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Papers On Health Care
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Scandinavian Health Care
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A 3 page research paper that examines health care systems in the countries of Sweden, Norway and Denmark. These publicly owned systems are evaluated as to their strengths and weaknesses. Bibliography lists 6 sources.
Filename: khscanh.rtf

Schiavo Case/Nursing Perspective
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A 10 page research paper that examines the case of Terri Schiavo, has been in vegetative state since a sudden heart attack in 1990 at the age of 26. Michael Schiavo, her husband, has been trying to have Terry's feeding tube removed, which would allow her to die. Blocking this action are Terri's parents, Robert and Mary Schindler. The ethical dilemmas involved are explored from a nursing point of view. Bibliography lists 7 sources.
Filename: khetnuis.rtf

School Nurse
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A 7 page paper which examines the benefits of having a school nurse. Bibliography lists 4 sources.
Filename: TGschnur.rtf

Screening Tool For Primary Care
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It would be expected that heavy drinking and alcohol abuse and, or, dependence among primary care patients would be reflective of or greater than the general population. A screening tool that would be of great benefit if included as part of the primary care process would be a questionnaire geared to detect abuse and, or, heavy consumption patterns. This 7 page paper argues that one such tool, the ten question AUDIT, can be reduced to three specific questions that pinpoint alcohol abuse and dependency and is recommended as a tool for use in the screening process for primary care practice. Bibliography lists 7 sources.
Filename: KTaudits.wps

Shands Hospital's External Environment
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A 12 page paper discussing the remote, industry and operating aspects of this hospital's external environment. Shands Healthcare is the teaching hospital of the University of Florida, a public entity subject to requirements that it accept any patient seeking medical assistance. Shands faces the same human and financial restraints with which most university hospitals struggle. As technology continues to advance; the baby boomers begin reaching retirement age; the Medicare crisis continues; and the nursing shortage intensifies; Shands can expect to several challenges over the next decade. The purpose here is to review current and emerging conditions that have the ability to affect Shands Healthcare's external environment in the future. Bibliography lists 10 sources.
Filename: KSmgmtShandsHos.rtf

Shannondale’s Future and the Risk It Faces
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A 7 page paper discussing risks faced by a local retirement community. The long-awaited reform in Medicare may change payment structures in the future, but any changes that may occur long-term are not worth considering here. Changes that may or may not occur in Medicare do not provide a solid base from which to direct Shannondale in the present. The purpose here is to assess the risk that Shannondale faces in the mid- to long-term future and to suggest initiatives that the organization can undertake on its own. Bibliography lists 6 sources.
Filename: KShlthFutShan.rtf

Shannondale’s Professional and Operational Future
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A 5 page continuation of “Historical Development of Shannondale Nursing Home” (KShlthDevShan.rtf) that explores how changes in the local area and in the overall health care industry are certain to affect Shannondale’s future. The purpose here is to address anticipated changes in items such as professional staffing, human resource management, financial solvency, technological changes and other related issues. Bibliography lists 7 sources.
Filename: KShlthDevShanFu.rtf

Shared Governance and Delegation in Nursing
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A 14 page expansion of a 4-page paper by the same name. The health care facility that maintains a shared governance model is able to make greater use of all the resources available to it. Typically, each patient care department of a facility such as this has a nurse manager who serves as a facilitator in unit governance and as a liaison between direct-care nursing staff and nursing administrators. This organizational structure is more conducive to true shared governance than hierarchical straight-line organizational structures that have the effect of insulating administrators from those providing direct patient care. It also ensures that those having the greatest degree of direct patient contact have a voice in establishing policy for both the present and the future. The paper discusses shared governance more as a philosophical approach to management than as a “how to.” Bibliography lists 11 sources.
Filename: KSnursShrdGov14.rtf


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