CRC Screening: A Case Study

One area where access to care is a problem is in the rural communities. Healthcare professionals including physicians, nurse practitioners, and nurses all affect the quality and cost of care (Derksen, & Whelan, 2009). Going forward importance needs to be placed on using recourses more efficiently and effectively; these resources include but are not limited to tests, prescriptions,

Many factors can influence a person’s access to health care. Age can influence access to health care because some physicians will treat only children or only the elderly. Income can influence access to health care because specialty driven health care usually involves significant out-of-pocket expense to the patient because some procedures are not covered by health insurance. Location also can be an influence on access to health care. Many patients do not have transportation because of age, dependency on family members, health reasons, or financial reasons. According to the Journal of the National Medical Association, Access to health care can influence the prevalence of chronic disease risks and cancer screening utilization in many ways (Shavers, Shanker, Alberg, 2002, p. 955). If patients are not given

Early detection, screening and prevention, often times is not provided by mainstream America to support programs that benefit all American’s. Often Minority groups are sometimes five years after preventative screening before tests are available to

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.

Increasing access to health care coverage and transportation will increase overall access to medical care for underpriveldged communities, who, have the hardest time accessing these services. Those living in rural areas will have to travel longer distances to a medical center and the time and money it takes to get to these appointments imposes a significant burden. The American College of Obstetricians and Gynecologists report that less than half of rural women live within a 30 minute drive to the nearest hospital offering perinatal services (Healthcare). Transportation barriers can contribute to missed appointments, delayed care, and missed or delayed medication use leading to overall poorer health (Syed). A survey reported that 38 percent of white cancer

People living in rural areas are experiencing highly limited excess to health care facilities either because they are not aware of the disease symptoms as a

Center for Disease Control and Prevention (CDC's) National Breast and Cervical Cancer Early Detection Program (NBCCEDP) provides access to breast and cervical cancer screening to underserved women in all 50 states. NBCCEDP programs use population-based approaches such as public education, patient navigation, and outreach, care coordination to increase screening and reach underserved and uninsured populations. This program provides cervical screening for 21 to 64 year and breast screening for 40 to 64 years. Since this program initiated in 1991 almost 3.7 million women has been screened and 44,885 cases of breast cancer, 2,554 cervical cancers and123, 563 cervical precursor lesions have been detected (Benard et.al , 2011). NBCCEDP use Conceptual Framework supports a collection of strategies to reach uninsured women, including program controlling, screening and diagnostic services. Team members of the NBCCEDP work collaboratively to provide breast and cervical cancer screening, diagnostic evaluation, treatment and referrals. “The program's continued success depends in large part on the complementary efforts of a variety of national partner organizations, as well as on state and community partners” (CDC, 2012). The key success for these two cancer screening programmes

Lack of doctors is only one facet to this multifaceted problem. Accessibility in terms of having the financial resources to obtain care is another. “Individuals in lower social status groups have the highest rates

I do belive in standardize testing for all ages. I feel as if the word "testing" may not be appropriate because I do not think these test are pass or fail. I think some form of standerdized testing or screening for what is considered a normal range of development is needed. For example, when I took my children to their well baby check ups every three months I had to fill out a form that evaluated what their abilties were. This form helped me to understand were my children were developmentally and what milestones they should be developing. If there never had been any research or development on what to excpet at a certain age how would we know that most babies start to smile or begin to recognize familiar faces at a distance around two months?

Differences in CRC screening trends among Asian ethnic groups are not entirely explained by differences in demographic characteristics, English proficiency and access to care. A better understanding of mutable factors such as rates of doctor recommendation and health beliefs will be crucial for designing culturally appropriate interventions to promote CRC

Nursing theories and ethical principles serve as the foundation of nursing practice, education, and research (Colley, 2003; Antipuesto, 2011). This paper’s purpose is to elaborate on the author’s discussion of her phenomenon of interest (POI) on newborn screening for Critical Congenital Heart Defects (CCHD). The objectives of this paper are to discuss the metaparadigm of nursing as it relates to the author’s POI, to discuss the Neuman system model and discuss the POI within its framework, to discuss the inter-related concepts in the UCSF symptom management model and associate it with the Neuman system model, examine the POI as it relates to the complexity science framework, and to distinguish ethical

1. The questions I have would include what happens if the employee received the shot and do not show immunity? How long does immunity take to show in the blood screening process? What about ineligible staff for vaccination and are there religious exemptions? People that are less than 6 months of age and allergic reaction history have a contraindication for receiving the flu shot and what the agency policy is to handle this population (CDC, 2016). The policy and the logistics of the program and who will financial back the program, what happens when an employee refuses and what is the timeline for compliance.

The index colonoscopy and biopsies are accurate in distinguishing CD from UC in 89% of cases.15 However, this differentiation is challenging at times. Features that raise suspicion of CD include the following:

Primary care providers (PCP) can play a key role in educating and encouraging high risk individuals and in a patients understanding of risk perceptions and acceptance of genetic risk associated to LS cancers, as PCP support is influential in an individual’s ability to adjust to carrier status and acceptance of surveillance regimens (Marquez et al., 2013; Marzuillo et al., 2013). PCP’s knowledge of LS screening of patients with cancers in a health care delivery organizations can be instrumental in assessing of LS, implementation, and knowledge of collaborating with a genetic team in a patients care, ensuring test completion and follow up to abnormal screening, which can result in successful implementation of routine screening and assist patients in adhering to a colonoscopic surveillance program (de jong et al., 2005; Marzuillo et al., 2013). The incidence of cancer in young onset has raised steadily for the last three decades, due to different types of cancer, more specifically, undetected genetic cancers seen in LS (Rosato et al., 2013; NIH, 2016).

A Community Health Epidemiology Study with Community Diagnosis HGT Community Health Practicum/HAT1 Erika J. Schnell, R.N. 11/05/2012 Western Governor’s University