Health information Assignment Example | Topics and Well Written Essays - 250 words

Health information - Assignment Example Which of the Patients’ Bill of Rights afforded under Title II of HIPAA did Sally violate? Sally violated the rights of John as she was supposed to call him on his personal number that he had recorded in the health information form. Again, she ought to have ensured that she delivered the message to the right person and in that case John. It is inappropriate for Sally to inform Holly of any information relating to the period when the work release form is available. It is due to the fact that Holly should be contacted only in cases of emergency and not her contacting the healthcare facility. Giving the patient’s information without his authority would amount to lack of consideration of the autonomy principle. John was involved in an automobile accident and was taken to the Emergency Department byambulance for treatment. The physician in the ED contacted Dr. Moodey’s office for information regarding John’s health as he was unconscious and unable to give a medical history. Dr. Moodey’s office was not able to contact Holly. In cases of emergency where Holly is unavailable, there is the secondary option that serves as John’s brother. Valez is the person that the hospital needs to contact as the patient provides authorization to contact him as his second option during emergency cases. Match the procedural step for the HIPAA rules in regards to privacy/release of information to the purpose of the procedural step. (pg. 291) Type the letter from the Procedural Steps in the blank to the left of the

Strategy and Competition Case Study Example | Topics and Well Written Essays - 1500 words

Strategy and Competition - Case Study Example In 2008, the company recorded revenue of $ 705 million which is far better when compared to 2004’s $9.7 million (Ivey, 2010, p.8). This was attributed to the support that several authorities within the world have given which promoted the execution of the PV technology. Canadian Solar Company has been experiencing losses over the past few years though its revenues have grown by more than 135 percent over the years (Ivey, 2010, p.8). These loses have been attributed to the high competition around the world which have contributed to a decrease in the company’s market share (Ivey, 2010, p.9). The management under the leadership of Dr. Qu is faced with the mandate of turning the losses into profits amid the high international competition and economic crisis by formulating and executing a viable profit plan. No business can operate in a vacuum. Each and every business requires an environment to operate in. After a thorough analysis, the external environment of Canadian solar company consist of the political environment, the technological environment, the social environment, the economical environment, competitors in the industry and the industry itself. According to Porter’s five forces model, Industry encompasses the competitors, the suppliers, the consumers or the customers, technology available and the restrictions available for entry and exit in the industry by firms. The market consists of potential customers who include the domestic users and commercial users. Canadian Solar incorporation produces a wide variety of products such as the industrial and automotive and consumer products (Ivey, 2010, p.6) to suffice the customer’s needs. The various authorities in the different countries have greatly promoted and encouraged production of and the technology of the PV cells. Most of the countries across the universe in 2008 and 2009 provided incentives for the development of the technology e.g. China and Canada (Ivey, 2010, p.7). Government

Case Study Essay Example | Topics and Well Written Essays - 500 words - 45

Case Study - Essay Example In response to the second question, granulocytosisis a condition that occurs when there are too many granulocytes in the blood. Granulocytes form and mature in the bone marrow and their role is to attack foreign matter causing inflammation or infection. An increase in granulocytes occurs in response to infections, blood cell malignancies, and some autoimmune diseases. One main cause of granulocytosis is bone marrow disorders.A high white blood cell count is usually an indicator of infection or disease. Granulocytosis is one type of high white blood cell count. (April Kahn) I think the most likely cause for the man’s illness and death was a condition called encephalitis. On the morning of June 4, the patient had symptoms of confusion, disorientation, and lack of reflexes. Some of these symptoms indicate not severe encephalitis while others indicate severe and emergency encephalitis. However, it is worth noting that the patient’s neck was supple. In most cases of encephalitis, there is stiffness of the neck and the back in adults and stiffness if the whole body in babies. (Aksamit) Only occasionally does it happen that the neck and the back are supple such as in this case. Encephalitis which is an infection of the brain might have caused infections in the cerebrospinal system. These infections then might have subsequently caused infection of the bone marrow so causing it to produce more granulocytes and hence the earlier diagnosis of Granulocytosis as well as elevated protein levels prior to his death. Another symptom to this case was the increased abnormal activity which was another clear indication. (New York Times) A serology test and brain biopsy could be used to confirm encephalitis.Serology is a blood test to detect the presence of antibodies against a microorganism.Brain Biopsy involves surgical removal of brain tissue for testing for the

Healthy Grief Essay Example | Topics and Well Written Essays - 1000 words

Healthy Grief - Essay Example The positive attitude develops as a result of someone acknowledging that the departed person or item is irreversible. The acknowledgment will help a person to act a near normal in case of departure. The positive attitude towards grief is what the psychologists refers to as a healthy grief. There are five stages that are involved when helping a bereaved person to recover from the grief. The grieving process established by Kubler-Ross projects some reactions that Job underwent in his life that is described in the Bible. The denial stage is the beginning point of the healing process. At this stage, the bereaved person will want to deny his or her real situation that he or she is facing (Kubler-Ross, 1969, p. 140). In other words, as the term denial suggests, the person will want to focus on other issues in order to feel like he or she is acting on the normal life. Drawing the perspective from the biblical account of Job, after all his children and animals died, he acted as though there was nothing happened to him. He preferred to suggest that all he had was given to him by God and if he had decided to take it back; he had no other measure to deal with the situation. The second stage that forms part of Kubler-Ross grief process is that of anger (Kubler-Ross, 1969). Shortly after the denial process, the bereaved person will come to the reality that he or she has lost a dear one or a property that is so valuable. There is an increase of emotional pain that affect the bereaved person (Nithyananda, 2007, p. 175). The person begins to be troubled by questions regarding the cause of the loss. For example, you will hear people asking, why did this happened to me? The power of anger in manifested in many ways and blames will arise towards himself and to others. In the Biblical story of Job, we see him having anger in the way he tore his clothes and went into the road and stayed without food. The only thing he did was to sit on the road

Kings Ghost In Hamlet Essay Example for Free

Kings Ghost In Hamlet Essay During Shakespeares lifetime people were, in general, more religiously devout and more likely to believe in spirits and ghosts. Spirits could be messengers from heaven or evil in nature. This is one reason Hamlet so readily believed his friends when they told him they had seen his fathers ghost; he was also more likely to believe their story because his friend Horatio told it, and he is an intellectual. However, when Hamlet is all too willing to follow his fathers ghost, his friends, Marcellus and Horatio, are very reluctant to follow. Marcellus is reluctant to follow because he is afraid of the ghost. Most people are afraid of the unknown; this would include soldiers, who are used to fighting until the enemy is killed. Marcellus is dealing with a ghost, which he cannot defeat it with his partisan (though he hopelessly offers it), and this scares him. Marcellus is a soldier who is guarding Elsinore, and the ghost is wearing the armor that he wore to defend his land against Fortinbras, the old king of Norway. Another soldier, Bernardo, says, This portentous figure comes armed through our watch like the king that was and is the question of these wars. (Act I, p. 8) When Horatio speaks to the ghost he says, If thou art privy to thy countrys fate, Which, happily, foreknowing may avoid, O, speak! (Act I, p. 9) Marcellus and Bernardo believe it is an ominous sign and that perhaps the ghost has come with a warning about an imminent invasion; one that they would have to defend the castle against. Hamlet also thinks something must be wrong if his fathers ghost is in armor. Marcellus is also afraid of the ghost because it leaves just as the cock crows to signal sunrise. He knows that spirits, including evil ones, cannot bewitch during the day time and he is unsure yet weather the ghosts intentions are good or evil, so he does not want anyone to follow it. Marcellus goes so far as to restrain Hamlet when he tries to follow his fathers ghost. Horatio is also reluctant to follow the ghost because he is unsure of its intentions. He is especially weary because he tried twice to speak with the ghost and it would not answer him, it apparently only wants to speak with Hamlet alone. He warns Hamlet that the ghost might convince him to act  without reason and drive him mad. He tells Hamlet not to follow the ghost because it could lead him off a cliff into the ocean. Despite his friends warnings, Hamlet decides to follow his fathers ghost and receive its message. Though Marcellus and Horatio were reluctant, they eventually follow, catching up to Hamlet after he has spoken with the ghost.

Importance of New Psychiatric Medication Guide

Importance of New Psychiatric Medication Guide CHAPTER 1: THE IMPORTANCE OF A NEW PSYCHIATRIC MEDICATION GUIDE PREFACE: Over the last decade, I’ve served as the medical director of multiple mental health clinics. I’ve worked with thousands of clients amidst a variety of challenging circumstances. Throughout my experience, I became increasingly aware of the challenges that clinicians face about quickly and comprehensively understanding the complexities of psychopharmacology. I’ve seen clinicians spend hours browsing through massive manuals when seeking information about medications, potential side effects, drug interactions and related questions. Although a number of resources and books about psychopharmacology are available in print, no definitive guide of psychopharmacological resources has been created before. Some resources are concerned with defining psychopharmacology, while some concentrate on a specific class of drugs. Those that do attempt to provide a comprehensive overview of psychopharmalogical resources generally do so in a complicated and discursive manner. Until now, clinicians have lacked a single, comprehensive book about psychopharmacology that conveys this vital knowledge in a simple, concise format. To address this challenge effectively, I have compiled this guide that allows mental health clinicians to find all relevant information about important psychiatric medications in shortest possible time. By practicing psychiatric medicine for many years, skimming through hundreds of books and thousand of articles, giving lectures, speaking with fellow clinicians, and treating clients in various settings, I was able to condense relevant information on psychiatric medications into the following guide. This resource changes the way in which clinicians work, equipping them with the necessary tools and information to allow them to provide the best possible care to their clients. In doing so, this book not only covers the essential facts about each psychiatric drug, but it also provides clinically actionable information about every drug and its class, such as latest dosing protocols, clinical indications, side effects and related content. All these aspects are presented in a concise, elegant manner without superfluous intricacy. I’ve intentionally structured this book according to concept learning, categorizing and explaining various drugs in their specific pharmacological classes. Consequently, the guide incorporates the most up-to-date knowledge and practices in straightforward and clinically sound terms. Every drug class is addressed in its own chapter, and important pharmacological agents would be further expanded upon. Heading and sub-headings further elaborate the data. Additionally, helpful pictures, diagrams and tables are included in full-color to summarize concepts efficiently. Moreover, this book’s pocket-sized format is priced affordably and is designed for the busy clinician in practice, the young medical professional in training, and anyone else seeking a clear, quality resource on psychopharmacology. It is my hope that this guide will enable you to glean current, comprehensive information about psychotropic drugs to strengthen your daily practice. INTRODUCTION: Despite decades of research and medical advancements, mental health challenges continue to plague the world’s population in epidemic proportions. The World Health Organization (WHO) predicts that mental illness will become the leading contributor to the global burden of disease by the year 2020. According to the National Institute of Mental Health (NIMH), about 1 in 4 Americans (approximately 61.5 million people) have been diagnosed with some form of mental illness (PhRMA 2014). Mental illnesses are also expensive, costing the US over $317 billion each year (PhRMA 2014). As clinical psychiatry struggles to keep up with the growing burden of disease, the need for better medications and enhanced understanding of the psychopathology of mental illnesses is of utmost importance. Efforts to combat this growing problem have resulted in the creation of new drugs, which are incessantly entering and flourishing in the market, replacing many of the older drugs, now obsolete due to their poor efficacy or harmful side effects. Currently, more than 119 medicines with novel mechanisms of action are being developed to treat a variety of mental health conditions (PhRMA 2014). Some of these innovative approaches include intranasal medication for treatment-resistant depression, a cocaine vaccine, and a rapidly dissolving tablet for autism. Additionally, the discovery of the glutamate system marks a major breakthrough for many psychiatric conditions, such as depression and suicide. Triple reuptake inhibitors, brain-derived neurotropic factor (BDNF), corticotropin-releas ing hormone (CRH), and melatonin are just a few of the mechanisms recently receiving significant attention from researchers. Similarly, the NMDA-receptor antagonist ketamine has shown promising results for the rapid treatment of severe depression and acutely suicidal patients. It seems possible that before long, physicians will be developing personalized treatment plans via gene scanning, RNA fingerprinting, brain mapping, and brain imaging. In light of these breakthroughs and developments, prescribers have a responsibility to their patients to stay updated on the latest psychopharmalogical advancements. The interplay of evolving treatment options, new diagnoses, redefined disorders, and changing treatment recommendations from various professional and regulatory organizations places a tremendous burden on prescribers who need to keep their knowledge current. In the wake of these dynamics, it is highly necessary to update information about new or adjusted medications, not only for medical professionals, but also for the patient. To a prescriber, however, maintaining a robust scientific literacy can involve an overwhelming amount of information that may seem just as daunting as the problem of mental illness itself. Consequently, using a comprehensive and up-to-date guide to stay abreast of new psychiatric medications and regimens is vital for mental health professionals. As the medical director of multiple bustling mental health clinics and having treated thousands of patients over the last decade, I recognize the obstacles faced in day-to-day psychopharmacology practices. I found myself surprised by the lack of any portable, comprehensive resource on psychiatric medications. I have observed professionals waste so much time trying to find just fundamental information about medications, like dosing, side effects, interactions, precautions, withdrawals, and use in special populations. Clinicians lack informative support, as there is not a single book currently available that provides all the essential information about psychiatric medications and psychopharmacology in a concise, reliable, and elegant way. With those challenges in mind, these contents serve as a relevant â€Å"one-stop shop† guide of psychiatric medications for mental health clinicians. Designed for any mental health professionals looking for simple information about the treatment of mental health issues, the material in this book contains a full listing of important information on psychopharmacology. Scouring hundreds of references, lecturing, speaking with other clinicians, and treating patients in multiple settings have allowed me to condense all of the pertinent knowledge in this short resource. Hence, this guide is the result of decades of experience, dedication, and hard work. This book presents that treasure of knowledge—hitherto dispersed across bulky, obscure, and expensive reference texts—in a readily digestible form. It replaces booklets written by non-clinicians, which often lack sufficient detail. It displaces texts that focus solely on basic overviews or on specific classes of drugs. It replaces other lengthy manuals that attempt to encompass all relevant material but which do so in a complicated, discursive manner. Rigorously composed and updated, this guide covers existing as well as new psychiatric medications and their latest dosing protocols. It is my hope that the integration of basic psychiatry and psychopharmacology with the most current guidelines, recommendations, and best practices of prescribing render this information both comprehensive and reader-friendly. This resource thoroughly and clearly covers every topic that is encountered daily by mental health clinicians in the field. The bulk of this text consists of chapters organized by disorder with emphasis on the important classes or individual drugs for that particular diagnosis. Essential information covering every aspect of the medications is provided including: Generic brand names FDA approved indication(s) Off-label uses Medication form(s) Dosage Mechanism of action (MOA) Pharmacokinetics Warnings Drug interactions Common side effects Contraindications Lab tests recommended Overdose information Tapering/withdrawal Special Populations: use in pregnancy, lactation, elderly, and comorbid illnesses (e.g., hepatic and renal impairment) Important notes: evidence-based clinical pointers for further clinical context Having this material handy will change how clinicians work by equipping them with all of the necessary tools so that they can care for their patients in the best possible way. The guide further examines some of the most prevalent psychiatric disorders, including major depression, substance abuse, bipolar disorder, ADHD, psychosis, and schizophrenia. In addition, the book has dedicated sections for the following major topics: must-know changes in the DSM-5, substance abuse, eating disorders, dementia or cognitive disorders, and personality disorders. Other current mental health issues are explored in detail, including psychiatric emergencies (such as suicide/homicide or violence), PTSD, and future medications. This guide also discusses medication use in special populations in-depth, addressing areas such as use in pregnancy, lactation, the elderly, children, and comorbid illnesses (e.g. renal and hepatic impairment). Material is uniquely presented with additional vital information on special cases. Moreover, due to the growing interest surrounding the use of alternative medications in the treatment of psychiatric ailments, a separate chapter is devoted to the various dietary, herbal, and OTC drugs available. In addition to focusing on psychiatric medications, this guide also expands upon the emerging non-pharmacological psychiatric interventions that are being used in current practice. Electroconvulsive therapy (ECT), vagus nerve stimulation (VNS), deep brain stimulation (DBS), and trans-cranial direct current stimulation (tDCS) are covered thoroughly, enabling physicians to sharpen their interventional knowledge and related skills. The contents of this guide are a vital tool for clinicians, allowing them to save valuable time and to succeed in the modern era of medicine through its straightforward presentation, portability, and reliability. As a result, it will be of tremendous help to any prescribing physician who requires a short, clearly presented account of the latest medications used in psychiatry. As a text that intersects clinical psychiatry with psychopharmacology, this guide is intentionally accessible to students, residents, counselors, therapists, psychologists, family physicians, pediatricians, and psychiatrists alike. Simple, concise, current, evidence-based and written from clinical expertise, this book is a vital guide for those responsible for prescribing, dispensing or administering drugs for patients with mental health disorders.

An Unconventional Identity :: essays research papers

An Unconventional Identity Symbolism is a relatively straight forward concept on its surface. It is a visible object or action that suggests some further meaning in addition to itself. Most literary works use symbols to expand on the meaning of the piece of work. "A&P" by John Updike, is a rich story presenting the main idea of man's struggle to attain individuality within society. Through his work, Updike uses the three girl’s sense of non-conformity as symbolism to enhance Updike’s theme of finding individuality and to identify the change in Sammy. â€Å"A&P† starts off with three girls walking into a grocery store â€Å"in nothing but [their] bathing suitsâ€Å" (14). The A&P is â€Å"five miles from a beach† (16), in the middle of town. They are having fun and enjoying themselves although the way they are dressed is not appropriate for where they are, but it does not bother them at all. Soon after their entrance, they catch the eye of Sammy. Sammy follows the girls around the store with his eyes, describing them very thoroughly, even describing one of the girl’s â€Å"sweet broad soft-looking can, with those two crescents of white just under it† (14). Sammy’s sharp and critical observations about the people around him confirms that he is discontent with the norms of society. When Lengel, the store manager, catches the three girls in his store breaking the dress policy, he confronts and informs them that "[t]his isn’t the beach" (17). He then Herber 2 subtly insults them by saying, "[w]e want you decently dressed†¦ here" (17). Although the girls say that they â€Å"are decent† (17), the reader recognizes the fact that the girls are breaking rules by their embarrassment and hurrying out of the store. Yet, even though their rebellion is not intended, because all they initially have to do is â€Å"pick up a jar of herring snacks† (17), their nonconformity makes a significant difference in Sammy's perception of them. In his eyes, the mere fact that they are different from the others, makes them more appealing. After being introduced to the beauty of nonconformity, Sammy is inspired to be the â€Å"unsuspected hero† (18) and quit his job. Sammy, on the edge of reaching his own identity, is presented with a perfect example of what he longs to be - different.