However, what cultural differences do exist hasn’t been explored sufficiently. There has been evidence found of cultural variations. For example, Anderson and Butcher (2006) found that there’s more obesity in children of low-income Afro-Caribbean groups. Whether this is due to lifestyle or genetic differences is unclear, so more research needs to be carried out. These explanations of obesity are convincing.
The organization has a strong base, but recent process improvements have had mixed results. The work force may not be being trained and utilized properly; therefore I would recommend that current policies, procedures and proposed improvements be further scrutinized by management. References Tubbs, S.L., Husby, B., & Jensen, L. (2009, September). Integrating Leadership Development and Continuous Improvement Practices in Healthcare Organizations. Journal of American Academy of Business, 15(1), 279-286.
Within the studies researched there were possibly skewed results due to a small number of participants, some of the studies had a short duration, and dosing protocols were different. But the studies did discover that patients showed improved hemoglobins with short intervals of receiving vitamin C post dialysis treatment and also showed that the need for large doses of Epogen changed with addition of vitamin c to their regimen. Nephrology nurses can use this knowledge when monitoring lab values, as they may see increased Hgb levels when Vitamin C is introduced and will need to adjust the patients epogen doses. Lastly nurses need to be apprised to side effects related to vitamin C use and monitor and assess their patients for signs of hyperoxalemia such as noted crystals in the tissue of the body, cardiovascular changes and symptoms and vascular changes. Summary In summary, this research found that there was some benefit of using Vitamin C for improving hemoglobins in patients with ESRD receiving hemodialysis.
Pharmacist-led telehealth disease management in patients with diabetes and depression. Junior Investigator: Lisa B. Cohen Senior Investigator: Paul A. Pirragilia, M.D. Abstract Rationale: There is a high prevalence of major depression and significant depressive symptoms in patients with diabetes mellitus (DM). Co-morbid depression in diabetes results in decreased adherence to diabetes self-care and attenuates the effects of medical interventions. A pharmacistled diabetes case management program at the Providence VA Medical Center has improved treatment adherence, glycemic control and cardiac risk reduction in patients with concomitant diabetes and mental illness.
Indeed, many have argued that we have a chronic shortage of primary care physicians in the United States and that expanding coverage will only worsen that shortage. This has not been the case in Massachusetts, however. A recent study
In those years especially, when prevention and early intervention can have significant long-term impact, primary care providers and organizations have a critical role to play in developmental and behavioral screening, parent counseling, and referral to community resources. According to an article posted in the American Med News (Primary care doctors ill-equipped, 2011) it is not clear whether primary care providers are prepared fully to take on this increased role in mental health treatment. There is some evidence to suggest that primary care providers often misdiagnose mental health conditions, have less than optimal outcomes with medications, and generally do not provide psychosocial services along with medication. Lack of time, insufficient training, and inadequate specialized and community referral resources and financing have been cited as barriers to maximizing the role of primary care in addressing the mental health needs of children. Due to the lack of knowledge the primary care physician cannot properly address the issue and leaves the concerns of the parents or guardians unheard.
Underuse of medications, however, constitutes just one possible strategy patients might adopt to cope with the burden imposed by high medications costs. Other strategies also may adversely affect patients’ health and well-being. Yet, with the exception of one recent study that found that 21% of Medicare recipients without prescription drug coverage had cut back on essentials such as food or clothing to pay for medications, (Safran et al., 2002) few other studies have examined the range of strategies patients may use to cope with medication cost pressures. Moreover, we know little about how patient characteristics may differ among those who choose one strategy versus another. Finally, we do not know whether patients facing cost pressure tend to pursue
There is no known cure for multiple sclerosis at this time. However, there are therapies that may slow the disease. The goal of treatment is to control symptoms and help you maintain a normal quality of life (“What is Multiple Sclerosis”). There are medications used to slow the progression of multiple sclerosis, and are taken on a long-term basis. The outcome varies, and is hard to predict.
Mental Health Counseling: History and Development Laura Ritchason COUN 5223 Mental Health Counseling: History and Development Mental health counselors accept a developmental perspective in that individuals grow and change throughout their lifetime. Therefore the understanding of the principles of human development, psychology, mental health and change theories offers essential serving relationships with individuals from diverse cultures in order to provide assessments, diagnosis, treatment through cognitive, affective, behavioral and systemic strategies in order to facilitate change. Mental health counseling had not evolved overnight as it might appear but history will show us when and how clinical mental health developed and the contribution
“From the past of Clinical Mental Health” “From the past of Clinical Mental Health” In the next pages the reader is going learn about the history of clinical mental health counseling as to how the past has changed the present with philosophical foundations, educational standards, licensing, and credentialing with the communities. The reader will have a greater understanding of the past to the present with how society and counselors raised the bar for care givers of mental health. One may think that we have not come far in the last 100 years in counseling but that is far from the truth. The hope that the writer can made it clear that so after reading this paper the reader has a greater knowledge of the past to the present of counseling.