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Confidentiality in Health care, 2008.
A review of the American Medical Association's guidelines for physician-patient confidentiality.
850 words (approx. 3.4 pages), 4 sources, APA, $ 30.95
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Abstract
The paper discusses the ethics of the medical care non-disclosure agreement between doctor and patient, which ensures that patients have the freedom to be absolutely honest with their physicians. Frequently the lives of patients depend upon the assurance of confidentiality, which ensures that patients will release all the information necessary to be treated in a targeted and effective way. The paper highlights that the American Medical Association has provided guidelines for doctor-patient confidentiality and its maintenance, particularly as relevant to computer databases. The paper discusses the general guidelines for the relationship between physicians and their patients, along with the maintenance of their confidentiality levels.
From the Paper
"To provide optimal protection of privacy, the computerized medical database should be online to the terminal only when computer programs with the necessary authorization, and specifically requiring the data, are in use. No person or entity outside of the clinical facility should have access to any online computerized database with medical records of patients who can be identified via the program. This ensures continued doctor-patient confidentiality, which belongs to the patient according to standard medical ethics, as well as the law."
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Homeland Security, 2008.
A review of the plans implemented in the US to ensure a rapid response to any acts of terrorism.
3,804 words (approx. 15.2 pages), 4 sources, APA, $ 104.95
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Abstract
The paper discusses the attacks on the World Trade Center and highlights that the first responders at the scene are firefighters, police and paramedics. The paper notes that effective and speedy emergency communication is paramount for response personnel when uncertainty occurs in the aftermath of a disaster. This paper investigates the issues and the concerns that are faced by the first responders as a result of the new environment of global terrorism. This paper identifies some of the most significant features of the new safety plan made by the US Department of Homeland Security.
Outline:
Introduction
Discussion
Conclusion
From the Paper
"First responders on the scene had never before encountered similar situations and as such had no knowledge of the precautions that were required. Emergency communications agencies like the North American Center for Emergency Communications (NACEC) were set up to provide quick and speedy services in cases of disaster. "To protect and enhance public safety and health by facilitating the local implementation and maintenance of efficient 911 service and poison control emergency communication services," has been the mission statement of a number of State and Local agencies dealing with emergency response."
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Drug Use and Addiction, 2008.
A review of the impetus behind drug use and addiction.
2,863 words (approx. 11.5 pages), 8 sources, APA, $ 85.95
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Abstract
This research paper reviews and examines various studies regarding the phenomenology of drug abuse and addiction in order to gain insight and understanding as to the forces that drive abusive and addictive behavior.
Outline:
Introduction
The Sociology, Psychology and Physiology of Addiction
The Grips of Addiction
From the Paper
"What this study suggests is that even when the individual's physical cleansing of the toxic drug is accomplished, that the psychology of the drug continues to be a catalyst for resuming abusive behavior, and that this behavior can be at a subconscious level, the compulsion that drives the individual back to the drug. In this case, Mark has identified stress as a precipitator to the motivation that causes individuals to resume the pattern of drug use, which leads to addiction because of the physiology associated with addictive drug use."
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HIPAA Standards and Patient Privacy, 2008.
A discussion of the HIPAA standards and the application of patients' personal health information.
1,205 words (approx. 4.8 pages), 3 sources, APA, $ 41.95
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Abstract
The paper discusses how the Health Insurance Portability and Accountability Act (HIPAA) standards help patients to protect their medical information from the general public. The paper lists the twelve scenarios where medical information is used in unrelated healthcare issues.
From the Paper
"The HIPAA standards help patents to protect their medical information from the general public. Every patient is entitled to their privacy when it comes to their medical records. Before the HIPAA, patients' medical information was more easily obtainable without their written permission, which completely invaded their privacy. From there, the HIPAA standards have improved privacy issues for patients' medical records and their rights.
"However, there are only certain circumstances that the patients cannot have access to their own medical records. If the patient is endanger of hurting themselves, the only way that they can have access to their medical records is through the doctor. This is due to their health and physical protection."
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Healthcare Management, 2008.
An examination as to how proper healthcare management can improve efficiency and reduces costs.
1,845 words (approx. 7.4 pages), 5 sources, APA, $ 59.95
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Abstract
The author of the paper contends that all human beings are entitled to health care and that it is the responsibility of the state to provide that care to all. However, the author continues and states that, due to the increasingly technological nature of medicine, rising costs make it economically unfeasible for a government to provide full medical care to all of its citizens. In the paper, the writer examines and gives examples of different healthcare management processes in an attempt to show how effective management and utilization of resources can make health care more efficient and significantly reduce costs, thus making an advanced care system available to more sectors of society.
From the Paper
"Being primarily focused upon human well-being, I believe that health care is primarily a social good and secondarily an economic good. The economic element of health care is undeniable, as the above-mentioned technological developments and research require significant funding. However, the focus of these remains human well-being rather than the economic and business sectors. In terms of this, I believe that the health care sector is obliged to provide a national insurance plan that guarantees access to all human beings. Certainly the opportunity to experience optimal health for a human lifetime is a fundamental right that should be guaranteed. This is as important under the constitution as the right to gainful employment and pursuing happiness. Although it might not always be realistically possible, like the other constitutional rights, the health care sector, together with the government, should at least provide all citizens with access to both affordable and high quality care."
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Pain management, 2008.
An examination of the development of pain management in modern medicine.
1,615 words (approx. 6.5 pages), 10 sources, APA, $ 52.95
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Abstract
In the paper, the writer examines the growing demand by patients suffering from chronic pain for pain management and relief treatments that will improve the quality of their lives. The writer contends that America's rapidly growing population of Seniors, coupled with increased longevity is the reason for this demand and examines some of the solutions that doctors are able to provide. The author then examines the growth of specialized care in pain management and the current system for subspecialty certification for physicians, before making his final conclusions and recommendations.
Outline:
Introduction
Specialized Pain Management Growth
Increased Opportunity For Care
Current Opportunity for Specialization in Pain Management/Proposed AA System
Conclusion
References
From the Paper
"The current system for subspecialty certification for physicians, in pain medicine comes in the form of an annual exam offered by the ABPM. The organization certifies about 2200 physicians per year in this specialty through the successful completion of the exam, which has about an 80% pass rate. (ABPM, 2008, NP) It would be conducive to structure the AA system in a similar manner with the inclusion of preparatory post grad fellowship continuing education opportunities. Individual AA's who took the seminar style two semester prep classes, and who were signed off by a governing anesthesiologist or their work institution as working within this field successfully for greater than one year would be eligible to sit for the exam and would then be certified in the subspecialty of pain medicine if success was achieved on the exam. All preparation would also qualify the individual for continuing education credits, toward their general licensure and facility requirements. Some legislation for a broadening of services offered might also be needed to alter the current state of allowable practical functions of an AA. The development of such legislative changes would likely be welcomed, as cost reduction seems to be the rule of the day with regard to medical care and spending, and this would likely improve the availability and reduce the cost of procedures significantly."
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The Problem of Heart Disease, 2008.
A research paper about the modern technology available for the treatment of heart disease.
16,450 words (approx. 65.8 pages), 47 sources, APA, $ 249.95
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Abstract
This research explores those methods which have been developed, and found effective in treating heart disease. The paper starts with an analysis of the types of heart disease, their increase in incidents and some of the proximate causes. It then discusses technologies that have been developed or perfected to deal with heart disease in two areas: revascularization using PCI, or percutaneous coronary intervention, and CABG, or coronary artery bypass graft surgery. Next, the paper analyzes development in aortic valve treatment, including aortic valvuloplasty, aortic valve replacement surgery, and the newly-emerging minimally-invasive approaches to aortic valve replacement, both surgical and percutaneous. The writer posits that, despite fairly dramatic reductions in heart attack systems and a slight decrease in heart-related deaths in the United States and other first-world countries, the application of technology has had mixed results. Several photos and an annotated bibliography are included with the paper.
Outline:
Introduction
Scope of the Problem of Heart Disease
Ethnic Group
Sex
Region
Age
Socioeconomic Factors
Biochemical Factors
Escalating Costs Associated with New Technology for Coronary Artery Disease
Pharmaceutical Treatment of Patients with Heart Disease
Emergency Room Treatment
CABG Cost Discussion
Primary Coronary Intervention
Post-AMI Angioplasty
Reservations on Cost Comparisons
Direct Costs for New Devices
Who Controls the Patient?
Rising Costs to Patients
Quality of Life
Conclusions for CABG and PCI
Aortic Valve Replacement
Current Method of Treatment: Surgery or Valvuloplasty
Percutaneous Aortic Valve Replacement
Rivalry between Physician Groups and Impact on Practice Volumes
Subapical Valve Replacement
Patient Benefit
Costs and Benefits for Aortic Valve Replacement
Conclusion
From the Paper
"The highest incidence of heart and circulatory disease is amongst the Pima Indians of the deserts of Arizona. Their rates of obesity, diabetes and heart disease are four times higher than the average American. When all other factors are taken into account, the genetic component is a major causative factor for heart disease.
Blacks and Hispanics have a significantly higher rate of heart disease as well. As with all analyses of causative factors, there is a close correlation between obesity, lack of exercise and Type-2 diabetes in these ethnic groups as well. This could indicate that, because these ethnic groups are more susceptible to these confounding factors, they are therefore more prone to heart and circulatory disease. There is also a concern that, in addition to having a higher incidence of obesity and heart disease, that blacks are less likely to receive echocardiograms, stress EKG's, angiograms and angioplasty. Blacks tend to have a higher incidence of high blood pressure, high cholesterol and obesity than whites. This is particularly true for black women, 55% of whom are classified as 'obese' (i.e. a BMI of greater than 30 percent) (AORN, 2002). Black men also have a higher obesity rate than white men, and on a par with white women.
Those of South Asian (Indian, Pakistani) and Middle Eastern ethnicity tend to have higher rates of heart disease."
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Substance Abuse in Nurse Anesthetists, 2008.
A look at substance abuse in healthcare professionals, in particularly, nurse anesthetists.
6,640 words (approx. 26.6 pages), 31 sources, APA, $ 152.95
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Abstract
This paper discusses the problem of substance abuse in the healthcare profession, choosing to focus on nurse anesthetists. The paper examines the risk indicators that could attribute to substance abuse. The author also analyzes the susceptibility of nurses succumbing to the temptations of drug use as they have easy access to highly potent drugs.
Contents:
Introduction
Prevalence of Substance Abuse Among Health Care Professionals
The Actual Risk Indicators
Family History and Genetic Predisposition
Work-related Stressors
Work-related Stressors of Nurse Anesthetists
Other Stressors Outside Work
Easy Availability of Drugs
Signs and Symptoms of Substance Abuse
The Stigma on Nurses Suffering From Substance Abuse
The Conspiracy of Silence
Management of a Nurse with Substance Abuse
Conclusion
Bibliography
From the Paper
"In reality, there is more to the physicians and nurses than an unstained white uniform. They too, after all, are humans. Like any other person, they can be easily broken by stresses that come with their chosen occupations. They too, get sick. However, because they have been trained all these years to provide care to heal the sick, they find themselves in a confusing position when it is their turn to seek for help. Instead of seeking help, they attempt to solve their own problems. Some of them reach a point when they are in denial that they have problems at all."
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Intake Greetings: An Article Review, 2008.
A detailed analysis of the article "An Evidence-Based Perspective on Greetings in Medical Encounters," by Makoul, Zick, & Green.
857 words (approx. 3.4 pages), 1 source, APA, $ 30.95
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Abstract
This paper is a positive review of the article "An Evidence-Based Perspective on Greetings in Medical Encounters," by Makoul, Zick, & Green, which contains a national survey to determine patient perspectives of intake greetings by doctors. The writer describes the motivation for the survey, the methods used to carry it out, and the statistics yielded by the survey. The article's suggestions on improving the education of new physicians are also noted, and the writer concludes by summing up the plus points of the article and explaining its importance.
From the Paper
"The researchers were filling a gap in the medical literature about patient preferences for doctors' greetings. Based on the assumption that appropriate greetings enhance the patient's experience, Makoul, et al (2007) conducted a large-scale nationwide telephone survey asking closed-ended questions to find whether or not patients preferred hand shakes, the use of their first and last names, and whether or not patients liked doctors to introduce themselves using both first and last names. The authors also sought evidence for how doctors most often do greet their patients in a formal clinical setting."
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