...momentum and often change the world, as we know it. The entities that make up the Vanderbilt Hospital system are examples of this necessity driven innovation. In 1928, the first Pediatrics wing was created at Vanderbilt hospital. At the apex of the Second World War, the South was a more agrarian culture that relied on the harvesting of crops to provide food for their families. Due to the amount of nitrates provided in the fertilizer used to assist in crop growth, a disorder known as Methemoglobinemia or Blue Baby Syndrome developed in children. According to Zieve, (2014), “Methemoglobinemia is a blood disorder in which abnormal amounts of methemoglobin—a form of hemoglobin—is produced.” This disorder caused the babies' skin to have a blue pallor caused by the lack of bonded oxygenated blood in their circulation. This condition was treatable by administering supplemental oxygen and methylene blue. This was not the only Blue Baby Syndrome that had occurred in the South. Dr. Helen Taussig, who was appointed head of the Children’s Heart Clinic at John Hopkins Hospital's pediatric unit in 1930, had also encountered a case of “blue baby” syndrome during this same time (“Changing the Face,” 1993). Different than the current syndrome, this was a congenital disorder called Tetralogy of Fallot. The Mayo Clinic (2015), defines this as “a rare condition caused by a combination of four heart defects that are present at birth.” This is where the surgical research of Dr. Alfred Blalock and...
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...Application of Evidenced-based Practice Regarding pediatric Patients and Otitis Media 1 Running head: Application of Evidenced -based Practice Application of Evidence-based Practice Regarding Pediatric Patients and Otitis Media Western Governors University Running head: Application of Evidence-based Practice 2 The nursing practice heavily relies on the evidence based clinical information to determine current standards of practice within the nursing scope of practice. A multitude of informational journals and peer reviewed articles are readily available to help guide the decisions placed into practice. The nurse is responsible for recognizing the quality of evidence collected to improve the standard of care patients receive. This paper will investigate four articles regarding the appropriate care and treatment of the pediatric population with otitis media. In addition, an appropriate recommendation for antibiotic therapy will be made based on information gathered during the research. To answer the question of whether a wait-and -see approach is recommended, an initial validation of the information collected must be determined. Four articles will be assessed based on the type of research collected as filtered, unfiltered, or general information. The source will be investigated as inappropriate or appropriate. Lastly, the articles will be classified...
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...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, Henriikka and Heikki did...
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...Montgomery County Infants and Toddlers Rockville, MD * American Academy of Pediatrics www.aap.org 847-434-7877 * SafeKids Worldwide www.safekids.org Resources Available List the available in this order with contact information. * YMCA Aquatics Silver Spring, MD * Montgomery County Infants and Toddlers Rockville, MD * American Academy of Pediatrics www.aap.org 847-434-7877 * SafeKids Worldwide www.safekids.org Protect Your Baby from Drowning: Babies love bathtime, splashtime, and time at the pool. They are naturally drawn to water. But a baby needs to be watched AT ALL TIMES when in or near water. This brochure will highlight some simple water safety guidelines. Protect Your Baby from Drowning: Babies love bathtime, splashtime, and time at the pool. They are naturally drawn to water. But a baby needs to be watched AT ALL TIMES when in or near water. This brochure will highlight some simple water safety guidelines. References Kyle, T. (2008). Essential of pediatric nursing, p. 93. Wolters Kluwer Health, Philadelphia, PA. Mayo Clinic (2014). Infant and toddler health—Water safety. Retrieved from www.mayoclinic.org. Ricci, S. S. (2013). Essentials of maternity, newborn, and women’s health, 3rd ed. Walters Kluwer Health, Philadelphia, PA. References Kyle, T. (2008). Essential of pediatric nursing, p. 93. Wolters Kluwer Health, Philadelphia, PA. Mayo Clinic (2014). Infant and toddler health—Water safety. Retrieved from www.mayoclinic...
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...fact, medical schools are eager to take students whoa re well rounded and have shown diverse interests before applying. Once in medical school there are usually 4 years of training, some in lecture form, others in practice situations and then you graduate with a degree - MD - then you first have to train in your chosen specialty - in the case of Pediatrics the training is at least 3 years long but may take even longer if you have a special interest such as pediatric cardiology or pediatric hematology. After the training period you are able to practice as a pediatrician but of course education should never stop - continuing to keep up with what’s changing and new is a vital part of your job. Most docs take a special test after training in order to become Board Certified in Pediatrics. This then entitles you to admission to the Academy of Pediatrics, a society of docs dedicated to the betterment of child health. They also provide constant sources for self education and updating on all areas of pediatrics. Some docs also belong to societies that are interested in their particular area of subspecialty such as pediatric pulmonology or pediatric gastroenterology etc. and of course there are meetings for each of these societies. Our Service Can Write a Custom Essay on Pediatrician for You! What is the cost of education and training for this profession? The cost of education is always...
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...As I was reading, I found it very interesting that a prenatal problem can increase the chances of the child needing peritoneal dialysis. For instance, a baby being born before thirty-two weeks and of reduced birth weight will have a higher chance of needing this care, and also a higher risk of developing neurological issues. I was completely surprised to read that peritoneal dialysis had no negative effect on the development of an infant neurologically. A lot of the patients at the clinic I work at who are on hemodialysis complain of getting other health problems, such as memory loss. They frequently tell me they feel like they are in a fog. I believe the difference is greatly related to diet and diet control. The children are fed what they are given and most likely adhere to the renal diet. Most of the Elisha Knight MedSurg Neurological Research patients at my clinic have a very hard time following the renal diet. We are constantly monitoring lab values, such as phosphorus, calcium, albumin, and potassium, which are normally out of normal limits. I printed this article out and posted it in my break room for my coworkers to read because I found it so...
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...2: Children's Hospital in Boston, Massachusetts, has long been considered an outstanding medical center specializing in the diagnosis and treatment of pediatric problems. This facility is linked academically to the Harvard University Medical School. Conduct a brief SWOT analysis for Children's Hospital in light of the present health care environment. 3: Describe the possible barriers to entry and exit for: (a) a physician wanting to establish a solo practice office in internal medicine, (b) a company offering a health club facility in the same building where employees work, and (c) a tertiary hospital developing a coronary bypass program. 5: Retin-A is a topical ointment originally developed for the treatment of severe cases of acne and related skin disorders. An observed side benefit resulting from use of this product is its beneficial effect on aging skin. If the manufacturer of this product decided to pursue the latter market, what type of a growth strategy would it be pursuing? Chapter 3 2: What environmental factors would you suggest account for: (a) in-company clinics that deal with employee medical problems, such as the one established by Toyota, and (b) the success of after-hours clinics and urgent care facilities in many metropolitan areas? 3: Assume you were hired to design a MCO plan targeted to baby boomers in San Antonio, Texas, a city with a large Hispanic population. How would you make this service offering unique to respond to the major trends discussed...
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...To become a Pediatrician, one has to graduate medical school and then complete a three years residency program in pediatrics. They must pass several exams given by the American Board of Pediatrics; and, if they want to remain certified then they must regularly meet the educational requirements (WebMD). About Pediatricians, they are medical doctors who are primarily known to help maintain children’s health problem such as “physical, behavioral, and mental health of children from birth to the age of 21” (WebMD). Their roles in family lives are very important; Pediatricians are educated to make a diagnosis and then treat children with minor health problems to serious illnesses. With that, they will be working closely with the child’s family through...
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...will undergo 2 years of lecture and laboratory teaching and then will take the first part of the United States Medical Licensing Exam (USMLE). Following another 2 years of rotations at a nearby teaching hospital, a medical student will then take the second part of the USMLE and upon graduation from medical school be considered to be Doctor bearing a “M.D” degree. Consequent to graduation from medical school you will be matched with a pediatric residency program, where you will spend the next 3 years learning to be a general pediatrician. The time spent in pediatric residency is mostly spent in the clinic, impatient wards, and the emergency department underneath the supervision of the pediatric faculty of the hospital. The resident is closely supervised, goes informational sessions, and will frequently work night shifts as they are being exposed to a variety of pediatric subspecialties. In the span of time that you spend in pediatric residency, one will take two sets of national medical examinations that will be taken during the first year of pediatric residency, and then the year after you complete the residency. After you have passed both of these examinations, you will be licensed to practice medicine in your state. Those wanting to become general pediatricians are now finished with their learning; however, neonatologists must now apply and be accepted into a neonatal-perinatal fellowship. The time spent in a neonatal-perinatal fellowship will typically be divided between caring...
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...Summary: Chapter Nine Of tell No One Chapter 9 of Tell No One opens with Dr. Beck parking his car two blocks from his clinic that he works at, as a pediatric Doctor. As the Doctor makes his way to the clinic he see two men's who dress up in suits looking very professional and was posted up with sheriff Lowell. Dr Beck try's to annoy the men’s, while walking to the clinic, but it didn’t seem to work, so he was Stop! Dr. Beck was very surprise as to why the men's had stopped him, and was asked “Would you mind coming with us?” (pg 82) “I have patients in fifteen minutes, “he said (pg 82). The two men respond and told him that they have already taking care of it. Confuse as to what is going on Dr. Beck gets in the two men's car and was taking in an investigation room. Lost with words, they offer him a seat, and were asked if he wanted something to drink, but politely he refuse it. Refuse to provide much information Carlson who has been like the lead investigator asked Dr Beck “What can you tell us about Sarah Goodhart?". Carlson asked. (Pg 83) Dr Beck then responded and asked why do you want to know? The men didn’t want to say much to Dr Beck, but since he was not providing the right information, Carlson then responded and said “Sarah Goodhart has surface in connection with an ongoing investigation”. Scared of how his wife might be connected to an investigation he tells them the basic information so they can get off his back. For example Sarah was his wife first...
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...Puce Health Clinic Case Analysis Table of Contents Executive Summary……………………………………………………3 Objective of the Report ………………………………………………..3-4 4P’S and STP…………………………………………………………..4-6 Market Analysis………………………………………………………..6 Competitors Analysis ………………………………………………….7-8 SWOT Analysis………………………………………………………...9 Recommendations………………………………………………………10 Conclusion………………………………………………………………10 Appendix A……………………………………………………………...11 Income Statement………………………………………………………..11 Puce Memorial Hospital (PMH) is, an independent, not-for-profit, general hospital located on the southern periphery of a major western city. Being debt free and dependent on inner city residents, the board of trustees authorized PMH to expand operations by adding an ambulatory facility in the downtown area ten blocks north of the hospital. Being open for 11 months now, Puce Health Clinic (PHC) has seen success by becoming self sufficient, increasing cliental, reducing bad debts by 2 % and minimizing the increase in their expenses. Sherri Worth, Assistant Administrator of PMH, has recognized a potential threat that could hurt their facility. Medcenter, a possible competitor, has been proposing to develop their own facility overlapping in service areas with PHC. This threat has the potential to take a third of PHC’s northern portion of personal illness patients and also 40% of potential personal illness patients in this area will go to the new location. After speaking to her boss Roger Mahon...
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...smile on the children’s faces while we worked with them to get them better or the clear look of thankfulness on the people who will never take what we provided them for granted. I would love to have the opportunity to provide physical therapy to similar areas of need, which I can successfully contribute to the program at MGH IHP. I have also had different experiences relating directly to the field that have all been quite diverse. My first experience in the field was as a patient of physical therapy after a traumatic shoulder injury the required two surgeries. From there I participated in an internship in a sports-heavy physical therapy clinic and after graduating college I got a job as a physical therapy aide in an outpatient clinic outside Boston where I have been for the past three years. Being at the clinic for an extended...
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... A new medical clinic is opening up in your hometown and a mutual friend has recommended your services to the administrator of the clinic. You have received a letter asking you to provide information that would support their retaining your services rather than hiring employees for the same purposes. Assume that this letter may have gone out to other local firms as well. Working as a team, you will do the following two things: (a) After discussing and choosing a small business with your team, you will prepare a letter (in effect, an informal proposal) in response, offering your services to the clinic. (b) Follow up with an oral presentation before the administration of the clinic to discuss and further sell your services to them. On the date scheduled for the final presentation, each student will be responsible for evaluating one team, as assigned by the instructor, on their written and oral presentation. To help you prepare, a copy of the student team evaluation form has been provided. Additionally, students will evaluate the contribution of their fellow team members and themselves in developing the presentation. Evaluations will be taken into consideration in determining grades for the project. In preparing your written presentations, consider the following: • What business services will you choose to provide to the clinic? Billing, secretarial, computer, health, landscaping? • Who will present the letter to the clinic administrators? Who...
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...description of the Community Health Center of Franklin County, Inc. (CHCFC), describe the mission, vision, and values of CHCFC, explain some quality indicators and measures currently in place at CHCFC, and discuss who is responsible for CHCFC’s quality improvement plan. CHCFC Description CHCFC is a nonprofit federally funded community health center located in rural Alabama. It operates 10 clinics in eight different counties. TCMC is fully accredited by The Joint Commission. Services vary slightly from clinic to clinic. Each clinic offers general primary healthcare, in-house laboratory testing, patient medication assistance programs, and four of the clinics offer in-house X-ray services. According to CHCFC’s 2008 Uniform Data System Report, providers within the organization saw more than 11,000 patients, generating over 45,000 encounters. CHCFC Mission, Vision, and Values CHCFC opened the doors of its first medical clinic in 1977, with the mission of providing excellent medical care to all residents of the community, regardless of insurance status or income (Community Health Center of Franklin County,...
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...expected from each person. I currently am employed at a community health center in a rural area; there are many different people who use this center as their medical provider. I am one of the front desk receptionists, which is where the communication between patient and doctor begins. Sometimes this can be tough due to the diversity there are many language barriers, but things have started to get better with time. The clinic has become very successful with different means of advertising and communicating what the clinic has to offer for medical services. The cliental is usually low income, in which the state picks up the bill, so they have used every available source such as bill boards, radio ads, and commercials to promote people to use the clinics to help keep health cost down. There is also a web page that allows the client to a view the main website that contains many different types of information such as locations, specialties, job opportunities. The clinic is mainly run through phone calls, pages or messages being sent through I Pads. The clinic does not use traditionally health charts, this is...
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