In: Science
...the importance of the physician-patient and hospital-patient relationships. The relationships of the physician –patient and hospital-patient are both extremely important and equally impact the health of the patient as well as the success of the hospital and physician. The physician-patient relationship is the center of health care due to the fact that one of the main aspects of a patient’s care is his/her discussion with the physician. In the past, patients had to rely solely on the directions and information provided by the physician in order to make important health care decisions. Patients were also limited in their access to health care facilities as well as hospitals. In today’s society this is not the case because most patients have the ability to seek second opinions, research alternate conditions/treatments, as well as rate physician care/hospital services through social media on the internet. A cancer patient in TN may travel to TX to receive treatment from a specific specialist and/or a highly recommended facility. Since the dynamics of the physician-patient and hospital-patient has changed, the relationship has changed but its importance has not. Therefore, it is essential that both the physician and the hospital facility itself have a good rapport with the patient in an effort to continuously build the relationship. A poor relationship between the patient and the hospital and/or physician could compromise the ability of the patient to trust the physician’s assessment...
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...INTERPROFESSIONAL RELATIONSHIP INTERPROFESSIONAL RELATIONSHIP AND COLLABORATIVE WORKING According to the reviews, professionalism is growing in every field of works, as new changes and development are emerging in the health and social care. A nurse basic professional responsibility is to provide care and support to people who need helps to improve their health issues. Its professional responsibility is to provide nursing care and support to the people who have been suffering from deterioration of health. A traditional way of nursing is to just provide primary care and follow the order of the professional practitioner, but now new concept of therapeutic relationship and implementation of therapeutic process is evaluated (Fournier, 2000). Nursing practices includes variety of settings and these settings will affect the processes which are out of control over nurse’s influence. These processes may be government laws, policies, management decisions and orders of other professional practitioners. The code of ethics outlines the intention of professional nurse to accept the individual rights and respect these rights in medical practices. Such code of ethic for nurses may affect to fulfil their moral obligation and other ethical problems they may face during their professionalism. Nurses are encouraged to take part in discussion and take decision for their moral obligation which they are facing in taking care and supporting their patient. (Gelman, White, Carlson & Norman,...
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...Evolution of healthcare - Teaching hospitals Mark Mccaslin MSAT19GDJ3 September 30, 2013 Martha Owen, MHA, FACMPE Evolution of healthcare - Teaching hospitals The trend in teaching hospitals has grown tremendously over the past years. Teaching hospitals “is an operating hospital where medical students and newly graduated doctors complete their training.” These facilities are often known as University Hospitals, in which more than 60 percent of traumas centers are in the United States are teaching facilities. They are normally well funded with the newest technology and treatments than public and private medical centers. These facilities are in inner city areas, and owned by the state or local governments. Doctors, who start working in these facilities, begin in their second half of their graduate program. They are known as interns, and once they graduate it is a requirement to complete four year of residency in their desired field. Teaching hospitals also educate nurses, and other allied professionals, according to the New York Times, individuals who practice in teaching hospitals, “experience an explosion of scientific knowledge that turns into practical use.” The responsibility of these facilities is to render the best care to patients, and members of the community. Teaching hospitals focus on precise areas, to provide the best education as possible. Teaching hospitals have changed the delivery in healthcare, by providing medical training to “physicians, research...
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...Jean Watsons: Daily goals for Intensive Care Unit Ventilated patients Brea Blais Southern New Hampshire University Advanced Nursing Concepts Dr. Bladen May 13, 2015 Jean Watsons: Daily goals for ICU Ventilated patients An estimated 85% of errors occur in care when communication is not clear (Pronovost et al., 2003). When Nurses or doctors do not know how to properly care for their patients, then these patients cannot recover in an appropriate time frame (Pronovost et al., 2003). “At baseline less then ten percent of nurses and residents understand the goals of care for the day”(Pronovost et al., 2003, para. 2). After the implementation of a daily goals worksheet 95% of nurses and residents understood the goals of care for the day, length of stay was decreased, and other critical care patient problems were decreased. (Pronovost et al., 2003). Jean Watson’s human caring theory was the foundation of the daily goals, created in Johns Hopkins Hospital, in 2003. The daily goals sheet was developed in a 16 bed surgical oncology ICU to improve patient outcomes by improving communication between the members of the healthcare team (Pronovost et al., 2003). Transpersonal relationships and a caring relationship were used when creating the Daily goals sheet (Fawcett & DeSanto Madeya 2013). Daily goals were used in the ICU setting, with any patient population that may present to the ICU with an acute or chronic problem (Fawcett & DeSanto Madeya 2013). Content and format of...
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...GENERAL HOSPITAL Alayna Hall Charles Wittenburg Leadership and Organizational Behavior 2/24/11 Discuss the conflict that is occurring at General Hospital. The conflict that is occurring at General Hospital is an intergroup conflict. The conflict is between the doctors using EKGs and upper hospital management. An intergroup conflict refers to opposition, disagreements, and disputes between groups or teams. The COO, Harding, decided to modernize the EKG system to computer read results. Once this decision was made, as a cost cutting measure, she sent a letter to the attending physician whose main responsibility was interpreting the EKG results manually. This decision was done without discussions with the medical staff. One source of this intergroup conflict is goal incompatibility. The main goal for Harding was to cut costs. The first thing she saw to cut was the doctor spending. While the main goal for the doctors are complete, correct healthcare. They relied heavily on the accurate EKG readings supplied by Dr. Boyer. Once the electronic readings were issued, there were many issues with incorrect diagnosis and faulty results. The hospital didn’t have any problems with this before with Dr. Boyer. Without testing the system first, these mistakes may cost the hospital more in the end if it results in patients filing lawsuits. Another source of the conflict is task interdependency. The doctors are there to provide accurate healthcare and to generate revenue for the hospital by...
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... Health Care System James Hackett HCA305 The U.S. Healthcare System Kendra West June 20, 2011 The Future of the U.S. Health Care System Healthcare continues to evolve at an alarming rate in reference to the services available. This research paper will focus on the delivery of our countries health care system that is radically different now than at the time of the U. S first becoming of a country. I will identify the essence of hospital facilities as well as outpatient care. In a combination with these issues I will show changes in technology in the healthcare system and explain why the government should take aggressive action in controlling health care in the United States. Health care is a privilege attainable by the wealthy, a benefit provided solely at the discretion of an employer, a government subsidized insurance plan for the elderly or a charitable gift provided based on the goodwill of the employer. We are now blessed with a system that has enormous potential for the improving the quality and quantity of life. There have been enormous numbers of health care interventions that improved the quality of life. However, the improvements in quantity and quality of life occurred in concert with costs that to the wealth of the country. Our health care system is now extremely expensive, costing us over a trillion dollars a year and consuming 13.2 percent of our gross domestic product in 2000. Although the aging of the population contributes to the growth of health...
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...Looking back twenty 1990’s and now in 2010 health care has changed extremely. Health Insurance Portability and Accountability Act (HIPAA) did not exist until 1996. HIPAA made it possible for everyone to qualify for health insurance and setting privacy and they established health information standards and regulation. Veterans Health Administration’s (VHA) had a reputation of poor quality of care and the 90’s were the beginning of a major transformation of VHA that was aimed at improving the efficiency and quality of care that was being provided to their patients. Capability to do data analysis in 1990 was impossible most of the data was collected and stored in a room untouched. Advanced in technology made it possible to do research and do data analysis. The advantages in technology are beneficent to health care information in providing electronic medical records, medical billing, telemedicine and teleradiology. Evolution of Health Care Information Systems Compare/contrast of either health care facility or physician’s office operation with the same 20 years prior To look back twenty years ago in the 1990’s and now in 2010 health care has changed tremendously. In the 1990’s Health Insurance Portability and Accountability Act (HIPAA) did not exist. Prior to HIPAA, which was passed in 1996, there were no regulations or standards for health care delivery in making it more efficient for patients. There were no pre-existing conditions standards set for...
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...of Holy Family Red Crescent Medical College Hospital | Service Report on the Service Marketing Practices of Holy Family Red Crescent Medical College Hospital | SERVICE REPORT ON THE SERVICE MARKETING PRACTICES OF HOLY FAMILY RED CRESCENT MEDICAL COLLEGE HOSPITAL (HFRCMCH) Submitted To DR. MOHAMMED TAREQUE AZIZ Associate Professor and EMBA Coordinator BRAC Business School BRAC University Submitted By Chowdhury Fahim Mostafa 10204011 Anika Azhar 10204083 Syed Shah Tayef Ahmed 10204105 Ifrat Jahan 11104139 Jarin Subha 11204007 Adnan Abdur Razzaque 11204008 Tazruba K. Prome 11204047 MD. Ashraful Amin 11304038 Sumaita Ahmed 11304052 LETTER OF AUTHORIZATION Date: 17th November, 2014 DR. MOHAMMED TAREQUE AZIZ Associate Professor and EMBA Coordinator BRAC Business School BRAC University Subject: Submission of Service Marketing Report of MKT 431. Dear Sir, We, the students of MKT 431 (service Marketing), section 1; want to submit the Service Marketing Report required for the completion of the course. We have followed every instruction you have provided and tried our best to ensure that all the information is authentic and relevant. The report is about the Service Marketing practice of Holy Family Red Crescent Medical College Hospital (HFRCMCH). We hope that all the information and analysis provided within the report will be up to your expectations and will be glad to provide clarification to any inquiries you may have. Thank you. Sincerely, Chowdhury Fahim Mostafa...
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...contrast how Mobile computing technology is used to monitor patient’s vital signs. Vital signs are comprised of: body temperature, heart rate, blood pressure, sugar levels, oxygen levels, and respiratory rates. Vital signs can be taken using mobile technology today, and this gives patients and health care providers more flexibility. In the past, patients were required to travel to the doctor’s office or a hospital and have their vital signs tested. Typically, a nurses and clinicians would oversee and be responsible for the taking and recording of the vitals manually documenting them with a mobile computer or the results were written on paper and the clinician left the patients room to manually document into the electronic chart using computers. At times, this documentation happened hours later when time permitted. The vitals were hard to take in some cases and errors were not uncommon. These stats are a tool used to communicate patient deterioration to healthcare providers and sadly it also was not uncommon for clinical decisions regarding a patients care to be made using outdated vitals. With today’s technology, patient care can be a lot more effective. The use of smart phones and broadband-enabled devises has allowed patients to do their own monitoring of vital signs and body functions and upload them to their medical provider’s clinical servers. They even have the ability to do videoconferencing via their phones for remote consultations with their doctors. Using...
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...exploration of Kaysen’s own struggles. She notes that even from within the parallel universe of illness, one is aware of the reality left behind. Kaysen and the other patients are trapped in more than one kind of parallel universe. Behind the barred windows of the hospital ward, the girls are conscious of the events taking place in the world around them but are unable to participate. In this chapter we learn that Susanna is depressed, when the doctor puts her in the cab he asked her what she did and she replies that she is sad. I feel that Susanna is just overwhelmed and lost control of everything, I think that at one point everyone gets overwhelmed by things in their life. Also Kaysen’s interaction with the doctor sheds light on both the reality of Kaysen’s illness and the chilling consequences of a medical establishment too quick to pronounce someone ill. Kaysen puts up little resistance to the doctor’s hurried diagnosis, even when he draws conclusions from an offhand observation about a pimple. She considers escaping, but pleads exhaustion. In truth, Kaysen doesn’t need to “escape”: she is eighteen and can leave any time she chooses. Too exhausted by depression, however, Kaysen relents. Her fear in this scene is justifiable and foreshadows the bleak months of hospital confinement ahead. At this crossroads, both the doctor and...
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...Electronic Medical Records HCS/320 August 5, 2011 Electronic Medical Records Health care organizations have changed drastically over the years. Technology has made it more advanced than ever before. New technology has affected the way of health care communication. This paper has been written to show how efficient and effective communication is with electronic medical records, its advantages and disadvantages, its influence on consumers, and the electronic medical records short- and long-term financial impact on organizations. An electronic medical record (EMR) is a computerized medical record created in an organization that delivers care, such as a hospital or physician's office. Electronic medical records tend to be a part of a local stand-alone health information system that allows storage, retrieval, and modification of records (Wikipedia, 2011). Efficient and Effective Electronic Medical Records (EMRs) are increasingly used in health care organizations in general and ambulatory settings in particular. Electronic medical records include comprehensive documentation of a patient’s medical history, easy access to medical data from remote sites, improved communication among the various providers involved in health care, easy access to medical information and state of the art resources over the Internet (medical journals, guidelines, evidence-based medicine databases, medication databases,) and clinical decision support. A recent systematic literature review suggests...
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...operation of a facility bearing his name and utilizing his methods. Keywords: Earle Shouldice, Shouldice Hospital, Shouldice Method, hernia The Shouldice Method The Shouldice Hospital Limited case consists of the story of an Ontario farm boy who grew up to significantly impact the lives of thousands of hernia patients. Dr. Earle Shouldice grew up to become a prominent lecturer at the University of Toronto, ran a private medical and surgical practice, and was a successful researcher (Heskett, 2003, p. 1). He performed an appendectomy in 1932 on a seven year old girl who remained active post surgery. This led to his interest in early ambulation. Years later, Dr. Shouldice began taking a deeper look at the actions of post operative patients. Remembering the case of the seven year old girl, the doctor allowed wash room privileges to four men immediately following their surgeries (Heskett, 2003, p. 1). Ultimately, this led to Dr. Shouldice opening his own hospital facility which eventually consisted of an 89 bed capacity where he performed hernia correcting surgery using local anesthetic, encouraging comfortable movement and a specially designed post operative regimen (Heskett, 2003, p. 2). Shouldice Hospital treated only external hernias which were generally repairable within approximately 45 minutes. Operations were not performed during Saturdays or Sundays but patients did recover during the weekend (Heskett, 2003, p. 11). Primary or initial hernia repairs consisted of about...
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...kilograms. Relatives had been waiting for him to come to the world because there had been no boys in the house, ”just girls”. Manpower was needed at the farm due to heavy work by hand. The rest of the family spoiled the kid and he got a lot of attention. Arvo was an active boy often teasing his sisters. There were several accidents in Ylppös’ family. One fell from a high tree, and another hit himself with an axe. When things like that happened, Arvo remembered how his mother was worried and sad about her children and the atmosphere was spread around in the house. The medical officer, Kalle Pelkonen, was called to help. At that point, Arvo made his decision about his future career. ”To be able to help my mother I made, already as a child, the decision to study pediatrics so that mother would not have to phone Dr Pelkonen for advice all the time”. Through itinerant school to elementary school The quick-witted and imaginative Arvo did not always fulfill the expectations of a nice child. At that time, the conception of how a child should behave was: talk when you are asked to, otherwise do not bother to exaggerate yourself. Because of this, his parents did not dare to send the wild boy to the elementary school in Akaa, which was well-known for its strict teacher. Therefore, Arvo first was sent to an itinerant school in Hämeenkyrö where he was teached the ABC by Ida Maijala. (It has to be said that education for children those years were a big sacrifice for a farmer. His parents...
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...(Sultz and Young, 2010, pg XVII). Obama has tried recently to provide access to every individuals they can have some kind of medical care. His new healthcare bill says that everyone has to have medical insurance. This was done because so many Americans are without health care coverage. Now that is mandated we have healthcare coverage what our options? One of the major concerns that we face and always have faced is the quality of care we received. Anyone deserves quality out of the healthcare system. Fortunately there are ways to measure healthcare quality. These tools are mostly used by the professionals. Some questions that will be answered here are how does the quality of healthcare in the United States compared to the quality of care and other industrialized nations; how can an acceptable quality of healthcare be assured for all; will providing data in areas such as patient outcomes, compliance with national standards for preventive and chronic care, and comparative cost to the public be an acceptable measure of healthcare delivery outcomes; the physicians believe that only physicians could and should judge the quality of medical care, they found participation in such hospital peer review activities and most disagreeable obligation, so what were the problems with the process, and how does medical technology affect the communication between healthcare providers and patients and its effect on the quality of care. Also the pros and cons on the value of credentialing by the independent...
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...Western medicine, have challenged their entire means of understanding the world. Likewise, Hmong beliefs have done the same to Western medical practice. The coexistence of sacred space and medical space has created a need for mutual understanding of worldviews. Through stories drawn from Symonds and Fadiman, it is possible to see how Hmong practice has created a therapeutic myth that closely resembles American medical practice of sickness and health. Through analysis of these two worldviews, I will demonstrate how Hmong cosmology and American medical practice are closely related in the story of Lia Lee. For the Hmong, the shaman plays a crucial role in...
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