Primary Care Essays (Examples)
Study Document
Shortages Of Health Care Providers
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 … 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 … 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 … work and shuttering businesses right and left—potentially for good. If economic woes persist for the remainder of the year, the shortage of health care……
References
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
Alzhemier S Prevention Healthcare
… consequences of dementia are such that minor effects on cognitive decline or on the incidence of dementia may have a significant impact on care costs and the general encumbrance of dementia
There is no hypothesis or research question
The key concepts and terms noted include mild cognitive … article was to determine the strength of the available evidence that serum nutrient levels, dietary consumption, or nutrient supplementation were associated with the primary prevention or treatment of dementia
The scope of the study included a large range of nutrients;…[break]…/>
There are 24 references in total.
Emerson ……
References
References
Abraham, R. P., Denton, D. A., Al?Assaf, A. S., Rutjes, A. W., Chong, L. Y., Malik, M. A., & Tabet, N. (2015). Vitamin and mineral supplementation for prevention of dementia or delaying cognitive decline in people with mild cognitive impairment. Cochrane Database of Systematic Reviews, (10).
Kwok, T. C. Y., Lam, L. C. W., Sea, M. M. M., Goggins, W., & Woo, J. (2012). A randomized controlled trial of dietetic interventions to prevent cognitive decline in old age hostel residents. European journal of clinical nutrition, 66(10), 1135.
Dangour, A. D., Whitehouse, P. J., Rafferty, K., Mitchell, S. A., Smith, L., Hawkesworth, S., & Vellas, B. (2010). B-vitamins and fatty acids in the prevention and treatment of Alzheimer\\'s disease and dementia: a systematic review. Journal of Alzheimer\\'s disease, 22(1), 205-224.
Study Document
Diabetes Diagnosis And Plan Of Care
Diagnosis and Plan of care
The patient’s blood pressure in this case (i.e. 148/92) could be described as elevated. Further, the patient’s blood sugar (at 154 mg/dl) is … is an indicator of insulin resistance or diabetes mellitus” (1064). Taking this into consideration, as well as the other issues highlighted above, the primary diagnosis in this case would be type 2 diabetes (and high blood pressure). The differential diagnosis (on the basis of skin changes in ……
References
References
National Heart, Lung, and Blood Institute (2019). Assessing Your Weight and Health Risk. Retrieved from https://www.nhlbi.nih.gov/health/educational/lose_wt/risk.htm
National Institute of Diabetes and Digestive and Kidney Diseases (2017). Type 2 Diabetes. Retrieved from https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes/type-2-diabetes
Nordstrom, A., Hadrevi, J., Olsson, T., Franks, P.W. & Nordstrom, P. (2016). Higher Prevalence of Type 2 Diabetes in Men Than in Women Is Associated With Differences in Visceral Fat Mass. The Journal of Clinical Endocrinology & Metabolism, 101(10), 3740-3746.
Schilling W.H. & Crook M.A. (2014). Cutaneous Stigmata Associated With Insulin Resistance and Increased Cardiovascular Risk. Int J Dermatol, 53, 1062-1069.
Study Document
Culturally Competent Patient Care Advanced Practice Nursing
… nurses can assess the psychological, spiritual, physiological, social, environmental, and epidemiological data on a particular cultural group to provide culturally sensitive and patient-centered care. Since Madeleine Leininger first proposed that cultural competency was essential to nursing, various means of incorporating cultural learning and assessment have been incorporated … also include subcultural domains, age, socioeconomic status, and political affiliations. Advanced practice nurses have a moral and legal obligation to provide culturally competent care, outlined in Standard 8 of the American Nurses Association (ANA) Standards of Practice. Cultural assessment strategies enable the advanced practice nurse to understand the … incorporated into advanced nursing practice. Cultural competency is important in nursing because “culture affects people’s health and illness experiences as well as nursing care delivery,” (Wagner, 2019, p. 1). Cultural variables impact attitudes and social norms, values, beliefs, lifestyle habits, and more. Advanced practitioners need to remember … more. Advanced practitioners need to……
References
References
Coats, H., Crist, J. D., Berger, A., Sternberg, E., & Rosenfeld, A. G. (2016). African American Elders’ Serious Illness Experiences. Qualitative Health Research, 27(5), 634–648. doi:10.1177/1049732315620153
“Cultural Awareness and Influences on Health: NCLEX-RN,” (2020). Registered Nursing. Retrieved from: https://www.registerednursing.org/nclex/cultural-awareness-influences-health/
Marion, L., Douglas, M., Lavin, M., Barr, N., Gazaway, S., Thomas, L., Bickford, C., (November 18, 2016) \\\\\\\\\\\\"Implementing the New ANA Standard 8: Culturally Congruent Practice\\\\\\\\\\\\" OJIN: The Online Journal of Issues in Nursing Vol. 22 No. 1.
Smith, L.S. (2018). A nurse educator\\\\\\\\\\\\'s guide to cultural competence. Nursing Made Incredibly Easy 16(2): 19-23.
Spector, R.E. (2016). Cultural diversity in health and illness. 9th Edition
Wagner, J. (2019). Cultural competency. Medicine Libre Texts. Retrieved from: https://med.libretexts.org/Bookshelves/Nursing/Book%3A_Leadership_and_Influencing_Change_in_Nursing_(Wagner)/03%3A_Diversity_in_Health_Care_Organizations/3.04%3A_Cultural_Competency
Williams, M.T., Duque, G., Wetterneck, C.T., et al. (2018). Ethnic identity and regional differences in mental health in a national sample of African American young adults. Journal of Racial and Ethnic Health Disparities 5(2018): 312-321.
Young, S., & Guo, K. L. (2016). Cultural diversity training: the necessity of cultural competence for health care providers and in nursing practice. The health care manager, 35(2), 94-102.
Study Document
How Do Marriage And Family Therapist View Fathers As Being The Single
… via multiple case presentations that show classic issues that single-parent families have to confound with. When the single father parent is also the care, the challenge is aggravated.
Literature Review
Haire and McGeorge (2012) conducted a study that sought to examine the negative perceptions towards parents who … often complicated in dealing with the children’s mother. They are also said to have backlog influences of poor raising in preparation for child care and have no proper knowledge of how to care for children. Fathers are commonly referred by courts to attend the parent education programs when the judge feels that there are lapses in ……
References
References
DeJean, S. L., McGeorge, C. R., & Stone Carlson, T. (2012). Attitudes toward never-married single mothers and fathers: Does gender matter? Journal of Feminist Family Therapy, 24(2), 121-138.
Greif, G. L., Finney, C., Greene-Joyner, R., Minor, S., & Stitt, S. (2007). Fathers who are court-mandated to attend parenting education groups at a child abuse prevention agency: Implications for family therapy. Family Therapy, 34(1), 13-26.
Haire, A. R., &McGeorge, C. R. (2012). Negative perceptions of never-married custodial single mothers and fathers: Applications of a gender analysis for family therapists. Journal of Feminist Family Therapy, 24(1), 24-51.
Jones, E. (1983). Leaving whom? Motherless families: problems of termination for the female family therapist. Journal of Family Therapy, 5(1), 11-22.
Maier, C. A., &McGeorge, C. R. (2014). Positive attributes of never-married single mothers and fathers: Why gender matters and applications for family therapists. Journal of Feminist Family Therapy, 26(3), 163-190.
Study Document
Role And Purpose Of Advocacy In The Health Care Delivery System
Introduction
Advocacy in health care refers to the action of promoting and fostering social, economical, political and educational changes that reduce the risk of suffering of individuals and … educational changes that reduce the risk of suffering of individuals and communities by implementing preventive strategies, increasing health literacy, and boosting access to care and health equity (Earnest, Wong & Federico, 2010). Health care advocacy agents can thus address health outcomes by advocating for changes to the current practices, environments, awareness, and access to care that populations face. This paper will discuss health care advocacy at the local, regional and international levels, the challenges and opportunities that exists in international care advocacy and the ways these challenges can be addressed.
How Health care Advocacy Agents Address Health Outcomes
The role and purpose of advocacy in the health care delivery system is to help to better ensure that the patient receives the……
References
References
Ahmadinejad, F., Abbaszadeh, A., & Davoodvand, S. (2016). Patient advocacy from the clinical nurses\\\\' viewpoint: a qualitative study. Journal of medical ethics and history of medicine, 9(5).
Benatar, S. R. (2013). Global Health and Justice: R e?examining our Values. Bioethics, 27(6), 297-304.
Earnest, M. A., Wong, S. L., & Federico, S. G. (2010). Perspective: physician advocacy: what is it and how do we do it?. Academic medicine, 85(1), 63-67.
World Health Organization (WHO). (2015). Global Health Ethics Key issues Global Network of WHO Collaborating Centres for Bioethics. Retrieved from: http://apps.who.int/iris/bitstream/handle/10665/164576/9789240694033_eng.pdf;jsessionid=BF56A5C93A3B735876DBBF060A0652FC?sequence=1
World Health Organization. (2016). Online public hearing to help inform the scope of the forthcoming WHO guidelines on health policy and system support to optimize community based health worker programs. Retrieved from: http://www.who.int/hrh/news/2016/pico_form/en/
Study Document
Dorothea Orem S Self Care Deficit Theory
My specialty area of NP practice is family nurse practitioner. My choice of nursing theory on this front is the Dorothea Orem’s self-care deficit theory. To a large extent, this happens to be one of the most popular nursing theories owing to its succinct description of … their health and wellbeing by embracing the various practices associated with not only health maintenance, but also health promotion. In its basic format, self-care - as White (2013) notes - incorporates the patient in his wholeness (i.e. emotionally, mentally, and physically).
The self-care theory was first introduced by Orem in the 1960s. It was, however, not until 1971 that Orem outlined the theory in one of … Practice. As Simmons (2009) observes, Orem was convinced that the focus of nursing should be on how to affect people’s natural ability for self-care. Therefore, in practice settings, Simmons (2009) is of the opinion that nurses……
References
References
Asadi, P., Ahmadi, S., Abdi, A., Shareef, O.H., Mahamadyari, T. Miri, J. (2019). Relationship between self-care behaviors and quality of life in patients with heart failure. Heliyon, 5(9), 71-83.
Blum, C.A. (2014). Practicing Self-Care for Nurses: A Nursing Program Initiative. Journal of Issues in Nursing, 19(3), 40-47.
Fawcett, J. (2016). Applying Conceptual Models of Nursing: Quality Improvement, Research, and Practice. Mason, OH: Cengage Learning.
Gross, R. Kinnison, N. (2017). Psychology for Nurses and Health Professionals (2nd ed.). New York, NY: CRC Press.
McFarland, M.R. Wehbe-Alamah, H.B. (2018). Leininger\\\\\\'s Transcultural Nursing: Concepts, Theories, Research & Practice (4th ed.). New York, NY: McGraw Hill Professional.
Stein-Parbury, J. (2017). Patient and Person: Interpersonal Skills in Nursing (6th ed.). New York, NY: Elsevier Health Sciences.
Study Document
Healthcare Program
… pointed out, the relevance of these constructive/optimistic outcomes cannot be overstated given that it would be largely impossible to immediately identify PEI programming primary effects.
What data was used to conduct the program or policy evaluation?
In the conduction of the policy evaluation, various data sources came ……
References
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
Healthcare Ethics Bioethics Decisions
… these resources equitably remains one of the most pressing dilemmas in bioethics. Given that the dying patient did consent to organ donation, the primary ethical dilemmas in this case arise when determining the recipient. The case presents four different options, two of which (Michael and Mario) seem … transplant. Above all, this case illustrates the central importance of the ethical principle of justice in medicine. This case also seriously challenges the care team to apply the principle of beneficence equitably. Essentially, the case pits the principle of beneficence against the principle of justice.
Resolution
Technological … This case shows how organ transplants, as beneficial and miraculous as they are, can also become a source of struggle for bioethicists and care workers who contend with difficult choices—many of which are essentially life-and-death matters. The principalist method avoids some of the pitfalls associated with adherence … people make ethical decisions in……
References
References
“Ethical Theory and Bioethics,” (n.d.).
“Principles of Ethics,” (n.d.).
Steinbock, B., London, A.J. & Arras, J.D. (n.d.). Ethical issues in modern medicine. 8th edition. McGraw Hill.
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.
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