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Essay review of telemedicine
Essay review of telemedicine
Essay review of telemedicine
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In the world today, people go to hospitals when they are in times of physical or mental need. People consider hospitals to be places of asylum because they are safe and have a reputation of giving both medically and technologically advanced care. Unfortunately though, hospitals were not always like this. Before we had the accessibility to state of the art medical products like vaccines and antibiotics, hospitals were not always safe. They used to be places where all the sick would get forcibly put together so they couldn’t continue to infect the healthy population. It wasn’t until the turn of the twentieth century that hospitals began to make a large difference in helping people in need. Once considered places of death and disease, as time …show more content…
In the beginning, hospitals were not what people today would consider hospitals. Instead, they would be considered to be more of a healing shrine where priests would use religious healing to help the sick and wounded (Porter, 135). The first real hospitals were erected in the medieval age (between the fifth and sixteenth centuries). They were generally very small, on average only about 10-12 beds. During this time period, there was still very little medicine to provide assistance to the old and sick, so the hospital's main purpose was to allow people to confess their sins to a priest and then die in a state of grace (Porter 136). People were scared of these early hospitals because going to them meant almost certain death. In addition, “Leper Asylums” were created to quarantine the sick people so they couldn’t …show more content…
Surgery, which often led to death, became much more intricate, prevalent, and reliable in saving people's lives. Inventions like the Iron Lung (created in 1930) and the dialysis machine (1940) saved people who suffered from diseases like polio (Porter, 148). In addition, arguably the most important invention, the electron microscope, was created in 1926. Its existence allowed humans to view bacteria and other small organisms with great detail and learn a lot about them (Porter, 149). It was also in this time that the first ambulances, blood transfusions, and instances of life support became available to the public. With all these new inventions, and the increased rate of survival in hospitals, many people began to see hospitals in a new light. Many who had initially been scared of them were now hopeful of them and their existence. Robert Morris, one of the founding fathers of the United States said, “One of the very greatest changes that I have observed… has been in the attitude of the public towards hospitals. Dread of them was general and well founded before the days of antiseptic surgery. But with its widespread adoption, fear faded rapidly from the lay mind…” (Porter, 148). A lot of this success could be attributed to the increase of cost in medicine. In one year, almost sixty five percent of the United States budget went to the
“Hospitals today are growing into mighty edifices in brick, stone, glass and marble. Many of them maintain large staffs, they use the best equipment that science can devise, they utilize the most modern methods in devoting themselves to the noblest purpose of man, that of helping’s one’s stricken brother. But they do all this on a business basis, submitting invoices for services rendered.”
The staff, physicians and board members were not ready to fail. They didn’t want to abandon all those who depended on their services, but they also knew closing the hospital's doors would hurt
The first hospital was built in a quiet farming town later named Kings Park. In 1885, officials of what was then the city of Brooklyn established the Kings County Farm on more than 800 acres to care for the mentally ill. Kings Park was only a small part of what would later become a giant chain of connected mental hospitals on Long Island, each with over 2,500 patients at one time.(Bleyer,2)
Dr. Thomas Kirkbride was born in 1809 in Pennsylvania. He went to the University of Pennsylvania Medical School originally intending to become a surgeon. However, in 1840 after his training and internship at Friends Asylum, he was offered to become the superintendent of the newly established Pennsylvania Hospital of the Insane. "His ambition, intellect, and strong sense of purpose enabled him to use that position to become one of the most prominent authorities on mental health care in the latter half of the nineteenth century." He soon became the founding member of the Association of Medical Superintendents of American Institutions for the Insane, and later was elected the president of the American Psychiatric Association. From his involvement in these organizations and from his writings, he promoted a standardized method of hospital construction and mental health treatment for the insane which is commonly known as "The Kirkbride Plan." He wrote many articles and reviews for medical journals and also published three books. His third book, On the Construction, Organization, and General Arrangements of Hospitals for the Insane (1854), was a very technical and thorough collection of his theories on the topic. Dr. Thomas Kirkbride's theories on the architecture, activities, and medical treatment for the mentally ill were the precedents that formed how the mentally ill were treated in the United States society.
...aims to a final hope or refuge for humanity, but rather concludes its hospital-as-society metaphor with a semi-entropic presentation of sociological reality as counter-utopian, desolate and irreparable.
For much of the United States’ history, problems with private hospitals refusing to treat people without financial means and transferring them to public hospitals existed. Many patients who were in serious medical crisis did not survive the journey or many died soon after. This proved that these transfers can be detrimental to the emergency victim’s health.
There is no doubt that these events have improved and advanced the science of medicine as a whole and that lives have been improved and saved through the availability of healthcare within the system that has been created. The introduction and availability of antibiotics alone has restored to good health countless individuals who in the century before would have certainly died from bacterial infection.
In the 1840’s, the United States started to build public insane asylums instead of placing the insane in almshouses or jail. Before this, asylums were maintained mostly by religious factions whose main goal was to purify the patient (Hartford 1). By the 1870’s, the conditions of these public insane asylums were very unhealthy due to a lack of funding. The actions of Elizabeth J. Cochrane (pen name Nellie Bly), during her book “Ten Days in a Mad-House,” significantly heightened the conditions of these mental asylums during the late 1800s.
Movies and shows like, “Girl Interrupted” and “American Horror Story: Insane Asylum” portray hospitals in a way that has truth to it, however they portray the people in a negative way. It has become more known to society that the hospitals that the mentally ill are subjected to living in are not a good place to be. However, the stigma that mentally ill people are dangerous and cannot overcome their illness is still widely
The authors name is Audrey Young and she has received her bachelor’s degree in history from University of California, Berkeley, and an M.D. from the University of Washington, in Seattle. She is board certified in internal medicine and was Assistant Professor of Medicine at the University of Washington. She currently practices hospital medicine at Evergreen Hospital in Kirkland, Washington. She has also published several other books such as, House of Hope and Fear: Life in a Big City Hospital, published in 2009, and
The concept of the asylum was originally meant to be a place of retreat for a sorely troubled individual. Appalled by the treatment of the insane, a woman by the name of Dorothea Dix set out to persuade legislature to establish thirty-two new asylums in several states across the country. This included the monumental government hospital, St. Elizabeth’s, in D.C. Dix believed that the most deranged individuals would recover from their illness if they were treated with kindness and dignity. These hospitals were set apart from the community and were made to provide a place of retreat from busy city life, a place for healing. The hospital grounds were peaceful and relaxing. With this environment and a structured day complete with evening entertainment it was thought that a patient would need only a few months to heal. The first patient arrived at St. Elizabeth’s in 1855. Dorothea Dix once said, “If the person’s insanity was detected soon ...
Reinventing American Healthcare This book begins with the introduction of real people who have had to deal with the complex, headache-inducing healthcare system of the United States. Next, the author, Ezekiel Emanuel, begins Part I of the book with a brief history explaining how the current state of healthcare came to be. Physicians used to have minimal education and used hospitals for training.
Healthcare is like other avenues of business and life, it is constantly changing. At the turn of the 19th century, food and occupations were different than they are today. Like the changes in food and other occupations, healthcare is no different. We also would not want it to be. If the country remained struggling with the same challenges of 1899, then we would not have progressed as a medical society. As healthcare changes we all have to change. Change in our ways, tactics, thinking, and structure of the healthcare market. According to Merriam-Webster (2014) the maintaining and restoration of health by the prevention and treatment of diseases, mainly by trained professionals is healthcare (Merriam-Webster, 2014).
The purpose of his article was to find a better way to prevent healthcare-associated infections (HCAI) and explain what could be done to make healthcare facilities safer. The main problem that Cole presented was a combination of crowded hospitals that are understaffed with bed management problems and inadequate isolation facilities, which should not be happening in this day and age (Cole, 2011). He explained the “safety culture properties” (Cole, 2011) that are associated with preventing infection in healthcare; these include justness, leadership, teamwork, evidence based practice, communication, patient centeredness, and learning. If a healthcare facility is not honest about their work and does not work together, the patient is much more likely to get injured or sick while in the