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LHINs in Ontario, 2007.
This paper explores the effectiveness of local health integration networks (LHINs) in Ontario.
1,459 words (approx. 5.8 pages), 6 sources, APA, $ 48.95
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Abstract
This paper explores both the potential benefits and the possible negative impacts of introducing local health integration networks (LHINs). The paper researches what the effects will be for Ontario once the LHIN program is operational. The paper provides a literature review and concludes that the outcome depends on the Ontario government's collaboration with the health care providers and the degree of integration that can be achieved.
From the Paper
"Local health integration networks (LHINs) are made up of 14 government building blocks. They are intended to plan, integrate, and fund health services at the local level. LHINs are intended to be an important part of the evolution of health care in Ontario from a collection of services that is uncoordinated to an integrated system (Ontario Government, 2006). These services include hospitals, community care centers, long-term care, and home care, among others in certain geographic regions. LHINs in Ontario will be serving between 250,000 and 1.5 million patients who will also be able to obtain health care services outside of their specific LHIN area (Lewis, 2005). The rationale for LHINs is that a particular community's health needs are best known by a person who knows the community (Ontario Government, 2006, p. 1)."
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Family Health, 2007.
A case study presentation discussing how the health of patients can be affected by their family members.
822 words (approx. 3.3 pages), 5 sources, APA, $ 29.95
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Abstract
This paper discusses the role of the family in health and how the family is very important in assuring the health of other family members. It presents a case study of an obstetrics case and discusses how the health of other family members affects the health of the patient. The paper is written in a narrative form and presents the experiences of the writer in this realm.
From the Paper
"This is a common element in post-natal health care, for the doctor has to get the parents to understand what would be the best health care for the child. It can be more difficult to achieve the same self-awareness with respect to the parents' own health needs, but it is just as important to do so. In terms of the family under discussion, all the adults in the family are better at seeing to it that the health needs of the children are met and are learning how to get the thr3ee-year-old to exercise a degree of self-care as well. The process is indeed more difficult for the mother, her mother, and her husband, all of whom see the need to protect the health of the children but all of whom are more than willing to sacrifice their own health in the process and indeed to adhere to long-standing cultural practices that may not be as healthy as they believe."
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Autism, 2007.
An analysis of the characteristics of autism and issues related to its management and treatment.
1,166 words (approx. 4.7 pages), 4 sources, APA, $ 40.95
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Abstract
This paper addresses the issue of the disorder known as autism, or alternatively autism spectrum disorders. The paper describes the characteristics, etiology, assessment, treatment and management options of autism. It also provides pointers regarding specific concerns for christian counselors who deal with this type of disorder and its treatment.
From the Paper
"The second kind of approach is to comprehensive treatment programs that aim to increase the person's functioning. These programs typically involve thousands of treatment hours, and require an entire team of people with different specialties. These programs aim to change the course of the syndrome, so as to greatly reduce the amount of disability the individual suffers. This is particularly important in the long term, as children with autism grow into adults with autism - and without significant reductions in the levels of their disability, many of them will be unable to manage their lives in the way that most adults are able to do. (Rogers, 1998)"
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Social Anxiety, 2007.
This paper discusses social anxiety within the mental health practice.
2,754 words (approx. 11.0 pages), 12 sources, APA, $ 82.95
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Abstract
In this article, the writer discusses that persons with social anxiety tend to evaluate the situation prior to engagement and attach a level of emotional investment to the degree of stress created by social expectations. The writer maintains that social anxiety disorder is problematic but may be under-reported and under-appreciated in terms of its impact on the affected person. The writer concludes that steps must be taken to help facilitate the aid given to the affected person, especially through improving access to therapy tailored to that person's unique needs.
Outline:
Introduction
Literature Search on Social Work Interventions
Cognitive Behavior Therapy
Psychoanalytical Theory and Therapy
Pharmacological Treatment
Assessment of Approaches
Social Work Response
From the Paper
"Social anxiety seems to be a universal condition in that it does not appear common to any one population. Social anxiety has been reported in people regardless of their age, gender, race, ethnicity, or cultural background. Researchers do note that some populations are more likely to be diagnosed with social anxiety than others, but this is true of most psychological conditions: affluent whites tend to have the financial resources to seek out aid for psychological problems and also are part of a culture in which psychological aid is generally accepted."
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Knee Arthroplasty and Rehabilitation, 2007.
This paper examines two studies in order to determine the functional outcomes for knee arthroplasty in rehabilitation programs.
1,837 words (approx. 7.3 pages), 2 sources, MLA, $ 58.95
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Abstract
The paper looks at the research question of what determines functional gains in the patient who is undergoing rehabilitation following knee arthroplasty. The paper questions whether it is an external treatment or a patient trait which determines effective rehabilitation. The paper critically analyzes two studies that address this question, one a randomized trial and the other a cohort study. The paper compares their strengths and weaknesses and discusses the applicability of the research results to local rehabilitation patients.
Outline:
Study 1 - Randomized Controlled Trial of Hospital Stay and Functional Independence, Post-Discharge
Study 2: Influence of Age and Gender on Outcomes with Knee Arthroplasty after Rehabilitation
Comparison of Strengths and Weakness in Both Studies
Applicability of Study Results
From the Paper
"Rehabilitation outcomes for patients who have undergone knee arthroplasty may be due to the efficacy of single external treatments given in isolation from other therapies. Such treatments consist of osteopathic manipulative treatment (Licciardone, et al., 2004). However, beneficial outcomes for these patients may depend more on patient characteristics such as gender and age, and on taking these variables into consideration. According to Vincent, et al., 2006), the functional outcomes for knee arthroplasty in rehabilitation programs may be impacted by patient characteristics."
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Long-Term Care, 2007.
This paper explores long-term health care financial reforms.
3,909 words (approx. 15.6 pages), 17 sources, APA, $ 106.95
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Abstract
The paper looks at three methods of funding long-term healthcare, none of which are effective for those of middle and lower financial status. The paper researches what reform measures are required to achieve higher quality, cost efficiency and consumer satisfaction. The paper therefore examines the viable alternatives to long-term care financing by examining self-pay, private insurance and the Medicaid system. The paper provides a literature search and recommends alternative sources of funding.
Outline:
Executive summary
Introduction
Research question
Methodology
Results/Discussion
Recommendations
Conclusion
From the Paper
"The financial ability to provide for long-term care (LTC) services comes from one of three sources: private pay, long-term care private insurance or from public programs such as Medicaid ("Insider's guide," 2001). LTC is a topic few aging adults want to think about, however, statistics state by 2030 70 million people will be 65 years of age or older, more than double the number of senior citizens in 1999 (Moses, 2002a). Other statistics state that if an individual lives to 65 years of age or older, a 48 percent probability exists the individual will be placed in a nursing home with a coexisting 71.8% risk for the need to utilize home health care (Health Insurance Association of America, 1997 as cited by "Insider's guide," 2001)."
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Eating Habits, 2007.
An analysis of the factors that influence young people to eat unhealthy fast foods.
2,230 words (approx. 8.9 pages), 14 sources, APA, $ 69.95
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Abstract
This paper discusses the changing eating habits of young people. It looks at the lack of nutritional value in fast foods and discusses why, even with knowledge of this lack of value, young people continue eating these foods. The paper discusses the role of social factors and decisions that are contributing to the growing epidemic of obesity that is gripping the Western world. It then briefly discusses solutions to the problem.
Table of Contents:
Abstract
Introduction
You Are What You Eat: A Blind Spot
Young People: Fast Lives and Fast Food
The Dynamics of Problematic Eating Habits
Conclusion
From the Paper
"But the role that coffee plays in young people is alarming. Mieszokski says that coffee has the traditional elements of fast food, calling it the "new cool" and aligning it with peer acceptance. Because of the increased stress and fast paced world coffee is also becoming a sort of cure-all, a "comfort food" that helps to reduce stress build up; this dependence on coffee for emotional release is challenging and mirrors the sorts of addiction common with cigarettes, which in the end, will have negative nutritional effects. What is most telling however is the way coffee has become a substitute meal. Giana Cirolina, a 16 year old student in Meiszokski's article says that "coffee is lunch. It's like the new mashed potatoes" (2). This is due to two reasons: first, again is the increased pace of student life, and with it the time to simply drink a cup of coffee instead of the time to eat a whole meal; secondly, it seems that young people, in an effort to fight rising weight as caffeine is an appetite suppressant, are skipping meals and substituting coffee instead (3)."
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The Nursing Shortage, 2007.
This paper discusses the implications of and effective approaches to the nursing shortage.
1,225 words (approx. 4.9 pages), 4 sources, MLA, $ 41.95
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Abstract
The paper explains that hospital conglomerates elected to begin reducing their nursing labor workforce in order to achieve the financial results that they desired. The paper discusses how, as a result of that decision, nurses found themselves having to work extra shifts and administer treatment to a larger patient load than they were accustomed to and these conditions led many nurses to leave the profession. The paper then discusses how nurses are workers in an industry that has ultimately failed to provide for their needs on a personal and professional level and, therefore, no matter how many programs are created to entice nurses to the profession, nurses will continue to leave until they know that the health care system respects their need to function in an ethically strong manner.
From the Paper
"Over the past few decades hospitals began to see themselves as competitive businesses that needed to grow and become prosperous in the health care industry. In order to achieve this growth and prosperity hospital leaders determined that merging with other hospitals to form systems or conglomerates would be the most effective route. Yet, in order to accomplish this task the hospital administrators had to provide funding for their endeavor. Consequently it was found that one of the highest costs for the hospitals was labor, specifically nursing labor. Therefore, after some deliberation these hospital conglomerates elected to begin to reduce their nursing labor workforce in order to achieve the financial results that they desired."
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Advanced Practice Nursing, 2007.
An analysis of the direct and indirect competencies of the advanced practice nurse (APN).
2,114 words (approx. 8.5 pages), 8 sources, APA, $ 66.95
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Abstract
This paper discusses the different competencies of an advanced practice nurse (APN) and how they are closely related to each other. The paper discusses direct care by the APN, as well as teaching and coaching. It discusses how these competencies have a direct impact on patient care. It also looks at how they impact the development of non-clinical competencies.
From the Paper
"While there are distinct advantages to the DNP program, there are disadvantages to its widespread implementation and possibly surpassing the masters in science in nursing (MSN) as the terminal degree. There is the possibility, as with all programs at the advanced degree level, that curriculum content may be in-depth in some areas while neglected in others. Another disadvantage is that, as an entry-level degree, DNP candidates may not possess adequate prior clinical experience that the APN candidate possesses, as it was also intended to attract individuals with non-nursing backgrounds. As a rigorous program that seeks to help candidates achieve end competencies, the clinically inexperienced DNP candidate may encounter "practical" knowledge gaps that may have to be covered by a longer course length."
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Portable Ultrasound Technology, 2007.
This paper focuses on the GE Logiq Book XP, the portable, high-quality diagnostic imaging technology.
772 words (approx. 3.1 pages), 3 sources, APA, $ 27.95
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Abstract
The paper discusses how current portable devices are changing imaging diagnostics. The paper focuses on GE's Logiq Book XP Ultrasound System and shows how it fulfills the market need for a relatively low cost, mobile and flexible ultrasound device. The paper looks at its advantages over existing systems and stresses how the GE Logiq Book XP is an important addition to the growing field of portable ultrasound devices.
Outline:
Introduction: The Portable Revolution
GE's Logiq Book XP Ultrasound System
Discussion
Conclusions
From the Paper
"Ultrasound technology bounces acoustic waves off samples, extracting images and data from the reflected signals by using relatively inexpensive electronics that switch between transmitting and receiving (Rollins, 2005). Ultrasound technology exists in a variety of forms from analog to digital, from pulsed to continuous wave, and from 2D to 3D to 4D images. One of the most advanced ultrasound systems is a continuous wave (CW) Doppler ultrasound that colorizes time-controlled images to calculate fluid velocities within the body (Allan, 2006; Tuite, 2005). Unfortunately, ultrasound technology isn't traditionally considered portable. CW Doppler ultrasound devices, in particular, require large computer boards to function (Allan, 2006). The end result is that most ultrasound equipment is large, ungainly, and expensive."
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Nursing the Dying Muslim Patient, 2007.
An analysis of the issues for nurses who are caring for a dying Muslim patient.
727 words (approx. 2.9 pages), 3 sources, APA, $ 25.95
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Abstract
This paper discusses Muslim beliefs and rituals surrounding death and dying. It specifically looks at these issues in regards to nursing care and the accommodations that nurses need to make for their Muslim patients and their families. Finally, the paper looks at changes in hospital policies and social and political policies with regard to Muslim patients who are dying.
Table of Contents:
Implications for Nursing Practice
Areas for Further Nursing Inquiry
Changes in Hospital and Hospice Policy
Social and Political Policies
Relevant Implications for Changes in Policy
From the Paper
"Privacy is a major issue for Muslims, as washing is required prior to the five times of daily praying. Nurses should be aware of festivals and holy days and acknowledge them to the patient (Sarhill, et al., 2001). All nurses must have knowledge of Muslim beliefs, which will enhance communication and improve health care as well as reduce the possibility of conflict. There are certain highly sensitive aspects of death and dying so that great cultural sensitivity is required on the part of nurses. The time and tasks which are most susceptible to conflict that can easily result in grave family distress and conflict involve the care of the body after death."
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Self-Care in Nursing, 2007.
This paper discusses the necessity of self-care for nurses.
2,611 words (approx. 10.4 pages), 8 sources, APA, $ 78.95
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Abstract
The paper relates that nurses must understand and implement their own needs so that they will be in a position to care for and heal their patients. The paper discusses the obstacles which impede the care of self in nursing, such as the nursing shortage and stress and burnout. The paper discusses how the care of self is a matter of preventive strategies as well as a positive means to cope with future stressors.
Outline:
Introduction
Description of the Clinical Situation
Relevance of Care for Self
Three Issues
Future Practice
Conclusion
From the Paper
"The topic of caring for self is relevant to me personally and to all nurses since, without care for self, physical and psychological health are impacted, and the nurse is left without essential resources. Both I and other nurses will not be capable of caring for patients unless care for self is undertaken. The outcomes of inordinate stress are seen in such problems as insomnia and an inability to relax. The organization also is affected because high levels of stress produce a negative impact on commitment (Aiken, et al., 2002). Care for self is so fundamental that it needs to be viewed as a dimension of professional development for nurses."
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Social work and Advanced Directives, 2007.
This paper examines living wills and advance directives as part of the services a social worker provides.
1,451 words (approx. 5.8 pages), 11 sources, APA, $ 48.95
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Abstract
The paper discusses end-of-life decisions, advance directives and patient advocacy that are issues within the scope of the health care social worker. The paper shows how the complexity of legal and medical issues involved in the creation of a living will and/or providing surrogate instructions is beyond the medical or legal training of the social worker.
From the Paper
"A social worker acts as a patient advocate. Social workers are charged with promoting patient respect and respect in treatment in end-of-life situations. The National Association of Social Workers was one of the first professional organizations to actively participate in support of the ethical dilemmas inherent in caring for individuals during end of life circumstances by issuing the formal policy statement "Client Self-Determination in End-of-Life Decisions in 1993 (Luptak, 2004). In the area of living wills, the social worker should only be part of a team that can help you address end-of-life issues and decisions and the member of the team to assure that other healthcare providers such as doctors and other facility staff know of your decisions ("How social workers," 2004). In the health care social worker's job, no task is more important than advocating for patients' wishes in end of life decisions."
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Outsourcing at Hospitals, 2007.
This paper discusses the outsourcing of hospital resources.
1,992 words (approx. 8.0 pages), 5 sources, MLA, $ 63.95
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Abstract
This paper reviews the outsourcing of hospital resources and looks at how it benefits registered nurses. In particular, the paper examines the professional and employment opportunities that outsourcing creates and the educational opportunities it affords to young people interested in nursing as a career. No less importantly, the paper suggests that hospital outsourcing means security for nurses who find themselves displaced because of "belt-tightening" measures in American hospitals. In the end, while some may resist it, the writer maintains that outsourcing in the medical field is an unanticipated boon for nursing practitioners.
Outline:
Abstract
Nurses
From the Paper
"The outsourcing of hospital services has become an increasingly conspicuous practice in recent years. With that in mind, the following paper will look at how the outsourcing of hospital resources and functions benefits registered nurses by giving them new employment options, how it gives aspiring nurses the possibility of specializing in areas they find most appealing, and by examining how wide-spread outsourcing allows nurses who unexpectedly find themselves "down-sized" to gain a new "lease on life" during difficult times. In the end, what the next few pages endeavor to show is that hospital outsourcing means not only more "variety" for patients, but more opportunity for the nursing profession."
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Agricultural Pesticides, 2007.
This paper discusses the uses of pesticides in agriculture and their dangers.
1,018 words (approx. 4.1 pages), 5 sources, APA, $ 36.95
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Abstract
The paper relates that pesticides have been used for decades as a way of eliminating pests in order to protect crops. The paper discusses how many critics have called for stopping the use of pesticides because of perceived dangers. The paper maintains that some forms of pesticide may be needed to protect the crops and add to the yield, but reducing the use of pesticides as much as possible is better for the environment and for the consumer in the long run.
From the Paper
"Americans largely accept the use of pesticides because they are told that pesticides are safe, though the sheer volume of pesticides used each year can be alarming as more than two million pounds of these poisons are added to the environment annually. These chemicals are found not only on food but in the water supply, with one of every ten drinking water wells in the U.S. affected along with thousands of lakes, rivers, and waterways across the country. The primary source of water pollution in the country is agriculture. At least 38 percent of the food supply contains pesticide residues, and many food items may have more than one pesticide, and as many as twelve (Meyerhoff, 1993, para. 8)."
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