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Patient Centered Medical Homes Term Paper

… Practices of this sort are equipped with an integrated health information technology system. In addition, are supported by an adequate payment arrangement that distinguishes the added value of patient-centered components (Bates, 2010).

In the model of patient centered medical home, the patient is put in the center of the care model where all of the needs and concerns are taken care of. The top priority is to satisfy the patients with quality care and safety. The treatment provided in PCMH are cost-efficient, in addition the physician payments reflects the PCMH's added value. In a PCMH, the patient works together with the family physician in order to ensure the wellness of a patient.

In 1967, the term medical home was made use of by the American…. [read more]

Patients Turn to Complementary Essay

… In line with this, they will analyze and document progress data of fellow nurses. During the implementation, the coordinator of the study will need to keenly monitor the process and be readily accessible to staff on the study units to give the needed direction. It is essential that follow-up as a reinforcement of the practice change be properly coordinated

Step 6: Integrate and Maintain the Change in Practice

In integrating combining traditional or western medicine with alternative or complimentary therapy, the research team will seek other nurses' feedback about feasibility and benefits related to the interventions highlighted above. In addition, in-service sessions concerning the new protocol will be presented to nurses caring for patients within the hospice centers. Moreover, periodic monitoring of the changes will…. [read more]

Public Health Funding Be Directed Research Paper

… In the Homeopathic medicines there are a few legal regulations that are present. They are allowed to be used by patients even without a proper declaration of their efficacy or without a safety assessment done. Studies that have been conducted related to homeopathic medicines have shown to have a strong therapeutic effects and a high level of patient satisfaction with the medicines they consume. Even as there have been cases reported about adverse effects, it is said by homeopathic theory that the worsening of the symptoms the patient has is actually a wanted reaction to medication. There have been no studies which have proven the adverse effects of shown any observational survey of the homeopathic aggravations (Stub et al., 2012).

The patient's decision making should…. [read more]

Complementary and Alternative Therapies Research Proposal

… Complementary and Alternative Therapies

The Spirit-Body Connection

Universally Recognized Phenomenon

Even in this secular society, the link between mind and body has been well established through scientific studies, religious teachings, and personal testimony. By comparing a personal example of the spirit's ability the affect the physical state as well as other situations regarding the spirit's influence on illness, the link between body and spirit will be better established.

In my own life, the link between the spirit and the body can be best identified through the constant illness and diagnosis of one woman. Since childhood, this woman suffered from a series of maladies and illnesses, the causes of which were unknown. For example, she suffered an illness lasting over a month that resembled Mono, but…. [read more]

Healthcare for Mentally Impaired Patients Term Paper

… He says, "That's not what these buildings are. Patients receive a large number of services in such facilities, including skilled nursing and physician care that may not be replicated in a smaller setting." (Seidenberg, B.)

Albeit, while some nursing homes may lack sufficient staff to take proper care of residents, there is no excuse for the alarming statistics stating that -- according to a congressional report - many institutions have in the past been found guilty of violating abuse prevention standards. While the report identified nearly 5,300 nursing homes between January 1999 and January 2001, it also states that the percentage of nursing homes cited for abuse has doubled since 1996. In some cases the violations were "serious enough to cause actual harm to residents…. [read more]

Medical Anthropology Term Paper

… Alternative Medicine

Complementary and Alternative Medicine

Altshuler, Larry

2004 Balanced Healing: Combining Modern Medicine & Safe & Effective Alternative Therapies. Gig Harbor, WA: Harbor Press.

A reference guide for anyone who wants to benefit from alternative healing methods, without replacing the advanced benefits of contemporary medicine. Dr. Altshuler, with 25 years of experience in alternative medicine, divides the book into two sections, and gives readers a holistic approach to health care. The first section addresses the types of experiences one might encounter from both conventional and alternative medicine. This is done via a comparison of advantages, issues, benefits and risks of both approaches. The second section within the book serves as a desk reference for most common ailments, with corresponding treatment protocols for each. This…. [read more]

Cancer Care Knowing Essay

… When these are identified, he can challenge his own negative thoughts about them and develop a more rational response to them, thus enabling a more positive response and adjustment. This therapy is also able to help the terminally ill cancer patient to accept or reduce his fear of death and dying. Imagery may be infused into the relaxation training feature of the therapy. And group support facilitates the patient's adjustment to cancer. Support groups may be the patient's family, friends, the American Cancer Society, the local hospitals, cancer treatment agencies and mental health agencies. These groups help create in the patient a sense of community. They assist him in the realization that he is not alone in his condition. They do this by exposing him…. [read more]

Mobility Benefits, Barriers, Challenges Essay

… , 2012). Current studies attest to the safety and feasibility of such programs even to patients on mechanical ventilation. These patients are especially vulnerable to muscle de-conditioning because of limited mobility imposed by monitoring equipment and their multiple medical conditions. Critically ill ICU patients may be aided by nurses to certain movements, such as being turned from side to side, pulled up in bed or moved to a stretcher for tests. The introduction and implementation of an early mobility protocol, therefore, will benefit these patients by reducing the likelihood of declined functions while at the ICU. There is as yet no standard for critically ill patient mobilization at the ICU (Zomorodi et al.).

Integrated Approach Needed

While much has been achieved towards optimizing short-term outcomes…. [read more]

Translating Evidence Into Practice Research Paper

… Nursing Research

PICO Question -- Are Guided Imagery techniques effective in the management of pain?

The objective of this research study was to investigate the effects guided imagery sessions have on the management of pain. Nursing theory is both carative and pushing towards increased advocacy for the patient. Guided imagery is controversial, but the idea of using this as a relaxation technique within a nursing environment is quite common. Nurses, however, are beginning to use GI to assist in pain management, to promote relaxation, to accelerate wound healing, and to diminish depression.

Pain is quite individualized. Some people can tolerate extreme pain, for others, slight pain is agonizing. This is particularly frustrating in the post-surgical wards in which patients have a rather large continuum of…. [read more]

Watson's Caring Theory of Nursing Term Paper

… Watson Theory of Nursing

Background and Fundamental Concepts of Watson's Caring Theory of Nursing

Jean Watson conceptualized and operationalized a notion that had always been fundamentally important as a defining purpose within the nursing field: caring. Generally, empathy and genuine concern for the welfare and health of others has always been a common motivating force of nurses. Watson introduced her Carative Theory of Nursing and outlined a framework of carative factors and fundamental assumptions to allow nurses to apply specific facets of caring to the nursing services that they deliver to patients.

In Watson's view, nursing has existed as long as human societies and involves the sharing of caring practices within the social environment and as part of human cultural adaptations necessary to survive in…. [read more]

Grief Schiz Precautions and Procedures Essay

… As depression itself has become better understood, so have its effects -- such as the potential for suicidal thoughts and actions -- and its mechanisms, and thus more effective ways of handling depression at all ages and for a variety of causes have also been developed (Beck & Alford, 2009; Bhatia & Bhatia, 2007). As many schizophrenics are diagnosed in adolescence, a focus on research in handling depression and suicidal tendencies in the adolescent age group was employed, along with specific information regarding depression in schizophrenics (Beck & Alford, 2009; Bhatia & Bhatia, 2007; Wittman & Keshava, 2007). In this way, a comprehensive safety plan was established.

First and foremost, cognitive behavioral therapy is recommended for the treatment of depression in children and adolescents prior…. [read more]

Dry Needling Cover Letter Department Peer-Reviewed Journal

… This could clarify why latent trigger points might not induce impulsive pain. As soon as these inadequate synapses happen to be sensitized, referred pain would likely follow (Mense, 2008).

Latent trigger factors can easily turn out to be active trigger points. Simply because of elevated synaptic effectiveness within the dorsal horn, these trigger points might begin showcasing spontaneous pain. It seems that whether or not a trigger point is actually active or latent relies upon, at least partly, on the level of sensitization. Data shows that the very first phase of trigger point development includes the improvement of contractured muscle tissue or perhaps a taut band, which might or might not be painful. Whilst the precise mechanisms involving the taut band development aren't properly outlined,…. [read more]

Internal Business Process Perspective Balanced Essay

… The leadership strategies were aimed to create support and structure and the improvement methods included the training of the staff members and the implementation of the Six Sigma, the DMAIC model -- where DMAIC stands for the stages of the process, namely definition, measurement, analysis, improvement and control (Meliones, Alton, Mericle, Ballard, Cesari, Frush and Mistry).

The reaction of the staff members to these challenges was a negative one initially, due to the fact that medical staffs have little interaction with and interest for the business efforts; in other words, it was initially difficult to integrate the staffs due to their reticence to changes determined by business objectives. Nevertheless, the managerial team was able to overcome this initial resistance to the implemented change by developing…. [read more]

Probiotics to Treat Infantile Colic Research Paper

… Alternative Medicine

Probiotics to Treat Infantile Colic

Description of the Disease Process of Interest

Infantile Colic is a very common problem within the first 3 months of life for an infant. It affects as many as three percent to twenty eight percent of infants. It is made up of a behavioral condition distinguished by spastic, extreme, inconsolable crying without a particular reason (Savino, Pelle, Palumeri, Oggero and Miniero, 2007). Colic is often describes as crying and tremendous irritability in babies. The fits of inconsolable crying often take place in the evening, but a lot of babies do not follow a knowable pattern. The crying and fussiness can go on for hours at a time, followed by other stages when the infant behavior and appears completely…. [read more]

Ethical and Legal Aspects of Therapeutic Relationships Essay

… Ethical and Legal Aspects of Therapeutic Relationships


Daniel was a 19-year-old male suffering from mild depression. His family was well aware of the situation, and had obtained various opinions about what is needed to help him. Daniel did not react very well to medical anti-depressants. On the physical level, they made him nervous and restless. On the emotional level, he resisted the meds for fear of becoming dependent upon them. Despite his depression, Daniel had never felt the need to succumb to substance abuse, and indeed feared this, as he had considerable experience with a friend who nearly died as a result of substance abuse. The medical herbalist, Mr. Mudra, seemed to have the solution. After about a month of his treatments, Daniel's…. [read more]

Consent in Cam Consent and Herbal Medicine Term Paper

… ¶ … Consent in CAM

Consent and Herbal Medicine: A Literature Review

The topic of informed consent is important for any portion of the legal profession. Informed consent assures that patients remain an integral part of the decision-making process. The field of complementary and alternative medicine has remained on the fringes of the medical community. This branch of medicine has avoided standardization until recently, when a hostile legal climate has forced it to adopt many of the components of formal medicine. Informed consent is an important part of this standardization process. The following literature review will examine the body of literature available regarding informed consent as it applies to complementary and alternative medicine (CAM).

An examination of standard medical texts and databases revealed that there…. [read more]

Outcomes of Therapeutic Touch Literature Review

… ¶ … Therapeutic Touch


Therapeutic touch or TT is an unconventional and alternative treatment of disease and accompanying pain and discomfort popularized in 1972 by a psychic healer and her nurse assistant. It involves the manipulation of the patient's energy field by the practitioner. It is also practiced as therapeutic massage. Although rejected by traditional mainstream medicine as having unclear and inconclusive outcomes, this form of therapy has demonstrated to be useful and effective in the control of pain and discomfort, especially among dying patients in hospices, terminally ill cancer patients, and children.

Therapeutic touch is a non-conventional, non-invasive method of healing, which involves the manipulation of a patient's energy field by the practitioner in order to effect healing or comfort

.…. [read more]

Alternative Support Alternative Therapeutic Support to Labor Term Paper

… Alternative Support

Alternative Therapeutic Support to Labor Patients by Nurses to Increase Their Comfort Level and Provide a Positive Childbirth Outcome

More and more women are seeking out less invasive or non-pharmacological methods of pain management during labor. This has contributed significantly to the popularity of "complementary methods of pain management" (Smith, Collins, Cyna & Crowther, 2). Traditional forms of pain management include use of epidural anesthesia and other narcotic drugs to help deaden and reduce pain. Many of these methods however come with some unwelcome side effects, side effects that might be avoided if alternative therapeutic techniques were used in conjunction with or instead of traditional methods.

Nurses are at laboring women's bedsides, thus it is important that they are aware of any alternative…. [read more]

Weighing the Evidence Research Paper

… ¶ … Menzies, V., et al. (2006). Effects of Guided Imagery on Outcomes of Pain, Functional Status, and Self-Efficacy in Persons Diagnosed with Fibromyalgia. The Journal of Alternative and Complementary Medicine. 12 (1): 23-30.

The objective of this research study was to investigate the effects that a six-week intervention of guided imagery had on certain aspects of pain, functional status, and self-efficacy in patients suffering from fibromyalgia. The research was mixed method; using qualitative data in the form of Questionnaires and quantitative measures from data within the report forms. The sample based included 48 individuals with Fibromyalgia recruited from random offices and clinics in the Mid-Atlantic Region. The results showed that guided imagery improved functional status and sense of self-efficacy in managing pain; although reports…. [read more]

Five Forces and Value Chain Essay

… Competitive Position

At present, NxStage has a relatively weak competitive position. Too small and lacking in distinctiveness to challenge the major players in the institutional market, the company has pursued the home dialysis market, where it is virtually unchallenged. However, there are structural issues with respect to payers in particular that limit the growth potential of this market. Therefore, it is important for the company to find growth via other means if the size of its market is not going to grow much. With this difficult competitive position, NxStage either needs to expand the size of its own market, or begin to challenge the major players in their institutional market.

The optimal strategy is probably to take advantage of the changes in the regulator environment…. [read more]

Do Homeopathic Treatments Really Work Term Paper

… Goldhill, D. (2009). How American health care killed my father. The Atlantic.
Retrieved from
Hagopian, J. (2015). The FDA and Big Pharma's latest killer agenda: Destroy
homeopathic medicine. Retrieved from
Hwang, H., Park, H., Kim, G., Kim, N., Kim, D., Park, Y., Won, M., Lee, M., Lee, Y., &
Hwang Y. (2014). The Traditional Korean Foods and the Yao Shan. Korea: Paju Si.
Itamura, R. (2007). Effect of homeopathic treatment of 60 Japanese patients with
chronic skin disease. Complementary Therapies in Medicine, 15(2): 115-120.
Kyziridis, T. (2005). Notes on the history of schizophrenia. German Journal of
Psychiatry 8, 42-8.
Lee, H., King, D. (2013). Complementary Therapy Strategies: Myths, Facts, and
Lifestyle. Urinary Tract Infection. UK: Springer.
L'dtke, R., & Rutten, A. L. B.…. [read more]

Psychoanalytic and Humanistic Perspectives on a Person Essay

… They also believe that individuals help in shaping the behavior of an individual. Thus, they place greater emphasis on the capacity of humans to change their circumstances and behavior because of autonomous choice and conscious reflection. For psychoanalytic psychology, early-childhood experiences and biological drives are important in shaping the personality of an individual. These forces exert influence on an individual's conscious level; they tend to be difficult to moderate or change. However, psychoanalytic therapy focuses on bringing unconscious conflicts and motivations into unconscious with the assistance of the analyst. For this reason, change can be promoted through the interaction of the analyst and the patient.

Extent to which they are co-existing

Both humanistic and psychoanalytic perspectives have a major influence psychotherapy and on psychology. They…. [read more]

Fibromyalgia Syndrome (Fms) Term Paper

… Some scientists believe that central nervous system dysfunction could be the cause of these unexplained conditions. Muhammad Yunus referred to these comorbid conditions as "central sensitivity syndromes." (Facts of Life, 2002).

Present Understanding of FM: (Again General Concept for the Concept Paper)

The diagnostic criteria for classifying fibromyalgia were finally established and published in 1990 by the American College of Rheumatology (ACR). These criteria were widely accepted because they reflected the results of research published by 20 clinical investigators throughout the United States and Canada.

The ACR criteria for the classification of FM are:

History of widespread pain (must be present for at least 3 months)

Pain is considered widespread when all of the following are present:

1. Pain in the left and right side…. [read more]

Complete Spirituality Assessment for Patients and Explanation Assessment

… Spirituality or religion are important to more than eighty percent of Americans (Saguil & Phelps, 2012). A spiritual assessment can help healthcare workers to better anticipate and understand the needs of patients, providing the best possible care within a culturally appropriate framework. Issues related to social support systems may be linked with religion, as faith-based organizations serve as powerful and dependable social hubs. Moreover, prayer, meditation, and other personal practices may be integrated into complementary medicine for some patients. Religion and spirituality can help the patient and family members to cope with difficulties during the health care process (Joint Commission of Accreditation of Healthcare Organizations, 2005). When designing a spiritual assessment, it is important to be flexible because the questions asked will differ depending on…. [read more]

Supervision of Clinical Work in Mental Health Research Paper

… Social Work

Supervision of Clinical Work in Mental Health

Mental health nurses along with other practitioners, often work in an ever changing and challenging environment. Because of this there is a continuing need for support. It is often thought that this support helps to increase morale, decrease strain and burnout, and encourage self-awareness and self-expression. Clinical supervision often addresses all these issues and improves the quality of care for patients (Rice, Cullen, McKenna, Kelly, Keeney and Richey, 2007).

Clinical Supervision is a competency-based approach that is often used to train and supervise mental health practitioners. For a long time supervision has been central to training psychologists and other mental health professionals who work in clinical settings. There was a time when there was little or…. [read more]

Fibromyalgia Is a Chronic Rheumatic Condition Term Paper

… Fibromyalgia is a chronic rheumatic condition considered to be incurable. Its primary symptoms are muscle pain, joint pain, and chronic fatigue. However, it is not an inflammatory condition like arthritis. The vast majority -- at least 80 to 90% -- of fibromyalgia sufferers are women, pointing to possible hormonal or genetic aspects of disease etiology (De Lucia, 2014). In fact, fibromyalgia does tend to run in families, prompting further research into a genetic component (Wright, et al., 2011). Emerging research reveals possible risk factors including the presence of rheumatoid arthritis and other autoimmune diseases ("Fibromyalgia," 2014). Stress factors in as well, as there is a strong concurrence with other conditions including tension headaches, temporomandibular joint (TMJ) disorders, irritable bowel syndrome, anxiety and depression (MayoClinic, 2014;…. [read more]

Acupuncture TMC Term Paper

… Acupuncture -- an Overview

Briefly describe the five categories of therapies as defined by the National Institutes of Health and the National Center for Complementary and Alternative Medicine and specify to which category the selected therapy belongs.

According to its official website, the National Institutes of Health and the National Center for Complementary and Alternative Medicine NIH/NCCAM divides alternative therapies into five categories. The first are biologically-based practices that focus on herbs and food, the second are energy-focused treatments that treat energy imbalances in the body, the third are manipulative and body-based practices like massage and chiropractic therapy that treat the body through touching, the fourth is psychologically oriented mind-body medicine, and finally, there are 'whole' medical systems. While acupuncture is specifically an energy-based treatment…. [read more]

Breast Cancer in Malaysia Essay

… Even though the condition labeled here was from a hospital-founded revision in merely two centers in an area that is urban, the percentage- age of progressive breast cancer is projected to be much advanced in rural hospitals that are rural. A nationwide breast broadcast program has nevertheless to discover its residence in Malaysia. The chief application disadvantage is shortage of monetary provision and resources restraint through the country obstructed by the social-cultural insight of the illness in our public. At current every public services and hospitals are completely supported by the administration. It would be more suitable to instrument health insurance attention to upkeep a breast-screening program. Likewise previous to the application of a screening program, approaches of the local public and the social-cultural insight…. [read more]

Hypertension "In the United States 71 Thesis

… Hypertension

"in the United States

71% of adults with hypertension don't have their blood pressure under control"

(Medications for…, 2007 Fast fact section).


Ethnicity and Age

"My mother died from a stroke 18 months ago. She was 64," Juan Valdez, a 47-year-old Puerto Rican native, who has lived in the South Bronx of New York City, for the past 22 years, told the attending physician, Dr., Peters. This day, he said, he was feeling dizzy and experiencing a headache that would not go away. Juan and his family had moved to the United States from Isabela, Puerto Rico 20 years earlier. Isabela, "known as 'El Jardin del Noroeste' (garden of the northwest) and 'El Pueblo de los Quesitos de Hoja'" (Isabela, 2009, p.…. [read more]

Stress Management in the Caregiver Research Paper

… A study published by the Nuffield Trust (Williams et al. 1998) highlighted what had long been a subject of interest in the caregiver media: the levels of stress, sickness, absenteeism and burnout among professional caregivers. This report, from an authoritative and reputable organisation, brought together much of the prevailing evidence about the alarming state of the government funded workforce, which, despite a growing independent sector, is still responsible for giving over 90% of health caregiver. The report states that 'for the sake of good management and from simple compassion, both we and the Government should view these findings with due alarm, and accept shared responsibility for working quickly together to develop a program for action.

Studies highlighting stress and burnout in professional caregivers continue to…. [read more]

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