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Essays on the disadvantages of telemedicine
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Child and Adolescent Fellow experience with the Pediatric Behavioral Health Collaborative Care Program 1. Year of your training when you did rotation 2. Describe briefly rotation setting in vs outpatient location etc 3. What was your role in the clinic 4. Describe the workflow (review chart before see the pt dictate discuss with primary sent them letter etc.) 5. Did you participate in an evaluation? 6. Describe attending supervisor role ( example with first year attending is present with every pt with second not) Did you use screening questionnaires with patients during your assessment and what was most commonly used? 7. When did patient do screens ( example parent do it while we see kids) 8. Did patient fill questionnaire before
you see them 9. Did you have access to pediatrician note? 10. How did you communicate with primary care provider after the visit? 11. Most common reason for referral 12. What was the strength of the rotation? 13. Did you obtain any skills that will it help you in the future practice 14. What did you find most challenging in working in the Primary Pediatric Clinic outpatient setting? 15. What did you like about the rotation? 16. Which changes would you suggest? 17. What was the most important skill or information learned from this rotation? 18. What would have made this rotation more educational or beneficial for the fellows in the future? Additional Comments: Please specific suggestions and directions for further learning and development. Please identify areas of strength of the rotation and areas that could use improvement in more detail
According to Statistics Canada Report 2013, “life expectancy in Canada is one of the highest in the world” and it is expected to grow, making the aging population a key driver to our health-systems reform. By 2036, seniors in Canada will comprise of twenty five per cent of the population (CIHI, 2011). Seniors, those aged 65 years and older are the fastest growing population in Canada. Currently there are approximately 4.8 million Canadians aged 65 or greater. It is projected that this number will increase to 9 to 10 million by 2036 (Priest, 2011). As the population get aged the demand for health care and related services are expected to increase. Currently, the hospitals in Ontario are frequent faced with overcrowding emergency departments, full of admitted patients and beds for those patients to be transferred to. It has been reported that 20% of the acute care beds in the hospital setting are occupied by patients that do not require acute hospital care. These patients are termed Alternate Level of Care (ALC). ALC is “When a patient is occupying a bed in a hospital and does not require the intensity of resources/services provided in this care setting (Acute, Complex, Continuing Care, Mental Health or Rehabilitation), the patient must be designated Alternate level of Care at that time by the physician or her/his delegate.” (Ontario Home Care Association, 2009, p.1).
“No cost nor labour did I spare” is a phrase every mother lives by. It shows that a mother loves her children so much that she will give anything up just so her children can reach success in life. The way this is written suggests that there was no thought involved in making this decision, the mother did not even think about it for a second, she knew immediately that she would not spare any cost or labor for her child. Anne Bradstreet is the author who wrote this, suggesting that the most important thing in her entire life is her kid’s success in life. In the poem “In Reference to Her Children,” author Anne Bradstreet demonstrates her love for her children by raising her children with pain and care, watching concernedly her children grow up, and wanting to be with them in the afterlife.
...h the inventory is very easy to use and is self explanatory, it’s seems important to evaluate when and why the test is being used with the client and how the results are going to benefit the client. Because the assessment is a self-report assessment, it’s so crucial to help the client understand how important an honest evaluation of their symptoms is to an accurate score.
The practice of using inter-professional teams in delivering care is not a new concept but current health policy requires professionals work within a multidisciplinary team Department of Health (2001) and entrenched in the Nursing and Midwifery Council (2008) Code. The principle focus of this essay is to discuss the importance of inter-professional collaboration in delivering effective health care and what challenges and constraints exist. The integration of a case study will give an insight into inter-professional collaboration in practice.
A few accreditation programs include NAEYC, The National Association for the Education of Young Children, NECPA, National Early Childhood Program Accreditation (Douglass 89-94); and specific to Pennsylvania, Keystone Stars. If a daycare receives NAYEC accreditation then they are the crème de la crème of early childhood programs. Parents recognize NAEYC accreditation as a mark of high quality and are more inclined to send their child to that daycare center. Centers that are NAEYC accredited have stronger team of teachers, administrators, and families working together to improve quality for children (Why NAEYC Accreditation). NECPA accreditation in child care center also attracts families to enroll their center there because they know their child will receive quality care. This accreditation program asses the quality of the adult and child interaction, staff framing, health and safety; physical environment, administration, and the parent and community relationships (Encouraging Quality, Recognizing Excellence). Keystone Stars is a continuous quality improvement program. It has four star levels, one meaning just beginning and four meaning the highest quality. Keystone Stars sets requirements for early childhood education program to promote the best learning environment and safest setting possible for each child. A Keystone Stars program provides children with individual attention, daily learning activities, a safe, friendly, and respectful environment; self-esteem, a well educated staff, and parent and community involvement (A Parent’s Guide to Choosing Quality Child Care). Accrediting programs is a way of child care centers providing the best possible care that promotes social, emotional, and cognitive development for young childre...
It can be argued that the largest yet most neglected health care personnel is patient. It doesn’t matter if the care is a cutting edge or technology advanced if it doesn’t take the patients goals and views into account. The phrase ‘Patient Centered Care (PCC)’ is in vogue, but its meaning is poorly understood. PCC is providing care that is respectful of, and responsive to individual patient’s preference, needs and ensuring that patient’s values guide all clinical diagnosis.
Early Intervening Services is a hot topic and nonetheless relevant topic for us educators. Early Intervening Services is essential for all students to succeed. “The concept of early intervening services was introduced into public school systems with the implementation of the Individuals With Disabilities Education Improvement Act (IDEA) of 2004” (Mire & Montgomery, 2009). Administrators need to adhere to the educational laws so that all children have the right to learn and grow with their peers in an educational setting. One change in the law is this emphasis of intervening early to meet the needs of children at risk of not succeeding in the classroom. A common thread with the research articles I’ve selected is this notion of effectiveness. Dickman’s (2007) formula and the provided description of IDEA: Early Intervening Services ( ) both support the non negotiable pieces of the puzzle in order to have an effective approach when providing Early Intervening Services. The research heavily emphasizes the importance of Early Intervening Services must be provided with scientific research-based, training to carry out the program, and informed environment. The research strongly suggests that all three are essential to meet the expectations of Early Intervening Services. Dickman’s vital points do align with the definition of IDEA. In Neuman’s (2007) Changing the Odds article, identifies effective principles to an intervention just like Dickman; she also agrees professional training is key to effective Early Intervening Services. Although, her attributes for an effective intervention consist of eight principles and his consist of three, both of them strongly believe children can succeed when provided effective early intervention services by...
The Risk Management Plan is designed to support the mission and vision of All Aboard Pediatric Hospital as it pertains to clinical risk and patient safety as well as visitor, third party, volunteer, and employee safety and potential business, operational, and property risks. When analyzing the risk management plan the top safety measures must be implemented into the program. The core factors work in sync, patient, all employees, property equipment and the final status of the entity. Evaluating all of these elements individually and together is important. “Having such a perspective helps to ensure every function with in the facility aligns its own activities with that of All Aboard Pediatric Hospital health delivery goals” (Broyles, 2009)
Obtaining a thorough health history is an important piece of a patient’s assessment. Failure to obtain a complete health history results in a lack of information that can negatively impact the patient. Interviewing skills develop through experience and practice. A complete health assessment involves several features and is a systematic process that involves respect, professionalism, and communication skills.
Children’s healthcare of Atlanta is a nonprofit hospital and clinics that specialize in pediatrics. To improve patients’ healthcare quality, the organization worked on measuring patient satisfaction and outcomes. This was assessed through a survey after patient’s visits. The survey involved everything ranging from the time patients entered the hospital at the time of exit. The survey responses were in turn used to improve the quality of care offered by CHDA and also encouraged patients to share any ideas they may have on how care can be improved. The organization developed a process to improve the products and services it receives from its medical devices and equipment suppliers. Through this process, staffs were encouraged to share their likes
Our first task was to meet with the Infectious Disease and the Quality Improvement Teams of Children's Mercy Hospital to learn about their project and needs. Through discussion we were able to find a consensus of what needs they had that we could meet, primarily the education of nurses about the new Clinical Practice Guideline being developed and implemented in several specific departments. Our second task was to educate ourselves on the diagnosis and treatment of Group A Streptococcal Pharyngitis utilizing information provided to us by the CMH teams and through our own research. We then developed teaching objectives which then guided our quiz development. We then submitted our quiz to the Quality Improvement Team for feedback and then revised
Cardinal Glennon Children’s Medical Center is a 190 bed hospital located in the heart of Saint Louis, Missouri. The non for profit organization, named after Archbishop John Cardinal Glennon opened in the summer of 1956. The patients that seek medical attention from this hospital are primarily from Missouri and Illinois, but it is not uncommon for families who seek a very specific kind of treatment to travel from even farther away. The hospital also has a program that will fly children in from around the world so they can get the life-saving surgery or treatment that they need. The hospital is religiously affiliated and the mission statement reads: “Through our exceptional health care services, we reveal the healing presence of God.
This is still fairly new in comparison to the Paper-pencil questionnaires but it is on the rise because of the simplicity and speed of which you can administer these questionnaires to the public. Like before there are some disadvantages to this method also for example if someone does not have access to the internet and/or a computer that rules them out of your data group straight away.
Document Use: I have to fill, sort, and file patient charts after me and the corresponding physiotherapist have worked on a patient during the time of my stay.
My second experience on the pediatric ward was a heartache to observe so many babies on the pediatric ward today. With sixteen children admitted at the pediatric ward, the oldest child was 3+ and the youngest was like a week old. The patient was a one plus child with a lower respiratory tract infection.