Health Care Through the Front Door: A Guide to Survival in Medical Settings

1999 ◽  
Vol 44 (1) ◽  
pp. 105-106
Author(s):  
John E. Carr
Keyword(s):  
Health Care ◽  
Medical Settings ◽  
Front Door

Student Preparation for Dysphagia Practice: Universities and Practicum Sites Supporting a Common Outcome

2016 ◽  
Vol 1 (13) ◽  
pp. 122-129 ◽  
Author(s):  
Wendy Chase ◽  
Lucinda Soares Gonzales
Keyword(s):  
Health Care ◽  
Student Performance ◽  
Classroom Setting ◽  
Medical Settings ◽  
Student Preparation ◽  
Health Care Settings ◽  
The University ◽  
University Of Connecticut

This article will describe the approach to dysphagia education in a classroom setting at the University of Connecticut (UCONN), explore the disparity between student performance in schools vs. health care settings that was discovered at UCONN, and offer suggestions for practicum supervisors in medical settings to enhance student acquisition of competence.

Impulse Control Disorders in Medical Settings

2012 ◽  
Author(s):  
Sean G. Sullivan
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Impulse Control ◽  
Care Service ◽  
Health Care Service ◽  
Impulse Control Disorders ◽  
Short Supply ◽  
Medical Settings ◽  
Primary Care Settings ◽  
Primary Health

Impulse control disorders (ICDs) and conditions with impulse control features provide a challenge in terms of identification, treatment, and follow-up when mental health specialists are in short supply. Medical settings, in particular the largest, primary health care, provide an opportunity to address many impulse-affected conditions currently poorly assessed and treated in health care settings. Barriers to intervention for ICDs in primary health care are time constraints; understanding of the etiology, symptoms, and appropriate interventions; the health and social costs; and prioritizing of training in and treatment of conditions perceived as more serious or appropriate to a primary health care service. These barriers may possibly be overcome in primary care settings, and in this chapter, a model to address problem gambling is described.

Separation or Synthesis: A Holistic Approach to Therapeutics

1996 ◽  
Vol 17 (8) ◽  
pp. 279-283
Author(s):  
Kathi J. Kemper
Keyword(s):  
Health Care ◽  
Nurse Practitioners ◽  
Low Cost ◽  
Self Regulation ◽  
Holistic Approach ◽  
Medical Settings ◽  
The Public ◽  
Specialized Health Care ◽  
Definition Of ◽  
Spiritual Healers

Over the past 50 years, health care has grown more complex and specialized. Health-care institutions now are staffed with an array of specialist physicians, social workers, psychologists, therapists, and nutritionists as well as general practitioners and nurses. The types of providers outside of the hospital are even more numerous and diverse: physicians; nurses; nurse practitioners; chiropractors; counselors; acupuncturists; herbalists; spiritual healers; and purveyors of nutritional supplements, aromatherapy, crystals, and more. Intent on distinguishing their "products," providers focus on differences, polarizing into distinct camps such as "mainstream or traditional" versus "alternative or unconventional." Although these dichotomies are simple, they also can mislead. The definition of "alternative" is very dependent on the definition "mainstream"; acupuncture may be an alternative in one setting, but it clearly is traditional within Asian communities. Therapies that once were considered unconventional, such as hypnosis and meditation, have moved into many mainstream medical settings. (See Sugarman article "Hypnosis: Teaching Children Self-regulation" in the January 1996 issue of Pediatrics in Review.) The public wants health care that is low-cost, safe, effective, and personalized. Practitioners of "natural" therapies often are viewed as more humanistic and less technological than busy physicians. According to one study, in 1990, alternative medical therapies were used by nearly one third of Americans.1

Human-Centered Design for Health Information Technology

2011 ◽  
pp. 296-318
Author(s):  
Charlotte Tang ◽  
Sheelagh Carpendale
Keyword(s):  
Health Care ◽  
Qualitative Research ◽  
Information Technology ◽  
Data Analysis ◽  
Information Flow ◽  
Field Studies ◽  
Human Centered Design ◽  
Medical Settings ◽  
Care Technology

This chapter presents issues that may arise in human-centered research in health care environments. The authors first discuss why human-centered approach is increasingly employed to study and to design health care technology. They then present some practical concerns that may arise when conducting qualitative research in medical settings, from research design, to data collection and data analysis, and to technology design. Many of these concerns were also experienced in their own human-centered field studies conducted in the last few years. The authors conclude the chapter by illustrating some of these issues using their own research case study that investigated nurses’ information flow in a hospital ward.

Moral Sensitivity: some differences between nurses and physicians

2000 ◽  
Vol 7 (6) ◽  
pp. 520-530 ◽  
Author(s):  
Kim Lützén ◽  
Agneta Johansson ◽  
Gun Nordström
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Moral Conflict ◽  
Care Practice ◽  
Moral Sensitivity ◽  
Health Care Practice ◽  
Medical Settings ◽  
Males And Females ◽  
Nurses And Physicians ◽  
Theoretical Dimension

We report the results of an investigation of nurses’ and physicians’ sensitivity to ethical dimensions of clinical practice. The sample consisted of 113 physicians working in general medical settings, 665 psychiatrists, 150 nurses working in general medical settings, and 145 nurses working in psychiatry. The instrument used was the Moral Sensitivity Questionnaire (MSQ), a self-reporting Likert-type questionnaire consisting of 30 assumptions related to moral sensitivity in health care practice. Each of these assumptions was categorized into a theoretical dimension of moral sensitivity: relational orientation, structuring moral meaning, expressing benevolence, modifying autonomy, experiencing moral conflict, and following the rules. Significant differences in responses were found between health care professionals from general medical settings and those working in psychiatry. The former agreed to a greater extent with the assumptions in the categories ‘meaning’ and ‘autonomy’ and to a lesser degree with the categories ‘benevolence’ and ‘conflict’. Moreover, those from the psychiatric sector agreed to a greater extent to the use of coercion if necessary. Significant differences were also found for some of the MSQ categories, between physicians and nurses, and between males and females.

Agent of Opportunity Risk Mitigation: People, Engineering, and Security Efficacy

2010 ◽  
Vol 4 (4) ◽  
pp. 291-299 ◽  
Author(s):  
Margaret E. Graham ◽  
Michael G. Tunik ◽  
Brenna M. Farmer ◽  
Carly Bendzans ◽  
Aileen M. McCrillis ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Health Care ◽  
Risk Mitigation ◽  
Care Delivery ◽  
Front Door ◽  
Security Controls ◽  
Wide Range ◽  
Access Controls ◽  
Survey Interviews ◽  
The Impact

ABSTRACTBackground: Agents of opportunity (AO) are potentially harmful biological, chemical, radiological, and pharmaceutical substances commonly used for health care delivery and research. AOs are present in all academic medical centers (AMC), creating vulnerability in the health care sector; AO attributes and dissemination methods likely predict risk; and AMCs are inadequately secured against a purposeful AO dissemination, with limited budgets and competing priorities. We explored health care workers' perceptions of AMC security and the impact of those perceptions on AO risk.Methods: Qualitative methods (survey, interviews, and workshops) were used to collect opinions from staff working in a medical school and 4 AMC-affiliated hospitals concerning AOs and the risk to hospital infrastructure associated with their uncontrolled presence. Secondary to this goal, staff perception concerning security, or opinions about security behaviors of others, were extracted, analyzed, and grouped into themes.Results: We provide a framework for depicting the interaction of staff behavior and access control engineering, including the tendency of staff to “defeat” inconvenient access controls. In addition, 8 security themes emerged: staff security behavior is a significant source of AO risk; the wide range of opinions about “open” front-door policies among AMC staff illustrates a disparity of perceptions about the need for security; interviewees expressed profound skepticism concerning the effectiveness of front-door access controls; an AO risk assessment requires reconsideration of the security levels historically assigned to areas such as the loading dock and central distribution sites, where many AOs are delivered and may remain unattended for substantial periods of time; researchers' view of AMC security is influenced by the ongoing debate within the scientific community about the wisdom of engaging in bioterrorism research; there was no agreement about which areas of the AMC should be subject to stronger access controls; security personnel play dual roles of security and customer service, creating the negative perception that neither role is done well; and budget was described as an important factor in explaining the state of security controls.Conclusions: We determined that AMCs seeking to reduce AO risk should assess their institutionally unique AO risks, understand staff security perceptions, and install access controls that are responsive to the staff's tendency to defeat them. The development of AO attribute fact sheets is desirable for AO risk assessment; new funding and administrative or legislative tools to improve AMC security are required; and security practices and methods that are convenient and effective should be engineered.(Disaster Med Public Health Preparedness. 2010;4:291-299)

General Health, Health Care Utilization, and Medical Comorbidity in Dysthymia

1993 ◽  
Vol 23 (3) ◽  
pp. 211-238 ◽  
Author(s):  
Robert H. Howland
Keyword(s):  
Health Care ◽  
Major Depression ◽  
Health Care Utilization ◽  
General Health ◽  
Public Health Problem ◽  
Care Utilization ◽  
Medical Comorbidity ◽  
Medical Settings ◽  
Poor General Health ◽  
Increased Risk

Objective: This article reviews the literature on the general health, health care utilization, prevalence, medical comorbidity, and treatment of dysthymia in medical settings. Method: The literature was searched by using MEDLINE and by reviewing the bibliographies of recent publications. Studies were selected that included health data on patients with dysthymia or chronic depression according to DSM-III, DSM-III-R, ICD-9, or RDC criteria, or patients who were described as having persistent depressive symptoms. Results: This review shows that dysthymic patients are at increased risk for poor general health and frequently use medical services. Compared to the general population, dysthymia is more prevalent in primary care and among patients with various medical and neurological conditions, sleep disorders, chronic fatigue, hypothyroidism, and somatoform disorders. Pharmacotherapy is effective, but has not been well studied. Non-tricyclic antidepressants might be especially useful. Psychotherapy studies are virtually nonexistent. Conclusions: Although dysthymia is considered a minor depressive condition, these findings show that it is a significant public health problem, comparable to major depression. Recent efforts to improve the recognition and treatment of major depression in medical settings, therefore, should be extended to include the entire spectrum of depressive disorders. Future studies should investigate the type and pattern of medical comorbidity and health care utilization, different antidepressant and psychosocial therapies, and the clinical and biological correlates of treatment response in different chronic depressive subtypes in medical settings and compare them to major depressive and subsyndromal depressive conditions.

scholarly journals Group Coaching for Individuals with Multiple Sclerosis

2010 ◽  
Vol 12 (2) ◽  
pp. 59-64 ◽  
Author(s):  
Amy Heinz ◽  
Jennie Antolak
Keyword(s):  
Multiple Sclerosis ◽  
Health Care ◽  
Life Goals ◽  
Medical Settings ◽  
Group Coaching ◽  
Group Format ◽  
Current State ◽  
Tools And Techniques ◽  
Ongoing Support ◽  
Exacerbation Of Symptoms

The physical, emotional, and mental changes associated with multiple sclerosis (MS) can disrupt patients' lives on many levels and interfere with their pursuit of life goals. Health-care practitioners usually work with people with MS in traditional medical settings—for example, upon initial diagnosis of MS or after an exacerbation of symptoms. Because of the nature of such settings and the current state of health care, it is challenging to provide the ongoing support and guidance that patients need to work toward life goals that were in place before the onset of their illness. Coaching is a talk-based process that uses tools and techniques designed to help individuals make progress toward their life goals. Coaching in a group format is an emerging method for guiding people with similar situations or needs toward their goals. The pilot group coaching project described here provides initial evidence that group coaching may be a valuable service-delivery model for expanding possibilities for individuals with MS living in the community.

Benefits of Remote Microphone Technology in Health Care Management for the World War II Generation

2019 ◽  
Vol 4 (6) ◽  
pp. 1379-1384 ◽  
Author(s):  
Linda M. Thibodeau
Keyword(s):  
Health Care ◽  
World War Ii ◽  
Care Setting ◽  
Auditory Signal ◽  
Care Providers ◽  
World War ◽  
Medical Settings ◽  
Communication Challenges ◽  
Hospital Stays ◽  
Personal Devices

Purpose The purpose of this article was to provide a review for hearing care providers of the need for improving the auditory signal for older adults who are often faced with hearing challenges in medical settings. Personal devices worn at the ear level may not reduce communication challenges that result from noise, reverberation, and distance. The use of a remote microphone may greatly enhance the audibility of the health care provider's voice and reduce the stress caused by miscommunication. Suggestions for optimal use of remote microphone technology in medical settings are provided in 3 settings: office appointment, hospital stays, and living with caregivers/nurses. Conclusions Use of remote microphone technology in conjunction with personal ear-level technology may significantly facilitate communication in the health care setting. In addition to providing a higher quality signal when worn by a speaker, the microphone may serve as a reminder to the health care provider to speak more slowly and clearly, as well as to ask for confirmation that the correct information was received.

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