...to treat a wide variety of pediatric health conditions.”1 Despite lack of support by the medical and scientific community, chiropractic treatment of children is growing in popularity, and more chiropractors are specializing in “chiropractic pediatrics.” The International Chiropractic Association offers a post-graduate “Diplomate in Clinical Chiropractic Pediatrics” (DICCP) and publishes a “peer reviewed” Journal of Clinical Chiropractic Pediatrics. The diplomate syllabus is a 30-module, 360+ hours classroom course during weekends over a three-year period. There is no hospital training and no contact with diseased or injured children — only a “mandatory observational/training weekend at a chiropractic center for special needs children under multi-disciplinary care.”2 A post-graduate certification in chiropractic pediatrics (CICCP) can be earned after 180 hours of classroom instruction. In a June 2008 joint press release, the American Chiropractic Association’s (ACA) Council on Chiropractic Pediatrics and the Council on Chiropractic Pediatrics of the International Chiropractors Association (ICA) announced that the ICA’s Diplomate in Clinical Chiropractic Pediatrics (DICCP) is now recognized by the ACA and its council as the official credential for specialization in chiropractic pediatrics.3 Noting increasing public support for chiropractic treatment of children, a January 2009 press release from the...
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...Health Care Career Report, Nurse Practitioner Victoria Crewdson Health Sciences and Related Studies, MDC Introduction to Health Care, HSC 0003 Health Care Career Report, Nurse Practitioner Introduction Many years ago I chose my studies to begin a career in the medical field. My original goal was to become a Pediatrician. However, at the end of my bachelor’s degree and after many hours spent volunteering at Miami Children’s Hospital, I decided that I wanted a career that would give me more patient provider interaction. I spoke with several doctors, nurses, and other health care providers and decided the best career for me was a Nurse Practitioner. I still have not decided on a specialty but I feel that path will come naturally with time spent in my studies. Job Description A nurse practitioner is a registered nurse (RN) who has additional education and training in a specialty area (see Figure 1). Nurse practitioners (also referred to as advanced practice nurses, or APNs) have a master's degree in nursing (MS or MSN) and board certification in their specialty. Nurse practitioners (NPs) have provided health-care services to patients for more than 40 years. The nurse practitioner role was introduced in the mid-1960s in response to a nationwide shortage of physicians. NPs provide primary and some acute care, and are qualified to meet the majority of patients’ health-care needs. They promote a comprehensive approach to health care and emphasize the overall health and wellness...
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...Translational Research C301 Cesarean Sections and Skin-to-Skin Erica Curry Western Governor’s University A.1. Identify and Describe a Current Nursing Practice within your Healthcare Setting that Requires Change. Willow Creek Women’s Hospital is located in Johnson, Arkansas. Willow Creek is a 38 bed hospital specializing in women’s health, including labor and deliver. Currently we practice skin to skin with our mothers and babies post birth for vaginal deliveries. Skin to skin is when an infant is put directly on the mother’s chest after delivery. The infant is dried off and assessed while on the mother’s chest. I work in the operating room and infants are taken to nursey after delivery. The mothers and infants are apart for two to three hours after delivery. I plan to initiate a skin to skin policy in the operating room during cesarean sections. Infants will stay with their mothers in the operating room and will have the opportunity to participate in skin to skin. A.2. Discuss why the Current Nursing Practice needs to be Changed. Approximately 30 percent of deliveries at Willow Creek are performed via cesarean section. Currently, when a mother has a cesarean section, mother and infant are separated for several hours immediately following birth. Separating mother and infant immediately after birth affects them both negatively. Mothers who experience skin-to-skin are more likely to exclusively breastfeed. Infants who experience skin-to-skin immediately...
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...website www.cdc.gov “In the United States, nearly half of all reported Hepatitis A cases have no specific risk factor identified. Among adults with identified risk factors, the majority of cases are among men who have sex with other men, persons who use illegal drugs, and international travelers.” 3. What is an example of a real life outbreak of this foodborne illness in the United States? (Share resource or in-text citation. Review the Writing Handbook.) There was a very recent outbreak of hepatitis A linked to frozen berries that sickened 118 people in 8 states. In one case, a woman received a call from Costco telling her that the frozen berries she bought there were linked to the outbreak. As a diligent person, she called her pediatrician to ensure that her children were properly immunized and she and her husband were both tested and the results were negative. Unfortunately, hepatitis A infections can take several weeks to show up in tests. Her husband did develop the infection, and because she prepared food for the graduation party of her son, there is the possibility that she infected others. People from 8 states complained of symptoms, they include: Arizona,...
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...The Electronic Health Record (EHR) is a electronic record of patient health information generated by one or more encounters in any care delivery setting. Included in this information are patient demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data and radiology reports. The EHR automates and streamlines the clinician's workflow. The EHR has the ability to generate a complete record of a clinical patient encounter as well as supporting other care-related activities directly or indirectly including evidence-based decision support, quality management, and outcomes reporting. A government-sponsored survey of the use of computerized patient records by doctors points to two seemingly contradictory conclusions, and a health care system at odds with itself. Skip to next paragraph A government-sponsored survey of the use of computerized patient records by doctors points to two seemingly contradictory conclusions, and a health care system at odds with itself. The report, published online on Wednesday in The New England Journal of Medicine, found that doctors who use electronic health records say overwhelmingly that such records have helped improve the quality and timeliness of care. Yet fewer than one in five of the nation’s doctors has started using such records. Bringing patient records into the computer age, experts say, is crucial to improving care, reducing errors and containing costs in the American health care...
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...RSV Season Is Just Around the Corner Prevention for High Risk Infants Is Best Option By Peggy Peck WebMD Medical News Reviewed by Dr. Tonja Wynn Hampton Sept. 29, 2000 -- For Kim Giarrizzo of Avon Lake, Ohio, her 6-year-old son Garrett, and nephew Kyle, 5, the last weekend of summer was no picnic. Over the long Labor Day weekend, both boys started showing symptoms of a cold, but at the midnight hour on Sept. 4, Kim was holding her feverish, wheezing son while listening to the irregular breathing of Kyle who was visiting. She suspected this was no ordinary cold. The next day, Kim and her sister Tammy Arthurs were at a local hospital emergency room with both boys, and although rare in the late summer months, both were admitted for treatment of suspected RSV -- respiratory syncytial virus. RSV is highly contagious and the No. 1 cause of acute lower respiratory tract infection, especially in early childhood. RSV season usually starts in November, peaks in January, and ends early in April. In most of us, RSV is just a bad cold, but among the very frail, such as babies born too soon, children with lung disease or the frail elderly, RSV can be a killer. For Garrett and his cousin Kyle, RSV put them in the hospital, taking oxygen for two days. For their mothers it was a frightening experience. Tammy's other son, Andrew, 3, was hospitalized for three days with RSV when he was just 5 months old. "It was very scary that time. I had never heard of this infection, and then the doctor...
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...Thesis statement: Research shows that breastfeeding is the best choice over formula because breastfeeding provides the infant with essential nutrients, helps with recovery from childbirth, and protects the infant against a number of chronic conditions. Annotated bibliography Baumgartel, K. L., & Spatz, D. L. (2013). WIC (The Special Supplemental Nutrition Program for Women, Infants, and Children): Policy versus practice regarding breastfeeding. Nursing Outlook, 61(6). 10.1016/j.outlook.2013.05.010 This article addresses the discrepancy of policy versus practice in the government subsidized program WIC. This article shows how even though the program is meant to support at risk mothers in breastfeeding, the numbers prove that a majority of their budget is spent on formula expenses. Very little of the budget is actually allocated to breastfeeding initiatives. The American Academy of Nursing members create and execute policy related initiatives to reform the American Health system. The academy has more than 2,400 members and is the established leaders in practice and research. They are advocates in healthcare policy making in Washington DC. This source will be relevant to the research paper because it will provide examples of the lack of funding for education and for initiatives for breastfeeding awareness and support, especially for the at risk population. Gianni, M. L., Roggero, P., Morlacchi, L., Garavaglia, E., & Piemontese, P. (2012)...
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...Temerlin(1968) and David Rosenhan(1973) supported some of the objections and criticisms of the anti-psychiatry movement. Rosenhan questioned the reliability of psychiatric diagnoses and accused diagnostic labels of impairing medical judgement. David Rosenhan carried out the study “On Being Sane In Insane Places” through which he wanted to prove that psychiatric diagnoses are not reliable (Rosenhan, 1973). For the first part of the study, eight sane participants (pseudo-patients) pretended to have auditory hallucinations in order to be admitted to psychiatric hospitals in different states across the United States. Participants for the experiment included three psychologists, one psychiatrist, a graduate student, a housewife, a pediatrician, and a painter. The only false information given for admission was their name, job, and the claim of recent auditory hallucinations. All other details regarding their relationships, life experiences, daily routines, and events of life were authentic. All of the patients were admitted to psychiatric hospitals and diagnosed as mentally disabled. After admission, pseudo-patients informed the staff that they no longer heard voices and felt completely fine (Rosenhan, 1973). Nevertheless, their claims were ignored and were forced to take antipsychotic drugs if...
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...Healthcare Risk Control Risk and Quality Management Strategies 4 Executive Summary VOLUME 2 July 2009 Key Recommendations Assess current activities in risk management and quality improvement to evaluate their effectiveness in addressing overlap. Establish a structure to ensure that patient care activities are addressed in a coordinated manner involving risk management and quality improvement functions. Seek legal counsel to ensure that the structure for risk management and quality improvement activities maximizes legal protections granted by state and federal statutes while allowing for the flow of information. Align risk management and quality improvement plans with the strategic goals of the organization. Educate stakeholders on the role of risk management and quality improvement functions. Design systems to coordinate and streamline data collection, analysis, monitoring, and evaluation. Risk Management, Quality Improvement, and Patient Safety In the past, the risk management and quality improvement functions often operated separately in healthcare organizations and individuals responsible for each function had different lines of reporting—an organizational structure that further divided risk management and quality improvement. Today, risk management and quality improvement efforts in healthcare organizations are rallying behind patient safety and finding ways to work together more effectively and efficiently to ensure that their organizations deliver...
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...Organization and Management of a Health Care Policy HSA 515 – Health Care Policy, Law, and Ethics August 13, 2015 With lives in their hands, hospitals have to function very precisely, executing high-quality services every hour of every day. Organizations that have this sort of requirement usually take on a vertical organizational structure that is having many layers of management, with most of the organization’s staff working in very specific, narrow, low authority roles. The numerous layers of management are designed to make sure that no one person can throw the system off too much. This structure also ensures that tasks are being done exactly and correctly. Organizational structure of a hospital refers to the levels of management within a hospital. Levels allow efficient management of hospital departments. The structure also helps one to understand the hospital’s chain of command. Organizational structure varies from hospital to hospital. Large hospitals have complex organizational structures while smaller hospitals tend to have much simpler organizational structure. A typical organizational structure of a hospital would usually be a combination of a hierarchical and divisional structure, since there is a chain of command where some levels are under another level, but employees are organized in departments or divisions that have their own roles. At the top of the structure would be the administrators, followed by the information services and therapeutic services. Both...
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...Oxford journals Impact of a community-based integrated management of childhood illnesses (IMCI) programme in Gegharkunik, Armenia Results The assessment confirmed the population's poor health status and limited knowledge and application of recommended child care practices. The campaign reached its target: at follow-up, 67% had seen media messages within the past month, 82% had received the IMCI informational booklet, and 30% had seen other materials. Evidence of the success of the programme included the following: exclusive breastfeeding increased 31.4%, maternal knowledge of child illness signs increased 30%, knowledge of HIV increased 28.5%, and physician attended deliveries increased 15%. Conclusions This evaluation documented the significant and substantial impact of the community IMCI programme on both knowledge and practice in rural areas of Armenia. Consideration should be given to continuing and expanding this project as a complement to health sector development activities in this region. Impact of a community-based integrated management of childhood illnesses (IMCI) programme in Gegharkunik, Armenia 1. Michael E Thompson1,* and 2. Tsovinar L Harutyunyan2 +Author Affiliations 1. 1 Department of Public Health Sciences, University of North Carolina at Charlotte, Charlotte, NC, USA. 2. 2 Center for Health Services Research and Development, American University of Armenia, Yerevan, Armenia. 1. * Corresponding author. Department of Public...
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...participant in the TeleStroke service, Falmouth Hospital was regularly honored for its adherence to best practices in stroke care. “Recently some Falmouth nurses asked how we can convince other MGH departments—such as in critical-care pediatrics—to provide similar telemedicine consultation services,” Farrell stated, adding “Their nurse stroke coordinator, Jean Estes, is a huge cheerleader for TeleStroke.” Dr. Schwamm continued moving toward his office as he replied, No tC Shawn, don’t we already have too much to do? I need to see patients, complete the analysis for a study I am working on, submit a grant application. Next week I will speak at an international neurology conference. Telemedicine can certainly be invaluable in many clinical domains, but there just are not enough hours in the day for us to get involved beyond stroke care. Before entering his office and shutting his door, Dr. Schwamm added one last remark: “We can’t do everything, Shawn—but we can do TeleStroke very well.” Shawn Farrell was not a medical doctor. A graduate of the Boston University School of Management, he had worked as an operational manager in several Boston area hospitals...
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...Also, cyberbullying has become a major problem in today’s society: cyberbullying is anything “that may be posting rumors or gossip, but it can elevate to personally identifying victims and publishing material that defames and humiliates them” (5 Reasons). Suicide has become the third leading cause of death among young children and teens. Around 4,400 young teens/children commit suicide every year; that doesn’t include the 440,000 who attempted to kill themselves (5 Reasons). This is all a ramification of cyberbullying, which is why some parents want to keep their children away from the digital world. In congruence with this, these devices are inhibiting kids desire to have real-life interactions with other people. Marjorie Hogan, a Pediatrician, said, “common sense tells me that if a child is lying on his own bed and texting friends instead of getting together” (5 Reasons). This is another major problem in today’s generation. Lisa Guernsey is the deputy director of education policy and director of the Learning Technologies Project. One day she was talking with her daughter and she said, “I know how easy it is to find negativity and hurt on the internet, it is also through the internet, on sites such as Tumblr, where teens often find comfort and can engage in discussions of how they are feeling” (Guernsey). Even though the internet can be harmful, teens in today’s society rely so heavily on it that they tend to not see the harm it can cause. Moreover, researchers have shown...
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...physiological consequences, such as fear and anxiety, post-traumatic stress disorder, increased risk of infections, and delayed wound healing. In addition, poor pain control may result in increased length of stay in the hospital, contribute to the development of chronic pain, and even lead to death (American Academy of Pediatrics [AAP] & American Pain Society [APS], 2001; Liossi, 2006; Schechter, Berde, & Yaster, 2003; Vincent, 2005; Zempsky et al., 2004). The purpose of this study was to evaluate the reliability and validity of the Norwegian version of the Pediatric Nurses’ Knowledge and Attitudes Survey Regarding Pain (PNKAS-N) in nurses who work with children in pain. The PNKAS was translated into Norwegian in accordance with international guidelines and pilot tested with 10 nurses. The reliability was estimated using Cronbach’s alpha coefficient and the test-retest method using Pearson’s r coefficient. Construct validity was established by comparing the scores of 79 nurses and 104 nurse specialists. Face and content validity were satisfactory. Acceptable levels of reliability were demonstrated by a Cronbach’s alpha coefficient of 0.71 and Pearson’s r coefficient of 0.83. The questionnaire discriminated between nurses and nurse specialists (p < 0.001). The PNKAS-N demonstrated adequate reliability and...
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...Hendricks County Promotion of Healthy Lifestyle with Nutrition and Exercise Faith N. Kirirah – 000328312 07/03/2014 HGT Community Health Practicum Western Governors University Assessment The fieldwork for this report is performed in Hendricks County in the state of Indiana, United States of America (USA). Community Hendricks County is located just west of Indianapolis, Indiana. This county boarders on Borne County to the north, Marion County to the east, Montgomery and Putnam Counties to the west, and Morgan County to the south. The county has a total area size of 408.78 square miles of which 406.91 square miles is land and the remainder is water according to 2012 United States Census Bureau. The estimated population of this county was 153,879 in 2013 with 90.4percent being Caucasians, 5.5percent Black/African Americans, 3.2 percent Hispanic/Latino, 2.3 percent Asians and the remainder covering other nationalities (Alaska Natives, American Indians, Native Hawaiian, Pacific Islanders, some other races and two/more races). This county benefits from easy access to the nearby cities and towns that it shares with the Indianapolis metropolitan area with. One major concern in this county is traffic that causes long travel times and congestion. Physical environment of this county is within acceptable standards according to the county health department. Several of the ditches in this county have been found to be contaminated with bacterium E. coli but with the increased...
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