| Papers [1-14] of 100 :: [Page 1 of 8] | | Go to page : 1 2 3 4 5 6 7 8 —> | Search results on "MEDICAL DECISION MAKING": |
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Medical Decision Making and Research, 2006.
A research paper on parental authority limits in medical decision making and medical research.
5,086 words (approx. 20.3 pages), 17 sources, MLA, £ 90.95
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Abstract
This research paper describes the Western medical approach to patient treatment which requires that the patient be informed of his illness and arms him or her with the autonomy to choose the kind of care and treatment he or she will have. The paper further takes a look at the history of this medical doctrine in the United States and its implications for parental authority regarding medical decision making and research.
From the Paper
"A physician who makes a diagnosis of a diseased condition, which means a short and painful life for a patient must make a choice of outright informing the patient of his condition, discussing treatment options with his or her family in the absence of the patient, or discussing the condition and the options with the patient's family and in his or her presence (Veatch 2002). Cultures differ in determining the option among these three. Since the era of liberal biomedical ethics in the 70s in the United States, the focus has been the competent patient. In the East, traditional Europe and Latin America, the family makes that decision, whether the patient is present or involved, and especially in terminal disease conditions, such as cancer. Western cultures, particularly American, uphold the ideology of liberal individualism, which gives priority to the patient's own decision and which embodies the doctrine of informed consent. The doctrine requires that the patient be informed and arms him or her with the autonomy to choose the kind of care and treatment he or she will have. This means that it is unethical and illegal to submit the patient to treatment options without his knowledge and consent and that the right to accept or refuse the options is reserved to him or her alone (Veacth)."
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Medical Ethics and Decision Making, 2004.
An in-depth analysis of the medical profession and health care organizations, focusing on the ethics of cost control and the ensuing effects on medical decision making.
7,970 words (approx. 31.9 pages), 50 sources, MLA, £ 121.95
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Abstract
This paper discusses the revolution of accountability and assessment in the medical field and what it means for doctors in the United Kingdom and in America. The paper contends that doctors everywhere must deal with ethics, guidelines, and responsibility to their patients. The paper examines the issue of medical insurance and describes the dilemmas facing the doctor who has to treat patients according to their financial situation.
Outline
A New Revolution in Ethics
The Importance of Quality
Guidelines, Accountability, and Rapid Expansion
Controversial Issues and Ethical Behavior
Bioethics
Informed Consent
History of the Issue
Law Versus 'Common Sense'
The Strongest Cases
The Feasibility of Ethical Accountability
Ideas for the Future
Concluding Information
From the Paper
"In 1988, what many called the ?third revolution? in medical care came about (Dunevitz, 1999). The first revolution was after the Second World War, and this caused an explosion in the number of hospitals and doctors, as well as the research that went into the field (Dunevitz, 1999). Medicare and Medicaid were created and the field of medicine was growing so rapidly that it was hard to follow it and understand everything that was happening to it (Dunevitz, 1999). In the 1970?s, cost and how to contain it became more of an issue than the growth of medicine and not only employers but the government began to work against the costs that were getting out of control (Dunevitz, 1999)."
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Ethical Decision-Making, 2007.
A case study analyzing the ethical dilemmas involved in medication errors in a hospital.
1,299 words (approx. 5.2 pages), 4 sources, APA, £ 30.95
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Abstract
This paper presents a case study of a nurse who notices that a patient has been given an incorrect dosage of a drug by her team leader. The paper describes the values, ethical principles and legal rules that are involved in this case. It then goes on to discuss the options and alternatives that this nurse has and her possible course of action. The paper suggests that if the hospital has clear guidelines, many ethical dilemmas can be avoided.
Table of Contents:
Introduction
Ethical Situation: A Dilemma
Values
Reactions
Ethical Principles
Legal Rules
Options and Alternatives
Course of Action
Action Plan
Evaluation
From the Paper
"The incident must be reported. The first reason for this is that the nurse must "always use the patient's perspective as a starting point" (CNO, 2004, p. 5). The wellbeing of the patient is always to be the top priority for any nurse, over all other considerations. Secondly, the nurse is morally accountable, and this does not mean making what other individuals would believe to be the right decision. Instead, "it does mean being able to defend and justify whatever decision one makes" (Yeo & Moorhouse, 1996, p. 31). There is a good reason for reporting the incident, which demonstrates the importance of accountability. Legal rules and guidelines focus on ensuring competency, quality, and safety to patients. The nurse, as a professional, must make decisions and act on those decisions which are concerned with independent practice and collaboration (Keatings & Smith, 2000)."
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Medical Profession and Policy-Making, 2004.
Examines the role of the medical profession in shaping healthy policy.
984 words (approx. 3.9 pages), 10 sources, APA, £ 24.95
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Abstract
This paper talks about how the medical profession decides, makes and implements a health policy for the government, country and work sites.
From the Paper
"Not all examples of health knowledge utilisation go through a policy-making stage, and in some cases the policy comes after partial translation of the findings into practice. For example, clinical guidelines are usually developed after the medical profession in the field have already adopted an evidence-based practice and then seek to encourage its wider diffusion throughout the profession. Nevertheless, often a policy-making stage in knowledge utilisation is important if the final outcomes of health, health equity, and social and economic gain are to be achieved. The potential importance of a policy stage in the process of turning evidence into application is increasingly being accepted, even for clinical practice."
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Public Policy-Making Process, 2006.
A review of public policy making and the public policy-making process.
2,114 words (approx. 8.5 pages), 9 sources, APA, £ 46.95
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Abstract
This paper takes a look at the process of public policy making. According to the paper, the policy making process that occurs in governmental organizations is a complex process that involves many organizations and entities, and is inclusive of several stages in the policy-making process. The paper further discusses the thesis of Charles E. Lindblom and Edward Woodhouse.
Outline:
Introduction
The Nature of Policy
Different Kinds of Policy Analysis
How Perceived Problems gets on the Public Agenda
The Major Players in the Process
The Decision-Making Processes Used to Adopt Policies
The Environment Within Which Policy Must Take Place
How Federalism Impacts the Policy-Making Process
Assessment of the Process Using the Thesis of Lindblom and Woodhouse
From the Paper
"Policy analysis is stated to have its limitations in the work of Lindblom and Woodhouse and the policy-makers are generally given too much advice or information which is incidentally extensive but does not offer a contrary or different point of view. Another limitation exists in the fact that while one group would hold that the correct action was taken yet another group would believe that the action was incorrect and this is based on individual reasoning. Stated is: "There runs a deep and wide river of information and opinion fed by many springs, from formal research projects to letters to the editor, some of which makes it way into the thinking of those with direct influence over policy." [p.15]"
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Healthcare Industry and Medical Malpractice in the U.S., 2006.
Evaluates the current situation of medical malpractice and the crises in the healthcare industry in the United States.
5,460 words (approx. 21.8 pages), 23 sources, MLA, £ 94.95
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Abstract
The massive United States healthcare system plays an important place in society. Enormous amounts of money spent on health care, fail to a large degree in terms of healthiness or life expectancy. Medical malpractice aggravates this situation due to inflating costs. This paper analyzes how the legal system in the United States is putting pressure on the healthcare system, looks at ways that healthcare delivery has gotten more expensive and potentially more harmful or wary of risk. Tort reform is examined with the potential to help reduce medical costs, but does not seem to be a sufficient long-term goal. Finally, the paper explores the idea of medical courts or tribunals, specialized medical decision makers that could help to increase fair and reasonable judgments for medical malpractice claims.
Paper Outline:
The United States' Legal System is Killing Healthcare
The Impact of the Legal System on Healthcare in the United States
Tort Reform
Medical Courts and Medical Administrative Tribunals
Benefits of Medical Courts and/or Tribunals
From the Paper
"The United States legal system, at both the state and federal level, has never had the direct impact on an industry as it has on the U.S. health care industry. Currently, outside of very lax civil procedure rules, anyone can bring a medical malpractice claim and receive compensation without any factual findings made by a judge or jury. In other words, claimants may receive compensation from defendants without proving their allegations. Parties in medical liability lawsuits can hire so-called experts who routinely testify for the plaintiffs or defendants and skew their testimony towards the side who paid them to testify."
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Decision-Making, 2007.
This paper discusses the advantages and disadvantages of group decision-making versus individual decision-making.
1,590 words (approx. 6.4 pages), 3 sources, APA, £ 36.95
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Abstract
This paper states that some of the advantages of group decision-making over individual decision-making is that there are more resources, the work load can be spread evenly amongst all of the members of the group and there are more diverse viewpoints. The author points out that the disadvantages of group decision-making is that the process is more time consuming, there is more pressure to conform, and there is a possibility of unfair treatment and questionable leadership. The paper concludes that the type of organization and the kind of decision to be made determine whether it is better to use a group or individual decision-making process.
From the Paper
"...it is sometimes difficult to ascertain who's the boss or the leader. Imagine there being a football team without the head coach, or a marching band without a drum major. Those things can be in existence without the head coach and the drum major, but I guarantee that those entities will not be able to stay afloat for even a short period of time. It is imperative that the group come to a general consensus about who the spokesperson or leader for the group will be. Doing this will alleviate a lot of stress and eliminate the ambiguity in the group's assignments."
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Medical Geriatric Case Study, 2006.
This paper is a medical case of a 66 year old male, referred for home care evaluation due to poly-pharmacy and multiple medical conditions with poor control.
3,965 words (approx. 15.9 pages), 5 sources, APA, £ 75.95
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Abstract
This paper indicates that the patient's past medical history includes poorly controlled type 2 diabetes and hypertension and significant obesity; however, at the home visit, he was in no apparent distress. The author points out that the Calgary Family Assessment Model (CFAM) is a method of providing a thorough family assessment in a healthcare setting, utilizing three major categories: 1) The structural dimension of family life, 2) the developmental dimension of the family life and 3) the functional dimension of the family life. The paper concludes that, on the surface, it would seem that all the pathology in this family lies solely in the range of the patient's medical problems; however, the Calgary Assessment Model indicates that many of the issues surrounding his poor diabetic control, weight gain and high blood pressure were related to family dynamics and lack of education surrounding disease state and disease management.
Table of Contents
Presenting Problem
Past Medical History
Past Surgical History
Review of Systems
Current Medications
Social History
Objective Data
HEENT
CV
Neuro
GU/Rectal
Mental Status Exam
Assessment
Plan
Calgary Family Assessment Model (CFAM)
Calgary Family Intervention Model
Problem List and Discussion
Relative Lack of Knowledge of Diabetes
Relative Lack of Knowledge of Hypertension
Relative Social Isolation
Critique of the Calgary Assessment Model
From the Paper
"Home visit was accomplished on 2 April 2005. The visit was accomplished in the midmorning and present at the visit were the patient, Mr. Schelley, his wife of 40 years, Mrs. Annette Schelley, and their 38 year old son, Thomas, who lives in the household with Mr. and Mrs. Schelley. The family lives in a 1200 square foot ranch house in a middle class neighborhood. It is a two bedroom, one bathroom house purchased by the Schelley's five years ago when Mr. Schelley took early retirement from a local manufacturing plant. Thomas returned home about a year ago after separating from his wife. He is currently unemployed and living in the extra bedroom. His presence in the house is a source of significant stress and the cause of many arguments between Mr. and Mrs. Schelley. This write-up was done from information obtained over the course of two home visits.."
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Strategic Decision Making, 2005.
This discussion investigates strategic decision-making in project management organizations, focusing on the World Bank and UNESCO.
25,514 words (approx. 102.1 pages), 45 sources, MLA, £ 176.95
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Abstract
The research explores how corporations or organizations make strategic decisions in project management. The investigation focuses on organizations such as the World Bank and UNESCO providing a comparison of these two entities. Tje paper explains how the World Bank makes special use of the project life cycle which is composed of eight phases: Country assistance strategies, identification, preparation, appraisal, negotiation and board approval, implementation and supervision, implementation and completion and evaluation. It shos how the World Bank relies on various strategies and the board of directors in the decision making process. On the other hand, the paper explains how UNESCO relies on the general conference and the bureau of strategic planning to make decisions for the organization. Project management is specialized for each project. It also includes an objective and goal for each aspect of the organization. A SWOT analysis is made for both organizations. The discussion focuses on the key factors involved in making decisions. The research indicates the importance of feasibility studies for both organizations and the success of the projects that have been implemented. The literature review discusses project management, product management, benchmarking, strategic marketing and other components of strategic planning. In addition, the research investigates strategic decision-making as it relates to human resources including team training and the characteristics of a project manager. The strategies and marketing aspects of the organizational strategies are also investigated. Finally, the discussion focuses on future studies in areas of strategic decision-making and project management.
Outline
Abstract
Executive Summary
Chapter I
Introduction of Topic
Introduction
Background
Conclusion
Chapter II
Comparison of the World Bank (International Bank) and UNESCO
Introduction
On What Basis do Corporations or Companies Make Strategic Decisions in Project Management?
World Bank (International Bank)
Strategic Decision-Making and Project Management
SWOT Analysis
Strengths
Weaknesses
Limited Scope of Operations
Opportunities
Threats
Conclusion (World Bank)
UNESCO
Strategic Decision Making
Education
Objectives
Natural Sciences
Information Systems and Communication
Objectives
Social and Human Sciences
SWOT Analysis
Conclusion (UNESCO)
Man-made Limitations
Seasonal Factors
Institutional Factors
Comparison of Feasibility Studies between the World Bank and UNIDO
UNIDO
Successfulness of Projects
Chapter II Conclusion
Chapter III
Literature Review
Introduction
Strategic Management
Project Management and Strategic Decision Making
Project Management
Strategic Decision Making
Project Managers and Project Teams
The Role of Product Innovation and Development
Creativity
Benchmarking
Strategic Marketing and Planning
Chapter III Conclusion
Chapter IV Future Studies
Introduction
Future Studies
Chapter IV Conclusion
Chapter V
Discussion& Conclusion
Introduction
Discussion
Conclusion
References
From the Paper
"Strategic Decision Making has long been a part of the corporate culture. The need for strategic decision-making became evident after World War II; this will be discussed in detail in the literature review. Strategic decision-making is also essential because most organizations are now using project teams to complete certain tasks. Therefore, the ability of managers to make strategic decisions is important. In recent years, project management has become increasingly more popular. In addition, the importance of strategic decision-making has become more prominent. The development of new ideas and concepts has led many organizations to seek out project managers to implement the new innovative projects properly. There is evidence to suggest there is a shortage of project managers, which is a reflection of the changing corporate environment. To combat this shortage of project managers many business schools have begun to offer specializations in project management."
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Empowerment and Group Decision Making, 2005.
Considers how empowerment and participative decision making improves the decision making process within organizations.
2,300 words (approx. 9.2 pages), 7 sources, APA, £ 56.95
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Abstract
This paper considers how empowerment and participative decision making improves the decision making process within organizations. It looks at downsizing efforts that empower workers and the benefits to the organization of participative decision making.
From the Paper
"In recent years groups have become increasingly important in the American workplace as companies move toward fewer managers, more empowered workers and away from hierarchical organizational structures ..."
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Medical Maps and Malaria, 2005.
A history of medical mapping and a look at modern medical mapping.
1,386 words (approx. 5.5 pages), 17 sources, APA, £ 32.95
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Abstract
This paper covers the first medical maps made and includes copies of each map described. The paper describes the disease of malaria and how modern medical mapping is applied to the study of malaria.
Introduction
Medical Maps
Diseases around the World Being Mapped
Conclusion
From the Paper
"Malaria kills a child every 30 seconds in developing nations. Despite numerous attempts to exterminate it, malaria is one of the few diseases that have been able to continue to spread. During the 1950's, the world health organization stated that Malaria would be eradicated by the use of DDT by the end of the decade. DDT, a miracle insecticide was found in the 1960's to continually decrease in effectiveness. DDT was able to stop large populations of mosquitoes from developing to adulthood. The extermination of mosquitoes, in theory, would destroy the carrier of Malaria, and the disease would die out. DDT was found to have adverse effects in the several environmental areas. The insecticide is soluble in fat. If fish take in the insecticide by consumption of food in an area that has been applied with DDT, then the DDT is concentrated in the fatty tissues of the fish. The fish then can be consumed by a bird, but the bird will most likely consume many fish in one day. This growth in concentration of DDT creates abnormal effects in animals that are high on the food chain. DDT was found to cause the calcium in bird eggs to leech out, making the egg walls very thin, and easily cracked. The cracking of eggs caused the decrease of many bird populations. The Environmental Protection Agency (EPA) banned its use n December of 1972 because of the adverse effects the DDT caused. The banning of the DDT chemical for broad use in many highly developed countries spurred the development of other ways to stop the spread of malaria. The extermination of mosquitoes became an unviable avenue. After the banning of DDT in the United State, the focus became clear that Malaria must be contained by the use of drugs that would be distributed to people."
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Off-Shore Medical Education, 2002.
This paper examines the alternative forms of medical education due to the high competition and difficult entrance requirements of American medical schools.
3,312 words (approx. 13.2 pages), 7 sources, MLA, £ 66.95
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Abstract
This paper begins by discussing the problems that American students have in being accepted into medical schools. It examines the high entrance requirements and minimum acceptance levels and explains why this has lead to the phenomenon of alternative medical schools opening up abroad for American students. It reviews some of these offshore medical school programs and the options of specialization through these courses.
From the Paper
"Medical school admission is a highly competitive process that only evaluates and admits the most qualified candidates for entrance, and more students apply than spaces available in schools across the United States. The criteria that U.S. medical schools exercise in making their admission decisions are highly rigorous, including grade point average, future potential in the medical profession, communication skills, bedside manner, leadership skills, and extracurricular activities. As a result, many worthy students are not accepted to the schools of their choice and their dreams are often shattered by this reality. Specifically, in the United States, earning a medical degree is a status symbol that garners much respect and attention from the general public, and the profession is highly regarded as a symbol of position and admiration. Therefore, the competition is fierce and medical training is a very difficult and often exhausting process with significant financial and personal rewards for those who complete and excel in training programs. However, many students that cannot gain acceptance to American medical school programs are not necessarily removed from contention and the opportunity to earn a medical degree. Other options are available in nontraditional settings outside of the United States."
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Electronic Medical Records, 2002.
A discussion of impact of electronic medical records on twenty-first century medical practice,
1,150 words (approx. 4.6 pages), 5 sources, £ 31.95
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Abstract
This paper examines and analyzes how electronic medical records will revolutionize medical practice in the twenty-first century, and concludes that they will be of immense value to health care professionals and medical administrators.
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Medical Ethics, 2004.
This paper discusses, by assailing deontological ethics and virtue ethics and defending utilitarianism, a medical ethics case in which the medical professionals must decide whether or not to perform gender-altering surgery.
2,485 words (approx. 9.9 pages), 8 sources, APA, £ 53.95
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Abstract
The paper explains that utilitarianism states that the morality of a surgical gender assignment can be derived as an outcome that would be considered either good or bad; the overall morality of the philosophy and procedure would then be determined based on the positive or negative outcome. The author points out that medical ethics does not fall under deontological ethics because the philosophy states that there are absolute right and wrong answers for every case. The paper relates that, in a situation like surgical procedures, the solution to any problem must be derived on a case-by-case basis and, therefore, cannot have one universal truth; doctors do not have the freedom to decide the future of the newborns without statistical proof that their decision will benefit the child.
From the Paper
"In this scenario, the surgery for many years was considered as a good alternative to going thorough life deformed. In the case study, it was uncovered that the twin John/Joan, as she aged, was not at all happy with her situation after it was documented in medical journals as a highly successful pro-surgery example. The results of the case study for the twin John/Joan was completely wrong and could even be considered a serious act of malpractice. The twin?s brother even said that his medically altered sister was very manly throughout her early years and even suggested that she always wanted to be a garbage man. ?At the age of six or seven, Joan told her brother she wanted to be a garbage man: "Easy job, good pay."? Since the twin John/Joan?s case was the basis for surgery in the majority of cases, it also should be the basis to not perform the surgery from this point forward. The utilitarianism moral issue now says the medical community should not perform the surgery in the bulk of the cases and it is also morally wrong to withhold the fact that the surgery was performed."
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