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The COVID-19 widespread postures a once-in-a-generation risk. In spite of the fa ...

The COVID-19 widespread postures a once-in-a-generation risk. In spite of the fact that usually not the primary infection flare-up to spread around the globe, it is the primary one that governments have so furiously combated. Moderation efforts—including lockdowns and travel bans—have endeavored to moderate the rate of diseases to moderate accessible therapeutic resources. An undeniable statement is “Health is wealth” that is explained in this essay about the consequences of COVID-19 pandemic. Our health is one of the things we can’t buy but we can take steps to improve and protect it. 

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“Health is Wealth, it' is a celebrated saying that alludes to the significance of wellbeing to us and uncovers that wellbeing is riches. Well, why only physical health is given more preference than mental, maybe humans are living as social birds in chaos. The effects of COVID-19 are not easy to paint and cover-up. Many unknown terms and habits became our new normal and daily routine, awareness is skyrocketed about alcohol-based anti-microbial sanitizers, contact tracing, curfew, fomites, herd immunity, etc.. Working and studying from home sounded so bad for the first time because of mental health, we have seen various weird behavioral changes, suicides due to this depression.

Few months into 2020 and people said “Can we uninstall 2020', It’s easy to lose your hopes and brood over the negative side effects of any event, especially when as a community we’re battling a global pandemic. Never neglect the other side of a coin, we have the positive impacts of the Covid-19 pandemic that we must look forward to. The few best things that I truly anticipate are, it helped us to build genuine relationships, entire lifestyle changes to practice better hygiene because being hygienic is no longer just a good habit, but the very skill you need for survival, working remotely turning mainstream, education becomes digitized & affordable and mainly the sky is blue again, pollution levels are down, river water is fresh.

The great recession and depression in depth are the major negative effects of this pandemic, what we don’t know yet is whether we’ll be able to bounce back quickly or whether it will linger on for a decade or more. The greater extent that we can keep workers attached to their firms and keep the firms afloat, the more likely it is it will bounce back quickly, aggressive investment and well-designed policy could bring the economy back more quickly and with less long-term distress for workers and businesses but the physical, mental health care in our own hands, it’s not something that someone gives us like a financial opportunity, wish humans learn and habituate the eco-friendly habits, healthy nerves, and emotional balance to prove them as Humans. 

Covid 19 taught us that no nation is great and powerful against the forces that they could not see face to face, with every developing step that the mankind take makes a great deal of damage to our environment, we are put here to take good care of nature not to interfere with it and most importantly: health is wealth. 


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In our modern lives nowadays, due to climate, dust from the environment and dise ...

In our modern lives nowadays, due to climate, dust from the environment and diseases, many people are now facing with health issues and infectious diseases. Many proponents say that vaccination is safe and one of the greatest advance science prevention health developments in the 20th century. However, there were many different arguments between its benefits and disadvantages about this helpful prevention method. Nevertheless, due to many arguments and evidence for patient’s cases of prevention from Centers for Disease Control and Prevention (CDC), World Health Organization (WHO) or in any practical health issues, vaccines were invented to prevent illnesses and infectious diseases because the effective means and benefits are far greater.

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First of all, the vaccine is an amount of medicine mixed with different ingredients such as antibodies or small pathogen organisms in different uses for diseases. The role of a vaccine is to bring that amount from an injection into our bodies for “good health”, and used to create healthy, active immunity for the body's resistance. There are many ways to use this “magic prevention” into the patient’s body. For instance, the original and classic way to use for vaccines are given by an injection, however, due to modern technological advances in this century, some cases people can “delivery” the amount of vaccine directly into our mouth or by nasal spray. To be specific, there are few diseases people can apply for oral vaccines like rotavirus or polio.

Nevertheless, by entering the number of pathogens through oral route may cause the alive-weakened virus to be active again in our bodies. By taken orally, there are just small quantities of pathogens or medicines but they can go into our bodies and absorbed quickly as they can. However, orally vaccine is not useful enough for the patient because not all vaccines are can be directly oral and most can be injectable. Going to the nasal spray, it is only used to replace flu shots and it’s made from weakened flu vaccines. The instruction for using nasal spray is completely easy, the doctor can spray into the patient’s nose, the medicine can go through the nose down to him or her body in order to protect them from flu season which can be affected easily. In this case, the level of protection between nasal spray and flu shots are the same and safe enough for the patients, it’s up to each person if they want to choose different ways to insert for flu disease. Going to infectious diseases, this kind of disease caused by viruses or small organisms go directly and pass through a body to create symptoms in a range of normal increase to deadly. Some specific infectious diseases such as malaria, HIV, malaria and yellow fever can affect the entire body to cause many symptoms in the patients. Especially, tuberculosis is one type of the infectious diseases for respiration, everyone has to check the tuberculosis test to know if he or she already affected by tuberculosis or not. Because BCG known as Bacillus Calmette-Guerin is a vaccine for tuberculosis can create active immunity against this disease.

Secondly, our powerful prevention method can save many children’s lives from different kind of diseases or infection. Some serious diseases can kill thousands of children because a child’s immune system needs some pathogens or antibodies in vaccines to protect their bodies and health against natural environment, diseases or infection.

According to The American Academy of Pediatrics, it states that most childhood vaccines are 90%-99% effective in preventing disease.[1] “The Centers of Disease Control (CDC) estimated that 732,000 American children were saved from death and 322 million cases of childhood illnesses were prevented between 1994 and 2014 due to vaccination.”[2] For instance, there are some diseases like polio, pneumonia, varicella, meningococcal, mumps and rotavirus that are really in need of vaccines. To be concise, polio is one type of disease can infect person to person because the poliovirus lives in an infected person enter to the body and contact directly with the feces. Sometimes, poliovirus can infect a normal person by the small amount of liquid through coughing or sneezing.

Therefore, not only children have to had vaccines to protect their health but also the adults, everyone has to prepare their bodies against this poliovirus. Because the result of poliovirus for infected people can lead to paralysis that makes some or all parts of the body can’t move.

Thirdly, vaccines are effective means preventing people from various diseases due to many shreds of evidence for different cases of patients. “As a consequence, WHO estimates that in 2003, 38.3 million cases and 607 000 deaths were prevented by the use of pertussis vaccination”[3].“However, pertussis is still estimated to cause 295 000– 390 000 childhood deaths annually, with most deaths in countries with low immunization rates and high mortality rates. Further gains can be made by increasing coverage with three doses of diphtheria-tetanus-pertussis vaccine in infancy and the provision of booster doses as appropriate.”[4]

The reason why vaccines are effective because it is carefully reviewed and checked by the doctors, scientists or the hospitals before giving to the patients. Moreover, talk about the safety of vaccines is about what are the ingredients people are using and how they activated in our bodies against diseases. One of the most common ingredient scientists or doctors used for the vaccine is thimerosal. This kind of element involved in vaccines that contained mercury has been used for multi-dose vials for the patients. As the term multi-dose vials infer to add more on dose in order to prevent the growth of germs or bacteria can left when a syringe needle enters a vial as a vaccine is being prepared for administration. According to the Journal of Pediatric Psychology in January – February (2012) by Barile JP, Kuperminc GP, Weintraub ES, Mink JW and Thompson WW about the study of brain function, behavior, language, coordination, and thimerosal.[5] “This study assessed whether prenatal thimerosal exposure or thimerosal exposure between birth and 7 months of age was associated with seven specific neuropsychological outcomes in children ages 7-10 years.”[6]After the investigation, the result wasn’t getting any positive connection with thimerosal that affected the function of brain or parts of body, memory, behavior or language of the children. Accordingly, they can prove thimerosal is not a toxin ingredient in vaccines, but merely a preservative, preventing contamination, that has been used in vaccines for decades.[7]

Fourthly, the important role of vaccinated people has been decreased the infection of several diseases. That leads us to the understanding of herd immunity is related to vaccination. Herd immunity is a term represents for keeping away infection of diseases for both vaccinated people and people without immunizations.

The deeper meaning of herd immunity is when the percentage of vaccinated people increase in a community, the decrease of infectious diseases contact with people will go down. According to a source form the US states in 2011, 49 US states did not meet the 92-94% herd immunity threshold for pertussis (whooping cough), resulting in a 2012 pertussis outbreak that sickened 42,000 people and was the biggest outbreak in Washington.[8] It clearly shows that vaccines provide an appropriate amount of herd protection for individuals who have not developed immunity. Especially, if the rate of vaccines declined down to the accurate herd immunity, there will be widespread of diseases outbreaks can happen to a community.

Last but not least, leading up to vaccine-preventable diseases have not disappeared and many cases of patients are still available in different countries in the world. There are still many diseases such as rotavirus, meningitis, pertussis, tetanus, measles and many more diseases caused thousands of people level of infection from mild to deadly which certainly demonstrated that vaccines are necessary prevention method for people’s lives. Moreover, vaccines had been destroyed smallpox and other diseases such as polio. “The CDC mentions that many vaccine-preventable diseases are still in the United States and other countries. Despite the fact that the form of polio has hugely expired thanks to vaccination, the virus still available in many special countries like Pakistan where there were 93 cases in 2013 and 71 in 2014 as of May 15.” [9]

In contrast, with many benefits arguments of vaccination, there are still many ideas and disagreement about this “magical prevention method” for people’s health. Although vaccines are safe for patients after injected, some cases people get many symptoms such as feeling uncomfortable in eyes or cause pain, trauma or allergic, but they are very rare in almost time. To be more serious, vaccines are not safe which linked the patient to autism. It is a symptom of the uncontrolled behavior of activities and way of thinking that is completely different to other normal people. Autism is a really harmful symptom for people because it makes us can’t control our attitude, characterization reaction as normal life of normal people. “As reported by a study from Journal of Toxicology and Environmental Health published in 2011 has confirmed a positive correlation between the proportion of children who received vaccinations in each state over the interval from 2001 to 2007 and the incidence of autism or speech and language impairment.”[10] “For each 1% increase in vaccination rate, 680 additional children were diagnosed with autism or speech delay.”

Those sources are recorded by various of studies which prove that the ingredient of vaccines is also contained harmful elements that lead to the consequences of autism for people. Not only thimerosal is the ingredient which people used to make a vaccine, but also another element like aluminum. Many vaccines contain aluminum salts such as aluminum hydroxide, aluminum phosphate or potassium aluminum sulfate. They are inferred for using as the extra medicine or additional dose in order to bolster the immune response to the vaccine in which can cause neurological harm to people. Neurological is all about the disorder of the nervous system in the brain. It linked to brain, spinal cord, all the nerves, and muscles make all of them disarrangement. Therefore, the patients can be faced with many severe symptoms such as Alzheimer’s disease, Parkinson’s disease, etc. Moreover, vaccines are not necessary because the diseases of vaccines target have essentially disappeared.

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“According to the CDC reported no cases or deaths from diphtheria between 2003 and 2011 in the United States, fewer than 51 cases and 10 deaths per year from tetanus were reported between 1994 and 201, polio has been demonstrated eradicated in the United States since 1979, there have been fewer than 21 deaths yearly from rubella since 1971, and fewer than 25 deaths yearly from mumps since 1968.”[12] Due to those reported, people claiming that all the diseases are becoming declined, so they don’t think vaccines are needed anymore. Nevertheless, vaccines have greatly reduced the burden of infectious diseases and became an effective means of protecting people by outweigh all of their effectiveness benefits more than their certain risks or side effects might be less chance to caused.


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Table of contentsMy Client on Culture and Her BackgroundMy Client’s Belief and ...

Table of contents

  1. My Client on Culture and Her Background
  2. My Client’s Belief and Practices
  3. My Beliefs and Practices
  4. Implications for Practice
  5. Conclusion

The nurse-client relationship is built on strong interpersonal communication. The communication should be relational, genuine and non-judgmental. Relation practice is defined as: “A humanely involved process of respectful, compassionate, and authentically interested inquiry into another (and one’s own) experiences” (Doane, 2002). The purpose of this assignment is to apply the concepts of relational inquiry when interviewing an older client and, discovering how their culture and beliefs impact their health practice. My client is a fifty-three-year-old female.

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The paper illustrates an interplay of interpersonal and intrapersonal communication and discusses the complexities of relational practice. It elicits the importance of openness and acceptance towards values and beliefs different than my own.

My Client on Culture and Her Background

My client expresses culture as a way of thinking. Madeline Leininger suggests that culture is in fact: “the learned and shared beliefs, values, and lifeways of a particular group that are generally transmitted intergenerationally and influence one’s thinking and actions” (Balzer-Riley, 2008, p. 48). Moreover, my client also points out that the culture is relative and inclusive of what food we eat? How we communicate and what community we belong to?

She was raised in England and moved to Canada about twenty years ago. She mentioned there were significant cultural differences between England and Canada. However, she notices Canada is more diverse as it has people from different cultural, ethnic and religious backgrounds. Even though, Canada is multicultural she likes how the people are accepting and respectful towards individual differences. My client recalls how cultural meaning of words changes as an individual immigrates. For instance, something could be ‘a pavement’ in England and be called ‘a sidewalk’ in Canada and ‘a full stop’ in England would become ‘a period’ in Canada.

My Client’s Belief and Practices

My client was born into a Buddhist family and later transformed to Christianity. Today, she feels her mind, body and spirit are at peace as she has found Lord Jesus. She knows her way to salvation is through praying to Lord Jesus. She has unwavering faith in him and his power of healing. She recalls an incident when she felt like she was dying and went to the hospital but was sent home. Then, she prayed with the priest and God spoke to her and was feeling better the next day.

My client strongly advocates against the use of antibiotics and prefers using natural remedies for treatment. She states some physicians tend to overprescribe antibiotics, prolonging suffering when it can be avoided with natural methods. She also argues that excessive use of antibiotics produces antibiotics resistance and harms natural microorganisms of the gut (European Molecular Biology Laboratory, 2018). Although she dislikes the use of antibiotics, she understands when they are essential for the body to function. My client shared natural remedies for pain management and the common cold. Acupuncture is a form of alternative medicine popular for its use in pain management. Acupuncture involves working with an energy “Chi” which is present in the body. Illness occurs when energy in the body is blocked (Health Link BC, 2017). It is a Chinese traditional medicine which is widely recommended for pain relief by emphasizing on distinct pressure points on the body. Moreover, my client also suggests limiting the use of antibiotics and using honey lemon and hot water for treating the common cold.

My Beliefs and Practices

As my client, my understanding of culture is also holistic and encompasses “language, ethnicity, spiritual and religious beliefs, socioeconomic class, gender, sexual orientation, age, group history, geographic origin, and education as well as childhood and life experiences (Kerr-Ross, 2014, P. 110). I also concede with my interviewee when she associates culture to cognition. It is how we inherently learn to express ourselves which is why our thought process of words such as ‘a pavement’ and ‘a full stop’ gets fabricated to the place we are living in. I do not understand religions per say or how they work. It is hard for me to believe in something abstract, and to have blind faith in It (God). I have never experienced It, and there is no evidence pointing towards Its existence. Moreover, if I were diagnosed with a life-threatening condition, I would turn to medicine for an intervention and when the time comes, let nature take its course. On the contrary, my client suggests religious connectedness as a form of coping mechanism which is strongly associated with physiological well-being (Kerr-Ross, 2014, p. 434). My client’s religious beliefs influence how she perceives her health and well-being.

Implications for Practice

My client and I are immigrants, and we both experience a language barrier. We both adjust to the use of language in Canada, however; the growing diversity in Canada points towards existing communication barriers. Obstacles in patient communication adversely impact patient safety and reduce the quality of care. Critique analysis of the interview process suggests that my own values and beliefs contradict those of my client. Since my beliefs did not align with my client, I felt alienated and unattached. I find myself empty when my client spoke about God and faith that is beyond my understanding. This points to the influence of religious and spiritual beliefs on the kind of treatment and cares preferred. Strengths and Limitations of the Interview

The process of the interview involved relational consciousness between my client and I. The interpersonal (client values and beliefs) and intrapersonal (my values and beliefs) communication probed into the layers of complexities of relational practice (Doane, 2013, p. 5). For instance, my client’s culture, values and belief system were very different from my own. Applying the relational practice to a broader context suggests an individual’s native language, values and belief systems regarding health practices pose a challenge for nursing practice. We can overcome these challenges by following the five Cs method outlined by Daone (2013, 409-10). The method illustrates the use of compassion when developing interpersonal relationships with other individuals. Moreover, genuine curiosity, mindfulness and respect are essential attributes for having meaningful conversations with individuals from different cultural backgrounds and belief systems. We should be conscious, present and self-aware of how actions and words are impacting the people around us. Furthermore, we should model professional behaviors and demonstrate competent judgement when dealing with issues of cultural sensitivity. Nonetheless, corresponding to cultural sensitivity by maintaining a safe environment by respecting and accepting differences and embracing diversity.

Conclusion

The interview has been enlightening as it has encouraged me to be more conscious when I present myself, as my perspective on health practices may or may not align with another individual’s viewpoint. I have learnt social connectedness to individuals when relating to them by being present and actively engaged in the conversation.


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Every human being needs housing, which also makes the subject between opioids an ...

Every human being needs housing, which also makes the subject between opioids and homelessness intriguing. Any conscious person in the United States might have experienced homelessness, which has been caused by the opioid epidemic. Some people become opioid addicts after they lose their homes while others lose their shelter because of using opioids. Opioids are extracted from opium and from synthetic substances that are used in healthcare environs to relieve pain, generate euphoria, cure neurological and deal with behavioural conditions caused by opioid misuse. Even though the opioid elements are required for treatment, they can be addictive and poisonous. Opioid misuse and overdose can result in death. Fatalities and mortalities caused by opioid abuse in the United States are quite alarming. This research paper will seek to track how opioid has been misused in the United States and how is it associated with homelessness. 

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The government of the United States of America and relevant healthcare authorities have intensified awareness campaigns associated with opioid misuse. They want to rehabilitate addicts and assist those who are impacted by the crisis. The opioid crisis has strained hospital workers, paramedics, first responders, and ambulance services that get stacked with more work. They are required to stay alert for emergencies caused by opioid misuse and addiction. In this modern world, youth has started utilizing heroin for fun related activities due to which the Federal and State governments have enacted policies made to counter the opioid crisis. The health and human services (HHS) have termed heroin addiction in the United States as a public health emergency. Health and Human Services (HHS) declaration wants to create awareness about the addiction heroin and other opium substances and look at how to address the vice and minimize homelessness. Today, the state of opioid misuse in the United States (US) can be referred to as the public health emergency. 

Because opioid poisoning and overdoses affect all demographics, research carried out by medical specialists serving the homeless persons, and those in pitiable housing units indicates that this group is susceptible to both opioid overdoses and opioid use disorders. These people have limited access to medication-assisted therapy and overdose prevention treatment. The menace is more prevalent in Colorado. The state records an increased rate of homelessness and illicit drug use contrasted with other states. The prescription of substances like oxycodone is costlier and scarce to find, while heroin is easily accessible and cheap as well. Many of the opioid users prefer opioid, which gets blended with carfentanil and fentanyl. Users purchase opioids illicitly and mixing with carfentanil and fentanyl, which may lead to overdose. Opioid misuse is now a national crisis because the abusers of the substance have risen. Deaths associated with opioid abuse have tripled over the last decade. Research conducted in 2014 shows that over 2 million Americans were suffering from opioid use disorders caused either by opioid allied overdoses, heroin abuse, and prescription of drugs, thus accounting for over 30000 deaths across the country. Despite the fact, the opioid crisis affects all genders, races, and socioeconomic status, the effects are more detrimental, acute, and unique to people who are homeless. Opioid use disorders have a direct link to homelessness, and opioid abuse and abuse also affect homeless people. Consistent with The United States Department of Housing and Urban Development (HUD), homelessness is experienced by persons who lack ample, static, and regular nighttime shelter. However, persons who lack permanent housing suffer from psychological conditions and drug abuse, which exacerbates pursues to get better living environments.

Considering data collected in 2018 in the United States of America, over half a million people were facing homelessness. The data translates that in every 10000 people, seventeen of them are homeless in the United States of America (USA). Sixty-seven percent of the group is people without families, while the remaining thirty-three percent are people with families. Subpopulations 7%, which comprise of youth below 25 years old, live on their own but lack a regular home. 7% of Veterans are also homeless; there is 18 percent of chronically homeless persons especially the disabled who have stayed for long without a home. The rate of homeless is rising highest in veterans and children. There are over 40000 homeless veterans in the United States. Their figures are slightly higher than those of homeless families and adults.

Among every five veterans, three of them are homeless. Veterans end up use opioids to relieve stress after returning from deployments. As a result, they develop opioid use disorders. They experience negative repercussions, thus affecting their social reintegration process. As they become more depended on opioids, they spend money on opioids then run broke, leading to homelessness (Han p.235). It becomes hard to wrestle with the habit, thus leading to the purchase of heroin and other cheaper substance to ease stress. The United States has recorded over 400 non-combat deaths, which are attributable to opioid dependence and abuse by the veterans. Veterans tend to abuse prescription drugs like benzodiazepines to ease stress.

Homeless Americans are more susceptible to premature deaths and chronic conditions compared to other populations (Han p. 300). The group will most likely exhibit high cases of illnesses such as pneumonia, asthma, diabetes, STDs, HIV/AIDS, tuberculosis, and cardiovascular diseases. Over 35% of homeless residents of the United States of America are ailing from psychological ailments, while over 50% are suffering from opioid and substance abuse disorders. As a result, the situation calls for the need for health care practitioners who will address psychological conditions and initiate abstinence from opioids use.

The health of the homeless has deteriorated further because they are can quickly assess quality healthcare. Comparing the homeless and the larger population of the United States, the homeless find it hard to access, utilize, and continue therapy. Most of them allege that their healthcare needs are not satisfied due to many reasons. Again, the homeless tend to use hospital-based care and emergency services instead of primary care, which is preferred by the general population (Alford, p.175). Therapy for opioid abuse is rarely available for the homeless. Most of the rehabilitation centers lack enough capacity, and the opioid victims must wait for long before they are taken care of. Then again, in the charge rates of rehabilitation in private practices bars homeless persons because they lack the necessary health assurance cover to cater to therapy costs. Again, other healthcare settings ask for an assurance from particular insurers to offer rehabilitation services.

Since the homeless lack enough funds to cater to the right therapy prescriptions, they opt for cheaper heroin to relieve pain, unlike costly prescription medicines. Healthcare authorities in the United States have attested that there is an overdependence of OxyContin. The drug is a prescription painkiller that has led to fatalities and mortalities for homeless people (Han p.295). Opioid abusers have averted the use of heavily regulated and costly schedule II and schedule III drugs for heroin, which is cheap and easily accessed. The homeless groups end up sharing needles and other unsanitized equipment, thus prompting the risk of contracting HIV/AIDS.  

Previous researches have indicated there is a close connection between opioid addiction and homelessness. The researchers allege that homelessness can cause opioid dependence or abuse, while opioid use can result in homelessness. In America, home offers both emotional and financial security to the residents. According to the United States Department of Housing and Urban Development, over half the population of homeless people suffer from an opioid use disorder, a psychiatric condition, or both. It is quite apparent that substance abuse and psychological disorders change one's personality and behavior. As a result, the life of the homeless is further complicated. The homeless and opioid victims often utter words and do things that they couldn't have thought of before opioid use. The cognitive change and unpredictability disturb the professional, family, and social aspects of the user. The disruptions cause homelessness and strained relationships. Instead of using the money to improve the standard of living, it is used in buying drugs, while disruptions in the workplace would lead to layoff and then joblessness. The community socially isolates opioid abusers and the homeless. They end up feeling mortified to ask for assistance from family and allies. Limited help from family and friends lowers their purchase power to access therapy services since they can cover miscellaneous costs like transport. 

On the contrary, some researcher alleges opioid abuse is not the causative factor of homelessness since it the direct result of homelessness. Reminiscent of clinical research, sometimes, people opt for opioid abuse after they have lost shelter. The dependence on opioids buds from people who come from middle or well-off family backgrounds but lose their shelter dues to joblessness or economic turmoil. The group goes for opioids to get temporary solace to manage the reality of losing their homes. Opioid use becomes a habit, thus leading to unemployment, depression, and stress due to the harsh reality of life. Recently, the rising costs of housing without a substantial rise in salaries in the United States have prompted homelessness. Since they cannot manage the new trends and are economically constrained, they become homeless increase the chance of developing the need for opioids to relieve stress. Homelessness exposes them to respiratory illnesses like pneumonia and tuberculosis, which further raises the need to purchase opioids to relieve pain.

Both the federal and some states government of the United States have come up with strategies and healthcare strategies like permanent affordable housing, health coverage, emergency homeless centers, day shelters, alcohol rehabilitation, and halfway housing for those affected. On the contrary, some of the homeless populations abscond government services because there is a high prevalence of opioid abuse and fights in the houses. The governments, in conjunction with some nonprofit organizations, are determined to help homeless populations and find them permanent and cheap shelters. The objective of the substance abuse programs is to rehabilitate opioid users and alcohol dependents (Han p.297). The program is made to reduce substance dependency gradually because the total abstinence approach is less effective. The national government has allocated over 1.5 billion dollars to address opioid abuse crisis in the country. Through the initiative, pressing and unique needs of populations who had suffered from opioid abuse and are at high risk of being homeless get prioritized first.

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From the study above, homeless people are more vulnerable to engage in opioid use and abuse. Due to this, they are susceptible to contact chronic diseases and also life loss. The exposure to opioids and substances inclines them to contract respiratory infections like pneumonia, tuberculosis, and asthma. Opioids abuse is arguably the leading cause of homelessness even though homelessness can compel one to opioid use to relieve pain and the harsh realities of life. Also, though the government and nonprofit organizations have intensified initiatives to address opioid abuse and allocated finances as well, the therapy needs opioid use disorders and the urge for opioids of the homeless groups to keep on recurring. Scholars presume opioid therapy initiated with housing components would yield better results in longevity, unlike total abstinence strategies that affect the mental and emotional stability of the opiate user. For these reasons, clinicians ought to work closely with community institutions and the homeless to ensure they comprehend the opioid use therapy and rehabilitation programs. The clinicians should also ensure there aren't overdoses of prescription medicines. By so doing, they would not only better the health conditions of most if not all homeless populations but also better lives and health of people around them.


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Table of contentsIntroductionLiterature ReviewMaternity as a Nursing SpecialtyHe ...

Table of contents

  1. Introduction
  2. Literature Review
  3. Maternity as a Nursing SpecialtyHealth PromotionConnection
  4. Conclusion

“Because sanitation has so many effects across all aspects of development – it affects education, it affects health, it affects maternal mortality and infant mortality, it affects labor – it’s all these things, so it becomes a political football. Nobody has full responsibility.”

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~ Rose George

Introduction

As the quote above highlights, health promotion may be one of the most important aspects of health care across all types of practice, specialties, and the work of individual practitioners. Sanitation may just be a part of health promotion, but the quote highlights a crucial aspect of the role of nurses in any specialty: promoting healthy practices can make a huge difference in the health outcome of patients. This is apparent in a wide range of specialty practices within nursing, but this short discussion paper and review of literature assesses the importance of health promotion within the specialty of maternity (also sometimes called obstetrics-pediatrics). In order to adequately approach this topic, the discussion paper takes the question of health promotion within maternity as a specialty in three steps. First, the review of literature examines maternity as a nursing specialty, including the role of the nurse within the specialty, the history of the specialty, and the future of nursing within maternity. Second, the paper turns to health promotion as a whole, discussing the definition of health promotion, the role of health promotion in the Canadian healthcare system, and the nursing role in health promotion. Finally, the paper connects these two concepts to discuss how health promotion is linked with maternity as a specialty practice – this includes an evidence-based article discussing the effectiveness of health promotion and intervention. While this is not an exhaustive account of health promotion in maternity care, let alone in nursing care as a whole, the literature review provides key insights for practitioners looking for validation that health promotion in their role is a needed function.

Literature Review

Maternity as a Nursing Specialty

First of all, it is important to understand how maternity fits within nursing as a whole. The care for pregnant women is clearly a crucial aspect of nursing, and is therefore considered its own specialty within the field. This section of the review answers what the role of the nurse is within this specialty, who his or her clients are in this role, the rewards and challenges within this specialty, and both the history and future for maternity within nursing. First of all, one academic journal article works as a comparative study of care given by both nurses and physicians during maternity and labor (Johantgen et al., 2012). This article opens with the importance of nursing to maternity: “The care of childbearing women and their newborns is the most common reason for hospitalization in the United States … Although the majority of women and their newborns are healthy with low risk of poor outcomes, obstetrical care in the United States primarily takes place in hospitals with enhanced technology and use of invasive procedures” (JOhantgen et al., 2012, 74). In this way, the role of the nurse within the maternity specialty is both to provide the healthcare that these women need and to work as a personable force.

Nurses can also have the specific role of delivering a baby in the maternity specialty, as midwifery care is an aspect of nursing that can be carried out by those who are certified both as nurses and midwives (Johantgen et al., 2012, 74). With this aspect of the role in mind, the clients of a maternity nurse are pregnant women and even women who wish to become pregnant, from the time of conception all the way up until the child is born. The history of nursing and midwifery related to maternal care has been a slow move toward the prevalence of nurses in being directly involved in births: as of 2009, nearly eight percent of all births are attended by nurse-midwives, which make up the vast majority (94.3%) of births attended by midwives as a whole (Johantgen, 2012, 74). Another aspect of the nursing role in maternity is advocacy; as one journal article states, “Creating woman-centered maternity care meant negotiating tensions and barriers in medically focused maternity settings and look for opportunities for advocacy and woman-empowerment” (Giarratano, 2003, 18). Much of this responsibility falls to nurses and trained midwives.

In this way, nursing in maternity involves a great many rewards and challenges. For instance, the major reward of working within the maternal specialty as a nurse is to see a mother go from being first pregnant to bearing their child, a joy that is unparallel in the world of nursing. In contrast, one of the major challenges with working within this specialty is balancing the type of support to give mothers; Bianchi and Adam (2009) identify these types of support as advocacy, emotional, physical, and instructional support. Much like doctors, nurses must learn how to balance all four of these types of care into one. With this role and the rise of nurse midwives in recent decades, the future of nursing within the specialty of maternity looks like it will continue to both complement and support the role of the physician in maternal care, particularly when it comes to giving birth. Finally, this nursing specialty is recognized by the Canadian Nurses Association (CAN), as the association lists some of the work settings of a certified nurse as family planning clinics, prenatal and well-baby clinics, and maternity wards in hospitals (CAN, 2016).

Health Promotion

The second issue that this review discussion is concerned with is health promotion, at least as far as it concerns nursing practice. As one source states, “Nurses play an important role in promoting public health,” with the traditional focus of health promotion within nursing “on disease prevention and changing the behavior of individuals with respect to their health” (Kemppainen, Tossavainen & Turunen, 2012, 1). In other words, nurses are essentially first responders when it comes to health promotion. Within the Canadian healthcare system, the role of nurses in health promotion is to apply their multi-disciplinary experience and medical knowhow to their interactions with patients. Within a healthcare system as large as that in Canada, this may be more difficult given the organizational and bureaucratic nature of the system, as will be discussed below. However, this does not make the role of a nurse in health promotion any less important and arguably instead makes it more important, since they may be the only contact that patients have with health education.

Connection

The final step in this discussion is to connect the maternity as a nursing specialty with the practices of health promotion described above. Since the role of nurses within the maternity specialty is essentially holistic – meaning it is the responsibility of nurse practitioners to not only ensure the health of the baby but the mother – health promotion should be an integral part of nursing practice within the specialty. As one professional source states, “As a key member of the health care team, the nurse has an important role to play in health promotion and related activities” (NCHK, 2006, 1). In other words, nurses have an integral role in health promotion in maternity cases, just as they do with any medical specialty. Another academic journal concludes, “Although the [nurse] midwife has always had a role in public health, there is now an explicit need for the profession to direct its attention to teenage pregnancy, smoking cessation, drug awareness and domestic violence…much of the role of the [nurse] midwife during pregnancy is in health promotion” (Beldon & Crozier, 2005, 216). The range of responsibility within health promotion during maternity care ranges from the more general, such as the promotion of an adequate transfer of care within healthcare facilities, to the specific, such as encouraging women to quit smoking during pregnancy.

On the more specific side, nurse practitioners can encourage women to take preventative measures for the health of their child. As one source states, “Tobacco smoking in pregnancy remains one of the few preventable factors associated with complications in pregnancy, low birthweight, preterm birth and has serious long-term health implications for women and babies” (Lumley et al., 2009, n.p.). Specific interventions that nurses can act upon include “cognitive behavior and motivational interviewing; offering incentives; interventions based on stages of change; giving feedback to the mothers on fetal health status or nicotine by-products measurements; nicotine replacement therapy, bupropion or other medications” (Lumley et al., 2009, n.p.). In this way, encouraging smoking cessation is both one of the most important and most practical steps that a nurse can take toward health promotion within the maternity specialty. More generally, nurses can also engage in health promotion by making a smooth transition from maternity-related health services to child services once the child is born. One empirical study found issues with this transfer of care, with key problems including “communication between professionals and services and transfer of client information, issues related to staff shortages, early maternity discharge, limited interface between private and public health systems and tension around role boundaries” (Psaila et al., 2014, n.p.). If it is a nurse’s role to ensure the holistic health of both mother and child, then it is also the role of the nurse to advocate for the continued health of the mother and child after they leave his or her direct care. The two articles discussed above are just a couple of examples of evidenced-based resources that can provide nurses with specific and practicable resources for engaging in health promotion within the maternity specialty.

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Conclusion

The discussion above has discussed health promotion within the nursing specialty of maternity in three specific steps: first by defining the specialty itself, second by addressing health promotion as a whole, and finally by connecting the two preceding discussions in order to address how nurses can enact health promotion within the specialty of maternity. Overall, the discussion has shown that health promotion should be considered one of the most important responsibilities of a maternity nurse or midwife, as it has a direct impact on both mother and child. While this discussion is not exhaustive, the evidence-based articles presented above provide a good starting point for any nurse.


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AbstractStress is commonly delineated as a sense of being tension, distressed or ...

Abstract

Stress is commonly delineated as a sense of being tension, distressed or run-down. Stress will affect individuals of all ages, genders and may result in each physical and psychological health problems. Normal healthy people experienced stress through external forces or external environmental factors. Researchers have conjointly differentiated between stress that is harmful and damaging (distress), and stress that's positive and useful (eustress) (Jane Ogden, 2017). In addition, many studies explore the difference between acute stress like exams’ and chronic stress like work problems. The stages of Stress would be a framework for evaluating the methods of dealing with tension routine and expressed it in a term person-environment transaction. These transactions rely upon how the person apprised the external stressor through primary and secondary factors.

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Individual judge the current situation severity regarded to external events such as irrelevant and benign positive. the evaluation of the second appraisal for the coping help person to deal with stress through internal factors such a strength and determination. overall appraisal plays a major role in coping with stress, therefore there’s a link between a higher stress and higher physical symptoms and chronic illness.

Background Information

According to the reading to Ressler, et al. (2012) article about the positive effects of blogging about chronic pain and illness, blogging defined in a term of writing on the internet and share experience and opinions with others. Based on the article the target was to initiate a 34-online questionnaire about the psychosocial and health benefits concept between people who use the internet and help them share on their experience of chronic pain or illness and promote it through the health forum over two-month period, hence the result was positive many people responded to the questionnaire. “Respondents provided information regarding demographics, health condition, initiation, and upkeep of blogs, and the dynamics of online communication. ” (Ressler, et al. 2012). Then all this information was gathered in a written forum. therefore, many positive reactions come through people who fill the questionnaire which described the advantages they got it from initiating an illness blog. Thus, blogging influenced persons to increase communication with each other by reducing the isolation and help others to share their own experience with illness.

Also, maintain a blog website increase people intention to solve problems of others who suffered from the same problem and gave them knowledge about different illness. Researches resulted that sharing Experian and knowledge about chronic illness may affect the patients and increase his ability to cope with it and show improvement on his health situation Blogging and Psychological Moderator. Stress is linked with illness through direct and indirect pathway, that involves changing in psychology such as change in heart rate or changing in health behaviors such as sleep (Jane Ogden, 2017). therefore, there are many psychological factors may affect that pathway and show its impact to translate stress to illness. researchers found that blogging can decrease the effect of illness by reducing the amount of stress through writing communication and contact with other. in the following points I will discuss the link of the blogging with psychology moderator Blogging and Coping. Blogging considered as a positive side of coping, its describe the two-coping method emotion-focused and problem focused Patients and their families through illness stage suffering from sadness, isolating and fear feeling, Writing can be helpful to many persons who want to cope with illness. the process of blogging help persons to improve their communication with people and reduce their sense of isolation (Ressler, et al. 2012).

Patient could save himself from sadness and tension by writing and asking about his illness many time through web, many studies suggested that narrative writing may improve the psychological situation of the person.

Social support performs a critical function in the process of coping with illness, it has also moderated the stress/health problem link and has been outlined in terms of perceived comfort, caring, esteem, or help acquired from others (Jane Ogden, 2017). Related to respondents who has finished filling the questionnaires, they have noticed that increase support from family and buddies were involving enhancements in bloggers’ wellbeing self-efficacy and enhancements in bloggers’ loneliness, mainly amongst people who additionally experienced more attention from responder in the same blog.

So that social support moderated the stress/health problem and decreased the influence of the stressor also studyies added that the absence itself acting as a stressor. Overall blogging involves social support and gave person ability to appraisal the situation (stressor) to reduce stress and illness Blogging and controlControl described being as stress management to decrease the effect of the stressor such as threats or anger. In other meaning being able to keep calm in highly stressful situation, blogging help persons to control their life and increase their self-efficacy by giving them the emotional support Blogging and personality“researchers have argued that hostility is not only an important risk factor for thedevelopment of heart disease but also a trigger for heart attack” (Jane Ogden, 2107, pg. 59)behavior play a role in increasing or decreasing stress through many factors such as anger or happiness.

In conclusion, the purpose of blogging used to discover the importance of illness blogs as a way of communicating with peers and share knowledge with them. Blogging plays a role in self-perceived, expressing emotional and may have therapeutic advantage for contributors, also sharing the experience with others may provide perceived positive psychosocial advantages to some patient who suffered from chronic illness, and help to reduce stress. In the end Blogging data showed most of the respondent who filled the questionnaire were from highly educated segment which represented how they are active in social media and that mean also people with different ages use the blogging, to get help and support from others and increase the sense of determination to help others in the same way.


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I am applying to the NHS with the intention of attaining the position of Healthc ...

I am applying to the NHS with the intention of attaining the position of Healthcare Assistant at Orchards Inpatient Unit. This aspiration has been shaped throughout my life for various reasons, most importantly understanding and seeing first-hand how much of a difference professional help makes when it comes to mental illnesses. I would like be part of the team that improves and saves the lives of others.

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In 2013, I decided to go to Nottingham Trent University to pursue my talent in Fine Art and feed my strong willingness to learn, and really enjoyed my time on the course. However, university is a harsh and often difficult place to adjust to, and like many other students in the UK, I struggled to adapt and was diagnosed with anxiety and depression in my second year. My interest in a career in healthcare was ignited after experiencing and seeing the crucial help received by so many of my friends, classmates and family members affected by mental illness, and how important professional help is in order to recover. This inspired the subject of my final degree show: I produced contemporary art responding to the importance of talking about mental illness, raising awareness and provoking conversation about the social issues we have in the UK when it comes to mental illnesses.

My degree has helped me to develop my ability to articulate ideas and critically analyze relevant research in order to formulate my own practice and ideas. I can communicate effectively through speaking and writing, and can present ideas with confidence and conviction. I work well under pressure and have a mind that works simultaneously to think creatively and logically to solve problems - an asset in unpredictable situations such as in a hospital environment and caring for adults with mental illnesses. My modules within my degree involved a considerable amount of self-motivated practice, working autonomously and with others, as well as a considerable amount of self-evaluation.

My current position is Activities Coordinator at Etheldred House, a residential care home in Cambridgeshire. I have been part of the Ethelred House family for a short period of time, however these short few weeks have been essential in pointing me down the right career path.

Working and caring for older people with mental illnesses has been, without doubt, the most rewarding and interesting role I have ever been a part of. I have learnt so much about the mind, and how dementia affects thinking, daily functions, personality and character, and I want to continue on this journey further by working towards a qualification in nursing. This is just one of the reasons I would like to pursue a career as a Healthcare Assistant.

Whilst my current position is the first professional position I have encountered, I have been involved in various situations that have required a similar practical, patient and understanding manner to enable the most positive outcome possible. For example, when my Grandmother had a fall, she needed extra help to ensure she was able to live her daily life as normally as physically possible, in which I helped her. This involved washing, dressing and generally helping her with her day to day routine, acting as her career for a period of 3 weeks.

Furthermore, I volunteered at 1st Witchford Brownies, having responsibility for the children's safety and wellbeing, as well as teaching them new skills in outward-bound type activities. Patience was essential here, as well as the ability to acknowledge the level of comprehension of students to make the lessons interesting and memorable.

I would be the perfect candidate for this role because I am patient, understanding, polite and caring and pride myself on my work ethic and practicality. I understand the importance of confidentiality, and keeping patient dignity in-tact, whatever stage if their illness.

Further to these skills, I have completed a number of e-Learning training programs including Dementia Awareness, Infection Control, Fire Safety, Food Hygiene, Equality and Diversity, Mental Capacity Act, End of Life Care, Fluids and Nutrition and CoSHH. Moreover, whilst in Canada I undertook a Foodsafe Level 1 course, in which I passed with 94%. This will be beneficial to caring for adults with mental illnesses during meal times, and ensuring their general health and well-being is a priority. In addition to the food safety courses I have attended, I have had practical experience with feeding residents at Etheldred House, both hard and soft food.

Another course I have undertaken with contributing attributes is my Avalanche Safety Level 1. Although not as useful in England as in Canada, the course included basic First Aid and basic emergency medical training.

My ability to work well in a team, motivate and encourage others was proven in 2014, two friends and I cycled 850 miles over 10 days from Amsterdam to Berlin to raise money for Cardiac Research at Papworth Hospital, Cambridge. I overcame an array of problems and had to find solutions to these almost instantly in order to keep on schedule. This shows my determination to succeed, and also my exceptional time management and organizational skills.

Through education, previous employment and everyday life, I have gained various skills and experiences which makes me an ideal candidate for the position. My degree supplied me with many useful attributes which I am able to apply to a career in healthcare. I been on both the receiving and the providing side of mental healthcare, and feel I have a full understanding of the role. I understand public healthcare as a vital and integral part of society and I would like to be a part of that. I am determined to help make a difference.

One particular memory that has shaped my foundational passion for medicine is a particular habit my grandparents had. Growing up, my grandfather stored home-grown pumpkins under our beds and my grandmother collected hundreds of water-filled Gatorade bottles throughout our home. As I matured, I realized these once perceived bizarre habits were practices that helped my family cope with their PTSD. My grandfather stored pumpkins under our beds because it was an old habit to avoid theft and starvation. My grandmother collected water bottles as a result of her son’s death from dehydration during the Cambodian genocide. Although deeply pained by these experiences, it has pushed me to mature and has ingrained a deep-rooted desire to positively impact the lives of others while being intellectually engaged and challenged through a career in medicine. With this goal in mind, insights I have gained through hands-on experience as a medical assistant and graduate student during clinical clerkships have led me to pursue a career as a surgical physician assistant.

My experiences as a medical assistant for a group of plastic and reconstructive, microvascular, craniofacial and hand surgeons drew me to the field of surgery. The patients I have encountered have provided me insight into the problems I will treat as a future PA such as invasive cancers of the tongue and face requiring muscle free flap reconstruction, Le Fort and mandible fractures, severely infected hand fractures due to crushing dog bite wounds, and infected aortic graft requiring debridements and omental flap transposition. Influenced in large part by these patient encounters, I have a strong interest in general surgery, acute care, trauma, and reconstructive surgery. A career as a surgical physician assistant appeals to me because it encompasses a wide spectrum of medical and surgical conditions with a diverse and exciting patient base, requiring diagnostic acumen, surgical expertise, and empathy.

Keck School of Medicine of USC Physician Assistant program has endowed me with a solid medical education and have provided many opportunities through my clinical clerkships to treat a wide spectrum of acute illnesses, injuries, and exacerbations of chronic conditions. In my general surgery clerkship at Arrowhead Regional Medical Center, I skillfully first assisted in extremity amputations, cholecystectomies, liver biopsies and high impact falls from skiing accidents. In orthopedic and trauma surgery at Los Angeles County and USC Medical Center, I was highly involved in numerous reductions and stabilizations for automobile versus pedestrian trauma and injuries from high impact falls. In emergency medicine, I learned to thoroughly assess and identify medical conditions and level of risk and executed well-informed critical decisions in high pressure situations.

I have since found that diagnosing disease, determining the proper course of treatment in each scenario, and caring for complicated surgical patients are rewarding and challenging. A career as a surgical PA will allow me to utilize strengths I have developed thus far, including an ease of rapport with patients, an ability to educate patients regarding their health and disease, and strong commitment to medicine.

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As PA student, my clinical experiences in general surgery and orthopedic trauma were most rewarding and am eager to continue my fostering my intellectual growth and clinical training through a surgical fellowship. _ will challenge me to grow professionally and personally and continue to expose me to a variety of surgical specialties. I bring with me a strong work ethic, desire to excel, and modesty to serve those whose health care needs have been entrusted to me. I hope to the surgical expertise and valuable experience in the management of acute illness and trauma and the exacerbation of chronic diseases. I am eager to begin a surgical fellowship so that I may gain the training necessary to become a well-rounded and confident physician assistant, capable of handling the many challenges of providing medical care in a fast-paced environment.


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Nowadays the healthcare policy is more complicated than ever, numerous policies, ...

Nowadays the healthcare policy is more complicated than ever, numerous policies, regulations by government and health insurance agencies. All these issues impose great challenges and obstacles in healthcare making nurses’ job even more challenging. Unfortunately, most of the times patients and nurses are the ones caught between the cross currents of cost constraints and access to appropriate quality care”(Premji, & Hatfield, 2016). America is undoubtedly one of the countries with the best quality of care but all these policies affect negatively the patient outcomes. For instance, if you are uninsured you cannot seek medial attention, so if you are not able to afford having health insurance you are doomed. Coming from a country where healthcare is free for everybody, this is eye-opening experience for me.

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According to the Commonwealth Fund (2016) 33 million people, were uninsured in 2014, down 13.3 percent since 2013. This means that 33 million people had no access in any medical facility and that if they suffered from a serious condition they would be unable to seek medical assistance. This proves that there is an intention on reducing the number of Americans who lack health insurance, but now with all this political instability and the intention to terminate the affordable care act the healthcare scene looks ominous.

After I have completed nursing school, I aspire working as a registered nurse for certain amount of time and then go back to graduate school to further my education. As a new nurse I expect to face a lot of challenges, but at the same time I am looking forward to getting out into the working field and having the opportunity to save as many lives as possible. As of right now, the only opportunity that I had to engage politically in the aspects of healthcare was through the Student Nurses Organization (SNO). Certainly this experience is minimal compared to the experience of other healthcare professionals but through SNO I learned how organizations like this function, and what it is like to work with other individuals with the same job as me. Every individual should strive to make a difference; nursing will be one of tools to accomplish that. Nurses contribute in our society by saving lives and by constantly advocating and reforming the structure and outlook of healthcare in favor of the patients. How can nurses accomplish that though?

The only way nurses can push for a change and reform the current healthcare system is by always be willing to step out of the comfort zone of their practice arena. This means that nurses should always question any administrative, governmental or organization decision that undermine the patients’ rights to healthcare. If nurses are willing to engage less familiar arenas where the laws and regulations impacting patient care are developed, quality of care will be drastically improved (Abood, 2007). I think that this aspect of nursing is intimidating for many new nurses, but my past experience from my other jobs and my athletic career prepared me for this challenge. My caring and compassionate personality is definitely important because whenever I see somebody in need I don anything possible to help that individual.

Nursing school prepares students in a small degree of what is coming. Every nurse learns the job as he/she gets more experience a lot of people get intimidated by that. Sooner or later everybody will be put in an unfamiliar situation that places them outside of their comfort zone. Personally though I don’t feel scared because I am a confident person who quickly adapts and gets the job done. With experience I will become even more confident in my abilities and strengths, enabling me to lead successfully my colleagues.

Every nurse should be an advocate for their patients, by doing everything in their power to ensure that their patients get quality and affordable care. I believe that forming a relationship with patients is critical; by doing this you are allowing the patient to trust you. One of the biggest issues that I want to tackle as a health care professional is granting all citizens access to quality and affordable healthcare. Coming from a country where healthcare is free to everybody, makes me infuriated and determined to fight for free healthcare for everybody. In my opinion, one other really important issue that needs to be addressed is preventive medicine. It is proven that preventive medicine, which includes vaccinations, screenings, and regular checkups help increase patient outcomes. Some of the most common diseases, like diabetes and hypertension, are result of lifestyle choices that would be easily contained and treated if the patients were following regular check ups with their primary care providers

The nursing profession carries significant legacy in political development and activism. Nightingale and Wald, both Healthcare innovators and leaders, are responsible for many changes that transformed the quality of care (Zauderer, Ballestas, Cardoza, Hood & Neville, 2008). These nurses were some of the most influential individuals in the history of healthcare, and their accomplishments are still inspiring new nurses today. Advocating for patients should be a goal of all nurses because engaging in political activism is the only way to reform and develop the healthcare system.


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Table of contentsTelemath and TelemedicineEletronic Health and Medical RecordsAu ...

Table of contents

  1. Telemath and Telemedicine
  2. Eletronic Health and Medical RecordsAutomate and Streamline Provider WorkflowPatient Portals
  3. Conclusion
  4. References

Healthcare has changed a lot over the decades. There has been new technology, new medicine, treatments, and so much more. People depend on healthcare every day. For emergencies, and just for checkups. There have been goals that have been achieved, but we still have a long way to go. In order for Heathcare to be successful, it needs to understand patient's needs and what it takes to make and keep people healthy. Fortunately, we have the technology and resources today that allow us to perform work that we were unable to do 10 years ago.

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One important thing within the healthcare field is to know how to keep up with those face expensive machines and systems that are being put into place. It's like getting a car and not getting the oil changed, or the brakes done, the car will soon be no good for you. This is the same for the systems. If they are treated with care, charged correctly, updated, cleaned, then they will not come as much help to our healthcare. With that being said, healthcare reforms have aided the path in results of quality of care greatly improved, and cost of healthcare is becoming lower. Healthcare reforms that have taken place in the 21st century have done more good than harm, they have enabled providers and their organizations to uses these systems more efficiently making an impressive change within healthcare.

Healthcare systems and programs have increased and improved more than we can tell. Even getting one major system could make major changed within the healthcare field. Over the last decade there have been many improvements with tele medicine, medical records, health records, bundles payment models, and CPOE. These systems take the stress of patients and providers. Patients can access their own information, schedule appointments without calling the office, request refilling of a prescription, and so much more. They can real time chat with physician about their systems to make a decision if they really need to go in or not. These are just some of the improvements that have been made within the healthcare field.

Telemath and Telemedicine

Telemedicine is a huge system within the healthcare field. Telemedicine helps the physicians extend their care outside of what they have already done. Telemedicine also allows patients to speak to a physician without physically visiting the doctor. This saves money and time. This was a major improvement for people in rural areas that don’t have the greatest access to healthcare. Telemedicine helps people video chat with physicians to talk about symptoms, and next steps. The patients re able to get the same advice and have the same conversations that they would if they made the trip to the office.

On the other hand, telemedicine has increased competition within the healthcare industry. If someone has a bad experience at a hospital or clinic, the chances are they don't use that facility again. People know it's expensive, so they aren't going to waste their money on a place that they didn't get good service from. The telemedicine has opened more work at home jobs which saves money for healthcare facilities. They can reach a bigger patient pool, while have flexibility in their schedule.

If organizations do deicide to adopt telemedicine with their facility, they have to make it known that their clinic offers it. You can't add something and it not be successful because no one knows about it. Patients may be skeptical and not want to try it out, but that’s no reason to give up. A lot of these new systems fall under the Affordable Care Act which help patients that use Medicaid, Medicare, and CHIP to be able to use these new systems to improv their care. Some facilities might not want the financial burden that these new systems bring, but over time if the systems are successful the all the money will be made back.

Eletronic Health and Medical Records

One major system that have improved the lives of many is the EHR. Within the past 10 years the improvements in the healthcare industry that have been made deal with data processing, data management, and database development. These systems have had a lot of clinical trials ad a lot of changes before they were adopted within the healthcare industry. EHRS allow healthcare facilities to collect and store everything in a digital format. This means less paper, less non legible handwriting, losing files, and so much more. This allows physicians to spend more time and focus on the patient rather than spending that time trying to find their file. These systems track patients visits, past and current medications, treatments, and so much more.

“An electronic health record (EHR) is a digital version of a patient’s paper chart. EHRs are real-time, patient-centered records that make information available instantly and securely to authorized users. While an EHR does contain the medical and treatment histories of patients, an EHR system is built to go beyond standard clinical data collected in a provider’s office and can be inclusive of a broader view of a patient’s care. EHRs can:

  • Contain a patient’s medical history, diagnoses, medications, treatment plans, immunization dates, allergies, radiology images, and laboratory and test results;
  • Allow access to evidence-based tools that providers can use to make decisions about a patient’s car.

Automate and Streamline Provider Workflow

One of the key features of an EHR is that health information can be created and managed by authorized providers in a digital format capable of being shared with other providers across more than one health care organization. EHRs are built to share information with other health care providers and organizations – such as laboratories, specialists, medical imaging facilities, pharmacies, emergency facilities, and school and workplace clinics – so they contain information from all clinicians involved in a patient’s care”.

These systems are only used within the healthcare facilities. ERHS flow the patient no matter what facility they are bring seen in. This system also tracks major things like lab results, immunization records, and overall medical history. The only problem seen with this system is transferring information to facilities that don't care the system. The file might be too large for the other systems or take a while to download.

EHRS is a system that has seen nothing but success. The implementation process wasn’t the prettiest, as facilities needed to be trained how to efficiently use them, and people were so used to doing it a different way.

Patient Portals

Patient portals are something that not only helps the patients, but also everyone else. “Patient portal is a secure online website that gives patients convenient, 24-hour access to personal health information from anywhere with an Internet connection. Using a secure username and password, patients can view health information.

Patient portals are an online platform where patients can access their healthcare information at any time, on any device. This is a crossing system that can be used in both clinical and administrative environments. Patients have a higher satisfaction if they can get the same information without spending money. Some people worry about patient portals being nit as secure, but that is not the case.

CPOE is a system that allows physicians to enter doses and instructions manually in a computer rather than using paper charts. Physicians can also enter tests and treatment plans. Pharmacies get medical prescriptions directly through CPOE which is a major advance within the healthcare facility. This also allows patients to retrieve the medication quicker instead of waiting hours, or even until the next day to wait for it to get filled. Many organizations have adopted this system to help minimize medical errors. Because of medications that are very similar, this helps reduce those errors because the computer will correct or catch those mistakes.

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Conclusion

In conclusion the healthcare reform I would say has been very successful. There are a lot of systems that have completely turned around the healthcare industry. Healthcare providers are able to practice on a whole new level, they feel more connected to their patients, and so much more. The use of patient portals, HER, and CPOES have promoted the quality of care for patients. Healthcare changed on a daily bases, there continuously trials going on to see what will work and what wont. Patients feel more in control of their health if they can access it easier. Healthcare can only go up from here, and I'm sure it will.

References

  • Authors, N. (n.d.). Computerized provider order entry systems. - PubMed - NCBI. Retrieved February 6, 2019, from https://www.ncbi.nlm.nih.gov/pubmed/11696968
  • How Telemedicine Saves Lives Around the World [2018 Update]. (n.d.). Retrieved February 8, 2019, from https://www.globalmed.com/education/why-use-telemedicine
  • What is an electronic health record (EHR)? | HealthIT.gov. (n.d.). Retrieved February 6, 2019, from https://www.healthit.gov/faq/what-electronic-health-record-ehr
  • What Is Telemedicine? (2019, January 29). Retrieved February 6, 2019, from https://vsee.com/what-is-telemedicine/
  • What is a patient portal? | HealthIT.gov. (n.d.). Retrieved February 7, 2019, from https://www.healthit.gov/faq/what-patient-portal

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Table of contentsIntroductionDiscussionWorks CitedIntroductionThe purpose of thi ...

Table of contents

  1. Introduction
  2. Discussion
  3. Works Cited

Introduction

The purpose of this report is to identify reduced obesity to promote healthy living, and use substitutes for foods that are unhealthy, by replacing them with healthy ingredients. Background and Significance Healthy food can be defined as human health effects of a healthy diet for human nutrition. It can be part of more than one categories like natural, organic, vegan, or dietary foods. Healthy food also is everyday life, it takes care of you if you take care of it.

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Discussion

Healthy eating habits are very important especially for your health. Being healthy can make you feel better as a person and it’s good for you. To reduce obesity, eating smaller portions can be helpful, drinking plenty of water and even eating your food a little slower can be helpful. Instead of eating an apple cake that has apples in it, there can be a substitute to use apple sauce instead. Another substitute that can be made is, instead of going to a fast food restaurant to get fries, making them at home with real potatoes. You can eat the same type of foods that you enjoy and still have healthier products in them. The products that are being substitute what’s healthier for you.

These are just a few things that can promote healthy living. Eating everything on your plate is not a good idea. “Susie Burrell, nutritionist and founder of ShapeMe.com.au, says getting portion sizes right is crucial for weight loss - or even just not putting on weight to begin with” (Meer, 2017). When you are out at restaurant everything looks good and you want to eat it all, but instead you should eat what’s half on your plate. You may think that you are hungry but at the end you just like what’s on the plate and want to eat everything it.

Eating smaller portions is necessary to do especially for your health. Replacing unhealthy foods can be difficult, but it’s easier than you think. You don’t have to sacrifice the foods that you like, but there are healthier options that can taste just as good. The purpose is to balance your diet to build better habits that leads you to becoming healthier (Bristol, 2018). Another way you can substitute your food is the oil you cook with in your food. Replacing vegetable oil that’s rich in polyunsaturated fat, preferably soy bean oil free in your food lowers the saturated fat and heart disease by 29 percent as Dr. Sacks did the results (Brody, 2018).

Cooking with better ingredients is better for your health. The fat that’s in regular butter is very high in fat which can cause people to be a diabetic. Reducing obesity can turn into living a healthy life. The out of home care (OOHC) promotes healthy lifestyle for eating healthy and being active. This is also for a (HEAL) program for young people who live in the OOHC (Skouteris, 2017). Having a program is a good viewpoint because the number of people being obese is very high. At this point, being obese is leading people to have diabetes or type 2 diabetes and it could possibly get worse as people in my family has experienced. Using the tips that I explained earlier are going to help people to have a healthy lifestyle.

Works Cited

  1. Bristol, L. (2018, August 2). 18 Food Replacement Hacks that Make Healthy Eating Easy. Retrieved August 2, 2018.
  2. Brody, J. E. (2018). Good fats, bad fats. Retrieved The New York Times. Meer, E. V. (2017, July 25). Smaller portions are the easiest way to lose weight. Here's how to get used to eating tinier meals. Retrieved database.
  3. R, Skouteris (2017, May 1). The Healthy Eating, Active Living (HEAL) Study: Outcomes, Lessons Learnt and Future Recommendations. Retrieved Child Abuse Review.

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