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Access to healthcare essay
Significance of health promotion
Access to healthcare issues
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Patients with limited funds and finances may be more likely to die from home than in a hospice, especially if they are not able to have access needed to support beyond what is available with routine hospice care according to (Barclay, Joshua S., et al). When a patient decides to die at home, a lot of factors arise such as lack of caregiver support, lack of home health personal and equipment’s, lack of health care provider mindfulness of preferences and reduced control of disease control may result in one being transferred to subacute or acute care settings before death. Palliative care is given to help improve the quality of life of patients who have a serious or life-threatening disease, such as cancer. According to experts studying access …show more content…
Social-ecological model is important because it reflects the complex relationship between how individual, relationship, community, and societal factors may affect one to adopt healthy habits and have a good health by leading healthy lifestyle. The social ecological perspective also provides a powerful theoretical basis for multilevel intervention whose essential awareness is the various determinants at multiple levels which comprise of intrapersonal, interpersonal, organizational, community, and policy—interact to influence human behavior and health outcome (Weiner, Bryan J., et al). The Ecological Model of Health Behavior (McLeroy et al., 1988). It also offers a theoretical framework for classifying the key factors at the end-of-life, keeping the patient the main focus while putting into consideration major influences hindering hospice care. Interpersonal Factors comprising of Social networks and social support systems such as personal history and biological factors influence how individuals behave which will increase their likelihood of adopting healthy habits according to how they were raised up. Adopting healthy habits in individual behavior can lower …show more content…
S., Kuchibhatla, M., Tulsky, J. A., & Johnson, K. S. (2013). Association of hospice patients ' income and care level with place of death. JAMA internal medicine, 173(6), 450-456. http://www.nhpco.org http://www.nhpco.org/palliative-care-4 McLeroy, K.R., Bibeau, D., Steckler, A., et.al. (1988). An ecological perspective on health promotion programs. Education Quarterly, 15, 351-377.
Rogowski, J., Freedman, V. A., Wickstrom, S. L., Adams, J., & Escarce, J. J. (2008). Socioeconomic disparities in medical provider visits among medicare managed care enrollees. INQUIRY: The Journal of Health Care Organization, Provision, and Financing, 45(1), 112-129.
Weiner, B. J., Lewis, M. A., Clauser, S. B., & Stitzenberg, K. B. (2012). In search of synergy: strategies for combining interventions at multiple levels. Journal of the National Cancer Institute. Monographs, 2012(44),
...nce that is necessary to provide primary care providers the tools necessary to provide care. Early hospice admission is statistically proven to be more effective in preventing pain at end of life. It is cost effective to do so and has been discussed within the confines of this project. A literature search using CINAHL proved that in different venues the fact that earlier admission does result in pain management was proven.
The essay will describe the biopsychosocial model of health and its development including who developed the model, then it will look at the models separately which are the biomedical, psychological and sociological models. This essay will outline the effects that diabetes has on people in different ways in relation with the biopsychosocial model of health.
Hospice always patient and families the automaty to decide a choice of end of life care. It allows who prefer to end life in their homes, pain free, surrounded by family and loved ones: Hospice works to make this happen. The focus in on caring, not curing. Hospice utilizes an interdisciplinary team of healthcare professionals and trained volunteers that address symptom control, pain management, and emotional and spiritual support expressly tailored to the patient's needs and wishes. Hospice is not “giving up,” nor is it a form of euthanasia or physician assisted
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.
Tannahill, A., Tannahill, C., & Downie, R. S. (1999) Health Promotion. Models and Values. Oxford University Press.
Glanz, K., Rimer, B.K., Lewis, F.M. (2002). Health behavior and health education. San Francisco: Jossey-Bass
The end-of-life nurse’s primary objective is to provide comfort and compassion to patients and their families during an extremely difficult time. They must satisfy all “physical, psychological, social, cultural and spiritual needs” of the patient and their family. (Wu & Volker, 2012) The nurse involves their patient in care planning, as well as educating them about the options available. They must follow the wishes of the patient and their family, as provided in the patient’s advance directive if there is one available. It is i...
West, B. S., & Stanley, D. R. (2011). Lung cancer treatment. New York: Nova Science Publishers.
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...
The American Cancer Society publishes current advances made in cancer research on their website. Many of the exciting discoveries about how best to treat the disease focus on the genetic aspects associated with certain types of cancer. In addition, treatments aimed at genetic solutions to cancer may be more effective and may cause fewer adverse side effects than traditional cancer treatments (American Can...
Health as a Social Construction In my essay, I aim to find out why social construction affects the health of our society. Ill health may be defined as 'a bodily or mental state that is deemed undesirable'. This means that health is the condition of the body both physically and mentally. Social construction of health refers to the way health varies from one society to another.
To reach a state of complete physical, mental and social wellbeing, an individual or group must be able to identify and to realize aspirations, to satisfy needs, and to change or cope with the environment. Health is, therefore, seen as a resource for everyday life, not the objective of living. Health is a positive concept emphasizing social and personal resources, as well as physical capacities. Therefore, health promotion is not just the responsibility of the health sector, but goes beyond healthy life-styles to wellbeing. Health promotion goes beyond health care. It puts health on the agenda of policy makers in all sectors and at all levels. It directs policy makers to be aware of the health consequences of their decisions and accept their responsibilities for
Cohen, B. (2012). Population health promotion models and strategies. In L. Stamler & L. Yiu
I have been a registered nurse at UCLA for 18 months. One particular issue that has captured my attention is the utilization of palliative care in health care. Because nurses are generally at the bedside all the time, they have an important role to play in voicing the importance of its utilization and implementation in the patient’s care.
We as health care professionals need to work side by side with the families to provide the best care and decisions that are right by our patients. We have to be mindful of the cause and effect our course of treatment depicts for our patients. No individual wants to live in pain or misery, we all want to be healthy and happy and are willing to go great lengths to achieve this goal. Death is the final stage of life, but as we live and get older we start to prepare for death as to not fear death but accept it. Health care professionals may benefit from the opportunity to acknowledge, normalize and integrate death and dying into the continuum of life, both for themselves as well as their patients. (Sinclair, 2011) With advancements in technology and medicine we are living longer and fuller lives, and given time quality of life will only continue to improve.