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Analyze the primary way in which different staffing levels may play pivotal roles in upholding ethical conduct, including treating patients with dignity. Justify your position.

Legal Ethics, Patients’ Rights, and HIV / AIDS

As the head health care administrator at USA Community Hospital, you are required to review compliance reports on issues relating to the ethical conduct of the professional staff at your hospital, patient review registries, and standard procedures surrounding the ethical treatment of patients with HIV / AIDS. Intermittently, complaints surface from patients with HIV / AIDS concerned with ethical treatment and denial of services.

Note: You may create and / or make all necessary assumptions needed for the completion of this assignment.

Write a six to eight (6-8) page paper in which you:

Devise a plan to investigate the validity of patients’ claims of denial of services. This plan should include, but not be limited to, establishing mechanisms to address service denial claims, a human resources component, and a review of related policies and procedures.

Analyze the primary way in which different staffing levels may play pivotal roles in upholding ethical conduct, including treating patients with dignity. Justify your position.

Formulate a plan to relate the primary legal ramifications to the professional staff regarding ethical treatment of the hospital’s HIV / AIDS patients.

Devise a community relations plan that tout’s the hospital’s unique ways of serving persons with HIV / AIDS, including a focus on de-stigmatizing those afflicted.

Use at least five (5) quality academic resources in this assignment. Note: Wikipedia and other Websites do not quality as academic resources.


 


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Electronic Medical Record Essay

Electronic Medical Record Essay

 

An electronic medical record (EMRs) is a computer-based system for recording, managing, and delivering data concerning a patient. These computer-based records include any information taken by the doctor at the fist visit of the patient, which can be either physical, medical, laboratory test results or drugs prescription.Electronic Medical Record Essay

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History of electronic medical records

A physician named Lawrence L. Weed first invented the development of these electronic records in the year 1960s. He describes this system to automate and reorganize the patient’s medical record to enhance the utilization, therefore, an improvement in the medical industry.

This invention by Lawrence became the basis of the PROMIS projects in the University of Vermont. This lead to a collaboration of physicians and information technology experts to start developing an automated electronic medical record system (Carter, 2001). The objective for this project was to develop a system that could provide sequential and timely patient to physicians and facilitate a rapid collection of data for business audits, epidemiological studies and medical audits.Electronic Medical Record Essay

In 1970s, this medical record was first used in a medical ward of the medical center hospital of Vermont. This was the periods when the touch screen technology had been introduced to the data entry procedures. Between the period of 1970s and 1980s, these electronic medical record systems were further developed and refine by various research institutions (Carter, 2001).Electronic Medical Record Essay

With advancement in technology, these electronic medical records became increasingly complex and more used by medical practitioners in various countries especially the developed countries.

This system has displayed more advantage on its use as compared to the work of paper recording due to its capabilities. These include the ability to capturing data at the point of care, quick integration of data from multiple internal and external sources and its capability to support caregiver decision making.Electronic Medical Record Essay

Its efficiency for patients and their providers, as well as the health payment systems, has also been recorded. The need to replace paper medical recording which, most of the times are incomplete, hard to read and even hard to find has provided a single, up to date, shareable and accurate information to the medical practitioners (Rogers, 2002). This system is also capable to carry more information as it can manage information from multiple offices, as well as multiple types of record resources.Electronic Medical Record Essay

With the case of the paper-based systems, information can get lost more easily as compared to this electronic system which, secures records with a backup files even in case of emergencies.

Another advantage for this electronic system is the ability to coordinate care in the all of health care team (Science Daily). This reduces the cases of duplication of testing, prescription of medicine whose combination is dangerous, and the ability of the medical team member to understand the taken to a condition. Many medical practitioners are often considered having undecipherable handwriting, which may lead to mistakes, but by the use of this electronic system, typed information is likely to cause less misunderstanding.Electronic Medical Record Essay

Further research on the use of this system that contributes to the satisfaction of the patients and medical practitioners is necessary for the successful future development and implementation of its effectiveness.

Despite of the above positive impact on the health care, over time and time, there is reports of insecurity and lack of privacy to the health information about a patient. This is because this information are available online not any to the patient and his doctor but also to other health care providers (Science Daily). This has created a lot of concern on security and privacy of health- information technology tools.Electronic Medical Record Essay

In conclusion, to make this electronic medical record more effective, the federal government needs to invest in technology, which, is needed to develop new sets of quality measures on the use of the system.Electronic Medical Record Essay

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Development of Drug and its Clinical Trial Essay

Development of Drug and its Clinical Trial Essay

 

As competition in the pharmaceutical industry gets intense, pharmaceutical companies are racing for innovating new products/medicine that would change people’s life. Two issues become key attractions in the business. First, the industry is characterized with large number of inventions, which further become the basis of competition in the industry. Second, the industry also continues exhibiting new marketing strategy in order to differentiate them from their rivals/competitors. Sometimes, a similar ingredient of a medicine is commercially campaigned in television and other media to have stringer and better impact to cure particular disease.Development of Drug and its Clinical Trial Essay

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            This paper would not specifically discuss about how to market a drug. It fact, it will focus on the discussion of a drug that is successfully released into the market after officially passing the clinical trial. The chosen product is GlaxoSmithKline’s Ventolin inhaler, which is produced for relieving an asthma attack including its clinical trial.

The Development of Asthma Treatment

There are three facts that everyone should know regarding asthma. First, asthma is a chronic disease, which means a patient faces it every day. The important thing is the patient should avoid particular triggers that would lead to asthma attack, which may be caused by several things that are specific to each patient. Some consider dust and animals’ furs are the trigger, others find that some foods are the triggers, and the rest consider heavy exercise as the causes. Second, asthma is not a light disease since in many cases it is considered life threatening. Third, there is no exact cure for patients with asthma. They had better manage their life to carry out a normal and healthy life to reduce and prevent any chance of asthma attack.Development of Drug and its Clinical Trial Essay

According to a research in 2002, about 75 million American people live with asthma and other allergic diseases. At least 5,000 of 75 million end in deathly attack. This considers as a serious disease that requires special attention as the number of children that experience asthma continue increasing nowadays. Several drugs have been produced and special treatments have been developed and found to cure people with asthma. However, a data shows that the number of patients have increased by 80 percent over all ages and ethnic groups.

Latest Development and Research

Asthma and Prescription Drugs

            The development of drug to relieve asthma attack is managed carefully. This is because asthma is a severed disease and the drug can only be purchased by physician’s prescription. Ventolin Inhaler, for example, is a product that uses the inhaler method and considered as prescription medicines. In its official website……, GlaxoSmithKline, the Ventolin producer, writes in bold that “this medicine has been prescribed for you by your doctor. DO NOT give this medicine to anyone else.” The aim of this warning is not to give this inhaler product to children under 4 years without adult supervision as prescribed by the patient’s doctor.Development of Drug and its Clinical Trial Essay

Since wrong medication can be deadly, therefore, only doctor can prescribe medicine. However, the wrong medication can be caused by wrong actions by pharmacists. This is true since the problem of pharmacy errors get worse these days since the number of prescriptions rise. This situation greatly put pharmacists under pressure to work as fast as they can.Development of Drug and its Clinical Trial Essay

Under such circumstances, some states in the U.S. issue law that rule the use of prescription medicine. In conclusion, while medicines can be bought by a doctor’s prescription, consumer should beware of pharmacists and take necessary action when dealing with them. Development of Drug and its Clinical Trial Essay

Clinical Tests on Animals, Cell Cultures and Humans

            Concerning the importance of asthma treatment, many researchers have established clinical tests to develop the drug efficacy and ensure the safety. It also discusses why physicians strictly recommend prescription drugs for asthma patients. The specific drug that will be discussed is inhaler, a special medication for asthma, which provides a quick relieve for those who experience an attack.

Like other product development, Ventolin inhaler also passes some clinical test before commercially launched into market. There are several steps in the drug discovery processes as shown in the Figure 1 that describes the drug development and production. The first process is the medical needs identification. This includes the efficacy analysis on existing medication and therapy. The analysis is then followed up by the evaluation of current information about the target disease, which results in new hypotheses on how to improve the therapy. In this step, the efficacy of each therapy is identified and is further advanced to treat patients with target disease.Development of Drug and its Clinical Trial Essay

Following the hypothesis then the project continues with the set of research objectives and proceeds the testing on animals. During animal test, several important steps include monitoring biological activity in animal, obtaining a related compound and optimizing the process in the preparation of similar structures, and at the end choosing one compound as the drug candidate.

Once the drug candidate is selected, it further undertakes the toxicological testing in animals as mandatory according to law. If the chosen compound passes all tests, prior to clinical trials, the historical research data is submitted to the Food and Drug Administration (FDA) as an Investigational New Drug Application (IND). FDA is a government agency in the United States while other countries also have similar agencies with different name.Development of Drug and its Clinical Trial Essay

Statistically, very few drug (4-7%) candidates pass these entire tests. A team of experts at FDA then conducts a completed test on the successful new drug application (NDA), which is accompanied with completed research data. Only drug that has been rewarded the approval from FDA can be offered to physicians for prescription.

Clinical Tests of Ventolin Inhaler

            The reason of Ventolin Inhaler to be considered as prescription medicine is that it contains active component of VENTOLIN HFA is albuterol sulfate, which is similar to salbutamol according to The World Health Organization (see Figure 2) and other components. Development of Drug and its Clinical Trial Essay

In order to prevent any adverse impact on human, the clinical tests are carried out at a given period. The clinical test for Ventolin is performed in a 12-week double-blind trial by comparing the effect of Ventolin HFA to CFC 11/12-propelled albuterol and an HFA-134a placebo inhaler. The clinical trial involves adults at 12-76 years of age that experience varied asthma attack from mild to moderate level.Development of Drug and its Clinical Trial Essay

The measurements of serial forced expiratory volume in one second indicate that the respondents that take two doses (two inhalations) of Ventolin HFA experience significant improvement compared to placebo. The trial measurements also obtain important findings that people that exercise should take two inhalations of Ventolin HFA about 30 minutes in advance.

Another clinical test on Ventolin Inhaler is carried out in different occasion. The test includes 248 patients that take Ventolin HFA within 2 to 12 week-test period. The measurement shows varying results. For pediatric patients, it is found that patients at 4 to 11 years of age experience undesirable reaction like their adults counterpart (See table 1).Development of Drug and its Clinical Trial Essay

Conclusion

Asthma is a chronic disease that requires a serious treatment as it attacks not only adults but also children and for some cases, it causes death. According to American Lung Association, patients with Asthma have difficulty to move air in and out of their lungs.Development of Drug and its Clinical Trial Essay

This paper has elaborated the medicine for asthma. The chosen product is GlaxoSmithKline’s Ventolin inhaler, which is well-known for relieving an asthma attack. As asthma treatment is continuously improved, this paper will also include the latest development and research and the test on animals or human that the drug has undergone.Development of Drug and its Clinical Trial Essay

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What is the implication of your concept to advance nursing practice?

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What is the implication of your concept to advance nursing practice? Order Description Find one peer reviewed, theoretical article related to your concept and answer the following question: What is the implication of your concept to advance nursing practice? For example, if the concept is “pain”, how would this concept relate to advanced nursing practice? […]

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