| Papers [1-15] of 100 :: [Page 1 of 7] | | Go to page : 1 2 3 4 5 6 7 —> | Search results on "FISCAL MANAGEMENT INTENSIVE CARE UNIT": |
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Fiscal Management in an Intensive Care Unit, 2007.
This paper is a case study demonstrating fiscal management through variance analysis for an intensive care unit.
1,455 words (approx. 5.8 pages), 5 sources, APA, $ 48.95
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Abstract
This paper explains that, currently, major activities need to be taken into consideration so that the budget for the intensive care unit can be reconfigured or some activities can be deferred to the new fiscal year. The author relates that issues relating to safety standards and staff education increase overall productivity, which improves the quality of care within the intensive care unit. The paper points out that next fiscal year budget should have personnel divided by functionality to make budget allocations indicative of different staffing activities. The author suggests that, in an intensive care unit, it is imperative that supplies are kept in stock or there can be serious legal and financial implications; therefore, there should always be padding for this area provided in the budget. The paper includes a variance table showing the current reallocation of the budget, which addresses the important factors within the intensive care unit without increasing the budget.
Table of Contents
Expenses
Conference on High Risk Medications
High Risk Medications
"Smart Pumps"
Supplies Expenses
Personnel Budget
Table 1: Reallocation Process: Intensive Care Unit Budget Adjustment
Major Fiscal Concerns and Recommendations
Table 2: Variance Analysis
From the Paper
"The traveling or staff education budget will not allow the all three nurse to attend the seminar this fiscal year, since the budget remaining in these categories is $700 and $400 respectively. However, one of the nurses can be registered for the conference this year (and take advantage of the $200 registration fee), while the other the attendance of the other two nurses get deferred to the new fiscal year. This decision was based on the nature of the seminar, and the fact that the nurse's attendance will possibly have a 'spillover' effect and create a positive externality within other sectors of the intensive care unit via."
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Bernard Malamud?s "Angel Levine" and Lee Smith?s "Intensive Care", 2002.
This paper compares "Intensive Care" by Lee Smith and "Angel Levine" by Bernard Malamud, which both deal with issues regarding death, and illustrates why "Intensive Care" was more moving than "Angel Levine."
1,675 words (approx. 6.7 pages), 2 sources, $ 54.95
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Abstract
This paper explains that the increased emotional impact of "Intensive Care" was a result of the better developed characters, the informal and engaging tone, the conflict with a realistic ending, and the powerful theme. The author points out that Malamud does not provide the same background to the relationship that Smith did, which prevents the story from involving one emotionally to the same degree as "Intensive Care." The paper explains that the conflicts of the two stories are interesting because they are both very similar, while having very different outcomes.
From the Paper
"Both their characters are then revealed further by describing their relationship, including their meeting back in high school and then their more recent relationship. This creates a love story between them which is effective at holding the reader's interest. One of the interesting things about the story is that Cherry is the character who creates the most interest, despite her remaining in the hospital bed the whole story. She is the least active character and yet the most interesting. Her energy for life is expressed throughout and I found myself wanting to see the world the way she did. Harold then becomes the character that the reader is journeying with. Harold is struggling with the idea of losing Cherry and the reader can understand why this would be such a loss for him."
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Visiting Hours in the Intensive Care Unit, 2007.
This paper describes the pros and cons of open versus closed visiting hours in the intensive care unit.
2,736 words (approx. 10.9 pages), 7 sources, APA, $ 81.95
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Abstract
This paper, written from the perspective of a nursing practitioner, examines the issue of open versus closed visiting hours in the intensive care unit. The author explores these questions from the perspective of a quality care issue as well as a culturally competent care issue. The author summizes that open visiting hours in the intensive care unit can cause more strain on the patient and the staff than is good for either to experience.
From the Paper
"Confounding and complicating factors in the study include the relative selectivity of the patients, and the fact it was a single center trial, which reduces the degree of generalization of the results. What should be noted in the authors favor however is that the study was indeed a pilot and used more scientific methods than had previously been done to examine the true effect on the patient. What cannot be judged from this survey is what the effect of the rotating sequences had on the staff. It is noted that the staff were not allowed to know which sequence was being used until the new period began. It is also interesting to note that the ICU did not accept any new patients in the last week of the two month period in order to prevent overlap of patients in different visiting cycles, and that the ICU was closed for 4 days between each cycle to allow a cleaning and disinfecting. This unusual procedure may have had a confounding effect on the rate of infection as well."
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Fiscal Management in Mental Health Administration, 2007.
An evaluation of the issues and solutions related to fiscal management in mental health administration.
3,095 words (approx. 12.4 pages), 10 sources, APA, $ 90.95
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Abstract
This paper discusses the fiscal management issues of mental health administration. It particularly focuses on issues related to agency development and planning, budgeting and funding, assessment and evaluation and problems and restrictions. After assessing the related issues, the paper provides some solutions to the problems that may be encountered in the fiscal management of mental health administration.
Table of Contents:
Development and Planning
Budgeting and Funding
Assessment and Evaluation
Problems and Restrictions
Answers and Solutions
Conclusion
From the Paper
"This paper failed to include fiscal management issues surrounding advertising and marketing. As in business, a delighted patron is the finest advertisement an agency can have; on the other hand, a discontented patron can quickly damage an agency's character. Mental health administrators must always carefully select their merchandise and their shoppers because place, price, and production mean everything when marketing services."
"Mental health administrations must always be future oriented in order to survive. They must engage in fund raising campaigns, compete for grants, and pressure politicians to create new mental health programs and policies. Such measures require self-assured advocacy. After all, an agency will only be as successful as the atmosphere within."
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Discharge after Intensive Care (ICU).
This paper is a comparative critical review of the literature concerning the problems following discharge directly to a patient's home after intensive care in the hospital ICU.
2,930 words (approx. 11.7 pages), 17 sources, APA, $ 86.95
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Abstract
This paper compares two articles, both indicating problems after discharge to the home from the ICU, with each other and with an additional review of the literature, "Problems Following Discharge after Intensive Care," written by Daffurn et al (1994) and "Intensive and Critical Nursing Care," written by Scraggs et al (2001). The author points out that the condition, disease, illness, or injury of the patient is most likely one of the two most predominant factors in the experience of the recovering patient upon discharge home from the ICU. The paper stresses the importance of the proper provision of both verbal and written instructions to the patient and the patient's caregiver, since this greatly impacts the patient in terms of well-being, as well as the overall experience of discharge to home from ICU, thus reducing the need for returning to the hospital.
Table of Contents
Objectives
Review of Articles for Comparative Critical Review
Article One
Article Two
Review of Available Literature
Review Comparison and Contrast of Findings
Conclusion
From the Paper
"Results of the study found that of the 54 patients 34 of the patients experienced normal sleep patterns after discharge while 15 reported that they were unable to remain asleep due to disturbances and 5 patients were unable to fall asleep. 41 patients reported a normal appetite while 11 reported that their appetite was reduced and 2 patients reported a controlled appetite. Of the 54 patients 17 were not on medications at al while 14 of the patients were n Cardiac medications, 9 patients were taking multiple meds and four patients were taking analgesic medications. In relation to the memory of the patient in relation to the ICU stay 16 of the 54 patients had no memory of the stay whatsoever while 7 had a pleasant recall of the ICU stay and 9 patients claimed an unpleasant recall of their stay in the ICU. Reporting nightmares during the ICU stay were 7 patients while 15 of the patients had complaints of a minor nature. Home support was reported to be "none" by 4 of the 54 patients, while 40 of the patients reported "good" home support and 10 patients reported inability to sleep due to interruptions from home help support."
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Nursing in the Intensive Care Unit, 2008.
An analysis of the problems in determining patient-staff ratios in the intensive care unit (ICU) and how to address this issue.
2,768 words (approx. 11.1 pages), 10 sources, APA, $ 82.95
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Abstract
This paper addresses the problem of finding a reliable means of predicting the need for nursing care of patients in the intensive care unit (ICU). It looks at present systems devised by nurses to establish nurse-patient ratios and explores these strategies and systems, as well as alternatives. The paper concludes that the preferable course will be a system designed by nurses; without that, legislation will be the only alternative. The paper also looks at the writer's point of view and the relevance of the issue to him.
Table of Contents:
Introduction
Personal Relevance
Relevance to Nursing
The Issue: Nurse-Staff Ratios
Analysis
Alternatives: Staffing Models
Legislation
Recommendations
Conclusion
From the Paper
"Another system for determining nurse-patient ratios is of more interest to the health organization and the government. The diagnostic related groups system is primarily based on the principal diagnosis. Comorbidities and other factors such as length of hospital stay allow outcomes to be costed. The diagnostic related groups are used as a means to calculate costs as well as a system to estimate the cost of nursing care. The problem with the diagnostic related groups system is that, although it is comprised of 475 diagnostic categories, they have never been evaluated in terms of the nursing workload linked with them (Adomat & Hewison, 2004). In general, no patient classification or dependency system that currently is in use is completely effective for determining nurse-patient ratios in the ICU. The problem is found in the variable nature of the ICU so that a set of circumstances cannot be projected onto even the immediate future."
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"Intensive Care", 2002.
A review of the short story "Intensive Care" by Lee Smith
712 words (approx. 2.8 pages), 0 sources, $ 25.95
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Abstract
This paper analyzes the short story "Intensive Care" by Lee Smith and ,in particular, the relationship between the two main characters, Harold & Cherry. It shows how Smith uses Harold and Cherry's relationship to illustrate the several different themes prevalent in society today such as the power of love and how often we settle for our lives, rather than doing anything to make them better or taking the time to love or to enjoy those around us, we simply go through the same motions every day. It examines how Harold is a classic example of someone going through the motions, who finally has the strength to break away. Smith makes us understand that love may not always last physically, but it will last forever in Harold's heart.
From the Paper
"The only person who is not transformed by love in the story is Joan, Harold's ex-wife. Her life goes on just at it did before, perfectly. There is nothing in his old house to remind anyone he ever lived there. It is as if he is a phantom who existed once but has quickly been forgotten. "He looks back at the living room but there's not a trace of him left, not even an imprint on the soft white cushions of the sofa" (Smith 769). That is another theme in this story. While Harold has been pretty much forgotten by his family, he will never forget Cherry. She has changed him that much. In the end, he may "settle" again and go back to his family, but the reader gets the feeling his life will never be the same. He has been transformed, and he will be a different man if he goes back."
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Intensive Care and Accidental Extubation, 2002.
A look at the phenomenon of unplanned extubations in ICU's.
1,650 words (approx. 6.6 pages), 1 source, $ 62.95
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Abstract
The title of this research article, "Decreasing Unplanned Extubations In The Surgical Intensive Care Unit", concisely and clearly states the theme as it goes on to discuss the skin irritation and discomfort caused by wearing of an endocracheal tube and also clearly mentions it in the title. The readers are able to understand the overall purpose of the article, which is to conduct a prospective evaluation of all intubated patients in the surgical intensive care unit to examine the effects of three parameters on the likelihood of accidental extubation.
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Neonatal Intensive Care, 1999.
Physiological differences between pre-term & full-term newborns, in terms of nursing interventions, breast-feeding and cardiac arrest.
1,350 words (approx. 5.4 pages), 7 sources, $ 47.95
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From the Paper
"NEONATAL INTENSIVE CARE
Physiologic Differences Between Pre-Term Newborns and Full-Term Newborns
Several physiologic variations differentiate the typical pre-term newborn from the typical full-term newborn. Three such differences are described in this section (Todres & Fugate, 1996).
Poor infant weight gain is one physiologic difference between the typical pre-term newborn from the typical full-term newborn. A normal full-term newborn may lose up to 10 percent of body weight in the first few days of life, but should regain to birthweight by 10 days and follow a growth curve thereafter (Todres & Fugate, 1996). Frequently, a pre-term infant will be found to not be gaining weight adequately when checked at 10 to 14 days of age. At.."
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Care Management and Case Management, 2008.
This paper discusses current challenges in the healthcare system and offers case management and care management as a path to the solution.
1,123 words (approx. 4.5 pages), 8 sources, APA, $ 38.95
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Abstract
This essay states that the greatest challenges in the healthcare system currently consist of controlling costs, improving clinical outcomes, and ensuring quality care. Barriers to those goals include the nursing shortage, a rapidly aging population, competition, and reduced government reimbursement. This article addresses the most problematic issues in healthcare today but offers direction for their solutions rather than facile solutions. The paper goes on to claim that the overwhelming question for the current healthcare system presently concerns how to improve quality while reducing costs. Case management and care management are two valuable strategies which can control costs while improving clinical outcomes and ensuring quality care.
Outline:
Introduction
Rationale
Case Management vs. Care Management
Attempts for Quality
Journal Selected for Submission
From the Paper
"The current nursing shortage appears to be intractable. Recent government downsizing and cutbacks have been followed by reduced funding for the healthcare system that is about to be overwhelmed by the baby boom generation. Never have there been so many obstacles to cost-effective, quality care. Two choices are available: case management and care management, with the latter actually being the common alternative. High-risk patients need individual case management but the vast majority of patients require some form of care management (Doyle et al., 2003). Care management is evidence-based practice since such practice is an essential element in clinical pathways and protocols. Even though standard pathways are used, stringent pathways are being eliminated since evidence-based protocols and guidelines are becoming the norm."
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A Care Management Model, 2007.
This paper analyzes the management model of continuous quality improvement in an intensive care unit.
1,025 words (approx. 4.1 pages), 4 sources, MLA, $ 36.95
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Abstract
The paper explores organizational theorist W.E. Deming's philosophy of management that stresses cooperation rather than competition in the workforce. The paper discusses how Deming's theories are particularly helpful in creating an effective management philosophy of care in a busy healthcare environment, where employees must work together to achieve a common objective of patient care and health improvement and where subverting one another's needs and expectations is counterproductive. The paper explains that the theory places a stress on serving the needs of the health care consumer. The paper applies this theory to Tulane University Hospital's CHF (Congestive Heart Failure) intensive care unit.
From the Paper
"Deming's management philosophy is defined by what he calls a system of "Profound Knowledge" that appreciates the unique demands of a particular organizational system, stresses the pooling of combined knowledge to create a more responsive organization, forming a holistic theory of organizational knowledge, and finding a balance between different employees' psychological makeups. (Deming, 2000) This is ideal for creating an underlining philosophy of care according to the management model of Continuous Quality Improvement."
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Health Care and Managed Care, 2002.
Shortcomings of health care with the implementation of managed care.
4,150 words (approx. 16.6 pages), 17 sources, $ 151.95
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Abstract
This paper discusses the shortcomings of the American health care system with the implementation of managed care. The risks and future trends in the system are looked at as well as examples of what the system has faced.
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Managed Care and the Care of Suicidal Patients, 2001.
Takes a look at the managed care health system and how it affects the care of suicidal patients.
1,245 words (approx. 5.0 pages), 8 sources, $ 42.95
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Abstract
This paper discusses managed care, which is a system where health insurers closely monitor patients' treatments and restrict their insurance benefits to cover only services that the insurer judges to be "medically necessary." This system has had an important effect on the care of suicidal patients. This paper looks at these effects and evaluates their effectiveness.
From the Paper
"Managed care treatments are designed to help people move through their current crisis and restore them to their previous level of function, and the managed care companies ask that the patient's treatment focus on the objective signs of impairment that the patient presents."
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Health Care Managers and Health Care Delivery, 2004.
Examines the relationship that exists between health care players, how they perform their duties, and how they join their forces in health care delivery.
2,367 words (approx. 9.5 pages), 9 sources, APA, $ 72.95
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Abstract
This paper examines and provides information on the roles and responsibilities that health care managers are tasked to accomplish in today?s health care systems. Moreover, this paper examines how a health care manager's job as a leader who ensures a smooth and organized management and operation of health organizations, influences his/her perspective on health care professions. The paper emphasizes the importance of understanding how health care managers perceive their duties in health care service.
From the Paper
"The basic role every manager must be able to render is the task of providing good human relations to everyone at work. Through this role, the objective of accomplishing jobs in an environment where good work relationship is maintained can be made possible. In the field of health care, healthcare managers must have the ability to perform this basic responsibility. A healthcare manager should be a specialist in managing the condition of the healthcare staffs. Though this duty may be perceived as a simple task, it is critical that a good human resource management be delivered to a health organization to ease the stress and pressure that health care providers, such as the doctors and nurses, experience from their duties."
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Health Care and Managed Health Care: The Need for Sweeping Reforms, 2002.
A look at role of primary care nurse practitioners in relation to health care reforms.
2,400 words (approx. 9.6 pages), 6 sources, $ 89.95
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Abstract
This paper investigates the role of primary care nurse practitioners in respect to health care and health care reform. The failure of primary healthcare is critically assessed, in the respect that health care is currently "managed" by independent "for- profit" organizations, where there is an emphasis on financial success rather than patient welfare. This paper also places a strong emphasis on the role of nurse care practitioners in the state of Florida and in community health care clinics.
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