...Professional Presence 2. Healing and health services are defined and acted upon in many different ways in the world today. Although in the United States we predominately focus on biomedicine or conventional health care practice, it is only one of many different types of healing. Thru time we have progressed between several different eras of healing. The first era being in the 1860’s which predominately looked at biomedicine type therapy. The second era taking shape in the 1950’s and concentrating on the mind and body. The last of third era to evolve in current times is that of body, mind and spiritual healing. Because of these “era’s” of healing, medicine and healthcare take on new energy and become more geared towards the patient and therefore allow the patient to play a more active role in their life long plan. The new widespread use of these different healing models has allowed healthcare professionals to increase their awareness and appreciation of different modalities of healthcare and healing. (Dicarlo, 1996) One of the new types of modalities that have developed because of Era II is integrative medicine and patient centered care. It focuses not only on treating the disease process but treating the person, where the goal is to treat the mind, body, and spirit all at the same time. A classic model of the Integrative Medicine combines conventional Western medicine with commentary treatments such as herbal medicine, acupuncture massage...
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...Health and Healing Two of the three models of health and healing discussed by Dossey (1999) were Era II Body/Mind Model of the 1950s and Era III Body/Mind/Spirit Model of the 1990s. According to Dossey (1999), post World War II the Medical Doctors noticed that there was proof that the functioning of the human body can be affected by other factors such as stress and emotions which, can lead to diseases such as ulcers and high blood pressure. This model brought to light the realization that treating the human body is complex because when the physical body is not well the mentation of the patient is affected resulting in exacerbation of other diseases such as high blood pressure and ulcers. The third era, Body/Mind/Spirit model is an advancement of the Body/Mind model discovered in the 1990’s. The healthcare professionals realized that there is scientific evidence that supports the existence of a spiritual component that suggests that patient’s outcomes can be impacted by other people’s actions without their knowledge. In this third Era the patient’s health is impacted by their cultural and community affiliation and this present a challenge to the healthcare providers as they collaborate the care of the patient because there are some variables created by this intrapersonal relationship that is boundless and significantly affects the treatment plan and patient outcome unlike the second era which only dealt with the body-mind (Dossey, 1990). According to Weil (2004), components that...
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...Article Review #1 Ottawa University In the article, “Cottage industry to postindustrial care — the revolution in health care delivery” the authors Swenson, Nelson, Hunt and Pryor examine the current state of the American healthcare system as it relates to the complex history of cottage care systems that have integrated into a post-industrial world. They examine how the system functions today, how the mentalities of past ideologies have shaped the modern landscape and what changes are necessary to propel the floundering system in place now into the modern era. The first portion of the article examines the perpetuation of care based on old cottage care style healthcare. This viewpoint is summarized by the statement that “our current health care system is essentially a cottage industry of nonintegrated, dedicated artisans who eschew standardization.” (Swenson, et al. 2010). These views are reinforced through an examination of the massive amounts of autonomy physicians possess, the lack of measured performance and the volume over value system of payment that the US system allows. Most interesting is the idea that under the current system, good doctors are those who will do anything for their patients, defying established patterns and system in place. With the advent of the industrial revolution and the modern medical community, these styles of medicine can no longer function efficiently. A paradigm shift needs to occur to accommodate the changes necessary. According to...
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...the world's second-largest country by land and the largest country by population. Knowing this, healthcare must be one of the most important issues in China. As China becomes more populated, there is becoming a greater need for health care professionals, quality health care facilities, technological improvements, and most importantly a proper amount of funding to support a successful health care system. However, recently, China has been struggling in regards to health care. There has been a widening gap in health status between urban and rural residents, correlated with increasing gaps in income and health care utilization. There have also been drastic changes in health care financing, including a dramatic reduction of insurance cover for the rural population. In 1949, the Chinese government took complete control of the healthcare system. Under the Chinese government, the country’s officials, rather than local governments largely determined access to health care. Referring to an article, “Equity in Health and Health Care: The Chinese Experience”, written in the Social Science and Medicine Journal, Yuanli Liu, William Hsiao, and Karen Eggleston exaggerate that the rural areas were in the biggest need for a healthcare reform during the late 1940s era. The authors explain (1999) “The Rural Cooperative Medical System (RCMS) was established as a three-tier system for rural healthcare access. The RCMS functioned on a pre-payment plan that consisted of individual income contribution...
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...The nursing profession is the largest section of the country’s healthcare labor force employing over three million workers. Multiple obstacles stop nurses from responding effectively to the quickly changing healthcare system. Nurses must overcome these barriers; only then will they be able to lead change and begin a new era in healthcare. On October 5, 2010, the Institute of Medicine (IOM) released its advice on nursing in the United State in the scholarly article “The Future of Nursing: Leading Change, Advancing Health.” IOM is a non-governmental, non- profit organization created in 1970, under the congressional charter of the National Academy of Science. IOM provides leaders counsel on the topics of biomedical science, medicine, and health. Different states provide different stances regarding what a nurse can actually do. Multiple states allow nurse practitioners and certified nurse midwives to prescribe medication without a physician’s direction and partnership. There is widespread agreement in the United States that healthcare must become more patient-centric. Primary care and prevention must have a greater function compared to specialty care. Reports shows that states with a greater proportion of primary care providers receive better outcomes and drops in mortality rates. Nurses with differing degrees of education participate in vital jobs in primary care. Education and evaluation are crucial components of primary care. RNs, advanced...
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...Organization and Management of a Health Care Facility I am proud to introduce the leadership team of 21st Century Solutions Health Care Hospital. 21st Century Hospital is part of the World One Health System which includes numerous hospitals and clinics throughout the state. Our leadership team consists of 16 highly educated individuals with varying backgrounds. Each member is well experienced and well respected in each of their particular fields of expertise. I feel privileged to work with so many outstanding individuals. First we have our President of the hospital. This individual is our chief operating officer. He is in charge of all operations here at 21st Century hospital and the six outlying clinics. He oversees about 5,600 coworkers. He has a BS in business and has earned a MBA. Our COO has served as senior vice president of operations and ambulatory services where he managed several different areas including ambulatory care, cardiac care and physicians’ services. Under his skillful leadership, we have constructed several new health complexes, a surgical center and sleep center. He has been able to add more than 100 new physicians. Next we have our Vice President of Medical Affairs. This person services as the Chief Medical Officer/Chief Medical Information Officer. This officer is a seasoned MD and is mainly responsible for the medical staff, quality programs and regulatory compliance. Our Vice President of Surgical Services is responsible...
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...Healthcare Provider Websites Mich Kings Reading Area Community College HCM 311-70 Kenneth Bowman March 22, 2012 The new era of modern technology travelling at lightning speed, in just twenty-five years we’ve evolved from the days when a computer system took up an entire floor of an office building, to the evolution of the “smart” series – the iPad, iPhone, storing information in a “cloud,” etc. These new devices have made accessing technology all the more real, and instantaneous. While this may be a challenge for some, it’s heaven sent blessings for others. We’ve evolved from the pony express delivery system, to the instant messaging system. We’ve gone from landline home phone service, to utilizing wireless phone service. Without a doubt those who are hesitant to get on board, will be left behind. Technology has finally wormed its way into our healthcare system. The age of paper documentation, is rapidly dwindling, this is quite evident in large healthcare systems. Because of the expedient nature of accessing information, many companies, are now utilizing the internet as a means to tout their companies’ product and what they have to offer. Without a doubt healthcare is steadily becoming a full fledge business. As such, healthcare providers are now surging to the forefront, in an attempt to enable consumers become better advocates for themselves. Provider websites are now more user friendly. It’s to a company’s advantage to have a website that its consumer can navigate...
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...THE FUTURE CHALLENGES OF HEALTH CARE MANAGEMENT Timan Wainaina Essay March 5, 2016 Health care management denotes the management of clinical information technology and human resources to deliver optimal health care. The health care sector is a very extensive one because it encompasses preventive care, emergency services, follow-up, and rehabilitation. Forecasting the future of health care may be seen as an imperfect and challenging exercise. However, it is important in order to improve quality health, revenue, reducing expenses, and improving customer satisfaction. Based on past experiences, the health care industry is on the brink of an inevitable change. This essay examines some of the trends that are likely to pose future challenges to the delivery of health care throughout the world. The first threat likely to be encountered by the sector is the rising health care costs. The costs are expected to hit the roof due to increased expenditures in the sector. Some of the dynamics that may lead to an increase in health care expenditure include a rise in the number of medical practitioners’ remunerations and increased state budgets for financing research...
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...been and are getting more complex, that we would somehow not make use of all of our assets....," Dr. Tuckson added. "It is past time for health policy and for healthcare institutions to not maximally benefit from the experience, the knowledge, and let me indicate not trivially, the compassion of nurses." Other areas in which opinion leaders would like to see nurses have more influence included increasing healthcare efficiency and reducing costs (84%), coordinating care through the healthcare system (83%), helping the healthcare system adapt to an aging population (83%), and improving access to healthcare (74%). "These opinion leaders recognize that nurses' experience at the bedside and our unique perspective on patient needs make us particularly well-qualified to shape healthcare policy and delivery systems to best meet patients' needs," panel member Mary Naylor, PhD, RN, FAAN, professor at the University of Pennsylvania School of Nursing in Philadelphia, director of the New Courtland Center for Transitions and Health, and program director of the RWJF Interdisciplinary Nursing Quality Research Initiative (INQRI), told Medscape Nursing. "Our focus on evidence-based practice as a way to ensure quality of care has already made significant improvements in the ways patients are cared for every day in hospitals and healthcare systems nationwide and across the globe," she...
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...waving of our hand or the simple wink of an eye and can convey much more than the written or spoken word (Hicks¸N. J Nicols, 2012). The basic elements of the communication process would include the communicator or the person delivering the message, the communicatee or the person receiving the message, the channel and the feedback (Gasparik, Abram, Lornicz, & Ceana, 2012). Equally important, communication or words have become the lifeline between the provider and the patient and has a great impact of the care of the patient (Hicks¸N. J Nicols, 2012). The instance of poor communication may result in chaos for both the provider and the patient when combined with technology (Hicks¸N. J Nicols, 2012). The objective of communication in healthcare is to send as well as receive a concise, clear message and many patients will judge their health care providers by their actions as well as their effective use of communication that would lead to taking the correct action (Gasparik, Abram, Lornicz, & Ceana, 2012). Similarly the care of patients involves many different individuals that all need to share patient information and...
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...newly insured Americans are discussed. The act also provides for professional training and development of advanced practice nurses to meet the demands of increased care and increased patient load. Keywords: healthcare reform, nursing education, nursing roles Significance Of Nursing In The Implementation Of Health Care Reform Healthcare reform has captured our time and attention during the past few months, it has been a long and heated discussion. As the healthcare and its underlying payment system evolve in the face of the new Patient Protection and Affordable Care Act; healthcare for all, a long time dream of many nurses, will be realized. This act requires all Americans to be covered by health insurance by 2014. Goals of the act are to not only enhance access to affordable care but also focus on wellness and prevention, bring care back to being patient centered, emphasize chronic illness management, assist patients in making informed choices and improving coordination of care. It also emphasizes distributing highly educated nurses closer to medically underserved populations and lays the ground work to help lessen the shortage of nurses, nurse practitioners and nursing faculty (Carlson, 2010). Every healthcare...
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...another. This is always evolving based on new experiences and knowledge. Through looking over time at the view point of humans, to personality tests, to personal development and lastly looking at optimal healing environments this paper will construct my professional presence and look at ways to improve my ability to care for others. A1. Models of health and healing: A comparison of 2 Eras In Dr. Dossey’s “A Conversation About the Future of Medicine” he discusses his theory of the progress of health and healing. He looks at how medicine changed from the 1860s the 21st century based on how the individual was viewed. He shows how the individual progressed from being looked at as solely a physical being with physical ailments to more modern views where we treat the person has a whole including their emotions and “spirit” or “soul”. He broke this progression down into 3 parts which were called “Eras”. An overview of the Era’s will show how medicine has progressed to look at the patient as whole not just a body with symptoms. Era I, also called “mechanical medicine”, began in the 1860s. In this era Dossey shows how patients were treated in a purely physical nature. He states that the, “prevailing view that health and illness are totally physical in nature, and thus all therapies should be physical ones, such as surgical procedures or drugs” (Dossey 1999). Thus the thought was if someone was having pain or other symptoms it was more related to something that was there that needed...
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...community is substantially large and is about to explode. Those born in the baby boom era following the end of World War II, between the years of 1946 and 1964 are just hitting the retirement age. We can expect to see our aging population grow and challenge our local health care facilities and the health care market in general over the next few years. Although the U.S. Census Bureau population estimates are not available for 2011 as of yet for our community, we can see on the quick facts chart below where we stood in 2010. People Quick Facts | Bullhead City, Arizona | Population, 2011 estimate | NA | Population, 2010 | 39,540 | Population, percent change, 2000 to 2010 | 17.1% | Population, 2000 | 33,769 | Persons under 5 years, percent, 2010 | 5.4% | Persons under 18 years, percent, 2010 | 19.6% | Persons 65 years and over, percent, 2010 | 23.9% | Female persons, percent, 2010 | 50.6% | (U.S. Census Bureau, 2012). As shown above, our small community grew by 17.1% over 10 years between 2000 and 2010. It is unknown how much that percentage could change between 2010 and 2020 based on the aging Baby Boomer population, but it is likely that it could double or even triple. Based on this information and that the cost of living is lower here than the national average our community is becoming a popular retirement destination. According to an article in Healthcare Financial...
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...profoundly impacted me as a human being. I believe that you must persevere through life’s trials and tribulations to attain your authenticity. To be an impactful leader in your life’s profession, you must understand the many and subtle nuances of the self. This self-awareness guides your professional presence as a human caring for your patients in a touching human way. Your everyday life experiences influence who you become in the future. Once you discover what inspires your soul, and you are expressing your truest self, your gifts of influence and guiding presence will shine through. Larry Dossey, MD defines the history of medicine into three models of healing spanning three eras of time. (Dossey, n.d.) Widespread beliefs about health and illness in the medical community during Era I in the late 1800’s were primarily focused on the physical body versus conquering the root cause of disease. Medicine was thought to be wholly scientific and mechanical in...
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...Report Bryan Bolser Grand Canyon University NRS430-V Professional Dynamics Timothy Houston July 20, 2013 Impact of 2010 IOM Report In 2010 the Robert Wood Johnson Foundation (RWJF) partnered with the Institute of Medicine (IOM) to author a study and a series of recommendations for a multifaceted approach to the improvement of nursing to coincide with the implementation of the Affordable Care Act (ACA). These recommendations include topics such as accessibility of care, disease prevention, education initiatives, collaborative care, and many others. The ultimate goal of the IOM report is to make specific policy recommendations at all levels from the institutional to the national level to improve nursing while moving into a new era of healthcare. (Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine [RWJF], 2010). For the purposes of this paper, I will focus on the impacts of the IOM report on three specific areas of nursing: education, nursing practice (primary care), and leadership. One of the more controversial recommendations made in the 2010 IOM report is related to education. It is stated that nursing education, due to a multitude of factors over the years has become very fragmented with many entry points into practice such as certificate programs, associate’s degrees (ADN), as well as baccalaureate degrees (BSN). The proposition put forward in the report is that the entire workforce of registered nurses...
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