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| Term Paper # 105024 |
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Women's Health: A Case Study, 2008.
A nurse practitioner in a family practice setting describes a case involving congestive heart failure (CHF).
3,428 words (approx. 13.7 pages), 21 sources, APA, $ 97.95
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Abstract
In this paper, the writer relates the pathophysiology of congestive heart failure (CHF) and describes a patient with CHF and her prognosis. The writer also provides a review of related literature and describes the relevant treatment plan. Furthermore, the writer talks about an education program to educate the patient and her husband about what disease she had, what caused it and how to prevent recurrence. Lastly, the writer discusses the benefits of group therapy and relates the patient's follow-up care.
Outline:
Introduction
Patient Presentation
Prognosis
Review of Related Literature
Application and Evaluation
Education Program
Support Group
Regular Follow-Up Visits
Opportunities for Teaching and Quality of Care Improvement
From the Paper
"After Susan's cardiac intervention and return home, I knew that the chances of her encountering a second M. I. were fairly high, and that the subsequent treatment in the community and at our family practice would play a key role in preventing another infarction. Improving her longer-term chances of remaining healthy would depend on her remaining on drug, diet and exercise regimens with the support of her husband and family. I knew that proper adherence to drug therapy alone, even without improvement in diet or exercise, could reduce her chances of a second ACS episode by up to 77% (Douglas, 2005)."
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Americans Without Health Care, 2008.
An examination of the current US health care system, highlighting the necessity for the introduction of reform and improvements in order to assist all sections of the community.
1,186 words (approx. 4.7 pages), 4 sources, APA, $ 40.95
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Abstract
This paper deals with the necessity to introduce a health care program in the US that is available to all persons and that deals with all relevant issues. The paper highlights the decline in the effectiveness of the current system and calls on the nursing profession to introduce a cost effective program and to encourage co-operation between patients and the health care programs. The paper continues by emphasizing that the nursing profession is in the front line and is able to introduce an affordable medical aid system to suit all facets of society.
Outline:
The issue
Background
Nurse's relevance on the issue
Conclusion
From the Paper
"The quality of health care continues to decline and be inadequate as crisis management is more and more becoming the patchwork solution for the nation's ineffectual healthcare system. This is not to say that there are not certain elements that of the current health care system that should not be maintained and continued. Reform should build upon the best parts of the current health care system and begin moving toward patient wellness and care. Nursing organizations realize what is needed in the area of reform and plan to convert rather than eliminate the current health care system."
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Challenges facing the Nursing Profession, 2008.
A discussion about nurses' moral obligations to patients.
830 words (approx. 3.3 pages), 2 sources, APA, $ 29.95
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Abstract
This paper reports the writer's observations about ethics as they relate to the nursing experience. The paper is written in narrative form and discusses the writer's ideas about autonomy, beneficence, and nonmaleficence. The writer notes that she has come to understand that each nurse-patient situation is different and can often be complicated, and as such, cannot limit herself to one ethical theory when dealing with the ethical/moral dilemmas that sometimes arise in these situations.
Outline:
Introduction
Themes and application
Most meaningful themes
Significant learning
Conclusion
From the Paper
"At the beginning of the course, I saw black and white and would be very close minded about ethics. The main thing I have learned is to incorporate new and deeper knowledge of ethical theories and principles with the analysis of an ethical issue. The key word in my learning is 'complexity'. I see that ethical issues are never simple. For example, the utilitarian idea of the greatest good for the greatest number (Beauchamp & Childress, 2001) sounds perfect but does not always work. My own favorite ethical theory is deontology because of its concern with others and with life. However, I learned I cannot limit myself to one view or I will never be able to deal with ethical dilemmas. Basically, I have learned that we need to have a complete understanding of all ethical theories and principle."
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Tenuous Connections: Anxiety Disorders and Substance Abuse, 2008.
An examination of the relationship between anxiety disorders & substance abuse and whether substance abuse can be viewed as a product of anxiety disorders.
1,974 words (approx. 7.9 pages), 7 sources, APA, $ 62.95
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Abstract
The paper questions whether there is any evidence that increased levels of anxiety result in a higher incidence of substance abuse. People who are very anxious may consume larger quantities of alcohol, smoke more heavily or resort to drugs as a way of self medication in treating an anxiety disorder. The paper relates that the higher the levels of self-reported anxiety,the more difficult it is to complete a treatment program, with the possibility that the person will return to the disorder of abuse on completing the program. The paper continues and discusses subtle affinities of anxiety disorders with that of substance abuse, by indicating that there are minor differences between the amount of abuse by alcoholics who have anxiety disorders, and those that do not. This indicates that anxiety disorders are an independent factor in the study of substance abuse.
From the Paper
"However, trait anxiety levels were positively correlated with negative substance abuse consequences, i.e., relapses even after treatment. Trait anxiety levels were also negatively correlated with the number of days an individual spent in treatment. In other words, the more anxiety problems that an individual experienced, the more likely it was that they would be substance abusers and the longer it would take for that individual to successfully complete the treatment program. Additionally, both state and trait anxiety levels were positively correlated with the level of addiction that the individual expressed, as measured and documented by the researchers (O'Leary et al., 2000). The implication of this finding is obvious: the higher the level of anxiety that an individual experience--in other words, the greater the possibility of an anxiety disorder--the more likely it would be for that individual to have a greater substance abuse problem."
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An Ethical Dental Dilemma, 2008.
Describes an ethical dilemma facing a student employed in a dental practice.
1,461 words (approx. 5.8 pages), 1 source, MLA, $ 48.95
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Abstract
The paper discusses a dilemma facing a student witnessing unethical practice whilst in employment in a dental office. The paper questions situations in what should be done where an action appears to be correct but in reality is totally incorrect. The paper stresses that the patient's safety is of foremost importance and cannot be endangered in any manner during treatment. The paper also questions whether the negative activity should have been reported as an incorrect procedure, which the student found difficult, as the student was not a permanent staff member.
Outline:
Introduction
Concrete experience
Reflective observations
Abstract concepts
Active experimentation
Conclusion
From the Paper
"This experience was certainly a shock merely because the act was done in a setting associated with cleanliness and a professional environment that was autonomous and upheld the highest standards of health care. Moreover, it sent a message that real life in general was wrought with gray areas and more importantly, less than ideal practices. What is meant here is that, as a profession that is self-governed, its constituent members should perform their duties to the best of their abilities without compromise up to the standards set by governing professional organizations. As clear cut as this may seem to do, reality is often wrought with conflicting interests such as this one."
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Maternal Breastfeeding Program, 2008.
A research proposal for an education program for expectant and new nursing mothers.
2,762 words (approx. 11.0 pages), 15 sources, APA, $ 82.95
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Abstract
This paper examines the prevalence of breastfeeding through a critical literature review and the impact of a pro-breastfeeding education program delivered to expectant and new mothers. The paper also looks at how the information communicated through the education program can be enhanced through contact with peers, as peer mediation may potentially improve the subjects' acceptance of the information contained within the education program. The paper explains that breastfeeding is the traditional method of nourishing a child and is a physiological response to childbirth on the part of the new mother. The paper then points out that despite this naturally-occurring link between the new mother and her child, breast milk substitutes - commonly referred to as formula - were developed in the late 1950s and were increasingly marketed to new mothers through the 1980s as a superior means of nourishment. The paper shows that breastfeeding and the clinical trials related to the practice are of the utmost significance since the immediate and long-term well being of both mother and child depend on its success. The paper concludes that nurses play a major role in effective breastfeeding and need to be completely knowledgeable about appropriate and successful strategies.
Outline:
Introduction
Statement of the Problem
Purpose of the Study
Literature Review
- Socio-Cultural Influences and Breastfeeding
- Health Outcomes Associated with Breastfeeding
- Challenges within the Literature
Theoretical Framework
Research Question/Hypotheses
- Hypothesis 1
- Hypothesis 2
Conclusion
From the Paper
"Research was ongoing during this time and the majority of credible information stressed that breastfeeding was sufficient in terms of the nutritional content required for infants. Additional benefits were also isolated: children who breastfed during infancy demonstrated enhanced immune systems and were less likely to succumb to childhood and adolescent illnesses (Cunningham, Jelliffe, & Jelliffe, 1991; Saarinen & Kajossaari, 1995); breastfeeding was linked to improved cognitive development in children; research even suggested that the emotional development and attachment abilities of the child were improved and that the child may demonstrate improved psychosocial stability as an adult (Lawrence & Lawrence, 2005) and that breastfeeding "yields health care savings by reducing illness events" (Ahluwalia et al, 2000; 85)."
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| Term Paper # 104908 |
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Mental Illness, 2008.
Compares the view and prevalence of mental illness among modern and traditional societies.
2,085 words (approx. 8.3 pages), 6 sources, APA, $ 65.95
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Abstract
This paper examines the view that traditional societies are less friendly to individuals with mental illness, which leads to the perception that there is less mental illness when, in truth, it is simply more well hidden. The paper then compares views of mental illness in modern socieites, and, in particular in Canada, to those of traditional socieities such as China, the Aboriginal socieites of Canada, and Middle Eastern societies and concludes that there is no single answer to how traditional cultures treat mental illness.
Table of Contents:
Introduction
Mental Illness in Modern Societies
Mental Illness in Canada
Mental Illness in Traditional Societies
Mental Illness in Canada's Aboriginal Population
Conclusion
From the Paper
"It is this kind of practice that differentiates the Chinese and the Canadian process of caring for the mentally ill and may lead to a difference in how they are perceived. However, the practice goes far beyond simple numbers on a percentage scale. Some traditional cultures rely first on their own traditional forms of mental healing, turning only to modern solutions when their preferred methods fail to work. In Morocco, for example, a Berber family might first consult a fquih, a traditional healer, before turning to the services of the Centre Psychiatrique Universitaire Ibn Rochd (CPU) to treat mental illness."
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Job Communications Report, 2008.
An evaluation of the value of advanced practice nurses.
793 words (approx. 3.2 pages), 2 sources, APA, $ 28.95
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Abstract
This paper presents a report on the communications aspects of an advanced practice nurse (APN). It suggests different case scenarios that reinforce the fact that APNs play a large part in formulating and implementing patient care plans, evaluating their outcomes and continuously improving the quality of care
Outline:
Introduction
Profile and Scenarios
Conclusion
From the Paper
"Information problem. Teaching and coaching people utilizing both verbal and written communication in almost every media format is used interchangeably. From patients, peers or students, the APN must be able to convey complex ideas and concepts in order to be an effective team member or mentor. Collaboration is also an essential information exchange role the APN must be comfortable with. This may even include formulating new clinical queries relevant to her specialty. Being a researcher is also constant challenge, as S.M. found out when she had to adapt a novel approach to meet one particular patient's needs as hospital guidelines did not cover the specific situation. She applied evidence-based practice, the process of arriving at a clinically relevant research question(s), attempting to gather evidence that answered these questions, determining the applicability of evidence in practice by determining its benefits, risks, cost-effectiveness, etc. and putting the answers to practice. The evaluation of the new practice (compression stockings for patients without bathroom privileges for an extended period after becoming ambulatory) went hand in hand with implementation in order to determine effectiveness in the target population, make changes for quality improvement based on established benchmarks and assess whether the research was implemented properly (DePalma, 2004)."
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Nursing in an Acute-Care Psych Ward, 2008.
This paper applies P.L. Chinn and M.K. Kramer's approach to nursing to an acute-care psych ward.
1,499 words (approx. 6.0 pages), 5 sources, APA, $ 49.95
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Abstract
The paper supports the modified philosophical approach to nursing championed by Chinn and Kramer and shows how their contribution to Dorothy Orem's theories improve the process of thought. The paper further shows how Chinn and Kramer codify, in a stepwise function, how to improve practice and apply conscious theory development to the profession. The paper discusses their "third-level" philosophical approach and relates that although this approach may seem distant to nurses involved in the day-to-day chaos of the acute care wards, they provide a useful conceptual framework for an improvement of the profession.
Outline:
Introduction
Implementation of Orem as Interpreted by Chinn and Kramer
Discussion
Conclusion
From the Paper
"Nursing has progressed from a 'helping,' or 'mothering' profession in the mid-1900's to a profession which incorporates the same basic human emotions, but also combines with empirical evidence to help improve the patient's quality of life. Applying a concrete definition to the concept of nursing was a pioneering effort from Orem in the 1980's. Subsequent work by Fawcett, Chinn, Kramer and others in the 1990's added a more philosophical level to the practice of nursing."
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Newborn Medical Screening Around the World, 2008.
An account of screening tests carried out on newborn babies.
1,683 words (approx. 6.7 pages), 11 sources, MLA, $ 54.95
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Abstract
This paper describes the various tests that are carried out on newborns around the world for early detection of abnormalities, and includes a long list of conditions that can be found. While the author does include evidence of some controversy regarding various screening tests, the overall indication is that such testing can only be beneficial.
From the Paper
"In the United States, newborns have been routinely screened for abnormalities and conditions affecting the infant's overall health, with routine tests such as biotinidase deficiency, congenital adrenal hyperplasia, congenital hearing loss, congenital hypothyroidism, cystic fibrosis, galactosemia, homocystinuria, maple syrup urine disease, MCAD deficiency, PKU, Sickle cell disease, and tyroseinemia. China has taken neonatal screening seriously in recent years, and with assistance from the United States, a "provincial laboratory quality control program has been established and provides oversight for a newborn screening system from blood collection through treatment of patients" (Chen, He, Shen, Wang, Zang, & Zhang 37). Israel has also determined how valuable nationwide neonatal screening is to societal health and in 2006 selected PerkinElmer, Inc., "a global technology leader in Health Sciences and Photonics...to create a comprehensive newborn screening program intended to cover every child born in Israel" (PerkinElmer). This is a definite step in the right direction, as more and more countries follow the lead the United States has had in the realm of neonatal screening."
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