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In relation to the topics discussed in this documentary, the concept of a moral character can be used to identify the expected actions of doctors and corporations to improve the existing problems. A good moral sense, emotional responsiveness, and reliability are the main features of personality, which should be adopted....
The reliance on the stories of patients, examples, and evidence-based data are the most convincing issues in Money-Driven Medicine. For example, it is mentioned that the regions that have higher spending on healthcare do not show better health outcomes compared to other states. The reference to the Dartmouth Atlas allows...
The first argument that proves the statement about the costly and ineffective care made in the documentary is the fact that the country spends trillions to treat the population, but little progress in preventable diseases is achieved. The US cannot be noted among those Western democracies that rank high in...
Money-Driven Medicine is a documentary shot by Alex Gibney, who was motivated by Maggie Mahar’s book Money-Driven Medicine: The Real Reason Health Care Costs So Much, Money-Driven Medicine. The main idea of this documentary is to provide evidence about the US healthcare costs and understand why the country’s spendings per...
Project failure in healthcare settings is challenging because it can disrupt procedures in project management. The range of factors contributing to such failures varies from inappropriately defined goals to the lack of a measurement system, which suggests that there is a variety of responsibilities assigned to project managers. Professional Quality...
The process of project selection and screening is multi-dimensional as it implies the use of information technologies for achieving the best gains from healthcare systems. Within the healthcare setting, the term project defines a temporary endeavor to create unique products, services, or results. Examples of healthcare projects ranging from tobacco...
The method utilized in the study was centered on redesigning teams led by registered nurses towards shared responsibility. Nurses were provided with training for all functions within the limits of their expertise. Apart from that, they were provided with support and education to perform these functions.
In terms of the lean concept, the core of it lies in actions aimed at reducing various wastes. If some activity does not add value to care delivery, it should be eliminated.
Four aspects that affect patient outcomes include the number of nurses in the institution, the work setting in which they function, the level of their expertise, and their educational background.
The article “Care Redesign” by Rudisill et al. reveals the findings from recent studies, which stressed that the key factor in reducing cost is to focus on enhancing patient safety.
The authors cite the Institute of Medicine report in which it is stated that optimization of operations is essential. This measure will help cut down waste, streamline the process of care and refine it so that it becomes patient-centered.
The four components that will ensure the success of the healthcare system are “clinical integration, implementation of technology, and clinical performance improvement with operational efficiencies.”
In the case of the partial blindness disability, the social approach is more suitable since no medical interventions that exist today can reduce the impact of blindness. However, the development of smart options in public places, which is the social approach, will eliminate the barriers that blind individuals experience on...
Within the medical approach to disability, there is a view that people are disabled by their differences and impairments. The model suggests that such impairments should be addressed with the help of treatment, even in cases when disability does not cause any pain or illness. However, there is not much...
I have encountered a person with partial blindness, which meant that she did see the light and some reflections. The individual had the disability for several years and said that her vision was deteriorating slowly and she had time to prepare for it. In her everyday life, the person has...
A nurse who assesses children should be sensitive to children and ensure the presence of at least one parent. The cultural background should be taken into account, involving such issues as age, gender, ethnicity, and religion. A nurse is expected to identify the existing spiritual connection between a child and...
Taking care of a child requires the authorization of parents or caregivers, especially at the toddler and preschool stages of development. Therefore, when assessing children, parents or caregivers should be present where possible. Additionally, nurses should employ different tactics to make the child under care feel comfortable. Lerwick notes that...
The immediate meaning of Flanner’s statement can be interpreted that Hitler talks too much. In a way, it is true – Hitler’s speech is long-winded, as he loved to perform in front of the audience and grasp their attention with his expressiveness, eccentric mannerisms, charisma, and radical ideas that appealed...
Lean is defined as the process aimed at cost reduction and care delivery improvement.
Maria R. Shirey defines the following traditional nursing care models: total patient care, functional nursing, team nursing, and primary nursing. The description of each of the approaches is reflected in the table. Theory Description Total patient care uses mostly RNs to deliver care with only some assistance from non-RNs; continuous...
The following four factors having an impact on patient outcomes are identified in the article: the number of hours “per patient-day”; the quality of work environment; the level of nurses’ education; the mix of skills among the employees.
Advanced registered nurse practitioners and advanced practice nurses are active participants in quality improvement activities. Every activity provided by a nurse aims to improve the quality of care and, as a result, better patient outcomes. As a rule, ARNPs or APNs are the members of quality improvement teams guided by...
If the patient refuses the administration of the IV fluids, I will not force him. Without his consent, I cannot initiate the procedure. I would persuade him by explaining the importance of having the fluids administered intravenously for a person set to attend theatre the following day. I would use...
One of the common electrolyte imbalances that the patient might be experiencing is hyponatremia, where blood sodium is abnormally low. Hypertonic saline administered intravenously is used to treat this condition. The documentation that would be needed in this case include sodium serum level every 2 to 4 hours, cases of...
Some of the complications include infiltration, hematoma, phlebitis, and air embolism. In infiltration, the IV fluid infuses outside the intravascular space and enters the space surrounding soft tissues. This aspect may be caused by placing the needle outside the vessel lumen. Symptoms include swelling of soft tissues. In hematoma, blood...
Alterations in fluids and electrolytes are suspected to be some of the causes of cholecystitis. Therefore, intravenous fluids are required to maintain fluid and electrolyte balance. Additionally, fluid therapy helps to prevent dehydration, given that the patient is not supposed to take anything by mouth. Similarly, IV fluids ensure sufficient...
Blood should be transported, stored, and handled according to the guidelines given by the relevant Australian Standards. In addition, the Australian and New Zealand Society of Blood Transfusion has given guidelines for handling blood products, which should be followed. In transportation, the suppliers’ instructions should be observed together with those...
Adrenaline binds to the beta-adrenergic receptors, which triggers a series of metabolic reactions to lessen vasodilation and vascular permeability experienced during anaphylaxis. The effect is hypotension coupled with the loss of intravascular fluid volume. The contraction of smooth muscles of the bronchi during anaphylaxis is reversed, and this relaxation alleviates...
Anaphylaxis is a form of severe allergic reaction with rapid onset, and it can cause death if not addressed in time. In most cases, this condition occurs due to an inflammatory response characterized by the release of chemical agents like cytokines from mast cells and basophils in response to the...
Sustained or slow release is the liberation of a drug at controlled rates to ensure constant drug concentration for a given period with minimal side effects. At times, a drug may be needed in the body for a prolonged period at given concentrations, which necessitates continued administration. On the other...
External factors: age and diet. Internal factors: enzyme inhibition and enzyme induction.
Molecular size Small molecules are absorbed easier than larger ones. After intake, drugs have to cross different cell linings to reach the intended cells for the activation of the immune system. Therefore, small molecules will cross the walls faster as compared to larger ones due to permeability issues. Dosage forms...
The three forms of parenteral administration include Intramuscular (IM), intravenous (IV)*, and subcutaneous (SC).
For a clinical course in nursing, such psychomotor skills as dexterity and speed are highly essential. To facilitate student performance with the selected skills, it is necessary to collaborate with a learning resource center (LRC) specialist. One of the best ways of enhancing nursing students’ learning outcomes is arranging scenario-based...
There are several challenges faced by clinical instructors, including time pressures, shorter hospital stays, limited availability and variety of learning opportunities, fewer patients, and varied needs and abilities of students. These issues directly impact nursing students’ interest in their future careers. Bullock, Davis, Lockey, and Mackway-Jones give the following recommendations...
I had a patient with hyperglycemia whose blood sugar level increased considerably. He also had 1+ edema and was a dialysis patient. The patient used to have his insulin pump, but he was unable to manage it. I assessed all his vital signs to make sure no other health issues...
One of the patients had pancreatic cancer, so he had surgery on his pancreatic tail. The patient had abdomen incisions, and I was to ensure that they were dry. It was also important to make sure that the patient had not touched them. I remembered about my hand hygiene and...
One of my strengths is my growing confidence, and the experience gained. For instance, I had been very uncomfortable with waking patients up for medication intake. During this rotation of hours, I was very effective in this area as I had seen the consequences of taking medications later than prescribed....
A literature review is a processor, rather, a result of reading the studies created previously to find information relevant to one’s research question.
The main topic of the research is to discover a connection of the development of type 2 diabetes with lifestyle due to a high prevalence of this medical condition among diverse population groups. Based on this matter, the problem can be formulated as “Even though type 2 diabetes is a...
The main findings of the research demonstrate that the great difference between the hospice and the hospitals with LCP in the sphere of symptom control management was not discovered. However, there were great differences between the hospice and medical units with LCP. Moreover, the hospice turned out to be much...
The results of post-hoc tests performed in the course of the investigation turned out to be much higher at the hospice than at the hospital with LCP and the same medical unit but without LCP. The care was also significantly better at the hospital with LCP than the same in...
The null hypothesis states that care would be determined as the same across the three different study groups. At the same time, the null hypothesis should also be rejected as the F = 35.9 and the p = < 0.0001. The null hypothesis also assumes that no significant differences in...
It is necessary to admit the fact that Tukey’s honestly significant difference test was conducted. Besides, if to compare the tests, the Scheffe test could be taken as more conservative than Tukey’s HSD, which results in a lower probability of Type I error but at the same time increases the...
Using the post-hoc analysis to investigate the issue, we could come to a certain conclusion. Thus, we can assume the p-value of the difference between hospitals` facilities with LCP and from those medical units that are characterized by the absence of is p = .85, and it is higher than...
If to speak about this very case, F = 38.1, p < .0001. The given fact helps us to assume that there is a great difference between the groups under analysis. Altogether, the probability that the difference results from the chance alone is very low. Nevertheless, only a p-value could...
It becomes evident that the number of degrees of freedom is the same as the sample size but without the number of groups. k. N = 255, k = 3. Besides: df = 255 – 3 = 252.The error df could be processed using the formula k – 1. Thus,Error...
When healthcare costs are high, medical professionals are required to make decisions that maximize the efficiency of expenditures. This is especially prominent in the United States, where there is a significant focus on waste avoidance. Therefore, in some cases, healthcare professionals will refuse treatment to persons if the costs of...
Consumer-driven care differs from the status quo in terms of patient rights and expenses. Firstly, it allows patients to have more control over the services they receive, the choice of health providers, and the costs of care. Secondly, it increases the individuals’ responsibility for their medical expenses, thus promoting cost...
Neoliberalism and corporatism may affect public and private health care in different ways. For example, the restriction of public-sector involvement in health may be achieved by increasing user fees and contributing to financing. The public sector may be completely destroyed through the neo-liberal prism because privatization or corporatization can be...
To create a win-win solution and weaken the neo-liberal sense of patients in their intentions to pay less, nurses should focus on information and clear explanations. The more patients know about their care and the conditions under which they should be treated, the more chances to receive their positive answers...
Equality of treatment is an important aspect of health care. Feo and Kitson discuss the importance of oral hygiene, bathing, and repositioning. I believe that such care measures as communication with patients and family members, regular monitoring of stable patients, morning physical activities, and fresh air walks can indicate equity...
I agree with the Canadians who believe that universal health care is misrepresented because of the existing differences in funding offered to resource-rich and resource-poor provinces. Although universal health coverage is characterized by such values as fairness in access, distribution of health, and financial risk protection, not all people can...
The hospital was taking the risk that the new algorithm was ineffective, thus resulting in heart attacks or deaths of patients who would have been otherwise helped following slow but standard procedures. It was an ethical dilemma as well as a legal and financial risk due to the possibility of...
The BMJ has published an original research article titled “Effectiveness of screening and brief alcohol intervention in primary care (SIPS trial): Pragmatic cluster randomised controlled trial,” which was developed by an interdisciplinary group of seventeen people. The group includes professors of public health research and health statistics, consultant psychiatrists, a...
It is apparent that health care consumes a notable percentage of GDP in the US. Therefore, it might be leaving other significant areas underfunded, which may be true, for example, for a variety of social support programs. The funding of the latter in the US does not increase very steadily;...
The exercise by the skier is known as a wall sit exercise. It is majorly done to reinforce or build isometric strength and endurance in the calves, glutes, and quadriceps muscles. This is an intense workout, particularly for the quadriceps muscles. Holding the 90 degrees position for a longer time...
Generally, the anterior fontanel of a baby stops or closes at about eighteen months of age. This part of the head allows for the growth of the skull and brain during the first months of an infant. A depressed or sunken fontanelle in infants is associated with diarrhea or vomiting,...
Assuming that there is no shortage of needed organs, a person has a complete moral right to obtain the necessary organ for transplantation. If somebody is in need of an organ, his or her health is in danger, and it is logical for that person to seek improvement of health....
a. Tracheostomy suctioning attempts should be performed with time intervals between the suctions. This procedure involves risks of causing bradycardia. It causes stimulating the vagal nerve, as well as hypoxia. b. A nurse should consider determining the chest drain insertion site depending on what is to be cleared from the...
There are four basic principles of surgical nursing that an enrolled nurse might need to practice. The first one is providing care after surgical intervention. The others are performing basic life support activities, effective preparing of the patient for surgery, and communication skills required to ensure patient’s collaboration and forming...
Acute conditions Causes Acute respiratory disorders Bronchitis Acute renal disorder, acute unconscious state, acute neurological disorder Stroke Myocardial infarction, angina Chest pain Acute neurological disorder Encephalitis Acute renal disorder, burns, shock, acute pain, acute unconscious state Fire Sepsis, haemorrhage, shock, acute pain Knife cut to fingers while chopping tomatoes Cellulitis...
The patient and his wife should be given basic information about parenteral nutrition necessity as a part of health care education. This treatment is required because of the patient’s diagnosis as a part of post-operative rehabilitation as he should remain nil to mouth to avoid complications. An individual can remain...
a. The commencement of parenteral nutrition requires such steps as evaluating daily metabolic requirements of the patient to measure the proportions of supply macronutrients. The mixture is prepared by a hospital pharmacy. Access to the parental nutrition system is established through a venous access device which is centrally inserted via...
The progress notes that would follow the incident will include the information on the patient’s rapid deterioration with a description of changes in such vital signs as blood pressure and respiratory rate. The following interventions related to maintaining a patient’s life, such as basic life support actions, were applied. The...
The nurse should activate rapid response systems available in the hospital and effectively communicate with the medical emergency team to explain the patient’s current condition quickly and effectively to stimulate the immediate action. After collecting information and informing the emergency team, the nurse should position the patient properly and consider...
If the patient’s level of consciousness starts to deteriorate, the nurse should check the patient’s pulse rhythm and rate, the presence of cardiac enlargement and murmur, as well as make sure that signs of congestive heart failure are absent and hemodynamic is normal. Careful observation of the patient should be...
a. For pressure area care, the patient’s skin should be kept dry and soft, skin dressing and barrier cream should be applied to prevent pressure injury. b. For lung function, airway management and ventilation should be applied, as well as following oral hygiene measures to avoid pulmonary complications. c. For...
The education provided to the patient before the surgical intervention includes controlling the anesthesia pump that allows the patient to control the amount and timing of medication that is required for pain relief. The patient is also instructed in deep breathing to ease the pain, improving lung functioning by extended...
a. Small bowel obstruction is a complete or partial blockage that occurs in the small intestine. The pathophysiology related to it includes the inability of fluid and gas to pass beyond the obstruction site, which may lead to necrosis, ischemia, and perforation as blood flow cannot be performed on a...
Preoperative nursing procedures for a patient who suffers from a small bowel obstruction include three aspects. One of them is emptying the digestive tract to prevent content leakage to the abdominal cavity. The others are starting an intravenous line and giving a patient a sedative to relax him before the...
The patient is nil by mouth because of abdominal complications that required insertion of a nasogastric tube. It is important to maintain a strict fluid balance chart. Bodily fluid is crucial for maintaining normal body temperature, waste removal, nutrients delivery to cells, the balance of acid-base, and cellular shape maintenance.
Three common abdominal complications that require insertion of a nasogastric tube (NGT) for abdominal drainage include upper gastrointestinal bleeding, the presence of gastric fluid, and bowel obstruction. In the case of bowel obstruction, it is utilized to relieve the symptoms. It can also be used to maintain fluid balance.
B. The FITT principle helps individuals choose the types of activities that will be most enjoyable for them is the correct answer. Explanation: FITT stands for Fitness, Intensity, Time, and Type, which are all essential to exercise planning. Effective personal fitness requires the development of a sound plan, and the...
D (chronic use of alcohol) is the correct answer to the question. Explanation: Continued alcohol consumption is known to cause a variety of health concerns that are less immediately harmful than ones stemming from alcohol poisoning, but also more challenging to address. It is defined as the drinking of liquids...
The statement is false since physiological age is not related to people’s longevity but focuses instead on comparing their body’s functioning with those who are older, younger, and the same age as them. Explanation: How long a person has been alive is called their chronological age, while their mental status...
Not only information but also a person’s life is lost at the end of the short story. The Swimming Contest” ends with the author contemplating the fact that he and all those present around him have lost valuable knowledge due to the death of Abdul Karim. Explanation: The author uses...
B (two seconds per lift and slowly lower) is the correct answer. Explanation: People partake in resistance training to both build muscle and learn to disregard fatigue, which a slow but accurate workout helps to achieve. Since the definition of resistance training is building strength through overcoming forces larger than...
False. Explanation: As of now, the daily fat intake norm ranges anywhere from 20 to 35%. Dietitians prescribe eating the total of 50-80 gr of fat per day. Typical foods rich in fats include oily fish, avocado, nuts, cheese, heavy milk, eggs, and dark chocolate. It is essential to know...
The correct answer is A. Place one foot on the inside of the leg, raise the heel of the other foot, and remain in this position as long as possible. Explanation: All of these positions are great for keeping balance while standing and used in school PE, gymnastics, and yoga....
False. Explanation: Illness is considered a biological stressor. In general, biological stressors are defined as some specific types of conditions that make it hard for a person to partake in their normal day-to-day activities. Typically, as opposed to behavioral stressors that include unhealthy habits, biological stressors have to do with...
The correct answer is A. Explanation: People who live with chronic illness often have to take many medications, some of which may interact with other drugs. Additionally, symptoms of certain conditions may be misdiagnosed as alcohol intoxication, and the person would be treated incorrectly. In case of an emergency, paramedics...
The Obama administration, wishing to take control of some California state laws, dismantled the Harborside Medical Center. Harborside is known as a center that provides patients with the medical form of marijuana, which is permitted under state laws. The story ended in 2016 when the court returned Harborside to its...