...Abstract Since joint destruction begins within a few weeks of symptom onset in rheumatoid arthritis (RA), early diagnosis and treatment are crucial to decrease impairment of physical function and halt disease progression. A delay in therapy of as little as 3 months has demonstrated to cause irreversible joint damage. Treatment plans for RA includes pharmacological as well as non-pharmacological modalities. Treatments for rheumatoid arthritis (RA) have involved a variety of single agent and combination therapies with a goal, to slow disease progression and bone destruction. The research indicates that not all drug combinations are equally effective in all patients with RA. To more accurately distinguish how to best manage early RA, and because treating RA within 3 months of diagnosis appears crucial for improved outcomes, this paper review studies that compare combination to mono-therapies in RA. Introduction Rheumatoid Arthritis (RA) is considered to be an inflammatory arthritis (Gardner, 2010). It is a disease that is chronic and characterized by diffuse inflammation and degeneration of the connective tissues, often characterized by joint stiffness in the morning that lasts at least 30 minutes but can range to several hours (Gardner, 2010). Pain improves with activity as fluid accumulated in the joints during inactivity is forced back into the system through the lymphatics. RA has a different cause from Osteoarthritis (OA). It is considered to be...
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...JAN ORIGINAL RESEARCH Pressure ulcers and their treatment and effects on quality of life: hospital inpatient perspectives Karen Spilsbury1, Andrea Nelson2, Nicky Cullum3, Cynthia Iglesias4, Jane Nixon5 & Su Mason6 Accepted for publication 5 September 2006 Karen Spilsbury PhD RN Research Fellow Department of Health Sciences, University of York, York, England, UK Andrea Nelson PhD RN Reader School of Healthcare, University of Leeds, Leeds, England, UK Nicky Cullum PhD RN Professor Department of Health Sciences, University of York, York, England, UK Cynthia Iglesias PhD Research Fellow Department of Health Sciences, University of York, York, England, UK Jane Nixon PhD RN Deputy Head Clinical Trials Research Unit, University of Leeds, Leeds, England, UK Su Mason PhD RN Principal Research Fellow Clinical Trials Research Unit, University of Leeds, Leeds, England, UK Correspondence to Karen Spilsbury: e-mail: ks25@york.ac.uk 6 5 4 3 2 1 SPILSBURY K., NELSON A., CULLUM N., IGLESIAS C., NIXON J. & MASON S. ( 2 0 0 7 ) Pressure ulcers and their treatment and effects on quality of life: hospital inpatient perspectives. Journal of Advanced Nursing 57(5), 494–504 doi: 10.1111/j.1365-2648.2006.04140.x Abstract Title. Pressure ulcers and their treatment and effects on quality of life: hospital inpatient perspectives Aim. This paper reports a study exploring patients’ perceptions and experiences of the impact of a pressure ulcer and its treatment on their health and quality...
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...Applying the Background and Methodology of the Research Process to Problems in Health Care University of Phoenix HCS/465 Shannon S. Smalls Loleater Casey-Evans The purpose of the paper is to show how to develop and understand methodology of the research process when pertaining to manage health care. The process consists of retrieving a peer-reviewed article and applying the research methodology to the article selected. The article selected for the research methodology was Managing Aging Patients written by Robert D’Ambrosia, Jennifer Kilpatrick, and Lene Juel Rasmussen written June 2003. Based on the information in the article will help determine the methods of defining the problem, the purpose of the study, research questions, hypothesis, study variables, conceptual model, the review of related literature and the study design of the selected article. Define the Problem The problem in this scenario is the need to be able to manage and being equipped with the up and coming baby boomers. It has been predicted that 20% of the population in US will be aged 65 years by 2030 it was predicted few years ago because of up and coming baby boomers. We are all aware that the aging Baby Boomer population and with increased life expectancy and more active lifestyles, then in the past generation is beginning and will continue to place a huge demand on medical resources, predominantly from the orthopedic doctors. There will be a quadruple need of orthopedic surgeons than before...
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...Elderly population NUR/440 July 11, 2011 Anavictoria Fortaleza Vulnerable Population and Self-Awareness Paper The Elderly Population According to Chesnay (2008) “vulnerable populations are those with greater than average risk of developing health problems by virtue of their marginalized sociocultural status, their limited access to economic resources or personal characteristics such as gender or age. Anyone can be vulnerable at any given point in time as a result of life circumstances or response to illness or events” (p 3-4). For the last few decades, society and government have put a great deal of concern and interest on the aging population. The number of elderly population in the United States is rapidly increasing. The US population under the age of 65 tripled during the 20th century. This number is to double by the middle of next century. Over 70 million American citizens will be considered elderly by 2030, or about 20% of the population will be senior citizen (Walsh, 2009). The growing numbers are attributed to aging “Baby Boomers” and increasing life expectancies. Disability and disease are more common in elderly population such as hip fractures, parkinson’s disease, malnutrition, cardivovascular disease and malignant cancer. More than 70% of the elderly population has been diagnosed with a chronic disease (Pishchita, 2007). According to CDC, arthritis is the leading cause of disability among individuals over 65 years of age and 47% of over 85 years of age suffer...
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...stopped. Individuals with drug- induced lupus may have a positive Antinuclear Antibody test more years after the episode. Neonatal lupus occurs when a child is born to a women with lupus. The infant may have lupus symptoms including rashes, anemia and liver problem which usually resolve within a few months. Some infants born to mothers with lupus may have serious heart defects. For the purpose of this paper the focus will be on systemic lupus erythematous. Systemic Lupus Erythematous Systemic lupus erythematous is a complex multisystem autoimmune disease in which the body’s immune system misfires and makes autoantibodies that attacks its own tissue. Lupus affects as many as 1.5 million people in America. (U.S. Department of Health and Human Services, 2007) Women are more commonly affected than men with Latinos most often having the most severe symptom followed by African Americans then Caucasian women. . Lupus has a wide range of symptoms that vary from person to person. No two lupus patients are the same. Causes of Lupus The exact cause of lupus is unknown. Research suggest a combination of genetic and environmental factors. Researchers believe that lupus is a...
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...I only thought not wearing shoes regularly was mostly for people that live in poor developing countries, until I noticed a fellow BGSU student never wearing shoes. This has not been just a one-time occurrence; every time I see him on my Wednesday walk to class or even just around campus he has never had shoes on! Not wearing shoes I later found out has become a somewhat large debate, dealing with the many benefits, along with some potential dangers. I was definitely surprised with all of the research I found, since I never really pondered deeply about how shoes have changed the lives of so many people. After all shoes were originally created to solely protect our feet from harsh terrain, and now they are advertised for many more benefits. The important question to ask now is do all of the benefits shoes provide outweigh the benefits of just going barefoot? One of the first websites I looked...
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...Demographic Paper: Baby Boomers Impact Your name HCS/490 Teacher name When it comes to the Baby Boomers Impact towards the Health Care Systems, there is only one that may wonder how they will as Baby Boomers population and their demographics impact health care systems in future generations. The subject of this reading will address this question and focus on the Baby Boomers population demographics, and explain the changes these demographics will have on health care systems in regard to patient’s needs and services. Along with explain the way demographic data informs companies the way services or products can successfully be marketed to Baby Boomers and how communities and the society needs to work together to correct demographic challenges Baby Boomers will encounter as they age. Population Demographics Most individuals tend to relate to the phrase Baby Boomers to oneself, father, mother, aunt, and uncle or even a grandfather or grandmother. According to the Unites States Census Bureau (2009), describes Baby Boomers as individuals born between 1946 and 1968 and as of 2009 there were 77,329,698 Baby Boomers living in the United States. The American elderly population based on the United States Census Bureau is rapidly growing therefore so will the impact on changing demographics. Impact of Changing Demographics on the Health Care Market According to the Bureau of Labor Statistics (2007), the impact that Baby Boomer changing demographics will have...
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...University Composition and Communication II Research Paper Thelma McCoy COM/156 March 08, 2015 Clara Gerl To fully understand weight lose, we need to come to grips with the the overwhelming of obesity in the United States. There are two methods of weight loss that could change one’s lifestyle. In today’s society the internet provides a sufficient amount of information about different methods to help with weight loss. Weight can be harmful factor in an individual’s life, it is not only about the body mass but weight often plays a role mentally and physically if it is abused. For example, being overweight can lead to obesity and low self-esteem. Losing weight can be a challenging, so many people look for the most effective way to lose weight through surgical procedures and weight lost programs. There are a variety of weight loss progams that offer extended support and dietary meal plans. Many weight loss programs provide the option of support, either through weekly excerise programs. These choices range from extreme workout methods, such as video games, such as the Nintendo WII fitness. Many people go to such extremes to lose weight that causes more damage to their bodies. However, even if you do like wht at you fine, consulting a doctor is even more important. With weight loss being in high, we forget that having a well-balanced diet, and exercise is healthier than bulimia and anorexia. People seem to not understand is that losing weight...
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...Running Head: Self-Care Deficit Theory Concept Analysis: Self-Care ABSTRACT Dorothea Orem’s Self-Care Deficit Nursing Theory has been used as a basis for nursing care since she first proposed the theory in 1959. The focus of this paper is to define the Self-Care Theory in broad terms and to analyze the concept Self-Care Deficit Nursing Theory using the Chinn and Kramer “Integrated Theory and Knowledge development in Nursing” process. The SCDNT is an important theory in nursing and helps to guide the nursing process and improve patient care with measurable results. It is also an important theory for developing curriculum in nursing schools and has proved invaluable to care providers when performing self-care for others. 1 In 1959 Dorthea Orem, a nurse from Baltimore, Maryland, developed the theory of Self-Care defined as a condition that “in an adult is the absence of the ability to maintain continuously that amount and quality of self-care which is therapeutic in sustaining life and health, in recovering from disease or injury, or in coping with their effects. With children, the condition is the inability of the parent (or guardian) to maintain continuously for the child the amount and quality of care that is therapeutic “(Orem, 1995, p.53-54). Orem posited that to determine if people need nursing care then it is “ the inability of persons to provide continuously for themselves the amount and quality of required self-care because of situations of personal health” (Orem...
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...faced a similar experience? Perhaps you are a hiring manager who disregards qualified but older candidates when sifting through resumes. If you fall into either of these categories, then this article is for you. If you are an individual of a certain age, then the names Don Henley, Sting, David Lee Roth and Stevie Nicks will mean more to your than just “outstanding solo recording artist”. You will know that at one time, these stars were part of some incredible bands. You will also know that these superstars, despite experiencing massive successes with solo careers, have all opted to regroup, so to speak, hooking up with former band-mates to recreate music magic that is as worthy and sellable today as it was back in its heyday. Yes, EDM, hip-hop, rap and auto-tuned pop dominate the airwaves and I-Tunes playlists, and these genres generate massive record sales and concert and radio advertising revenues. But thanks to video games like Rock Band and Guitar Hero, plus a generation of parents who drove their kids to school and selected the in-car musical entertainment, boomer-parented children not only recognize names like Boston, Steely Dan, Foreigner and Deep Purple, they know the lyrics and the melodies and will gladly attend concerts by such retro acts - with their parents! “Oldies” have been re-birthed! I’m Much too Young to Feel this Damn Old Here’s a startling fact: the last of the baby-boomers turn 50 in 2014, and the implications of that fact hold significance...
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...The Impact of Aging in Place Shirley Jackson ABSTRACT The purpose of this paper is to explore the impact of aging in place. As Americans age we are faced with the decision of aging in place or moving into a senior community. Studies have proven that seniors prefer to stay in the comforts of their own homes. The National Association Home Builders is promoting accessible home modifications that will enable seniors to age in place. By working directly with organizations like the Senior Housing Council, Remodelers Council, and Research Center they are better able to service the needs of the aging in place communities The NAHB feels that Americans should have the option to maintain their dignity and independence comfortably in their own home, minor aging-in-place modifications make the difference in the lives of people with disabilities and senior’s one study found… (NAHB, 2008). Studies have shown that the population of elderly has increased dramatically therefore the growth of the elderly population has created a need for aging in place villages and communities. ACCESSIBLE HOME MODIFICATIONS The NAHB is working with members of the National Reverse Mortgage Lenders Association and Aging in Place Council to inform seniors about aging...
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...How to Release God’s Healing Power Through Prayer IF YOU BEGIN TO PRAY FOR THE SICK AS OUTLINED BELOW, YOU WILL BEGIN TO SEE JESUS HEAL THE SICK THROUGH YOUR PRAYERS December 2003 Dr. Gary S. Greig Kingdom Training Network and The University Prayer Network Dr. Mark Virkler Christian Leadership University Rev. Frank Gaydos John G. Lake Ministries, Pennsylvania Healing Rooms Ministry Director Contents Healing Prayer Outline ............................................................................................. 2 Biblical Foundations of Healing .................................................................................. 6 I. Not Just “One of the Gifts” ............................................................................ 6 II. Embracing God’s Will concerning Healing....................................................... 6 III. Faith-Picturing—Seeing in the Spiritual Realm............................................... 7 IV. Faith-Picturing Jesus .................................................................................11 V. Faith-Picturing the Body Healed ...................................................................13 VI. God’s Power and Energy is the Force that Heals............................................14 VII-VIII. God’s Healing Power, the Holy Spirit, and the Light of God .....................15 IX-X. The Vulnerability of the Christian & Spiritual Conflict ..................................19 XI. A Biblical View...
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...1 Evidence Based Practice Proposal Paper: 2 Acupuncture Treatment and Needle Transmitted Infection 3 4 5 6 7 9 Acupuncture Treatment and Needle Transmitted Infection Problem Identification Acupuncture is a coherent and self-consistent body of knowledge based on a philosophy which differs radically from the conventional Western worldview. Rather than seeing disease as the result of a single causative agent, acupuncture medicine regards illness as a pattern of disharmony, a function of both internal and external phenomena adversely affecting the whole person (Prady et al, 2007). In other words, it describes the universe as a dynamic system, within which all phenomena are interrelated. It has been one of the most popular complementary and alternative therapies for the treatment of pain conditions in developed countries (Barns et al, 2004). The report from a Consensus Development Conference on Acupuncture held at the National Institutes of Health (NIH) in 1997 stated that acupuncture is being widely practiced by thousands of physicians, dentists, acupuncturists, and other practitioners for relief or prevention of pain and for various other health conditions. According to the 2007 National Health Interview Survey (NHIS), which included a comprehensive survey of NCCAM (National Center for Complementary and Alternative Medicine), an estimated 3.1 million U.S. adults and 250,000 children had...
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...Smoking, And Drinking On Medical Problems And Costs Obesity outranks both smoking and drinking in its deleterious effects on health and health costs. by Roland Sturm ABSTRACT: This paper compares the effects of obesity, overweight, smoking, and problem drinking on health care use and health status based on national survey data. Obesity has roughly the same association with chronic health conditions as does twenty years’ aging; this greatly exceeds the associations of smoking or problem drinking. Utilization effects mirrors the health effects. Obesity is associated with a 36 percent increase in inpatient and outpatient spending and a 77 percent increase in medications, compared with a 21 percent increase in inpatient and outpatient spending and a 28 percent increase in medications for current smokers and smaller effects for problem drinkers. Nevertheless, the latter two groups have received more consistent attention in recent decades in clinical practice and public health policy. M a n y b e h a v i o r a l r i s k f a c t o r s , chief among them smoking, heavy drinking, and obesity, are known causes of chronic health conditions. Chronic health conditions, like cancer, diabetes, or heart disease, in turn are primary drivers of health care spending, disability, and death. This paper compares the associations of smoking, problem drinking, and obesity with health care use and chronic conditions. All three risk factors are prevalent, although only obesity has...
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...male neonate 2 hours ago. She has decided to breast-feed. Her 22-year-old husband supports her decision. She tells the nurse, "My mother breast-fed all of her children, but I'm going to need lots of help with breastfeeding. I'm worried that I won't be able to do this. " Which of the following should the nurse include when assessing the client? A. Determine the client's level of motivation to breast-feed. B. Perform a complete physical examination to determine her need for help. C. Assess her body-to-fat ratio and nutritional status before beginning breast-feeding. D. Ask the client if she has read any literature about breast-feeding. 3. Mrs. Cray, an African American, is admitted to the hospital after sustaining a hip fracture. She is 5 ft. , 4 inches tall and weighs 96 lbs. She has five children and has used estrogen replacement therapies for 10 years. She told the nurse that she "just stepped forward and fell. " The results of...
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