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Occupational Health, 2008.
A report exploring the occupational health role in the overall management of health resources.
995 words (approx. 4.0 pages), 3 sources, APA, $ 35.95
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Abstract
The paper is a report written from the author's perspective as the director of occupational services. The report examines issues related to the important role of occupational care and how it fits into the continuum of health care. The report looks at critical elements of changes in future healthcare trends and how this may affect occupational care. The report concludes that health care resources should be directed to this every important facet of the health care delivery system.
Outline:
Introduction
Components of Occupational Health and the Continuum of Care
Occupational Therapy Contribution to Health Care Resource Management
Future Trends and Occupational Health
Authorization and Conclusion
From the Paper
"The slew of problems currently plaguing the Occupational Health Care Department stems from the fact that this branch of healthcare is seen as trivial and is not identified as an important component of the health care continuum. As the Director of Occupational Services, Health Sciences Division, I have unraveled a number of issues related to the Occupational health role in the overall management of health resources in the division that need attention and are presented in the report below."
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Healthcare for the Underprivileged, 2008.
An analysis of the stance of the Community Health Plan of Washington regarding healthcare for underprivileged populations.
1,930 words (approx. 7.7 pages), 7 sources, APA, $ 61.95
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Abstract
This paper involves the content analysis of the website for the Community Health Plan of Washington (CPHW) and a seminal article in its newsletter, which aims to determine how dedicated the CPHW is to providing healthcare for the underprivileged. It examines in detail what necessary policies and general messages are mentioned by the health plan with regards to uninsured and underinsured populations. The paper comes to the conclusion that CHPW is not a typical profit-maximizing firm in that it was willing to compromise profits to some extent in order to embrace the needs of this population.
Table of Contents:
Introduction
The Website and Newsletter: Measurement and Coding
The Uninsured and Underinsured for CHPW: Demographics, Needs and Health Practices
Who are the Uninsured/Underinsured?
Trends in Utilization Patterns: Predictions from the Content Analysis
Financial Impact of the Insured/Underinsured Population for CHPW
Why Does CHPW Embrace this Organizational Culture?
Conclusion
From the Paper
"Since the uninsured and underinsured population is less likely to receive preventative care, the forecasted trends include higher mortality rates and increased hospitalization for avoidable health problems. This may further increase the cost of healthcare, which creates the 'vicious cycle of increasing healthcare costs' for CHPW divisions.
"There is also the general expectation that the at-risk population will increase their enrollment in the government aided programs that provide healthcare coverage at little or no cost-sharing. Currently, these programs like Medicaid are not at their maximum potential and are expected to have increase enrollment, when the uninsured and underinsured population for CHPW realize that they can qualify and access healthcare."
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Health, Environment and Economy in Goa's Mining Belt, 2008.
An analysis of the issues of health, environment and economy in Goa's mining belt and possible ways to improve them.
1,795 words (approx. 7.2 pages), 1 source, MLA, $ 57.95
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Abstract
This paper discusses the debilitating effects of Goa's mining industry on health, the environment and economic stability in the area. It presents a project proposed by Dr. Ligia Noronha of the Western Regional Centre of the Tata Energy Research Institute, which aims to strike a balance between economic growth, ecological preservation and human development. The paper also suggests the option of implementing an accountability system that places both the government and the mining companies under the scrutiny of international bodies such as the World Bank. To conclude, the paper advocates combining Dr. Noronha's project proposal with the supervision of the international community for the long-term initiative.
Table of Contents:
Statement of the Problem
The Objectives of the Project
Alternative Options
Analysis of the Options (Pros and Cons)
Recommendation to IDRC Vice-President (Justification for Course of Action, Comparison of Different Options)
Appendix: Summary Table
From the Paper
"The objectives of the project spear-headed by Dr. Ligia Noronha of the Western Regional Centre of the Tata Energy Research Institute are manifold. At its core, the proposed sustainable development initiative seeks to encourage the striking of a balance between economic growth and ecological preservation/human development. The project (which appears to be in its incipient stages) has already developed a series of evaluative tools which will allow for the measurement of community and ecological well-being in the region over time so that greater (and presumably more expeditious) participation and conflict resolution can be undertaken as issues arise (Conway, 2; please see summary table for a list of the three tools identified by the project leaders as practicable and effective). Proceeding further, there can scarcely be any question that the project also seeks to unify all stake-holders around the idea that each of them must work with all of the others in order to see to it that the environmental, social, and economic potentiality of the region is reached (Conway, 2)."
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Leadership in Nursing and the Health Care System, 2008.
A discussion of the ideal leadership skills required in nursing and the health care system.
1,700 words (approx. 6.8 pages), 5 sources, APA, $ 55.95
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Abstract
This paper discusses the urgent need for effective leadership in nursing and health care at a time when the health care system has become fragmented and the shortage of nurses is worsening. It presents various traits and styles that characterize an ideal leader. Ultimately, the paper maintains that the most effective form of leadership in nursing at the present time is transformational leadership, which involves forward thinking, flexibility and creativity when confronted with the challenges of dealing with a very unpredictable world and an environment that is in constant flux.
From the Paper
"Among the many characteristics that leaders must possess are the ability to influence others, a high level of confidence, and certain qualities for leadership with which they are born (Frisina & Steltzer, 2001). Leadership also is concerned with such traits as appropriate critical thinking, judgment, and motivating others. Leadership also reflects the individual's personal attitudes and their approach to life. Leadership can be learned and it also can be developed (Frisina & Steltzer, 2001). My own conception of a leader is primarily a person who influences other people and is able to maintain the influence. At the same time, leadership can take place on three levels. The first is at the individual level where leaders motivate others. The second is at the group level where leaders build teams and resolve conflicts. The third is at the organizational level where leaders build culture. Wesorick (2002) maintains that the role of leaders is to transform practice cultures so that the uniqueness and outcomes of professional practice can be realized."
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Families with an Autistic Child, 2008.
An analysis of some of the issues that face families with an autistic child.
1,298 words (approx. 5.2 pages), 11 sources, APA, $ 43.95
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Abstract
This paper looks at some of the challenges that are faced by families with an autistic child. It begins by presenting a case study of a family who struggled to diagnose a child with autism. It also discusses crisis issues within families who have children with autism. The paper then analyzes a study that looks at whether there is a connection between language and theory of mind between autistic children and those with moderate learning difficulties.
Table of Contents:
Introduction
Families with Autistic Children and Crisis
Methods
Results
Conclusion
From the Paper
"In another study titled, "The Broader Cognitive Phenotype of Autism in Parents: How Specific is the tendency for local processing and executive dysfunction?" (Bolte, 2006, p. 639) showed parents of autism spectrum disorder (ASD) children performed faster in processing their children with a myriad of interactive tests (Embedded Figures Test, Block Design, Wisconsin Card Sorting Test, Tower of Hanoi, and Trailmaking Test) compared to parents with schizophrenia or mental retardation (640-1). It seems that autistic children need more attention from parents compared to the other children having schizophrenia and mental retardation. As the parents learn to cope with autistic disorder, their children seem to trust and cope with their parents."
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Oppression, 2008.
A discussion of the forms that oppression can take and how it affects those who are oppressed.
1,239 words (approx. 5.0 pages), 1 source, MLA, $ 42.95
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Abstract
This paper discusses issues of oppression, such as marginalization and violence. It looks briefly at the example of Jews in Nazi Germany and the oppression that they faced. The paper then discusses the forms of oppression that are found today in Canadian society and how it impacts the people who are oppressed. Lastly, the paper looks at the issues of oppression with regards to nursing and the writer discusses her own experiences with the problem.
From the Paper
"The first essential point of being able to distinguish the various forms of oppression is to be able to identify oppression. In the case of nurses, for example, it can be very difficult to realize that oppression is taking place at first because it is subtle and it systemic (Young 34). Systemic oppression is not easily identified; with Native people, their present marginalization can be interpreted in terms of the way society is structured or the status quo. Among many groups such as nurses, their experience of oppression is not reported because they are uncertain that they are even being treated unjustly. In order for feminists to effectively deal with the issue of oppression and to eradicate it, they must know where the barriers and institutional forces are located that cause oppression. Not all groups are affected to the same degree or in the same way by oppression."
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Canadian Best Practices Portal, 2008.
A critical analysis of the case study "Best Practices Portal for Health Promotion and Chronic Disease Prevention" by D. Angelis et al.
2,212 words (approx. 8.8 pages), 4 sources, APA, $ 68.95
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Abstract
The paper examines the report of the Public Health Agency of Canada that offers an explanation of the Canadian "Best Practices Portal for Health Promotion and Chronic Disease Prevention". The paper discusses the Portal's suggestion of national guidelines for preventative medicine and looks at the three stages of adopting the Portal. The paper points out the limitations of this report. The paper concludes that this study can be recommended as a basic overview of what the Health Promotion and Chronic Disease Prevention Portal is said to achieve.
Outline:
Introduction
The Role of Physicians or other Professionals?
Managed-Socialized Medicine
Implementation
A Very Large Project
What is Missing
Concluding Remarks
From the Paper
"This report of the Public Health Agency of Canada (2006) offers an explanation of the Canadian Best Practices Portal for Health Promotion and Chronic Disease Prevention, an impressive phenomenon when one remembers a vast Canadian area of health providers contending with diverse population groups in several provincial systems. The reader sees the achievement to which the authors refer but will have many questions about what is being undertaken and especially in the Portal's orientation of population medicine. The tone of the study is rather self-congratulating in terms of what contributors to the Portal for Health Promotion and Chronic Disease Prevention have created. The early sections are a rationale of the Best Practices approach, why Canadian physicians and others who work in community health need the Portal, and with population medicine defined as medicine referring to the population, i.e. the society, as opposed to the individual. (Portal:2006:5) The early development of the Portal project to standardize some general medical practice is noted, the emphasis on preventative medicine cum health promotion described as thought it will always offset future disease, again, across a population. Population medicine is less geared to the individual, the Portal project study says, as though this is a breakthrough of some kind."
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Urinary Incontinence and Prompted Voiding, 2008.
A discussion of the issue of urinary incontinence and ways to implement the disorder's most effective medical intervention, prompted voiding.
1,450 words (approx. 5.8 pages), 9 sources, APA, $ 48.95
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Abstract
This paper discusses how urinary incontinence is acquiring greater pertinence with an aging population. While there are a number of potential interventions that address the problem, most are ineffective, impractical or costly. The most effective intervention for urinary incontinence is prompted voiding which is used inconsistently in some Ontario health care facilities. The paper suggests that in order to implement prompted voiding uniformly, a program of education and organizational support is essential.
From the Paper
"Urinary incontinence is never to be considered a normal aspect of aging (Shultz, 2004). This condition impacts not only on the patient's physical condition but also on their other domains and on quality of life. Urinary continence is prevalent among all the elderly and is costly to the health care system in materials such as incontinent pads (Gross, 2003). Urinary incontinence is a significant factor in the institutionalization of elderly family members, and more than 50 percent of all nursing home residents are incontinent of urine (RNAO, 2005). Elderly males are at higher risk for developing urinary incontinence than women, but 20 percent of women over age 40 develop urinary incontinence (Thakar & Stanton, 2000). Among incontinent women, 30 percent have an overactive bladder (Thakar & Stanton, 2000)."
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The Meaning of Suffering, 2008.
This paper explains Margaret Newman's theory of understanding health and illness.
718 words (approx. 2.9 pages), 1 source, APA, $ 25.95
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Abstract
The paper explains how Margaret Newman's theory provides a way of answering the question about suffering and meaning. The paper discusses how patients have to understand the meaning in their healing experience by comprehending the patterns and processes that are linked with the larger world. The paper shows how Newman's theory is especially useful with patients who have to come to terms with illnesses such as multiple sclerosis or Spina Bifida.
Outline:
Introduction
Experience
Reflection
Analysis
Conclusion
From the Paper
"I once met a patient who had such painful arthritis that she needed to be set to the psychiatric unit for evaluation. Mrs. B was in so much pain that she was very depressed that the staff members were afraid she would harm herself. She was asking why this was happening to her, and saying that she could not take it anymore. No staff member was capable of responding to her question and comment. The experience made me realize that we see patients suffering all the time. What can be said to Mrs. B or to any patient who is going through enormous physical, emotional or spiritual suffering?"
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The Concept of Grief, 2008.
An analysis of the concept of grief as it applies to the practice of nursing, including model, contrary, related and borderline cases.
3,280 words (approx. 13.1 pages), 15 sources, APA, $ 94.95
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Abstract
This paper focuses on the issue of grief as a concept that is significant to the practice of nursing. It explores the intricacies of grief in order to understand the scope of its impact to the field of nursing and health care in general. The paper provides model, contrary, related and borderline cases that relate to grief. It then looks at the social context of grief and then provides an operational definition of the context.
Table of Contents:
Introduction
Assumptions
Literature Review
Defining Attributes
Model, Contrary, Related and Borderline Cases
Social Contexts and Values
Theoretical Definition
Operational Definition of the Concept
Empirical Referents
Measurement Tool
Application to Nursing Practice
Application to Nursing Research
From the Paper
"The concept of grief can be applied to nursing practice through an understanding of the individual patient and the time that is taken to comprehend all of the factors that impact the patient's life. The issue of quality care should be considered in relation to the concept of grief because the patient that is undergoing the grief process may not be forthcoming with the information, nor be aware that the physical symptoms that are evident are associated with physical illness. Therefore, the nurse that is capable of taking the necessary time to discover information about the patient in terms of current life situations, events that have impacted his or her living and emotional barriers to good health that may exist, will uncover the potential for grief to be a factor in the health concerns of the patient. When this occurs that patient can then be assisted in a manner that is positive and that will lead to successful outcomes for the individual."
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Orlando's Theory, 2008.
This paper discusses Orlando's theory of nursing.
712 words (approx. 2.8 pages), 2 sources, APA, $ 25.95
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Abstract
The paper explains that the value of Orlando's theory is that it teaches and reminds the nurse to read patient behaviors, whether they are verbal or nonverbal. The paper discusses how the patient is always at the center in Orlando's theory.The paper shows why this theory is perfect for male nurses.
Outline:
Introduction
Experience
Reflection
Analysis
Conclusion
From the Paper
"Orlando's theory helped me to reflect on and gain insights into a disturbing experience with a patient. Mr. N. had rheumatoid arthritis which was entering an advanced stage. As I was doing his morning care, I sensed he was upset. This was my third time caring for him and I suspected he was frustrated with losing control over his life. When I laid his hair brush on the bedside table, the situation came to a head. He began to sob and stated that it was not placed exactly as it had been. I asked him if he felt his disease was taking over his life. When I shared with him, my suspicion was confirmed and it was like floodgates had been opened."
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Acquired Immunodeficiency Syndrome (AIDS), 2007.
This paper discuses acquired immunodeficiency syndrome (AIDS), which is a complex and changing syndrome of diseases.
1,270 words (approx. 5.1 pages), 5 sources, APA, $ 43.95
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Abstract
This paper explains that nurses can very effectively contribute to the well-being and quality of life for people with AIDS. The author points out that, to be at risk for AIDS, the person first must be at risk for HIV infection or be HIV+. The paper stresses that individuals who have unprotected sex with multiple partners and any substance abusers especially injection drug users are at risk. The author relates that the symptoms of AIDS normally result from HIV infection but also can develop as a result of associated infections and the side effects of medication. The paper underscores that the assessment of the patient with AIDS must include all domains including psychological and spiritual aspects. The author concludes that, once the symptoms are identified, they can be effectively managed so that well-being, functional status and compliance with therapy is enhanced thus increasing the patient's chances for survival.
Table of Contents:
Introduction
Population at Risk
Causes
Signs and Symptoms
What Would You Assess?
Abnormal Results Indicating AIDS
Common Diagnostic Tests and Result Confirming Aids
Conclusion
From the Paper
"The screening test for HIV is the HIV ELISA or enzyme linked immunosorbent assay test. This test comprises an antibody detection process assay that, if positive, must be repeated. The test will deliver false positive results under certain conditions as when the patient has had a recent vaccination or has other viral infections. When results are positive, the ELISA test is repeated and confirmed by using a Western Blot test. The HIV ELISA and Western Blot tests, when performed in combination, are marked by 99 percent sensitivity and specificity for detecting the HIV virus."
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Goal Setting Theory, 2008.
A review of Imogene King's model and theory in terms of the interactions between nurse and patient and patient goal setting.
712 words (approx. 2.8 pages), 3 sources, MLA, $ 25.95
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Abstract
This paper discusses the interactions between nurse and patient and how it leads to transactions which result in goal attainment. It then looks at how mutual goal setting and goal attainment leads to enhanced growth and development for the client. It discusses the interrelated concepts related to goal setting including perception, communication, role, stress and transactions. The paper particularly focuses on Imogene King's model as a framework for assessing and maintaining the social system which assists patients to achieve their stated goals.
From the Paper
"Goal setting removes emphasis from the biomedical model and disease-driven concepts and leads to a more comprehensive perspective which is also patient centered. The theorist King provided the conceptual approaches; Roy and Andrews studied the applicability of those approaches; and Kemp and Richardson studied the use of goals in the nursing process. A hierarchy of behavioral goals was also established to determine behavioral goals that relate to physiological, self-concept, role and inter-dependence issues. In the nurse-patient interaction behavioral goals are crucial (Lawler & Dowswell, 1999). The patient is to derive just as much satisfaction from goal achievement and progress as the nurse."
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Alcohol and Drug Treatment, 2008.
This paper provides an analysis of Chicago area drug and alcohol addiction programs.
1,962 words (approx. 7.8 pages), 4 sources, MLA, $ 62.95
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Abstract
In this article, the writer notes that comparing and contrasting drug and alcohol treatment programs available in the Chicago metro area indicates that the programs offered by New Hope Recovery Center at Lincoln Park Hospital, by Hazelden, and by Haymarket are similar in many ways in terms of the quality of their services, their program focus and treatment approaches. But, the writer points out, these programs also vary. The writer maintains that the primary differences are the degree of emphasis these respective facilities place on the psychological aspects of addiction and recovery, and the economic levels of their respective clients. The writer concludes that although drug and alcohol problems plague men and women at every economic and social level
of society, people at the lowest income levels are more vulnerable to drug or alcohol addiction and are less likely to seek treatment and recover because they simply cannot afford the most effective treatment and counseling.
From the Paper
"Although everyone agrees that drug and alcohol abuse and addiction are harmful, both for American society as a whole and for the individuals and their families who are struggling to deal with addiction and co-dependency, there is much disagreement over what types of treatment are most effective, what factors contribute the most to drug or alcohol abuse, how society should deal with it, what legal measures should be taken, and what can be done in terms of providing effective medical and psychological treatment for those who are addicted."
"Unfortunately, the effectiveness of treatment programs often depends upon the income level of the client. Since addiction has psychological causes, the quality of counseling is a very important factor in determining whether a client can maintain long-term recovery, and the quality of counseling is directly related to the cost of counseling. The best psychiatric therapy is the most expensive, so it is often the case that the clients most able to pay for high quality counseling are the ones most likely to overcome their abuse or addiction problems."
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A Case Study: Fatigue, 2008.
This paper examines a case study of chronic fatigue syndrome (CFS) and fibromyalgia (FM).
714 words (approx. 2.9 pages), 3 sources, APA, $ 25.95
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Abstract
The paper looks at a personal and informal account of chronic fatigue syndrome (CFS) and of fibromyalgia (FM). The paper discusses how CFS and FM are similar conditions since both involve pain and fatigue and also result in misunderstanding from outsiders. The paper shows how the individual's account of her and her husband's illness agrees with the literature.
Outline:
Introduction
Discussion of CFS
Critical Analysis
Conclusion
From the Paper
"Based on Zona's account, CFS means total exhaustion and complete lack of energy. She can accomplish just a little at a time and must be careful of her limits. She experiences many aches and pains as well as spasms which cause insomnia. She has numerous allergies especially to medications. Food also is a problem for allergies. She feels as though her brain is fogged and she is difficulties concentrating. She also has problems with vision and refocusing. Dry throat and acid burn are other problems. She does not experience the same set of symptoms each day. Sometimes her symptoms are similar to a panic attack."
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