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Obesity and the Elderly, 2007.
This paper discuses health promotion and health teaching strategies for obesity and older people.
1,210 words (approx. 4.8 pages), 5 sources, APA, $ 41.95
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Abstract
This paper explains that, although weight loss is recommended for older adults who are overweight and obese in the same way as it is advised for younger adults, there are questions concerning the long-term health effects of weight loss for elderly individuals. The author points out that, if older people are very obese, they will experience acute and chronic problems, but being underweight is actually a more serious problem since it has a greater link with mortality than does obesity. The paper relates that, in identifying the older person's weight loss goals, it must be remembered that, in terms of mobility, intentional weight loss by the older person does not always produce benefits. The author suggests that the best point to begin is with some concern that the person has about the effects of their obesity.
Table of Contents
Health Teaching and Learning Strategies
Conclusion
From the Paper
"There are also cultural factors that include learned beliefs and traditions, as well as extrinsic factors such as advertising. Certain eating patterns, especially cultural ones, may contribute to the epidemic of obesity. For example, elderly Hispanics have a high prevalence of obesity, diabetes, systolic hypertension, and physical disability because their diets are high in refined grains. These patterns are based in the determinants of health because they illustrate the interactions between biology, culture, food availability, education and lifestyle."
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PSA Screening in Canada, 2007.
A discussion of the issues related to prostate-specific antigen (PSA)screening in Canada.
1,460 words (approx. 5.8 pages), 7 sources, APA, $ 48.95
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Abstract
This paper examines the controversial issue of screening for prostate cancer using the PSA test. It explains that PSA is used for its predictive value of prostate cancer in men and a value higher than 4.0 is positive and indicates the possibility of cancer; it is negative if less than 4.0. The paper discusses the serious issues related to the lack of physician adherence to guidelines in Canada and the out-of-pocket payment required of men in Ontario who wish to have the PSA test. The paper also points out that the central issue related to PSA screening is informed decision making as it concerns the patient and the clinician.
From the Paper
"Prostate cancer is prevalent in Canada which, in 2006, had about 10,700 new cases and 4,200 deaths from the disease (Beaulac, Fry & Onysko, 2006). The incidence rates for prostate cancer are low in Ontario, Quebec, and three of the western provinces. Incidence rates in Ontario are far below the national average. The low rates in Ontario appear to result from the use of PSA screening and other forms of early detection. A reduced incidence rate since 1993 across Canada seems to indicate that detection is now being undertaken in a consistent manner all over the country (Gaudette & Altmayer, 1998)."
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Malnutrition and the Elderly, 2008.
An analysis of the risk factors, assessment principles and possible interventions for malnutrition in the elderly.
1,270 words (approx. 5.1 pages), 5 sources, APA, $ 43.95
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Abstract
This paper explores the causes and contributing factors linked with malnutrition in the elderly. It also addresses ways to assess malnutrition in the aging population. The paper then focuses on interventions for malnutrition in the elderly in terms of health promotion principles and strategies. Additionally, the paper looks at primary, secondary and tertiary interventions.
Table of Contents:
Introduction
Significance for Elderly Population
Assessment
Health Teaching and Learning Strategies
Conclusion
From the Paper
"One strategy for teaching and health promotion is to make use of mentors who also are peers of the elderly person. It is essential that, whatever the specific type of health promotion program, the elderly person participate fully. The strategy of using volunteer peer educators is based in social learning theory as defined by the World Health organization, and can be very effective for providing nutrition education for the elderly (Panayota & Amanatidou 2003). Peer mentors mainly act as a support system for providing reliable nutrition information as well as educational materials. These mentors need to understand and practice healthy nutrition and preferably also be somewhat experienced with teaching. It is preferable that these mentors be experts on nutrition because research indicates that older people prefer that all their information related to health should come from expert sources (Panayota & Amanatidou 2003)."
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Nursing Migration, 2008.
This paper looks at the popular migration of American nurses.
778 words (approx. 3.1 pages), 4 sources, MLA, $ 27.95
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Abstract
The paper discusses the shortage of American nurses in the United States that may continue for an indefinite period. The paper explains that although health care systems may find the staff they require, American nurses will continue to seek better opportunities in other nations. The paper looks at the argument that the migration of nurses is a positive factor in health care throughout the world.
From the Paper
"In the past few decades the most significant issue facing the health care system has become the nursing shortage. It began when hospital systems found that in order to be increasingly competitive they would have to cut costs. Those cuts were directed to a large part on labor, causing millions of nurses to be unemployed and/or leave the profession of nursing altogether. What the hospital administrators did not plan for, however, was the mass retirement of the baby boomer generation. By 2010 there will be over 71 million Americans of this generation that will be of retirement age, beginning to call on the American health care system as never before. Because of this situation the health care system is attempting to attract nurses into the profession once again, which has caused many nurses to migrate from other countries to the United States."
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Nursing Recruitment and Retention Initiatives, 2008.
An analysis of the organizational and government policies to improve nursing recruitment and retention.
1,720 words (approx. 6.9 pages), 8 sources, APA, $ 55.95
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Abstract
This paper discusses the health care policies that could support recruitment and retention initiatives for nurses. It discusses this at organizational and government levels. The paper specifically examines proposed government policies, as well the assessment of and solutions for the issue of retention and recruitment that are provided in the literature.
Table of Contents:
Introduction
Conclusion
From the Paper
"Currently, the government and health organizations are involved in seeking to maintain quality care during a critical time. Both the literature and the various levels of government agree about the causes and proposed policies that are needed to address the issue of nursing retention and recruitment. The government needs to invest substantial funding and implement legislation that will ensure nursing has a higher status. The nurse indeed comprises the frontline worker and patient well-being depends on nursing. The priorities are to create more full-time jobs for new nursing graduates as well as to provide them with greater incentives to stay in the country. Nurses need better compensation and more power. Perhaps the best option would be for Canada to imitate the United States to the extent of creating an environment that is fully supportive of Canadian nurses."
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Family Assessment, 2007.
A case study of how the family assessment model helps a family function and cope with stress.
1,104 words (approx. 4.4 pages), 5 sources, APA, $ 38.95
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Abstract
This paper examines how the family assessment model is used to help a specific family cope during a crisis. It explains that a family assessment model is effective because later nursing interventions correspond to and are based in a comprehensive family assessment. The paper looks at how in the family assessment model, the patient's needs are addressed by nursing interventions that follow directly from the assessment. The paper also notes that as this model reveals, while families experience problems and stressors, they also have coping mechanisms.
Outline:
Introduction
Developmental Stage
Family Function and Structure
Family Stress, Coping and Adaptation
Family Health Care Function
Identification of Priority Family Health Education Needs
Conclusion
From the Paper
"Communication patterns for the family are open and effective. This family forms a cohesive group and has developed strong links beyond the immediate nuclear family, and demonstrates deep respect towards the elderly. Sylvia and Daniel are physically affectionate and warm towards their parents. Both children also exhibit respect and obedience toward the parents. The family furthermore is able to communicate effectively with the physicians and nurses who are involved in their care."
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Nursing Coat of Arms, 2008.
This paper discusses how a coat of arms can represent the nursing profession.
950 words (approx. 3.8 pages), 5 sources, MLA, $ 33.95
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Abstract
The paper identifies the unique qualities of nursing that separate this profession from every other. The paper discusses how a coat of arms allows for an effective design to represent those key qualities of the nursing profession. The paper includes a large amount of source material.
Outline:
Introduction
Key Qualities of Nursing
Coat of Arms
Conclusion
From the Paper
"The profession of nursing is unique by comparison with any other field of work. That is one of the reasons that nurses are attracted to the profession and that the public is so appreciative of nursing. Nursing is marked by particular characteristics, and these features can be summarized and represented in a cost of arms. A coat of arms basically is a design which has been developed by an individual or a group and can be used in numerous ways (Wikipedia, 2007). A cost of arms may contain virtually any design, and the user is free to choose any symbolism that they wish. In order to represent the nursing profession through a coat of arms, the first task is to identify the key qualities that seem to make nursing unique."
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"Soldiers' Experiences with Military Health Care", 2008.
Any analysis of the study design of "Soldiers' Experiences with Military Health Care," written by B. Jennings, L. Loan, S. Heiner, E. Hemman and K. Swanson.
882 words (approx. 3.5 pages), 1 source, APA, $ 31.95
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Abstract
This paper critiques "Soldiers' Experiences with Military Health Care," written by B. Jennings, L. Loan, S. Heiner, E. Hemman and K. Swanson. The paper examines the focus of the study, that is provider competence, the sick call cycle, getting appointments and unit leadership for the sick soldier. It then discusses how the data was collected, the results of the study and criticism of the study design.
From the Paper
"The researchers found that Soldier Care fails to meet soldiers' expectations in each of the four components studied: (1) informants doubted competence of first line providers, who lacked sufficient diagnostic knowledge or an awareness of their deficiencies; (2) informants criticized the sick call cycle are depersonalizing and demeaning; (3) informants reported that getting appointments was difficult because the system failed to consider deployments or other restraints soldiers face; and (4) unit leadership often worked against soldiers getting needed medical treatment. These findings, drawn from the raw data, were properly linked to items in the researchers' synthesis. Findings were linked to existing theories and literature."
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Parse's Theory, 2008.
This paper applies Parse's theory of nursing to a pediatric situation.
1,304 words (approx. 5.2 pages), 5 sources, APA, $ 44.95
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Abstract
The paper explains that Parse's theory emphasizes the role of the patient in her health and life. The paper presents a case study of a young child and shows how Parse's theory can be effectively applied to the pediatric situation. The paper shows how even children can articulate the meaning of quality of life as it applies to them and that this is the central concern of Parse's theory.
Outline:
Introduction
Description of Parse's Theory
Application of Theory to Case
Summary
Conclusion
From the Paper
"Parse defines persons as "intentional beings involved with their world, having a fundamental nature of knowing, being present, and open to their world" (McEwen & Wills, 2002, p. 195). The human being freely chooses meaning in every situation, and assume responsibilities for their decisions. The person is not only becoming but creates becoming and is free to choose specific ways of becoming. Health is "a way of being in the world...the living of day-to-day ways of being" (McEwen & Wills, 2002, p. 195). In Parse's view, health is a matter of "quality of life experienced and described by the person" (Relf, 1997, p. 3). The patient is the person who experiences or does not have quality of life, can best articulate the meaning of quality of life, and can describe what it should involve."
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Social Isolation, 2007.
This paper discuses social isolation as an issue in the case of a 20-year old named Mark who is exhibiting symptoms of schizophrenia.
1,180 words (approx. 4.7 pages), 6 sources, APA, $ 40.95
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Abstract
This paper stresses that it is not the illness of schizophrenia that will cause the person in this case study on mental illness the most hardship, but rather society and his own response to his diagnosis in the form of social isolation. The author points out social isolation is related to stigma, which any patient with mental illness or dementia is certain to experience. The paper relates that the origins of both stigma and social isolation are found in the labeling process. The author stresses that social isolation creates very serious problems for treatment and recovery. The paper concludes that the main role of nursing in relation to social isolation must be a response to the patient's and the family's needs for understanding, support and health teaching.
Table of Contents:
Introduction
Issue: Social Isolation
Therapeutic Intervention
Conclusion
From the Paper
"At the same time, the labeling process which instigates the entire experience of social isolation produces a massive impact on the patient by not merely providing a diagnosis but imposing a new identity. Deegan (1993), herself a patient with schizophrenia, maintains that the label of mental illness arrives as a package plan which ensures that the patient will be utterly alone. Social isolation begins in the health care system because health care providers tend to confuse the person with the symptoms. The patient is forced to perceive themselves as health care providers view them through the label that comes with diagnosis."
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Avian Influenza, 2008.
An overview of the health concerns caused by the spread of avian flu.
2,387 words (approx. 9.5 pages), 9 sources, APA, $ 73.95
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Abstract
Avian influenza, which is commonly referred to in the media as bird flu, is a strain of the flu virus that is highly infectious and can be fatal. This paper discusses how the spread of avian flu among wild bird populations concerns health care officials due to the high communicability of the disease and its record of moving from domestic livestock to humans. The paper also discusses how, although viral strain H5N1 has thus far not mutated into a form that is directly communicable among humans and can be passed without an avian host as a carrier, the possibility that this mutation could occur suggests to health care officials that H5N1 could potentially become a global pandemic.
From the Paper
"The first documented incidences of H5N1 occurred in 1997 in Asia. The disease was recognized as able to cross the species barrier when handlers of poultry manifested symptoms similar to those in their livestock, which included damage to internal organs and aggressive vomiting, coughing, and physical weakness. Typically, once passed from a bird to a human, H5N1 is extinguished when the afflicted person recovers or succumbs to the disease. Yet there have been cases in which H5N1 has been transmitted from a human to another human, suggesting that the H5N1 virus has the potential to move within humans as well as birds. "
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Diabetes and Culture, 2008.
This paper provides a review of the article: 'Living with Diabetes: Holistic Experiences of Nigerians and African Americans" by M. Popoola.
754 words (approx. 3.0 pages), 1 source, MLA, $ 26.95
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Abstract
In this paper, the writer notes that the article 'Living with Diabetes: Holistic Experiences of Nigerians and African Americans" portrays diabetes as a cultural issue as well as a holistic issue. The writer maintains that confronting and coping with diabetes is a cultural matter. and not just a health issue. The writer presents a personal perspective and notes that the writer's own culture perceives diabetes in much the same way as Popoola's article presents it. The writer maintains that the most important point about diabetes is that it is a holistic experience that changes every aspect of the person's life. The writer concludes that because of the way it is dealt with, diabetes is first a very negative experience but is then changed into a positive force through spirituality.
From the Paper
"My personal perception of the cultural issue of diabetes is that such a disease is seen as occurring for several reasons. It may be God's will for the person, or sometimes it is viewed as a matter of bad luck. Medical approaches may be ignored and almost always are delayed because of fear of Western medicine. In any case, home remedies will be first attempted. Folk practitioners are common and their advice is very often sought. When medical care finally is sought, the home remedies will usually not be mentioned because people are afraid they will be criticized."
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Healthcare Delivery, 2008.
This paper looks at the evolution of healthcare systems as examined
through payment structures.
1,219 words (approx. 4.9 pages), 7 sources, APA, $ 41.95
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Abstract
In this article the writer discusses the evolution of healthcare delivery systems. Specifically, the writer looks at how healthcare delivery is affected according to the payment model utilized. The writer notes that the payment model is critical in determining the type and quality of healthcare delivery because it addresses the single most relevant factor in a for profit healthcare system. The writer concludes that only by maintaining a stable and expanding patient base can one be assured of also maintaining profitable utilization ratios and viable physician groups within the overall organization.
From the Paper
"This flux in the industry has only intensified which has had a pervasive impact on the healthcare industry in terms of payment strategies and systems.
"Physicians in managed care programs are often tasked to, either directly or indirectly, increase utilization rates of other services that the facility or program offers. Additionally, the military healthcare system has adopted the managed care model and it too is now subject to some of these constraints. These bundled type service arrangements may be convenient for the insurer, the facility and to some extent the patient however, it placed undue strain on the physicians who are tasked with meeting utilization minimums or in sustaining bundled service type programs with the requisite foot traffic."
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Families' Experiences and Life-Support Withdrawal, 2008.
This paper presents a study exploring what family members experience when deciding to withhold or discontinue life-sustaining treatment from a loved one.
1,206 words (approx. 4.8 pages), 6 sources, APA, $ 41.95
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Abstract
The paper discusses a research study that will explore the experience of family members who are engaged in decision-making related to the withdrawal or withholding of life-sustaining interventions from another family member. The paper examines the role of healthcare providers in this situation, presents the research question and looks at the methodology to be used.
Outline:
Identification of Phenomenon of Interest
Statement of Research Purpose
Significance of the Phenomenon to Nursing
Research Question
Overview of Methodology
From the Paper
"Life-sustaining interventions have the potential to increase the life span of patients, yet termination of these interventions in ICUs is steadily increasing. Whereas providing the options regarding withholding or withdrawing treatment is common in the ICU environment, assisting family members as they struggle with these decisions on a personal level is extremely problematic (Abbott, Sago, Breen & Abernethy, 2001). The decision to withhold or withdraw these interventions involves a complex process for family members and occurs in stages (McHale Wiegand, 2006). For many family members, they are forced to become involved with decisions about which they have little or no information and have no preparation (McHale Wiegand, 2006)."
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Medicare and Medicaid, 2008.
This paper looks at the Centers for Medicare and Medicaid (CMS), the largest health care service provider in the United States.
1,239 words (approx. 5.0 pages), 5 sources, APA, $ 42.95
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Abstract
The paper discusses the beginnings of the Centers for Medicare and Medicaid (CMS). The paper describes the agencies' significant role and function in relation to public health. The paper discusses how every citizen of the United States has the right to apply for Medicare or Medicaid. The paper looks at the structure of the organization and provides a breakdown of the financial disbursement of funds in the CMS. The paper also offers a diagram that represents the communication between federal, state and local levels of the government in connection with the CMS.
From the Paper
"The Centers for Medicare and Medicaid (CMS) is the largest health care service provider in the United States. Since its beginnings the reliance on CMS by the American public has continued to grow, especially since the majority of Americans do not possess health insurance in the country. As the President and Congress continue to add programs to the CMS the significance of the agency continues to impact American society. Because of its multifunctional nature there are many throughout the United States that believe that the CMS should evolve into a national health care program, ending the concern for a national health care system in the country. However, the structure of the organization has suggested that there is not sufficient control of accountability and that the CMS would have to be restructured in order for it to meet the demands of such an alteration in its existence."
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