Saturday, November 9, 2019
Public Health Comparison Essay
America is a country built on democracy, equality, and basic care for all citizens. The Department of Health and Human and local departments under its direction, work to protect, and care for the public. By preventing epidemics, protecting against environmental hazards, promoting healthy behaviors, collecting statistical data, and many other resources, public health ensures that the government upholds the needs of its citizens. Public health has a longstanding history that has evolved over time to meet the ever changing environment, the advance of technology and the growing population. Whereas public health maintains the needs of the population at large, community health concentrates on the vulnerabilities and demands of particular community. Resources The local public health departments in this authorsââ¬â¢ rural area includes seven counties. Services include clinical assistance, community health, educational events, early childhood programs, epidemiology surveillance, home health, planning and disaster preparedness, and school health (Lincoln Trial District Health Department, 2014). More specifically, by offering services such as cancer screening, WIC programs, grief counseling, and many others, the public health department supports the goal of maintaining the well-being of the public. The Department of Health and Human resources is the national public health regulatory division that maintains public health. ââ¬Å"The Department of Health and Human Services (HHS) is the United States governmentââ¬â¢s principal agency for protecting the health of all Americans and providing essential human services, especially for those who are least able to help themselvesâ⬠(U.S.à Department of Health and Human Services, 2014, para. 1). The HHS works with local and state health departments to locate funding, provide services, collect data, and advance science through research to ensure that constituents of America possess the social, mental, and physical medical needs regardless of their social standing. History of Public Health ââ¬Å"The mission of public health has its roots in the mid-nineteenth century, when physicians, housing reformers, advocates for the poor, and scientists trained in new techniques of chemistry and civil engineering came together to fight problems growing out of urbanization, industrialization, and large-scale immigration. This coalition transformed the nationââ¬â¢s economy and environment, and, in turn, its health. High death rates and pestilence had long affected rich and poor communities alikeâ⬠(Fairchild, Rosner, Colgrove, Bayer, & Fried, 2010, p. 54). The article describes Americaââ¬â¢s health deterioration by the mid-nineteenth century from outbreaks such as smallpox, cholera, typhoid, yellow fever, and various intestinal illnesses. The poor were often blamed for these epidemics, therefore the split between social classes grew. In 1940, the American Public Health Association rectified a code of services that public health departments were to provide. They were: ââ¬Å"collecting data on vital statistics; controlling communicable diseases via methods such as outbreak investigations; contact tracing; partner notifications, and (rarely) isolation and quarantine; ensuring environmental sanitation; providing laboratory services for the diagnosis of illnesses by private doctors, hospitals, and other clinicians; offering maternal, infant, and child health services; and providing educationâ⬠(Fairchild, Rosner, Colgrove, Bayer, & Fried, 2010, p. 57). Following this era, public health has experienced change and reform that continues to this day. From social medicine to current dismal economic circumstances, public health, although deeply rooted in well-being and practices that support it, still struggles between social demands, political opposition, and corporate stipulations. Public health persists in maintaining its core values. No matter what modifications public health may undergo, assessment, policy development and assurance continue to serve the underprivileged or those in need. Differenceà Between Public and Community Health According to Stanhope & Lancaster (2012), ââ¬Å"Public health has been defined and describes as a system and social enterprise; a profession; a collection of methods, knowledge, and techniques; governmental health services, especially medical care for the poor and underserved; and the health status of the publicâ⬠(p. 243). As such, public health involves the public on a national or global level by protecting the mental, physical, and social well-being of human beings. For instance, the World Health Organization (WHO) was introduced on April 7, 1948. ââ¬Å"The core functions of WHO are as follows: â⬠¢providing leadership on matters critical to health and engaging in partnerships where joint action is needed; â⬠¢shaping the research agenda and stimulating the generation, translation and dissemination of valuable knowledge; â⬠¢setting norms and standards and promoting and monitoring their implementation; â⬠¢articulating ethical and evidence-based policy options; â⬠¢providing technical support, catalyzing change, and building sustainable institutional capacity; and â⬠¢monitoring the health situation and assessing health trendsâ⬠(World Health Organization, 2014, para. 1) Community health under the umbrella of public health concentrates on a population in a particular area. According to Stanhope & Lancaster (2008), the WHO defines community as, ââ¬Å"A community is a social group determined by geographic boundaries, common values and interestsâ⬠(p. 342). Community health concentrates its efforts of assessment, policy development, and assurance on local population, of which have varied needs and vulnerabilities. Resources for a specific community may be different from resources for another community, so the core functions of community health must be tailored to fit each individual area. In conclusion, public health ensures the mental, physical, and social welfare of which human beings are entitled. Community health concentrates its efforts on the people of a geographical area. As the needs of the county and a community change, public health must maintain their services to meet demands. Americans have the opportunity through public health to use the resources at their disposal to sustain a healthy lifestyle. References Fairchild, A., Rosner, D., Colgrove, J., Bayer, R., & Fried, L. (2010). The EXODUS of public health. What history can tell us about the future? American Journal of Public Health, 100(1), 54-63. Lincoln Trial District Health Department. (2014). Our services. Retrieved from http://www.ltdhd.ky.gov Stanhope, M., & Lancaster, J. (2012). Public health nursing; Population-centered health care in the community (8th ed.). St. Louis, MO: Mosby Elsevier. U.S. Department of Health and Human Services. (2014). About HHS. Retrieved from http://www.hhs.gov World Health Organization. (2014). The role of WHO in public health. Retrieved from http://www.who.int
Wednesday, November 6, 2019
Free Essays on Long Days Journey
The play Long Days Journey into Night creates a world in which communication has broken down. One of the great conflicts in the play is the characters' uncanny inability to communicate despite their constant fighting. For instance, the men often fight amongst themselves over Mary's addiction, but no one is willing to confront her directly. Instead, they allow her to lie to herself about her own addiction and about Edmund's illness. Edmund and Jamie do not communicate well until the last act, when Jamie finally confesses his own jealousy of his brother and desire to see him fail. Tyrone, likewise, can only criticize his sons, but his stubborn nature will not allow him to accept criticism. All the characters have bones to pick, but they have trouble doing so in a constructive fashion. Most of the bones that need picking emerge in the past, which is remarkably alive for the Tyroneââ¬â¢s. Mary in particular cannot forget the past and all the dreams she once had of being a nun or a pianist. Tyrone too has always had high hopes for Jamie, who has been a continual disappointment. All the conflicts and the problems from the past cannot be forgotten, and, in fact, they seem doomed to be relived day after day. It is important to note that Long Day's Journey into Night is not only a journey forward in time, but also a journey back into the past lives of all the characters, who continually dip back into their old lifestyles. The reader is with the realization that the family is not making progress towards betterment, but rather continually sliding into despair, as they remain bound to a past that they can neither forget nor forgive. The play is all the more tragic because it leaves little hope for the future; indeed, the future for the Tyroneââ¬â¢s can only be seen as one long cycle of a repeated past bound in by alcohol and morphine. This play was awarded the Pulitzer Prize when it was first published, and it has remained one of the most admir... Free Essays on Long Days Journey Free Essays on Long Days Journey The play Long Days Journey into Night creates a world in which communication has broken down. One of the great conflicts in the play is the characters' uncanny inability to communicate despite their constant fighting. For instance, the men often fight amongst themselves over Mary's addiction, but no one is willing to confront her directly. Instead, they allow her to lie to herself about her own addiction and about Edmund's illness. Edmund and Jamie do not communicate well until the last act, when Jamie finally confesses his own jealousy of his brother and desire to see him fail. Tyrone, likewise, can only criticize his sons, but his stubborn nature will not allow him to accept criticism. All the characters have bones to pick, but they have trouble doing so in a constructive fashion. Most of the bones that need picking emerge in the past, which is remarkably alive for the Tyroneââ¬â¢s. Mary in particular cannot forget the past and all the dreams she once had of being a nun or a pianist. Tyrone too has always had high hopes for Jamie, who has been a continual disappointment. All the conflicts and the problems from the past cannot be forgotten, and, in fact, they seem doomed to be relived day after day. It is important to note that Long Day's Journey into Night is not only a journey forward in time, but also a journey back into the past lives of all the characters, who continually dip back into their old lifestyles. The reader is with the realization that the family is not making progress towards betterment, but rather continually sliding into despair, as they remain bound to a past that they can neither forget nor forgive. The play is all the more tragic because it leaves little hope for the future; indeed, the future for the Tyroneââ¬â¢s can only be seen as one long cycle of a repeated past bound in by alcohol and morphine. This play was awarded the Pulitzer Prize when it was first published, and it has remained one of the most admir...
Monday, November 4, 2019
Computers Essay Example | Topics and Well Written Essays - 1000 words - 1
Computers - Essay Example However, the issue of ethics in the utilization of technology has been overlooked for a long time now. According to a research done by Bush, Bush, and Orr (2010), many users find no need to conduct ethical procedures on the use of technological products. According to the research, such an activity would take away a lot of valuable time from the managers or computer technicians. The result, therefore, is a technological platform full of ethical loopholes and weaknesses. During the earlier days, technology was used as an instrument for exploitation. However, this is not the case anymore because many people use it to experience change. It is through this way that technology has been able to dominate activities in industry and trade amongst other significant sectors of the economy. Galimberti (2009), states that technology has not only taken over the economical domain of many countries and organizations but also dominated the political arena. Through technology, we are able to formulate different solutions for different problems and innovate new ways of doing things. Information technology is also responsible for the provision of information to everyone irrespective of time and location. Examples of such activities include the search of data and the formulation of computer applications that make it easy to conduct business. However, the burden of dealing with the ethical dilemma associated with technology lies squarely with business establishments, organizations or individuals. This is because there lacks a code of ethics in relation to the use of technology. For example, the rapid advancement of technology has made it impossible for nurses and other medical personnel to make sound and professional decisions. Advancements in technology... During the earlier days, technology was used as an instrument for exploitation. However, this is not the case anymore because many people use it to experience change. It is through this way that technology has been able to dominate activities in industry and trade amongst other significant sectors of the economy. Galimberti (2009), states that technology has not only taken over the economical domain of many countries and organizations but also dominated the political arena. Through technology, we are able to formulate different solutions for different problems and innovate new ways of doing things. Information technology is also responsible for the provision of information to everyone irrespective of time and location. Examples of such activities include the search of data and the formulation of computer applications that make it easy to conduct business. However, the burden of dealing with the ethical dilemma associated with technology lies squarely with business establishments, organizations or individuals. This is because there lacks a code of ethics in relation to the use of technology. For example, the rapid advancement of technology has made it impossible for nurses and other medical personnel to make sound and professional decisions. Advancements in technology bring about the development of new equipment for hospitals.
Saturday, November 2, 2019
Inferential Statistics Essay Example | Topics and Well Written Essays - 500 words
Inferential Statistics - Essay Example Patients with extremely low T-cell counts at imminent danger of dying will not be excluded but will be given special treatment as noted below in the discussion of ethical concerns. Study Design: Patients will be split into three groups: A placebo control group, a standard cocktail control group and a hivaril experimental group. For the hivaril group, in order to mask that a newer drug is being provided, the rest of the cocktail elements will be simulated by identical-looking placebos. Patients will be monitored for six months regularly to check T-cell performance and other vectors of improved health, as well as to see for toxicity. Statistical Model: Our intent is to see, at a very high confidence level with a moderate margin of error (+/- 3% would be acceptable), if hivaril is comparable to or superior to both the cocktail control group and the placebo control group. The hypothesis is directional, with the null hypothesis being that hivaril is worse than the cocktail and identical t o a placebo. The drug would still be a major improvement if it were better than the placebo but slightly worse than the cocktail. The alternative hypothesis is as noted. Because three groups are being measured, and must be to preserve a placebo control, ANOVA will be used. Luckily, the sample size is large enough that no other modification is needed.
Thursday, October 31, 2019
Cyber Security Essay Example | Topics and Well Written Essays - 250 words - 2
Cyber Security - Essay Example If such antivirus are programmed to be deleting files purported to be infected, this can lead to loss of crucial information and at times cause unnecessary inconveniences. Mishra (2013), suggests that files purported to be infected should be isolated (quarantined) into a different directory for repair. However, the infected files should be stored in special directories such as ââ¬Ëvirus binââ¬â¢ in order to minimize chances of using the infected files because such a move would result into spreading of the virus. Toolwire online labs has numerous tools that are meant for defending operational systems against attacks that compromise the confidentiality, integrity and/or availabilityà à of information and information systems. The most obvious ones include the aspect of helping identify spam emails and disabling pop-ups. Fraudsters use spam emails in order to steal identity of the email users or what is commonly known as phishing. Spam emails are usually spoofed email messages purporting to originate from legitimate businesses and agencies or sources yet they are designed to lead customers to fraudulent websites that reveal customersââ¬â¢ financial data like usernames and passwords (Carpenter, Zhu & Kolimi, 2014). Criminals also engage in phishing using malware with pop-ups being their most preferred strategy. Internet users are advised to disable pop-ups, a service provided by Toolwire online labs, avoid entering personal information in pop-up screen, not to click on the links displayed on the pop-up screen, and not to copy web addresses displayed on them. Any legitimate organization would not ask for personal information on pop-up screens, hence customers should take precautions (Carpenter, Zhu & Kolimi,
Tuesday, October 29, 2019
Blooms Taxonomy Essay Example for Free
Blooms Taxonomy Essay Bloom believes that there are six cognitive levels that classifies thinking in cognitive levels, with each level being more complex than the previous one. Which means that the human brain has the capacity to do more than acquire and understand factual knowledge. Below are the six cognitive levels. 1. Creating Putting elements together to form a coherent, or functional whole; reorganizing elements into a new pattern or structure through generating. planning or producing. 2. Evaluating Making judgments based on a criteria and stands through checking and critiquing. 3. Analyzing Breaking material into constituent parts, determining how the parts relate to one another and to overall structure or purpose threw the differentialine organizing, and attributing. 4. Applying carrying out or using a procedure through implementing, understanding/ constructing manage from oral, written, and graphic message through interpreting, exemplifying, classifying, summarizing, inferring, comparing, and explaining. 5. Understanding constructing meaning from oral, written, and graphic messages through interpreting, exemplifying,classifying, summarizing, inferring, comparing, and explaining. 6. Remembering retrieving, recognizing, and recalling relevant knowledge from long term memory. I believe that this is the basic process that most people use to remember and learn a new concept. As almost all projects start with an idea which is where you would create your outline/ idea then you would normally evaluate and analyze that outline/ idea. If you feel that steps one three were going to work you would then apply your idea. Once the idea has been applied it will help you to understand the concept. Which will make remembering it much easier.
Sunday, October 27, 2019
Patient Care Plan Analysis: Suicide Attempt Case Study
Patient Care Plan Analysis: Suicide Attempt Case Study The purpose of this essay is to explore the effectiveness of the care delivered to Mike during clinical placement. In order to achieve this, the essay will demonstrate development of therapeutic relationships through the use of appropriate communication and interpersonal skills will be demonstrated in this essay the essay will look at the formulation and documentation plan of care of mike including his family or carers within a framework of informed consent. The essay will also evaluate and document the outcomes of nursing and other interventions. Finally, the essay will discuss the opportunities utilised and created to promote the health and well-being of patients, clients and groups. For confidentiality reasons, names and places used in this essay are changed in compliance with Nursing and Midwifery Council Code of Conduct (NMC, 2010). Mike, a 54 year old widower was taking to the accident and emergency (AE) department when found in a semi-conscious state after taking an overdose of his prescribed pain killers. Mikeââ¬â¢s neighbours alerted the police when they realised his curtains had not been drawn and reported he had not been attending the local social club for a couple of weeks. Mike collapsed on his bed with an empty packet of tablets beside him and a suicide note addressed to his son Duke who lives in Greece. Mike appeared to have been neglecting himself, lost weight and there were signs he had made superficial cuts to his wrist. Mike was also suffering from chronic lung condition due to excessive smoking. Following an assessment Mike was diagnosed of depression and was detained under section 2 of the Mental Health Act (MHA) since he refused to be admitted voluntarily. Hospital environment can be very stressful for clients when they first arrive at the ward. Nurses need to engage positively with clients to develop therapeutic relationship. Barker (2009) argues that, therapeutic relationship empower clients to learn, or cope more effectively with their environment. The nurse began a therapeutic relationship with Mike by initially introducing himself to Mike and addressed Mike by his preferred name. Mike was listened to without any immediate advice or diminishing his feelings. NMC (2010) recommends that, patients must be treated as individuals and respect their dignity. Mike had daily 1-1 nursing time with staff and through this Mikeââ¬â¢s goals and wishes were identified which was incorporated into his care plan. DOH (2006) declares that, one to one session are therapeutic, they enable the patient to engage well with staff as empowering them to express their feelings and thoughts. In other to deliver effective care to mike to promote his recovery, person-centred care plan was devised. NICE (2009) recommends that, treatment and care should take into account patientsââ¬â¢ needs and preferences. It also suggests, people with depression should have the opportunity to make informed decisions about their care and treatment, in partnership with their practitioners. Since Mike had severe and complex mental and physical health needs, different health professionalsââ¬â¢ i.e. psychiatrists, psychologists, GP, nurses, social workers, occupational Therapist and other community care providers were involved in his care. DOH (2004) ten essential shared capabilities recommends that professionals, patients, families, carers should work in partnership to provide quality care. Consent was sought from Mike if he wanted his son Duke to be involved in his care. Gaining consent is a legal aspect of mental health nursing and it shows that patients are treated with respect (Diamo nd, 2008). Mike and Duke were fully involved in every aspect of the plan of care for Mike. CPA (2008) recommends, patients, families; carers should be involved in making decision about their care plans. The author and other team members provided Mike with vital info to promote Mikeââ¬â¢s choice and to enable Mike to make informed decisions. The MDT reviewed Mikeââ¬â¢s mental and physical health regularly and any significant changes in Mikeââ¬â¢s health were amended on his care plan to make sure Mikeââ¬â¢s needs were still being met. Meeting service users other needs improves their quality of life and provides good well-being, No Health without Mental Health (2011) Due to the nature of Mikeââ¬â¢s illness and presentation, Mike was initially nursed within eyesight observation which was later reviewed to general observation (NICE, 2005). Mike also had lots of supports, reassurance and prompts to enable him attend to his personal care since he appeared unkempt. Mike losing his wife and the chronic lung condition may have impacted on his mood. Also it is possible that Mike had limited social support network and felt vulnerable, which can add to low mood. Therefore teamââ¬â¢s occupational therapists regularly engaged Mike in therapeutic activities both on and off the ward to lift Mikeââ¬â¢s mood up and also to promote his independence. New Horizons (2011) suggests, occupational activities are therapeutic and they help patients to engage with staff and other patients in the ward and builds self-worth and confidence towards discharge. Mike was also provided with bereavement support. NHS (2012) recommends bereavement support to carers, familie s and patients if they lose a dear one as it has impact on their mental health and well-being. Mike was made known of options of treatment available to him (NICE, 2009). Apart from being treated with antidepressant medication, Mike also had lots of inputs from the team psychologist to help promote Mikeââ¬â¢s recovery. NICE (2009) recommends that, people with moderate or severe depression should be provided with a combination of antidepressant medication and a high-intensity psychological intervention i.e. cognitive behavioural therapy (CBT) or individual personal therapy (IPT). Papageorgiou, C. et al. (2011) affirms that, one of the most widely known types of psychological therapy for depression is CBT, which combines both cognitive and behavioural techniques into an integrated whole. The MDT and the ward staff carried out initiatives that raised awareness and promoted healthier lifestyles choices and patients awareness of health, and also reduced the risk of experiencing illness. Wrycraft (2009) argues that, mental health promotion is an activity healthcare professionals carryout as part of their everyday practice in their roles and do not realise they are engaging in such activity. However at other times they actively seek information about health promotion activities. The nurse did provide Mike with information in the form of leaflets about his condition and range of information on smoking cessation and different methods involved. Staff facilitated these health promotions by strengthening the patients on the ward, they increased emotional resilience through communicating and negotiation with the patients to promote self-esteem, life and coping skills. This plan of care should be reviewed by the MDT depending on the progress of Mike health.
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