An Article On Physical Evidence

Barry Corbet states his experience in a nursing home in his essay “Embedded.” A nursing home is a private institution for elderly or sick people who are unable to care for themselves. Corbet’s essay says “Nursing homes are environments of isolation and disempowerment” (Corbet 165). “Nursing homes are not just for old people, they can be for people with disabilities also” (Corbet 164). Both age and disabilities can be a huge factor when considering a nursing home.

Nearly anyone you ask would be familiar with the television show CSI. The crime lab is colorful and high-tech with all of the fun toys and machines that analysts use to test the ever abundant amount of forensic evidence from every crime scene. It makes for an exciting drama that you cannot help but get immersed in—it also gives us a false illusion, however, creating what has been dubbed as the “CSI effect” (Baskin, 2011). This effect describes the idea that crime shows such as CSI generate unreal expectations, making viewers believe that forensic evidence should be existent in all criminal trials, therefore affecting their overall perspective on a case (Baskin, 2011). But in reality, forensic labs are not that glamorous. In fact, the

When you hear the words, “Nursing Home”, what comes to mind? Sad, helpless, elderly individuals? The smell of urine? An overall, unpleasant place to reside in? Unfortunately, this generic description is accurate amongst majority of the nursing home facilities across the United States. More often than not, the elderly suffer from inhumane living conditions while residing in a nursing facility. Quite often we hear stories on the news about cases of elder abuse in the nursing home and we automatically think physical, mental, or emotional abuse from caregivers. However, the fact that these individuals are also living amongst unsanitary, inhumane conditions, and ran by a staff that includes

Is it worth putting your loved ones in a nursing home facility? According to Centers for Disease Control and Prevention, “Each year, hundreds of thousands of adults over the age of 60 are abused, neglected, or financially exploited.” Family members of an elderly person might assume that because they are paying such a large amount of money for assistance and a room in the facility, that they’re getting the best treatment and care for their relative. Although one might believe their loved ones would be better off in a nursing home, they might be putting them at a greater risk of abuse due to understaffing, lack of training within the staff, neglect, nurse burnout, and low wages. 2,150,000 cases

Like demonstrated in chapter four of the book, they lose all sense of independence and privacy, and are forced to get dressed, take their medicine or do activities when told to instead of being able to decide for themselves. With the idea of assisted living, Keren Wilson will allow her mother to “be Jesse again, a person living in a apartment instead of a patient in a bed.”(Gawande, 2014, p. 89). I feel it is important to treat those with serious infirmities, like physical or mental weakness, with respect and independence because many of them don’t have a say or voice on where they are placed. They are unable to live on their own so they are forced to be put in nursing homes, where they become sheltered, abandoned, and sadly sometimes forgotten. This is why showing them respect, dignity, and giving them some independence will go a long way.

Currently, there is still a large shortage of primary care practitioners in the United States. The margin between available providers and those in need continues to grow. Many people without proper access to care have to delay seeking help for what ails them ("Health Wanted," 2012). Glicken & Miller (2013) state that approximately 16,000 primary care providers would be necessary to meet the existing demand. Rural communities would represent the area of greatest need followed closely by low-income urban areas. The number of underserved individuals is estimated to have reached fifty-seven million. This demand will only increase, as 52,000 primary care providers are expected to be needed by the year 2025 (Glicken & Miller, 2013, p.1883-1889).

The United States has a significant “delivery of care” issue wherein physicians (and other HCPs) are concentrated in and around major cities and densely populated areas. This leaves rural populations with fewer physicians and more difficult access to care.

Given that there is a shortage of physicians nationwide it is important to expand the scope of mid-level practitioners such as nurse practitioners and physician’s assistant, who are pivotal in treating the mass influx of patients, especially in underserved areas. Rural communities tend to be poorer, and unable to afford to hire enough physicians, and many rural Americans are less well insured, driving the cost of treatment up (RHF, 2015). The lack of resources and funding in underserved areas means even less incentive for physicians to practice in rural areas. Mid-level practitioners are trained to treat patients with low-level illnesses, provide care to patients with chronic and acute diseases, as well as refer patients with more complex issues

One thing every living organism has in common on this planet-- age. No one wants to age or face the fact that aging is inevitable. However, since it’s impossible to beat the never ending time clock that is life; everyone wants to be as comfortable as possible when age finally does catch up with them. When the majority of people think of comfortability in old age, they think of living in their own homes and being surrounded by their loved ones. Not many individuals want to be placed into a nursing home type facility because they can’t imagine themselves being comfortable that way. Nonetheless, even though being placed in a home does take away some of an elderly person’s independence, usually the independence lost is in activities that person can no longer do for themselves. Indeed, nursing homes do have their own set of scary stories behind them; life lost, independence lost, and privacy lost, yet many of those stories are outdated. Upon investigation, it would be easy for anyone to scare themselves out of a nursing facility due to the stories that are out there. Yet, upon even further research people would be able to see how far the United States has come in their development and evolution of nursing care facilities. The care of the elderly in the form of nursing homes has faced a tough evolution starting off with a harsh past, to what nursing homes are like now, and what people can expect for the future of these homes.

Compared to many other countries, the United States has a healthcare system much more focused on specialists than general practitioners. Instead of using primary care providers as the gate keepers, many patients seek care directly from specialists. Additionally, with the constant pressure of malpractice or improper practice accusations, primary care providers are less willing to provide services outside of the basic realm of general care. This leads to an abundance of specialist referrals, many of which might be unnecessary. Further, evidence shows that specialists are generally compensated at a higher rate than general practitioners. This combination of factors has led to and is continuing to foster reduced numbers of general practitioners and increasing numbers of specialists. This trend may become a danger to the industry. General practitioners are crucial in maintaining population level health, increasing access, and reducing costs. As the number of general providers dwindles we risk returning towards a healthcare system with limited access. If we want to reverse this trend, we must recreate the norm that relies on general practitioners as a trustworthy and competent first line of service. This will require incentivizing medical professionals to train as general practitioners and reassuring individuals that these providers can provide a variety of services. Renewing the trust and utilization of general practitioners can ultimately lead to reduced costs and increased

The patient- centered medical home is designed to improve quality of care through a team-bases coordination of care, which would treat the majority of a patients needs at once by increasing access to care and empowering patients to be a part of their own care (U.S Department of Health and Human Services, 2014). In order for these homes to work, the authors suggest that specialists might be the best candidates to certain conditions, however for these specialist to function in the capacity that is needed in these medical homes, they would have to have interest and proficiency to manage other conditions that fall outside of their

The first person or people who should be caring the burden for elderly care lies within their own family. Within the American culture many family members prefer to put their older members in elder homes. My family is originally from Mexico so I am aware of the family values embedded within Mexican culture. I have never seen a Mexican family have their elderly family members live or be taking care of by somebody else that is not a relative. We live in an American society that does not value the care and need for the elderly and prefer to leave up to state and national departments. Since they were the ones who created the generation in which we live in we should be grateful and provide them with the best care possible within our own homes. Many elders who live in homes receive poor or abusive care from faculty. This is not an environment that we should be letting them live in especially if they are your parents. If they lived there lives to watch you grow and take care of you we should be returning them the favor and taking care of them until their final days. The only exception that I have for not taking care of them would be if they have a serious disability or if they are mentally ill. There are illness where the son or daughter of the family member is not able to care for that person because of circumstances that out of their reach. In this situation it would be ok to admit them to home where they are professionally prepared to care for them and have the resources needed

Professional associations, payers, policy makers, and other stakeholders have advocated for the patient-centered medical home model. Interventions to transform primary care practices into medical homes are increasingly common, but their effectiveness in improving quality and containing costs is unclear.

A health care provider close to home perspectives might well essentially discount things for the individual being watched over, in light of the fact that the specialist may take a subjective position as opposed to hoping to discover innovative answers for that person. Such a position could keep the person from settling on educated decisions about their consideration. Along these lines, individual perspectives ought to never impact the decisions of any person as this additionally conflicts with their rights and can make an individual feel pressurized to

Visiting the doctor has never been viewed as an enjoyable experience for clients. It is likely considered to be a necessary evil, something that must be done but is not pleasantly anticipated. Making the encounter between health care professional and client both helpful and therapeutic can be a challenge. This is especially true for those whose financial situation is precarious, meaning, one pay check away from being homeless. So not only does the client arrive for their scheduled appointment with the normal anxiety visiting the doctor brings; added to this is fear of a serious diagnosis, and the stress of finding the funds to pay for medical services, medications, and any follow-up visits that may be required. The extra expenses will