Thursday, May 21, 2020

Use Of Electronic Medical Records From Emergency...

Background Most emergency care is delivered in Emergency Departments (ED), there were over 129 million ED visits in the United States in 2010, and some of the most common reasons patients visit the ED is for abdominal pain, chest pain, fever, headache and back pain (Mutter Clancy, 2014). Doctors and the other healthcare providers in the ED use electronic medical records (EMRs), rapid blood/urine testing, and diagnostic procedures such as; X-ray, CT scan, MRI to decide if a patient requires inpatient or outpatient care (Free et al., 2013). They also use other tools such as; telemetry, bedside sonography, point of care tests, and clinical decision aids for quick decision (Free et al., 2013). The ED physician’s new mHealth technologies may allow more patients to receive the care at home that was once only accessible in hospital (Manojlovich et al., 2015), and on that way they don’t need to go to ED for minor illness. mHealth is transforming the way people with chronic illness are re trieving and evaluating information and communicating with their primary physician or other health professionals (Free et al., 2013). Mobile technology can be utilized to remind patients to take their medication at proper times, and it can assist patients record their health symptoms and send them to his/her primary physicians and specialists electronically as needed (Manojlovich et al., 2015). Instead of waiting for patients to understand that they have any abnormalities and visit their doctor,Show MoreRelatedEssay on Electronic Communication in Health Care849 Words   |  4 PagesReinvestment Act of 2009. The law promotes electronic health records and infrastructure development to cut costs in health care. While the law does not mandate their use, the federal government has set aside twenty billion dollars to help in the development of a strong health information technology infrastructure. Title IV states, â€Å"NO INCENTIVE PAYMENT IF FIRST ADOPTING AFTER 2014† (American Recovery and Reinvestment Act of 2009, 2009). In times of economic turmoil, medical organizations are scrambling to makeRead MoreDescription Of Emergency Department Information Systems1103 Words   |  5 Pages Unit V Research Paper By Robert Craft Columbia Southern University HTH 1304-14A Emergency department information systems have been defined as â€Å"electronic health record systems designed specifically to manage data and workflow in support/help of ED patient care and operations.† A detailed profile for EDIS outlines hundreds of essential functions of an EDIS, including clinical workflow, registration, patient tracking, orders, clinical documentation, discharge management, and administrativeRead MoreCase Case Study : Database Development1730 Words   |  7 PagesInformation Management Name: Bayo Oshunlalu Case #: Case 5-5 Case Title: Database Development. Screen 1. Emergency Department Chief Compliant Data Entry Screen. 1. What is the purpose for the screen? The chief complaint screen will allow clinicians to enter patient’s reasons for visiting the emergency department. The chief complaint data entry screen will be used to obtain and record information from patients such as symptoms, duration of symptoms, and what major problem they are experiencing as a resultRead MoreEMTALA Case Study1000 Words   |  4 Pagesun-repairable. EMTALA In 1986, the Emergency Medical Treatment and Labor Act (EMTALA) was enacted. The federal government enacted the law to provide everyone with access to emergency medical care, even for those unable to pay. EMTALA declared that any individual who enters a â€Å"qualifying hospital† is entitled to an â€Å"appropriate† medical examination to determine if an â€Å"emergency medical condition† is present. The individual cannot be â€Å"transferred† until the â€Å"emergency medical condition† is â€Å"stabilized.†Read MoreFederal And State Legislature s Theory Of Medical Network Laws Essay1740 Words   |  7 PagesFederal and State Legislature’s Approach to Medical Network Laws How many times have you heard a provider’s office tell you that you are out-of-networking? â€Å"Out-of-Network†, two questions come to play; the first question is what does that mean to a patient and how do insurance companies determine network benefits for their beneficiaries. First, we will define the term â€Å"network† is used to describe the providers, that are. â€Å"Networking† becomes an issue of patient’s access to providers and the costsRead MoreHow Can E Health Improve The Healthcare Delivery System? Essay1748 Words   |  7 Pageswide variety of definitions. These definitions have a common theme of utilizing information and communication technologies to improve the quality of healthcare. For this article, e-Health is defined as: †¦ an emerging field in the intersection of medical informatics, public health, and business, referring to health services and information delivered or enhanced through the Internet and related technologies. In a broader sense, the term characterizes not only a technical development, but also a state-of-mindRead MoreEssay National Ehr Mandate1248 Words   |  5 PagesNational EHR Mandate Heidi Babcock-Marvin Ohio University National EHR Mandate An electronic health record (EHR) defines as the permissible patient record created in hospitals that serve as the data source for all health records. It is an electronic version of a paper chart that includes the patient’s medical history, maintained by the provider over time, and may include all of the key administrative clinical data relevant to that persons care. Information that is readily available includesRead MoreThe Electronic Medical Records For The Provider1374 Words   |  6 PagesMarsha: 1. The electronic medical record promises to revolutionize the delivery of health care services. Identify the advantages and disadvantages for the patient and for the provider. How much Government regulation should be involved in the development and use? There are many advantages with the implementation of electronic medical records for the patient. One important advantage is the ability for the patient’s medical record to be shared amongst the patients other physicians. InformationRead MoreEmergency Department Chief Compliant Data Entry Screen1537 Words   |  7 PagesScreen 1. Emergency Department Chief Compliant Data Entry Screen. 1. What is the purpose for the screen? The chief compliant screen will allow clinicians to enter patient’s reasons for visiting the emergency department. The chief complaint data entry screen will be to obtain information from patient such as symptoms, duration of symptoms, and what major problem they are experiencing as a result of symptoms. The chief compliant data entry screen does not deals with obtaining information about chronicRead MoreSocial Work Practice Guidelines Are Outlined By The Nasw1327 Words   |  6 Pagesand missions. (Council on Social Work Education, n.d.). HIPPA was created to protect the privacy of patients medical and personal information. This privacy act is a guideline that provides specific information on general principles and the consequences for breach of contract. Patients must sign a release of information before protected health information is disclosed (U.S. Department of Health and Human Services, n.d.). Confidentiality continues to be challenging and an ongoing ethical issue

Wednesday, May 6, 2020

The Dysfunctional Family in Brontë’s Wuthering Heights...

The Dysfunctional Family in Brontà «Ã¢â‚¬â„¢s Wuthering Heights Creating a haven from the cruel outside world, families ideally provide protection and support for each of their members. In Emily Brontà «Ã¢â‚¬â„¢s Wuthering Heights, however, bitterness grows between the Earnshaws and the Lintons. Within these two families, siblings rival for power and parents fail to fulfill their roles as caregivers. The intertwining relationships of the Earnshaws and the Lintons are marked by physical abuse, degradation, and emotional negligence. These reduce each of the family members’ life to a lonely and meaningless journey though the cold and misty moors. Unforgiving as the moors that surround them, the Earnshaws and the Lintons often resort to physical†¦show more content†¦Hareton is thus reduced to an inhuman â€Å"it.† It is not surprising, then, that Hareton is afraid of his father, but Hindley is angered because this reminds him of his failure as a father. Declaring that Hareton should be â€Å"cropped† like a fierce dog, Hindley drops his son over the railing of a staircase when the latter shrinks away from him. He is unperturbed when Nelly exclaims: â€Å"He hates you – they all hate you – that’s the truth! A happy family you have, and a pretty state you’re come to!† (77). Hindley does not seem to comprehend that physical abuse leads not to love but to fear and hatred – and ultimately, alienation from his family. Edgar Linton, normally gentle, also uses physical violence when he fights with Heathcliff over Catherine Earnshaw, now his wife Catherine Linton. Like Hindley, Edgar does not realize that violence cannot produce love. His fight with Heathcliff results in Catherine’s insanity and her eventual death. Catherine, too, is not flawless. When Nelly, under Hindley’s orders, chaperones Edgar’s visit with Catherine Earnshaw, Catherine is furious and strikes Nelly. When her nephew Hareton weeps at this abusive display, Catherine seizes the child and shakes him. She then strikes Edgar when he tries to stop her. The root of Catherine’s violence is not the same as the one that plague Hindley and Edgar: she does not physically hurt her family because she wants to be loved. She feels that she is already loved by everyone, but she

Env 100 Environmental Pollutants Sewage and Fossil Fuels Free Essays

Environmental Pollutants: Sewage and Fossil Fuels ENV/100 March 2013 Environmental Pollutants: Sewage and Fossil Fuels Environmental pollutants, according to the Blacksmith Institute (2013) negatively affect billions of the world’s population as a result of exposure to poisons associated with sewage and the fossil fuel crude oil. These poisons have led to long-term detrimental effects on ecosystems and has attributed to the premature deaths of 40% or 2. 8 billion of the world’s population of which three million children under the age of five die prematurely because of exposure these contaminants. We will write a custom essay sample on Env 100 Environmental Pollutants Sewage and Fossil Fuels or any similar topic only for you Order Now Researchers estimate that this number will grow to approximately 3. 6 billion by 2050 if these invasive toxins continue to remain prevalent in the world’s environment (Organisation for Economic Co-Operation and Development, 2012). In this paper, Team D will discuss the effects that sewage and crude oil have on the quality of air, soil, and water, environmental biological diversity, disposal methods, and alternative solutions toward the use of crude oil (University of Phoenix, 2013, Week Five Syllabus). Sewage As defined by Oilgae (2013) sewage refers to wastewater that commonly derives from liquid or solid human activities that contaminate the Earth’s air, soil, and water. These contaminates contain infectious organisms, referred to pathogens that cause diseases, such as bacteria dysentery and cholera, viral diseases of hepatitis and polio, and protozoal disease of amoebic dysentery and giardiasis (Oklahoma Department of Environmental Quality, 2002). Additionally, as stated by Nakate (2013) these toxins alter biological diversity through eutrophication, which degrades water quality, ultimately alters aquatic species, hinders native plants, and increases biological oxygen demand (BOD). As the rise in levels of nitrogen, potassium, and phosphorous as well as organic wastes in water pathways initiates extreme growth of bacteria and algae that proves lethal to living organisms as well as disrupts the function and structure of the entire ecosystems. These pollutants generally fall under four specific categories; commercial, industrial, sanitary, and surface runoff and effective management of their sewage waste byproducts (Oilgae, 2013). Commercial According to Oilgae (2013), this category contains liquid and solid waste materials associated with offices, restaurants, and service organizations in which sewage waste, such as cleaning chemicals or garbage placed in open air dumpster’s seep into the surface soil and water, or emit into the air through decomposition. Industrial This sewage originates from discarded water employed during the chemical and manufacturing process, such as mining (Oilgae, 2013). Mining produces high-levels arsenic, cyanide, and sulfuric acid wastewater or tailing, which miners dump into surface water pathways or pile uncovered that contaminates ground water, soil, and air through emissions of the toxic dust particles and through rainwater (Blacksmith Institute, 2012). Sanitary Shandilya (2013) defines this category as domestic waste initiated from institutional and residential activities that dispense wastewater associated detergents, soaps, and human bodily wastes that drain into sewage systems, lakes, or streams, which contaminates drinking water and harms animals and aquatic life. Surface Runoff This category represents as agricultural sewage, which includes fertilizers and pesticides that contain rich nutrients, such as nitrogen, potassium, and phosphorous, which accelerates enrichment leading to eutrophication as the waste travels through rainwater or dumped into water pathways (Shandilya, 2013). Sewage Waste Management The effective management of sewage waste would include abolishing untreated sewage and enforce a pre-treatment process that includes extensive filtering of effluents, employing microbes that convert wastes into solids; therefore, easily separated, and disinfecting partially pure effluents through chemical precipitation (Hollis, 2013). The pre-treatment process of chemical precipitation involves adding chemicals to the waste to create particles that remove toxins through decantation; therefore, properly transferring, disposing, and reusing the cleansed water (Edwards, 1994). This treatment process can prove beneficial to other wastes producers like that of fossil fuel crude oil. Fossil Fuel: Crude Oil Crude oil, as illustrated by Kaiser (2009) represents the world’s primary industrial energy source with estimates showing 30 to 40% of the world uses this fossil fuel for energy consumption, and indentified as black gold. This oil, a hydrocarbon, and derived from organic material from lakes and oceans that contain pressure and heat. Oil, generally falls into two categories; conventional, which proves less expensive, easy, and fast, or non-conventional that has an established reputation s expensive, slow, and difficult; whereas, crude oil has a classification of light, medium, or heavy, depending on the American Petroleum Institute (API) gravity. Crude oil, receives is name because it has dozens of different hydrocarbon compounds in which oil refineries work on accomplishing refinery of crude oil in three steps. 1. Breaking down thousands of compounds within the crude oil to chemical units. . Remove contaminants, entirely. 3. Transform the individual chemical units. As the oil becomes refined and separated into various fuels, this conversion leads to creation of numerous products, such as gasoline and other petroleum products that transports through 23,000 miles of pipeline within the United States. This conversion and transportation of fossil fuel byproducts has proven harmful to the environment as well as the d isposal of these fossil fuel oils in which society must seek alternative energy resources. Fossil Fuel and the Environment Fossil fuels, according to Green Energy Choice (2013) have become one of the world’s greatest greenhouse gas emitters that contribute three-fourths of the entire world’s carbon, methane, and other gas emissions. The production of electricity involves burning fossil fuels at an extremely high temperature, which results in high concentrations of pollution in the water and air. For example, the atmosphere naturally absorbs one ton of greenhouse gases; however, the atmosphere traps approximately 25% extra of the sun’s radiation because of the annual rise in greenhouse gas secretions. As 98% of the United States energy creation coming from the non-renewable fossil sources, the disposal of oil proves vital toward protecting the environment. Disposal of Oil As communicated by Septer (2013), recycling waste or used oil proves valuable to the environment, and the economy as inadequate disposal of waste oil damages water, land, and air resources. Recycling oil assists in the preservation of natural resources and conserves energy production. The most important motive for recycling oil surrounds the preservation of resources associated with crude oil. The Environmental Protection Agency (EPA) stated that â€Å"2. 5 quarts of high-quality lubricating oil is produced from just one gallon of waste oil; conversely, it takes an astonishing 42 gallons of crude oil to manufacture the same 2. 5 quarts of high-quality oil† (para. 3). Therefore, recycling oil proves beneficial because it does not pollute water pathways and does not finish in landfills as well as lowering the cost through oil re-refining rather than oil filtering. Therefore, the improper disposal of oil, such as throwing it away harms the environments; whereas, the energy saved in converting waste oil into fresh oil have has vast benefits, such as cleansing one gallon of waste oil employs â€Å"less resources than refining 42 gallons of crude oil† (para. 6). Alternative Solutions According to Alternative Energy (n. d. ) crude oil represents a limited accessible fossil fuel and analysts believe that by 2050 accessible crude oil in its entirety will become extinct, which has led scientist to create alternative fuel sources other than fossil and nuclear. The world uses nuclear fuel as demonstrated with the more than 300 global nuclear power plants in which France and Japan generate approximately 80% of electrical power from these plants. As illustrated by Alternative Energy (n. d. ) two alternate energy resources to replace the use of crude oil include solar and wind energy. Solar energy has proven to become one of the best power energies for the environment in that the solar power systems can remove â€Å"more than 110,000 pounds of carbon dioxide and greenhouse gases out of atmosphere as well as prevent the requirement to burn 60,000 pounds of coal† (para. ). Solar does not produce acid rain, urban smog, or any other pollutants. Wind power represents the second alternate energy source and quickly becoming one of the most hopeful new energy sources for electricity and the cost has reduced by â€Å"15% with doubling of installed capacity worldwide† (para. 13). Subsequently, worldwide wind energy capacity has reached app roximately 16 billion kilowatt-hours of electricity after 1999 and these energy hours provide enough energy comparable to the size of five Miami cities. Conclusion As premature deaths continues to rise with an expectation of reaching more than three billion by 2050 along with the increasing growth in population, the Earth’s natural resources ultimately will become extinct because of the relentless and prevalent environmental pollutants of which sewage and crude oil contribute. Team D has illustrated the importance of understanding the initiators of sewage and crude oil pollutants, their cause and effect on the environment as well as proper waste management presented by chemical precipitation, and alternatives energy sources of solar and wind. However, the decisions made today will significantly influence the days of tomorrow; therefore, to protect the environment and the community members within each ecosystem, humanity must strengthen its commitment toward the reduction of premature deaths and its creators. References Alternative Energy. (n. d. ). Alternative energy. Retrieved from http://www. altenergy. org/ Blacksmith Institute. (2013). The world’s top ten toxic pollution problems 2012: Pollution facts. Retrieved from http://www. worstpolluted. org/pollution-facts-2009. html Edwards, J. D. (1994, December 30). Chemical precipitation – – Basics. Retrieved from http://cleanh2o. com/ww/chemppt. html Green Energy Choice. (2013). Fossil Fuels: How do they negatively affect the environment? Retrieved from http://www. greenenergychoice. com/green-guide/fossil-fuels. html Hollis, T. (2013). How to manage waste water. Retrieved from http://www. ehow. com/how_ 10030919_manage-waste-water. html Kaiser, D. (2009, October 23). Alternative energy replacements for crude oil. Retrieved from http://suite101. com/article/alternative-energy-replacements-for-crude-oil-a161973 Nakate, S. 2013, January 24). Sewage water pollution. Retrieved from http://buzzle. com/ articles/sewage-water-pollution. html Oilgae. (2013). Types of wastewater. Retrieved from http://www. oilgae. com/algae/cult/sew typ/typ. html Oklahoma Department of Environmental Quality. (2002, October). Surfacing sewage its effects on our environment. Retrieved from http://www. deq. state. ok. us/factsheets/land/ srfsewage. pdf Orga nisation for Economic Co-Operation and Development. (2012, March 15). OECD environmental outlook to 2050: The consequences of inaction. Retrieved from http://www. oecd-ilibrary. org/environment/oecd-environmental-outlook-to- 2050_9789264122246-en Septer, J. D. (2013). Waste oil recycling information. Retrieved from http://www. ehow. com/ about_6596196_waste-oil-recycling-information. html Shandilya, R. (2013, March 5). Facts about water pollution. Retrieved from http://www. buzzle. com/articles/facts-about-water-pollution. html University of Phoenix. (2013). Week Five supplement: Course Syllabus. Retrieved from University of Phoenix, ENV/100 – Principles of Environmental Science course website. 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