Study "Healthcare / Health / Obamacare" Essays 991-1000

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Safety, Communication, and Placement Essay

… His health does not allow him to stay in a crowded room and this is the case with his house. Moreover, a cook and house assistant for assisting Mr. Trosack to manage the house need to be in place. This will ensure the safety of Mr. Trosack. These issues need addressing before Mr. Trosack goes back to the house.

A safe discharge plan and placement for Mr. Trosack is not in his home, as the place does not help a person with a removed hip. The apartment requires him to take the stairs, which he finds difficult; thus, the best place should be on the ground floor. Placing him in a homecare for the elderly could be crucial. Mr. Trosack suffers social isolation, which is combining with his psychological stature to hinder his recovery. Therefore, placing him in a place where he will have regular visitation, monitoring and other people to interact with will integrate and heal him socially. The social worker in the team will facilitate the social healing of the patient. The physical therapists will keep examining his progress regularly, to see the surgery heals well. The physician will continue to care for his general health to ensure he recovers progressively from other associated and related illnesses. With close monitoring, the home care for the elderly is ideal for the recovery process and discharge placement of Mr. Trosack.

In conclusion, the collaborative discharge placement for the elderly is a development that is facilitating easy and peaceful life for the old after suffering from accidents and other illness, as is the case for Mr. Trosack. The case manager works in conjunction with other professionals to facilitate the discharge placement and recovery process (Holloway, 2004). This plan is significantly improving the lives of many patients since its inception.

References

Holloway, N.M. (2004). Medical-surgical care planning. Philadelphia: Lippincott Williams & Wilkins.

Lees, L. (2011). Timely Discharge from Hospital. Keswick: M&K Update Ltd.

Schultz, J.M., & Videbeck, S.L. (2009). Lippincott's manual of psychiatric nursing care…… [read more]


Randolph County Community Vitality Essay

… There appeared many to be on the brink of some kind of medical trauma signified by rampant obesity and smoking demonstrating a disinterested view of health and healthy habits.

Initial Impressions

As a registered nurse, it appears that much could be done about the health of the people of this community. This county does little to promote healthy lifestyles and it shows by the rampant obesity that I witnessed in my observations. There is general malaise attached to this area that seems to affect most of the people. The impact of drug abuse, alcohol and tobacco can not be understated as well. These dangerous and risky behaviors are contributing to the poor health status of this region.

Issues

There is a lack of awareness and education about physical health. It seems prevention is the main topic that is being overlooked. Preventative health care measures do not appear to be having much effect, if any at all. The social and economic conditions are playing a large role in the attitudes of the population in this are and this is in turn affecting health care and keeping people on prescriptions and interned in the hospital.

Recommendations

The leadership of this area needs to take responsibility of the obesity epidemic that is happening right now in Randolph County. Activity and exercise must be introduced more significantly at the social level. Eating disorders must be addressed as well as they are no doubt contributing to this problem. Although leadership can stand as a model of good behavior, the health care of each person is determined by that person themselves and must be addressed in that manner. Forcing people to be healthy does not work and a new approach to this problem is mandated.

References

Randolph County Health Department Homepage. Viewed 22 June 2013. Retrieved from http://www.co.randolph.nc.us/ph/

Randolph County Health Department. Summary of Human Services Budget Report 2012- 2013. Retrieved from http://www.co.randolph.nc.us/finance/budget/2012_2013/HumanServices.pdf

Randolph County, North Carolina Government Homepage. Viewed 22 June 2013. Retrieved from http://www.co.randolph.nc.us/about_randolph.htm

Randolph County Schools Homepage. Viewed 22 June 2013. Retrieved from http://www.randolph.k12.nc.us/Pages/Default.aspx

The United States Census Bureau. "Randolph County, North Carolina." Viewed 22 June 2013. Retrieved from http://quickfacts.census.gov/qfd/states/37/37151.html… [read more]


Community Assessment of Kent County Essay

… Initial Impressions Regarding Kent County:

As a registered nurse, my initial impression regarding Kent County is that the area contains a fairly poor health care system and ever-growing health related problems. The impressions were not informed by personal bias but by information I have heard about the area and its geographical location.

Issues that May Affect Kent County's Health:

The below par access to health food, violent crime, and recreational facilities as required by national benchmarks.

Lack of health insurance to a huge portion of the population and dissatisfaction with life.

The existing disparities in access to health care services and barriers to health care access.

The poor environmental conditions related to health.

The problem of flooding, which poses significant risks to some well water supplies.

The likelihood of contaminants like chemicals and bacteria to enter water supply (Stelma, 2013).

Lessons Learned and Recommendations to Community Members:

Kent County has a seemingly poor health care system because of some factors including the geographical location of the area and environmental conditions related to health. The other factors in the county's health status are the existing disparities in access to care services and barriers to health access.

Community members should form partnerships that bring them together to develop conditions that promote good health ("Healthy Kent 2000 Progress Report," n.d.).

Community members should recognize and accept mutual responsibility for the county's health.

Members of the community should carry out initiatives and programs that address common priorities related to health such as preventing risk-increasing behaviors at the community level.

Presentation of Recommendations:

The recommendation to community members on how to improve the county's health will be presented to the County Commissioner during a meeting in the County Assembly. These recommendations will be presented to him because the health care challenges are county-wide problems that need solutions from the county level.

References:

"Community Triple Bottom Line Indicator Report." (2008, September 30). Grand Rapids,

Michigan. Retrieved June 24, 2013, from http://grcity.us/enterprise-services/Documents/11686_TBLFinal.pdf

"Health Department." (n.d.). Access Kent -- Kent County, Michigan. Retrieved June 24, 2013,

from https://www.accesskent.com/Health/health_department.htm

"Healthy Kent 2000 Progress Report." (n.d.). Sowing the Seeds of Community Health. Retrieved June 24, 2013, from http://www.accesskent.com/Health/Publications/pdfs/h_hkrep.pdf

Stelma, L.A. (2013, April 30). Emergency Management Division -- Flood Department. Retrieved June 24, 2013, from http://www.accesskent.com/News/2013/04302013_flood.pdf

"2011 Community Health Needs Assessment and Health Profile." (n.d.). Saint Mary's Health

Care. Retrieved June 24, 2013, from http://www.mercyhealthsaintmarys.com/documents/GrandRapids/KentCoCHNA_Final (Website).pdf… [read more]


Managing an Effective Quality Assurance Program Research Paper

… Managing an Effective Quality Assurance Program at a VA Medical Center

Today, the Department of Veterans Affairs (VA) operates a system of 167 medical centers across the country that provides tertiary healthcare services to eligible veteran patients. Each of these medical centers has a quality assurance service that is responsible for identifying opportunities for improving patient care through a rigorous patient incident reporting system. The results of these monitoring activities are reported at the medical center level, as well as regionally and nationally. By analyzing this aggregated data, quality assurance services can help reduce the incidence of serious patient incidents such as medication errors, patient falls and patient abuse. This paper provides a description of a quality assurance services in a VA medical center from a systems theory perspective. A summary of the research and important findings concerning using a systems theory approach to reducing patient incidents are provided in the conclusion.

Review and Discussion

A wide range of events qualify for a patient incident report in the VA healthcare system, including patient falls (without and with injury), medication errors (without and with injury) and surgical misadventures. Other events such as fires and patient abuse are also reportable. In all cases, the patient incident data is trended locally and forwarded to regional offices and ultimately VA Central Office to national comparisons. When patient events are sufficiently serious, they may warrant peer review and adverse personnel actions can result from these reviews. An open system concept of this process is set forth in Table 1 below.

Table 1

Open System Concept of Department of Veterans Affairs Peer Review

Concept

Definition

Application to Large-Scale Organization

Application to the Nursing Services Delivery Theory

Inputs

Incident reports of medication errors, especially those sufficiently severe to trigger a peer-review.

In any VA healthcare setting, incident reports can be generated by anyone.

In the nursing services, these inputs typically involve medication errors or patient abuse cases.

Throughput

Computer-based reporting system is available that allows for the reporting of all types of incidents (i.e., fall, medication error, fire, etc.) which are then trended by ward and shift, and weighted by patient days of care.

Results of incident analyses are reported in the medical center's weekly QA report and discussed by all medical center committees as the data relates to them.

Various initiatives have been used to reduce patient incidents; for example, posters reminding nurses about eliminating medication errors resulted in a 30% reduction.

Output

The patient incident data is transmitted to a regional office and subsequently VA Central Office in Washington, DC for aggregation and further analysis.

All VA medical centers receive aggregated reports concerning their patient incident reporting regimens and where they stand compared to all other VA medical centers. A single event can include more than one type of patient incident (Walshe & Boaden, 2006).

Patient incidents are inevitable but steps can be taken to reduce them. In one medical center, the decision was made to reduce the number of falls a patient experienced to… [read more]


Hygiene in Medical Settings Term Paper

… An easy way to remember is to sing the ABC song or Happy Birthday. This will help you measure the correct length of time.

If soap and water is not an option, use an alcohol-based sanitizer or disposable hand wipe.… [read more]


Patient Handoff Efficiency Term Paper

… ¶ … transferring vital records and responsibility of care from one healthcare provider to another is one of the most important parts of communication in health care. This important transfer point is known as a handoff. What makes a handoff… [read more]


Health Care Industry Consists of the Sector Essay

… ¶ … health care industry consists of the sector that provides services including: healing, treatment, and medicine through its facilities that include hospitals, clinics and urgent care. These services are provided by all personnel working in health industries, like physicians, nurses, technicians, and other medical services providers.

Universal Health Services, Inc. (UHS, Inc.) is one of the largest hospital management companies in the nation and was founded in 1978. UHS, Inc. started as a small company and grew up to be one of five hundred of the largest corporations with annual revenue that exceeds 7.5 billion. UHS, Inc. owns and operates 218 private healthcare facilities, including twenty five acute care hospitals, 187 behavioral health facilities, and six ambulatory surgery centers, across thirty six states. The number of behavioral facilities that UHS, Inc. owns has helped the company to be ranked as the largest behavioral health provider in the country. With all of its facilities combined, UHS, Inc. is licensed for more than twenty five thousand beds. Furthermore, UHS, Inc. offers management services, such as finance, systems control, administrative and personnel management, as well as physician recruitment services.

LifePoint Hospitals, Inc. is a company that operates general acute hospitals in non-urban communities in the United States. The company was founded in 1999 with a singular mission of "making communities healthier." LifePoint Hospitals started with small network of twenty- three hospitals in non-urban communities across the nation and has gradually grown up to be one of the largest companies in the industry with 3.5 billion in revenues, about sixty hospitals across twenty states, and six thousand forty eight licensed beds. LifePoint Hospitals, Inc. provides a range of services that include general surgery, internal medicine, obstetrics, emergency room care, radiology, oncology, diagnostic care, coronary care, rehabilitation services, pediatric services, and,…… [read more]


Health Plan Op-Ed From the WSJ Touches Term Paper

… Health plan op-ed from the WSJ touches on some opportunity costs, in particular the tradeoff between the current system of incentives for health care insurance and the one that Bush was proposing. The tradeoffs came in the form of the amount of coverage by insured numbers, and in terms of the costs associated with health care coverage. Where there are opportunity costs, there is room for a cost-benefit analysis, because the Bush plan shifts the benefits of the health care insurance system around a bit as well. The plan and article also address the issue of scarcity in the recommendation to create a national health care market that allows for individuals to have better access to new insurance products by increasing the number of competitors and the overall size of the market in which they must make their purchases.

The article primarily concerns incentives. The article advocates the proposed incentive system as superior to the existing one for a few reasons. The main reason is that the current system of providing tax incentives to businesses for health insurance means that businesses are the usual providers of such insurance and that individuals have a poor market for health insurance. Changing the incentives would improve the market for individual health insurance, something the WSJ feels would bring about a better set of outcomes than the current system. Government involvement in the health care system is high, and this involvement creates a number of incentives that distort the market for health care in the U.S. It may seem disingenuous for the WSJ to criticize one system of incentives as negative because it reflects government intervention while supporting a different set of intervention incentives -- both the existing plan and the Bush plan are systems of incentives designed to bring about certain outcomes.

3. The article does not touch much on supply/demand equilibrium. There is a supply issue in health care, but because the Bush plan does not address that too much, it is not touched on in the article much. If there are five million more insured as the editorial predicts, this will create a supply/demand mismatch, and the plan probably should have a strategy to increase supply in the health care system in order to accommodate that increase in supply. There…… [read more]


Communication How Does Effective Essay

… This in turn, individual the parent to create reasonable tasks and objectives for themselves. As a result, Health Care employees are better able to accomplishing the overall objectives for themselves (Hicks, 2012).

Another basic principle besides goal setting and feedback is more individual based. Health care professionals when communicating can not let emotions deter the message in which they are attempting to deliver. This also differs from basic elements of communication which are often immersed in emotion. Often, anger clouds the judgment of health care employees which hinders the overall communication process. This in turn, translates into lost relationships with both children and other individuals. As such, it is important for health care employees to not lose their temper in regards to communication. It is best to simply to reframe from immediate action when angry or upset. Health care is a very complex process. It requires both skill and expertise in order to effectively accomplish consumer goals Furthermore, many external factors such as work, anger, sadness, and other emotions hinder the communication process. By being aware of common shortfalls in the overall communication process, health care employees are better able to effectively speak to others (Cheesebro, 2010).

How might a provider encourage a reluctant consumer to communicate candidly?

To encourage a reluctant consumer to communicate candidly, the relationship must first be genuine. Within the health care profession, generally sensitive information is discussed. In order to communicate effectively, the consumer must feel that their interests are important. In addition, there must exist a two way form of communication that allows. Providers must be willing to listen to consumer complaints or grievances. Providers must also be willing to take action on behalf of the consumer to better show trust. Through their actions providers can help consumers feel more comfortable about health related issues.

How might cultural differences influence communication?

Cultural differences can both positively and negatively impact communication. For one, similar cultures may be better able to communicate with each other as their overall understanding is enhanced relative to others. Hispanic individuals may be better able to communicate with one another simply because they both know Spanish. These individuals may also seem to share a sense of community which helps to foster a culture of trust. Communication can also be a hindrance as misunderstandings can potentially occur. This is particularly pervasive with electronic communication in which it is difficult to ascertain an individual's intent. A sign or symbol that was meant to be humorous may actually be perceived as offensive in the context of another culture. As such cultural differences can create barriers to trust and candid communication (Hicks, 2012).

References

1. du Pre, A. (2005). Communicating about health: Current issues and perspectives (2nd ed.). Boston: McGraw Hill.

2. Hicks, N.J. & Nicols, C.M. (2012). Health industry communication: New media, new methods, new message. Burlington, MA: Jones & Bartlett Learning.

3. Cheesebro, T., O'Connor, L., & Rios, F. (2010).…… [read more]


Financial Management for Nurses Essay

… Working together, a more proactive and congenial model can work wonders in a hospital unit, it simply takes cooperation from all sides (Productivity Measures, 2008).

REFERENCES

Productivity Measures in Need of an Image Overhaul. (July-August 2008). The Business of Caring. 4 (7): 1-15.

Anderson, S. (2007). Deadly Consequences: The Hidden Impact of Nursing Shortages. National Foundation for American Policy. Retrieved from: http://www.nfap.com/pdf/0709deadlyconsequences.pdf

Brown, M., ed. (1992). Nursing Management: Issues and Ideas. Gaithersburg, MD: Aspen Publishers.

Clark, J. (2005). Improving hospital budgeting and accountability: A best practice approach. Healthcare Finance Management. 59 (7): 78-83.

Finkler, S., et al. (2007). Financial Management for Nurse Managers and Executives. St. Louis, MO: Elsevier.

Hall, L., ed. (2005). Quality Work Environments for Nurse and Patient Safety. Sudbury, MA: Jones and Bartlett.

Kelly, P. (2010). Essentials of Nursing Leadership and Management. Clifton Park, NY: Delmar Publications.

Where: AR -- Actual average caregiving rate per hour is found by diving the actual caregiving hours into the total actual wages paid. BR -- Budged average caregiving rate per hour is found by diving the budgeted caregiving hours into the total budged wages. AV -- Actual volume of patient days; BV -- Budgeted volume is…… [read more]

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