...preventing the incidence of diseases, hospital stays as well as complications (Potter). Currently 20% of the population suffers from a chronic or acute illness, these people account for 80% of our health care costs (Potter). With an added emphasis on early health promotion at the primary care level we can lower these rates to less than 20%. With health promotion at the tertiary and secondary level we can then lower the 80% level with the health care costs so they can be dispersed throughout the different types of health care costs. Health promotion is found within all levels of health care. These levels are known as tertiary care which is care that is usually given in a hospital or rehabilitation center to give care to patients whom are suffering from permanent disabilities or illnesses to bring them to the most optimal level of health. Secondary care is care that is given by a specialist or hospital such as emergency room care, radiological procedures, and med surge hospital care. Primary care is that given by ones primary care physician to prevent illness or treat a problem such as exercise programs, family planning, nutritional counseling and prenatal care (Potter). The purpose of health promotion in the nursing practice is all the same throughout the different levels of health care. It is all to improve the patients’ health and wellbeing for both current problems as well as potential problems. Nurses are at the forefront for health promotion at the secondary level. They are there...
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...Windshield Survey Summary and Reflection There are many definition that define the community. The World Health Organization (WHO) refers to the community as “ a group of people, often living in a defined geographical area, who may share a common culture, values and norms, and are arranged in a social structure according to relationships which the community has developed over a period of time” (Stanhope & Lancaster, 2012, p.397). The healthy level of the community is called public health, and the responsibilities of public health include assessment, policy development, and assurance (Stanhope & Lancaster, 2012). Goals for public health are to promoting healthy status of the community as well as maintaining the community in a balanced healthy environment. The nurses who are employed by either private agencies or government departments to promote community health are the public health nurse. The public health nurse is to serve the community as the client by using the population-centered practice to seek beneficial health changes for the whole community (Stanhope & Lancaster, 2012). While working in a community-oriented nursing practice, it is important to work with the community partnerships like professional groups or non-medical groups to help promoting community health. The community that the student conducted the windshield survey is in the city of San Gabriel, Southern California. The City of San Gabriel is home to a population of more than 42,000 with a diverse...
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...atrial fibrillation in a primary care setting. I will discuss the patient’s original presentation, including analysis and interpretation of his 12 lead electrocardiogram (ECG), diagnosis and subsequent management. Throughout the assignment I will discuss local and national guidelines and the evidence behind the chosen management for this client. For the purpose of this assignment the client will be referred to as Mr. Jones. Cardiac arrhythmias affect more than 700,000 people in England is one of the top ten reasons for hospital admission (Department of Health 2005). Atrial fibrillation (AF) is the most common and important cardiac arrhythmia, it the most common of all the arrhythmias seen in general practice. AF affects 5% of the UK population over the age of 65 years, rising to 10% in those over 75 years of age (Kirby 2005). The principal significance, both to the patient and the healthcare system is the increased risk of embolic stroke. Atrial fibrillation is associated with 15% of all strokes and with 36% of strokes in patients over the age of 60 (Hobbs 1999). Having a diagnosis of AF increases the risk of stroke five fold. It is an arrhythmia associated with serious morbidity, mortality and health service utilisation. AF and its complications now consume 1% of the United Kingdom National Health Service budget (Watson, Shanstila, and Lip 2007). Despite this it is an area that frequently remains unrecognised in general practices. Within primary care AF is an area that has...
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...Health Promotions: Primary, Secondary and Tertiary Beth Fleming Grand Canyon University April 03, 2014 For many years, health promotions and prevention has been the focus for healthcare providers, especially nurses. Health promotion seeks to improve a person or population’s health by teaching about and helps people become more aware of risky behaviors associated with different diseases. It encourages individuals to take preventative measures to prevent onset or worsening of a disease or illness. It encourages a healthier lifestyle (Edelman & Mandle, 2010). The strategy is to help people make health improvements or prevention before illness occurs. Health promotion is one way in addressing health determinants such as developing personal skills, strengthening the action of communities and providing a supportive environment for health. Health promotions help to address issues that are controllable by individuals. In redirecting illness financial burdens can be reduced keeping patients and the government from having to pay to cure the illness or disease. Nurses work in all three levels of promotion and prevention (Edelman & Mandle, 2010). Nurses teach to prevent illness, work with the specialist to help lesson further illness and work in the hospital at the bedside caring for patients that have developed a chronic illness. In many areas of the world there has been a lot of evolution in the nursing field. Nurses...
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...the abstract of the document here. The abstract is typically a short summary of the contents of the document. Type the abstract of the document here. The abstract is typically a short summary of the contents of the document.] Electronic Discharge Summary EXECUTIVE SUMMARY Electronic Discharge Summary EXECUTIVE SUMMARY S. CHANDE, C. CHAHAL, N. GANDHI, A. HUSSEIN, K. MANOHARON. N. NURU S. CHANDE, C. CHAHAL, N. GANDHI, A. HUSSEIN, K. MANOHARON. N. NURU THE PROPOSAL There were 15 million discharge summaries produced for admissions into hospital last year. A staggering 80% of these were found to be inaccurate or incomplete and another 70% of these were reported as being severely delayed on a regular basis. This compromise to clinical care and patient safety is simply unacceptable. Our empirical market research has found that the majority of junior doctors, the principal users of discharge forms, were unhappy with the current systems in place. It has also been reported that on average junior doctors spend more time carrying out admin duties than in formal training and teaching sessions. There are electronic discharge systems present however, these have been described as insufficient as they lack comprehensive coding and in some circumstances have actually lengthened the process. The current problems with discharge summaries have resulted in extended patient stays with consequent unnecessary bed blocks. The national programme for IT had a vision for standardising...
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...When reviewing and discussing Williams situation from the perspective of traditional psychology, I can't help but be focused first, on improving the problems that exist in Williams daily life that cause him to feel that his life is pointless. In Williams' case just from the reading, it would be safe to say that William needs help in improving these symptoms. According to the reading, William suffers from many different symptoms. These symptoms include rarely seeing his two daughter due to a divorce, having issues with weight gain, and his appearance-which have caused decreased energy with no motivation to fix it on his own, he suffers from the lack of sleep due to worries about business problems, along with no social life outside of work. To top it all William has just recently been diagnosed with high blood pressure. As you can see William is at a very low point in his life and if I had to be the one to diagnose William, I would say that William suffers from a major depressive disorder along with an anxiety disorder. In my recommendations, I feel that it would be in Williams best interest if he were treated for his problems with some intensive therapy for his personal issues that he is battling along with some medication for the anxiety and sleepless nights. I further feel that maybe William could try some over the counter vitamins for his lack of energy. In doing so, I feel that William will begin to feel a lot more self-sufficient in his social life as well as his...
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...Health Care Name: Institution: Healthcare ( (or human services) is the finding, treatment, and avoidance of malady, disease, harm, and other physical and mental weaknesses in individuals. Access to health awareness shifts crosswise over nations, gatherings, and people impacted by social and monetary conditions and, in addition, the wellbeing strategies set up. Nations and wards have distinctive policies and plans in connection with the individual and populace based social insurance objectives inside their social orders. Medicinal services frameworks are associations made to meet the wellbeing needs of target masses. Their definite setup fluctuates in the middle of national and subnational elements. In a few nations and wards, health awareness arranging is disseminated among business sector members, though, in others, arranging happens all the more halfway among governments or other organizing bodies. In all cases, as per the World Health Organization (WHO), a well-working health care system requires a stable financing ; a uniquely prepared and satisfactorily paid workforce; solid data on which to base choices and approaches; and decently kept up wellbeing offices and logistics to convey quality pharmaceuticals and advancements. Health awareness can add to a critical piece of a nation's economy. While the meanings of the different sorts of human services fluctuate relying upon the distinctive social, political, authoritative and disciplinary viewpoints...
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...Social prescribing in general practice: adding meaning to medicine ‘There are few things we should keenly desire if we really knew what we wanted.’ Francois de la Rochefoucauld (French writer 1613–1680) Social prescribing is about expanding the range of options available to GP and patient as they grapple with a problem. Where that problem has its origins in socioeconomic deprivation or long-term psychosocial issues, it is easy for both patient and GP to feel overwhelmed and reluctant to open what could turn out to be a can of worms. Settling for a short-term medical fix may be pragmatic but can easily become a conspiracy of silence which confirms the underlying sense of defeat. Can or should we try to do more during the precious minutes of a GP consultation? Where there are psychosocial issues GPs do suggest social avenues, such as visiting a Citizens Advice Bureau for financial problems, or a dance class for exercise and loneliness, but without a supportive framework this tends to be a token action. The big picture difficulty with leaving underlying psychosocial problems largely hidden in the consulting room is the medicalisation of society’s ills. This ranges from using antidepressants for the misery of a difficult life, to the complex pharmaceutical regimes prescribed to patients with obesity and type 2 diabetes. This sort of medicalisation may help immediate problems (including driving the economy through jobs in the healthcare industries) but it is not enough if our society...
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...Visiting a primary health care provider as a medical professional can be an interesting and sometimes profound experience. My situation was certainly not unique. I had been having low back for quite some time and it was recently exacerbated while playing tennis. I was unable to stand for any length of time and could not sleep prone or flat on my back. I also had shooting pains down my right leg. I was very concerned about long term health and the potential of “chronic back pain”. My ultimate goal was to get a referral for an MRI to determine the extent of the injury. I would also request a muscle relaxant to assist in relieving the pain. It’s very interesting and sometimes odd going to the Dr.’s office as a patient. As a nurse and medical professional we are so accustomed to obtaining the medical history, vital signs, and asking all the other questions, that when roles have been turned, it can become a little uneasy or we find ourselves using a critical eye. My last time I visited a primary care physician was quite some time ago, but it was indeed an interesting experience. It wasn’t terribly busy, but the check in clerk appeared though she didn’t have a lot of time for me, gave me a clipboard, and instructed me to fill out the paper work and then return. She was professional but short and made very little eye contact. When I returned the paperwork she took it without making eye contact and asked me to take a seat once again. As an ER nurse who often triages patients...
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...for profit, 100bed hospital, acute care, and teaching facility based in Northwest Washington, DC. It is a medium sized private hospital in the nation’s capital and among the top 30 teaching hospitals in the United States. The Hospital Center was founded in April 1990 and is the flagship facility for the DMV Healthcare System. It offers primary, secondary and tertiary care to adult and neonatal patients. The clinic is owned by DMV healthcare System but operates independently of the parent organization. The facility provides inpatient and out-patient care and located at 1210 Johnson Street, NW, Washington DC, 20012. The culture of the organization is “Patient first” and the promise is to embody the concept in all aspect of care. The building houses the hospital, a primary care and a subspecialty care section with eighteen (18) examination rooms with a total of approximately six (6) attending doctors and three (3) nurse practitioners at any one time, approximately twenty (20) residents serving for at least three years at a time. A Registered Nurse serves as the director with the help of an administrative manager. Three (3) nurses serve as supervisors with one charge nurse for each section. Below the nurses in terms of hierarchy of twenty (20) medical assistants (MAsclinical), approximately eight (8) medical office assistants (MOAsclerical). The doctors and nurse practitioners provide diagnostic and therapeutic services, interdisciplinary care coordination, patient education and...
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...Running head: FAMILY HEALTH ASSESSMENT Family Health Assessment Revathy V. Anderson NRS 429V Grand Canyon University Instructor: Cherryl Llanos March 15, 2012 Family Health Assessment Family health assessment helps to collect information on different aspects of life of a family and recognizes the risk factors before it progresses into a complication. Gordon’s 11 functional health models “is a tool used in collection and organization of health data of families so that an accurate authentication and communication can be established” (Edelman & Mandle, 2010). This paper will identify positive and negative health characteristics of “Kurup” family. Family Dynamics The family members are four multiracial people. Father JK is 39 years old, mother RK is 30 years old, and they have two boys MK, 11 years and VK, 11 months old. JK and RK are married for 5 years. They both work fulltime, MK is in elementary school. Parents work opposite days and stay home with the kids as much as they can. Values, Health Perception JK stated their values and beliefs are strong. They also said they have very strong family relation, they are Hindu followers, and they like to attend the temple at least once a week, even though they are living in another country they like to keep their traditions. They all pray at night before they go to sleep. Family likes to spend time together as much as they can. JK stated the...
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... 2. Is your family very private about going to the bathroom? 3. Does anyone in your family suffer from elimination problems? Activity/Exercise 1. Would you say your family is active? 2. How much time is spent on video games or the internet daily? 3. How do you and your family get daily exercise? Cognitive 1. How does your family make decisions about health promotion and disease prevention? 2. Who makes the decision about when to seek health care? 3. Do you have a family physician and have regular checkups? Sensory-Perception 1. Does anyone in your family have difficulty seeing or wear glasses? 2. Does anyone in your family have difficulty hearing? 3. Does anyone in the family drink alcohol, smoke, or use drugs? Self-Perception 1. What changes would you like to see in your family? 2. What kinds of feeling do family members have for each other? 3. What would change about raising your children? Role Relationship 1. Who is the primary caregiver of the family? 2. How do you manage daily living? 3. How are household tasks divided? 4. Who all lives in the home? Sexuality...
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...Dr. Martin’s Office 1 Seeking a Referral The Professor was not feeling well. In fact, on that Tuesday afternoon, he felt tired and generally “down” physically. During the 15-minute drive home from work, he developed slight nausea and gastric discomfort. When he reached home he headed for the bathroom. For the next several hours, he experienced severe diarrhea and recurring waves of nausea and vomiting. After a few hours, the nausea had subsided somewhat, but the gastric distress persisted through most of what proved to be a long night. On the following morning, the Professor called the office of his primary care physician, Dr. Martin. Dr. Martin’s nurse, Betty, came on the line. The Professor detailed his physical problems of the previous night. “Betty, the nausea is pretty much gone, but the gastric discomfort is quite severe. I really feel that I need to see a doctor.” Betty replied, “Dr. Martin is booked solid all day, so it would be hard to see him.” “Betty,” the Professor said, “I really feel that I need to see a doctor. Suppose I go to the HealthCheck Clinic. It’s close by, and I’ve always gotten good service there. Could the doctor refer me so that the University’s insurance would cover the visit?” Betty’s voice took on a doubtful and clinical tone. “The doctor would not refer you to the clinic. However, I can ask him to prescribe something for the diarrhea. We’ll call your pharmacy and place the prescription.” Slightly perturbed, the Professor said,...
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...ภายหลังการเรียนการสอน นักศึกษาสามารถ 1. บอกหลักการและลักษณะงานเวชปฏิบัติครอบครัว รวมทั้งความเชื่อมโยงระหวางเวชปฏิบัติ ปฐมภูมิ (Primary Care) และเวชปฏิบัติครอบครัว(Family Practice) 2. บอกแนวทางการซักประวัตผูปวยแบบองครวม (Holistic Approach)ได ิ 3. แสดงการใชเครื่องมือพื้นฐานทางเวชศาสตรครอบครัวในการรวบรวมขอมูลสุขภาพองครวม ของผูปวยไดอยางถูกตอง เครื่องมือดังกลาวไดแก เครื่องมือครอบครัว (Family Tree) ผังครอบครัว ตามกาลเวลา (Time Flow Family Chart) 4. อธิบายความหมายและองคประกอบของระบบครอบครัว (Family system) หนาที่ของครอบครัว (Family Function) วงจรชีวิตครอบครัว (Family Life Cycle) ได 5. บอกแนวทางการประเมินสุขภาพครอบครัว (Family Health Assessment) ได 6. วิเคราะหความสัมพันธของการเปลี่ยนแปลงวัยของครอบครัว (Family Morphogenesis) และผลกระทบตอสุขภาพปจเจกบุคคล 7. เชื่อมโยงสภาวะสุขภาพระดับบุคคล (Individual Health) กับสภาวะสุขภาพระดับครอบครัว (Family Health)ได วิธีสอน : การบรรยายพรอมฝกปฏิบัติในชั้นเรียน วิธีประเมินผล : 1. ขอสอบขอเขียน MCQ และ SAQ ลงกอง 2. ขอสอบ Comprehensive Exam ของคณะฯ 3. การมีสวนรวมในชั้นเรียน เอกสารประกอบการสอน เรื่อง ความรูพื้นฐานดานเวชศาสตรครอบครัว (Overview Concept of Family Medicine) ผศ.พญ.สายพิณ หัตถีรัตน ความสัมพันธระหวางเวชปฏิบัตปฐมภูมกบเวชปฏิบติครอบครัว (Primary Care and Family Practice) ิ ิั ั ในการพัฒนางานของระบบสาธารณสุขมูลฐาน(primary health care) และงานบริการแบบเวชปฏิบติ ั ปฐมภูมิ (primary care) ใหประชากรไดมโอกาสรับบริการดานสุขภาพที่เทาถึงและเทาเทียมตามกฏบัตร ี ออตตาวา มีการพัฒนาตอยอดจนสามารถดําเนินการใหมบริการที่เฉพาะเจาะจงกับความตองการของแตละ...
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...Summary of Findings The Professor felt ill and decided to go home but during the drive he experienced discomfort and in the succeeding hours experienced severe diarrhea and persistent nausea and vomiting. Eventually the nausea ceased but his stomach was still upset. The following day he called Dr. Martin, his primary health care physician. Betty, the doctor’s nurse assisted him over the phone and after the professor explained his condition she told him that Dr. Martin cannot see to him because of his packed schedule. The professor asked for a referral to go to the HealthCheck Clinic but the nurse declined claiming that Dr. Martin is not willing to send him there and was instead prescribed with medicine for the diarrhea. The prescription was placed in the pharmacy for the professor to pick up. Unsatisfied, the professor called up Candy, the director of the Employee Benefits Office, but Wendy picked up and relayed everything to Candy who then expressed her surprise and distress over the situation. She too did not understand that the request for a referral was denied as the professor asked for it. The professor picked up the medicine from the pharmacy, drove home, took a pill, and went to bed. The following day the diarrhea was under control but the gastric discomfort was still a problem. He decided to go to work but in the afternoon he gave up and went home. He called Dr. Martin’s office and once again Betty answered the phone. She informed him that the doctor is out all...
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