Long Term Care Model

Long Term Care Model
Long–term care (LTC) is meant for persons who have medical needs that extend beyond a specific
spell of illness. Nursing homes and home health care agencies are the traditional model of LTC.
Many newer ideas about how to provide extended care have evolved more recently. What are some
of these models, and what are each of their aims? Hospice Care: This is a program that care for
terminally ill patients. Being terminally ill does not mean that you are on your last breath or that you
are unable to move. Contrary to what some people may believe not everyone going to this type have
only a few days or month to live. The aim of Hospice Care is to make sure each patient is pain free
and comfortable enough that they can spend the rest of their life in an environment that is not
emotionally distress which can be brought on by fear and in some cases ... Show more content on
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Adult Day Care: This is usually a very good alternative for the elderly instead of placing them in
nursing homes which many times can sometimes cause a negative impact on the elderly. Generally,
family members are the ones who provide majority of care for these individuals which are good
because it allows the frail member to stay in familiar surroundings. For others, the elderly may be
unable to take care of themselves and so being in the adult day center it can give other family
members peace of mind while at work knowing that they love ones is in good hands. Others fear of
leaving their love ones alone because of safety issues. A great example I can think of is my
grandmother after my grandfather die. My mother didn't want her to go into a nursing home, and
since my grandmother had the tendency to leave her door open unintentionally and had a habit of
forgetting to take her medication my mother thought it was a good idea to bring her to our home and
take care of her. By doing that I believe my mother erase isolation, avoid the guilt of placing her in a
home, allow my grandmother to feel a part of the family again
... Get more on HelpWriting.net ...

Medical Term Shock Essay
When hearing the word shock many images may come to mind as to what the word really means.
People sometimes use it in a sentence when they want to describe the reaction they have to a certain
situation, however, in the real world, shock can be deadly. Shock can be potentially life–threatening
since the human body is not getting sufficient blood flow. Being an Emergency Medical Technician,
you must be able to recognize the signs and symptoms of shock and treat shock immediately.
Trauma, heatstroke, blood loss, an allergic reaction, severe infection, poisoning, severe burns are
ways that a person can develop shock. "What is shock? The medical term shock refers to organs and
tissues of the body not receiving a sufficient flow of blood." So basically, what is happening is the
organs ... Show more content on Helpwriting.net ...
Stage I, also called compensated or non–progressive. This is the stage where low blood flow is
detected. The heart beats faster, the vessels throughout the body constrict and the kidneys are
working very hard to retain fluid in the circulatory system. In Stage II, also called decompensated or
progressive, is when the body is unable to improve perfusion any longer. In Stage III of shock, also
known as irreversible, the heart's functional ability has further declined, the kidneys shut down
completely, cells in all the organs and tissues are dying. The poor perfusion has taken a permanent
toll on the body's organs and tissues. Anaphylactic shock occurs in response to an allergic reaction.
The allergic reaction can be due to medications, latex, bee stings, and food, such as nuts and
shellfish. Symptoms of anaphylactic shock can include low blood pressure, impaired breathing
caused by constricted airway, a swollen tongue and/or lips, hives, flushed skin, confusion and
dizziness. The course of treatment is an injection of epinephrine, also known as epi–pen.
Supplemental oxygen and/or albuterol may be administered for breathing

Persuasive Essay On Euthanasia
Living with an incurable disease such as ALS (Amyotrophic Lateral Sclerosis) can have a
detrimental effect on someone's life and others around them. Euthanasia allows them to die with
their dignity still intact. Also, if it is not legal in one's country, there are other ways they can go
through with the procedure. In the end, it should rightfully be the choice of the patient, as it is their
own body. So instead of waiting painfully and blind for the day an incurable disease takes your life,
euthanasia allows patients to leave on their own and peaceful terms. If euthanasia is not legal ,
people will still find a way to do it. They may illegally do it, or travel to a country that allows it. The
government must legalize it so they are able to set regulations and restrictions. Euthanasia is legal in
some countries and it is possible for foreigners in these countries to have access to it. People in
France, where euthanasia is legal, travel to their neighbor country Belgium to end their suffering.
Olivier Vermylen, an emergency doctor at a Brussels hospital says, " Nowadays I get phone calls
about French people who arrived in the emergency room announcing they want euthanasia." This is
very unethical for the France government because their citizens are travelling to a different country
to fulfil their believed right to euthanasia. If it is legalized, euthanasia can be regulated so that
people who are not terminally ill cannot receive the treatment. In Canada on June 17th, 2016,

Role Of The Members Of The Multidisciplinary Team
I have the ability to work effectively as a team member in a multidisciplinary team. Examples which
demonstrate this include:
Understanding the roles of the members of the multidisciplinary team allows playing to the team
member's strengths, appropriate delegation of duties, maintaining of boundaries and enables insight
into a specialty you are less familiar with. Frequently on my general medical term, I would involve
physiotherapists and occupational therapists to assess the mobility of patients as this would often
limit an elderly patient's discharge. Accessing allied health early improved discharge planning.
Participating in handover of patients to allied and nursing staff. On both my medical and surgical
terms I would set aside time to pass on critical information to the nursing coordinator to facilitate
excellent patient care. On the colorectal team, I would attend weekly multidisciplinary meetings to
explore non–medical issues facing patients with allied health staff.
I have demonstrated reliability and constructive communication in a team environment in many
ways. One such example was regular attendance to the mental health department meetings with
psychiatrists, social workers, dieticians, occupational therapists, clinical psychologists and many
others. This meeting facilitated discussions and formulations of weekly plans for anorexic patients
on my team. I was there to provide a valuable medical perspective of the patient's progress, while
listening actively

Clinical And Holistic Personal Health Factors Within An...
Introduction
This case study examines a recent presentation by a 36 year old woman with acute abdominal pain
requiring emergency assessment, and the subsequent diagnosis of acute appendicitis leading to
surgical intervention. The aim of this paper is to explore the patient's relevant presentation, clinical
and holistic personal health factors within an emergency nursing framework. Two key areas of care
will be identified to critique and examine in detail: acute appendicitis as an immediate concern, and
long–term use of non–steroidal anti–inflammatory drugs (NSAIDs) and proton–pump inhibitors
(PPI) related to chronic illnesses as an ongoing issue for this patient. The patient's assessment,
including relevant investigations and medical ... Show more content on Helpwriting.net ...
This case study will conclude by evaluating the overall outcomes and outlining potential
improvements related to this patient's assessment, care and subsequent discharge home.
Case Facts with Initial Explanation
Pamela is a 36 year old woman who presents at the emergency department with worsening
abdominal pain, unrelieved by simple analgesia at home.
Occupation
As it happens, Pamela works as an allied health professional herself, and has a sound understanding
of basic anatomy and physiology.
Social History
Married to her husband of 16 years. Pamela and her husband have two sons, aged 8 and 11 years
old. Both children were born as full–term natural vaginal deliveries without complications.
Past Medical History
Chronic migranes with aura, a condition Pamela has suffered since early adolescence, related to
Coeliac disease, a condition (Emilsson et al. 2011)
Poly cystic ovarian syndrome (PCOS), which involves (State Government of Victoria 2014)
Regular Medications
Mirena intrauterine device insitu, used for contraception and also to manage chronic migraines.

Two Key Areas for Analytical Focus
Two relevant areas of care to be examined, establish relevance to nursing and patient care, linked to
research evidence:
1. Acute appendicitis, leading to laparoscopic surgical appendectomy. This is focus is a relevant
topic because appendicitis is known to be the single most frequent cause of abdominal pain
requiring abdominal surgery, affecting people of all ages (Sengupta,

Long-Term Care (LTC)
Long–term care sometimes abbreviated LTC, focuses on the providing services that promote
independent living and quality of life, while still meeting an individual's medical and non–medical
goals. There are many varieties of long–term care which include in–home care, assisted living
facilitates, nursing homes, and retirement communities. While long–term care facilities typically
offer an array of services, including meals, laundry, and housekeeping services, history has shown
that greater areas of success have been achieved with these bundling of services in a smaller, more
intimate facilities, such as Jefferson Park at Dandridge. Common Long–term Care Services While
long–term care services range from organization to organization, one can

Health Care At Medicare Certified Hospitals
The purpose of this paper is to explain what the website Hospital Compare is about. The paper will
reveal the agencies that are behind the website and it will also give a little insight about how the
information is chosen that is available to the public. Also, you will learn about Ohio Valley Medical
Centers (OVMC) ratings and some areas of the medical center that could use a bit of improvement.
This paper will also include some strategies that OVMC could use to help improve their ratings.
Introduction of Hospital Compare
Hospital Compare is a website that has information about the quality of care at Medicare–certified
hospitals. It can be used to find and compare the quality of the care of the Medicare–certified
hospital and the agency ... Show more content on Helpwriting.net ...
Ohio Valley Medical Center Hospital Results
The data collection period for OVMC is done quarterly and the last time that the data was collected
was from April 1, 2015, through March 31, 2016. There were 556 surveys completed for Ohio
Valley Medical Center (OVMC) and the survey response rate is 25%. I am surprised at this response
rate because you would think that if somebody received exceptional care they would want to tell
people about it. The same goes for people that did not receive exceptional care, you would think that
they would let people know that the care that they received was awful. They also only received two
out of five stars as their overall rating, which shows how unpopular this hospital is with the
residents.
On average, OVMC ratings for all eleven categories is below the state and national average, which
is surprising because my family and I have never had a bad experience at OVMC, but I have heard
people talk bad about the hospital. OVMC also scored higher than the state average by one percent
in the category the that shows that patients would refer OVMC to other people, which is not
surprising because most people that I know would choose OVMC over the other hospitals in the
area. The other area that surprised me was the category that patients would give the hospital a 9 or a
10 on a scale of 0 to 10, which the medical center had a 64% in. I thought that OVMC would have
had a lower percentage in that category

Hyperbilirubinemia Case Study Answers
Kelsey Crooks
OB Project Week 4
CLTCC–Alexandria
Index
Hyperbilirubinemia.....3
Respiratory Distress Syndrome.....6
Fetal Alcohol Syndrome.....9
Cephalohematoma.....11
Spina Bifida.....13
Cleft Lip/Palate.....15
Hip Dysplasia.....17
Neonatal Abstinence Syndrome.....19
Hyperbilirubinemia
Define
High levels of bilirubin in the baby's blood. Also known as newborn jaundice. (Hyperbilirubinemia:
Medline Plus)
Cause. Risk Factors.
According to Medline Plus:
Several causes such as abnormal blood cell shapes, Rh incompatibility, high levels of red blood
cells, and cephalohematoma.
Risks include: certain medications, infections at birth, disease that affects the liver or biliary tract,
low oxygen level, and many different inherited blood disorders. ... Show more content on
Helpwriting.net ...
(n.d.). Retrieved June 28, 2016, from https://www.nlm.nih.gov/medlineplus/ency/article/001559.htm
Neonatal respiratory distress syndrome: MedlinePlus Medical Encyclopedia. (n.d.). Retrieved June
28, 2016, from https://www.nlm.nih.gov/medlineplus/ency/article/001563.htm Fetal alcohol
syndrome: MedlinePlus Medical Encyclopedia. (n.d.). Retrieved June 28, 2016, from
https://www.nlm.nih.gov/medlineplus/ency/article/000911.htm Infant Cephalohematoma Symptoms.
(n.d.). Retrieved June 28, 2016, from http://www.cerebralpalsysymptoms.com/brain–injury/infant–
cephalohematoma/symptoms Spina Bifida: MedlinePlus. (n.d.). Retrieved June 28, 2016, from
https://www.nlm.nih.gov/medlineplus/spinabifida.html Cleft lip and palate: MedlinePlus Medical
Encyclopedia. (n.d.). Retrieved June 29, 2016, from

https://www.nlm.nih.gov/medlineplus/ency/article/001051.htm Developmental dysplasia of the hip:
MedlinePlus Medical Encyclopedia. (n.d.). Retrieved June 30, 2016, from
https://www.nlm.nih.gov/medlineplus/ency/article/000971.htm Neonatal abstinence syndrome:
MedlinePlus Medical Encyclopedia. (n.d.). Retrieved June 30, 2016, from

Euthanasia Vs Pas
Is it our right or freedom to decide the conditions of our own death as American citizens?
Throughout the world, people have asked this question and even enacted laws based off of their
viewpoints on the situation of euthanasia and physician–assisted suicide(PAS). According to Derek
Humphry, the founder of the Euthanasia Research and Guidance Organization, euthanasia is "Death
by lethal injection by a doctor when requested by a patient." and physician–assisted suicide is a
"Medical doctor helping a patient to die by prescribing a lethal overdose." Although the
circumstances of being terminally ill and people wanting medical assistance to help them commit
suicide has been around since medicine has, the idea and practice of euthanasia and PAS ... Show
more content on Helpwriting.net ...
Also in the story about the Flounders it mentions that they were helped by a "euthanasia advocate"
that was a doctor which implies that the Flounders were influenced at their weakest moment by
someone of knowledge or higher authority which is one of the problems with euthanasia. If doctors
are encouraging and helping people euthanize themselves, as this doctor did, or, when you get into
euthanasia, actually euthanizing people then where do you draw the line between in being the
patients decision and it being the doctors decision and deciphering between ending ones own life
and ending someone else's life? Even with euthanasia being illegal, some doctors are influencing the
terminally ill to take part in it which means that legalizing euthanasia would most likely increase the
probability of this happening more often. Along with this, if palliative care can ease the majority of
people's suffering that are terminally ill and cause them to be comfortable until their demise then
there seems to be no reason that euthanasia would need to be legalized as a

Pros And Cons Of Long Term Care
Long–term care involve all the help and support that some people need with daily routine tasks that
include bathing, eating, sitting, getting to and out of bed and dressing. It provided for persons with
chronic diseases, cognitive impairments or have a type of disability that leaves them unable to care
for their selves for a long period. In addition, there are another necessary and additional life's tasks
should be considered like preparing the meals, managing the medications and shopping. And may
also the care could required to skilled and professional practitioners to manage the cases. .The care
could be inside homes or in a health or nursing facility. Long–term care may involve the social
services, and housing. Objectives of achieving ... Show more content on Helpwriting.net ...
the services concentrate on providing help and support with every day life activities to reduce, fix,
or recover aging and disabilty issues. aging increases and medical technologies and treatment in
advance. this is lead the world to demand for long–term care .Aging may not be the main claim for
Long–term care but it is the main driver for extending demand. Countries differ in the numbers of
elderly populations and vary, so there must be programs and plans for the care of these populations,
to ensure comfort and social security for those oldest people. So, How Much is Long–Term Care
Cost? Who need and use long–term care? Who will pay the bill of the costs? How is long–term care
can be financing? Are there any future plans? Are there any new polices and reforms? Beyond the
nursing homes and the health provide, there are services available in the community to help long–
term care individuals like visiting skilled nurses, health aides, visiting programs, home–delivered
meals, and caregivers programs for who need a break from daily

The Effects Of Sports Injuries On Sports
All around the world, people are participating in sports for various reasons, such as for their
personal interest, health and fitness, and many more. However, injuries in sports which can result in
pain, loss of playing time, as well as medical expenditure can occur too often. In the more serious
cases, the injuries may result in fractures of bones, which in turns cause limitation in the mobility,
resulting in permanent cease of attendance in sports, and in limited extreme cases even death. For
professional sports player, absence of a game due to unfortunate injuries may result in huge
economic losses. As a result of these undesired events, scientists and medical professions are
constantly on the lookout of new and improved ways to prevent and reduce the possibilities of sports
injuries (Fong, Hong, Chan, Yung, & Chan, 2007). Injuries to the ankle are one of the most common
injuries occurring in sports. The ankle joint may become unstable following an ankle sprain, and
normally it requires a long time before it can be restore to its full potential. The management and
prevention of the injuries become the crucial parts during the recovery process.
Information concerning a medical condition will be more effective for a patient when the
information is presented in a way in which individuals are easily accessible and comprehensible.
The type of information provided should ideally be detailed and specific about the topic being
discussed (van Zuuren, Grypdonck, Crevits, Walle,

Arguments Against Assisted Suicide
Social workers should oppose assisted suicide and other end–of–life measures
Earlier in 2015, this issue received nation attention when a 29 year old terminally ill women made
the chose to die on her own terms. Having no cure for the disease, a disease that would continue to
cause her great pain and discomfort as the disease progressed, she along with the help of her family
made the decision that when the time came she would take her life under medical supervision. She
argued that it would be unfair and devastating for her family to watch her suffer while medicine
prolonged her life. She argued that it was unfair of laws in the state she resided that would require
she suffer and endure pain instead of supporting assisted suicide. "Advances

The Rights Of The United States
People of the United States of America have basic human rights. Among them are the rights to
education and democracy, freedoms of speech, thought, and expression, and the right to life.
However, currently, there is no right to die present in the U.S. The right to die is defined as the right
of persons to choose natural death and refuse any medical measures to prolong their lives under the
circumstances of terminal illnesses and the unlikeliness of them getting well ("Right–to–die").
"Death with Dignity" laws are present in a few states such as Oregon, Washington, Vermont,
California, and Montana via court decision, but these laws are still not recognized on the federal
level. For a terminally ill person, it is often not an option to move to one of these states to execute
the right to die since the law has strict residency requirements, including state Driver License, filed
state tax returns, lease or property ownership documentation ("Public Health's Role"). Thus, the
persons, being weak physically and mentally are forced medical care to prolong their lives by
reducing the quality of them without any hope for recovery. Unmanageable health care costs
become a burden on the family members and loved ones of the patients. Terminally ill patients
should have a choice to die on their own terms to avoid further unbearable pain, to prevent the
demolition of the quality of their lives, and to stop the sufferings of their loved ones.
The history of the right to die movements begins

Medical Service Improvement Project : The Royal Australia...
I have completed many courses, workshops and seminars that have been recommended by the Royal
Australia College of physicians. The list includes:
The Advanced Life Support Course 2
Physician Education Program through RACP events
RACP clinical exam series through RACP events
St John of God Physician Lecture series
ICU BASICS course backed by FSH Director of Physician Education Dr Abraham
FSH Site specific case rounds and journal club meetings
eLearning@RACP online course modules
I am aiming to attend exam preparation courses in 2016 and 2017
2. Prior experience with research and/or publication and/or clinical audit.
Throughout my career I have demonstrated my commitment in improving patient outcomes. Below
is a detailed list of my projects and experiences.
I am due to complete a 10 week non–clinical rotation that is dedicated to medical service
improvement. I will complete this term at Rockingham General Hospital with the hope of providing
meaningful analysis of processes and possible recommendations that may be implemented at other
sites. I have already assisted in a service improvement project that aimed to highlight and remove
the negative connotations associated with clinical incident reporting. I was one of the project
officers, with Dr Shivananda at Sir Charles Gairdner Hospital (SCGH) that worked on an
educational video targeted at doctors to increase awareness and the importance of clinical incident
reporting in improving patient outcomes. I was

Assisted Suicide Argumentative Essay
On New Year's day in 2014, 29–year–old newly wed and hopeful mother , Brittany Maynard, was
diagnosed with a malignant stage four brain tumor and was given six months to live. After two
failed surgeries and full brain radiation, Maynard made the decision to die on her own terms. She
and her family moved to Oregon and established residency so that she could utilize Oregon's Death
With Dignity Act. Maynard chose to end her life on November 1, 2014. Before her death, Maynard
asked her friends and family: "Who has the right to tell me that I don't deserve this choice? That I
deserve to suffer for weeks or months in tremendous amounts of physical and emotional pain? Why
should anyone have the right to make that choice for me?" This same question ... Show more content
on Helpwriting.net ...
Humans are given the right to life which states that "nobody should be arbitrarily deprived of their
life." Imagine being given your lifespan at birth, and a person that does not personally know you or
your family told you how to spend those years. This is essentially what the government is doing by
withholding and criminalizing patients of the resources with which to end their lives. If people have
the right to life, that right should also include the right to control their quality of life; the right to life
should not entail the life that has been chosen for the individual, but rather the life that the
individual choses. Over 91 percent of patients said that losing autonomy was the reason that they
chose physician assisted suicide, and 71 percent said that they wanted to die with dignity. The desire
to increase autonomy among terminally ill individuals is one that is shared by Dr. Timothy Quill
M.D., a palliative care specialist from the University of Rochester Medical Center: "Patients with
serious illness wish to have control over their own bodies, their own lives, and concern about future
physical and psychosocial distress. Some view potential access to physician–assisted death as the
best option to address these concerns." If we aim to promote freedom and autonomy of oneself, why
then, should we deny people the right to choose when, and on what terms, they die? Supreme Court
Justice William Brennan states that: "An ignoble end steeped in decay is abhorrent. A quiet, proud
death, bodily integrity intact, is a matter of extreme

Chronic Constipation: Bowel Movements
Introduction
Chronic constipation is having three or fewer bowel movements a week for at least three months.
This condition is especially common in older adults.
There are two main types of chronic constipation: functional constipation and secondary
constipation. Secondary constipation results from another condition or a treatment. Functional
constipation, also called primary or idiopathic constipation, is divided into three types:
Normal transit constipation. This occurs even though stool moves through the colon (stool transit) in
a normal way.
Slow transit constipation. This happens when stool moves slowly through the colon.
Outlet constipation or pelvic floor dysfunction. This occurs when the nerves and muscles that empty
the rectum do not ... Show more content on Helpwriting.net ...
You may need to:
Stop or change some medicines, if they cause constipation.
Use a fiber supplement (bulk laxative) or stool softener.
Use prescription laxative that works by drawing water into your colon (osmotic laxative).
In some cases, you may need to see a specialist who treats conditions of the digestive system
(gastroenterologist).
Follow these instructions at home:
Take over–the–counter and prescription medicines only as told by your health care provider.
If you are taking a laxative, take your laxative as told by your health care provider.
Eat a balanced diet that includes enough fiber. Ask your health care provider to recommend a diet
that is right for you.
Drink enough fluid to keep your urine pale yellow.
Get some physical activity every day. Ask your health care provider what physical activities are safe
for you.
Get colon cancer screenings as told by your health care provider.
Keep all follow–up visits as told by your health care provider. This is important.
Contact a health care provider if:
You are having three or fewer bowel movements a week.
Your stools are hard and lumpy.
You notice blood on the toilet paper or on your stool after you have a bowel

Mental Disorders Revised (CAMCOG-R)
The assessment process of PDD is complex and consists of multiple steps. The first step is a medical
records review in terms of history of motor symptoms, age of onset, any cognitive changes and their
progression, available brain scan results, timing, and reactions to antiparkinsonian and other
medications, especially ones with anticholinergic effects. To be able to time neuropsychological
testing appropriately is helpful to know about any fluctuations in movement impairments, attention,
daytime sleepiness, and overall sleep patterns. The presence of psychiatric symptoms, medical
conditions, and surgical procedures related as well as unrelated to PDD presence important
information (Trosten & Brower, 2013). Following the medical record review, ... Show more content
on Helpwriting.net ...
The cutoff score of 80 points or below is indicative of dementia symptoms in PDD. Several disease
specific instruments exist such as the Mini–Mental–Parkinson (MMP), the Scales for Outcomes of
Parkinson's Disease – Cognitions (SCOPA–Cog), the Parkinson's Neuropsychometric Dementia
Assessment (PANDA), the Parkinson's Disease Cognitive Rating Scale (PD–SRS), and Non–Motor
Symptom Assessment Scale for Parkinson's Disease (N–MSASPD). All of these instruments are
promising and useful; however, their validity is limited because they were validated on very small
samples. As a result, future research on the sensitivity and specificity of such instruments for
identifying PDD is required (Martinez‐Martin et al.; 2015; Ravdin & Katzen,

The DNR: Is It Morally Wrong To Let Someone Die?
Many families endure the loss of parents or loved ones in hospitals, and ethics in the medical world
keep a strict set of policies to ensure that patients' rights are looked at with the utmost respect and
concern. A raging debate has risen in recent years questioning the morality and ethics regarding
"pulling the plug" on life support patients or issuing "Do Not Resuscitate" slips and allowing some
patients to die without the possibility of being saved by medical practices. Many who agree with life
support claim that it is "morally wrong to let someone die". This debate often makes it difficult for
doctors to know what decisions to make in a hospital setting, especially when the legality of the
DNR is questionable. Medical and legal experts

Euthanasia Essay
Student Name: Jih Hung(Ryan) Kung
Student ID: 42855470
Word Count: 614(part i ) and 249(part ii)
Part (i) Word Reflection
What do you believe?/ What is your opinion?
Euthanasia is not wrong. Euthanasia can be a morally correct under appropriate supervision.
What about the terms/definitions? Are they clear? What kind of problems or ambiguities arise here?
The term Euthanasia is known by most ordinary people as it is a famous issue that still remain
debatable. There should not be any problem understanding the argument of euthanasia is not wrong.
Except the level of acceptance of Euthanasia the argument is trying to convey. The words "morally
correct" and "supervision" in the claim are not defined clearly here which may create ... Show more
content on Helpwriting.net ...
Lastly, If there is no harm to others, other than the patient or/and the patients' relatives, people
should not interfere.
Are these main claims easy to understand? Do they rely on common knowledge? Or are they
unusual and rely on implicit ideas or background?
The first claim, that it is economic wise may not be direct and understandable through common
sense. As some people may regard human as precious resource of society that benefit the economy,
however, most patient who receive Euthanasia are often not far from death and incapable of
returning to workforce. They are rather regarded as burden of society by keeping them alive
meaninglessly.
Second claim is straightforward that people deserve Euthanasia as they deserve normal goods and
services, where people benefit from it and demand it should not be seen as an immoral act.
Third claim is easy to understand, as if you do not want a stranger have a say on whether killing
yourself for relief from torture of illness is bad and should be prohibited.
What supporting evidence would/could you give for these views?
For first claim, it is obvious that keeping a living person and without one, keeping a living person
require more expenses. This is a simple concept that can be explain through simple economic and
calculation.
For second claim, putting yourself into a situation where two options left, live painfully for short
term and

PAD: A Case Study
The issue of PAD is one of liberty to do what one wants. Dying on one's terms seems at first to be an
issue of noninterference (negative liberty) (Stone, 2012, p124). Put another way, someone might say
"Don't interfere with the way I choose to die." However, PAD doesn't happen in a void. There is an
infrastructure to the medical and dying process. It requires support to carry out (positive liberty)
(Stone, 2012, p124). Individuals must see a doctor, obtain a diagnosis and obtain life ending
medication. What if individuals are making the wrong choice in dying? Stone asks "[are there]
situations in which people's freedom to choose a course of action should be denied in order to
preserve other choices in the future" (2012, p 119). There

Asthma And Case Management Case Study
Asthma and Case Management
Shiny Thachettu
American Sentinel University
Asthma and Case Management
Nurses always play a vital role in patient safety and care. In contrast with the past, today the nurses
are well–informed, with a focus on coordinating patient care and the use of critical–thinking skills.
Being a significant health care professional involved in the patient care, nurses have several
responsibilities such as preventing medication errors, ensuring the patients attain accurate treatment
and above all upholding the patient safety. While coming to case management nurses, they need to
have deeper understanding of healthcare services and their application. In addition, they must have
enhanced organizational talent and effective communication skills with the patients and with
different sources on behalf of these patients.
Nurses come across patients with diverse health conditions; some of them possess chronic
conditions and others with acute ailments. Each health condition has its own steps of treatment
and/or management. Asthma is a chronic inflammatory disease of the airways. When the lungs are
inflamed it causes trouble in inhaling (CDC, 2009). In the United States, asthma affects between 14
and 15 million individuals (Dinelli & Higgins, 2002). Several allergens and irritants, such as
animals dander, pollen grains, particular chemicals, insect parts, smoke, and dust, that are
widespread in our atmosphere, and can cause and increase the severity of this disease.

Death With Dignity
Some terminally ill patients are left with no choice but to suffer through their illness until their body
eventually succumbs to the illness, whatever it may be. In these cases, an organization called Death
with Dignity will try to step in and help the patient in need if they are legally allotted to. Death with
Dignity is an organization that administers lethal injections, commonly referred to as physician
assisted suicide to patients that ask for this.
This progressive law was first passed in 1994 when Oregon voters showed their support of this law
and it was put into action in 1997 (In). In regard to this new law, the Attorney General of Oregon in
2001 "ordered Federal Drug Enforcement Agents to prosecute physicians and pharmacists for
practicing ... Show more content on Helpwriting.net ...
Scalia expressed his thoughts on how "legitimate medicine" has been to extended to the bounds of
physician–assisted suicide even though the 47 states that condemn physician–assisted suicide
confirm that medicine should not be extended that far. He then brought up past Eighth Amendment
cases that seemed very evolutionary to him and would never have agreed that "legitimate medicine"
would have evolved this far. Scalia also brought up the loosely defined term of "legitimate medical
purpose" and how the federal definition of it is too broad. He expressed his belief that it should not
have to exclusively deal with "addiction or abnormal effects on the nervous system" only. Justice
Scalia furthered this statement with his idea that abuse shouldn't be the sole concern of medical
purpose, but one of many when it comes to administering substances. He also stated that the Court
argued that the Attorney General did not take into account the "public interest or public health"
when he deregistered the physicians, but Scalia argued in his dissent that the Attorney General could
indeed take that into account when he made his moves on the physicians because of the position he
holds in Oregon and he should be familiar with their needs and wants. Scalia also claimed that
Ashcroft was in a positon to make these decisions purely because of his authority. Finally, Scalia
also argued that the majority ruled in the

Communication Barriers In Communication
The best way to get full understanding of an individual is to listen to them. Having the ability to
listen effectively can significantly impact all relationships be it professional, personal or social.
Listening is both necessary and an important aspect of the communication process, because it is one
of the most important skills a person can obtain. Listening is one of the most powerful aspects and
tools of communication. Listening is a process that is used to receive, convey a meaning, and
respond to both verbal and nonverbal messages. There are many barriers individuals face when
listening to others speaks. Some barriers are Daydreaming, Prejudging the speaker or the
information, and interrupting, Becoming distracted, listening only for facts, Becoming distracted, to
avoid these barriers knowing and applying these will improve your listening skills. "Receiving,
understanding, remembering, evaluating and responding."
The reason I think compliments are so important today, is that there is such an availability of
negativism and hyper–critical attitudes that permeate our daily lives. Compliments can also serve to
melt the ice between you and an antagonist. Compliments encourage others who are struggling.
Studies have shown that when it comes to helping someone reach their goal, positive feedback is
most effective for novices. Experts are primarily concerned about evaluating their rate of progress,
and negative feedback helps motivate them to want to go further and faster.

A Historical Sense Of Pride
There has always been a historical sense of pride in America. Before the country was even founded,
it was common to know the feeling of being purely American. That sense of patriotism tends to
reach all facets of life. In the mind of most Americans, this country has the best of everything. This
cultural autonomy is responsible for the blind support of many failing institutions. In no way, is
American patriotism equivalent to ignorance, but there are some areas in which improvement is
necessary and not taking place. According to a Gallup poll taken in 2014, only 54% of Americans
ranked the quality of health care in the country as good to excellent. The same poll shows that 65%
of American adults polled, do not believe that healthcare reform is needed (Gallup, 2014). The key
to successfully aligning health care reform with diversity in the health care field is to understand
what areas need to be improved. Diversity in health care matters and it is a system in itself of itself
that can work. Areas in healthcare that are underrepresented occurs with regards to Race, Ethnicity,
Culture and Gender (Healey 2014). Several measures have been implemented to level the
inequalities in the American health care system: Affirmative Action, Equal Employment
Opportunity Commission, Patient Protection and Affordable Care Act as well as the Civil Rights
Act. These laws prohibit discrimination against certain protected population subgroups based on
race, national origin, skin color, sex

Long Term Care System: A Case Study
The long–term care system is aimed at providing continued care to individuals both in facilities and
at home. Many people associate long–term care specifically with nursing and assisted living
facilities, but long–term care is so much more. This care can be provided to an individual whether
they are home or in a specialized facility (National Institute on Aging, 2017). In essence, the system
of long–term care involves the coordination of facilities, providers, and case manager support to
provide the best quality of care for individuals. I came across a story, published by Oregon Long
Term Services and Supports system, about a 51–year–old woman, named Anna, who suffered from
diabetes and alcoholism. After experiencing a bad fall, Anna was placed in a long–term care nursing
facility for ... Show more content on Helpwriting.net ...
Eventually, Anna's coverage ran out and she began seeking assistance with returning home.
Unfortunately, Anna had no home assistance lined up and the long–term care facility had concerns
with Anna's continued decrease in mental health stability in addition to the concerns of possible
continued alcohol abuse and missed medical appointments. In an effort to curb these concerns, the
long–term care facility contacted the Area Agency on Aging prior to sending Anna home. In doing
so, a case manager was assigned to Anna who was then able to completely assess Anna, the home
she would be moving to, the risks of possible alcohol consumption, and Anna's mental status
(Schroeder, Cohen, & Brey, 2013). After assessing Anna, the case manager determined the
deterioration in mental status was directly linked to highs and lows in blood sugar which caused
states of confusion. A dementia

Iranian Culture: Truth Telling And Medical Ethics
Born, raised, lived, and practiced as a physician in Iran, I would like to write about Iranian culture
regarding truth telling and medical ethics.
Generally speaking, if you are an Iranian person who is diagnosed as a cancerous patient, everybody
around you knows about your medical condition. Your relatives, friends, neighbors, even your
colleagues know that you will not be alive until next summer. But, you think that you have a benign
medical condition that should take some medication to relieve your symptoms. Even if you are
under chemotherapy, you know that it is a kind of therapy for cancer but your condition is a benign
form of it!
When a person is suspicious to have a fatal medical condition, after doing all the tests , and when
the

Lateral Sclerosis : A Progressive Neurodegenerative...
Amyotrophic Lateral Sclerosis (ALS) is a progressive neurodegenerative disease that causes
devastating debilitation and raises many ethical questions. Many of these questions revolve around
quality of life and end of life issues. ALS, specifically, complicates theses issues because of the
natural progression of the disease. Patients gradually loose their ability to move, breath and
communicate, while retaining, for the most part, their cognitive function. There is currently no cure
for the disease and very little in the forms of treatment options, with the average life span after an
ALS diagnosis only about three to five years with a small portion of the population living beyond 10
years. As a result, caring an ASL patient can put a lot of stress on their caregivers. Consequently,
there is also the risk to the patients, who wishes can be ignored due to their inability to advocate for
themselves. In this case, an elderly male patient has reached an advanced stage of ALS. The patient
was depended on ventilator support and was unable to move unassisted. He has lost the ability to
talk, however, he still has some use of his facial muscles. Additionally, the patient does not have
access to alternative modes of communication such as eye–controlled computers, due to their high
cost. As his disease progressed, the patient's family made the decision to move him to a long–term
care facility, where nurses would be able to better respond to his now round the clock medical care
needs.

Should Physician Assisted Suicide Be Legal? Essay
Should Physician Assisted Suicide Be Legal?
Every day in the United States 1,500 people are diagnosed with a terminal illness. These people are
given few options when determining if the wish to try treatment and if treatment does not work, how
to deal with the end of their lives. (author unknown, "Cancer") With this horrible future ahead of
them many may wish to make amends before it's too late, however, an increasing number of people
are seeking an alternate solution. In states such as Oregon, Washington, Vermont, Montana and soon
California a relatively new, legal option is available for people with terminal illnesses. The states of
Oregon, Washington, Vermont, and Montana created a law which allows people with a terminal
illness and less than six months that are mentally healthy seek professional medical help that will
end their lives (Humphrey, Derek) . This topic has created heated debates across the United States
with each side have clear and defined reason as to why or why not this controversial law should be
processed for the whole country. The people who defend the law believe that people who are losing
their lives should be able to leave this world on their own terms, and with the help of physicians
they can go in a painless and mess–free way. Supporters also believe that by not wanting to the end
it can help save patients, doctors, and insurance time and money that could be better spent on
patients who may have options and may not be able to reach them without

Informative Essay: End Of Life Care
"There is a time in a patient's life when the pain ceases to be, when the mind slips off into a
dreamless state, when the need for food becomes minimal and the awareness of the environment all
but disappears into darkness. This is the time when the relatives walk up and down the hospital
hallways, tormented by the waiting, not knowing if they should leave to attend the living or stay to
be around for the moment of death"(Dr. Elisabeth Kübler–Ross). There are many interpretations to
what end of life care is. End of life care is care that needs to occur when a person loses
independence. Some people think that end of life care is just dying in a hospital, but there are many
important components that make up end of life care.
The need for the healthcare ... Show more content on Helpwriting.net ...
Programs that provide palliative care in Hawaii include Kaiser Permanente, Wilcox Memorial
Hospital, and Castle Medical center, and many more. Bristol Hospice on Oahu, Hospice of Kona on
the Big Island, and Hospice Maui are just a few examples of places that provide hospice. To see a
full list of hospice and palliative care resources in Hawaii visit:
http://www.kokuamau.org/sites/default/files/uploads/KM_Palliative_Care_Resources_1page.pdf
On the Island of Kauai there is a Hospice called Kauai Hospice, They provide services such as
hospice, palliative care, bereavement care, and spiritual care to their patients. For more information

Analyze Medical Terms
Medical terminology is a description of prefix, roots and suffixes. It is a common language of
medicine. It is used to communicate in the medical field for conditions and form of medicine. It
applies to my field because it's common knowledge for a medical administrative assistant. Being
familiar with these medical terms will acknowledge the fact that I can help patients with the
understanding of medicine.
To analyze medical terms, you would break down the words with the prefix, root and suffix. For
example; the word pulmonary has no prefix however pulmon/o is a combining form and –ary means
pertaining to. So the word pulmonary combine is specified as pertaining to the lung. Medical
abbreviations such as CXR means x–ray. Abbreviations is commonly

Analysis Of Stories Beneath The Scars
She talks a lot about the stress of seeing so many ill people, some of those whom she can help but
also on occasion those whom she cannot. The author also discusses her busy and intense schedule,
sometimes writing about a log of events that occurred over a weekend, chronicling her lack of sleep
and encounters with stressful situations. She also talks about how much she enjoys her job, all of the
events and people that make it worthwhile, yet she still seems to struggle with these feeling of
overwhelming stress. Despite this, the author of this blog also seems to be an excellent
communicator in regards to her patients. She seems very well aware that misunderstandings and fear
are something to be avoided in medicine. The book ... Show more content on Helpwriting.net ...
Although the author seems to be a better than average communicator, she does slip into use of the
voice of medicine, a term that describes the type of language those in the medical field tend to use.
This language can be confusing and hard to understand for some people as most medical
terminology is lost on the general public. Even though the Author does use medical terms and lingo,
she does a good job of mixing in elements of the voice of lifeworld. An example of this being when
she described her own pregnancy, " I declined any pain medications and with her bottom wedged in
my pelvis, I ended up bruised and battered with my breech baby unmoved." (Stories Beneath the
Scars 2017). Such words as "declined" "pelvis" and "breech baby" are terms that those with low
health literacy may not understand. However she uses simple, commonly used words like "bottom"
and "bruised and battered" to make her language easier to understand and more relatable. As
described by Maglie, " the voice of medicine and the voice of lifeworld categories overlap and
adequately describe what actually happens in healthcare" (Maglie, 2017 p. 31).
Comparisons and Contrasts
Looking at both blogs side by side, there are some interesting patterns that can be discussed. For
example both authors long for a world of medicine in which collaborative communication is widely
available. Collaborative communication is described in our book as a form of health communication
in which practitioners and patients can

Long Term Care Essay
Long term care can be defined as medical, social, and personal care services that happen on a
recurring basis for people with chronic, physical, or mental disorders. Long term care can be
provided in a wide range of environments and usually include symptomatic treatment, maintenance,
and rehabilitation for patients of all ages. Most long term care aims to prevent deterioration and
promote social adjustment to the stages of decline. The majority of patients who are currently
receiving long term care are 65 years of age or older. There are several different types of clinical
settings for long term care. Based on the type care the patient is in need of, will determine the type
facility, such as assisted living, rehabilitation center, or a skilled nursing facility. A skilled nursing
facility provides for the highest level of long term care. Skilled nursing facilities provide care for
discharged hospital inpatients who continue to need specific care based on medical needs. Patients
in the skilled nursing facility can range from those with long stays, such as years, or those that are ...
Show more content on Helpwriting.net ...
You have permanent residents receiving non–skilled care; those are the ones that need help with
activities of daily living. Permanent residents receiving special care, these are specific units that
provide specialized care such as for Alzheimer's disease. Permanent residents receiving skilled care,
such as tube feeding, complex wound care, or long–term ventilator care. Short term patients who
have a length of stay of less than 100 days, these patients are usually those that are recovering from
a stroke or hip replacement surgery. The last type is patients in respite care, who require the services
and supervision that a traditional long term care facility offers, but is there to give relief to the
primary caregivers. These patients can stay anywhere from overnight to several weeks, depending
on the caregiver's

Working As A Clinical Social Worker
Working as a clinical social worker in the Washington, DC area with patients with life–limiting
illness such as Huntington's disease, Parkinson's, Multiple Sclerosis and Lou Gehrig 's disease
(ALS), has taught me to be eternally dedicated to a person–focused approaches to therapy supports
with these patients and their family. I had considered this concept as broad theory in the past that
held me to standard of consideration of the patient's ideas. Now I am even more convinced than ever
that the patient is my most salient guide in their own treatment. My work with patients has taught
me to listen and learn from each patient, and let them determine their treatment goals as a practice.
Here the primary reason why I've come to this view. ... Show more content on Helpwriting.net ...
Often the patients have shared with me that the fear of the possibility of illness has lingered like
dark cloud over the patient well before they get the official news. Many emotions settle in as they
allow the news to work its way into their consciousness once the diagnosis is certain. Disclosing this
personal information to family and friends can be one of the most difficult tasks after a diagnosis, as
others are bound to highlight the landscape of emotions that are already bubbling to the surface up
for the patient. These conversations often make the illness concept even more real, but yet
convoluted to the patients. I have explored how to express this devastating news with patients who
have mounting anxiety around these conversations.
The questions of 'what's going to happen' next then often consume the patient their family members.
Not knowing how to sort through of these unanswered questions can lead these individuals down a
complex and winding road that requires a multi–disciplinary team approach to the patient care.
From a mental health perspective, the patients may experience feelings of avoidance, anger, despair,
anxiety, and numbness; or they may be ready to take on their illness, and their physical symptoms
with a new found determination to beat the odds.
I have found that all of the emotions mentioned are normal and to be expected when a patient

Palliative Care And Hospice Care: Article Analysis
PAS should be illegal because superior quality forms of palliative and hospice care can be and are
provided. With many different options for terminally ill patients to be admitted into, the quality of
these options have only gotten better. An article, written by Timothy Quill a Medical Professor at the
University of Rochester Medical Center, argues that PAS is a very good last resort option in
palliative and hospice care, but also claims that other forms of care have only gotten better with
time, which provides many great options for the patients. "Palliative care and hospice have
improved in terms of access and delivery, and they remain the standards of care for addressing the
suffering of seriously ill patients" (Quill 2). PAS is not a form

Gender Bias: The Effect Of Chronic Illnesses On Women
This paper is on gender bias in medical diagnosis, and how it leads to women getting not diagnosed
or dismissed. Traditional medical studies were all done on men . Because of that, women illnesses
were overlooked and it didn't explore how gender might affect how the symptoms present.
Symptoms can differ between male and females in many ways– because of different hormones,
biology, and The way things are metabolized. These differences were not noticed and lead to many
doctors being unaware of how symptoms might present in females . The overall lack of knowledge
about how women are affected by illnesses has led to a higher mortality rate for women.
Heart disease, for one example, was long thought to be a 'male disease' despite that fact that ... Show
more content on Helpwriting.net ...
this is a very serious condition that needs to be treated quickly. the pain during ovarian torsion is
akin to the pain of organ failure, but you get to live to tell the tale. when she went to the ER she was
quickly dismissed. she was writhing in pain, but nurses would tell her "it's not that bad sweetie". the
doctor that examined her didn't even examine her he said pain like that is probably a kidney stone,
so he didn't even examine her. Fast forward a few hours and she finally gets a CT, the results come
back they see a large mass. It was only then that she was finally taken seriously. Due to the delayed
treatment, she had to have a hysterectomy in the end. As it turns out, this kind of treatment of female
patients is far from

Full Blown Hypochondriasis
One recent study suggests that full–blown hypochondriasis is fairly rare, although lesser degrees of
worry about illness are more common, affecting as many as 6% of people in a community sample.
Hypochondria is an irregular anxiety about one's well being, particularly with an unjustified terror
that one has a severe sickness. A lot of people worry about medical symptoms, but not everyone has
hypochondria. Having an unidentified illness can cause anxiety. In this case, one should get a second
opinion. This does not mean that said person is a hypochondriac. However, if you search your
symptoms yourself, there is a high possibility that you can find something that matches. Minor
illnesses, like the common cold, can match much more serious disorders. ... Show more content on
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She has been diagnosed with intellectual disability and a drug addiction along with hypochondriasis.
On average, she is in the hospital once or twice a week, frequently changing her doctor or even
hospital. This woman knows of her disorder, but has actually claimed to be cured and told her
family that they no longer need to worry about her with this disorder. After her family came back the
Caribbean, she claimed to either have yellow fever or malaria, depending on who she was talking to.
When asked about her illness on December 13th, 2014, she again refused to admit that she had the
disorder, that she had been cured of it. In an ironic twist, she had to hang up to go to the doctor for a
test due to a mini stroke she had a few weeks prior. When she was in the hospital for this, she had to
get a nurse to give family members a diagnosis due to the lack of belief they held for her medical

Home Healthcare Case: Accessibility And Financing Of Home...
1. Home Healthcare Case: Given what you have learned about the accessibility and financing of
home care services, are such services as readily available to other consumers as they were to Joan
and Jerry? In this particular case regarding Joan and Jerry, and the availability of home health care
services compared to that of others is a quite simple. Lack of knowledge and understanding is of the
utmost detrimental in medical terms due to the fact that there are many programs that are available
to help those with disabilities or home bound. In this case, perhaps Joan and Jerry 's daughter should
have been more involved with the medical needs of both her parents. Especially due to the age of
her father who was in desperate attempt to keep his disabled wife comfortable in their home. Home
health care services are readily available to covered members of Medicare/Medicaid or other third–
party payers. Although in Joan 's later days of life, her medical needs were being attended to by
home health care professionals, perhaps her life could have been extended and foreseen medical
conditions that could have prevented another stroke. "Being an informal caregiver plays a huge role
in providing care and relief to long–term consumers (Pratt, 2010)." If Jerry would have taken
advantage of home health care and it 's available services at an earlier stage, then perhaps he would
not have to have had a hip replacement by having more rest to take care of himself. "As with other
forms of long–term

An Option For Physician Assisted Suicide
Hippocrates said it best when he stated that "wherever the art of medicine is loved, there is also a
love of humanity." Throughout history, the purpose of practicing medicine was to alleviate ailments,
treat diseases, and cure illnesses. Palliative care is a field of medicine that focuses on treating
patients with advanced, often untreatable illnesses. As such, palliative care is designed to relieve
pain and maintain a good quality of life for patients nearing the end of their lives. There are
treatments available that provide pain suppression for the comfortability of the patient. However,
there are illnesses that do more than just causing pain. Terminal illnesses such as Huntington's
disease can cause one to lose control of their body and ultimately the loss of personal autonomy.
Often times, patients reach a vegetative state, which is a loss of all cognitive functions. Loss of
autonomy has a detrimental effect on quality of life, and that is why there is an option for physician
assisted suicide (PAS). Physician assisted suicide involves the physician writing a prescription for
medication in which the patient takes with the purpose of overdosing (Dees et al). Currently, PAS is
legal in Colorado, California, Oregon, Washington, and Vermont (Death with Dignity). PAS allows
for patients with terminal illnesses to choose when they want to pass. As such, PAS is referred to as
the Death with Dignity Act (Death with Dignity), because it allows the patients to demonstrate their

Persuasive Essay On Doctor Assisted Suicide
Watching a loved one, a close friend, a stranger suffer from a terminal illness is an uncomfortable
situation for most to watch. Put your feet in their shoes, think what would you do if you were the
one with the terminal illness. If legalized in more states and countries, would the option of doctor–
assisted suicide be on your mind? It would be on mine. Today, individuals with terminal illnesses
should have the right to doctor–assisted suicide in all states.
One that is uneducated about doctor–assisted suicide, could sway someone to believe that it should
not be legalized. "Belgium, Luxembourg, the Netherlands, Switzerland, and four American states
(Oregon, Washington, Vermont, and Montana), are the jurisdictions that have legalized doctor–
assisted suicide" (Norman–Eady, S., (2002). If one was educated with both point of views, it may be
possible that the outcome would be more in favor of accepting to legalize doctor–assisted suicide.
To be able to have the option of assisted suicide, is not like walking into a Target and buying
household supplies and a television. Oregon, just like the other legalized jurisdictions, has
guidelines for an individual to qualify for doctor–assisted suicide. To request lethal medications in
Oregon, the Death with Dignity Act, the patient must be the age of 18 or older, must be an Oregon
resident, capable to make and communicate health care decisions, and diagnosed with a terminal
illness that will lead to death within six months (Norman–Eady,

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