Case Study: Access Esperanza Clinic

On 5/29/17, at approximately 1804 hours, I was calling the last inmate for medication distribution in D-4, A pod. Myself and Nurse Bob were stationed at the entrance of A pod. Inmates began to crowd around the entrance of the bathroom. An unidentified inmate started yelling, "There is a guy on the floor in the bathroom having a seizure." I ordered the inmates to move out of the doorway of the bathroom. I had a partial view of the bathroom from the pod doorway and was able to partially see an inmate lying on the bathroom floor. I directed all inmates to lockdown in A pod and made a radio call to Security Control indicating there was a man down in D-4, A pod.

Jones Regional Medical Center is a huge academic health center with 900 beds and are known for its research and teaching hospitals. Additionally, the IT staff at Jones supports 300 applications and 12,000 workstations. The center uses Technology Med (TechMed) for their admitting system. The system includes registration, inpatient charge, payment entry, master patient index, admission, hospital billing, and more. The TechMed system has been accessible since 1998; Jones is beginning to plan a replacement of this systems because of the fragility of the software (Wager, 2013).

Communication between nurses at report change is essential. The next nurse needs the most important information whether it is as Situation-Background-Assessment-Recommendation (SBAR) that the Institute for Healthcare Improvement (n.d.) outlines to use or in another form. The case of Rio Grande Regional Hospital Inc v. Villarreal discusses how one nurse breached the standard of care because the record reflects that from the time Hermes was given the double-edged razor until he died neither Nurse Bergado nor any other nurse checked to see how Hermes was doing in the bathroom” (Find Law for Legal Professionals, 2016). At Baylor Scott & White at All Saints, we have a policy that each patient is rounded on physically every hour.

Centura Health had the opportunity for a workshop presentation by Dominique Morgan-Solomon, a population health expert. Dominique Morgan-Solomon, MPH, works as a consultant in health care delivery, device management, and for health care organizations on population health strategies and program implementation. Prior to consulting, Dominique was the Chief Operating Officer of Steward Medical Group and Vice President of Population Health for Steward Health Care from February 2012 until October of 2015. She was responsible for the strategic planning and execution of its quality performance, clinical integration care management, and population health programs. Last year she was awarded “Young Healthcare Executive of the Year” for her leadership in this promising field by the National Association of Health Service Executives (NAHSE). She has exceeded in her career after receiving a Bachelor of Arts from Cornell University in Biology and Political Science and a Master of Public Health in Health Policy from the University of Michigan.

As a FQHC, LSCC’s mission is to provide care to underserved and uninsured residents of our service area. In Central Texas, people who lack health insurance are disproportionately poor and disproportionately racial/ethnic minorities. Because of this confluence of socioeconomic indicators, LSCC’s patient populations are more likely than other groups to experience health disparities which can negatively impact a patient’s life from the day he or she is born, through development, through adulthood, and up until the day he or she dies. Excess morbidity and early mortality are the indelible scars dealt by health disparities upon LSCC’s target populations. In light of this reality, LSCC must go beyond the mere provision of care to ensure that our

A dark figure of a man watches from the background as a serene Puritan village cast their eyes upon the adulterer and her child being publicly punished. His dark, cold and divisive eyes flicker to the adulterer, the woman whom he calls his wife and devices an utter plan of cold, ghastly revenge with the motive of pure destruction. Chillingworth; a character devised from the intelligent mind of Nathaniel Hawthorne is a symbol of the evolution of one whose mind is obsessed with the revenge of others. In the Scarlet Letter, Chillingworth is quite the odd one. Escaping from an Indian village where he was once held captive, Chillingworth returns to the village, only to be greeted by the sight of his wife being publicly shamed for the sin of adultery. Chillingworth, gravely distorted by the news, seeks revenge against his wife and her secret lover. As shown in Chillingworth, the contrived desire for revenge against others reveals a hidden monstrosity.

Iannotta, Joah G. Emerging Issues in Hispanic Health: Summary of a Workshop. Washington, D.C.: National Academies, 2002. Print.

In response to Sabrina Geneus I am in agreement with her comments regarding one subpopulation in the U.S which has currently has access to primary care are Hispanics. She also made interesting points regarding them which are true that Hispanics do not receive health care services of high quality because of their low socioeconomic status which includes low income, assets accumulation, low wage occupations and occupational characteristic. In addition, they also endure education attainment which is an obstacle to receive health care in a timely manner. Individuals who are face with low education may ruin their ability to understand clearly the health care delivery system, such as communicate with health care providers, and understand provider’s

West Florida Regional Medical Center (WFRMC) located on the north side of Pensacola, Florida competed strongly with sacred heart and Baptist hospitals for patients. WFRMC’s CEO John Kausch was an active member of the Total Quality Council of the Pensacola Area Chamber of Commerce (PATQC) (McLaughlin, C.P., Johnson, J.K., & Sollecito, 2012).. PATQC’s vision was to develop the Pensacola, Florida area into a total quality community by promoting productivity, quality and economic developments in all area organizations both public and private (McLaughlin, et, al., 2012). John

Diabetes in Hispanic Americans is a serious health challenge because of the increased prevalence of diabetes in this population, the greater number of risk factors for diabetes in Hispanics (Smith, 2010).” In the years of 2004-2006, about 11.9% of Hispanic American aged twenty (20) years or older are diagnosed with diabetes. About 75% of the Hispanic American trend to be overweight or obesity. When work with Hispanic American clients, you have to gain support from clients’ families to enhance their acceptability of the diet. Healthcare provider encourages pregnant Hispanic to eat low-fat cheeses, lean red meat, and fresh fruits and vegetables. “Gender differentiation and male dominance are issues to consider while working with Hispanic households. The father is the leader of the family while the mother runs the home, shops and prepares the food (Smith,

The United States is a melting pot of racial and ethnic cultures, whose health status, amongst minority groups varies due to the influence of socioeconomic status and educational background. This falls true within the Hispanic community where it is important to receive culturally competent care among the diverse populations to help increase health promotion and gain a cultural perspective on the promotion of health within the culture. There are complex and connected causes of the health disparities within the Hispanic community that are all contributing factors to the current health status. Health Status The Hispanic population, and especially in the number of Hispanic youth is rapidly growing.

Hispanics are the largest and fastest growing ethnic minority group and there are estimated to be about 54 million living in the United States (Office of Minority Health & Health Equity, YEAR). The Hispanics are a minority group that struggle every day to survive, to provide for their families, to stay healthy and to live quality lives. This paper will discuss the Hispanics current health status, how health promotion is defined by the Hispanics and what health disparities exist for the Hispanics. Lastly, this paper will discuss the three levels of health prevention and their effectiveness given the unique

There are many health disparities that exist among the Hispanic population. Many of these are chronic conditions that affect the population. Obesity is one of the many examples of conditions that have increased for the Hispanic population. The CDC (2014) states, “The prevalence of obesity among female Mexican American adults during 2007–2010 was larger than the prevalence among female white, non-Hispanic adults during the same years” (p. 1). This is one of the many statistics that show an example of a health disparity in the Hispanic population. Another example of a problem that is prevalent in the Hispanic community is the health promotion and screening rates. The CDC (2014) states, “A smaller percentage of Hispanic adults aged 50-75 years reported being up-to-date with colorectal cancer screening in 2010 than their non-Hispanic adult counterparts”

Since the year 1918, the United States has developed flu vaccines, antiviral medications, and intensive care facilities, but widespread fear of another major pandemic is still common to occur. The United States have many vaccines available to prevent any disease. Although vaccination provides assurance to many people, some are still concerned about possible negative effects of vaccines. As a resault, parents in increasing numbers are choosing not to vaccinate themselves or their children, and the controversy surrounding vaccination has grown. However, the question whether vaccines should be mandatory are hotly debated. Parents have many excuses on why they choose not to vaccinate their children, but they have no proof to prove what hey are

The Roman Empire, which was centered in the city of Rome, was the most extensive western civilization of ancient times. With its major advancements and prosperity it is hard to believe that the Roman Empire suddenly collapsed and fell into a time known as the Dark Ages. After a period of struggles for the Roman Empire, the empire gradually fell.