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Sexual Dysfunction in the Elderly, 2008.
A study of the biological, social, emotional, cultural and environmental factors affecting sexual dysfunction in the elderly.
1,980 words (approx. 7.9 pages), 9 sources, APA, £ 35.95
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Abstract
This paper addresses the issue of whether sexual dysfunction in the elderly is a result of disease and physical conditions or an aspect of the aging process. The paper holds that changes in sexual desire and activity may be the result of a wide range of biological, social, emotional, cultural and environmental factors. The paper suggests that, while sexual dysfunction is related to a combination of the aging process and disease conditions, it may also largely be the result of misguided beliefs about aging and sexuality. The paper concludes that a great proportion of sexual problems are associated with the conditions of older people's lives and with social attitudes about aging and sexuality. It holds that the majority of issues related to sexual dysfunction can be addressed through heath teaching.
Table of Contents:
Introduction
Literature Review
Physical Conditions and Disease
Sexual Dysfunction and the Aging Process
Analysis
Conclusion
From the Paper
"One reason for sexual dysfunction is relatively easily addressed and has important implications for nursing. Lack of information about sexual dysfunction and embarrassment on the part of men to discuss the issue needs to be addressed through sensitive health teaching. Erectile dysfunction can produce a significant psychological and social impact on the patient and his partner. In addition, it is associated with depression, anxiety, and loss of self-esteem in both partners. Even though society is open about the problem of erectile dysfunction, men generally are not inclined to seek help. However, since erectile dysfunction could be the first manifestation of cardiovascular disease as well as diabetes, it is extremely important that he care provider inquire about the problem during patient visits (Kolodny, 2003)."
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Controlling Health Costs, 2008.
This paper explores how the U.S. government has attempted to control rising health care costs.
926 words (approx. 3.7 pages), 4 sources, APA, £ 18.95
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Abstract
The paper looks at the introduction of Medicare and Medicaid, managed care and cost controls that have been utilized to lower healthcare costs. The paper argues that in order to achieve improved performance, the US needs to implement more effective strategies to measure health outcomes, ensure a higher degree of price sensitivity among purchasers and correct its administrative efficiencies. The paper maintains that the focus of legislators needs to be upon health as a value and on health priorities rather than on fragmented strategies for controlling healthcare costs. The paper includes graphs of Medicare and Medicaid statistics.
From the Paper
"The central problem with the US healthcare system appears to be related to perspective. Efforts to control costs have predominated over the delivery of quality health care. The goal of limiting government and private expenditures for health care while improving health outcomes results in health care productivity being a significant policy issue not only in the United States but across the globe. Although productivity is only one aspect of the performance of any health care system, improvements in productivity can make it easier to achieve other health system goals, such as greater access to care and protection from the financial losses resulting from ill health. Ever since the mid-1970s, the US healthcare system has been troubled with three major concerns: quality, costs and access (Odom & Garcia, 2005)."
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Epigenetic Mechanisms in Genetically Modified Mice, 2008.
A look at the effect of epigenetic mechanisms in geneticaly modified mice.
892 words (approx. 3.6 pages), 4 sources, APA, £ 17.95
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Abstract
After a general introduction into various methods of genetic engineering and the effects it can have on plants and animals, this paper describes a particular research into whey acidic protein promoters in mice as they can be used to study the RAS oncogenes in human tumors.
From the Paper
"Genetic engineering can involve different ways of manipulating genetic material in plants or animals, intending to produce different kinds of plants or animals. Among the reasons for doing so are to control for disease, alter certain characteristics, add completely new characteristics, and generally change the strain of the plant or the animal. Such experiments can be uncertain, since it is never certain what effects the manipulation of genetic material may have. Some genetic engineering has long taken place through the breeding of animals and plants for specific traits, but more recently it has been possible to make such changes at the genetic level and to produce new species virtually overnight and on a much wider basis, leading, for instance, to new crops with different characteristics from older crops of the same sort, such as higher yield, resistance to disease, the ability to repel insects, and so on. On the one hand, there have been concerns about making such changes, as if they might lead to new species that would destroy older crops, create new diseases, and so threaten the production of food or threaten human life more directly, a science fiction scenario that has not yet come to pass. Another concern, and one more difficult to refute, is these new foodstuffs may harm human life in the long run in ways not yet foreseen. Wright (2002) cites a report by a National Research Council committee that Athe most significant risk associated with animal biotechnology is the potential effect on the environment. In particular, the committee said that if engineered animals escaped into the wild, they could endanger native species@ (Wright, 2002, p. 4). No human risks were identified by this report, but it was noted that this might not prove there were none given that animal biotechnology is a new and changing field."
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Nurse Practitioner Role in Canada, 2008.
An analysis of the nurse practitioner's role and how it can be implemented in the health care system in Ontario.
1,802 words (approx. 7.2 pages), 13 sources, APA, £ 32.95
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Abstract
This paper analyzes the implementation of the nurse practitioner's role in Canada. It discusses the expanded authority that the nurse practitioner has in relation to prescribing medications. The paper also looks at the health compliance of the nurse practitioner's patients compared to the physician's patients. The paper goes on to discusses a national perspective for the health system and nurse practitioners. Finally, it looks at how to fully utilize nurse practitioners in Ontario.
From the Paper
"One barrier to nurse practitioner utilization would be implementing new organizational arrangements and re-allocating roles among medical and other health professionals. Another barrier consists of a lack of options for nurses and inadequate recognition of nursing knowledge and skills (CNA, 2001). For example, the role of nurse practitioners is restricted under existing nursing legislation, protocols or medical directives (Worster & Sarco, 2005). One problem opposing utilization of nurse practitioners in Canada relates to discrepancies in legislation, educational requirements, and clinical and legal responsibilities, all of which prevent implementation of the nurse practitioner role in many areas since the title of nurse practitioner has no universal definition (Worster & Sarco, 2005)."
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The US and AIDS in Africa, 2008.
This paper explores the United States' involvement in preventing and reducing the AIDS epidemic in Africa.
1,458 words (approx. 5.8 pages), 7 sources, MLA, £ 27.95
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Abstract
The paper discusses how the involvement of the United States in pursuing treatments for the AIDS dilemma has brought about regulation and a system for stronger future growth. The paper describes how Africa has been a place where companies, governments and individuals used unique and often cruel means to abuse and mistreat the population. The paper concludes that by acting proactively and seeking ways to end the epidemic, the U.S. is making the world a better, stronger and safer place to live.
From the Paper
"AIDS is on of the most ravaging diseases that Africa has known. Unlike in the United States, where a higher level of wealth and availability of treatment keep the disease largely at bay, it has been estimated that between twenty to forty fifty percent of Africans are infected with either AIDS or HIV, its precursor ("A Little Better Off"). As the world's poorest continent, Africa has little hope of getting out of this condition without outside help. In light of that, many nations have, in addition to their present humanitarian efforts, also provided help with AIDS prevention and reduction. The United States plays a large part in this effort, seeking to find ways to prevent and reduce the AIDS epidemic."
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Supervised Injection Sites, 2008.
This paper explores the arguments for and against the drug policy of supervised injection sites (SIS).
2,793 words (approx. 11.2 pages), 6 sources, APA, £ 46.95
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Abstract
The paper discusses sanctioned supervised injection sites (SIS) in Canada where people may inject intravenous drugs under the supervision of trained medical staff, with clean syringes available for their use. The paper explores the reasoning behind this site and the ongoing arguments for and against its continuing operation. The paper supports the belief that drug use will continue and that at least users can be spared the harm inflicted by sharing non-sterile settings in a non-sanitary setting. The paper therefore concludes that the SIS is a sound, pragmatic drug policy that should be continued and developed further.
From the Paper
"In the case of SIS, the reasoning is that drug addicts are going to inject themselves with illegal drugs anyway, so why not make the actual process safer? Especially given that much of the health damage associated with intravenous drug use derives from factors other than the drugs. For example, non-sterile needles cause death through infection, and shared needles cause diseases and death by passing on Hepatitis C, AIDS, etc. As Ezard (2001) points out, the discovery that HIV transmission is linked to injectable drugs "arguably spearheaded the harm reduction movement for illicit drug use" (p. 208). Moreover, many drug deaths are due to overdoses, and those who accidentally overdose in a SIS will be given medical assistance more promptly, and are thus more likely to survive."
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Nursing Coat of Arms, 2008.
This paper looks at the coat of arms design used by the nursing profession.
1,082 words (approx. 4.3 pages), 2 sources, APA, £ 20.95
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Abstract
The paper looks at the origins of the coat of arms and describes the coat of arms used by nursing schools. The paper discusses the many qualities that make nursing distinct from any other form of work. The paper explains how a coat of arms is intended to capture these key qualities.
From the Paper
"The profession of nursing is an outstanding one, primarily because nurses are dedicated to their patients and are involved in an ethic of care. The concept of the person is central to nursing as is healing. A coat of arms is intended to capture the key qualities or the essence of what the nursing profession means. The main qualities which depict nursing can be represented through the components of a coat of arms. A coat of arms refers to a design that can be used to depict a single individual or a group, and this can be achieved in diverse ways."
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The Empowerment of Nurses, 2008.
An argument for the increased autonomy and empowerment of nurses.
713 words (approx. 2.9 pages), 5 sources, APA, £ 14.95
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Abstract
This paper discusses the values of promoting the empowerment of nurses. It argues that, given greater autonomy in decision-making, nurses will feel more professional satisfaction and commitment, leading to higher morale and efficiency in the work place. It also claims that, when nurses are given a higher degree of informal power, the results are observed in greater accountability, productivity, and work effectiveness. Furthermore, this has an impact on collegiality since stronger alliances with peers are established.
From the Paper
"The primary moral principle invariably is respect for persons; from that main principle emerge other principles such as autonomy, beneficence, nonmaleficence, confidentiality, fidelity, veracity, and justice (ANA, 2001). Respect for the inherent dignity and worth of every patient is the core principle for nursing practice (ANA, 2001). The ANA's (1995) belief that the person is holistic and possesses an inherent unity, which must be contextually and culturally defined, is correlated with that principle. Autonomy for nurses must be intrinsic and a personal choice; if it is the result of extrinsic influences, autonomy is extremely restricted. Intrinsic autonomy is only possible in nursing environments where staff can exert control. Accountability depends on the degree of autonomy that can be exercised as well as the extent to which nurses are empowered (Laschinger & Wong, 1999)."
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Transactional and Transformative Leaders, 2008.
This paper provides a comparison of transactional and transformative leadership, with a focus on the nursing environment.
1,743 words (approx. 7.0 pages), 5 sources, APA, £ 31.95
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Abstract
The paper discusses how transactional leadership contrasts strongly with transformational leadership. The paper highlights beneficial points about both styles and relates that the preferable and most effective type of leadership involves a combination of both styles, with a much higher emphasis on transformational qualities. The paper demonstrates how transformational leadership is tremendously valuable in a nursing environment.
From the Paper
"Nursing leaders play a significant role in the effective functioning of both the nursing unit and the organization. Nursing leaders influence staff attitudes as well as relationships. The leadership role can produce a significant impact on the nursing environment as well as on organizational commitment, thereby promoting higher achievement among nurses and enhancing the organization's ability to achieve its goals (McGuire & Kennerly, 2006). The transactional leader normally is involved in such activities as directing, planning, and coordinating. In the current health care environment, this leader needs to display more of the qualities of the transformational leader. Nursing leaders at the present time must not merely be aware of the current changing environment but must be able to anticipate the future."
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Occupational Health, 2008.
A report exploring the occupational health role in the overall management of health resources.
995 words (approx. 4.0 pages), 3 sources, APA, £ 19.95
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Abstract
The paper is a report written from the author's perspective as the director of occupational services. The report examines issues related to the important role of occupational care and how it fits into the continuum of health care. The report looks at critical elements of changes in future healthcare trends and how this may affect occupational care. The report concludes that health care resources should be directed to this every important facet of the health care delivery system.
Outline:
Introduction
Components of Occupational Health and the Continuum of Care
Occupational Therapy Contribution to Health Care Resource Management
Future Trends and Occupational Health
Authorization and Conclusion
From the Paper
"The slew of problems currently plaguing the Occupational Health Care Department stems from the fact that this branch of healthcare is seen as trivial and is not identified as an important component of the health care continuum. As the Director of Occupational Services, Health Sciences Division, I have unraveled a number of issues related to the Occupational health role in the overall management of health resources in the division that need attention and are presented in the report below."
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Healthcare for the Underprivileged, 2008.
An analysis of the stance of the Community Health Plan of Washington regarding healthcare for underprivileged populations.
1,930 words (approx. 7.7 pages), 7 sources, APA, £ 34.95
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Abstract
This paper involves the content analysis of the website for the Community Health Plan of Washington (CPHW) and a seminal article in its newsletter, which aims to determine how dedicated the CPHW is to providing healthcare for the underprivileged. It examines in detail what necessary policies and general messages are mentioned by the health plan with regards to uninsured and underinsured populations. The paper comes to the conclusion that CHPW is not a typical profit-maximizing firm in that it was willing to compromise profits to some extent in order to embrace the needs of this population.
Table of Contents:
Introduction
The Website and Newsletter: Measurement and Coding
The Uninsured and Underinsured for CHPW: Demographics, Needs and Health Practices
Who are the Uninsured/Underinsured?
Trends in Utilization Patterns: Predictions from the Content Analysis
Financial Impact of the Insured/Underinsured Population for CHPW
Why Does CHPW Embrace this Organizational Culture?
Conclusion
From the Paper
"Since the uninsured and underinsured population is less likely to receive preventative care, the forecasted trends include higher mortality rates and increased hospitalization for avoidable health problems. This may further increase the cost of healthcare, which creates the 'vicious cycle of increasing healthcare costs' for CHPW divisions.
"There is also the general expectation that the at-risk population will increase their enrollment in the government aided programs that provide healthcare coverage at little or no cost-sharing. Currently, these programs like Medicaid are not at their maximum potential and are expected to have increase enrollment, when the uninsured and underinsured population for CHPW realize that they can qualify and access healthcare."
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Health, Environment and Economy in Goa's Mining Belt, 2008.
An analysis of the issues of health, environment and economy in Goa's mining belt and possible ways to improve them.
1,795 words (approx. 7.2 pages), 1 source, MLA, £ 32.95
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Abstract
This paper discusses the debilitating effects of Goa's mining industry on health, the environment and economic stability in the area. It presents a project proposed by Dr. Ligia Noronha of the Western Regional Centre of the Tata Energy Research Institute, which aims to strike a balance between economic growth, ecological preservation and human development. The paper also suggests the option of implementing an accountability system that places both the government and the mining companies under the scrutiny of international bodies such as the World Bank. To conclude, the paper advocates combining Dr. Noronha's project proposal with the supervision of the international community for the long-term initiative.
Table of Contents:
Statement of the Problem
The Objectives of the Project
Alternative Options
Analysis of the Options (Pros and Cons)
Recommendation to IDRC Vice-President (Justification for Course of Action, Comparison of Different Options)
Appendix: Summary Table
From the Paper
"The objectives of the project spear-headed by Dr. Ligia Noronha of the Western Regional Centre of the Tata Energy Research Institute are manifold. At its core, the proposed sustainable development initiative seeks to encourage the striking of a balance between economic growth and ecological preservation/human development. The project (which appears to be in its incipient stages) has already developed a series of evaluative tools which will allow for the measurement of community and ecological well-being in the region over time so that greater (and presumably more expeditious) participation and conflict resolution can be undertaken as issues arise (Conway, 2; please see summary table for a list of the three tools identified by the project leaders as practicable and effective). Proceeding further, there can scarcely be any question that the project also seeks to unify all stake-holders around the idea that each of them must work with all of the others in order to see to it that the environmental, social, and economic potentiality of the region is reached (Conway, 2)."
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Leadership in Nursing and the Health Care System, 2008.
A discussion of the ideal leadership skills required in nursing and the health care system.
1,700 words (approx. 6.8 pages), 5 sources, APA, £ 31.95
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Abstract
This paper discusses the urgent need for effective leadership in nursing and health care at a time when the health care system has become fragmented and the shortage of nurses is worsening. It presents various traits and styles that characterize an ideal leader. Ultimately, the paper maintains that the most effective form of leadership in nursing at the present time is transformational leadership, which involves forward thinking, flexibility and creativity when confronted with the challenges of dealing with a very unpredictable world and an environment that is in constant flux.
From the Paper
"Among the many characteristics that leaders must possess are the ability to influence others, a high level of confidence, and certain qualities for leadership with which they are born (Frisina & Steltzer, 2001). Leadership also is concerned with such traits as appropriate critical thinking, judgment, and motivating others. Leadership also reflects the individual's personal attitudes and their approach to life. Leadership can be learned and it also can be developed (Frisina & Steltzer, 2001). My own conception of a leader is primarily a person who influences other people and is able to maintain the influence. At the same time, leadership can take place on three levels. The first is at the individual level where leaders motivate others. The second is at the group level where leaders build teams and resolve conflicts. The third is at the organizational level where leaders build culture. Wesorick (2002) maintains that the role of leaders is to transform practice cultures so that the uniqueness and outcomes of professional practice can be realized."
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Families with an Autistic Child, 2008.
An analysis of some of the issues that face families with an autistic child.
1,298 words (approx. 5.2 pages), 11 sources, APA, £ 24.95
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Abstract
This paper looks at some of the challenges that are faced by families with an autistic child. It begins by presenting a case study of a family who struggled to diagnose a child with autism. It also discusses crisis issues within families who have children with autism. The paper then analyzes a study that looks at whether there is a connection between language and theory of mind between autistic children and those with moderate learning difficulties.
Table of Contents:
Introduction
Families with Autistic Children and Crisis
Methods
Results
Conclusion
From the Paper
"In another study titled, "The Broader Cognitive Phenotype of Autism in Parents: How Specific is the tendency for local processing and executive dysfunction?" (Bolte, 2006, p. 639) showed parents of autism spectrum disorder (ASD) children performed faster in processing their children with a myriad of interactive tests (Embedded Figures Test, Block Design, Wisconsin Card Sorting Test, Tower of Hanoi, and Trailmaking Test) compared to parents with schizophrenia or mental retardation (640-1). It seems that autistic children need more attention from parents compared to the other children having schizophrenia and mental retardation. As the parents learn to cope with autistic disorder, their children seem to trust and cope with their parents."
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