...Holistic Family Care plan for Terminal Cancer Diagnosis Tonya Y. Chadi Western Governors University Holistic Family Care plan for Terminal Cancer Diagnosis A. Personal Perceptions This author’s personal perceptions concerning patients facing a lingering terminal illness, have been shaped by over 20 years of critical care nursing experience. Facing death and illness on a daily basis requires self-examination and a high degree of comfort with one’s own mortality, limits and values. Constant exposure to the fragility of life forces respect for the whole person and the people who love them. A general approach to patients who are actively dying is to allow them to define what they want and need during this time. The nurse’s role is to support what is important to the individual. Nursing care is tailored to support patient defined goals. The person who is actually experiencing the journey should be the one who defines suffering, and how their limited time will be spent. Nursing can teach both the patient and the practioner that knowing the end of life is coming can be a great blessing. This knowing that time is limited can allow healing and reconciliation not possible at any other time in a person’s life. The death of a loved one is not just about the loss of the individual, it is also about one’s own mortality. Nothing else can force surrender and acceptance like the illness and death of a close family member. B. Strategies to Improve Quality of life for Mr...
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...Community Health Assessment Szt Task 1 Community Description This city of Port Orange is located in Central Florida, in Volusia County. Dr Milton Hawks arrived during what was actually the second wave of settlers to explore what is now known as Port Orange. He is also credited with giving the settlement its name. It was incorporated April 26th of 1867. As of the U.S. census there were 56,048 residents of the growing city. The city’s total area is 28.7 square miles, of which 2.0 sq miles are made up of water and 26.6 sq miles are land. Port Orange is a beautiful city on the East Coast of Florida, home of the World’s most famous beach. With average temperatures in the 80-90s in the summer, many Port Orange residents enjoy the beaches, creeks and rivers with less than a fifteen minute drive to reach their favorite destination. Demographic Port Orange’s race makeup is predominately White at 91.3%. African Americans or Blacks make up 3.3%, Native Americans .03%, Asians 2.2%, Hispanic 4.5%, and 1.8% are of 2 or more races. Of the 56,048 Port Orange citizens, 21,831 or 47.6% are male and a higher female population of 23,992 or 52.4%. 44.6 is the average age, with an average income of around $43,419 (year 2012) (Census.gov). The population of Volusia residents, as a whole, living under poverty level is about 15%. Port Orange has seen a 19% increase of population since 2000. Port Orange is predominately a working class community with the leading employment coming from...
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...The Roles of Health Personnel in Disaster Management When a disaster occurs the public health personnel must ready, prepared and organized in order to help the community. Public health personnel are better prepared and will perform tasks more effectively with the proper training. The roles of the public health personnel vary but are all focused on one goal: the overall well-being of the community. An experienced public health nurse is very important when a disaster occurs, they need to have specific knowledge in managing every phase of a disaster and disaster preparedness as well as the resources that are available to the community, the community demographics and the overall health status of the community members. The nurse needs to keep a detailed record that reflects the vulnerability of the community, provide education to ensure the population is able to cope with the impact a disaster will create in their lives, and monitor and review the resources in the community that will be needed during a disaster such as water, food and clothing. The public health nurse needs to ensure the safety of the environment and monitor and report any evidence that may pose an environmental hazard. The nurse has a responsibility teach proper good hygiene to the community members, ensure their immunization record are up to date, and also refer them to mental health professional when there is need (Patidar, 2013). When a disaster occurs, the fire department and fire services are responsible for...
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...Community and Population Health By Malka Molly Hayman, RN Task three Communicable disease outbreak of the Measles Communicable disease outbreak occurs when there is a larger then expected incidence of a disease. It can affect a small group or thousands of people in a region. In some instances even just two independent cases can lead to an outbreak, eventually leading to an epidemic, or pandemic which refers to a global outbreak. Measles is a communicable disease that is highly contagious according to the World Health Organization (WHO). The good news is that it is a preventable disease, because there is a vaccine that is available to prevent people from contracting it. One complication that arises is when some people refuse to immunize their children, (sometimes due to religious reasons or other beliefs) then the risk of an outbreak certainly increases. Another complication is when false information circulates, (for example there was a case where someone claimed that a particular immunization could cause Autism), then people tend to jump to conclusions and are quick to blame others, rather than do their due diligence. Additional complications arise in poor countries where immunization is not readily available, and in cases like these an outbreak is more highly possible. Measles has the following epidemiological indicators which show that it is considered a highly infectious, acute viral illness that is typically confirmed via lab tests. Typically a rash...
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...R.M Community Health Task 2 When caring for the terminally ill patient, one must examine their feeling in order to provide care. It is important for the nurse not to judge the patient or family for decisions made, only to support and advocate for the patient and family during this time. As a critical care nurse the author has participated in the care of numerous terminally ill and palliative care patients. Unfortunately every person that lives will eventually die and it is the responsibility of the nurse to help improve the quality of life for the patient and offer support to the family during this dying process. The nurse must respect and honor the patient. To improve the quality of life for Mrs. Thomas, education on disease process and end of life events is of the utmost importance. Hospice is a specialty offers support and services to the terminally ill (“What is hospice,”). Not only does hospice provide services, but also a wealth of education for the patient and family. Along with education, symptom management and spiritual support are also offered to improve Mrs. Thomas’s quality of life. Pain control and symptom management can also improve the quality of life in this case. After adequate education is received, Mrs. Thomas may not be as reluctant to receive pain medication. As pain relief is obtained, the patient may enjoy more of time with her husband and may even return to church for social interaction thus increasing her quality of life. The third...
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...Communicable Disease Outbreak (Measles) Community Health Task 2 Western Governors University Carissa J Dugan Student ID: 000468111 August 20, 2015 Measles was discovered in the 19th century by a Persian Doctor, but was not recognized until 1957 as an infectious agent in human blood by a Scottish physician. In 1912 measles became a notifiable disease and in the first decade that records were kept there was on average 6,000 deaths per year reported from the disease. (Center For Disease Control). There is no definite origination of measles but scientists believe that it dates back to the Roman Empire about the 11th and 12th century (NCBI, 2010). The first outbreak known in America was in 1657 in Boston, Massachusetts. The disease spread quickly through the town and eventually believed to be the source of further infections nationwide. (The History Of Vaccines). A decade prior to a vaccine being developed it was estimated that all children would get the disease by the age of 15 (Center For Disease Control). It was not until 1964 a vaccine was developed to help eradicate the disease. John F. Enders and Dr. Thomas C. Peebles is credited with creating the vaccine, he was able to collect blood samples from the infected in Boston and was successful in isolating the measles virus in an infected 13 year old boy named David Edmundson. (Center For Disease Control). However it was not until 1968 that the vaccine was ready for use and distributed (Center...
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...This paper is submitted only as an example of a mental health survey and may not be plagiarized in part or whole. This paper is property of the respective authors and may not be copied or quoted in any form. Mental Health Windshield Survey 2010 Census Data Summary:Prior to starting, research 2010 census data for the county you select http://quickfacts.census.gov/qfd/states/12000.html Include age, race, household types, growth patterns, unemployment rate, etc. Include a summary paragraph here: | The population estimate for the city of Venice for 2011 is 20897. This is an increase by .7% from 2010 which was estimated at 20748. Persons over 65 represented a whopping 57% while younger than 18 stood at 7.5% Caucasians accounted for 97.3% of the population with 93% being a high school graduate or higher. The home ownership rate is 73% with the median income being 48K. Venice city covers a mere 15.27 square miles but abounds with things do, places to eat and people to meet, most of who are retired of course. | Boundaries: Select an urban area with walking traffic/business storefronts. Attach a Google map with at least an 8 x 8 block boundary highlighted. Does the neighborhood have an identity or name? Do you see it displayed? Are there unofficial names for the area? Is the area primarily commercial, industrial or residential or a mix? | From quaint boutiques to modern department stores, the area of Venice we explored had almost everything within bike riding distance...
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...to communicate so they can run a smooth operation (dupre) whether the employees in my organization communicate verbal or not there is an understanding of what is expected from each person. I currently am employed at a community health center in a rural area; there are many different people who use this center as their medical provider. I am one of the front desk receptionists, which is where the communication between patient and doctor begins. Sometimes this can be tough due to the diversity there are many language barriers, but things have started to get better with time. The clinic has become very successful with different means of advertising and communicating what the clinic has to offer for medical services. The cliental is usually low income, in which the state picks up the bill, so they have used every available source such as bill boards, radio ads, and commercials to promote people to use the clinics to help keep health cost down. There is also a web page that allows the client to a view the main website that contains many different types of information such as locations, specialties, job opportunities. The clinic is mainly run through phone calls, pages or messages being sent through I Pads. The clinic does not use traditionally health charts, this is...
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...of an Advanced Practice Nurse I see myself working in a primary care setting in an area of most need. I see my role as providing comprehensive care and promoting wellness in a community where healthcare has been on the back burner for many years not only by the healthcare community but also by the community itself. I am hoping that by being a strong advocate for those who have had difficulty advocating for themselves that I will also be able to pass my attitudes and caring on to others who provide care for this group of people. I see my role as the nurse practitioner as being a primary care provider working in collaboration with an entire team to provide the best possible outcome for the patient by utilizing all available resources. I want to work in a community health center where this can and is being done. Those served by the community health center are in desperate need of health care, quality health care. These patients have not had insurance up until the institution of the Affordable Care Act and have been treated poorly, if treated at all, in our current health care settings. My role as their primary care provider will be one of providing quality, comprehensive care along with the health teaching they so desperately need. Working with physicians and Nurse Practitioners in the community health center I work in now I am able to evaluate the differences in their care. Physicians are needed for diagnosing and managing the most difficult of the illnesses and diseases but...
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...340B Contract Pharmacies Frequently Asked Questions What is 340B? The 340B Drug Pricing Program helps provide underserved populations with affordable prescription drugs through qualified community health organizations. Federal regulations allow community health centers to contract with retail pharmacies to dispense 340B medications. SUNRx enables these contract pharmacies to provide affordable medications to 340B customers seamlessly and efficiently. Our fully automated solution manages eligibility, formulary, sliding scale and co-payment calculations, replenishment and inventory management. SUNRx also generates purchase orders and invoices to reduce paperwork and improve cash flow. Because our system uses standard NCPDP transaction codes and adjudicates just like third party insurance, minimal training is required for pharmacy staff and claims can be processed without disrupting patient flow. What is the financial impact of participating in a SUNRx 340B program? Many contract pharmacies realize a significant increase in revenues by participating in a 340B program administered by SUNRx. Will a 340B program disrupt my pharmacy operations, add additional burdens on my staff or inconvenience regular customers? SUNRx’s 340B solution was designed to integrate seamlessly into your current pharmacy operations. Because our system uses standard NCPDP transaction codes and adjudicates just like third party insurance, you serve 340B patients the same way you serve...
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...I. Description of Project The project for this week or course was to: "Identify one of the waste "wedges" or categories identified in the JAMA article by Berwick and Hackbarth and explore the opportunities where managerial epidemiology principles applied in accountable care models of care can reduce waste". The reason for the project is to explore the reasons why, and possible changes that can take place to lower the costs of healthcare. Healthcare in the United States is at an astounding 18% of GDP and is definitely demanding a change to lower the costs of healthcare. Not only does the United States pay more for healthcare than other leading countries, it sees less quality of care. As per the article by JAMA, the minimum believed to be spent on wasteful spending is $558 billion per year, and a midpoint of $910 billion per year. Eliminating that alone is enough to make a change in our healthcare system. In order to elaborate on the topic, this project identifies one of the waste wedges I decided to write about, tells why I chose the particular one that I did, what exactly the wedge is and how it produces waste while affecting healthcare, and then finally what we can do to lessen the waste, as well as a proposition to eliminate waste in said category while looking at a proposal to better the organization and population. II. Selection of Topic For this project I chose Failures of Care Delivery as my waste wedge to explore. A. What is Failures of Care Delivery Failures...
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...Approach Practically speaking, what does it mean when we say that WGU’s programs are competency-based? Unlike traditional universities, WGU does not award degrees based on credit hours or on a certain set of required courses. Instead, you will earn your degree by demonstrating your skills, knowledge, and understanding of important concepts through a series of carefully designed courses. Progress through your degree program is governed not by classes but by satisfactory completion of the required courses that demonstrate your mastery of the competencies. Of course, you will need to engage in learning experiences as you brush up on competencies or develop knowledge and skills in areas in which you may be weak. For this learning and development, WGU has a rich array of learning resources in which you may engage under the direction of your student mentor. You will work closely with your mentor to schedule your program for completing the courses. You will also work closely with additional faculty members as you proceed through courses of study that are designed to lead you through the content you must master in order to pass the assessment(s) for each course. The benefit of this competency-based system is that it makes it possible for people who are knowledgeable about a particular subject to make accelerated progress toward completing a WGU degree, even if they lack college experience. You may have gained skills and knowledge of a subject while on the job,...
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...Communicable Disease Outbreak - Hat Task 3 Essay 9 Environmental and Global Health Issues 8 Emergency Response Final Steps The WGU Library Center for Writing Excellence: The WGU Writing Center Feedback Course Material Learning Resources All Notes SZT1 - Community and Population Health This course supports the assessment for SZT1. The course covers 4 competencies and represents 3 competency units. Introduction The study of community health nursing includes multiple issues, including vulnerable populations, families, violence, safety, disaster preparedness, communicable disease, and immunization. The content of this course will provide you with an opportunity to expand your practice perspective from the individual level to that of the community and system level. The activities in this course are directed to enhance your appreciation of the effort of making the United States a healthier nation. Watch the following video introduction for this course: Competencies This course provides guidance to help you demonstrate the following 4 competencies: •Competency 725.8.1: Community Health EpidemiologyThe graduate assesses and analyzes the health status of populations using data, community resources identification, input from the population, and professional judgment; and determines meaning of...
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...REPORT The Importance of Ethical Decision Making WGU Toy Company A decision with ethical concerns is significant and comes with greater consequences than ordinary, everyday decisions. Key to ethical decision making throughout the organization is providing a written code of ethics for your business. By having a written code of ethics the importance and value of knowing right from wrong behavior is emphasized. This provides an atmosphere where moral values and principles are a priority. Instead of having employees unsure about making decisions, these written ethical principles deliver guidelines to maintain consistent and appropriate decisions. Having a code sets the tone and drives expectation for its use. It makes it clear that your company wants you to make the ethical choice, and they will support and defend you when you do. Another key to ethical decision making is training. This integrates the ethics code into the workplace. “These should be embedded as part of the culture in the organization” (Abdullah, 2013). Providing employees with tools for critical thinking and good decision making empowers employees from the very start. Training creates recognition for ethical issues and provides guidance for finding and making an ethical choice. It prepares employees for forward thinking to handle unanticipated situations and face new problems. It reinforces the significance of every employee’s responsibility to uphold the company’s principles. It gives the employee a...
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...WGU AFT2 RAFT2 (Accreditation Audit) MBA Graduate Programe - Complete Course All 4 Tasks http://www.homeworkminutes.com/question/view/41054/AFT2-RAFT2-Accreditation-Audit-WGU-MBA-Graduate-Program-Complete-Course AFT2 Accreditation Audit Task 1 1. The purpose of this executive summary is to outline the current status of compliance of the organization for the priority focus area of communication, namely the standard UP.01.01.01 which is named the “Conduct a Pre-procedure Verification Process” as noted by the Joint Commission standards. A.2. The primary area of focus I chose to review was the communication aspect. I feel that communication is vital in any business, especially health care. Clear communication improves patient care and the quality of care. This is evident when time is taken to verify a patient or a procedure. When things go wrong due to misidentification of a patient, not only does that cost time and money for the patient as well as the extra burden of having that wrong fixed, but it also costs the hospitals too. Their costs are increased by trying to fix the issue and then legal issues to follow. The best way to avoid any mistake and/or injury is to adopt a more vigorous verification system. AFT2 Accreditation Audit Task 2 A.1. An unexpected occurrence that involves serious bodily or psychological harm including death or the risk leading to these is known as a sentinel event. (Sentinel event, 2013) A.2. Several people were...
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