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Papers On Health Care
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Dealing with the Uninsured
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A 6 page paper discussing the operation of New York's Metropolitan Hospital Center, a public hospital part of the health care network of New York City, and the growing numbers of uninsured patients it serves. As a public hospital, it is not dependent only on payment for services for revenue, but it also does not have unlimited funds available to it. The paper suggests that the hospital offer a permanent "health fair" area in which it can offer health screenings at minimal charge to those who have no other access to health care. Individuals can monitor their own cholesterol, blood sugar (nondiabetics, of course) and other factors that doctors monitor for others. The hospital can provide health promotion services, increase its service to the community and readily identify those with serious needs that the city needs to support in treatment. Bibliography lists 4 sources.
Filename: KShlthCrUninsed.rtf

Dealing with the Uninsured 2
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A 5 page paper discussing how rising numbers of uninsured patients might affect New York City's Metropolitan Hospital Center (MHC) in the future, and some of the ways that MHC can act to meet those future challenges. The paper discusses staffing, physical space, technology and structural changes that the hospital could consider to help it to continue to serve the local community in the way it intends, even though growing numbers have no insurance support. Bibliography lists 5 sources.
Filename: KShlthCarUninsNY2.rtf

DECUBITUS ULCERS, ELDER CARE AND COSTS: AN ANALYSIS
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This 12-page paper focuses on the cost of decubitus ulcers to nursing homes. The paper discusses causes of decubitus ulcers, provides statistics on costs (and why the costs are incurred) and offers some solutions to reduce cost. Bibliography lists 10 sources.
Filename: MTdeculc.rtf

Defining the Nursing Contribution to Patient Outcome
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An 11 page exploration of the relationship which exists between nursing contribution and patient outcome. The author of this paper asserts a more and more predominant theme in nursing is the nurse’s one-on-one interaction with the patient and the consideration of such factors as culture and even spiritualism in patient care delivery. While at one time nursing was a discipline which concentrated primarily on the science of human anatomy and physiology, nursing has evolved to a discipline which recognizes not only the hard scientific facts of physiology but also the importance of psychological and sociological factors. Bibliography lists 8 sources.
Filename: PPnrsOut.rtf

Dental Phobia
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This 7 page paper examines the phenomenon of dental phobia and what can be done about it. Oral hygiene is discussed. The thesis of the paper is that the fact that most dentistry is cosmetic exacerbates the phobia that might otherwise easily be conquered. Bibliography lists 5 sources.
Filename: SA414pho.rtf

Dental Phobias: Reasons to Seek Therapy
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A 7 page discussion of the reasons behind dental phobias and the methodologies for treatment of those phobias. Outlines the sometimes gruesome history of dentistry and the reputation which it has incurred as a result of that history. Discusses early experiences at the dentist office which result in phobias of future visits. Emphasizes that phobias are not a reason to ignore needed dental procedure. Concludes that ignoring the problem is not a guarantee that it will disappear nor is it a guarantee that a relatively easy-to-treat condition will not progress into a potentially life threatening condition, or at the least a very serious condition, if left untreated. Dental phobias are not an excuse for avoiding the dentist office. Instead, they are a reason to seek out appropriate counseling. Bibliography lists 9 sources.
Filename: PPdntPhb.doc

Designing a Test To Assess a Link between the Emotion of Fear and the Amygdale
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This 4 page paper designs a test to assess if there is any link between the amygdale within the brain and the emotional of fear in human subjects. The paper looks at the best way to image the responses in the brain and then at how issues such as ethics can be overcome and how the test could be conducted. The bibliography cites 1 source.
Filename: TEfearamy.rtf

Developing A Learning Community In A Hospital
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This 14 page paper begins by reporting and discussing the many definitions of 'learning community.' The paper then discusses how to develop a learning community in a hospital using a real case study as an example. The processes the hospital used are discussed, explained and related to the common elements of a learning community. The writer discusses the importance of the nurse executive's role in such a process by discussing the roles of a nurse executive. The final section is an outline of the steps recommended to develop a learning community in a hospital. Bibliography lists 15 sources.
Filename: PGlrnhsp.rtf


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