...The department has also established Model day care programs that work with MDC’s to provide day care where the patients can meet and socialize with others and also receive training to improve and maintain their cognitive thinking. Respite services are another initiative by the ADI that includes in-house, facility based, emergency and extended care respite usually up to 30days given for care givers of this disease. Florida has established respite care programs in all of its 67 counties. Alzheimer’s disease progresses in three stages – early stage or mild, moderate or middle stage and severe or late stage. After the first diagnosis of this disease by their primary care physicians, patients are usually referred to further tests and are treated...
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...Provision of effective mental health care is usually hindered by fragmentation in care, inequitable treatment, and continued stigmatization for those with mental illness. The medical model approach in treating mental illness is not therapeutic, empowering, or conducive to healing (Chen, Krupa, Lysaght, McCay, & Piat, 2013). The medical model of care is a good fit with the goals of third party payers who are focused on reducing costs by shortening the length of stay on inpatient units (Seed & Torkelson, 2012). On the contrary, nursing model of care is known to assist the patient to achieve health by providing nursing care that promotes both the body’s healing process and the patients’ ability to care for their health related needs. Orem’s...
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...A motorcycle is more than just a machine. The shape of the motorcycle is how the expression the bike gives off. The color of the motorcycle makes a difference. The motorcycle moves very fast. This bike would cause a person to feel like they were free. The smooth lines that the bike has, is like art, it defines the attitude of the motorcycle. The smooth lines on this bike show a sense of freedom. The position of the seat is to make it comfortable and enjoy the ride. The long handle bars make them easy to grab. The large motor gives the idea of speed. All the chrome shows the style of the rider. The sharp edges on the exhaust show that edge that the rider has. TRAVELLING BY MOTORBIKE IS EASIER AND SAFER THAN TRAVELING BY CAR In my opinion, there are both advantages and disadvantages in owning a motorbike compared with owning a car. I will describe the advantages of having a motorbike first. A motorbike is quicker in heavy traffic, you don’t have to wait in line with the cars. It uses less petrol and is more fun and exciting to use than a car, especially in summer. Furthermore, you can easily go anywhere, even off-road. So, I’d say there are several advantages to owning a motorbike. On the other hand, motorbikes are definitely more dangerous than cars; you don’t have any protection in an accident. Secondly, it can be very cold in winter and you don’t have any protection from rain, snow, wind or the sun. You need to wear special clothes, which can be uncomfortable....
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...THE SELF-CARE MODEL OF DOROTHEA OREM Introduction The purpose of this paper is to discuss the application of Dorothea Orem’s Self-Care Model of Nursing to clinical nurse practice. The central thesis of the paper is that Orem’s theory has strong utility for application to modern day clinical practice and can be applied to most any case in order to attain the desired medical and caring outcomes. The presented discussion will support this perspective of Orem’s theory. The paper begins with a brief overview of the theory which is then followed by a delineation of a non-nursing theory that supports one or more of Orem’s self-care notions. The next section of the paper presents a historical overview of the evolution of Orem’s theory, a delineation of the concepts central to the metaparadigm, and an exploration of the theory’s usefulness in education and research. The final section of the paper applies the theory to a particular case. A model of the theory is presented in Appendix A. Orem’s Self-Care Theory Alligood and Marriner-Tomey (2001) state that conceptual or theoretical models of nurse practice are pivotal to the field, providing the profession with a guide to patient care and with a general frame of reference that connects the structural environment to the patters of behavior and relationships within the organization. The Orem Self-Care Model of Nursing (Orem, Taylor & McLaughlin, 2003) is one such model. According to Seedhouse (2000), the Orem Self-Care Model of Nursing...
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...January 23, 2012 Table of Contents Authors.......................................................................................................................................... 3 Acknowledgments ......................................................................................................................... 4 Executive Summary ...................................................................................................................... 5 Provider Survey ......................................................................................................................... 6 Standards of Care Economic Model .......................................................................................... 7 Recommendations .................................................................................................................... 8 Care Management ................................................................................................................................ 8 Payment Reform ................................................................................................................................... 9 Workforce Supply ............................................................................................................................... 10 Background and Role of the Diabetes Working Group ............................................................... 12 Background ......................................................
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...instead of comprehending, applying, and transferring knowledge to practice. In addition, students rely on teachers to provide lecture notes and may not be adequately prepared to participate in class discussions. Case studies, which are an effective way of connecting critical thinking, problem solving, and decision-making to practice (Baumberger-Henry, 2003; Campbell, 2004), enhance students’ participation in class discussions. Conceptual models of nursing provide a unique body of knowledge that can be used to guide construction of case studies and enhance application of didactic course content to nursing practice. Students tend to undervalue the contributions of a nursing conceptual model to guide practice. By integrating a nursing conceptual model into the organization of course content and construction of case studies, students are exposed to how conceptual models can guide nursing practice. The purpose of this column is to explore the use of case studies for a senior level medical-surgical nursing course constructed within the context of the Roy adaptation model. Roy Adaptation Model The Roy adaptation model is a conceptual model of nursing that provides a solid foundation for nursing practice (Roy & Andrews, 1999). The philosophical and scientific assumptions of Roy’s model assert that the person is a holistic Nursing Science Quarterly, Vol. 20 No. 4, October 2007, 324-326 DOI: 10.1177/0894318407307159 © 2007 Sage Publications...
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...of stay, increased risk of complications and adverse events. The key practices that support integration include: single point of entry, “at risk” screening, comprehensive assessment, service coordination and case management, care planning including advance care planning, clear communication processes including shared health records, patient empowerment and self-management, quality use of medications and ongoing monitoring. The healthcare system is complex and people have difficulty navigating the system due to inadequate linkage between organisations and services People with complex needs require a comprehensive range of services, delivered across organisational boundaries, with clear assessment processes, access routes and pathways through services. Both overseas and Australian experience indicate that case management is ideally targeted to individuals who are likely to receive the most benefit i.e. those with complex needs requiring intense management from a range of different organisations, as this is where case management is deemed most cost effective. Therefore, the focus of many integrated care projects is on service coordination as a way of integrating care management and creating care pathways through the system. The move towards models of integrated care is an effort to manage the labyrinth of the healthcare system that has become increasingly complicated as additional services and funding streams have been introduced to encourage innovation, change traditional...
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...Veronica Calderon Candi’s Negligence Case LS311-03 Professor Pincus Unit 2 Assignment Date: June 6th, 2015 To: Candie Cardigan, CEO CARDWARE, INC. From: Veronica Calderon Re: Negligence Requirements and Potential Defenses to Myra’s Case Casandra, Negligence lawsuits require various specific elements to make them valid. In order to win the case the plaintiff must prove that the defendant owed duty of care to him/her, that the defendant breached that duty of care, that the defendants breach caused the injuries and the actual injuries suffered by the plaintiff (Miller, R.L., 2012). Duty of care is to not infringe upon anyone’s interests. It means that a person is free to act as they please as long as they do not offend anyone else. Judges usually go by what a reasonable person would do in the same circumstances (Miller, R.L., 2012). In the case of Myra vs Candie Cardigan being that she is the model not the owner or the person running the program, she does not have duty of care because she is not responsible for making sure the runway is smooth and clear for modeling. That wrinkle in the carpet is supposed to be taken care of by the owner or the person coordinating the show. Since there was never any duty of care then there is no breach and there is no causation. But there is one element of negligence which is the injury she sustained to her nose and the scratch on her face. But since Candie was not responsible for her fall then she is not liable. Myra should have...
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...Social Care Table of Contents Introduction 1 Task 1 1 Q1: Explanation of the philosophies of working in partnership in health and social care 1 Q2: Evaluation of partnership relationship that can occur within different departments in health and social care 2 Task 2 3 Q3: Review current legislation, policies and organizations practice that is adopted in working partnership in health and social care. 3 Q4: Explanation of how difference in working practices and polices affect collaborative working 3 Task 3 5 Q5: Strategies to improve partnership working in health and social care 5 Q6: Analyze the different models of partnership that can exist in health and social care 6 Task 4 7 Q7: Analyze the potential barriers to partnership working in health and social cares services. 7 Q8: Evaluation of possible outcomes of partnership working for service user, professionals and organizations 8 Conclusion 9 References 9 Introduction When two or more individuals or organizations share ownership and responsibilities to achieve any particular goal and objective, it is called partnership (Investopedia, 2016). Partnership working has been being practiced in health care organizations since a long ago. Different health care units create an integrated network and mutually share responsibilities. This paper will be written in working partnership in health care management. In the first part philosophies and relationships of working partnership in health care organization...
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...There are many situations in the case study of Juan Duran that can be compared to the related theories in which were presented this week. The two theories in which will be most useful in meeting the needs for the patient Juan Duran are Dorothea Orem’s Model in which will look at self care as well as Betty Neuman’s Theory in which will present with the stressors in life and their effects. Mr. Duran has many obstacles to overcome including poor vision, loss of a daughter, wife not able to speak fluent English, and a chronic disease of diabetes to manage. In order to manage all of the many stress and obstacles Mr. Duran is currently facing the two theories mentioned will help in planning care and assisting the family. Presented in the case study is Mr. Juan Duran a Mexican American from Chula Vista, California. The patient is married and a navy veteran who has been diagnosed with diabetes. Due to his limited eye sight, Mr. Duran has had a difficult time performing self-care by injecting insulin himself. After meeting with the doctor, Mr. Duran was assigned a diabetic counselor at the VA (Veterans Affair Medical Building) to learn how to give himself the medication. His wife was not present in the case study in which would be necessary if she were going to be the person injecting the medication. Also at home Mr. and Mrs. Duran speak Spanish due to Mrs. Duran’s limited English. If the patient and wife were present and the counselor spoke Spanish or had a medical translator...
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...different methods are meant for the development as well as the clarification of their own concepts in their different fields. The methods may at one time share a scholarly view of the problems of concept as well as the methodology, however, since they are discipline specific, they too may also be in need of various modifications before they could be of use and applicable to the different fields in which they are meant to be used. In nursing science, the art of concept analysis is at a greater height seen as an integral part of the development of a theory and a discipline of the science of nursing. This paper evaluate the nursing concept of care in nursing. Caring in nursing Caring in nursing is the active support as well as involvement of the patients receiving treatment and their relatives, family inclusive, in the designation of models of health care as well as in the making of decisions about individual options that the patient would have for treatment. In accordance to Jean Watson’s theory on caring in nursing, it stated on the assumptions that, caring environment is that which offers the development of...
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...The Case Study I selected was Case Study #7:” I feel exhausted”. A young lady named Elaine, who is 25 years old, received her first job post-graduation in a Mental Health Counseling center in another state. She has career goals of becoming a licensed counselor with leadership roles in the community. After the excitement of the move, she embarked on her journey and took on a heavy caseload of clients. This case load caused her to become distressed and overwhelmed with the clients’ issues. She has little to no energy and is not taking care of herself emotionally, physically, and mentally. She became excluded with society; she formed no connection with friends, colleagues and family. She brought her work home with her and this causes more distress....
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...Matrix of Theoretical Models Theoretical Model | Description of Theoretical Model | Type of health care change situation where model best applies | Havelock’s Theory | One widely known and used theory of change is the one that Eric Havelock introduced to look at change differently. Change is a process that should focus on the plan, resistance to change, and how to maintain the change. Havelock created a 6 stage change process theory model that looks at the complexities of real life by taking into account evaluating and accepting the change. Relationship – Whatever system is changing the change agent should identify and build positive working relationships with the particular system whether the system is with clients or leaders. Diagnosis- Establish if there is a need or desire for change. This is an evaluation period. Acquire resources for change- Gathering information at this stage determines what the change is and is not. Selecting a pathway- The best option is decided and then implemented.Establish and accept change- Once change is put into place, acceptance is needed. Maintenance and Separation- To make sure the change is successful the change agent should monitor the affected system. Havelock’s theory shows how important it is for change to go through a planning process from beginning to end. To receive lasting positive change a desire is needed and hard work is required. | Havelock’s theory can be used in a health care situation where a nurse case manager is the agent...
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...EDUCATION Critical thinking and analysis: a model for written assignments Sharon L Edwards W hat is critical analysis? In the author’s personal experience this question has been answered by the following statement: ‘It is being critical of the literature.’ However, this does not answer the question. A literature search also failed to provide any information on critical analysis. The justification for developing a model for critical analysis, however, was not solely the lack of available literature. Other reasons included: to provide a definition of the terms; and to help both educationalists and students interpret the concepts involved. Nurse educationalists and nursing students lack a clear understanding of the critical processes and this could severely diminish the profession’s ability to articulate issues that are imperative to the advancement of nursing practice in the future. This article recommends a model of critical analysis that can be used by students and educationalists. It suggests that critical thinking and analysis are interrelated and complementary, but not synonymous. It gives examples of the model’s components in order to clarify their meaning. The model will hopefully give students a premise on which to base their assignments, and nurse educationalists will be able to incorporate it into their teaching practice. It will also provide an element of reality to critical analysis which will prevent it from becoming so abstract and idealistic as to render...
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...Basically primary care consists of i) medical care (family physicians/primary care doctors); ii) district care (district nurses and midwives); and iii) social care (social workers). Medical care and district care together are primary health care (PHC). Social care is organized, managed and financed by local communities and since the beginning of the 90-ties is separated from health care. Social care tasks are focusing on support of inhabitants of local communities in case of poverty and are to prevent exclusion. Social care includes activities such as analyses of the local environment, the economical status of community members and making decisions on financing or co-financing of help measures requested by individuals. The social care budget is also playing a role in financing health services for the unemployed (from the central budget) and the homeless/uninsured (from the local community budget). From the central social care budget money flows to the National Health Fund (NFZ), which is the central insurance institution in Poland, and is further disseminated among the 16 regions of Poland in which branches of NFZ are located. From the local community budget, moneys are paid directly to selected health care units. Due to the yet unfinished implementation of family medicine, primary health care in Poland consists of two dimensions or care models: the old Semashko model with its group out-patient units and the family medicine model. Nowadays both dimensions have equal representation...
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