ESSAYS -
LIST OF AVAILABLE ESSAYS ...
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Cervical Disk Disease
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A 5 page paper discussing dysfunction of the disks of the C2 – C7 vertebrae. There is much attention given to the topic of lower back pain in the popular press, but much less energy devoted to the degenerative effects of disk disease at the other extreme of the spine, an issue with which many people live daily. The purpose here is to provide an overview of the disease and some of the treatments available for it. The paper discusses herniation, degenerative disk disease and to a lesser extent internal disk disruption. It includes a discussion of both surgical and nonsurgical treatment. Bibliography lists 10 sources.
Filename: KScervDiskDis.rtf

Change Process For Establishing A Rapid Response Team
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Although this 10 page paper is a continuation of PGrrthsp.rtf, which discussed establishing a rapid response team in a hospital, it also stands on its own in terms of change processes. The writer defines what a Theory of Change is and explains two change theories, one by Conners and one by Lewin. The writer also brings in the value of using a team when implementing changes in any organization. The writer then discusses the inevitable resistance that will emerge, causes of resistance and strategies to overcome resistance. The last part of the paper is an outline of a plan to increase the success of change efforts. Bibliography lists 7 sources.
Filename: PGrprsch.rtf

Change Theories In Health Care
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Case Study Tutorial : A 10 page paper. This paper presents a case study taken from the literature that involves the problem of missing medical charts at a health clinic. The paper provides the background for the case and the change strategies used to analyze the problem and implement a change. Lewin's force-field analysis and Rogers' diffusion of innovations models are discussed. How the change was implemented is explained. Tutorial comments are included. Bibliography lists 7 sources.
Filename: PGcngcln.rtf

Change Theory in Nursing Management
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A 6 page paper discussing implementing changes that can assist in integrating theory into practice. Theory-based nursing practice is the focus of much current nursing research and practice, but established, experienced nurses may be less familiar with theory than are new graduates. It is common practice for older nurses to mentor newer ones; new graduates fresh from study of theory also have the opportunity to teach as well. Lewin’s change theory maintains that change is incremental and proceeds stepwise. The organization can assist this progression by hiring new graduates with solid knowledge of theory, which they can pass on to those more experienced in practice. Includes abstract. Bibliography lists 6 sources.
Filename: KSnursChgMgt.rtf

Changes in the US Health Care System and Nurses’ Roles
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A 7 page paper discussing the state of several aspects of the US health care system and nurses’ roles within both the current system and that which continues to emerge. One of the primary qualities of US health care today is that it is in flux. It has been changing dramatically since the advent of managed care; continued budgetary pressures and the ongoing shortage of nurses dictate that further changes are made in the future. Nursing itself is changing as well, as those who have made nursing their life profession approach retirement age themselves. Those new to health care now face higher career demands than those who went before them. The new generation of nurses will need to be even more adaptable to change and more conversant with technology as it continues to change the face of health care. Bibliography lists 5 sources.
Filename: KSnursHlthSys.rtf

Changing Attitudes Regarding Disease, Health and Wellness
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This 6 page report discusses the ways that attitudes have changed regarding perceptions of disease, health, and wellness. At one time, virtually all disease was seen as something shameful and related to some type of lack of character or strength in an individual. Those beliefs than evolved into an unwavering faith in modern medicine and the assumption that anything a medical professional prescribed in terms of drugs or procedures was the only way to be healthy and physically whole. As a result, individual belief patterns regarding health and wellness became based on fear, shame, and treatment rather than on wholeness, wellness, and personal decision-making. That attitude has begun to change and it is not a moment too soon. Bibliography lists 6 sources.
Filename: BWhlthbe.wps

Changing The Revenue Cycle Process In Hospitals
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A 99 page paper. The revenue cycle is the process by which services are provided, charges are made, cash is generated. It includes all the functions from scheduling the patient through final bill resolution. Medical practices, hospitals and other health care facilities lose money because claims are denied. This paper addresses numerous issues involved in the revenue cycle. Some of the many topics discussed include: the Balanced Budget Acts; the cash flow and revenue cycle as it applies to hospitals and physician medical practices; how the HCFA, APC & HIPAA Affect the Revenue Cycle; the definitions of medical necessity and medical benefits according to health plans; the major causes for claim denials; a multitude of steps and approaches to decrease claim denials and improve revenue cycles; liability and appeals; and a special section of improving registration processes to improve the revenue cycle. bibliography lists 26 sources.
Filename: PGrevcyc.rtf

Chemotherapy Drugs
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This 6-page paper discusses the broad types of drugs used in chemotherapy and their side effects; then it discusses several specific drugs, their side effects and the cancers they are used to treat. Bibliography lists 3 sources.
Filename: HVChemo.rtf

Chest Pain and Coexisting Conditions: Steps for a Medical Evaluation
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A 7 page overview of the steps that might be taken when evaluating an elderly patient complaining of chest pain and who has a history of chronic obstructive pulmonary disease (COPD), hypertension, high cholesterol (hypercholesterolemia), gastrointestinal reflux disease (GERD), smoking and pneumonia. The author emphasizes the importance of a thorough evaluation and provides eight questions to help determine the reason for the pain. Bibliography lists 6 sources.
Filename: PPmedEvl.rtf

Chicken Pox And Measles: Compare/Contrast
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5 pages in length. One of the greatest common denominators between chicken pox and measles is that virtually every child will have experienced the discomfort of both diseases before reaching puberty. These two highly contagious conditions are perfect for the hotbed of germs found at schools, parks and anywhere else that children congregate; as such, they continue to circulate freely wherever the opportunity presents itself. There are, however, some significant differences between the communicable diseases, not the least of which includes one having a greater fatality rate than the other. Bibliography lists 5 sources.
Filename: TLCChknpxMeas.rtf