...The U.S. Healthcare System HSA500 Health Services Organization Instructor: Denise Pica-Branco December 15, 2014 The U.S. Healthcare System Health care system is failing due to the lifestyle in which people live, how people are treated and how people treat others. Emmett Miller, a physician, psychotherapist, teach, musician, a highly respected innovator and clinician, is often acknowledged as a father of Mind/body Medicine. Miller believes that if health issues are approached from a more efficient or complete perspective, some of the underlying health issues that people have may not exist or continue. He also believes that emotional, mental, spiritual, behavioral, and social factors play a pertinent role in one’s health as well as in diseases. If these types of issues are addresses accordingly within the health care system, it would allow faster and/or complete healing while a larger portion of illnesses would be prevented as a whole. Some people’s perspective on health has been changed by Dr. Miller’s views as they have transitioned to the use of self-healing tools that he has developed. More and more people are beginning to realize that most illness and dysfunctions are not primarily caused by the external factors in which we believe, but are caused by our attitude, reactions, and emotions, as well as by out stresses and expectations. He believes that our health care system will continue to be in trouble if people fail to realize that patient participation is a crucial...
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... their medical and rehabilitation teams, and the broader healthcare system.2,3 Young people with disabilities face numerous barriers in achieving autonomy and independence, and they often need support from their family and community to make a successful transition into the adult world.4,5Almost two decades of study indicate that young people with disabilities and chronic health conditions do not have the same outcomes as their peers on such important domains as health status, academic achievement, interpersonal relationships, community participation, and employment. During the transition to adulthood, young people with disabilities are transferred from child- and family-centred systems, such as school and pediatric rehabilitation centres, into adult systems6,8 The importance of adequate preparation for young people with chronic health conditions and disabilities as they move towards adulthood has been identified by a joint consensus statement on healthcare transitions released by three American professional bodies representing pediatricians, family physicians, and internists.2 Whereas earlier consensus statements focused on transition from pediatric to adult healthcare institutions,9 recent publications promote a more holistic set of goals highlighting the need for services to maximize lifelong functioning, not just preparation for a new healthcareenvironment. 2,10 Although the idea of a holistic, functional approach to adult transitions for young people with disabilities is...
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...continue to make a significant impression not only on students but nurses as well. Many of the recommendations of Florence Nightingale can be applied regarding present day nursing practice. One approach by Florence Nightingale that has made a significant impact on a current recommendation of nursing practice is the attention to the health and wellbeing of every aspect of an individual. For one to function in an optimal way all aspects of an individual must be cared for instead of just the...
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...collaboration of philosophies, other healthcare disciplines or fields, religious beliefs, and most importantly documented personal or professional experiences. The advancement of practice, pharmaceuticals, and technology have transformed nursing into a more complicated science. Nurses are expected to do more with fewer resources and the patient-centered care vanishes in the mix, but patient advocacy is imperative to nursing. As stated by Selanders and Crane (2012) “modern nursing is complex, ever changing, and multi-focused. Since the time of Florence Nightingale, however, the goal of nursing has remained unchanged, namely to provide a safe and caring environment that promotes patient health and well-being. Effective use of an interpersonal tool, such as advocacy, enhance the care-giving environment.” This paper will focus on the nursing theorists that have continued to emphasize advocacy through effective communication and interpersonal relationships. Florence Nightingale-Environment Theory Known as the founder of modern nursing, Nightingale is the theorist that most nurses can readily recall. Her desire to treat patients with a holistic approach has been influential to nursing advancing from an art to a science. Her theories have been studied and mimicked since 1860 when the first nursing school opened in London, Nightingale School of Nursing at St. Thomas’ Hospital. Nightingale’s holistic approach is still relevant in practice. Holistic care encompasses mind, body...
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... HEALING HOSPITAL: A Daring Paradigm As I ventured reading about the Healing Hospitals, I became very appreciative and enthusiastic about the very concept. It only made me realize that we have come one full circle to integrate and merge spirituality, alternative and complimentary medicine with traditional practices to enrich patient care. In today’s world that is so commercialized, this integrated approach revitalizes the very intension of the medical mission by considering the subject as a whole person. It does not renounce the modern medicine but recognizes the spiritual components of healing and wholeness. None of us would disagree with the fact that compassionate care is a golden thread for complete cure. Characteristics of Healing Hospital:(components of healing hospitals) ‘Healing Hospital’ is a formalized approach to healing and it has three vital components as follows: 1.A healing physical environment 2.Integration of work design and technology and 3.A culture of radical loving care. This is a holistic approach that meets not only patient’s physical needs but their emotional and spiritual needs as well. As per wftv.com news(Feb, 2008), Parrish Medical Center was the #1 Healing Hospital for third straight year, and its CEO George Mikitarian was awarded too. According to Erie Chapman the President of the Baptist Healing Trust, the Trust uses six criteria to define a Healing Hospital as follows. 1. Work is done out of a passion to care for...
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...World Religion and Healthcare Jane Smith Grand Canyon University Spirituality in Health Care HLT-310V No Name May 23, 2014 Abstract The goal of this paper is to educate healthcare providers on a few of the basic needs of patient’s practicing Hinduism, Shintoism, and Native American cultures. A theme develops as one expands their worldview and becomes competent at creating an open dialogue with patients. Learning to have respectful conversations regarding spiritual needs will prove fulfilling for the provider and patient. Once one understands needs and barriers to care we are able to provide a spiritual and holistic experience. Exploring spiritual needs such as prayer and meditation and giving patients the opportunity to practice those in a healthcare environment is respected. Exercising additional patience and being willing to think outside the box will be the difference between competent care and compassionate care. World Religion and Healthcare Throughout a career an American nurse will come across a diverse patient population. The Christian nurse will have opportunity to educate and be educated on many cultures and religions that exist in our country. Becoming culturally competent is not only encouraged but a necessity. A lack of understanding of one’s own and one’s clients’ world views results in frustration and anxiety for both the helper and the client (Richards & Bergin, 1997, p. 50). This paper will provide a comparison...
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...Management Focusing on Acute Pain: A Multidisciplinary Concept Analysis The concept of managing acute pain is extremely significant to nursing as pain is one of the most common problems for which patients seek out health care resources. Pain is a complex and abstract concept that encompasses sensory, emotional, psychological, social, and spiritual perceptions of pain that may occur in combination with physical pain. Pain is difficult to describe and often hard to measure; although, most healthcare providers agree that pain is subjective and is to be measured qualitatively and quantitatively as the patient perceives its intensity. Pain can affect the quality of life of the individual by impacting them physically, emotionally, and financially. Pain can also impact the family and support systems. The treatment of pain and the loss of income due to pain increases the costs for health care, the individual, and the population. Analyzing and clarifying the concept of managing acute pain can increase the healthcare provider’s knowledge of acute pain management, define the concept of managing acute pain, and expand the understanding of the concept of managing acute pain. The aim of this analysis is to clarify the defining attributes of managing acute pain, identify antecedents that influence the perception of pain and the possible consequences of acute pain. Review of Literature To increase the understanding of the concept of managing acute pain, it is important to explore the definitions...
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...comprehending this term is to think of a harmonious blend of mind, body and spirit (Zborowsky and Kreitzer, 2008). The human spirit is what strengthens an individual and what enhances healthy coping mechanisms when an individual encounters stressors, challenges or illness (Dunn, 2010). Many patients possess spiritual feelings and beliefs related to their capability to cope with illness. Acknowledging patients’ spiritual necessities in the healthcare environment fosters satisfaction with caregivers and increased compliance with care plans (Galanter, Glickman, Dermatis, Tracy and McMahon, 2008). Healing differs from curing, which implies problem solving, eliminating disease and diminishing symptoms (Zborowsky and Kreitzer, 2008). The purpose of this paper will define the components of healing hospitals in relationship to spirituality, challenges of creating a healing environment and a biblical passage that supports the healing hospital concept. The healthcare industry has transitioned from a physical treatment-based model to a holistic healing approach despite current scientific and spiritual conflict. Customary forms of treatment have been replaced by the “Radical Loving Care” paradigm. This dignified methodology of healing focuses on three definitive components: technology, physical design features and a culture of care. Historical...
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... | |Kundan Iqbal | |Newcastle University | |“…every living person has his own peculiarities and always has his own peculiar, personal, novel, complicated disease…’TOLSTOY | The importance of holism The term ‘holism’ was coined by philosopher Jan Smuts in 1926, derived from the Greek hólos, meaning ‘whole’[1]. Aristotle captured the essence of holism in his Metaphysics when he stated ‘the whole is more than the sum of its parts’. Applied to healthcare, holism is the art and science of caring for a person in a way which considers all aspects of their body, mind, spirituality and emotional state in relation to “[other] individuals, the environment, or populations, either separately or in various combinations”[2]. In the traditional biomedical model, health is simply viewed as absence of pathology alongside normal function. Treatment or cure involves drugs, procedures and surgeries, prescribed by a knowledgeable physician. Essentially arising as a reaction against biomedical reductionism, a model of medicine in which patients are arguably viewed...
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...The term holistic can have a plethora of meanings, but is defined in the Journal of Holistic Nursing as an understanding of the larger picture of an individual as opposed to looking at each section (Beck, 2010). For one to function in an optimal way, all aspects of an individual must be cared for instead of just the physical component. Nightingale was one of the first to recognize this and recommend other areas be considered when providing care such as the spiritual, emotional, mental and social aspects of an individual. Not only did Florence Nightingale encourage encompassing care of soldiers but also preventative care as well. Nightingale was one of the first to use health education as an approach to improve upon the general well health of the community????? This is commonly termed in today’s medical model as embracing a holistic community approach to...
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...Professional Presence and Influence Understanding the self and being self aware have a huge significance to the care given to patients. Every person is made up of many different experiences, beliefs, mental, physical and spiritual elements, age, gender and background. When put in the context of a healthcare professional these elements have a direct effect on patient care and outcomes. When the healthcare professional understands the self it assists in providing an optimal outcome. When we are aware of our beliefs and positions in the world we can be cautious of how we approach a certain patient population and ultimately the care they receive. Professional presence, personality, mindfulness and healing environments will be discussed along with my personal response. Professional Presence Era I versus Era III As the western world has advanced in medicine Larry Dossey has identified three eras to give context to how medicine has advanced in function. (Koerner 2011). In Era I, as science was being incorporated to medicine, it was noted that health and illness was purely physical in nature and treatment. The methods of treating an illness focused entirely on the body, for example, administering medications or performing surgery. Health was understood as an absence of disease. The physical nature of the disease was all that was taken into account. The idea of consciousness was limited to the chemical, anatomic and physiological location in the brain. (Koerner 2011). Era I is very...
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...Seventy percent of healthcare deaths are due to patients with chronic illness and this percentage is expected to rise over the next few years (Kuziemsky, Borycki, Purkis, Black, Boyle, Cloutier-Fisher, & Wong, 2009). Holistic and palliative care involves assessing the totality of the person, which includes examining the emotional, physical, social, and spiritual needs of the patient (Matzo & Sherman, 2015). As this family is of Chinese descent with complicated needs, it would have been beneficial to integrate an interdisciplinary approach to holistic care. In the healthcare arena, interdisciplinary teams lead to improved patient outcomes by providing expertise in cases with multifaceted healthcare needs (Kuziemsky et at., 2009). McCorrey & Mason (2011) document that patients and families from other cultures may have limited understanding of the English language. Mr. L. and his family are having difficulty understanding the hospice nurse, especially in regards to Mr. L.’s eating. Therefore, the use of an interpreter may have aided this family in understanding the progression of his disease and...
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...One of the most significant discussions taking place in the field of psychiatry and medicine, is the use of holistic treatments. These discussions have opened a window of opportunity to discuss different options pertaining to our own healthcare, but the looming question is, which treatment is truly going to be the best decision. With the popularity of the holistic approach, society has started to vilify conventional medicine. On the one hand, I agree that in the realm of holism, there are a few naturalistic remedies that can be administered with less side effects. On the other hand, I still maintain that it is only rational to seek out a licensed medical or psychiatric professional pertaining to any conditions that require conventional medicine....
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...Running head: Healing Hospital 1. Introduction Healing hospital is a place or rather a holistic and integrated environment where "Healing will take place more quickly, thoroughly, and meaningfully" with the entire staff ".... charged with the promotion of healing by creating an overall healing environment" (Jacobs, 2009). In essence therefore the healing hospital differs from the conventional hospital in that it provides for a multitude of levels of advancing the healing process; which includes, the community, the staff and a variety of technical and design aspects for placing healing into an advantageous context. Therefore, a healing hospital will provide not only for the physical aspects of healing but will also make provision for the psychological, social and spiritual aspects that integrate the various components into a comprehensive and inclusive process. In this sense the healing hospital has been described as an overall healing environment 2. Components of a Healing Hospital The healing hospital has been associated with the vision of a "Culture of Health" and with a more daring and innovative approach to healthcare than is usually the norm in our complex and often overly specialized and compartmentalized world (MCDH Adopts “Healing Hospital” Wellness Program). One of the central components of this culture of health is education. The education process is used in an integrated way to assist patients in the hospital as well...
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...desired purpose. “When we heal people, we very often notice that the disease may not disappear. Yet, somehow we have the feeling that we did help that person” (Quanten, P. 2002). A paradigm means a certain way of thinking about something that is generally accepted. It can also mean a standard, or a routine method of achieving a result. Sometimes we may declare words such as “model”, “example” and “pattern” as synonymous with paradigm (Swarup, D. 2011). With that, we can then say that the concept of “Healing Hospital: A Daring Paradigm” is a concept of healing in a revolutionary pattern of care that is not our usual and traditional method of caring but generally accepted. Young and Koopsen indicated that the healing hospital paradigm is a holistic concept that that involves more than just curing a disease process. In the Healing Hospital, the paradigm focus is the client, the families and significant others. It addresses physical, psychosocial and spiritual needs of the patients. The paradigm in the Healing Hospital component is our ability to change the environmental stressors of our client to bring about a natural and desirable healing force. Components of Healing Hospital The fundamental concepts of the...
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