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Advocating for older Americans
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Positive Medicine, Inc. is a small medical service production company in its first year of business. Positive Medicine offers new and efficient services ascribed to managing chronic illness by providing home-based palliative care through its workers. It has professionally trained nurses, clinicians and medical doctors who will be available for the provision of these services. It strives for patient satisfaction by providing the best care for all those who subscribe to its services. Through its large network, it ensures that there is intensive and urgent support for the cases it handles.
Environmental Analysis
Research in Positive Medicine intimates that many of the cases of chronic disease often cost a lot of money. Most of the patients admitted
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to palliative homes have to spend a lot of money, which is not affordable for the bulk of the population. Medical service providers have a hefty package for the management of the patients. These packages cost thousands of dollars and are often only available for the well-off patients, making it inaccessible to those who lack comprehensive health insurance coverage. This means that the lack of a medical coverage locks one out of chronic care. The availability of services in the marginalized areas is also scarce, especially a service that will be easily adaptable to different settings.
Palliative care offered by public hospitals is not efficient enough to cater for all the cases that exist. Many medical care providers offer palliative services-it is the availability and affordability is a hindrance to those who need the services.
The threat analysis identified that the enterprise’s competitors have an advantage in light of the duration over which they have been providing care services for the chronically ill. However, the cost of their services is a limiting factor for the access to the services they offer. The inability to integrate this care to the nursing homes gives is an advantage on which the institution is able to
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maximize. Products we offer It will offer a care package for individuals, which will include the provision of counseling services, medical care for bedridden patients and constant checkups on health statuses (Calkins, 2010). Services that will be available for the hospices, welfare and nursing homes include the training of staff on handling chronically ill patients, medical care for the patients and group or the communal counseling of families and workers in case of bereavement. Target market Positive Medicine will target patients who are unable to afford the normal cost of palliative care services. The market will also include welfare homes and nursing homes where there are patients who suffer from chronic illnesses that require long-term care. Objectives and Goals What this product aims to achieve is the reduction of deaths that result from chronic illnesses.
By providing a care package that is a long-term contract with institutions and individuals, the firm is in a position to achieve this goal. Collective intervention programs will use group interventions to deal with clients in a given region. It will enable the firm to help as many people as possible using minimal resources. These resources will be of outstanding quality.
Another objective that the firm wants to achieve is the integration of its services in homeless shelters to help those who have chronic illnesses and are unable to afford the requisite services. Through collaboration with welfare services, we hope this will increase the quality of life among the disadvantaged in society. Making this is a long-term goal.
Marketing Strategies and Implementation
Through a pervasive campaign on social welfare platforms, the firm strives to reach the underprivileged in society. Through these platforms, it aims to interact with welfare agencies, both at the State and Federal levels. It will also have workshops throughout the country to serve as information points for its services (Baker, 2012). Comprehensive marketing targeting the hospices and nursing homes will be put in place. Marketing agents of our organization will actively involve themselves in the marketing process that will involve hospice and other existing
organizations. Evaluation and Assessment Evaluation will be a real-time activity that will involve all the department heads. It will be essential to compare the enterprise’s financial expenditures with existing ones and plan goals will be put in place to ensure the firm is indeed on the right track (Luther, 2001). Each of the tenets covered by the institution will have a project manager who will handle the administrative monitoring of the implementation of our services and managing of the allies will be working within this program. A periodic evaluation of the quality and efficacy of services will be in place and will be undertaken by autonomous entities that will serve to have transparent modus operandi. Conclusion The provision of palliative care is an important part of modern day medical care. There has been a noticeable increase in cases of chronic illnesses in all domains of society. The proper care of patients suffering from these diseases through the course of the infection is necessary. This marketing plan is meant to enable Positive Medicine, Inc. to market the products that we offer. It will also serve as a guideline for our activities. Shareholders will have a chance to view the information and offer their input.
The purpose of this report is to summarize the findings of an interview with Rusty Metcalfe, Chief Information Officer of Fundamental Administrative Services, LLC, and analyze the competitive and strategic positioning of the firm within the long-term, post-acute senior care industry. I interviewed Mr. Metcalfe on Wednesday November 15, 2016 and covered a broad array of topics including the department’s history and structure, risks and opportunities, strategic alignment and near and long-term goals.
The change which is outlined in this paper relates to how early referral of terminally ill patients into a hospice program results in better patient outcomes, in particular, with regard to pain management. PICO format question will be used , along with a supportive body of evidence regarding the fact that early onset into a hospice program is helpful with providing end of life pain control. Hospice programs available, and options associated with them will be discussed as well as common concerns associated with early admission to hospice. The methods used for payment of hospice, and how one qualifies for entrance into a hospice program will be explored. A literature search will be performed and its results detailed within the body of this paper. Recent publications on the subject matter and associated issues such as moral and ethical questions as well as the change question will be discussed. Planning, implementing and evaluation of the change proposed will be explored within this paper.
Hospice focuses on end of life care. When patients are facing terminal illness and have an expected life sentence of days to six months or less of life. Care can take place in different milieu including at home, hospice care center, hospital, and skilled nursing facility. Hospice provides patients and family the tool and resources of how to come to the acceptance of death. The goal of care is to help people who are dying have peace, comfort, and dignity. A team of health care providers and volunteers are responsible for providing care. A primary care doctor and a hospice doctor or medical director will patients care. The patient is allowed to decide who their primary doctor will be while receiving hospice care. It may be a primary care physician or a hospice physician. Nurses provide care at home by vising patient at home or in a hospital setting facility. Nurses are responsible for coordination of the hospice care team. Home health aides provide support for daily and routine care ( dressing, bathing, eating and etc). Spiritual counselors, Chaplains, priests, lay ministers or other spiritual counselors can provide spiritual care and guidance for the entire family. Social workers provide counseling and support. They can also provide referrals to other support systems. Pharmacists provide medication oversight and suggestions regarding the most effective
The first journal article is about advance care planning (ACP) in palliative care. This is of interest due to several clinical experiences and the realization that many families either ignore the patient’s request for end of life (EOL) care or who have no idea of how to plan for EOL care. By reading the research and understanding the methods used, this will allow for insight into how to implement palliative care into clinical practice across different sites. The authors of this original research are Jeanine Blackford PhD, RN, senior lecturer at La Trobe University in Australia, and Annette Street PhD, associate dean of research and professor of cancer and palliative care studies. According to Blackford & Street (2011), this research is important as there are many countries that “report a low percentage of people who have completed an advance care plan” (p. 2022), and ACP is needed upon admission to facilities that offer palliative care.
"Palliative Care | Cancer.Net." Doctor-approved Cancer Information from ASCO | Cancer.Net. Cancer.net, Feb. 2010. Web. 19 Jan. 2011. .
Palliative care is an essential to the creation of a health and wellbeing continuum for Australians living with a chronic illness. It is an approach of care that seeks to improve the life of patients and family experiencing the effects of chronic illness. Palliative care centres on the relief of the symptoms and effects of disease and incorporate the physical, psychological and social dimensions of a person at the end of life. A recent focus for the delivery of palliative care by nurses to Indigenous communities is the consideration that culture can create barriers to the provision of appropriate and beneficial care for the dying or deceased person. This essay explores the palliative nurse caring for Indigenous communities and the need to consider
PAD is the most debated moral issue, where the stances taken by various stakeholders are either for or against the issue. Since, Nurses put the patients’ decision first, most nurses advocate for the legalization of the PAD. Despite, Palliative care aims to relieve suffering and improve the quality of living and dying, most patients with a progressive life-threatening illness wish to end their life with some medical help. This desire needs to be respected, for patients deserve the peace of mind and improved quality of life that comes with knowing that a peaceful and dignified PAD will be an available choice, when the suffering becomes intolerable (BCCLA, 2015). In situation where legislation restricts the client to resort to PAD, people find different ways to end their life to eliminate the unbearable suffering, even if that means choosing a violent and risky death. Therefore, it is arguable that if these kind of violent methods are acts of desperation, then why not consider a peaceful method of ending life through medical help? Accepting PAD does not necessarily encourage suicide or
Even though many dispute over the value and usefulness of treatment and care of terminally ill patients, the debate for the most useful care and pain reliever for these patients is the question that most patients, and their families, have to ask themselves daily. Wesley J. Smith suggests that Hospice care for patients with such a horrible illness is a beneficial program and that many patients need to utilize it. Smith also recommends that a valuable care option would be to “allow the terminally ill to enter hospice care without having to give up life-extending or curative treatments”. (Smith 3) With this statement, Smith demonstrates a way that these ill patients can be provided with treatment and also care for the patient’s quality of life.
“Persons intentionally choose to become nurses to help patients meet their health needs,” even when the patient is actively dying. (Wu & Volker, 2012) Hospice nursing and palliative care nursing are both considered end of life care. However, hospice nursing is typically given to patients with a terminal illness and who have less than six months to live. Palliative care is typically given to patients with a life threatening illness, and is used to increase the patient’s quality of life. Choosing a nursing career in either hospice or palliative care can be extremely difficult, but will provide an opportunity for great personal growth. At times, an end-of-life caregiver may feel responsible for their patient’s death, or they may feel isolated due to a lack of support. Nurses new to this field should “feel that their unit acknowledges death as a difficult event and that discussion of death is acceptable in the workplace.” (Lewis, 2013) The most rewarding, and also most difficult, part of being a hospice or palliative care nurse is the ability to be a part of your patient and their family’s life, including their loss, grief, and death. (Wu & Volker, 2012)
The care of patients at the end of their live should be as humane and respectful to help them cope with the accompanying prognosis of the end of their lives. The reality of this situation is that all too often, the care a patient receives at the end of their life is quite different and generally not performed well. The healthcare system of the United States does not perform well within the scope of providing the patient with by all means a distress and pain free palliative or hospice care plan. To often patients do not have a specific plan implemented on how they wish to have their end of life care carried out for them. End of life decisions are frequently left to the decision of family member's or physicians who may not know what the patient needs are beforehand or is not acting in the patient's best wishes. This places the unenviable task of choosing care for the patient instead of the patient having a carefully written out plan on how to carry out their final days. A strategy that can improve the rate of care that patients receive and improve the healthcare system in general would be to have the patient create a end of life care plan with their primary care physician one to two years prior to when the physician feels that the patient is near the end of their life. This would put the decision making power on the patient and it would improve the quality of care the patient receives when they are at the end of their life. By developing a specific care plan, the patient would be in control of their wishes on how they would like their care to be handled when the time of death nears. We can identify strengths and weakness with this strategy and implement changes to the strategy to improve the overall system of care with...
Pain is neither objective nor seen or felt by anybody other than the person that is experiencing it. Pain is subjective, therefore there is no way to distinguish whether or not someone is hurting and the only and best measurement of pain is that what the patient says it is. In settings such as end of life care, patients present with many different disease processes and ultimately are there because they have an average of six months to live. Along with this stage in their lives, palliative care patients can encounter a myriad of symptoms, which can result in these patients experiencing tremendous physical and psychological suffering (Creedon & O’Regan, 2010, p. [ 257]). For patients requiring palliative care, pain is the most incapacitating of symptoms and in return unrelieved pain is the primary symptom that is feared most by these patients. So why has pain management not become the top priority when it comes to end of life care, considering this area is growing at an extraordinary rate as a result of an increasingly ageing population?
Palliative care involves the holistic care to maintain and improve the quality of life of the patient and family during hospitalisation until the terminal stage. Palliation of care refers to the multidisciplinary approach of providing comfort and support for the terminally ill patient and family, thus has an important role in maintaining and improving the quality of life of the whole family. Chronic illness such as cancer gives a physiologic and emotional burden for the patient and family. Education and counselling of the possible options as well as treatments for pain and other symptoms that could help alleviate anxiety, suffering and discomfort. Palliative care provides assistance for the family as a channel for communication between the
Palliative care “focuses more broadly on improving life and providing comfort to people of all ages with serious, chronic, and life-threatening illnesses” (http://www.WebMD.com). Palliative care is not the same as hospice, since it is not only for the dying. According ...
General health throughout the years has been a widely researched area of study with many different studies conducted. One study that was conducted at health daily stated that the effect of positive
Jennifer Jackson elucidated that palliative care ameliorates the quality of life and assisted people from not becoming isolated towards their end of life, I discerned the bliss in such care. Additionally, prior to her speech, I contemplated on what would happen to geriatric patients that are lonely. Nevertheless, Dr. Jennifer Jackson answered my thoughts when she stated that patients have an alternative choice of palliative care, which does not compromise the quality of a patient's life brought comfort to me. To emphasize, I believe I feel a comfort in knowing that palliative care is a resource because I visualized my family members in such position and the thought struck me on how paramount palliative care can be because of how palliative care changes a patient’s quality of life and their emotional state immensely. In light of emotions, Dr. Jennifer Jackson’s example of her care with the Egyptian woman made me realize that doctors deal with more than just cures, but their emotion for each patient is a lasting