This information was obtained from the facilities giving dialysis and it was for the first two months only. The study excluded darbepoetin doses as it had only been administered to a few patients. Inpatient EPO doses were not easily determinable as they are not billed differently to Medicare. The use of outpatient EPO only may be underestimating the total use of the medication. The cohort dealt with the biasness by determining the amount of time a patient stayed in hospital. The calculations on the average dose of EPO for every patient per day was by adding the total dose for a whole month then separating it by the number of days of outpatient then multiplying by 30 to get the total of a calendar month. According to the medical reports the study used the right amount of doses. The study was not randomized as it was aimed towards the…...
Improving Computer-User Interface in Medical care
The use of computer information systems in the field of medicine has revolutionized the way patients receive medical care. Computer information systems have assisted medical practitioners to capture and transfer information quickly saving the time taken to treat patients. Storage of information has also been automated such that the medical personnel do not have to manually input and store the data. The management of medical organizations has been able to improve on the time take to diagnose an ailment and the accuracy of diagnosis. The presence of electronic health records in an organization improves the way the organization collects patient's information. The collection of debt is thus automated and accurate thus the medical organization can collect all its debts.
Computer user interface refers to the method used the organization to connect o the computer information system. This interface needs to be improved to ensure that the…...
Health Care Advanced
Quality of Medical Care Defined and Other Dimensions of Quality Care and Their Importance
Quality is reported to be defined by the Institute of Medicine as:
"The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge." (Feld, 2003, p.1)
The elements of quality care are stated to be those as follows:
(1) Recognition of patients at risk for diseases;
(2) Conduction of appropriate evaluation;
(3) Making the appropriate diagnosis;
(4) Starting the appropriate treatment;
(5) Scheduling the appropriate follow-up; and (6) Stimulating the appropriate compliance/adherence to treatment. (Feld, 2003, p.1)
The goals of quality care are decrease of the "complication rate, morbidity, mortality, and cost of care." (Feld, 2003, p.1) Changes since the days when the doctor knew best include a more informed population who are more highly educated and who possess more knowledge about their own healthcare regimen. The work of…...
mlaBibliography
Donabedian A (1988) "The Quality of Care: How Can it be Assessed" JAMA, 260(12):1743-1748.
Donabedian A (2005) "Evaluating the Quality of Medical Care" Milbank Quarterly, 83(4):691-729.
How to Assess Quality of Care (2010) Healthcare Economist. 20 Jan 2010. Retrieved from: http://healthcare-economist.com/2010/01/20/how-to-assess-quality-of-care/
Ashton, CM, Kuykendall, DH, Johnson, ML, and Wray, NP (1999) An empirical assessment of the validity of explicit and implicit process-of-care criteria for quality assessment. Med Care 1999 Aug;37(8):798-808. PubMed. Retrieved from: http://www.ncbi.nlm.nih.gov/pubmed/10448722
Jewish Client
When discussing medical care with Sara, one must keep in mind that she is alone now, having been married for 50 years, but now widowed. She seems to have a rather active social circle, and is more of a middle-of -- the road practitioner of Judaism. Her belief system is likely sensitive to end-of-life issues, but she seems to be a candidate for hospice, rather than palliative care due to her age and the progression of her illness.
In response to Sara's initial decision to have surgery and treat the cancer with chemotherapy, medical personnel would be required to allow her this choice, but ensure that the principles of fidelity and benevolence are followerd. In other words, tell Sara the truth about odds and any prognosis, as well as side-effects. Inform her in a way that is non-paternalistic so that she may make up her own mind about options. In…...
mlaREFERENCES
Edgedorf, L. (2005). Medical Ethics. New York: Greenhaven Pres.
Jewish Home Lifecare (2013). How Does Pallative Care Differ From Hospice Care? Retrieved from: http://www.jewishhome.org/our-services/palliative-care/how-does-palliative-care-differ-from-hospice-care
Ethical Frameworks
The author of this report has been asked to assess the options and mandates that exist when it comes to a six-year-old child has apparent contracted a case of meningitis. The mother is a Christian Scientist that refuses medical care while the father seeks treatment along with an independent consult. The course of action that should be taken is to be derived from that. As part of this situation, there are a couple of deliverables that will be given. First, the ethical dilemma in question will be identified. Second, the decision-making model that is to be used will be identified. Third, how the dilemma would be resolved will be identified. Fourth and finally, the dialog that would exist with the parents would be explained and detailed. While the biological mother generally has the right to raise her child as she sees fit, her decision to withhold medical care is…...
mlaReferences
Fox, M. (2015). Doctor to Legislators: Refusing Medical Care Isn't Religious Freedom. NBC News. Retrieved 4 June 2015, from http://www.nbcnews.com/health/kids-health/doctor-legislators-refusing-medical-care-isnt-religious-freedom-n320031
Hall, H. (2013). Faith Healing: Religious Freedom vs. Child Protection. Science-Based Medicine. Retrieved 4 June 2015, from https://www.sciencebasedmedicine.org/faith-healing-religious-freedom-vs.-child-protection/
Law Info,. (2015). Health Insurance Resources: When Can a Parent Deny Medical Treatment to a Minor Child? - LawInfo. Resources.lawinfo.com. Retrieved 4 June 2015, from http://resources.lawinfo.com/insurance/health-insurance/when-can-a-parent-deny-medical-treatment-to-a.html
NIH,. (2015). Parental refusals of medical treatment: the harm principle as threshold for state intervention. - PubMed - NCBI. Ncbi.nlm.nih.gov. Retrieved 4 June 2015, from http://www.ncbi.nlm.nih.gov/pubmed/15637945
medical care sector, the decisions of what services should be produced, how they should be produced, how they should be distributed, and how to allow for growth and innovation must be made.
What combination of non-medical and medical goods and services should be produced in the macro-economy? In terms of guns or butter, the optimal balance of the production of non-medical and medical goods and services in the macro-economy would also include adequate provisions for defense. In sum, to the extent that this combination favored non-medical and medical goods and services in the macro-economy would be the extent to which defense spending would be diminished in the production-possibility frontier (Bandyopadhyay & Sandler, 2014).
What particular medical goods and services should be produced in the health economy? There is a growing recognition that preventive health care services are far more cost effective than reactive approaches that only intervene when people develop medical…...
mlaReferences
Bandyopadhyay, S. & Sandler, T. (2014). The effects of terrorism on trade: A factor supply approach. Review - Federal Reserve Bank of St. Louis, 96(3), 229-233.
Brown, C.E. & Ecoff, L. (2011, Winter). A systematic approach to the inclusion of evidence in healthcare design. Health Environments Research & Design Journal, 4(2), 7-10.
Chronology of events. (2015). National Institutes of Health. Retrieved from gov/about/almanac/historical/chronology_of_events.htm.http://www.nih.
Heller, B.R. & Nichols, M.A. (2001, March/April). Workforce development in nursing: Priming the pipeline. Nursing and Health Care Perspectives, 22(2), 70-73.
Leninger Model
The author of this report has been asked to explore and flesh out some question relating to Leninger's Theory of Nursing, which has come to be known as the Cultural Care Diversity and Universality. Among the items to be addressed will be what theoretical framework will best support the philosophy, how the theory compares to organizational behavioral theory and philosophy and so forth. The assertions that will be offered will be given in bullet point format.
As stated in the introduction, Leninger's theory was and is still known as cultural care diversity and universality (Leininger, 1988).
The theory is about three decades old at this point and it has evolved and changed over the years (Leininger, 1988).
The theory was initiated from clinical experiences recognizing that culture, a holistic concept, was the supposed "missing link" as it relates to nursing knowledge and practice (Leininger, 1988).
Leninger advocated the use of a process of…...
mlaReferences
Leininger, M. (1988). Leininger's Theory of Nursing: Cultural Care Diversity and Universality. Nursing Science Quarterly, 1(4), 152-160.
doi:10.1177/089431848800100408
Healthcare Policies
Health care policy usually is developed to address health care cost, quality, or access, or a combination of the three. Due to the nature of their interaction with patients, nurses are well situated to be effective, knowledgeable advocates for their patients. The impact of health policy and regulation when it comes to the nursing profession is not something that can be ignored. Healthcare issues are very complex and they involve the fields of economics and medicine and affecting the rights of individuals as well as accessing healthcare. Consumers' main concern is quality while the individual and corporations providers are mainly concerned about the economic survival (Heller, Oros, & Durney-Crowley, 2009).
One public policy that is influencing my nursing practice and I is the Medicaid policy. This is a social health program meant for families and individuals that have low income and resources. This is an insurance program by the government…...
mlaReferences
Coffman, J.(2010). Evaluation Based on Theories of the Policy Process. Retrieved July 16, 2014 from http://www.hfrp.org/evaluation/the-evaluation-exchange/issue-archive/advocacy-and-policy-change/evaluation-based-on-theories-of-the-policy-process
Heller, B., Oros, M & Durney-Crowley, J.(2009). Impact of Health Policy. Retrieved July 16, 2014 from http://www.nursezone.com/Student-Nurses/student-nurses-featured-articles/Impact-of-Health-Policy_18566.aspx
Medical care at Home Vs. Medical Care at the HospitalAround 4.5 million people in the United States require end-of-life or long-term care annually. Also, the United States has, in a pretty big way, changed healthcare delivery perspectives within the last few years (Bentur, 13). Though there are significant changes in how healthcare payments are made, where the healthcare is delivered has equally undergone substantial changes as more care continues to shift to various outpatient settings (Foust et al. 24). Also, elderly citizens cannot increasingly perform primary activities by themselves due to medical conditions or advanced age (Balatbat, Celynne, et al. 5). As a result, they need extra care to continue benefiting their quality of life. They, therefore, need professional care providers to give necessary care. The place of care, which can be Hospital or home-based, chiefly determines which options are best for the loved one. Nonetheless, according to this paper,…...
mlaWorks CitedBalatbat, Celynne, et al. \\\\\\\\\\\\\\\"No place like home: hospital at home as a post-pandemic frontier for care delivery innovation.\\\\\\\\\\\\\\\" NEJM Catalyst Innovations in Care Delivery 2.4 (2021).Bentur, Netta. \\\\\\\\\\\\\\\"Hospital at home: what is its place in the health system?\\\\\\\\\\\\\\\" Health Policy 55.1 (2001): 71-79.Foust, Janice B., Nancy Vuckovic, and Ernesto Henriquez. \\\\\\\\\\\\\\\"Hospital to home health care transition: patient, caregiver, and clinician perspectives.\\\\\\\\\\\\\\\" Western journal of nursing research 34.2 (2012): 194-212.
Collaboration
It would probably make sense to a lot of people that nurses and physicians should work together to provide the highest level of medical care to their patients. However, it would seem that there are a lot of instances where this collaboration simply does not happen. The end result from this lack of communication and collaboration is that patients end up suffering injuries or even death. Given that, it would be useful and proper to figure out why this lack of communication or presence of miscommunication is happening. This brief report will cover that and more. While nurses and physicians are surely making a good faith effort to avoid mistakes that kill or harm patients, it is obvious that at least some of these clinicians are not doing enough of the right thing or perhaps they are not doing the right thing to begin with.
Literature eview
It would seem that…...
mlaReferences
Fewster-Thuente, L. (2015). Working Together Toward a Common Goal: A Grounded Theory of Nurse-Physician Collaboration. - Pubmed - NCBI. ncbi.nlm.nih.gov. Retrieved 4
December 2016, from https://www.ncbi.nlm.nih.gov/pubmed/26665873
Johnson, S., & Kring, D. (2012). Nurses' perceptions of nurse-physician relation- ships:
Medical-surgical vs. intensive care. MEDSURG Nursing, 21(6), 343- 347.
Medical Case Study
Florence (F) is a 43-year-old woman who is two days post-operative, following an appendectomy. She has a history of arthritis, and currently takes 10mg of prednisone daily. She is allergic to penicillin. She weighs 46 kg (101.5 lbs.) and is 168cm tall (5'6"). This puts her slightly underweight for her age and height, at least 18-25 pounds (Height and Weight Chart, 2010). While doing a route in dressing change, nurse notice a yellow discharge emanating from the wound.
Identify and discuss the importance of obtaining information during a nursing admission in relation to post- operative assessment. In modern healthcare, a nurse must first and foremost try to understand and utilize a systematic and synergistic model of data collection and assessment. Human beings are complex creatures, and the more data one has, the easier it will be to ensure that a proper diagnosis is made. A systematic assessment provides a…...
mlaREFERENCES
Height and Weight Chart. (2010). HealthCheck Systems. Retrieved from:
http://www.healthchecksystems.com/heightweightchart.htm
Prednisone and Other Corticosteroids: Balance the Risks and Benefits. (2011). The Mayo
Clinic. Retrieved from: http://www.mayoclinic.com/health/steroids/HQ01431
Care Case Study
Slide 1 Footnotes
There have been enormous changes due to introduction of various cultural elements in the continuum of care. Before, when people were admitted to assisted living facilities or hospital settings, there were very little cultural elements outside of the majority culture which had sponsored the facility. For example, if a facility was associated with some sort of church or temple, there were elements of that religion present, but there was little alternatives for members of other cultures or religions.
Yet, today, there are now a much wider array of cultural elements available in assisted living homes and hospital facilities. Assisted living programs are regulated on the level of the state.
As such, different states have different types of programs and policies that impact the degree to which cultural characteristics are included or excluded within various assisted living facilities. Some programs encourage cultural elements of patients to be brought…...
mlaReferences
ALFA - Assisted Living Federation of America. (2009). Assisted Living Regulations and Licensing. Retrieved from http://www.alfa.org/State_Regulations_and_Licensing_Informat.asp
Medicare Payment Advisory Commission. (2011). Report to the Congress: Medicare Payment Policy. Retrieved from http://www.medpac.gov/documents/Mar11_EntireReport.pdf
National Caregivers Library. (2012). Independent Living Facilities. Retrieved from http://www.caregiverslibrary.org
Next Step in Care. (2012). Reducing the Stress of Hospitalization for Patients with Dementia and their Family Caregivers: A Guide. Family Caregiver Alliance. Retrieved from http://caregiver.org/caregiver/jsp/content_node.jsp?nodeid=2449#researchpractice
Quality Care
Although there are several considerations one must weigh prior to defining medical care quality, one of the most effective definitions of this term is that care which ultimately achieves the greatest benefit while taking the lowest risk in doing so. In many ways, this notion is at the heart of the Affordable Care Act, for the simple fact that one of the principle components of this act is to emphasize preventative care since insured people's "policy will cover more than 60 preventive tests and treatments as required" (Glasserman and Hensel, 2013). Virtually no one can argue with the fact that there is a low risk associated with providing preventative care and, if implemented correctly in a safe care delivery model, it can also achieve the greatest benefit to individual health care patients, the system itself, and to the country as a whole. Thus, the prudent researchers of medical care…...
mlaReferences
Centers for Disease Control and Prevention. (2013). Affordable Care Act helping prevent disease. www.cdc.gov. Retrieved from http://www.cdc.gov/features/AffordableCareAct/
Glasser, M. Hensel, B. (2013). Preventive care services and the Affordable Care Act. www.nbclosangeles.com. Retrieved from http://www.nbclosangeles.com/news/local/Preventive-Care-Services-and-the-Affordable-Care-Act-223984451.html
Caring
When most people are asked 'what do nurses do," there is a strong likelihood that the word 'caring' will arise in the conversation. Many nurses, particularly new nurses, identify caring as one of the personal qualities that attracted them to the profession. However, caring can be a very nebulous concept, as even non-nurses give 'care' to others and non-nurses can be 'caring' people. Nursing, in an effort to create an empirical and academic basis for itself as a discipline has fought against the idea that nursing is just about caring. However, it cannot 'ignore' the idea of caring, given that one of the concepts that distinguishes nursing from other forms of medical care is its patient-centric and individualistic perspective.
I have chosen caring as the concept I will focus on in this paper, with a specific focus on Jean Watson's Theory of Caring, given that it is one of the…...
mlaReferences
Cara, Chantal. (2011).A pragmatic view of Jean Watson's caring theory.
Universite de Montreal. Retrieved www.humancaring.org/conted/Pragmatic%20View.doc
Giguere, Barbara. (2002). Assessing and measuring caring in nursing and health science. Nursing Education Perspectives. Retrieved http://findarticles.com/p/articles/mi_hb3317/is_6_23/ai_n28962844/
Gross, Terry. (2011). Grant Achatz: The chef who lost his sense of taste. Fresh Air. NPR.
Evolution of Health Care Information Systems Physician's Office Operation
Filling in the hole of health care information technology will endorse safe, capable, patient-centered, and patient care that is fruitful in a timely way. In this essay, the theme is to look into two modern health
care organizations and then compare and contrast many characteristics that will involve the kind of evidence systems are using at the moment, investigate the transmission of information 20 years ago and how the substitute of data today. Furthermore, this essay will cover two major events and technology developments that have inclined present Health Care Informational Services practices.
Compare and Contrast Doctor's Workplace Operation
These day's doctor's office operation is familiarizing to the health care reform that was sanctioned in 2010 by the Obama organization. During sometime in October of 2013, the exchanges in health insurance was available on the market for customers on order to buy health insurance placed…...
mlaReferences
Burke, D., Wang, B., & Wan T.T.H. & Diana, M. (2009). Exploring Hospitals' Adoptionof IT. Journal of Medical Systems, 21(9), 349 -- 355.
Callen, J., & Braithwaite, J. & . (2008). Cultures in Hospitals and TheirInfluence on Attitudes to, and Satisfaction with, the Use of Clinical InformationSystems. Social Science and Medicine, 65(4), 635-639.
Finchman, R., & Kohli, R. & . (2011). Editorial Overview -- The role of IS inHealthcare. Information Systems Research, 22(3), 419-428.
As health care’s share of gross domestic product (GDP) grows, people are struggling with how to estimate the value of the health care industry in the economy. While it might seem like a straightforward answer, simply looking at the total amount paid for healthcare in proportion to the total GDP, that valuation would be a gross oversimplification. Generally, GDP is viewed as a proxy for standard of living, but in the United States standard of living might actually drop for many people as the percentage of GDP attributable to healthcare grows. It is important to keep in....
For the last decade, total quality management has been considered the gold standard in quality management in the healthcare setting. Therefore, the question is not really whether we can apply total quality management in hospitals, but what steps hospitals need to take to implement this type of management within their organizations.
The first thing to keep in mind is that modern hospitals are not simply hospitals; they are almost all part of larger healthcare networks. This has the potential of dramatically improving patient care, as the range of care that a patient can access through a....
Ageism is the practicing of discrimination against people based on their age. While the term does not specify the age of the people experiencing discrimination, ageism has most often been used to describe discrimination against older people, particularly seniors. There are multiple components to ageism, as age is used in a discriminatory manner for a variety of types of decision-making, from personal choices to policy choices.
There are many topics you could focus on when writing about ageism. Much of the research in the area has been done in the context of the job market, where....
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