Primary Care Essays (Examples)
Study Document
Pediatric Nursing And Gastroenteritis
… illness, parents manage it at home and may not even seek professional help. While many children who develop gastroenteritis do not need specialized care, still, they end up in hospital facilities and are admitted as inpatients. Such patients are kept in hospital for a significant period. This … However, uncertainties exist regarding the safety and efficacy of such agents (Hockenberry & Wilson, 2019).
It has been found that the pediatric Intensive care Unit often places children under the risk of psychological and behavioral difficulties after they have been discharged. Although medical technology has advanced a … risk factors and indicators of outcomes when looking out for long term psychological morbidity so that the areas that need health enhancement and care interventions can be pointed out (Caplin& Cooper, 2007).
Critical illness for children exposes them to stressors in the end. They are subjected to … children are admitted, they are……
References
References
Campos, M. C., Rodrigues, K. C. S., & Pinto, M. C. M. (2010). Evaluation of the behavior of the pre-school one just admitted in the unit of pediatrics and the use of the therapeutic toy. Einstein (São Paulo), 8(1), 10-17.
Caplin, D., & Cooper, M. (2007). Child development for inpatient medicine. In Comprehensive pediatric hospital medicine (pp. 1285-1292). Mosby.
Emde, R. N., & Harmon, R. J. (Eds.). (2012). Continuities and discontinuities in development. Springer Science & Business Media.
Hockenberry, M. J., & Wilson, D. (2019). Wong\\\\\\\\\\\\'s nursing care of infants and children E-book. Elsevier Health Sciences.
Koukourikos, K., Tzeha, L., Pantelidou, P., & Tsaloglidou, A. (2015). The Importance of Play during Hospitalization of Children. Materia socio-medica, 27(6), 438–441. https://doi.org/10.5455/msm.2015.27.438-441
Li, W. H., Chung, J. O. K., Ho, K. Y., & Kwok, B. M. C. (2016). Play interventions to reduce anxiety and negative emotions in hospitalized children. BMC pediatrics, 16(1), 36.
National Collaborating Centre for Women\\\\\\\\\\\\'s and Children\\\\\\\\\\\\'s Health; UK. (2009). Diarrhea and vomiting caused by gastroenteritis: diagnosis, assessment, and management in children younger than 5 years.
Study Document
Raising Families In The 1950s After World War II
… the war came to an end, there was a complete reversal in these roles, with the women playing the housewife role in taking care of the family and bearing children, whereas the men took up the role of going to work and providing for the family. The … there has been extensive examination done on the quality of life aspects.
Functional factors
Older age is characteristically linked to worse health, greater care use, and heightened care expenses. As a result, the significant number of aging baby boomers that are beyond 50 years and creating worries for the provision of … include the massive size of the cohort and the perspective that baby boomers are dissimilar in terms of their necessities and attitudes towards care from their ancestors (Canizares et al., 2016). It is…[break]…the United States. With the number of persons aged 65 years and above increasing, there ……
References
References
Baernholdt, M., Yan, G., Hinton, I., Rose, K., & Mattos, M. (2012). Quality of life in rural and urban adults 65 years and older: findings from the National Health and Nutrition Examination survey. The Journal of Rural Health, 28(4), 339-347.
Canizares, M., Gignac, M., Hogg-Johnson, S., Glazier, R. H., & Badley, E. M. (2016). Do baby boomers use more healthcare services than other generations? Longitudinal trajectories of physician service use across five birth cohorts. BMJ Open, 6(9), e013276.
Cleary, K. K., & Howell, D. M. (2006). Using the SF-36 to determine perceived health-related quality of life in rural Idaho seniors. Journal of allied health, 35(3), 156-161.
Hall, R. C., Hall, R. C., & Chapman, M. J. (2003). Identifying geriatric patients at risk for suicide and depression. Clinical Geriatrics, 11, 36-44.
Khan Academy. (2020). Women in the 1950s: Learn about the myths and realities of women\\\\\\\\\\\\'s lives during the 1950s. Retrieved 8 March 2020 from https://www.khanacademy.org/humanities/us-history/postwarera/1950s-america/a/women-in-the-1950s
Oguzturk, O. (2008). Differences in quality of life in rural and urban populations. Clinical and investigative medicine, E346-E350.
Phillipson, C., Leach, R., Money, A., & Biggs, S. (2008). Social and cultural constructions of aging: the case of the baby boomers. Sociological Research Online, 13(3), 1-14.
Rinfrette, E. S. (2009). Treatment of anxiety, depression, and alcohol disorders in the elderly: Social work collaboration in primary care. Journal of evidence-based social work, 6(1), 79-91.
Study Document
Patient Input And Scientific Merit
… in advancing the knowledge base of the extent to which elderly, chronically ill patients can have a role in exercising oversight over their care. As more and more of the population base is classified as geriatric, facilitating patient autonomy and improved mental health becomes more and more … one of the reasons the study employed a qualitative approach, to allow patients to have direct input into shaping the trajectory of their care to the maximum extent possible. The article did not have an underlying theory, however, such a Dorothea Orem’s self-care deficit theory, which stresses that the nurse is present to step in only when the patient is unable to supply needed self-care for him or herself (Clarke, et al., 2009). This study suggests that patients have the willingness to provide more input into their care plans than is currently common.
Given that the study is qualitative in nature,……
References
References
Clarke, P. N., Allison, S. E., Berbiglia, V. A., & Taylor, S. G. (2009). The impact of Dorothea E. Orem’s life and work: An interview with Orem scholars. Nursing Science Quarterly, 22(1), 41–46. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250873/
Doekhie, K. D., Strating, M., Buljac-Samardzic, M., van de Bovenkamp, H. M., & Paauwe, J. (2018). The different perspectives of patients, informal caregivers and professionals on patient involvement in primary care teams. A qualitative study. Health Expectations: An International Journal of Public Participation in Health Care and Health Policy, 21(6), Retrieved from:
Study Document
The Role Of APRN In Policy Making
Introduction
Nurses are professionals and experts with the capability and responsibility to have an influence not only in the prevailing but also future care delivery systems. Imperatively, the nursing line of work is founded on the skill of human health and caring. It functions from a structure … societal levels. Through policy work, nurses have the ability and ought to influence practice standards as well as procedures to guarantee quality of care. More than ever, nurses ought to be incorporated in every care environment and also are set in a unique role in the formulation of policy (Burke, 2016).
Opportunities for APRN Participation in Policy Making
… all through their state and the nation, reliant on the level of the health policy. Imperatively, nurse practitioners the capability to transform health care for persons for several years to come. They can carry out quality improvement projects within their workplace setting, and……
References
References
Burke, S. A. (2016). Influence through policy: Nurses have a unique role. Reflections on Nursing Leadership. Retrieved from: https://www.reflectionsonnursingleadership.org/commentary/more-commentary/Vol42_2_nurses-have-a-unique-role
Chilton, L. (2015). Nurse Practitioners Have an Essential Role in Health Policy. The Journal for Nurse Practitioners, 11(2), A19.
Hughes, A. (2010). The challenge of contributing to policy making in primary care: the gendered experiences and strategies of nurses. Sociology of health & illness, 32(7), 977-992.
Shariff, N. (2014). Factors that act as facilitators and barriers to nurse leaders’ participation in health policy development. BMC nursing, 13(1), 20.
Study Document
Psychological Test Evaluation Beck Anxiety Inventory BAI
...Primary care Psychological Test Evaluation: Beck Anxiety Inventory (BAI)
Section 1: General Features
a) Title: Beck Anxiety Inventory (BAI)
b) Author(s): Aaron T Beck, Robert A Steer
c) Publisher: Pearson Education, Inc.
d) Publication Year: 1993
e) Age Range: 17 years to adult (Beck & Steer, 1993)
f) Qualification Code: CL2
Section 2: Instrument Description
a) Instrument Function: What does it measure?
BAI is a tool used to measure the level of anxiety in persons aged 18 and above. It is the criteria referenced assessment instrument. The Beck Anxiety Inventory provides professionals with a strong basis on which to anchor their diagnosis and decisions about the same (Beck et al., 1988; Beck & Steer, 1993). The instrument can be used to measure baseline anxiety to establish how effective treatment is as it goes on. It can also be applied as an outcome measure during the post-treatment period.
(a) Population: Who does the……
References
References
Arnold, L. M., Clauw, D., Wang, F., Ahl, J., Gaynor, P. J., &Wohlreich, M. M. (2010). Flexible dosed duloxetine in the treatment of fibromyalgia: a randomized, double-blind, placebo-controlled trial. The Journal of rheumatology, 37(12), 2578-2586.
Beck, A. T., & Steer, R. A. (1993). Beck Anxiety Inventory manual. San Antonio, TX: Psychological Corporation.
Beck, A. T., Epstein, N., Brown, G. & Steer, R. A. (1988). An inventory for measuring clinical anxiety: psychometric properties. Journal of Consulting and Clinical Psychology, 56, 893–897.
Biggs, Q. M. (2008). Transportation trauma and psychological morbidity: Anxiety, depression, PTSD, and perceived control in a hospitalized sample. (Doctoral dissertation, University of North Texas).
DeFeo, J. (2005). Beck Anxiety Inventory. NCTSN Measure Review Database. Retrieved from http://citeseerx.ist.psu.edu/viewdoc/download?doi=10.1.1.506.4912&rep=rep1&type=pdf
Gillis, M. M., Haaga, D. A., & Ford, G. T. (1995). Normative values for the beck anxiety inventory, fear questionnaire, Penn state worry questionnaire, and social phobia and anxiety inventory. Psychological Assessment, 7(4), 450.
Halfaker, D. A., Akeson, S. T., Hathcock, D. R., Mattson, C., &Wunderlich, T. L. (2011). Psychological aspects of pain. Pain procedures in clinical practice (pp. 13-22). Hanley &Belfus.
Julian, L. J. (2011). Measures of anxiety: state?trait anxiety inventory (STAI), Beck anxiety inventory (BAI), and Hospital Anxiety and Depression scale?anxiety (HADS?A). Arthritis care & research, 63(S11), S467-S472.
Study Document
PCOS Diagnosis And Management
...Primary care
PID, Amenorrhea, and PCOS
An 18-year-old female presents to the clinic for evaluation of amenorrhea. She complains of having irregular menstruation cycles that started since menarche at age 13. While she lives with both parents, the patient expressed concerns regarding fertility as she engages in unprotected sex with her boyfriend regularly. She denies having any other health problems and stopped taking birth control pills more than a year ago. The patient suspects having a menstrual or reproductive disorder, which could be affecting her fertility. This situation is an example of a clinical issue involving menstruation and requires proper diagnosis and treatment plan. This paper discusses the diagnosis of her condition and provides a therapeutic plan incorporating pharmacological and non-pharmacological treatments based on evidence-based practice.
Diagnostic Testing and Possible Physical Exam Findings
The patient’s history of present illness meets the criteria for Polycystic Ovary Syndrome (PCOS), which is a common endocrine……
References
References
Lanzo, E., Monge, M. & Trent, M. (2015, September). Diagnosis and Management of Polycystic Ovary Syndrome in Adolescent Girl. Pediatric Annals, 44(9), e223-e230. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5659205/
Lua, A.C.Y., How, C.H. & King, T.F.J. (2018, November). Managing Polycystic Ovary Syndrome in Primary Care. Singaporean Medical Journal, 59(11), 567-571. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250763/
Williams, T., Mortada, R. & Porter, S. (2016, July 15). Diagnosis and Treatment of Polycystic Ovary Syndrome. American Family Physician, 94(2), 106-113. Retrieved from https://www.aafp.org/afp/2016/0715/p106.html
Study Document
Leadership Failure
… is of the opinion that this particular debacle could have been avoided had clear warning signs not been ignored along the way. The primary leaders in this particular case were leadership at the FDA and Merck’s senior executives.
The entre fiasco is representative of a colossal failure ……
References
References
Daft, R. (2007). The Leadership Experience (4th ed.). Mason, OH: Cengage Learning.
Northouse, P.G. (2016). Leadership: Theory and Practice (7th ed.). Washington, DC: SAGE Publications.
Tropol, E.J. (2004). Failing the Public Health — Rofecoxib, Merck, and the FDA. N Engl J Med., 351(17), 1707-1709.
Study Document
Diabetes
… Beck’s (2017) criteria for a well-written title, neither article had a sufficiently formulated title. The title by Protheroe et al. (2016) contained the primary concept of the study—namely, feasibility of health trainer improved patient self-management, and it also identified the population and design of the study—but it … (2019) also failed to identify the length of the study in their title; however, like Protheroe et al. (2016), they did include the primary concept of lifestyle intervention for urban low-income African Americans with type 2 diabetes, and they did identify the population and design of the … trial was comparing a group of patients that had a lay health trainer (LHT) with a group of patients that received the usual care for diabetes education. The control group in their study received usual medical care provided to patients with their condition.
Lynch et al. (2019) also abided by the criteria described……
References
References
Lynch, E. B., Mack, L., Avery, E., Wang, Y., Dawar, R., Richardson, D., … Fogelfeld, L. (2019). Randomized Trial of a Lifestyle Intervention for Urban Low-Income African Americans with Type 2 Diabetes. JGIM: Journal of General Internal Medicine, 34(7), 1174–1183. https://doi-org.ezproxy.loyno.edu/10.1007/s11606-019-04894-y
Protheroe, J., Rathod, T., Bartlam, B., Rowlands, G., Richardson, G., & Reeves, D. (2016). The Feasibility of Health Trainer Improved Patient Self-Management in Patients with Low Health Literacy and Poorly Controlled Diabetes: A Pilot Randomised Controlled Trial. Journal of Diabetes Research, 1–11. https://doi.org/10.1155/2016/6903245
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 … feel 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……
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/
Wangmo, T., Nordstrom, K. & Kressig, R.W. (2017). Preventing elder abuse and neglect in geriatric institutions: Solutions from nursing care providers. Geriatric Nursing 38(5): 385-392.
Study Document
Ethical Dilemmas In Counseling American Counseling Association
… right to privacy and confidentiality.” Therefore, the counselor needs to consult first with Robert before divulging the intent to see the client personally—the primary ethical obligation is to Robert and not to Robert’s marriage counselor. According to the ACA (2014), the counselor’s primary responsibility is “to protect the dignity and promote the welfare of clients,” (Standard A.1.a).
Section A.3 covers issues pertinent to this scenario: clients ……
References
References
ACA (2014). Code of ethics. Retrieved from: https://www.counseling.org/resources/aca-code-of-ethics.pdf
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