Is The Case Management Of Chronic Conditions And...

When transferring the case management of chronic conditions and members’ modifiable lifestyle factors from solutions to practice, the analysis of the research studies involving individuals with MS, the subjects’ privacy must be protected (Covert et al., 2016; U.S. National Library of Medicine, 2017). Each research study used to incorporate into Optum’s clinical practice and case management model must indicate its internal review board, IRB (Adams Miles, 2013). Without this IRB reviewed research protocols to ensures the research subjects’ right were protected, professionals would not want to compromise their reputation (Brown, 2014). Furthermore, the process for protecting human research subjects must reflected federal regulations and†¦show more content†¦The health insurance industry has described technology as driving healthcare more than any other force and expects this trend to continue dramatically into the future (United Health Group, 201 7). As a result, Optum, a subsidiary of United Health Group, has implemented the net promoter score (NPS), as research indicated if an organization’s NPS is higher than its competitors, the company with likely outperform the market (Griffin et al., 2016). As a result, members are requested to complete an electronic on-line survey or a telephonic questionnaire to gauge whether member feedback indicates the company would be recommended to a friend. However, before taking Optum’s word on the need to move to a NPS survey process, a diligent nurse will look at where and when the NPS originated. Although the customer experience loyalty was not developed specifically for health insurance companies, Fred Reichheld from Bain Company introduced NPS in a Harvard Business Review article titled, â€Å"The One Number You Need to Grow† (Reichheld, 2003). After the net promoter score concept was introduced in 2003, research began and numerous articles has provided evidence in support of and in opposition of the survey method and process. One article supporting the NPS examined the execution of observed service attributes in the advancement of overall customer satisfaction and customer loyalty in a health care environment (Lonial Raju, 2015). Although this study showed that customer

The Letter Of A Confederate Surgeon - 1440 Words

Through examining the letters of a Confederate surgeon, the main motivation for Southerners to both fight and continue fighting in the American Civil War was hope. From the inception of the war, the South had major disadvantages compared to the North in almost every aspect of war; however, Confederates had remarkable confidence in the face of such weaknesses. The Union did have similar sureness in themselves, but the Confederacy displayed noteworthy hope throughout the entire war that was not expected under their circumstances. The Confederacy was outnumbered in men, weapons, food production, transportation, and so on, yet they had hope until the end. Each Southerner had faith that compelled them to fight in the war, but each Southerner had faith in different places. Confederates held onto different sources of hope – hope that the Union would quit, hope that the Confederacy would prevail, hope that they would return to their homes – but hope nonetheless was what drove Southerners in the war. One man who demonstrated such hope was Spencer Glasgow Welch, a surgeon in the Confederacy army under the Thirteenth South Carolina Volunteers in McGowan’s Brigade . As a surgeon in the army instead of a solider, Welch had certain privileges that the combatants did not have, including going home for the holidays and not fighting Unionists on the frontlines. However, Welch was disposed to the excruciating hardships of treating footmen during a time when there were limited medicalShow MoreRelatedMedicine During The Civil War1548 Words   |  7 Pagesduring the war. 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Multicultural Art Free Essays

The three artists, David Bradley, Richard Ray Whitman and Nikki S. Lee, produce images that depict traditional minorities in situations that somehow draw them into the main stream culture created primarily by Americans of European descent. In their respective works Native American Gothic, States of Pervasive Indifference, and The Hispanic Project, they do this through several means. We will write a custom essay sample on Multicultural Art or any similar topic only for you Order Now These range from placing their subjects in universal contexts to comparing them with subjects of traditional European American art. However each artist chooses to depict the persons represented in his or her art, the effect is a complex blend of tension and harmony, as representatives of races that have sometimes in the past had uneasy relations seek unity and resolution. The traditional racial tensions are represented most strongly in the strategies of Bradley and Whitman, who both depict Native American Indians. In fact, both painters place these Native Americans as the sole subject of the paintings, yet each manages subtly to allude to their conflict with the white race through symbolism—that is, by using a symbol that represents the entire European American race. Bradley’s American Indian Gothic identifies a Native American couple wearing the clothes of the European American. Bradley uses this strategy to show an attempt by the Indians to conform to a society that has been imposed upon them. Yet the Natives retain their spears and their tepee, implying an unwillingness to let go of their lifestyle. Likewise, Whitman’s States of Pervasive Indifference shows a Native American wrapped in an American Flag. This underlines (or perhaps mocks) the idea of the melting pot as the Native American often finds himself marginalized by society—an idea which is in direct contrast to the picture of the American flag cradling this Indian. Despite the notes of tension, David Bradley’s American Indian Gothic also shows a strong reference to the similarities of the European and Native Americans through his parody of Grant Wood’s American Gothic (Hughes, 2005). The similarities between the two paintings identify fundamental similarities in humans regardless of their cultural origins. They all have need of food, protection, and shelter—as shown by the house/tepee and the spear/fork. This too is identified in Whitman’s photograph States of Pervasive Indifference on which is clearly printed the words, â€Å"earth, air, water, fire†Ã¢â‚¬â€elements on which all people depend. Nikki S. Lee’s work can also be brought in here, as in her work The Hispanic Project a group of teenage girls is seen experiencing and doing (it would seem) the things that are typical of their age. The girls’ attitudes are universal and they could easily have been a group of European Americans. Yet they are Hispanic—except, one Asian girl (Lee herself) is in the mix, and blends so well that her cultural and ethnic difference from the rest of the group is almost obscured (Sagrans). In this way The Hispanic Project, like American Indian Gothic and States of Pervasive Indifference, identifies the common traits of the members of the human race, highlighting the multicultural harmony of the United States. In an interview, Whitman speaks about his project States of Pervasive Indifference: â€Å"In indigenous cultures we’re not only concerned with human to human relationships, but also our relationship with the environment† (Abbott). Interest in one’s relationship to the environment has been sparked across the United States in recent decades, and this identifies a ground on which the several cultures of the United States have merged. The â€Å"human to human† relationships of which Whitman speaks is also evident in the strategies of The Hispanic Project, in which teenagers are having fun with each other, and their racial and cultural differences melt into the background. Human relationships that exist across racial and cultural lines are also depicted in the strategies of American Indian Gothic, as the love and marriage between the man and his wife are clearly identified to exist within the Native American society independently of influence of the Europeans. The similarity of humans despite their difference in culture is highlighted in these works. Works Cited Abbott, Larry. â€Å"Richard Ray Whitman.† A Time of Visions: Interviews by Larry Abbott.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   http://www.britesites.com/native_artist_interviews/rwhitman.htm Hughes, Collin. â€Å"Crossing Boundaries.† Washington State University. WSU. 2005.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   http://www.wsu.edu/~hughesc/crossing_boundaries.html Sagrans, Erica. â€Å"Portrait of an Assimilitarist.† UTNE: A Different Read on Life.    Understanding the Next Evolution, 2002. How to cite Multicultural Art, Essay examples Multicultural Art Free Essays The three artists, David Bradley, Richard Ray Whitman and Nikki S. Lee, produce images that depict traditional minorities in situations that somehow draw them into the main stream culture created primarily by Americans of European descent. In their respective works Native American Gothic, States of Pervasive Indifference, and The Hispanic Project, they do this through several means. We will write a custom essay sample on Multicultural Art or any similar topic only for you Order Now These range from placing their subjects in universal contexts to comparing them with subjects of traditional European American art. However each artist chooses to depict the persons represented in his or her art, the effect is a complex blend of tension and harmony, as representatives of races that have sometimes in the past had uneasy relations seek unity and resolution. The traditional racial tensions are represented most strongly in the strategies of Bradley and Whitman, who both depict Native American Indians. In fact, both painters place these Native Americans as the sole subject of the paintings, yet each manages subtly to allude to their conflict with the white race through symbolism—that is, by using a symbol that represents the entire European American race. Bradley’s American Indian Gothic identifies a Native American couple wearing the clothes of the European American. Bradley uses this strategy to show an attempt by the Indians to conform to a society that has been imposed upon them. Yet the Natives retain their spears and their tepee, implying an unwillingness to let go of their lifestyle. Likewise, Whitman’s States of Pervasive Indifference shows a Native American wrapped in an American Flag. This underlines (or perhaps mocks) the idea of the melting pot as the Native American often finds himself marginalized by society—an idea which is in direct contrast to the picture of the American flag cradling this Indian. Despite the notes of tension, David Bradley’s American Indian Gothic also shows a strong reference to the similarities of the European and Native Americans through his parody of Grant Wood’s American Gothic (Hughes, 2005). The similarities between the two paintings identify fundamental similarities in humans regardless of their cultural origins. They all have need of food, protection, and shelter—as shown by the house/tepee and the spear/fork. This too is identified in Whitman’s photograph States of Pervasive Indifference on which is clearly printed the words, â€Å"earth, air, water, fire†Ã¢â‚¬â€elements on which all people depend. Nikki S. Lee’s work can also be brought in here, as in her work The Hispanic Project a group of teenage girls is seen experiencing and doing (it would seem) the things that are typical of their age. The girls’ attitudes are universal and they could easily have been a group of European Americans. Yet they are Hispanic—except, one Asian girl (Lee herself) is in the mix, and blends so well that her cultural and ethnic difference from the rest of the group is almost obscured (Sagrans). In this way The Hispanic Project, like American Indian Gothic and States of Pervasive Indifference, identifies the common traits of the members of the human race, highlighting the multicultural harmony of the United States. In an interview, Whitman speaks about his project States of Pervasive Indifference: â€Å"In indigenous cultures we’re not only concerned with human to human relationships, but also our relationship with the environment† (Abbott). Interest in one’s relationship to the environment has been sparked across the United States in recent decades, and this identifies a ground on which the several cultures of the United States have merged. The â€Å"human to human† relationships of which Whitman speaks is also evident in the strategies of The Hispanic Project, in which teenagers are having fun with each other, and their racial and cultural differences melt into the background. Human relationships that exist across racial and cultural lines are also depicted in the strategies of American Indian Gothic, as the love and marriage between the man and his wife are clearly identified to exist within the Native American society independently of influence of the Europeans. The similarity of humans despite their difference in culture is highlighted in these works. Works Cited Abbott, Larry. â€Å"Richard Ray Whitman.† A Time of Visions: Interviews by Larry Abbott.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   http://www.britesites.com/native_artist_interviews/rwhitman.htm Hughes, Collin. â€Å"Crossing Boundaries.† Washington State University. WSU. 2005.   Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚   http://www.wsu.edu/~hughesc/crossing_boundaries.html Sagrans, Erica. â€Å"Portrait of an Assimilitarist.† UTNE: A Different Read on Life.    Understanding the Next Evolution, 2002. How to cite Multicultural Art, Essay examples

Pediatric Reflections Paper free essay sample

Pediatric Reflections Paper Prior to beginning the pediatric clinical rotation at the Bethany Children’s Center, I was very certain that I would not like it and nothing could change my mind. I felt like it would be too sad to see the children in their various conditions and read the stories of how they were placed in the children’s center. I also feared actually performing nursing skills on pediatric patients. I believed that it would be nearly impossible to catheterize a child; after all, we barely get adults.I felt relieved that we were not placing IVs and passing medication, but I also knew that the day would drag on forever because of so much observation time. The very first day of clinical I was so apprehensive and a little scared. I was walking into a closed unit, which worried me, and on top of that, I knew nothing about the environment and what exactly I should do since we were mostly observation. We will write a custom essay sample on Pediatric Reflections Paper or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page There were millions of questions running through my head. What would I do for an entire shift of no documentation, medication pass, or real hands on skills?What type of nurses would I encounter? Was he/she nice? The last thing I wanted to do was seem lazy and uninterested. After my first day in unit three, I was so sad to see how many children were in DHS custody and had no family visitation. I also felt saddened by the tracheostomies and struggle for certain children to breathe. These little children were using every muscle in their body just to take their next breath and it broke my heart. I attempted a straight catheterization, assisted a nurse in a sterile catheterization, and assisted with all twelve patients. By post-conference, I was still unsure if I loved the rotation, but I knew that it wasn’t as bad as I imagined it would be and I didn’t hate it. When we returned to the Children’s Center, I was placed in unit eleven and very excited. The infant and toddler room seemed very active and I knew we would have a very busy and interesting day if nothing else. In unit eleven there weren’t many skills and none of the children need catheterization but it was my favorite unit of the two I was placed in. The children were more alert and like the typical two to five year old kids.It was similar to a daycare center. Some children could walk and talk and actually attended Bethany schools. I learned a lot from this rotation. The biggest thing I learned is that the first rule of pediatric nursing is that there is no typical day. Your patients are so diverse they can have any number of conditions or complications to existing conditions. The staff at the center was all very awesome and encouraging. They all loved doing their job and no one seemed like they were there just for a paycheck.The nurses had a very high respect for their nurse assistants and nurse techs. A lot of the nurses were new and still training but loved what they were doing. The Children’s Center seems to have the type of atmosphere that attracts and keeps good staff. One of my nurses said she has been employed there for over 13 years. This is definitely a place I would love to work and I actually plan to apply for a nurse tech position until I complete the practical nursing program here at Mid-Del.I was absolutely amazed at how dedicated the staff is to adhering to the physical and occupational therapy schedule and creating the bond some of them have with the children. I didnt find anything I disliked about the center, although I’m sure there are some things, as nothing is perfect, but I loved being in an environment that was so positive and where the main focus was helping the patients have a life as close to normalcy as possible.Before this rotation I was not sure what type of nursing I wanted to pursue, but I knew what I didnt want to do and that was pediatric nursing. Now I find myself drawn to this field and this place in particular because it is not often you find a place of employment where the entire staff is happy to be at work and everyone loves their job and wants to do it to the best of their ability. I would be foolish not to seek employment at Bethany Children’s Center and be a part of something so great.