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Community Health Nursing Galveston Case Study

… , (2011).


The City of Galveston meets the statistical norms of the rest of the country with regard to birth and death rates and other similar demographics data, but the area still has not fully recovered from the effects of large storms that happened in 2005. Because the population decreased so dramatically, crime has risen to some degree, there is more evidence of decay, and the city seems to be waiting for the next large storm to arrive. Many of the health centers and hospitals have left the city and moved to the more suburban areas of the county in consequence to the movement of the population. This has made it more difficult for people within the city to receive adequate healthcare.


See…. [read more]

Healthcare Services Healthcare Facility Analysis Case Study

… Healthcare Services

Healthcare Facility Analysis

Recently a local hospital expanded its clinics in the surrounding suburban areas, and the most recent addition is being heavily promoted for its reliance on state-of-the-art scheduling and medical status updates from the physicians working there. While this location is called a clinic, it is actually a full service medical treatment facility that has general practitioners, pediatricians, and specialists on staff to support a very broad scope of patients. The majority of patients however are children as there are many families around the area. A recent visit to the waiting room showed that 70% of those waiting to see a physician are thirteen years of age or younger, with the remaining 30% being older adults in their late 50s and…. [read more]

Healthcare Schuylkill County Research Paper

… By age group, however, we see a different paradigm:

< 5 years

5-24 years

25-44 years

45-64 years

>65 years

Birth Defects




Heart Disease




Heart Disease





Heart Disease





Adult Behavioral Health Risks- Based on diagonsis, warning signs, and have been medically counseled on issues: Obesity (64%); Flu Shots (51%); Smoking (21%) HIV (37%); Asthma (10%; Alcoholism (6%).

Insurance Coverage -- About 22,000 are enrolled in insurance programs, or only 15% of the total population. Many consider this to be a high risk of morbidity due to individuals then only seeing physicians during emergency needs.

Hospitals/Nursing Homes -- 4 total hospitals, 14 certified nursing homes.

Drug and Alcohol Treatment - 81% of…. [read more]

New Healthcare Challenges for a Divers and Growing Elderly Population Term Paper

… There were an estimated 3.3 million African-Americans over 65 in 2010, according to the Administration on Aging (AoA). By 2050, it is expected that the elderly population of African-Americans will account for about 11% of the 65-and-older population in the United States (AoA).

And although African-Americans are living longer, the majority of those over 65 years of age have had "at least one chronic health condition and many have multiple conditions" (AoA). The AoA provides a breakdown into the most frequent chronic conditions that afflicted older black people between the years 2005 and 2007.

Topping the list is hypertension, with 84% of elderly African-Americans reporting this medical problem. The following medical ailments are listed with percentages of black elderly people in parentheses: a) diagnosed arthritis…. [read more]

Rural vs. Urban Health Care Disparities Dissertation

… Health Care Disparity in Maryland

Context of the Problem

Unsettling Disparities Occur

Approximately 1,600,000 individuals who live in Maryland either do not have access to healthcare as they cannot afford insurance and/or are underinsured.

In "Health care reform: a vital issue for Maryland's nurses," Anne S. Kasper and Leni Preston (2008) stress this unsettling fact, as they point out that Maryland ranks number 24 in the United States in the number of uninsured residents. Fifteen percent of Maryland's population, almost 800,000 people, in fact, is not insured. The significance of the fact relating to those who do not have access to healthcare, Kasper, and Preston (2008) assert, increases as this magnificent number of individuals without access to healthcare does…. [read more]

Suburban health center Essay

… In fact, people want better drugs and better treatments, so you don't want to reduce the level of innovation just to keep costs in line. There are some fantastic technologies in development, and if they cost more, so be it. But I guess there is a need for some flexibility where people receive older treatments if they can't afford the latest innovations.

Another challenge going forward is the issue of rural health care. While health care capacity in the big cities is more or less acceptable (there are exceptions), people in rural areas often struggle to find doctors -- especially specialists -- and travel longer distances when they do (Magilvy & Congdon, 2000). Furthermore, they often have to travel to big cities for specialized care…. [read more]

African-American Housing: Chicago Study Chicago Term Paper

… African-American Housing: Chicago Study

Chicago Housing Study

African-American Housing Disparities

Historical Chicago Housing Facts


The Gautreaux Case

Recent Studies and Their Findings

Chicago Housing Study

African-American Housing Disparities

The objective of this work is to examine the status and condition of African-Americans as compared to whites in the area of housing specifically in the city of Chicago, Illinois both historically and presently relating to access to and cost of affordable housing with statistical information included relating to the proportion and number of both groups that occupy public and privately own housing, the median/average monthly payment for housing. Finally this work will review how these facts relate to the overall lives of African-American living in the United States.

Historical Chicago Housing Facts

The work of…. [read more]

Urgent Care Centers Filling a Gap for PCP's and ER Research Paper

… Urgent Care Centers filling a gap for PCPs and ERS

All over America, ER and PCPs are losing themselves to the Urgent care centers. It is clear that they are taking over because they are the more reasonable source of emergency care. This essay show that these urgent care centers are more beneficial because they are able to give walk-in, lengthy hour admission for injury care and acute illness that is either beyond the possibility or accessibility of the typical most vital care practice or retail clinic. There are over 8,800 urgent care centers in the U.S., about 4,500 of which are completely-fledged centers that would meet the ethics for a Specialized Urgent Care center. With that said, it is clear that Urgent care centers…. [read more]

Tenet Recovers From Past Through Focus on Ethics Essay

… We're Transforming Care. We're Ready for What's Next" ("Tenet," 2014). Tenet is very much a business, an the company strives to enhance the level of service and care that is provided. One of the ways Tenet is working on this goal is through innovative partnerships with companies that share their passion for moving health forward ("Tenet," 2014). The company has invested in new technology to support their neurosurgery initiatives. Tenet provides the clinical and infrastructure for an extensive accountable care organizations (ACO) program that is designed to deliver better comprehensive care at lower cost by "accessing resources and best practices from across the company and rewarding physicians and hospitals for quality care improvements" ("Tenet," 2014).

For decades, Tenet has been plagued with lawsuits and federal…. [read more]

Ethical, Legal, and Business Considerations Case Study

… org, 2010). It is questionable, especially with Nancy Nurse's low morale, as to if she is considering the higher dosage for her own needs or for Mrs. Jones' needs. Secondly, the Patient Bill of Rights advertises the significance of having a strong relationship between a health care provider and a patient (, 2010). Because Nancy Nurse is willing to risk Mrs. Jones' life so easy, it does not appear as though she has any personal interaction with her. If Nancy Nurse does not attempt to know Mrs. Jones for who she is, she will have less sympathy for her situation. Lastly, the Patient Bill of Rights notes the role of the patient in staying healthy, listing their rights and the responsibilities of the health care…. [read more]

Newest Vital Sign and Realm Screen Tools Literature Review

… Newest Vital Sign and REALM screen tools in health literacy

In a clinical setting, the quality and robust nature of a number of diagnostic tools are central to both accurate results and a medical professional's ability to assess the medical situation. For example, there are numerous tools designed to assess health literacy within the clinical setting. Two of these tools, REALM (Rapid Estimate of Adult Literacy in Medicine) and the NVS (Newest Vital Sign Screening) tool, have very different approaches to the same problem set. Under this rubric, the seminal question becomes one of preference, ease of use, accuracy of results, and whether one too or another will influence usage and robustness of data. Since these types of tools are primarily used by registered nurses,…. [read more]

Ethical Issue of Poor People Not Receiving Same Care as Rich Term Paper

… Spring Health Uninsured Share Policy Ethics

Scarcity ethics nursing

Imagine two possible extremes of either zero safety net at all, or every consumer receiving identical care regardless of ability to pay. A mixture of the two extremes may actually maximize care, but require inequity in burden of cost. But that also adds an inherent level of unfairness if the result is treating people differently who have the same ability to pay, so there seems to be no perfectly fair solution to the inherent scarcity of medical care. Even aspirin costs money to refine and ship. Education costs time and skill the expert could spend earning income somewhere else. These factors all came up in an actual, ongoing discussion our Governing Board of partners has been…. [read more]

Urban and Suburban Planning Term Paper

… Large metropolitan areas are attractive to many due to the economic, educational and cultural opportunities available in these areas. During much of the 20th century and especially during economic downturns and recessions large amounts of people abandoned rural areas in search of opportunities that were available in large cities. They rarely took into account the discomforts and negative effects of urban sprawl, they were in a sense blinded and consumed by the promise of a better life that large cities offered. As certain members of the population become economically stable they seek to improve their quality of life, this is when they begin to notice the both the pros and cons associated with big city living. If they have a successful career and are economically…. [read more]

Hospitals Public Hospitals Have for a Long Term Paper

… Hospitals

Public hospitals have for a long time provided the safety net for the health care of the poor urban as well as suburban societies, whose members do not have the health insurance facilities or the money required to pay the ever-increasing medical bills. However this safety net could now be considered to be something of the past in case the public hospitals tend to keep closing down, according to a report published by the Downstate Medical Center of the State University of New York - SUNY in the year 2005. (Public hospitals face extinction in urban -- and suburban -- areas; study finds wealthiest communities have the best access to healthcare) as per a report from the HHS Office of Inspector General -- OIG,…. [read more]

Weight Loss Through Text Messaging Capstone Project

… Weight Loss Through Text Messaging

Decreasing Obesity Through Text Messaging

The focus of this professional paper is one of health and wellness, with emphasis on obesity control. Obesity is the dominant, unmet global health issue, with Western countries topping the list (WHO Technical Report Series, 2000). The reasons for the surge in obesity in the United States cannot be easily ascertained, but relate to multiple factors. Environmental and behavioral issues seem to cause the majority of obesity cases, including family dysfunction, a stressful life, increased time in sedentary activities, and low overall energy expenditures (Epstein, 2006). Researchers have also speculated that the increased energy density of modern foods, as well as the lower physical demands of contemporary society and the workplace have combined to increase…. [read more]

How to Reduce Catheter Induced Urinary Tract Infection in Jim Thorpe Rehab Dissertation

… Reducing Catheter Induced UTIs

Reducing Catheter Induced Urinary Tract Infections

Catheter induced urinary tract infections are common occurrences in any hospital-like setting. Because of this, catheters should only be used when absolutely necessary and not because it is convenient for hospital staff. Although this type of infection is very common, it is also very preventable. Such things as the type of catheter used, proper hygiene, as well as frequent replacement of the catheter can go a long way in preventing any type of infection from occurring. The prevention and reduction of urinary tract infections due to indwelling catheters is of great benefit to the patient, not only medically, but for some monetarily also. This is because Medicare and Medicaid will no longer pay for any…. [read more]

Tuberculosis and Epidemiology Term Paper

… Epidemiology of Tuberculosis

Tuberculosis and Epidemiology

The epidemiology of TB in a highly populated community in a suburban area in South Africa

Tuberculosis (TB) remains a chief cause of mortality and morbidity across the world (World Health Organization, 2009). In order to establish effectual intervention policies for the control of TB, it is essential to comprehend TB transmission in settings of high burden. In South Africa, the HIV and TB prevalence rates are relatively high with the prevalence rate being above 500 people per 100, 000 population (World Health Organization, 2011). Although there have been topical studies to assess TB infection among young children (Shanaube et al. 2009), there are hardly any data evaluating TB infection in adolescents and older children in communities that have…. [read more]

Nursing Theory and Leininger Essay

… Regardless of the geographical location of the nurse, Leininger also emphasizes that one needs to think globally, but continue to act locally. Use the care model to provide an effective blend of theory and practice, especially in the new approaches to pain control, child-rearing, and mental health practices (Leininger, 2002). Leininger also wishes to remind us that a larger number of modern medications are directly a result of herbal remedies, many collected through contact with indigenous peoples (Lundberg in Pieroni and Vanderbroek, 2007).

Leininger Cultural Theory into Case Analysis

Clinical Case -- Our clinical setting is the ER of a medium-sized suburban hospital. The patient is a female, 62 years of age, indicating she has pain in her left breast area, which had been present…. [read more]

Program Evaluation of a Proposed Violence Prevention Case Study

… ¶ … Program Evaluation of a Proposed Violence Prevention Program

High school seniors are more likely to take weapons to school than to take calculus in school. - President George Bush, 1997

Targeted promotion and prevention issues.

Students who enroll in biology quickly realize that the world is not a sterile place, but no classroom is required at all to introduce them to the high incidence of violence in the nation's schools today. Indeed, many students encounter violence at home, in their schools, as well as in their places of recreation, and some become victims of such abusive behaviors early on in their lives. These episodes of violence may well affect many of these young people for the rest of their lives in adverse ways,…. [read more]

Family Nurse Practioner Term Paper

… These agencies impact this role positively if properly followed since their work complete the ethics and rules that inform the procedure.

CRAN's role in the medical field is aided by the fact that there are now many institutions that offer the course. FNPs; gain from the fact that they can access school materials online or on part-time basis. This has the dual effect of giving the nurse both clinical experiences while learning. Accreditation agencies are coming up whose existence is aided with the support of both the state and federal governments. This ensures the nurses offering this expertise role; are qualified and competent persons.

According to a research conducted in 2010; showed that CRNA's who worked independently without supervision were as effective as full fledge…. [read more]

Burger King Case Study

… Burger King Beefs Up Global Operations

Having perfected the relatively complex process of make-to-order and precisely cooked hamburgers to customers' specific requirements, Burger King established itself as a leader in the Quick Serve Restaurant (QSR) industry in the North American market. The concentration on consumers having the opportunity to "have it their way" Burger King was ahead of the mass customization trends now so prevalent throughout many industries that are profitably operating today (Daniels, Radebaugh, Sullivan, 2011). This strategy of mass customization is known for its exceptionally high percentage of variable costs and unpredictability of quality levels due to wide variation of processes in the preparation of food and delivery of services (Taylor, Lyon, 1995). Despite these significant obstacles to making mass customization work in…. [read more]

Housing Price Dynamics Within a Metropolitan Area Research Paper

… Housing Price Dynamics within a Metropolitan Area

One of the most dramatic features of the current recession is the impact that it has had on housing prices. Rather than viewing houses primarily as homes, many Americans have long considered houses to be their largest financial investments. In addition, real estate had been a fairly secure financial investment for a significant period of time. In fact, in many areas real estate was not only a secure investment, but one of the safest speculative markets, because of rapid appreciation. Between the late 1990s and the mid 2000s, real residential property prices appreciated by over 80% in the United States (Guerrieri, Hartley, & Hurt, 2009). This rapid appreciation of housing prices does not even convey the entire story…. [read more]

Urban Sprawl in Europe Article Critique

… Urban sprawl: The United States vs. Europe

Urban sprawl has increasingly become a problem in Europe, but it has been a problem within the United States even longer. One of the reasons Europeans have become so hyper-conscious about the dangers of urban sprawl is that they do not want to fall into the pattern of life exhibited in many regions of the United States, where public transportation is virtually unheard of and even walking to school is difficult. Urban sprawl creates problems for the environment, because of high levels of car dependence, as well as problems for human health. Over-dependence on cars, long commutes, and a lack of attractive places to walk, ride bikes, and play contribute to obesity, high blood pressure, and a host…. [read more]

Affordable Housing and Smart Growth Term Paper

… In this case, Cary has a particular need for rental properties and for more low-income housing, making the allowance of ADU's a viable option.


Arigoni, D. Affordable Housing and Smart Growth: Making the Connection. Washington D.C: National Neighborhood Coalition, 2001.

Environmental Protection Agency. "Encouraging Smart Growth." EPA, March 2002,

Smart Growth America. "Americans Want Growth and Green; Demand Solutions To Traffic, Haphazard Development." Smart Growth America Press Release,

Arigoni, D. Affordable Housing and Smart Growth: Making the Connection. Washington D.C: National Neighborhood Coalition, 2001, p 8.

Arigoni et al., p 8.

Arigoni et al., p 9.

Smart Growth America. "Americans Want Growth and Green; Demand Solutions To Traffic, Haphazard Development." Smart Growth America Press Release,

Arigoni et al., p 11.

Arigoni…. [read more]

Multicultural Education Is a Field of Study Term Paper

… Multicultural Education is a field of study and an emerging discipline whose major aim is to create equal educational opportunities for students from diverse racial, ethnic, social-class, and cultural groups. One of its important goals is to help all students to acquire the knowledge, attitudes, and skills needed to function effectively in a pluralistic democratic society and to interact, negotiate, and communicate with peoples from diverse groups in order to create a civic and moral community that works for the common good. (Banks p. xi)

An increase in concern for the implications of the demographic shift for education has been brought about by the pressure of increasing diversity in cultural and ethnic groups in American schools.

The RAND Report

In an open session of the…. [read more]

Pharmaceutical Drug Abuse Term Paper

… Healthcare

Prescription Drug Abuse on-Campus and Off Introduction

Drug abuse has long been a major concern of policymakers, educators, and healthcare officials in the United States. The subject of innumerable media stories and government and medical reports, as well as many anecdotal accounts, drug abuse has typically meant the misuse, or recreational use, of illegal drugs. These illegal drugs include such dangerously addictive substances as heroin and crack cocaine, and also other drugs such as cocaine, marijuana, various barbiturates, amphetamines, and so forth.

However, it is only recently that many have begun to look at another related issue - the sizeable problem of the abuse of legal, prescription drugs. Abuse of prescription drugs - such as has gained notoriety in the widely publicized case of…. [read more]

Rural Obesity Research Paper

… Rural Obesity: The Missouri Example

The problem of obesity is an issue of developed countries. Lack of food shortages, sedentary lifestyles, poor health care in some areas, and lack of education on nutritional awareness all contribute to problems of obesity. In the United States, rural areas such as those in Missouri face additional socio-economic problems such as poverty and lower education levels that contribute to the obesity problem. Tackling the obesity epidemic in rural Missouri requires more than just best practices. The following report discusses aspects of rural obesity in Missouri, problems of intervention, and areas of possible research.

Rural Obesity: The Missouri Example

Obesity in the United States has become a pandemic, with states across the nation seeing a progressively upward trend in the…. [read more]

Walmart 2007 Research Proposal

… Wal-Mart Case Study

Wal-Mart faces a daunting series of challenges beginning with the need to refine and strengthen its core marketing strategies in the U.S., resolve Human Resources compliance violations, and learn from failures to expand globally and be successful in China and India. In addition to these challenges, Wal-Mart faces competitors who are growing in strength and marketing expertise both in the U.S. And globally, and must also confront an emerging global recession. All of these challenges are made all the more urgent by the slowing revenue growth and expansion of Wal-Mart both in the U.S. And globally. With the board of directors being given the commitment of 7.5% growth globally and 7% U.S. market growth after the company had achieved 10% growth in…. [read more]

Teaching Scenarios Case Study

… Teaching Scenarios, v

Scenario #3 -- the Use of Literature in the Classroom Program- Level

Classroom Decision Making- the use of literature to teach reading literacy is well-documented in pedagogy as a way children can enter the world of literature, imagination, and genre while they learn the basic skills of reading and writing. As this progresses through the levels, though, the teacher is fortunate to have an ever increasing toolkit of resources. Literature comprises so many different ideas, concepts and plots, that it can be easily used to buttress core competency in almost every subject. Rather than simply didactic in approach, the relevancy of stories shows children how concepts are taken from theory into practice, and also clearly expand the skills of critical thinking, analysis,…. [read more]

Game / Outside Game David Book Review

… One of the most valuable contributions of Rusk's book is his use of census statistics to illustrate many of his concepts. This adds a great deal of credence to his theories, and is a profound addition to the anecdotal evidence. Despite this, many of his statistical claims are based on correlational, rather than causational, data.

In addition to his scholarly focus on the presentation of data and theory, Rusk is also careful to focus his book closely on personal and human costs of urban malaise. Rusk writes, "successful political reform movements are not about data. They are about real people in real situations: inspired legislators, courageous city and county officials, determined citizen activists. I hope that the success stories told here will inspire some readers…. [read more]

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