...The aim of this essay is to explore an aspect of care that a client group receives whilst in the community setting. The chosen aspect of care will be palliative care delivered to those patients who have been told they have a non-curative illness but are not yet at the end of life. The stage of the illness of the client group chosen is one where the patient is managed at home because there as there is nothing anyone can do to make things better (Calman-Hine Report 1998). The essay will also briefly describe three different professional groups involved in providing palliative care. It will then go on to discuss how good communication and collaborative working between these professional can provide the best quality of care of the patient and how poor communication can compromise the patients quality of care. Palliative care can be defined as the overall care of patients whose disease does not respond to curative treatment. The aim of Palliative care is to improve as much as possible the quality of life of patients and their families facing a life-threatening illness. This can be achieved by providing pain and symptom relief, spiritual and psychosocial support from diagnosis to bereavement (WHO 2002). Patients with life threatening illness may require care from a variety of different specialists and services at a number of points in their illness; this will include both statutory and non-statutory organisations (National Health Service Executive 1998). To ensure that all...
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...The Community Mental Health Act of 1963 Post University Community mental health center act of 1963 was a significant milestone in America’s record of mental health rights. On 31st October 1963, the act was signed into a regulation by President John F. Kennedy. The law was the pioneer among other many federal policy alterations that helped ignite a significant transformation of the communal mental health arrangement by shifting resources outside huge organization toward community-based mental health action line up. The act lead to the increased improvement in the rights and treatment options for youth, children and adults living with mental sickness, though full guarantee of community-base concern has not been fully captured. This paper seeks to explain the rationale of community mental health center act of 1963. President Kennedy referred to the law as a bold new approach and it was the first federal bylaw to promote community-based mental health care. The Act offered donations to state for the building of (CMHC) community mental health centers, special facilities designed for treatment, diagnosis and delivery of mental health prevention to persons living in the community. The centers were built to provide the following indispensable services: inpatient services, emergency services, education and consultation on mental health, outpatient services, partial hospitalization and emergency response. The donations were projected to provide 1500 more community mental health centers...
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...Pauline R James NUR/544 March 22 nd, 2015 Community and Public health care is the best avenue in promoting health and prevention of illness in a community based setting. Usability of Pender’s Health Model and Health Belief Model in a community or public health program is Pender’s research focus on health care activities that will promote wellness of people. Health promotion, disease prevention can be more easily established and practice through community mobilization. People in rural areas practice holistic medicine, this may be due to socio-economic, culture and demographic where access to health care is limited or too expensive. Health Belief Model is a cognitively based model that focus health promotion, etiology of the identification of the disease process as it affects the community. This was one of the first health care theories, developed by Public Health Nurses to improved community health programs, in order to improved community participations in health and wellness programs. Healthy behaviors maybe identified by a person perception and behavioral modifications. For example high risk sexual behaviors and the possibility of acquiring the disease process.( Croyle RT, 2005 ) They differences between these two Model – a. Pender’s Health Promotion Model aimed to educate Public Health Nurses, in order for these nurses to become professional patient advocate in the disease process to educate their clients. Through education it will promote healthy behaviors, Pender’s...
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...Cooper Green Hospital and the Community Care Plan 1. Discuss six (6) unique problems associated with delivering health care to an indigent population. 2. Discuss the five (5) ways that the Community Care Plan will improve the health status of the community. 3. Discuss the five (5) factors that point to the need for change by Cooper Green Hospital. 4. Discuss five (5) strengths and five (5) weaknesses of Cooper Green Hospital. 5. Discuss five (5) strengths and five (5) weaknesses of the Community Care Plan. The major problems that plagued the company’s growth were as providing affordable good quality medical services to the indigent population of deficient country, streamlining procedures with polices, managing employees and gauging their performances, declining revenue, decreasing enrollments and under utilization, no upgrading enhancement of technologies, indifferent behavior of some employees towards the patients, inability of the infrastructure to cater to the increasing demands of the out patients section, resulting in long waiting hours and frustrated patients.Another problems faced by the hospital were balancing cost with maximum access to care, managing employee within budget, performance and demand and simplifying procedures and aligning them with policies. The two plans are named as Health first, a traditional fee for service plan and the community care plan , a prepaid membership plan based on family size and income, which would given opportunity...
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...The community based long-term care services include a variety of personal care, healthcare, and other supportive services, provided to clients in their own homes, or in their community. The community-based setting helps people with less money, for example, in the case of someone not having a great retirement or someone who cannot afford a better structure. For instance, being in an assisted living or an adult day care while being also more independent is a great alternative. Furthermore, it is less of a financial burden for the social security program. Poverty definitely reduces access to healthcare, then people tends to connect with the insurance company to pay for hospital visits. Also, it is often linked with structural like racial, institutional, unmet need. Education plays an important role in someone's life by providing knowledge, therefore, as people get older they tend to go to long-term care facilities because they cannot further accomplish regular duties, their children are not there to look after them, therefore, being in community-based houses offer a...
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...Health Care Bill and Impact on the Community Health care in the United States is a serious issue that involves all individuals and families alike. Many individuals and families in the United States are unable to receive accessible, affordable and quality health care treatment even though they work each day. Low income levels and a volatile, unstable economy is the cause of many middle class or impoverished individuals and families not being able to receive health care benefits. For many years, politicians have discussed the reformation of the health care system in the United States and H.R. 3950 will surely help the health care system and individuals and families with health care treatment. According to Holland (2010), the Patient Protection and Affordable Care Act was created for individuals and families to ensure that all Americans have access to quality, affordable health care and will help create the transformation within the health care system that is necessary to contain cost. The Patient Protection and Affordable Care Act is suppose to provide coverage for more Americans and reduce the deficiency over the next ten years and beyond. According to Holland (2010), The Patient Protection and Affordable Care Act contains nine titles addressing essential components of reform in: • Quality, affordable health care for all Americans; • The role of public programs; • Improving the quality and efficiency of health care; • Prevention of chronic disease and improving public...
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...Cooper Green Hospital and the Community Care Plan LeWanna Harvey Dr. Michelle Rose Health Services Administration Capstone July 21, 2013 Cooper Green Hospital and the Community Care Plan Discuss six unique problems associated with delivering health care to an indigent population. In the United States it has been estimated that at least 48 million Americans are under insured or uninsured. Health care is a luxury indigent population cannot afford. Some families are made to choose shelter over health care and government assistance is not an option (Swayne & Ginter, 2009) When a family member becomes sick, the hospital emergency room becomes a walk-in clinic to treat minor illnesses, the waiting room is usually overcrowded and this results in extensive waiting times to be seen by a health care provider. The changes in the United States heath care system was occurring dramatically and pervasively managed care was altering how providers interacted with patients, funding for care was being restricted and many health care systems were using non-physician providers to cut costs (Swayne & Ginter, 2009) With rapid changes in the US health care system and funding, Cooper Green Hospital was forced to make changes that had a negative impact on the hospital. Cooper Green Hospital was considered one of the safety net providers across the United States and they are to provide medical care to the poor and uninsured (Swayne & Ginter, 2009) Safety net...
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...Head: COOPER GREEN HOSPITAL Cooper Green Hospital and the Community Care Plan Strayer University Health Economics April 20, 2012 Dr. Mountasser Kadrie 1. Discuss six (6) unique problems associated with delivering health care to an indigent population. Delivering health care to an indigent population can be problematic with there being more patients needing care than there are providers. "Safety net providers had a large Medicaid and indigent care caseloads relative to other providers" (Swayne, Duncan, & Ginter, 2009, p. 698). Providers that provide care to indigent populations do not receive the compensation for services that they would in an area where individuals had HMO, PPO, or POS type insurance coverage. Providers that care for Medicaid recipients are paid less for services than managed care companies pay. Providers of services for Medicaid recipients are "required to accept the Medicaid reimbursement as payment in full" (Swayne, Duncan, & Ginter, 2009, p. 700). Many individuals in the indigent areas will not seek health care until their symptoms have worsened to the point that seeking professional care is required. "Many poor residents delayed getting necessary medical care because they had no health insurance" (Swayne, Duncan, & Ginter, 2009, p. 702). In a large metropolitan area where there are many choices for health care services, facilities have to compete to provide care and increase revenue within their facility. There were 12 hospitals...
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...news a woman could hear. In order to give birth a healthy baby, women needs to take care of themselves during pregnancy; they need prenatal care. The health care that women gets during their pregnancy is what we call prenatal care. Health issues are usually spotted early during the pregnancy by the health care providers allowing them to treat these issues early. It has been shown that women who do not take care of them during the early stage of pregnancy can cause their babies to have low birth weights and even their deaths (Office on Women’s Health, 2012). In Broward, there are several community outreaches and state's clinics in place to provide prenatal care to pregnant women. These outreaches and clinics provides services that are sometimes free. The services that they provide are described as follows: Tobacco smoking cessation Tobacco smoking can cause some serious harm to an unborn child. Smoking can The news of being pregnant is one of the best news a woman could hear. In order to give birth a healthy baby, women needs to take care of themselves during pregnancy; they need prenatal care. The health care that women gets during their pregnancy is what we call prenatal care. Health issues are usually spotted early during the pregnancy by the health care providers allowing them to treat these issues early. It has been shown that women who do not take care of them during the early stage of pregnancy can cause their babies to have low birth...
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...Prenatal Care in the Community Prenatal Care in the Community Getting early and regular prenatal care improves the chances of a healthy pregnancy. Preconception and prenatal care can help prevent complications and inform women about important steps they can take to protect their infant and ensure a healthy pregnancy. Which is important to many mothers. It’s is also important to be informed because habits that may not harm an adult may still harm a baby’s development. A child’s health begins long before it is born. Common barriers to a healthy pregnancy and birth include lack of access to appropriate health care before and during the pregnancy. In addition, environmental factors can shape a woman’s overall health status before, during, and after the pregnancy. There are many free or low-cost services for pregnant women and their babies. Hospitals, Churches, State or local Health Departments Etc. Having prenatal care is important but it is not always what happens in certain situations for example people with addiction issues. Even though those certain people may know better they still risks of their actions. The use of substances by the mother can have devastating consequences to the fetus. Smoking is linked to low birth weight, which can result in a weakened immune system, poor respiration, and neurological impairment. Excessive maternal drinking while pregnant can cause fetal alcohol spectrum disorders with life-long consequences for the...
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...My idea of a healthy community is one where there are low crime rates and good physical and emotional health. A healthy community should promote well-being of its inhabitants in various ways such as: strong social networks, clean water, pollution-free air, affordable quality healthcare, and great schools. A healthy community is one that promotes well-being by encouraging its residents to screen for illnesses for prevention to avoid the burden of chronic disease. Education campaign should be organized to sensitize people about the most common illnesses and educate them on how to avoid them to achieve a better life. Resident should be aware of resources available to them in their community, allowing them to feel safe. In my opinion, there is a strong relationship between healthy people and strong communities. I consider the community I live in – Phoenix, Arizona - a fairly healthy community overall, compared to most. There has been an improvement in air quality since the ban of smoking in all public areas about five years ago. The community offers a multitude of hospitals and great schools districts at walking distance for residents of each community. There is also a variety of public parks and recreation areas accessible to the general public at no cost of a very small fee. But more needs to be done when it comes to the general health of the residents of Phoenix: obesity continues to be a huge problem in my community. According to Men’s Fitness Magazine (mensfitness.com, 2012)...
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...Community assessment and analysis Presentation Red group Interview with Community health Nurse Essex County New Jersey Demographic of Essex County Essex County is located in the North eastern part of new jersey. The history of Essex county dates back to 1666 when 30 families from Connecticut established settlement along the banks of Passaic river. Essex County was officially established in 1682 by east jersey legislature. Essex County is 129.631 square miles. The Geopolitical communities are designed by natural or human made boundaries (Maurer and Smith, 2009). It holds community safer for the residents and the governing body. Essex County is bordered by human made boundaries. The weather of the community fluctuates according to the seasons. The usual temperature throughout winter stays within 24 to 42 degrees Fahrenheit. In the summer, it hikes up, and ranges between at 68 to 85 Fahrenheit. Natural disasters like flood, blizzards, snowstorms, heavy rains hurricanes, power outrage, water shortage common here. Essex county is the second most densely populated county in new jersey As of 2010 census population was 783969. The county is made up of 22 municipalities which are widely diverse encompassing large inner-city communities. Essex’s county’s economic wealth is not distributed uniformly across all...
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...Many communities have issues that bother or even cause trouble in the community. In my community the thing I most worry about is children safety while playing in the streets. Home appearance is also a big thing not only to the neighbors but to potential buyers. Also lawn care when your lawn is green and others look like deserts. The safety, lawn care, and appearance are an issue in every community that can cause either a place for great living or tension among neighbors. In my community there is a lot of families that like every other community has children that play not only in the yards, sidewalks, and streets. This is a very serious safety issue in my eyes due to the children being un-supervised. Other people in the community speed over the limit posted and children play there and may be hit or injured. Even though the children play in the street it cause a safety risk to drivers that don’t speed or drive wreck less do to the children running in and out of the streets without looking for cars. The children are our future and they need to be protected. When a person is looking to buy a future home they want to see a nice neighborhood that looks respectable and not as if it’s a bad neighborhood. The appearance of a home in my belief can say a lot about the people who live there. Someone who takes care of their home for example pressure washing, not trash in yard, paint nicely applied. Also there are some resident that don’t have the money but the residents should do as...
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...A geopolitical community is a community that is defined by a specific boundary such as rivers, mountain or highways or jurisdictional boundaries which can be politically or geographically influenced. I live in St. Petersburg, FL and is bordered by three bodies of water, the Old Tampa Bay, Middle Tampa Bay, and Lower Tampa Bay, all of which form the Tampa Bay. Statistical and epidemiological studies are frequently based on date from specific geopolitical areas (Maurer & Smith, 2013). This is my geopolitical community because it is a geographical location. I may or may not have anything in common with my geopolitical community beside the location of home. My children do not go to the same school as the kids in the neighborhood. My husband and I work in another area. Our recreational activities usually takes place in other communities. Per Maurer & Smith (2013), the community one belongs to does not necessarily have to be the geographical location, but a community in terms of the members' feeling of belonging or sense of membership. This is a referred to as a phenomenological community. The phenomenological community does not automatically share a geographical location as does the geopolitical community. This type of community is a group of people who have shared similar values, interests, beliefs and goals. Examples of phenomenological communities include religious groups, social groups or profession. My phenomenological communities is my nursing organization, co-workers...
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...Company Q shows a lack of dedication and compassion to their community, indifference to the wants of their customers, and a lack of responsibility to their employees and stakeholders. Part 2: Recommendations There are a number of things that Company Q can do to increase their social responsibility to the community that they serve, their employees, and stakeholders. First, Company Q can operate different types of stores in the different neighborhoods they serve. In lower-income areas stores can be operated as smaller neighborhood markets that offer fewer services and sell essential grocery items. Stores in middle-income, working class areas can be larger supermarkets that offer more services, and sell a mix of essential grocery items and specialty health and organic items. Higher-income areas can have stores that offer the same services as the general supermarkets, but offer a wider variety of specialty health and organic items along with imported and other high-end products. By diversifying the types of stores it operates, Company Q can respond to customer demands and expand its offering of high margin health and organic items, or any other items, in the areas where those products are in demand. Secondly, Company Q should re-open stores in the higher-crime areas they have recently closed stores. By using the different store types for different neighborhoods, Company Q can show its support for the entire community by operating stores in all neighborhoods. They should also...
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