Study Document
… literature review include an undeniable need for mental health care for V.A. military men and women. Various signs exist that indicate when medical healthcare is required, such as post-traumatic stress disorder (PTSD), depression, suicidal thought, and overconsumption of alcohol. Moreover, there is increased usage of outpatient services ……
References
Adams, R.E., Urosevich, T.G., Hoffman, S.N., Kirchner, H.L., Figley, C.R., Withey, C.A., Boscarino, J.J., Dugan, R.J. & Boscarino, J.A. (2019). Social and psychological risk and protective factors for veteran well-being: The role of veteran identity and its implications for intervention. Military Behavioral Health, 7(3), 304-314. https://doi.org/10.1080/21635781.2019.1580642
Allore, H.G., Ning, Y., Brandt, C.A., & Goulet, J.L. (2013). Accounting for the hierarchical structure in veterans’ health administration data: Differences in healthcare utilization between men and women veterans. International Journal of Statistics in Medical Research, 2(2), 94-103. DOI: 10.6000/1929-6029.2013.02.02.03
Brooks, C. & Chopik, W. (2010, June 17). Research finds deployment affects mental health of veterans differently. Michigan State University. https://msutoday.msu.edu/news/2020/research-finds-deployment-affects-mental-health-of-veterans-differently/
Duggal, M., Goulet, J.L., Womack, J., Gordon, K., Mattocks, K., Haskell, S.G., Justice, A.C. & Brandt, C.A. (2010). Comparison of outpatient health care utilization among returning women and men veterans from Afghanistan and Iraq. BMS Health Services Research, 10 (175). https://doi.org/10.1186/1472-6963-10-175
Harpaz-Rotem, I. & Rosenheck, R.A. (2011). Serving those who served: Retention of newly returning veterans from Iraq and Afghanistan in mental health treatment. Psychiatric Services, 62(1), 22-27. DOI: 10.1176/ps.62.1.pss6201_0022.
Haskel, S.G., Brandt, C.A., Krebs, E.E., Skanderson, M., Kerns, R.D., & Goulet, J.L. (2009). Pain among veterans of operations enduring freedom and Iraqi freedom: Do women and men differ? Pain Medicine, 10(7), 1167-1173. https://doi.org/10.1111/j.1526- 4637.2009.00714.x
Kaur, S., Stechuchak, K.M., Coffman, C.J., Allen, K.D., & Bastain, L.A. (2007). Gender differences in health care utilization among veterans with chronic pain. Journal of General Internal Medicine, 22(2), 228-233. DOI: 10.1007/s11606-006-0048-5
Koo, K.H., Madden, E. & Maguen, S. (2015). Race, ethnicity, and gender differences in V.A. health care service utilization among U.S. veterans of recent conflicts. Psychiatric Services, 66(5), 507-513. https://doi.org/10.1176/appi.ps.201300498
Study Document
Legal and Ethical Issues in Healthcare
Healthcare ethics have to do with the wide range of moral decisions that have to be made in medical practice. These are the other … the various aspects of the human body and life, none is as important as health. Technological advancements in the practice of medicine and healthcare, in general, emerge with their sets of moral dilemmas. Many of such issues arise from developments in genetic knowledge and reproductive health (Taylor, … dilemmas. Many of such issues arise from developments in genetic knowledge and reproductive health (Taylor, 2015).
The relationship between the patient and the healthcare expert, the human subject behavioral research, harvesting and transplanting of human organs, abortion, euthanasia, and allocation of healthcare resources and services are other areas that present moral dilemmas. In the clarification of moral issues in healthcare provision, and consequently, understood, healthcare quality as it is received and……
References
Chen, Y. Y., Chu, T. S., Kao, Y. H., Tsai, P. R., Huang, T. S., &Ko, W. J. (2014). To evaluate the effectiveness of health care ethics consultation based on the goals of health care ethics consultation: a prospective cohort study with randomization. BMC medical ethics, 15(1), 1.
Morrison, E. E. (2011). Ethics in health administration: a practical approach for decision-makers. Jones & Bartlett Publishers.
Nora, C. R. D., Deodato, S., Vieira, M. M. D. S., &Zoboli, E. L. C. P. (2016). Elements and strategies for ethical decision-making in nursing. Texto&Contexto-Enfermagem, 25(2).
Reddy, M. S., &Mythri, S. V. (2016). Health-care Ethics and the Free Market Value System. Indian journal of psychological medicine, 38(5), 371–375. https://doi.org/10.4103/0253-7176.191387
Taylor, S. C. (2015). Health Care Ethics. Internet Encyclopedia of Philosophy. Retrieved from https://www.iep.utm.edu/h-c-ethi/#H2
Yip, C., Han, N. R., &Sng, B. L. (2016). Legal and ethical issues in research. Indian Journal of anesthesia, 60(9), 684–688. https://doi.org/10.4103/0019-5049.190627
Webster, G., Bayliss, F., Rubin, S., &Zoloth, L. (2000). Moral Residue. Margin of Error: The Ethics of Mistakes in the Practice of Medicine. Hagerstown, MD: University Publishing Group.
Study Document
...Healthcare Creating Diversity
Elder Veterans and Health Care Services
The focus of my dissertation is toward the aged American population, particularly the elderly veterans. I will be considering the type and quality of care they receive for the remainder of their old age. Currently, there are programs and health services targeted toward that group. I am interested in the approaches and activities of such programs and other similar programs that might need to be implemented through congressional deliberation and approval. Gerontology is receiving significant attention from researchers in the American space due to the steady incline of the aged American population.
Through the evaluation of certain tendencies within the group of elderly veterans, intervention measures can be provided. Known risk-factors within this group include mental illnesses and war-related disabilities/amputations, which are potential triggers for suicidal behavior/tendency with increasing age (Reid, 2018). Also, there is an increasing sense of hopelessness associated with……
References
Chamorro-Premuzic, T. (2017). Does diversity actually increase creativity? Retrieved from: https://hbr.org/2017/06/does-diversity-actually-increase-creativity
Feldman, S., Dickins, M., Browning, C., & DeSoysa, T. (2015). The health and service needs of older veterans: a qualitative analysis. Health Expect, 18(6), 2202-2212. DOI: 10.1111/hex.12190
Olenick, M., Flowers, M., & Diaz, V. (2015). US veterans and their unique issues: enhancing health care professional awareness. Adv Med Educ Pract, 6, 635-639. DOI: 10.2147/AMEP.S89479
Reid, S. (2018). Helping our older veterans. Retrieved from: https://www.apa.org/monitor/2018/12/job-karel
Taylor, S. L., Bolton, R., Huynh, A., Dvorin, K., Elwy, A., Kliger, B., Bokhour, B. G. (2019). What should health care systems consider when implementing complementary and integrative health: Lessons from Veterans Health Administration. The Journal of Alternative and Complementary Medicine, 25, S52-S60. DOI:10.1089/acm.2018.0445.
Veterans Health Administration Organizational Excellence. (2018). What’s the forecast for VA innovation in 2018? Retrieved from: https://www.va.gov/HEALTHCAREEXCELLENCE/diffusion-of-excellence/articles/innovation-forecast-2018.a sp
Study Document
...Healthcare Personal Changes
A major change among RNs that challenged them and was difficult for them to make focused on implementing a transcultural care model among the nurses that required the nurses to become more educated about different cultures and how to respond to patients of these various cultures. It required of the nurses the need to maintain two different perspectives and sets of beliefs in the minds at once—their own beliefs and an empathetic view of the beliefs of the patient of the different cultural background. As Kodama and Fukahori (2017) noted, the main challenge for RNs tasked with a change of this nature is to develop respect and empathy for others while holding a micro and macro perspective. This paper will describe the different perspective on change by those who like it and those who dread it, explain why readiness for change is so crucial to its success, show……
References
Doll, G. A., Cornelison, L. J., Rath, H., & Syme, M. L. (2017). Actualizing culture change: The Promoting Excellent Alternatives in Kansas Nursing Homes (PEAK 2.0) program. Psychological services, 14(3), 307.
Joshi.(2014). Change is Constant, but Improvement is Rapid. H and HN: Hospitals and Health Networks (2014).
Kodama, Y., & Fukahori, H. (2017). Nurse managers’ attributes to promote change in their wards: A qualitative study. Nursing open, 4(4), 209-217.
Kotter’s 8 Step Change Model. (2018). Retrieved from https://www.toolshero.com/change-management/8-step-change-model-kotter/
NHS. (2011). Overview – Change Management – the Systems and Tools for Managing Change. Retrieved from https://www.england.nhs.uk/improvement-hub/wp-content/uploads/sites/44/2017/11/Overview-Change-management.pdf
Tobias, R. M. (2015). Why do so many organizational change efforts fail?. Public Manager, 44(1), 35
Study Document
...Healthcare Informatics Telehealth and the Health Care Shortage
Snavely (2016) shows that the looming nursing shortage is due to hit America hard in the coming years, and that shortage is now evident more than ever with the arrival of the novel coronavirus in America—especially in hard hit areas like New York City, where the hospitals are being overrun by patients infected by the virus. Shortages of health care providers is a major concern in the US, especially since the US is meant to be a world leader among other nations—and yet an element of its critical infrastructure, health care, is sorely lacking in support in the form of providers. Now that the country has gone into lockdown mode, it is only making matters worse from an economic point of view: going to school for medicine is expensive and individuals and families may reassess their commitment to the field if they see……
References
Clemmer, T. P. (1995). The role of medical informatics in telemedicine. Journal of Medical Systems, 19(1), 47-58.
Demiris, G. (2003). Integration of telemedicine in graduate medical informatics education. Journal of the American Medical Informatics Association, 10(4), 310-314.
Foster, M., & Sethares, K. (2017). Current strategies to implement informatics into the nursing curriculum: an integrative review. J Nurs Inform, 21(3).
Haddad, L. M., & Toney-Butler, T. J. (2019). Nursing shortage. In StatPearls [Internet]. StatPearls Publishing.
Hasbrouck, L. (2016). Strengthening local health department informatics capacity through advocacy, education, and workforce development. Journal of Public Health Management and Practice, 22(Suppl 6), S3.
IOM. (2010). The future of nursing. Retrieved from http://nacns.org/wp-content/uploads/2016/11/5-IOM-Report.pdf
O’Brien, J. (2003). How nurse practitioners obtained provider status: Lessons for pharmacists. American Journal of Health-System Pharmacy, 60(22), 2301-2307.
Snavely, T. M. (2016). A brief economic analysis of the looming nursing shortage in the United States. Nursing Economics, 34(2), 98-101.
Study Document
...Healthcare Description
It should be noted, from the onset, that amongst many persons, behavioral, emotional, as well as mental problems happen to be rather commonplace. This is more so the case given the various challenges that people – both young and old - group tend to encounter in their daily living. RAND undertook an “evaluation of California’s state-wide mental health prevention and early intervention programs” (Eberhart et al., 2015, p. 1). It is important to note that the three initiatives that RAND sought to evaluate were inclusive of; the reduction of discrimination as well as stigma, prevention of suicide, and the mental health of students.
How was the success of the program or policy measured?
Essentially, the RAND undertook a baseline survey that covered the entire state. It should be noted that the said survey took into consideration various groups with an intention of evaluating findings for the various schemes or……
References
Eberhart, N.K., Burnam, M.A., Berry, S.H., Collins, R.L., Ebener, P.A., Ramchand, R., Stein, B.D. & Woodbridge, M.W. (2015). Evaluation of California\\\\'s Statewide Mental Health Prevention and Early Intervention Programs: Summary of Key Year 2 Findings. Santa Monica, CA: RAND Corporation.
Study Document
… other gadgets that a mother with a high-risk pregnancy and living in a rural area can use to keep in touch with a healthcare professional and to test the vitals. The advantages of a telehealth solution are that it will be a platform where……
References
American College of Obstetricians and Gynecologists. (2015). ACOG Practice Bulletin No. 156: Obesity in pregnancy. Obstetrics and Gynecology, 126(6), e112–126.
Gallardo, A. & Martin, N. (2017, Sept. 5). Another Thing Disappearing From Rural America: Maternal Care. ProPublica. Retrieved from https://www.propublica.org/article/another-thing-disappearing-from-rural-america-maternal-care
Healy, J. (2018, July 17). It’s 4 A.M. The Baby’s Coming. But the Hospital Is 100 Miles Away. The New York Times. Retrieved from https://www.nytimes.com/2018/07/17/us/hospital-closing-missouri-pregnant.html
Hung, P., Henning-Smith, C. E., Casey, M. M., & Kozhimannil, K. B. (2017). Access to obstetric services in rural counties still declining, with 9 percent losing services, 2004–14. Health Affairs, 36(9), 1663-1671.
Lowery, C. (2018). “Chapter 6: High-Risk Obstetrics and Telehealth,” in Rheuban, K.S. & Krupinski, E.A., Understanding Telehealth. McGraw-Hill Education.
National Institutes of Health, (2017). What is a high-risk pregnancy? Retrieved from https://www.nichd.nih.gov/health/topics/pregnancy/conditioninfo/high-risk
Study Document
...Healthcare Reflex pathways
Introduction
Reflexes or reflex pathways are always most easily observed as well as analyzed specifically when the spinal cord directly receives a synchronous volley, particularly of afferent input. Due to such an occurrence, the afferent volley often has been provoked specifically by electrical stimulation associated with nerves, rather than particularly by the natural stimulation associated with peripheral receptors (Goldberger, 2019). The result in most cases is always that several reflex stimuli, especially in various animal experiments, become described specifically in terms of the specific intensity of the electrical stimulation associated with the nerve, rather than particularly in terms of which the sensory receptors have majorly been activated.
Fortunately, in the muscle nerves, there always exists a fairly close specific relationship between the particular electrical stimulation threshold associated with fiber together with the sensory receptor that it innervates (Horn, 2019). This paper aims to explore the reflex pathways by……
References
Goldberger, J. J., Arora, R., Buckley, U., & Shivkumar, K. (2019). Autonomic nervous system dysfunction: JACC focus seminar. Journal of the American College of Cardiology, 73(10), 1189-1206.
Horn, C. C., Ardell, J. L., & Fisher, L. E. (2019). Electroceutical targeting of the autonomic nervous system. Physiology, 34(2), 150-162.
Kenneth, S. S. (2017). Anatomy & Physiology: The unity of form and function. McGraw-Hill.
Marieb, E. & Hoehn, K. (2018). Human Anatomy & Physiology (11th ed). Boston, MA: Pearson. ISBN: 9780134756363
Steinman, K. J., Spence, S. J., Ramocki, M. B., Proud, M. B., Kessler, S. K., Marco, E. J., ... & Sherr, E. H. (2016). 16p11. 2 deletions and duplication: Characterizing neurologic phenotypes in a large clinically ascertained cohort. American journal of medical genetics Part A, 170(11), 2943-2955.
Study Document
… drain on resources and therefore do constitute two mutually exclusive options. Therefore, the Cleveland Clinic needs to choose between these options. The US healthcare market has some growth potential because of the baby boomers aging, and that trend should continue for many years. However, this is also … should continue for many years. However, this is also a known trend and should already be built into the asking price for US healthcare assets. The international option, on the other hand, probably has a lower level of price efficiency. Combine this with the expertise that the ……
Study Document
… the cloud. It's imperative to put resources into EHRs that help human services advancement and incorporation utilizing benchmarks based APIs that can bolster healthcare health’s' work process needs and select use-cases. Medicinal services Chief Information Officers (CIOs) ought to put resources into EHRs that welcome coordinated effort ……
References
Gagnon, D., Simonyan, E.K., Ghandour, G., Godin, M., Labrecque, M., Ouimet, M.R. (2016). Factors influencing electronic health record adoption by physicians: A multilevel analysis, Int J Inform Manage, 36, pp. 258-270.
Hasanain, H. (2014). Cooper Solutions to overcome technical and social barriers to electronic health records implementation in Saudi public and private hospitals, J Health Inform Dev Ctries, pp. 46-63.
Kierkegaard, P. (2019). Electronic health record: Wiring Europe\\\\'s healthcare: Computer Law & Security Review. 27 (5): 503–515.
Murphys, E.V., & Yale, J. (2014). Clinical decision support: effectiveness in improving quality processes and clinical outcomes and factors that may influence success. Biol Med; 87, pp. 187–97.
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