I believe that increasing primary care is the better solution rather than expanding medical specialties. As Dr. Gawande’s car metaphor explained‚ a car put together with the best (specialties) parts can turn out to be just an expensive collection of junk. I believe it is the same with medicine‚ growing capabilities in different medical specialties is beneficial only if it is put together efficiently through primary care. Primary care is the first line of defense‚ which diagnose‚ treat and prevent
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ago‚ you wouldn’t believe that Playmobil‚ one of the most loved toy companies‚ started out as a lock and fitting company originally called Metallwarenfabrik. It was founded by Andreas Brandstatter‚ a locksmith in Zindorf‚ Germany. It had a few years of great track record and was not only manufacturing locks‚ they were even manufacturing cash registers‚ telephones and other various sheet metal products coincidentally to be used for toy establishments. In the 1950s‚ the current owner of the company
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Assignment 1 Play activity This assignment had been done with a group of 4 children with ages between 3 and 4½. Planning: In order to do the play activity I had to observe the children for two days. I wanted to know what are they more interested in and what they would like more. After the observation stage‚ I wanted to make sure that the play activity I had in mind‚ suited their age and stage of development. I also made sure that the activity is safe and that it included the PILES
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GASTROENTEROLOGIST Gastroenterologist is also a sub-specialty of internal medicine .a gastroenterologist deals with digestive system problems. They diagnose and treat disorders of the gastrointestinal tract. • ERCP (endoscopic retrograde cholangiopancreatography) — a procedure to detect disorders in the ducts such as narrowing‚ gallstones‚ blockages‚ tumors and cysts. An ERCP combines the use of X-rays and endoscope — a long‚ flexible‚ lighted tube. The endoscope is advanced through
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Nursing is one of the most influential disciplines in medicine. [1] The current agenda among many nursing advocates is to promote a uniform scope of practice code. By encouraging all state boards to adopt the Consensus Model for APRN Regulation‚ the American Association of Nurse Practitioners (AANP) hopes to increase health care quality among underserved populations. While sticking points vary among state legislatures‚ the following nine laws and regulations exemplify a few of the issues in question
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instrumental in this transformation process. According to the Institute of Medicine’s report on nursing’s future‚ nurses will play a critical role in providing quality care at a lower cost. As legislation is moving health care away from acute and specialty realms‚ there is a higher demand in primary care centered environments. (“Future of Nursing‚” 2010). There is also a substantial aging population with the baby boomer generation that will need long term and palliative care. (“Future of Nursing‚”
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Assignment 1 The purpose of this assignment is to compare and contrast the current literature related to advanced nursing practice. And to relate this literature to my practice and the role of the palliative care nurse across clinical settings. In my current role as a pain nurse specialist‚ I am involved in the care and management of patients with intrathecal (IT) catheters mainly for patients with intractable cancer pain. Patients who have been tried and failed on escalating doses of various opiates
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And ethical dilemma encountered in my practice setting was a case of a 68-year-old woman admitted with an overdose of metoprolol and some other medication she could not identify. During the intake in the emergency department‚ the patient admitted she did it on purpose because she is tired of taking care of her bedridden mother. The patient further stated that as she took the pills‚ she thought about jumping in front of a moving vehicle to kill herself. I believe in the fact every situation has a
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Doris Adu Maximizing Opportunities and Maintaining Excitement in Nursing Professional Development Kent State University Abstract Staff nurses have great responsibilities in caring for patients. Often‚ these nurses experience heavy workload. Heavy patient load and stress contributes to burnout. Why is burnout important to discuss in relation to nurses? Burnout affects the performance of the nurse and the quality of care he or she provides to the patient. Therefore‚ it is imperative that staff nurses
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collaborative decisions. Policies are a must. This nurse must be able to know when to utilize them. Clinical nurse specialist has become an expanded role of the nurse. This nurse is a researcher‚ collaborator‚ educator‚ and an expert care provider in that specialty. Examples of nurse clinicians are nurse practitioners‚ nurse midwife and nurse anesthetist. 4. The Master’s prepared nurse’s role as a consumer advocate is to advocate for patients/clients. Bevis noted that this nurse is also responsible for advising
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