in charge of their health, and this in turn minimizes doctor consultations (Katz, Nissan and Moyer 2004). Technologies such as telemedicine, internet, robotics and telecoms have revolutionized the ...

The elderly population, beyond the age of 65 has tremendously increased, and current projections indicate that this population will continually increase in the coming years. The healthcare settings have not gone free of these changing demographics, and there has been a need to develop policies that cut across all healthcare settings to facilitate quality care for the aging population (Bennett & Flaherty-Robb, 2003). Different literatures have addressed the issue of care for the elderly population in various ways. While many recommendations exist at technical level, the primary idea is that the healthcare sector needs to adopt policies that facilitate quality ...

Introduction

Syphilis is a Sexually Transmitted Disease (STD) that is usually associated with high-risk behaviors such as drug addiction, HIV-infected people and men who have sex with other men. Syphilis is transferred from one person to another by direct contact of externally occurring syphilis sores or from pregnant women to their unborn children (CDC Fact Sheet, 2012).

Stages

The stages of the disease syphilis are early, late and latent stages. The early stage consists of primary and secondary symptoms which are characterized by the occurrence of sores, rashes, swollen lymph glands, fever and fatigue (CDC Fact Sheet, 2012). The sore typically last ...

My desire to become a physician began in childhood. I was the seventh of twelve children. When I was a child I witnessed the great admiration that my grandfather had for his doctor. It was this doctor who had diagnosed my grandfather’s heart condition and then treated and cared for him after his heart attack. My grandfather’s doctor was a compassionate man. This doctor was the man who first ignited in me the spark that would drive me to become a doctor, too. My five years in medical school were years filled with discovery. As I progressed in my program, I ...

In the early 1980s, following confirmed reports of an outbreak of Kaposi's sarcoma (KS) and Pneumocystis carinii pneumonia (PCP) among homosexual men in several states in the U.S, several studies were conducted to identify the risk factors associated with the disease(s), related trends and other associated issues. From these studies and CDC reports on the disease, several issues and trends emerged . Among the trends and the issues identified in the said studies and reports is that the prevalence of the disease was higher in homosexual men.

Some lifestyle aspects, common among the infected patients, were linked to ...

[Institution Title]

Part 1: Case Study on Pulmonary Embolism

A 44-year-old African American male had a partial colectomy to have a cancerous tumor removed. The patient did really well after surgery and was discharged from post-op recovery to the surgical unit at a medical center. Approximately one hour after surgery, the patient complained of gas pains and shortness of breath. The patient continued to complain of gas pains after administration of morphine sulfate. Providers failed to diagnose a pulmonary embolism that resulted in the loss of the patient’s life.

Discussion:

While there were very limited information provided in the case study as far as post-op procedure and evaluation, it seemed ...

The main mission of Trinity Community Hospital and all of the members that make up the entire organization is to be able to provide the highest possible quality of medical and health care services to its patients. The hospital aims to do this by employing some of the best management team and medical and health care team members in the field. The hospital believes that hiring the best people in the field is one of the surest ways how it can return the favor to its main partners, the patients. The hospital also invests heavily in key infrastructure improvements ...

Analysis of John Stossel video: Free Market Medicine

Analysis of John Stossel video: Free Market Medicine

Abstract

John Stossel argues that free market medical care is the solution to America’s healthcare. He is opposed to the government intervention in the provision of medical care which to the citizen seems free but in the long run not sustainable. The paper also evaluates the changes that have been done and those that could be improved to solve some of the healthcare problems. The affordable care act has some insurance companies especially those that specialized in child-only insurance leave the business due to the mandatory requirement to provide cover to ...

The patient has presented with brain trauma but not brain death. They are unresponsive. Half of the family insists they would not want to live this way and should be taken off of life support while the other half insists that that is inhumane and some family members stand to gain a large inheritance if the patient is deceased.

Ethical Issues

The patient is considered brain dead; parts of the brain responsible for higher thinking are no longer functioning. According to Elizabeth Price-Foley’s article “Blurred Lines: Redefining Life and Death”, published in Brain: A Journal of Neurology, when an individual’s ...

- Introduction End-of-life care is important for patients with advanced cancer. It entails palliative care, and friendly discussions with care givers and loved ones. This study will compare cancer patients who receive palliative care and those who do not receive end-of-life care in their last days I. Patients who receive end-of-life care live better compared to those who do not receive palliative care. From this source, profound information was gathered about cancer and ways to manage it in all stages. Physicians posit that cancer is a dreadful that requires great intervention. Notably, despite advanced medication and early treatment, the ...

Schwarz, K. A., Mion, L. C., Hudock, D. & Litman, G. (2008). Telemonitoring of heart failure patients and their caregivers: a pilot randomized controlled trial. Progress In Cardiovascular Nursing, 23 (1), pp. 18--26.

The primary objective of this pilot study was to “examine the effectiveness of postdischarge telemonitoring by and APN on reducing subsequent hospital readmissions, emergency department (ED) visits, and costs and increasing the time between discharge and readmission among older adults with HF.” In addition, “the objectives were to examine depressive symptomatology, quality of life, caregiver mastery, and social support for patients with HF.”

Research Questions

The research tried to examine ...

Gonorrhea refers to a group of clinical conditions caused by infection with Neisseria gonorrhea. N. gonorrhea is a sexually transmitted bacterial pathogen. Gonorrhea is an old disease that dates back to more than 2000 years ago (Walker & Sweet, 2011). It is the second most common sexually transmitted infection in the United States (US) after Chlamydia (LeFevre, 2014). The disease is gaining public health importance because N. gonorrhea has developed resistance to the antibiotic drugs previously used to treat it in the United States. Currently, only one class of drug, the cephalosporins, is recommended for its treatment (Walker & Sweet, 2011). This paper ...

Executive Summary

Dade Internal Medicine Physicians (DIMP) Ltd, under the stewardship of a group of eight physicians, provides quality health care for the people at an affordable cost. The business, though one of its goals is profit making focuses on providing convenient, and up to the standards health services for the patients. The guiding principles of the business include professionalism, integrity, and priority of interest awareness among others. The company wishes to spread its operations to offer services to as many people as possible. DIMP has been provided an opportunity to grow and expand their operations to a new location by Dr. ...

Abstract

The number of people being affected by various diseases that require them to have organ transplants increases every day. Meanwhile, the amount of donated organs is extremely insufficient to meet the high demand. There is also the problem of finding a donor match for a recipient and the need to take strong medications that suppress the immune system of the recipient so that the transplanted organ is not rejected. A solution to these problems has been and is still being developed, with laboratory-grown organs holding much promise. These organs can be tailor-made using the patient’s own cells or other cell sources, ...

Personal Statement

Samuel Hahnemann said, “The physician's highest calling, his only calling, is to make sick people healthy - to heal, as it is termed.” My deep respect for medicine as a noble occupation is leading me to apply for the hospital research in internal medicine, for the year 2014. I hold an M.B.B.S. (2010) from King Abdul-Aziz University and have successfully completed internship in multiple specialties to testify that my experiences have contributed to my professional growth and career selection. During the six-year integrated program with international medical training, I specialized in internal medicine, pediatrics, and family medicine among others, from ...

Suicide and suicide attempts in the western world have long been considered criminal and punishable. Ancient Romans and Greeks prohibited most suicide, or suicide among the healthy, and punished those who committed suicide by denying them proper burial rituals (Rosenfeld 24). In England and the American colonies, laws continued to punish individuals who committed suicide by denying them a proper burial and both English and American laws found anyone assisting in suicide potentially guilty of murder. In the last several decades, questions about euthanasia and, specifically, the legality of physician-assisted suicide have repeatedly found their way into the legal system ...

The article “Guns and Violence” is based on the second amendment in the American constitution which states that “Keeping weapons for self defense is a right of citizens” (Laine et.al, 2013). It is a debatable topic that whether general public should stay armed and have any kind of weapon or not. Most of the people argue that it is not a solution to distribute weapons to the general people since it might get difficult to maintain peace in the society. In fact it was suggested that the government has to take some measures to diminish arms from every city of the state ...

The aim of this study is to quantify ED-generated follow-up adherence rates amongst white, Black American, and Hispanic patients discharged from the ED of a managed care system.

Problem Statement

Previous studies have established that the adherence rates to ED-generated referrals are below par. These rates range between 26% and 56% amongst different ED populations (Kyriacou et al., 2005) even though higher (68 and 71.4%) and lower (17%) rates have been reported (Friedman, Dios, & Hannenman, 2010; Saroff, Dell, & Brown, 2001). The reasons for the poor compliance have also been identified. Amongst the commonly cited reasons is the problem of accessibility due to ...

Introduction

In both qualitative and quantitative research, the close association between research and theory can basically be explained by the research components. The first impetus for the research is search for a theory. This means that development of theory depends on research, and also research depends on the theory. A number of researchers characterize this relationship as dialectic that is, a relationship where theory defines the data to be collected and the findings from research provide challenges to the accepted theories. It is thus correct to argue that research is the vehicle for development of theory. For that reason, this paper centers ...

In the report from the conference “Error in Medicine: The Role of Morbidity & Mortality Conference,” Vincent Liu report that increasing cases of errors involving doctors and patients had led to a national concern on the very issue. Lui report that while it could be assumed that medical errors only affect patients, it was found that physicians were equally affected. The conference was dubbed M& M which was acronym for Morbidity and Mortality. In the conference, doctors discussed modalities that would be applicable in an attempt to reduce such occurrences (Lui, p.1). Lui writes that a report released on patient safety ...

The concepts of palliative care began with the hospice. Originally the hospice was a resting place for wary travelers in the 4th century. In fact the latin term for hospice means to conceal or alleviate symptoms without curing”. However, by the 19th century hospice’s religious areas established hospices as places for the dying in London and in Ireland (News Medical). End of life care is a “modern” idea that began in the 1950’s and was first written about by Dr. Cicely Saunders (Loscalzo, 2008). She described her feelings and ideas based on the feelings of dying patients. Dr. Saunders ...

I was raised in a large family made up of many healthcare professionals. I’ve dreamed of becoming a family practitioner since I was young a child. Unfortunately, I witnessed my grandfather dying from small cell lung cancer most likely related to his 60-year smoking habit. My aunt suffered from repeated infections that were barely cured by any of the medications prescribed to her due to her type II diabetes. All this anguish, and struggle with disease didn’t fade with time, but were rather deeply etched into my heart and psyche, and reinforced my desire to pursue family medicine as a career ...

An issue that was already decades old in a 1994 ethics article (Emanuel and Emanuel), the cost of end-of-life care is an issue that provides both an economic and actual definition of the limitations of medicine. Eventually, all patients die, but the question becomes what treatment and care should be administered to patients in their end-of-life stage. Therefore, this issue defines both limitations in medicine in that there are conditions that modern medicine have no treatment for, as well as limitations from the point of view of the inherent waste in spending limited medical dollars on treatment of patients so ...

Abstract

Aims: To evaluate the outcomes of NIV versus invasive mechanical ventilation in COPD patients. Data Source: Relevant articles were identified from the following journals CHEST, Respiratory Care, European Respiratory Journal, Annals of Internal Medicine, and AHC Media. Study selection: The articles identified consisted reports of two randomized controlled trials and three review articles which investigated the outcomes of NIV versus mechanical ventilation in patients with acute exacerbations of COPD, weaning of COPD patients on mechanical ventilation, and nocturnal management of COPD. Data extraction: The study reviewed meta-analytic reviews, prospective randomized control trials, and retrospective observational studies. ...

Personal statement

“I'm thankful for the incredible advances in medicine that have taken place during my lifetime. I almost certainly wouldn't still be here if it weren't for them” Billy Graham. Great advances have been made in cardiology and having practiced in that field for more than 6 years now, I can most certainly echo those great words by televangelist Billy Graham. I find cardiology to be a phenomenal field of medicine and it has fascinated me since my early days in medical school. I was mesmerized by the manner in which our cardiology chief would review a case, demonstrate his clarity of ...

Death often comes after advanced age or serious illness. End of life is defined as ‘the time period during which the healthcare providers would not be surprised if death occurred within about 6 months (APA, 1). Most deaths are of the older age group (above 65 years) or those who are terminally ill (APA, 1). End of life care issues can be simple or complex and may range from legal, ethical, psychosocial, practical, spiritual, and medical aspects and even personal issues of the dying person (APA, 2). In literature, broadly discussed are the ethical and legal issues. In this ...

Physician assisted suicide (PAS) has been one of the most controversial and sensitive issues facing the healthcare industry in most countries today (Burt 567). PAS normally occur when a physician gets involved in helping a patient take their own life through the writing of a prescription, advice, lethal medication, or giving a patient crucial information that can enable them to take their own life. Someone can describe it as a doctor providing a gun to a patient, and the patient pulling the trigger (Manning 248). PAS tends to have a similar moral goal with euthanasia, which is normally premature death of a patient. Most ethicists have described ...

Mother Theresa once said that “the greatest disease in the West today is not tuberculosis or leprosy; it is being unwanted, unloved and uncared for.” I totally agree with the foregoing statement, as the problem of being thrown out of the society is very widespread in the modern world. This assertion affects not only the part of me that wants to be a nurse, but also the part that wants to be a helpful, valuable person. Being a doctor is not simply a job, it is something a lot more than that, a vocation I would say. The work of a doctor requires a lot of ...

- Why it is difficult to distinguish between clinical-decision making errors solely due to intuitive judgment or analytical judgment? Decisions made will depend on both intuitive and analytical judgment. Intuitive judgment mainly comes from the experience of the nurse. According to Bjork and Hamilton (2011), intuition develops from experience in managing patients in the nursing field. In this case, the nurse does not need to refer to analytical principles since the continuous exposure to these similar scenarios has led them to develop cues on how to assess different clinical situations. On the other hand, where the nurse does ...

Introduction

The article, “Hospital blunders caused 32 deaths” by Kate Hagan who is a health reporter for AGE sources explores the disasters and catastrophes of Victorian hospitals that took place over the year 2009 -2011 years. A lot of these mistakes involved things from a procedure concerning a certain body part or wrong patient, an infection control breach and medication mix-ups. The author stresses the point that all of these mistakes were caused by hospital staff. This article really raises concerns about hospital care in Australia. It is also apparent how that the data is displayed for the first time. Also the article ...

Personal Statement

Degree objective: Being a physician has always been my dream since childhood. In high school, because of the determination I had with regards to pursuing medicine as a career, I took subjects that were related to medicine. I would later get admission into St John’s University for a Bachelors of Science degree. However, because of several financial challenges, I had to take up a part time job; I worked throughout my undergraduate years which affected my GPA. My undergraduate GPA could not secure me a place in a U.S. medical school. But that could not stop me from continuing with the pursuit of ...

The innumerable challenges facing human beings on a frequent basis intrigue me, and this feeling heighten my desire to help people overcome their medical challenges regardless of their backgrounds and affiliations. Orhan Pamuk’s quote, “I don’t want to be a tree; I want to be its meaning’ has been my greatest source of inspiration when it comes to defining my ambitions in life. I have excelled in academics, and as well produced exceptional results in all aspects of my practical medical experience. My desire and willingness to learn, coupled with my friendly and cooperative nature increases my inspiration and ...

Despite enjoying my current job as a faculty in an academic hospital medicine program, my enthusiasm for Cardiology has continued to grow. I did not succeed in obtaining a cardiology fellowship position during my internal medicine residency but this interest of mine led me to study Nuclear Medicine as I was particularly attracted to Nuclear Cardiology.

During the last few years, I have received the Harrison scholar award, and have achieved in the hundredth percentile in the cardiology section of the internal medicine board. Furthermore, I have attained consistently high scores in the nuclear cardiology certification board. This reflects my inherent ...

Personal Statement

Degree objective: I obtained my Bachelor of Medicine and Bachelor of Surgery (M.B.B.S.) degree from Sri Guru Ram Das Institute of Medical Sciences & Research, Amritsar, Punjab, India, in the year 2006. I then began did my residency in internal medicine at Wayne State University School of Medicine, Michigan, USA. I am currently receiving my postgraduate training at Wayne State University School of Medicine. Previously, I completed 12 months rotating internship at Sri Guru Ram Das Institute of Medical Sciences & Research and its affiliated hospitals. As an intern, I had rotations in the departments of Internal Medicine, Community ...

Introduction

One of the most controversial and most-talked issues in the field of medicine is the topic about the use of complementary and alternative medicines. Apparently, there are two sides in this story. Can it really help improve the health outcomes of the patients or it is just a form of a make-believe drug just like other drugs that only offer placebo effects to users? Some people believe that complementary and alternative medicines have positive effects especially when treating specific diseases. On the other hand, some also believe that it cannot heal diseases like most approved, proven, and tested medications. Let ...

The article being reviewed is entitled ‘Health care reform: Revolution or evolution-What did we get from the affordable care act?’ It was written by Dr Len Saputo (2011). This article appeared in Sunday, 29th May, 2011 of the Natural news publication. Natural news forum features topics pertaining to various contemporary health issues.Dr Len Saputo (2011) is a certified internal medicine board practitioner. His practice is recognized as being focused on holistic, person centered care (Saputo, 2011). Precisely, in the article referenced Dr Len Saputo (2011) expressed his sincere concerns regarding health care in America. To his dismay health care ...

Introduction

Lately, in health care organizations, performance-management systems are very essential when it comes to operations and strategic management. This can be attributed to the increasing demand for better performance as well as lucidity from stakeholders, regulators, customers and the sponsors. In most case, goals and objective of an organization acts as the basis of performance-management systems. Performance-management in healthcare organizations goes hand in hand with quality management. In this context, quality management refers to the part of management that is concerned with policy of quality as well as the production function of an organization. Precisely, it refers to an ...

INTRODUCTION

The healthcare system has been proven to have inherent flaws in its system, the foremost being the ability to charge patients top dollar for medical procedures and examinations that so not rectify or correctly identify the problem (Rosenthal et al., 2007). The current system for medical care in the United States is a fee for service arrangement, wherein medical professionals set a specific fee which the patient must pay after the service is rendered, regardless of the perceived quality or effectiveness of the procedure or examination. There is then perceived to be a wide gap between the pay medical health professionals receive ...