Managed Care Essays (Examples)
Study Document
CDC Guideline For Prescribing Opioids For Chronic Pain
… Control provides safety guidelines for the prescription of opioids for pain alleviation in persons aged 18 years and above, in settings outside medical care facilities such as palliative care centers, and end of life care points(CDC, 2016). This paper provides a summary of the CDC guidelines on the prescription of opioids for chronic pain relief and a regime … demands (Dowell, Haegerich & Chou, 2016).
2. Determine and measure the progress towards attainment of goals
Before initiating opioid therapy for chronic pain, care experts should establish the goals for treatment with the patients. They should include realistic goals that will tackle the pain and function of … the lowest effective dosage when starting to administer opioids. Caution must be exercised at any dosage. The benefits should be documented, with evidence, care, as the opioids are administered. The risks should also be documented if and when the dosage is increased?50……
References
References
Breuer, B., Cruciani, R., & Portenoy, R. K. (2010). Pain management by primary care physicians, pain physicians, chiropractors, and acupuncturists: a national survey. Southern Medical Journal, 103(8), 738-747.
CDC, (2016). CDC Guideline for Prescribing Opioids for Chronic Pain. Center for Preparedness and Response (CPR).
Cheatle, M. D., & Savage, S. R. (2012). Informed consent in opioid therapy: a potential obligation and opportunity. Journal of Pain and Symptom Management, 44(1), 105-116.
Dowell, D., Haegerich, T. M., & Chou, R. (2016). CDC guideline for prescribing opioids for chronic pain—the United States, 2016. Jama, 315(15), 1624-1645.
Hudspeth, R. S. (2016). Standards of care for opioid prescribing: What every APRN prescriber and investigator need to know. Journal of Nursing Regulation, 7(1), 15-20.
Study Document
Cholelithiasis Gallstones Gallbladder Disease
… after being diagnosed with post-cholecystectomy- TF ongoing abdominal pain. She was accompanied to the hospital by her husband and daughter. She requires ongoing care forward: D/C still drain Insitu. The paper looks into her case from the pathophysiology of cholecystectomy and pharmacokinetics of her medication, including GORD … to walk to toilet with 4 wheel walker, assessment for fall risk, behavior/cognition, skin integrity, monitoring of surgical drainage site and ongoing management care, hygiene and X1 assist. The dietitian’s reason for referral is poor diet intake. Ward diet intake is recommended. Estimated nutrition intake intervention include … (Jugenheimer et al., 2008).
Reflection
According to the clinical facilitator and based on nurse assessment, the patient needs pain management for faster postoperative care. She also needs close monitoring. The patient did not experience a reduction in pain, but it became consistent around the surgical wounds. It ……
References
References
Anderson, P. O., Knoben, J. E., & Troutman, W. G. (2010). Clinical drug data. New York: McGraw-Hill Medical.
Al-alem, F., Mattar, R. E., Madkhali, A., Alsharabi, A., Alsaif, F., & Hassanain, M. (April 26, 2017). Incidental Gallbladder Cancer.
Borzellino, G., & Cordiano, C. (2008). Biliary lithiasis: Basic science, current diagnosis, and management. Milan: Springer.
Bullock, ., Shane, ., & Hales, . (2012). Principles of Pathophysiology. Sydney: P. Ed Australia.
In Agresta, F., In Campanile, F. C., & In Vettoretto, N. (2014). Laparoscopic Cholecystectomy: An Evidence-based Guide.
In Cox, M. R., In Eslick, G. D., & In Padbury, R. (2018). The management of gallstone disease: A practical and evidence-based approach.
In Wang, D. Q.-H., & In Portincasa, P. A. M. (2017). Gallstones: Recent advances in epidemiology, pathogenesis, diagnosis and management.
Jugenheimer, M., Immenroth, M., Berg, T., & Brenner, J. (2008). Laparoscopic cholecystectomy. Heidelberg: Springer.
Study Document
Hospital Corporation Of America HCA
… America (HCA) is not only one of the country’s largest hospital companies, but it also happens to be one of the most notable care services providers in the country. At present, HCA manages more than 170 care facilities offering a wide range of services across the nation. This for-profit organization is headquartered in Nashville, Tennessee. It is important to note … the nation. This for-profit organization is headquartered in Nashville, Tennessee. It is important to note that to remain relevant in the increasingly dynamic care industry, organizations such as HCA ought to have the relevant strategies in place to address the various needs of citizens going forward. This … relevant strategies in place to address the various needs of citizens going forward. This text assesses the readiness of HCA to address the care needs of citizens in the next decade. The paper also compares HCA to Singapore Airlines in……
References
References
Hospital Corporation of America - HCA (2019). Who We Are. Retrieved from https://hcahealthcare.com/about/
Mincer, J. (2018). Hospital Operator HCA Spends Big to Keep Nurses on Board. Retrieved from https://www.reuters.com/article/us-hca-labor/hospital-operator-hca-spends-big-to-keep-nurses-on-board-idUSKBN1I510F
Yahoo Finance (2019). HCA Healthcare, Inc. (HCA). Retrieved from https://finance.yahoo.com/quote/HCA/profile?p=HCA
Study Document
Formulating An Effective National Response To Ebola In Nigeria
… deaths, primarily in West Africa, but the disease has the potential to spread worldwide unless first responders, emergency management managers and the health care community take aggressive steps to identify infections and contain outbreaks. The main purpose of this study is to provide a systematic and critical … 2016, but the second-largest outbreak is still ongoing in the Democratic Republic of Congo despite efforts on the part of the international health care community to contain it (Ebola, 2019). In fact, the outbreak in the Democratic Republic of Congo was all the more noteworthy because the … for containing outbreaks of the disease (Ebola, 2019). The elements of effective responses include isolating infected victims, providing them with the best palliative care possible and identifying any new victims and repeating these interventions (Ebola, 2019). Other elements of effective responses to Ebola include the prevention of … include the prevention of further……
References
References
Allam, M. F. (2014, September). Ebola hemorrhagic fever: Case fatality rate 90%? Central European Journal of Public Health 22(3), 207-210.
Allam, M. F. & Vonka, V. (2015, March). Ebola virus disease: Temperature checks for travelers? Central European Journal of Public Health, 23(1), 84.
Brand, J. E. & Stela, D. (2014, October). Ebola is here: Knowledge, identification, and appropriate infection control are key. American Nurse Today, 9(10), 37-39.
Brown, G. (2015, Winter). Ebola in America: An epidemic or a pandemic? ABNF Journal, 26(1), 3-5.
Ebola. (2019). Doctors without Borders. Retrieved from https://www.doctorswithout borders.org/what-we-do/medical-issues/ebola.
Ebola outbreak. (2019). U.S. Centers for Disease Control and Prevention. Retrieved from https://www.cdc.gov/vhf/ebola/history/2014-2016-outbreak/index.html .
Ebola virus disease. (2019). U.S. Centers for Disease Control and Prevention. Retrieved from https://www.cdc.gov/vhf/ebola/index.html .
Hancock, M. (2019, September). After Ebola. African Business, 422, 56-58.
Study Document
Optimizing Health Information Systems
… Privacy regulatory requirements. To this end, a discussion and analysis of health information systems, a description concerning how a system will affect patient care and documentation and an explanation concerning how using a system to access information will affect the quality and delivery of nursing care and patient outcomes are followed by a discuss about how a system will benefit the merged organization. Finally, a description of four essential … differ significantly in terms of configurations and capabilities, they typically share some common features that are related to improving the ability of health care organizations to more effectively manage patient-related data to identify problem areas and opportunities for improvement. For instance, according to Shahmoradi and Habibi-Koolaee (2016), … process for implementing health information systems must apply a holistic approach so that there are no unintended outcomes or adverse effects on patient care (Cresswell & Aziz, 2013)
The full range……
References
References
Abouzhar, C. & Boerma, T. (2009, August). Health information systems: The foundations of public health. Bulletin of the World Health Organization, 83(8), 578-583.
Cresswell, K. & Aziz, S. (2013, May). Organizational issues in the implementation and adoption of health information technology innovations: An interpretative review. International Journal of Medical Informatics, 87(5), 73-86.
Drazen, E. L. (2006, February). Maximizing the benefits of health care information systems. Journal of Medical Systems, 10(1), 51-56.
Kruse, C. S. & Smith, D. (2017, July). Security techniques for the electronic health records. Journal of Medical Systems, 41(8), 127.
Kumar, V. (2011). Impact of health information systems on organizational health communication and behavior. The Internet Journal of Allied Health Sciences and Practice, 9(2), 37-44.
McGrail, K. M. & Black, C. (2009, August). Access to data in health information systems. Bulletin of the World Health Organization, 83(8), 563-569.
Murphy, M. L. (2019, March). Mastering accounting for business combinations: Mergers and acquisitions present challenges that finance can overcome by staying involved with the deal and preparing in advance of the closing. Journal of Accountancy, 227(3), 24-27.
NAHQ code of ethics for healthcare quality. (2019). National Association for Healthcare Quality. Retrieved from https://nahq.org/about/code-of-ethics .
Study Document
Elder Abuse
… ten American elders experience some kind of abuse. Unfortunately, “there is no uniform term or agreed-upon definition used among state governments, researchers, health care and service providers, and advocates,” (Roberto, 2016, p. 302). Cultural and religious diversity further impedes the evolution of a comprehensive and universally applicable … et al., 2019).
Some types of abuse may go undetected, such as financial abuse or identity theft, which could go unnoticed for years. care workers often feel powerless to intervene in instances of financial abuse perpetrated by family members because of the fact that the family members … powerless to intervene in instances of financial abuse perpetrated by family members because of the fact that the family members are also primary care, and there may also be little if any legal resources to investigate the problem (Falk, Baigis & Kopac, 2012). Other than the fact … any legal resources to investigate……
References
References
Falk, N. L., Baigis, J., Kopac, C., (August 14, 2012) \\\\\\\\\\\\"Elder Mistreatment and the Elder Justice Act\\\\\\\\\\\\" OJIN: The Online Journal of Issues in Nursing 17(3).
Forum on Global Violence Prevention; Board on Global Health; Institute of Medicine; National Research Council (2014). Ethical considerations. Washington (DC): National Academies Press (US); 2014 Mar 18.
Lacher, S., Wettstein, A., Senn, O., et al. (2016). Types of abuse and risk factors associated with elder abuse. Swiss Medical Weekly 2016(146): 1-10.
Lachs, M.S., Teresi, J.A., Ramirez, M., et al. (2016). The prevalence of ersident-to-resident elder mistreatment in nursing homes. Annals of Internal Medicine 165(4):229-236.
Malmedal, W., Iversen, M.H. & Kilvik, A. (2014). Sexual abuse of older nursing home residents: A literature review. Nursing Research and Practice 2015(Article 902515): http://dx.doi.org/10.1155/2015/902515
Roberto, K.A. (2016). The complexities of elder abuse. American Psychologist 71(4): 302-311.
Saghafi, A., Bahramnezhad, F., Poormollamirza, A., et al. (2019). Examining the ethical challenges in managing elder abuse: a systematic review. Journal of Medical Ethics and History of Medicine 2019(12): https://www.ncbi.nlm.nih.gov/pmc/articles/ PMC6642445/" target="_blank" REL="NOFOLLOW">
Study Document
Beginning A Public Health Campaign
...Managed care Health Communications: Minority Youth Substance Abuse Solutions
Introduction: Why a Public Health Campaign is Needed
The rise of the opioid epidemic in America has been well documented by researchers (Nelson, Juurlink & Perrone, 2015; Manchikanti et al., 2012). As millions of youths are at risk of succumbing to substance abuse via street drugs and opioids, the need for a public health campaign is evident (Murthy, 2016). The issue of reducing the spread of substance abuse among minority youths is particularly important because a high percentage of those who become addicted to or substance abusers is found in minority populations and particularly high among Asian Americans (Winter, 2016). In order to prevent the spread of substance abuse among minority youth, a public health campaign should be developed and implemented.
A Key Element of Health Communication
A key element of health communication that is essential for a public health leader dealing with……
References
References
Nelson, L. S., Juurlink, D. N., & Perrone, J. (2015). Addressing the opioid epidemic. Jama, 314(14), 1453-1454.
Manchikanti, L., Fellows, B., Janata, J. W., Pampati, V., Grider, J. S., & Boswell, M. V. (2012). Opioid epidemic in the United States. Pain Physician, 15(3 Suppl), ES9-38.
Murthy, V. H. (2016). Ending the opioid epidemic—a call to action. New England Journal of Medicine, 375(25), 2413-2415.
Smit-Kroner, C. & Brumby, S. (2015). Farmers sun exposure, skin protection, and public health campaigns: An Australian Perspective. Preventive Medicine Reports 2, 602-607.
Velasquez, A., & LaRose, R. (2015). Youth collective activism through social media: The role of collective efficacy. New Media & Society, 17(6), 899-918.
Winter, T. (2016). Addiction among different races. Retrieved from https://sunrisehouse.com/addiction-demographics/different-races/
Study Document
Cystic Fibrosis
...Managed care Cystic Fibrosis Impact on Lungs
Introduction
Cystic Fibrosis (CF) is a genetic and possible genetically inherited disease that affects lungs. It is characterized by buildup of thick and stick mucus that is had to cough out of the lungs. With the accumulation of the thick and sticky mucus, it can result to difficulty in breathing and can lead to other complications including lung infections, liver disease, and diabetes[endnoteRef:1]. CF has also been shown to cause digestive problems and ultimately malnutrition through interference with pancreatic functioning and preventing enzymes which are involved in the breaking down of food. In male, the thick mucus has also been attributed to infertility by blocking the vas deferens. This paper is a detailed presentation on CF and covers diagnosis, treatment, the point at which lung transplant is needed, and how medicine has changed over the years to adapt to children. [1: Cystic fibrosis. U.S. National……
References
Bibliography
Cystic fibrosis. U.S. National Library of Medicine, U.S. gov. https://ghr.nlm.nih.gov/condition/cystic-fibrosis . Published January 21, 2020. Accessed January 24, 2020
Cystic Fibrosis, WebMD. https://www.webmd.com/children/what-is-cystic-fibrosis#2 , December 12, 2019. Accessed January 24, 2020.
Lung Transplant, Mayo Clinic. https://www.mayoclinic.org/tests-procedures/lung-transplant/about/pac-20384754 , July 11, 2019. Accessed January 24, 2020.
Livingston Jr. FR, Cystic Fibrosis. KidsHealth. https://kidshealth.org/en/parents/cf.html?WT.ac=ctg April, 2014. Accessed January 24, 2020.
Study Document
Huntington Disease Involving Oral Histology And Embryology
… possible solutions to the development of poor oral hygiene (because of Huntington’s disease) includes the following: education of both the patient and their care givers on the significance of good hygiene to the condition, intentional care for patient’s oral health by the attached care givers, avoidance of gum disease and inflammation through specialized diet regimen, and more importantly, acceptance of help by the patients. Use of dental … acceptance of help by the patients. Use of dental floss and electric toothbrushes are also recommended in patients that can manage their own care and using specialized toothpastes (rich in fluoride) is advised. Finally, every team catering to patients with Huntington’s disease should include a……
References
References
Boyle, C. A., Frölander, C., & Manley, G. (2008). Providing Dental Care for Patients with Huntington’s Disease. Dental Update, 35(5), 333–336. doi:10.12968/denu.2008.35.5.333. Retrieved from: https://sci-hub.tw/https://doi.org/10.12968/denu.2008.35.5.333
Hergert, D. C., Sanchez-Ramos, J., & Cimino, C. R. (2019). Awareness of Chorea in Huntington’s Disease. Journal of Huntington’s Disease, 1–5. doi:10.3233/jhd-190381. Retrieved from: https://sci-hub.tw/10.3233/JHD-190381
Manley, G., Lane, H., Carlsson, A., Ahlborg, B., Mårtensson, Å., Nilsson, M. B., … Rae, D. (2012). Guideline for oral healthcare of adults with Huntington’s disease. Neurodegenerative Disease Management, 2(1), 55–65. doi:10.2217/nmt.11.68. Retrieved from: https://sci-hub.tw/https://doi.org/10.2217/nmt.11.68
McColgan, P., & Tabrizi, S. J. (2017). Huntington’s disease: a clinical review. European Journal of Neurology, 25(1), 24–34. doi:10.1111/ene.13413. Retrieved from: https://sci-hub.tw/https://doi.org/10.1111/ene.13413
Petersén, Å., & Weydt, P. (2019). The psychopharmacology of Huntington disease. Handbook of Clinical Neurology, 165(3), 179–189. doi:10.1016/b978-0-444-64012-3.00010-1. Retrieved from: https://sci-hub.tw/10.1016/B978-0-444-64012-3.00010-1
Rodríguez, M. L, Sánchez, V. E. (2015). Periodontitis determining the onset and progression of Huntington\\\\\\'s disease: review of the literature. Medwave, 15(9). doi:10.5867/medwave.2015.09.6293.
Roos, R. A. C. (2010). Huntington’s disease: a clinical review. Orphanet Journal of Rare Diseases, 5(1), pp.40-48. doi:10.1186/1750-1172-5-40. Retrieved from: https://sci-hub.tw/https://dx.doi.org/10.1186%2F1750-1172-5-40
Saft, C., Andrich, J. E., Müller, T., Becker, J., & Jackowski, J. (2013). Oral and dental health in Huntington‘s disease - an observational study. BMC Neurology, 13(1), 2-5. doi:10.1186/1471-2377-13-114. Retrieved from: https://sci-hub.tw/https://dx.doi.org/10.1186%2F1471-2377-13-114
Study Document
Rosacea Skin Condition
...Managed care Rosacea
Outline
· Introduction
· Signs and symptoms
· Impact of the disease on healthy body functions, and relates to symptoms
· Risk factors and preventive steps
· Maintenance of quality of life
· Diagnostic and therapeutic tools
· Expected outcomes and prognosis
· Current research into prevention, treatment or even cure
· Possible areas of research into prevention, treatment or cure
· Conclusion
Introduction
Rosacea is a skin condition that affects white people in most cases. However, it may also affect any type of skin for people aged 40 to 60 years old. The skin condition is observed more commonly in women than in men. However, when it occurs in men, it is more severe. The condition is chronic and may continue for pronged periods in any person. The severity of people fluctuates. The condition commonly affects the chin, forehead, and nose. It usually manifests by a reddening nose……
References
References
Biggers, A. (Reviewer) (2020). Can Rosacea Be Cured? New Treatments and Research. Healthline. Retrieved from https://www.healthline.com/health/rosacea/research-cure-update
Gallo, R. L., Granstein, R. D., Kang, S., Mannis, M., Steinhoff, M., Tan, J., & Thiboutot, D. (2018). Standard classification and pathophysiology of rosacea: The 2017 update by the National Rosacea Society Expert Committee. Journal of the American Academy of Dermatology, 78(1), 148-155.
Iyengar, S., Williamson, P. R., Schmitt, J., Johannsen, L., Maher, I. A., Sobanko, J. F., ... & Alam, M. (2016). Development of a core outcome set for clinical trials in rosacea: study protocol for a systematic review of the literature and identification of a core outcome set using a Delphi survey. Trials, 17(1), 429.
Oge, L. K., Muncie Jr, H. L., & Phillips-Savoy, A. R. (2015). Rosacea: diagnosis and treatment. American family physician, 92(3), 187-196.
Steinhoff, M., Schauber, J., & Leyden, J. J. (2013). New insights into rosacea pathophysiology: a review of recent findings. Journal of the American Academy of Dermatology, 69(6), S15-S26.
Van Zuuren, E. J. (2017). Rosacea. New England Journal of Medicine, 377(18), 1754-1764.
Van Zuuren, E. J., Fedorowicz, Z., Carter, B., van der Linden, M. M., & Charland, L. (2015). Interventions for rosacea. Cochrane Database of Systematic Reviews, (4).
Walsh, R. K., Endicott, A. A., & Shinkai, K. (2018). Diagnosis and treatment of rosacea fulminans: a comprehensive review. American journal of clinical dermatology, 19(1), 79-86.
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