Often in the well-developed country of New Zealand, citizens face difficult decisions regarding their health care choices. Rosie, is one such citizen, who’s moderate symptoms of asthma have led to a dilemma. Rosie knows that she requires treatment however, is uncertain of whether she should visit a local general practitioner, or an emergency department. This quandary has occurred due to the fact that she is a student and is financially unstable, having only $150 a week after paying her accommodation. Whereas the GP will cost her a total of $33, the emergency department will have no co-payment for its service. The essay will examine the various advantages and disadvantages of each option, and will then go on to analyse the implications on the …show more content…
First of all, Rosie will be provided treatment with better quality. A hospital is more likely to provide expert care due to the number of specialists present. An emergency department would offer clinical quality as accessibility to diagnosis and clinical practices will be present immediately. Bodenheimer, T. S., and Grumbach, K. (2009) argue that direct access by Rosie to an ED is a less unified model of care, however, it may allow access to specialists with better experience at managing her individual condition of asthma. According to Health Evidence Network (2004), advance resource allocation in most countries, including NZ, still favours hospitals. In a study conducted by Jollis et al, (1996), (as cited by Health Evidence Network, 2004), it was discovered that specialists perform better than generalists when managing certain conditions. According to another study conducted by Schoen, C., et al. (2004), 51% of New Zealander’s surveyed rated the emergency care services as excellent or very good. Secondly, Rosie would have a cost advantage, as there is no co-payment and she will be covered by the general health care. Hospitals manage highly complex and specialized impatient health care needs, therefore if Rosie visits an ED, she will be receiving quality treatment for free. Jantrana, S. & Crampton, P. (2009) had noticed in their study that even those patients who were enrolled with a GP, seeked care in hospital emergency departments because of
History of Present Illness: Ms. Dahlberg is a very pleasant 69-year-old woman who suffers from poorly controlled asthma. She has a recent exacerbation requiring hospitalization at Anna Jaques Hospital in June. Since discharge, she states that she has done well. She has stable dyspnea on exertion. She does feel that perhaps it might be slightly worse given the heat and humidity. She is not complaining of any cough. She is compliant with her bronchodilator regimen.
Task analysis is the process of obtaining information about a job by determining the duties, tasks, and activities involved and the knowledge, skills, and abilities required in performing each task. There can be broken down into six
Ten wonderful years whizzed by. They were happy times, indeed. The quaint Asthma's Store went on to be one of those most cherished landmarks in town. Ronnie's childhood was divided between home, school, and his association with Asthma's. This is where he grew up and turned into the man he was to become. Play, fun, work, education, imagination, discipline, and vision all developed stemming from these influences, and yet his nature was far from serious. He even did his school homework under Luda and the clan's tutelage and always at the top of his class. Ronnie's parents knew where he was. He was a great son and always did as he was told, although his story-telling continued to perplex them all the way through his teen years. As far as his
In southern California, there are various challenges facing the recovery of shoreline front wetlands and salt swamps. For a few times people have ignored the contrary points of view, that would achieve the environment some mischief in perspective of urbanization.
Thank you for referring your patient Yusif Mohamed to the Putting on AIRS program. Enclosed you’ll find the summary of a home visit we made on March 15, 2016.
The film titled City of God (2002) by directors Fernando Meirelles and Kátia Lund highlights several issues concerning urban planning. In particular, the movie focuses on the social problems that develop with the emergence of highly-populated cosmopolitan cities like Rio de Janeiro. The entire film is shot in a favela, where gang-related activities are frequent. A critical analysis of the movie would reveal several other themes related to the planning of urban centers. Therefore, by using contents of the film, it would be possible to assess the trivial issues of solving planning problems in modern cities. Rio de Janeiro represents the many cities of developing and emerging economies that face serious planning and social problems as revealed in the film the City of God.
Also, when an asthma attack is occurring an individual would need paramedics to be equip and be trained to know how to help the individual recover from their asthma because it is a serious situation, and the paramedic would give an individual supplemental oxygen and give the individual a breathing treatment with drugs that opens their airways and a paramedic would transfer the individual to hospital as soon as possible. But with diabetes, the paramedics do not need to be equip as much than they would for asthma because diabetes is a slow process and is able to treat the treatment in time without rushing or needing to panic and fix the problem straight away, also diabetes attack are less frequent then asthma attacks.
In the United Kingdom, the National Health Service (NHS), a publicly funded healthcare system for England, provides the majority of healthcare, including primary care, in-patient care, long-term healthcare, ophthalmology, and dentistry. The issues associated with access to healthcare include availability, quality, costs and information about the services available. According to healthknowledge.org, “the availability of good medical care tends to vary inversely with the need for it in the population served… The quality of services offered to patients may vary between population groups, the health care services may impose costs (financial or otherwise) which vary between population groups and the health care organizations may fail to ensure that all population groups are equally aware of the services available” (Steinbach, 2009).
In the United States, not every individual has the privilege of affording the necessary medical attention. Socioeconomic status has an impact on the health outcomes of individuals, as a result, many people who are uninsured go through their daily lives without assisting to a yearly physical or a primary care visit when they feel ill. This leads to an increase in emergency room visits, which increases healthcare costs. The increased healthcare expenses are greatly related to the decreased availability of primary care services, and the excessive emergency room visits. This paper will explore the benefits of allowing nurse practitioners to provide primary healthcare by delving into
“Sarah is at Children's Hospital, in the ICU”. Those are the words that changed my life. Sarah is extremely sick and it's making me want to be smart, strong, and kind. My sister, Sarah had lung failure when she was in 7th grade, she was hospitalized and stayed at Children’s Hospital in the ICU for around a week. Nearly a year later they found out what was wrong with her, she has Chronic Eosinophilic Pneumonia and Severe Asthma. When I saw her get sick I saw her being strong, nice, and keeping up on school work she made me want to have these qualities as well.
The Australian health care system is founded on the concept of equity of access. Discuss this statement with relation to the concepts of effectiveness and efficiency and any interrelationships that may exist.
Modernism has its origins in the late 19th and early 20th centuries and it is characterized by a break with traditional styles of norms and rules. Modernism experiments with literary form and expression, and it is driven by a desire to overturn traditional modes of representation, and express new topics and sensibilities of their time. In the short story, “The Short Happy Life of Francis Macomber” we hear about man versus nature, and we are being presented to the literary techniques of the modern era - for example the iceberg method. In the following I will focus on elements, such as a characterization of Margaret and Francis Macomber and Wilson, a comparison between Francis Macomber and Robert
Discuss the prevalence of asthma in certain patient populations that you might see in primary care. Asthma is chronic airway inflammation disorder that is characterized by persistent episodes of wheezing, breathlessness, chest tightness, and non-productive cough, mainly at night and in the early morning. The inflammation of the airway results from physical, chemical, and pharmacologic stimulus, which causes bronchial hyper-responsiveness, constriction of the airways, edema of airway wall, and chronic airway remodeling (Cash, 2014). Asthma occurs at all ages, with about 50% of all cases developing during childhood and another 30% before age 40. In the United States, it is estimated that 25 million people have asthma and the prevalence continues to increase (McCance, & Huether, 2014). Previously, asthma was considered
In an article by morbidity and mortality weekly, it states that, “Guidelines issued by the National Asthma Education and Prevention Program (NAEPP) specify essential components of asthma management, including patient education, objective monitoring of symptoms, and avoiding asthma triggers.” (MMWR, 2007). People with asthma should have proper management to prevent further damage to their bodies. Asthma management plan should be a person’s first priority and it is also a best management plan to prevent symptoms. Making a management plan can be done by yourself just keeping your triggers in mind. An effective plan should allow you to live an active life without having asthma symptoms, exercise without complications, a good sleep at night, attend
Primarily, one of the nurse roles is to educate our community about their health risks. Teaching about ways to self-manage their asthma at home is the best way to decrease hospitalization. In addition, educating the residents in the community about what asthma is, and what the symptoms are, are very important raise the awareness of asthma. Because air pollution is very concerning for the residents of the community, teaching the resident of ways to reduce the exposure of the polluted air by wearing protective gear, such as a surgical mask. This can ultimately inhibit the transmission of fine particles from entering the lungs. Thus, reducing the risk for asthma.