Primary Care Essays (Examples)
Study Document
Homeless Population And Health Disparities
… health (Fajardo-Bullón et al, 2019).
In addition to poor social determinants of health, the homeless also face several external and internal barriers to care. Internal barriers entail downplaying health problems, and great pressure to satisfy competing needs such as food, water, clothing, and shelter instead of care. While external barriers entail unavailable primary care services, and prejudices and misconceptions by care professionals. With poverty, several barriers to care, and complex comorbidities, it is not a surprise that the homeless have very high death rates (Fajardo-Bullón et al, 2019).
In the city … have shown significant improvement in health status, in health visits, in following medical guidelines, in accepting medical visits, and in earlier visits to care providers in case of medical problems or issues (Koh, & O’Connell, 2016).
Even though it is a frequently analysed variable in epidemiological studies ……
References
References
Andaya, A. (2016). Understanding the Causes Health Disparities among the Homeless. UC Merced Undergraduate Research Journal, 9(1).
Fajardo-Bullón, F., Esnaola, I., Anderson, I., & Benjaminsen, L. (2019). Homelessness and self-rated health: evidence from a national survey of homeless people in Spain. BMC public health, 19(1), 1081.
Koh, H. K., & O’Connell, J. J. (2016). Improving health care for homeless people. Jama, 316(24), 2586-2587.
Plumb J. D. (2000). Homelessness: reducing health disparities. CMAJ : Canadian Medical Association journal = journal de l\\\\\\'Association medicale canadienne, 163(2), 172–173.
Study Document
A Urate Lowering Intervention
...Primary care A Urate Lowering Intervention
Hypertension speaks to a noteworthy general medical issue. Around the world, roughly one-fourth of the grown-up populace has hypertension. Epidemiological and trial studies propose a linkage between Hyperuricemia and hypertension. Hyperuricemia influences 30?45 % of patients with untreated hypertension. A much lower commonness has been accounted for in normotensives or the overall public. “Be that as it may, in the case of bringing down serum uric Acid (SUA) may lower pulse or blood pressure is an unanswered inquiry.” (Hussar, 2010, p.70). High serum urate focus is a settled causative factor for the improvement of gouty joint inflammation. There is developing enthusiasm for a job for serum urate as a contributing component for the improvement or compounding of vascular, heart, and renal illness. The relationship between serum urate levels and Blood pressure (BP) has been depicted for a long time. Proof from creature studies gives solid help……
Study Document
Eating Disorder
… a “domino effect” in his/her life?
· Circle what PMH problem likely started FIRST.
· Underline what PMH problem(s) FOLLOWED as domino(s).
PATIENT care BEGINS
What VS data is relevant and must be recognized as clinically significant by the nurse?
Relevant VS data: T: 96.2 F/35.7 C … the nurse?
Relevant lab(s): All signs are within normal range
Clinical significance: Detection of urinary tract symptoms
Lab Planning: Creating a Plan of care with a PRIORITY Lab
Lab: Potassium Value:1.9
Normal Value: Critical Value: 3.7
Clinical significance: Low level of potassium in the blood could indicate … significance: Low level of magnesium in the blood could indicate hypomagnesaemia
Nursing assessments/interventions required: Magnesium replacement
CLINICAL REASONING BEGINS
1. What is the primary problem that your patient is most likely presenting with?
Anorexia Nervosa
2. What is the underlying cause/pathophysiology of this primary problem?
Low self-esteem, relationship problems and stressful life events.……
Study Document
Psychological Health
… of the same magnitude (Barth et al., 2016).
The majority of the trials involved in this huge meta-analysis were conducted in specialized mental care surroundings. Two questions arise about the treatment and management of depression, particularly in primary care.
One, can we infer the discoveries from trials conducted in specialized metal care surroundings to primary care? Patients suffering from depression in primary care at times have more somatic or less serious symptoms compare to those patients transferred to specialty mental care.
Two, the restricted figure, as well as the regional allocation of qualified experts, makes it challenging to offer personalized, face-to-face psychological therapy sessions … therapy sessions to a broad population. Thus, there has been the development of several interventions whereby there is reduced contact time with the care expert and whereby the treatment gets delivered electronically, by phone, or via printed content. It is important to understand how……
References
References
Australian Psychological Society. (2010). Evidence?based psychological interventions in the treatment of mental disorders: A literature review. Victoria: Australian Psychological Association.
Barth, J., Munder, T., Gerger, H., Nüesch, E., Trelle, S., Znoj, H., ... & Cuijpers, P. (2016). Comparative efficacy of seven psychotherapeutic interventions for patients with depression: a network meta-analysis. Focus, 14(2), 229-243.
Castelnuovo, G. (2017). New and old adventures of clinical health psychology in the twenty-first century: standing on the shoulders of giants. Frontiers in psychology, 8, 1214.
Hofmann, S. G., Asnaani, A., Vonk, I. J., Sawyer, A. T., & Fang, A. (2012). The efficacy of cognitive-behavioral therapy: A review of meta-analyses. Cognitive therapy and research, 36(5), 427-440.
Hughes, A. M., Gordon, R., Chalder, T., Hirsch, C. R., & Moss?Morris, R. (2016). Maximizing the potential impact of experimental research into cognitive processes in health psychology: A systematic approach to material development. British journal of health psychology, 21(4), 764-780.
Kirkham, J. G., Choi, N., & Seitz, D. P. (2016). Meta?analysis of problem solving therapy for the treatment of major depressive disorder in older adults. International Journal of Geriatric Psychiatry, 31(5), 526-535.
Lenz, A. S., Hall, J., & Bailey Smith, L. (2016). Meta-analysis of group mindfulness-based cognitive therapy for decreasing symptoms of acute depression. The Journal for Specialists in Group Work, 41(1), 44-70.
Linde, K., Rücker, G., Sigterman, K., Jamil, S., Meissner, K., Schneider, A., & Kriston, L. (2015). Comparative effectiveness of psychological treatments for depressive disorders in primary care: network meta-analysis. BMC family practice, 16(1), 103.
Study Document
Current Issue In Nursing Nursing Shortage
… are often unwilling, despite evidence-based research supporting higher staffing ratios as leading to lower-cost and superior patient outcomes, to hire more nurses as care staffing makes up as much as 40% of all intuitional operating costs (“Nursing Shortage,” 2019).
The attempt to cut costs by reducing staff … view of an aging patient population which increasingly consists of patients with multiple chronic conditions, many of which must be managed with long-term care and guidance. Nursing has gained respect a profession within the care industry as a whole, as more nurses are performing functions once filled by physicians, but nurses must be treated with the respect they … which still increases the patient load for nurses as a practical problem and must be addressed.
Synthesis of References
According to ANA Health care Economist Peter McMenamin (2019), many nurses who deferred their retirement during the so-called Great Recession of 2008 have……
References
References
ANA health care economist Peter McMenamin on the nursing shortage outlook. (2019). Nursing
World. Retrieved from: https://www.nursingworld.org/~4afb8f/globalassets/practiceandpolicy/health-and- safety/rnjobmkt_peterminterview_final_030713.pdf
Bond, D. (2017). Will BSN students consider a future nursing faculty role? Nursing Education Perspectives, 38(1):9–17.
Botha, E., Gwin, & Purpora, C. (2015). The effectiveness of mindfulness based programs in reducing stress experienced by nurses in adult hospital settings: a systematic review of quantitative evidence protocol. JBI Database of Systematic Reviews and Implementation Reports, 13(10):21–29. Retrieved from: https://insights.ovid.com/pubmed?pmid=26571279
Crawford, C. (2019). Addition of Advanced Practice Registered Nurses to the trauma team: An integrated systematic review of literature. Journal of Trauma Nursing. 26(3):141–146,
Gillespie, G. L., Grubb, P. L., Brown, K., Boesch, M. C., & Ulrich, D. (2017). ‘Nurses eat their young:’ A novel bullying educational program for student nurses. Journal of Nursing Education and Practice, 7(7), 11–21. doi:10.5430/jnep.v7n7P11
Haddad, L.M., Toney-Butler, T.J. (2019). Nursing shortage. StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing. Retrieved from: https://www.ncbi.nlm.nih.gov/books/NBK493175/
Nurse staffing crisis. (2019). Nursing World. Retrieved from: https://www.nursingworld.org/practice-policy/nurse-staffing/nurse-staffing-crisis/
Study Document
Hepatitis B Virus Infection
… transmitted through contact with body fluids like blood. Since it is a life-threatening condition, the viral infection has received considerable attention in the care sector. care professionals and other relevant stakeholders have developed various initiatives to help lessen the prevalence of this infection and mitigate its impacts worldwide. This … this infection include acute liver failure, liver cancer, chronic liver infection, and cirrhosis. Since there is no specific treatment for the infection, existing care approaches focus on maintaining comfort and adequate nutritional balance. They include medications using oral antiviral agents like tenofovir and entecavir as well as … (1.6 per 100,000).…[break]…HBV, nurse practitioners carry out screening and testing programs given that most cases of this infection are asymptomatic. They work with primary care physicians to develop interventions for patients depending on the specific factors relating to the development of the infection. During this process, nurse practitioners … of the……
References
References
American Association of Nurse Practitioners. (2019, January 28). Nurse Practitioner Role Grows to More Than 270,000. Retrieved July 23, 2020, from https://www.aanp.org/news-feed/nurse-practitioner-role-continues-to-grow-to-meet-primary-care-provider-shortages-and-patient-demands
Greene, K.M., Duffus, W.A., Xing, J., & King, H. (2017). Social Determinants of Health Associated with HBV Testing and Access to Care among Foreign-born Persons Residing in the United States: 2009-2012. Journal of Health Disparities Research and Practice, 10(2), 1-20.
Healthy People. (2020). Determinants of Health. Retrieved from U.S. Department of Health and Human Services website: https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health
Kim, H. & Kim, W.R. (2018, August 22). Epidemiology of Hepatitis B Virus Infection in the United States. Clinical Liver Disease, 12(1), 1-4.
Kim, W.R. (2012, March 1). Epidemiology of Hepatitis B in the United States. Hepatology, 49(5), S28-S34.
MacLachlan, J.H. & Cowie, B.C. (2015, May). Hepatitis B Virus Epidemiology. Cold Spring Harbor Perspectives in Medicine, 5(5). doi: 10.1101/cshperspect.a021410
World Health Organization. (2019, July 18). Hepatitis B. Retrieved July 23, 2020, from https://www.who.int/news-room/fact-sheets/detail/hepatitis-b
Zhang, Z., Wang, C., Liu, Z., Zou, G., Li, J. & Lu, M. (2019, August 13). Host Genetic Determinants of Hepatitis B Virus Infection. Frontiers in Genetics, 10(696),1-24.
Study Document
Child Protection
… ask where the mother was when Fiona, a three-year-old, got burnt.
Summary of MRG Answers
The Main Concern: Clothing /hygiene. You are a care expert. A child or young person has been diagnosed and found to have sustained a serious condition caused by poor hygiene and clothing. … of the case is not willing or simply unable to provide a solution to the problem.
Currently, it is the mother who takes care of Fiona. Fiona's father is serving a jail term. Susanna's mother-in-law could have helped, but all her time is tied up with work. … jail term. Susanna's mother-in-law could have helped, but all her time is tied up with work. The worry I have is the excellent care that Fiona needs may not be forthcoming. Susanna, Fiona's mother, cannot provide such care because she has two other children to take care of, apart from the daily house……
References
References
Australian Law Reform Commission (ALRC). (2010). Family violence: A national legal response. Canberra: ALRC.
Child Family Community Australia (CFCA). (2016). Australian legal definitions: When is a child in need of protection? (CFCA Resource Sheet). Melbourne: Australian Institute of Family Studies.
New South Wales Government. (1998). Children and Young Persons (Care and Protection) Act 1998.
NSW Government, (2018a). Child wellbeing and child protection fact sheet for NSW Health workers. Retrieved from https://www.health.nsw.gov.au/parvan/childprotect/Pages/child-wellbeing.aspx
NSW Government, (2018b). About child protection and wellbeing. Retrieved from https://www.health.nsw.gov.au/parvan/childprotect/Pages/default.aspx
WHO (2002). \\\\\\\\\\\\"Chapter 3: Child abuse and neglect by parents and other caregivers.\\\\\\\\\\\\" World report on violence and health. Retrieved from https://www.who.int/violence_injury_prevention/violence/global_campaign/en/chap3.pdf
World Health Organization. (2006). Preventing child maltreatment: a guide to taking action and generating evidence. Geneva, WHO.
Study Document
Body Dysmorphic Disorder
… hide the perceived defect.
Psychopharmacologic Treatments
The treatment of obsessive-compulsive disorders…[break]…maintenance of treatment for this patient requires a comprehensive follow-up involving collaboration of care professionals as part of a treatment alliance (Phillips & Hollander, 2008). primary care physicians should collaborate with other clinicians to conduct monthly assessment of the patient and make necessary changes to the treatment regimen depending on ……
References
References
Ahmed et al. (2019, October 3). Body Dysmorphic Disorder Treatment & Management. Retrieved October 10, 2019, from https://emedicine.medscape.com/article/291182-treatment#d12
Harris, P.M. & Drummond, L.M. (2016, October). Compliance of Community Teams with Specialist Service Recommendations for Obsessive-Compulsive and Body Dysmorphic Disorders. BJPsych Bulletin, 40(5), 245-248.
Mayo Clinic Staff. (2016, April 28). Body Dysmorphic Disorder. Retrieved October 10, 2019, from https://www.mayoclinic.org/diseases-conditions/body-dysmorphic-disorder/diagnosis-treatment/drc-20353944
Phillips, K.A. & Hollander, E. (2008, March). Treating Body Dysmorphic Disorder with Medication: Evidence, Misconceptions, and a Suggested Approach. Body Image, 5(1), 13-27.
Phillips, K.A. (2006, July). The Presentation of Body Dysmorphic Disorder in Medical Settings. Primary Psychiatry, 13(7), 51-59.
Study Document
Depression Among Older Immigrant African Women In Metro West Massachusetts
… between 50 and 79 years (Agbemenu, 2016). Despite a variety of efficacious interventions for depression and anxiety, elderly immigrant women experience mental health care disparities in their access to mental health services and the quality of treatment they receive (Sánchez et al., 2014). Researchers have determined that … perspective of social workers regarding depression within the selected migrant population as well as insights into the ways in which professionals in the care sector can help meet emerging needs.
Purpose of the Study
In this study, the views of social workers regarding depression in older immigrant ……
References
References
Agbemenu, K. (2016). Acculturation and Health Behaviors of African Immigrants Living in the United States: An Integrative Review. ABNF Journal, 27(3).
Alegría, M., Álvarez, K., & DiMarzio, K. (2017). Immigration and mental health. Current epidemiology reports, 4(2), 145-155.
Baldwin-Clark, T., Ofahengaue Vakalahi, H. F., & Anderson, B. (2016). What about African American older women and depressive symptoms? Educational Gerontology, 42(5), 310-320.
Cassel, J. (1995). The contribution of the social environment to host resistance: the fourth wade Hampton frost lecture. American journal of epidemiology, 141(9), 798-814.
Cobb, S. (1976). Social support as a moderator of life stress. Psychosomatic medicine.
Delara, M. (2016). Social determinants of immigrant women’s mental health. Advances in Public Health, 2016.
Dow, H. D. (2011). An overview of stressors faced by immigrants and refugees: A guide for mental health practitioners. Home Health Care Management & Practice, 23(3), 210-217.
Emadpoor, L., Lavasani, M. G., & Shahcheraghi, S. M. (2016). Relationship between perceived social support and psychological well-being among students based on mediating role of academic motivation. International Journal of Mental Health and Addiction, 14(3), 284-290.
Study Document
Role Of Descriptive Epidemiology In Nursing Science
...Primary care Introduction
Public health as a field comprises the convictions, science, and skills relating to the preservation and improvement of the health of the general public through preventative endeavors instead of curative ones. One of the basic sciences that are critical to promoting public health is epidemiology. As a tool, epidemiology is useful in the protection and promotion of public health through the application of common sense as well as scientific reasoning (Stanhope & Lancaster, 2015). One of the main areas of epidemiology is descriptive epidemiology. Descriptive epidemiology focuses on the description of diseases and their determinants. It is useful in the organization and analysis of various diseases and the occurrences of those diseases in the given geographical area over time. Descriptive epidemiology is therefore capable of generating etiological research hypotheses (Liu, 2018). This paper discusses the role of descriptive epidemiology in nursing today.
Descriptive Epidemiology
Descriptive epidemiology refers to a……
References
References
Liu, L., (2018). “Chapter 1 – Introduction.” In Heart Failure: Epidemiology and Research Methods. Elsevier Health Sciences. p. 1-12.
Stanhope, M., & Lancaster, J. (2015). Public health nursing-e-book: Population-centered health care in the community. Elsevier Health Sciences.
Richards, E. A., & Cai, Y. (2016). Integrative review of nurse-delivered physical activity interventions in primary care. Western Journal of Nursing Research, 38(4), 484-507.
Katzmarzyk, P. T., Lee, I. M., Martin, C. K., & Blair, S. N. (2017). Epidemiology of physical activity and exercise training in the United States. Progress in Cardiovascular Diseases, 60(1), 3-10.
Mandl, M., Halfens, R. J., & Lohrmann, C. (2015). Incontinence care in nursing homes: a cross?sectional study. Journal of advanced nursing, 71(9), 2142-2152.
Oyesanya, T. O., Bowers, B. J., Royer, H. R., & Turkstra, L. S. (2018). Nurses’ concerns about caring for patients with acute and chronic traumatic brain injury. Journal of clinical nursing, 27(7-8), 1408-1419.
Heavey, E. (2018). Statistics for nursing: A practical approach. Jones & Bartlett Learning.
Colditz, G., Nguyen, N., & Dart, H. (2016). Physical activity and health. In International Encyclopedia of Public Health (pp. 463-472). Elsevier Inc.
Improve your studying and writing skills
We have over 150,000+ study documents to help you.
Sign Up for FREE
