Health Care Settings

Background statement: Heritage Valley Medical Center has had a wonderful reputation for providing excellent health care services to their community. Initially, their community was 80% Caucasian, 40% African American, and 5% Hispanic. However, in the last 5 years, the population has changed to more minorities and the whites have moved out to the suburbs. This caused the Center’s occupancy rate to go down 40% because many of their traditional, more affluent, private-pay patients had left the neighborhood. To bring in revenue, they campaigned to bring in more Medicaid patients.

Anand Sundaram Professor George Bishop USE2307: HIV/AIDS – From Microbes to Nations 6th February, 2015 Book Review: The Invisible Cure by Helen Epstein Helen Epstein’s book “The Invisible Cure: Africa, The West and the Fight Against AIDS” is a powerful account of the AIDS epidemic that has hit hardest in Africa. Epstein is a scientist-turned-writer who merges 15 years of personal observations with scientific reasoning to explain the spread of HIV/AIDS in the continent. She explains why the battle against the disease has been so challenging in Africa in spite of the investment of large amounts of effort and money. Giving the example of Uganda, Epstein argues that the solution may not align with what the proverbial Western World envisions, and that it must come from the Africans themselves.

Do we want to take this right away simple because there is no treatment? Family and career planning may be the motivation behind an individual’s decision to be tested. It is the individual choice

• In the state of Massachusetts a prescription is required from a doctor in order to distribute hypodermic needles. In the year 1990, two citizens of the city of Lynn started a needle exchange program in an goal to fight against the spread of acquired immunodeficiency syndrome also known as (AIDS). The two men legally purchased new sterile needles over-the-counter in Vermont. The defendants were at a specific location on Union Street in Lynn from 5 P.M. to 7 P.M. every Wednesday evening in 1991 until their arrest made in June 19. They accepted dirty needles from society in exchange for clean needles; they exchanged between 150 and 200 needles each night ranging from 50-60 people.

To test that hypothesis, the researchers got donations from young, healthy volunteers screened to make sure they didn 't have HIV, hepatitis or other infectious diseases. They froze the material and waited four weeks to test the donors again. Once the donors got a clean bill of health, pill production began. "When I first started

Thus, instead of removing all tests and operations that doctors judge to be meaningless, healthcare providers should only perform extra investigations that remove doubt and ensure a peace of mind. Claim: -In some cases, choosing to remove additional inspections places the patient at binary: you live with the condition which has a small chance of being fatal or your die unexpectedly. Evidence: -From Gawande’s perspective, the option to “leave alone” all diseases that have a small chance of being deadly is a perfectly acceptable.

In this experiment, researchers took advantage of the lack of medical knowledge that existed within the public. In particular, the Public Health Service conducted the experiment on 600 African American men in order to record the natural history of syphilis. Although the researchers told the men that they were being treated for “bad blood”, which is a term encompassing several illnesses including syphilis, fatigue, and anemia, they did not receive the proper treatment needed to cure their ailments. Men were inclined to participate in the experiment because they received free meals, free medical exams, and burial insurance in turn. However, despite the men consenting to the experiment, there is no proof that verifies that the men were properly informed about the study and its purpose.

For example, is the program truly decreasing the number of people transmitting HIV with needles, or is the program further influencing the use of drugs and deteriorating the community? However, the documentary revealed that there were numerous drug users who dispose of their used needles, in order to obtain new ones. This scene demonstrated that people in the community are attempting to decrease the spread of the disease, and wanting to prevent HIV and AIDS amongst themselves. However, this not only reveals problems such as prominent drug use that the communities have, it reveals that are issues beyond AIDS and that AIDS is simply not an independent

Many people are supported in their homes by people who work along side the health and social care service such as social workers,nursers ,doctor and care givers or they may get support from their family members and friends. An elderly person may choose to stay in their own homes instead of a residential care home while seeking help and support from others,however this can lead to potential opportunities for abuse happening to the person who Is being looked after. When an individual is getting support at home by a carer, the individual being cared for is vulnerable and defenseless and therefor this makes them a target for abuse,another example is abuse by strangers,when an elderly person lives alone they are at risk of people calling at the door and then gaining access to their homes,they may steal items from them or mistreat them or cause intimidation. A person who is vulnerable and living alone are at risk of physical and sexual because there is no one there to stop this abuse from happening.

The PHS (Public Health Service) department recruited local doctors and nurses who would not treat the men with syphilis (Clinton). They had white physicians within their department administer the study (Batten). There were 400

The legislations, policies, processes, and code of practices have established the responsibility of employer in the regulation of social care worker. These standards are being set at the national level as they require the social care providers to comply with them. The codes are important step in the introduction of the system of regulation for the social care within four countries of the United Kingdom. They are required to ensure that people working as social care providers are required to understand their responsibilities. They are required to be provided with the appropriate training to handle vulnerable groups requiring assistance from social care providers.

The author also highlighted that addressing issues concerning unequal availability to healthcare is in imperative in order to reducing health disparities (McHenry, 2012). I think as APNs one thing we can do is make patient aware of what their insurance will cover and what types of services they are eligible for. For many patient, suggested interventions and treatments may be disregarded due to a lack of financial means. In addition to this many people have simply decided not to take advantage of health insurance coverage that is available to

This case is about a forty five year old man named Colin. Colin has a five year-old son named Toby who lives with his ex-partner Patricia and her boyfriend Jon. Colin is desperately seeking work after losing his job through redundancy. As a result, Colin signed on for benefits and due to being out of work for 12 months was eligible for the government work programme. He left the programme resulting in losing his entitlement for his job seekers allowance and housing benefits.

In the case of a false positive, individuals will get a scare and once individuals get tested, the information derived would be valuable as the positive predictive value helps individuals to find out the probability of the population of the population of interest that gets the disease. This will help medical personnel stop the disease in its tracks. Therefore, point of care testing was developed to allow for more accurate testing of persons: “Point of care testing allows patient diagnoses in the physician’s office, the hospital or the home and the results are timely and allow rapid treatment of the patient” (NIH, 2013). It will encourage patients to get tested and prevent any fear associated with getting tested due to the stigmas associated with attaining the infection and the history of false positives noted in the

Community health assessment (CHA) is a systematic examination of the health status indicators of a specific population that is used to determine key issues and assets in a community. The main objective of community health assessment is to establish plans to address the community’s health needs and issues. Variation of tools and processes, community engagement and shared participation are utilized to conduct a community health assessment. According to NACCHO (n.d.b), a CHA can be used to answer the following questions for a community: “What are the health problems in a community? Why do health issues exist in a community?