The plan is already facing several hurdles because of the responses of the three major health care stakeholders in the health care industry as explained below & #8230; Health Care Providers: Hospitals and physicians are likely to oppose Obama's health care plan because of the unclear changes that would be made to malpractice awards. These changes will in turn establish the tests and referrals that doctors prescribe with the patient having the ability to sue the physicians or hospitals in cases where something goes wrong (Tapper & Khan, 2009)
The coming storm of patients means when they can't get in to see a primary care physician" the emergency room will be the next choice. (Christensen, 2012, p
The cost increase is not some trivial amount but is estimated to run an average family of four between $650 and $1,000 per year over the next decade." (Dorfman, 2013, p
Figure 2 Source: Ritger (2013) It is reported that findings from a Kaiser study states that "the drop off in employer coverage paralleled an increase in premiums, which rose 80% for families and 73% for singles in the last 10 years." (Ritger, 2013, p
0% Source: Congressional Research Service & Congressional Budget Office (2013) According to one report Romney previously stated that Obamacare would result in the adding of "… trillions to our deficits and to our national debt, and pushes those obligations onto coming generations." (Woodward and Alonso-Zaldivar, 2012, p
Prevention of clotting is usually undertaken with antiplatelet drugs, which act by a different mechanism from warfarin (which normally has no effect on platelets). It is likely with proper dosing over a series of days his symptoms will resolve (Griffiths and Hutchings, 1999)
Patients should have a blood test at least once a month, but sometimes they will need to have them more often, especially in the beginning. It is key that patients write down their dose and test results for their records (Fritsma, 2002)
This is a part of a larger effort, to deal with rising costs at a variety of health care organizations. (Ableson, 2010) As a result, a shift has occurred in the kinds of services that are being provided to consumers
This will have an impact on how managers are performing their jobs and the kind of activities they are allowed to engage in. (Feeny, 1986, pp. 47- 52) (Beam, 2005, pp
As the areas of specialization and the kinds of customers that they are serving will vary from: one entity to the next. (Duncan, 1997, pp
This will have an impact on how managers are performing their jobs and the kind of activities they are allowed to engage in. (Feeny, 1986, pp
It is an intermediate stage of the nursing process, and focuses on guiding the ongoing and fluid process of nursing care and evaluation. The idea nursing care plan has six major parts: 1) It focuses on actions which are designed to solve or minimize the existing problem; 2) It is a product of a deliberate systematic process; 3) It relates to the future; 4) It is based upon identifiable health and nursing problems; 5) Its focus is holistic, and 6) It focuses to meet all the needs of the service user (Barrett, et
Under the paradigm of quality health care, modern nurses should interpret this as "quality patient care" -- which comprises three important factors -- sound theoretical knowledge of the latest medical procedures, information and innovations; superior communication skills that are multi-culturally based; and the ability to empathize appropriately with the patient and family to buttress the role of caregiver. The necessity for modern nurses is to be far more than ever -- more of a multitasking professional with superior communication and organization skills -- and even more focused on the holistic model of the patient and the manner in which they, the nurse, affects the outcome of the patient's care experience (Brown, 2007)
During the diagnosis and initial opinion period, there are several events that will necessitate the nurse acting on behalf of the patient because of the patient's inability to either act or understand the procedure. (Burkhard, et
Complete Care Plan Associated care plan completed None -- done Additional research, collaboration, consultation. Additional Risk Factors Very specific evaluation Collaborative or nursing issues that are important but may, by necessity, be delayed Priority identification -- anticipate problem prior to formalizing plan Review, Revise, Assess Fluid and continuous Depending on treatment outcome Surgery or treatment may accentuate (Carpenito-Moyet, 2009, 25-31) Process and Planning -- The nursing care plan is a guide, but is meant to be fluid and responsive to the patient's individual needs, issues, and potential emergencies
, 2009). Essentially, the plan allows a nurse to individualize appropriate care procedures that prevent overlap, omissions, and allow the nurse to assume the hub role of care when there are multiple physicians involved (Doenges, et
It is essential that this section be specific so that anyone reading the plan can assist if necessary. Finally, additions to the plan, since it is fluid, such as "at risk," or "maintaining wellness" may be added as needed (Gulanick and Myers, 2007)
Exercise training. Evaluation Evaluation is a vital component of a nursing self-care plan since it helps in monitoring quality indicators that determine whether processes help in achieving desired outcomes (Crisp & Taylor, 2009, p
Loss of appetite - brought by the patient's refusal to eat hospital food. Generally, loss of appetite is attributed to decline in energy needs, which makes an individual to refuse or resist meals and liquids (Scott, n
Coping should include all cessation of smoking as well as the implementation of bronchodilators and corticosteroids in an effort to help eliminate complications. Beta2-antagonists can "smooth airway muscle" and anticholinergics are more long-acting in that they block nerves that decrease breathing (Baldouff, 2012)