...Health history Function- Mental state n physical state for well being Intuition- gut feeling- from experience, Index of suspicion- asking question with reasons by comparying the situation and condition of the patient. They go hand in hand which come through experience. Health history S- symptoms through pqrst ( provoking and palliative) Provoke- what causes symtoms to be worst? Palliative- what causes symtoms to better? Q- Quality it means description. Open ended question Describing the symptoms. 1.What are you feeling? funny 2. Descibe funy? What is that mean? A bit tied.. 3. had you feeled before? 4. how is different from before? Feeling going from arms. R- Region and radiation Which art of your body are you feeling the symtoms? Where are you feeling tited ness? Around here- that means not localized. Is that your chest? Ask yes no for calrification’ Radiation- where else are you feeling the symptoms? Going up around neck and arms S- Severity (0 to 10) how severe is yoiur symtoms? Its about that 8. 0 no pain and 10 worst pain Does it stop doing anything? Daily activity T- time of actual symptoms When does it normally occur? How long does it last normally? Normally less than half hour but this is long Is it on and off? Constant or on or off? A- allergy- penesil, antibiotic, lacto biopsycho social model- nurses for allery NKA-nurse NKDA- doctor Burden- social worker Home- equipment Stair- ot to repair to help them Food to be...
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...Nicole Arango Required Uniform Assignment The Health History Project Health Assessment: NR302 February 7, 2016 1. Biographic Data Name Todd Matthew Riddick Phone 609-577-9068 Address 8264 SW 179th Terrace, Palmetto Bay, FL 33157 Birthdate February 28th, 1972 Birthplace Trenton, NJ Age 43 Gender Male Marital Status Divorced Occupation Radiology Technologist Employer Baptist Hospital of Miami Race/ethnic origin Black 2. Sources and Reliability Client arrived to appointment alone. Client claims to be woken by his own snoring on occasion. Client’s girlfriend scheduled the appointment due to annual checkup. Client claims that he is not hypertensive, but is on preventative medication due to family history. 3. Reason for Seeking Care Client claims appointment was made as an “annual checkup/follow-up.” 4. Present Health or History of Present Illness Subjective: Client claims he believes to be in good health. Participates in gym routines minimum of 4x a week. Client claims to eat relatively healthy. Objective: Client has a BMI of 24.3, otherwise, normal. 5. Past Health Client claims to have improved his health over the past 10 years. Client was hospitalized 3 years ago for left should reconstructive surgery due to a motorcycle accident. Describe general health Client claims to be a smoker for the past 25 years. Client smokes roughly 6-8 cigarettes a day...
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...Nursing Health History 1. Biographic Data A. Patient/Client Initials * K.E. B. Phone Number * 281-835-4377 C. Address * Missouri City, Texas D. Birthdate * October 26,1935 E. Age * 74 y/o F. Sex * Female G. Birthplace * India H. Marital Status * Widowed I. Race/Ethnic Origin * Asian Indian J. Occupation * House Wife K. Employer * N/A L. Financial Status * Her income comes from Social Security. Currently has Medicare as her health insurance. She lives with her son, allowing her to be able to support her lifestyle and health concerns. M. Source and Reliability of information * Client herself, who seems reliable. II. Reason for Seeking Care * The client came to the hospital because o to consistent back pain which is interfering with ADLs. The pain has been present for the past two weeks. Back pain is located in the lower lumbar area. It is a throbbing like pain that occurs through out the day. The severity of pain on a scale of 1-10, client rated 8. The pain causes her to sit down or lay down until pain improves. Pain lasts for about 15 minutes. Not standing up usually relieves the pain. 1. When did symptoms appear? - Pain began two weeks ago when she was cleaning. 2. How often? - Pain has reoccurred everyday. 3. Type of activity when patient’s symptoms occurred. - The problem happened when the patient was cleaning. III. Past Health History * Client...
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...History and Evolution of Health Care Angeline Anderson Economics: The Financing of Health Care HCS/440 November 22, 2011 Humberto Munoz History and Evolution of Healthcare http://www.stfm.org/fmhub/fm2004/january/malcolms20.pdf While some can contribute these changes due to the evolutionary changes the US has undergone since her inception, the major contributing factors that influence the changes in health care economics are advances in technology and medical care. By understanding the history of health care economics, and identify the flow of funds system, financial managers are able to be more adequately prepared for the future. It is essential to remember that the driving force behind health care economics is money, and it plays an integral part to the success of the health care industry. “Who pays for what has changed dramatically in the past 60 years. Whereas in the past, the majority of individuals paid their medical bills with private funds, today insurance companies and other third parties cover the majority of payments, with individuals paying only a small fraction of the total flow of funds with private money” (Getzen & Moore, 2007, p. 3, para. 1). The flow of funds is a system in which financial managers are able to “follow” the money through the health care system, and as stated above the initial flow of funds have drastically changed from past years. History shows that many physicians would trade services for non-money items (such as...
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...Healthcare History Health Care History The United States health care system is currently getting ready to evolve tremendously through the organization, management structure, and payment structures. The economic component in health care is very important to understand in order to structure it successfully. This papers discusses the evolution of economics in the health care system and the structure of health care funding timeline. History and Evolution Health care economics presents an information framework were efficiency and equity goals are pursued. Furthermore, economics establishes a framework by maximizing benefits using resources at hand. Kenneth Arrow, the person responsible for mentioning the idea of health economics as a discipline, wrote an article titled “Uncertainty and the Welfare Economies of Medical Care” in 1963. The article discusses how the medical care industry benefits society compared to the “norm”. Furthermore, Mr. Arrow wrote about the significance of supply and demand. Arrow discussed that the average person has the characteristic of only seeking medical care when they are suffering from a critical injury or illness. Its not common for the average person to receive routine medical services on a regular basis. As Mr. Arrows discussed supply condition, he quoted “Entry to the health care profession is controlled by licensing. Licensing manages the supply which consequently increases the cost of medical care”. Medical care...
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...Economic Terms and Health Care History Jhameka Quarles HCS/440 April 15, 2013 Kathleen Guluszka Health care economics has progressed drastically since the early ages of time when health acre services were being offered to consumers. In the early age medical services was not as expensive as they are today in the modern era. Consumers did not have to pay expensive fees for medical services. Now and day to receive medical services on an affordable budget is a huge hassle for the community. Many go without medical care because they are not able to afford medical services to benefit their health. In the modern era health benefits are being sponsored by government agencies and insurance companies. The government covers services for many through insurance programs like Medicare and Medicaid, in which are funded by the government. In the early ages of time the government did not cover medical benefits for consumers because consumers were responsible for providing payment for medical services. Health care economics has evolved in the 20th century versus the limited care and expenses in the early age of time. Back then consumers funded their own medical expense while now there are insurance programs and government support to help the community afford medical services. Also advances in technology have helped to shape the new wave of medical services and expenses for consumers. An “ideal system” existed many years ago in the early 1900’s. The system worked well because...
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...Running Header: Economic Terms & Health care History Paper Economic Terms & Health care History Paper Dina Mayo-Jones HCS/440/ Economics: The Financing of Health care Tina Rivenbark, B.S., M.H.A. August 1, 2011 The economics of health care has been experiencing transformations throughout the course of our country’s history. The catalyst in the world of health care economics is money, . In 2010, health care costs were roughly 17.68% of the country’s gross domestic product (GDP) with a projected growth to 19.8% by 2020 (Cummins, 2011). Spurs in higher utilization, advancements in medical care, and the ever increasing population are the major contributing factors influencing such a change. This paper will look at the birth and evolution of health insurance, while diving into the microeconomics and supply versus demand aspect of healthcare. History- The Birth of Health Insurance From the bartering of the early 1800s to the development of the health care reform bill, methodologies in the funding of health care services have been forever changing with an increasing price tag. In the early part of the 20th century, the country’s knowledge of medicine began to grown and with it so did the fees associated with this knowledge. Poverty drove the need for the development of a functioning health care economic system. Labor conditions and illnesses related to immigration created an environment in which individuals could no longer predict their impending...
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...Looking back at the history of health care economics it has greatly evolved during it course and will continue to change. There are many factors that have influenced the changes of health care economics. Money and technology has definitely been the reason for the change of health care economics over the years. Money is want makes the economy evolve. There will be advancement in technology and there needs to be people are managing these to keep up with the changes. The U.S. has definitely progressed as far as influencing factors to change in new advancement of technology and medical care. Having a good financial manager in your organization will prepare for these upcoming advancements and changes. Money drives these advancements in providing successful health care industries. Most of the funding that comes to make these changes comes from insurance companies but it also affects patients. Patients have to pay for insurance and the money adds up. It can be very expensive to pay for health insurance as well as medical bills and prescription medication. Today in society we provide services in health care for money. Money creates revenue for the organization can pay for supplies, workers, and other things to keep the organization running. Before money was involved physicians would trade in their skills and work for supplies to help you live such as food, tools, cotton etc. In 1929 the first health care insurance plan was created for population. Before that time there had been some...
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...History of Health Care Reform Transcribed from a talk given by Karen S. Palmer MPH, MS in San Francisco at the spring, 1999 PNHP meeting) Late 1800’s to Medicare The campaign for some form of universal government-funded health care has stretched for nearly a century in the US On several occasions, advocates believed they were on the verge of success; yet each time they faced defeat. The evolution of these efforts and the reasons for their failure make for an intriguing lesson in American history, ideology, and character. Other developed countries have had some form of social insurance (that later evolved into national insurance) for nearly as long as the US has been trying to get it. Some European countries started with compulsory sickness insurance, one of the first systems, for workers beginning in Germany in 1883; other countries including Austria, Hungary, Norway, Britain, Russia, and the Netherlands followed all the way through 1912. Other European countries, including Sweden in 1891, Denmark in 1892, France in 1910, and Switzerland in 1912, subsidized the mutual benefit societies that workers formed among themselves. So for a very long time, other countries have had some form of universal health care or at least the beginnings of it. The primary reason for the emergence of these programs in Europe was income stabilization and protection against the wage loss of sickness rather than payment for medical expenses, which came later. Programs were not universal to start...
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...Enhancing end-of-life care (EoLC) is a core component of international governments’ health policies. Across the globe, nurses make significant contributions to EoLC and, at this delicate time, have the power to positively influence the health and wellbeing of those facing death. Indeed, health promotion is a core component of the nurse’s role. Originating in the UK, EoLC pathways have been adopted around the world.Their broad aim is to optimise the quality of the dying process, enabling people to ‘die well’ across care settings. This paper examines EoLC pathways in terms of promoting health and wellbeing in this discrete stage of the dying trajectory. Concepts of health and health promotion are described briefly and the idea of health-promoting palliative care and its association with a good death examined. The ensuing discussion relates to two EoLC documents. While acknowledging that much has been achieved it is argued that, despite the potential for promoting health and wellbeing, a professionally led, biomedical approach predominates, and in terms of promoting health and wellbeing at the end of life there is a pressing need for proactive advance care planning at an earlier point in the illness trajectory. Key words: End-of-life care l Care pathways l Terminal care l Health promotion Michael Allen is Staff Nurse, Chemotherapy Day Unit, Singleton Hospital, Abertawe Bro- Morgannwg University Hospital Board, Swansea, Wales; Tessa Watts is Senior Lecturer, Swansea University,...
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...Visiting home health nurses are a well-known profession and becoming more popular as time grows. The service of public health nursing was carried out on the frontier by nurses under the name of “Visiting nurse services” which were part of the late 19th century health reform out of ‘The Henry Street House’ in 1893, as discussed in the film “Nursing in America – A History of Social Reform”. They held many roles outside of nursing, those roles and missions and struggles will be discussed. The Henry Street House was opened in 1893 by Lilian Wald who established the phrase ‘public health nurse’, as discussed in the film “Nursing in America – A History of Social Reform”. She believed that bedside care should be provided to the public sick poor as well as treating the social and economic problems they faced and providing them with health education (Buhler-Wilkerson). She sent out nurses who traveled door to door to the families of the community of which they served. They were the major health educators to the people of the cities, many of whom could be considered for lack of a better work, ignorant. They knew not of the power of purpose of their own bodies, how to keep themselves healthy, or of their own sex organ functions. The messages of the public health nurse included education on child rearing, why immunizations were important, and information on sanitation and nutrition. They provided many services to the families they visited. In the beginning of public health nursing, nurses...
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...History of Community Nursing Matrix As long as people have existed, they needed to look after their health. As a result, the healthcare industry was born. Nurses were a vital part of that growing community. This paper will approach three different historical periods in the United States, discuss the nurse’s role in the community in regards to the major health issues of that period, how they partnered with the community to create new programs and finish with an intellectual discussion on how Jean Watson’s theory of Caring can be applied to the nurse’s role for each historical period. Period 1-- 1800s: In the early year of American settlement , female head of the family provided the care for sick in the family (Stanhope, Lancaster, 2008). In the early 1800s increased number of urban residents have changed the traditional caring system (Stanhope, Lancaster, 2008). After the American Revolution, increased urbanization and beginning industrialization contributed to epidemical diseases (Stanhope, Lancaster, 2008). In 1800, the first Marine Hospital was opened in Norfolk, Virginia (). In early 1800s, nursing care mainly focused on moral issues than illness intervention (Stanhope, Lancaster, 2008). “The public was interested in limiting disease among all classes of people for religious reasons as a form of charity” (Stanhope, Lancaster, 2008, p. 27). The Ladies’s Benevolent Society of Charleston, South Carolina for the sick and poor provided charitable assistance...
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...Health History Assessment Travis Humes Chamberlain College of Nursing NR 302: Health Assessment I May 2018 Health History Assessment A health history assessment was conducted on G.F, a patient that frequently visits the emergency room for treatment. He was approached after being discharged from the emergency room following treatment. He was assured that his information would be kept confidential. He consented to the interview and was ready to get started immediately. Demographic Data G.F is a thirty-five year old, African American male who lives in Brooklyn, New York since birth. He has no children and has never been married. He is the only child, lives with his mother, who is 60 years old and two dogs in an apartment. There are other family members such as aunts and uncles but they live in other states. Patient does not work and is currently obtaining assistance from the government (Section 8 – housing, Medicaid, SNAP – food stamps). Perception of Health G.F believes that being healthy means eating ‘good’. In other words, as long as he eats large and is not hungry, he is healthy. The only time he does not feel healthy is when he has an asthma attack. For the most part, he eats pre-packaged foods and drinks soda and juice. He does not exercise or engage in many physical activities other than walking to the store when...
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...Health Care Economics History Health Care Economics History Over the course of U.S. history, the economics of healthcare have undergone several changes that have all culminated into what it is today. Although several factors come into play in regards to these changes, the primary driver behind these changes have been major advances in medical care techniques and advanced technology such as in the field of diagnostic imaging and surgical services. All these things aside, it is important to illuminate the fact that regardless of the time period, the payment for services and its source have always been a critical factor in how fast and how far healthcare can go. The source of payment for medical services has changed quite a bit over the past few decades. Today, third party payers such as insurance companies pay the bulk load of the healthcare bills leaving only a portion to be paid by the actual recipient from their own funds. In the not so distant past, patients were expected to foot the bills in their entirety for their own pockets. In those times, physicians were considered tradesmen. Their bills were no different than any other tradesmen such as a plumber or carpenter. When their work was done, the patient paid the bill. Frequently, if the patient was unable to pay in cash, physicians would accept non-monetary reimbursement for their services such as livestock or some other farm produced item. This "barter system" worked quite well but as the 20th century came about and...
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...History of Community Health Nursing and Health Promotion/Risk Reduction Cumberland University History of Community Health Nursing and Health Promotion/Risk Reduction For this assignment, I have chosen two articles from the American Journal of Nursing written in October of 1900. Article 1 The first article obtained is titled Work for Nurses in Play-Schools written by Mary Boyle O’Reilly for the first edition of American Journal of Nursing (O'Reilly, 1900). The article discusses how district nurses were trying to impress upon patients in the area that prevention and sanitation were the keys to battling disease. The district nurses were finding that some people were not interested at all in changing the way in which they did things and that those that did show interest often fell back into old ways soon after the nurses giving instruction were gone. Around this same time, the newly formed Guild of Saint Elizabeth was formed and as part of their work of a social settlement, they created play-school which was where children could go during the months of July and August in an attempt to keep these children from the influences of the streets. The nursing corps associated with The Boston City Hospital decided to go to the play-school and instruct the children on basic nursing, sanitation, and disease prevention in hopes of instilling these principles in the children who had yet to have instilled in them the ways of their parents. This proved to be a very popular course at...
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