Hepatitis Vaccination Case Study

During the 1950s, people who had a disability had two options of housing which included living with their families or living in an institution. However, families did not receive much support since most public welfare services were used towards institutional care, such as mental hospitals and orphanages. Throughout the 1960s there were movements to deinstitutionalize, which at that time basically led to smaller institutions. The 1970s allowed for even smaller community-based residential services that were typically designed for not more than 12 people that were similar in terms of age, independence, or ability. Even though different funding was available, many standards were violated in most of the institutions. Throughout the 70s there were movements to close state institutions and provide more community residential services as well as family support. During the 1980s groundwork for families was laid to expand their control of the nature of the support they received and more options were available to help out with living outside an institution. People with developmental disabilities began to gain increased support to having homes of their own during the 1990s and funded had dramatically increased to over $735 for family support programs in 1998. In 2001 the federal government began a new freedom initiative to “remove barriers to community living for people of all ages with disabilities and long-term illness.” In 2011 the decision that the isolation of people with

Apart from medical technology and medications, the housing treatment has played a great role in improving the treatment of mental illness since the early 1990s. First and foremost, in the past the patients of mental illness were treated as prisoners by being isolated in hospitals or asylums but now they are treated as normal human beings with great care and respect. Secondly, in the past the patients stayed in the hospitals for long periods of time, whereas nowadays patients stay in their home community for most treatments. Only in severe cases, such as violent patients or those who cause harm to themselves may be required to stay in hospitals or more intense observation. Another form of housing treatment is community treatment in which the patients are treated in a friendly way while in

Before 1955, the mentally ill took shelter in mental facility institutions. After 1955, the United States’ deinstitutionalized these facilities and made policy changes to the mental illness treatment system. However, those policy changes are flawed. Some say rather than abandoning mentally ill patients and depriving them of shelter, the United States government should change the way the mentally ill are treated in their current living situations. Instead of changing the attitudes of those who provide services to the mentally ill, it would be more beneficial to change the services themselves.

Attitudes toward the mentally ill started to change in the 60’s and 70’s from both the communities and professionals. The two began to recognize that the mentally ill had rights to live an independent life style like that of ordinary citizens. Before this, people with mental illness or developing disabilities had been institutionalized, giving strong medications, sedated and isolated from the rest of society. Living amongst the community, they receive their medication as well as interact with the general public. In addition, they also interact with security personnel and law enforcement officers, and all too frequently with unfortunate consequences. (Russell, 2012).

Lab test results show a positive anti-HCV and confirm that Chad has Hepatitis C. The nurse explains to Chad that Hepatitis is liver disease with inflammation of the cells of the liver. Chad states "I can't have Hepatitis. I had all three of the vaccinations before I started working as a paramedic."

Sufficient data shows that vaccines has made a major improvement in decreasing suffering and death of infectious diseases and syndrome. And yet, despite the mounting evidence that reassure the safety and value of vaccination, public health continuous faces the dilemma over individual choice, autonomy and protection of the entire population at risk. Children in developing countries now have more access to vaccines, yet, the debate continue over the requirement, including mandates immunization during public health emergency and school-aged. This paper addresses the framework for policy and laws that are associated with immunization that protect our children from infectious diseases.

As you think about making sure your children are ready to head back to school, don’t forget to make sure they’re up-to-date on their immunizations. Getting you or your child vaccinated is as easy as coming to the Grace Health System Walk-In Clinic. No appointment is necessary.

In 2015 there was an outbreak that involved students at the University of Oregon. Six students were infected, one died. The University with the Public Health Department held four mass vaccination clinics with the goal of vaccinating all of the undergraduate students. (https://public.health.oregon.gov/DiseasesConditions/CommunicableDisease/DiseaseSurveillanceData/AnnualReports/Documents/2015/2015-Mening.pdf)

The realization that people did better when they were in their own environment, as opposed to a mental institution was a major turning point in the treatment of the mentally ill. This was the time of deinstitutionalization, realizing that individuals would thrive outside of the institution. An article in the Washington Post gives the shocking statistics "The number of Americans with intellectual disabilities who live in large state institutions declined by 85 percent between 1965 and 2009"(Pollack). By putting mentally ill individuals back into a more normal environment their cognitive abilities were improved as well as their treatment. They were treated as real individuals not as just another patient. Outpatient treatment centers became the main provider of services for the mentally ill. While deinstitutionalization is a good thing, it can also have some negative pitfalls. A large

In 1965, there was a histrionic change in the method that mental health care was delivered in the United States. The focus went from State Mental Hospitals to outpatient settings for the treatment of mental health issues. With the passing of Medicaid, States were encouraged to move patients out of the hospital setting (Pan, 2013). This process failed miserably due to under funding and understaffing for the amout of patients that were released from the State Mental Hospitals. This resulted in patients, as well as their families, who were in dire need of mental health services. This population turned to either incarceration (jails and/or prisons) or emergency departments as a primary source of care for their loved ones.

Thank you for your response. Whenever a crisis hits an organization, not even the best business insurance can fully compensate for the loss. So after the horrific events of 911, human resource and risk management departments (Washington DC adjacent companies) acknowledged the need for continuity /disaster recovery plans. In many cases, insurance carriers required a written continuity /disaster recovery plan on file for continued coverage.

Justice John Marshall Harlan questioned the court “Is this statute . . . inconsistent with the liberty which the Constitution of the United States secures to every person against deprivation by the State?” Justice Harlan went on to confirm that while the Constitution, specifically the 14th amendment, protected the individual liberty that this liberty is not an “absolute right” that created a situation where each person was “at all times and in all circumstance wholly free from restraint”. (Mariner, Annas, & Glantz, 2005). This created case law that stated that while the citizen was generally free from the involvement of the state within their

also be spread through anal and oral sexual encounters. Because HPV is spread sexually, teaching abstinence may come to mind but it has been found that even people with only one partner have high rates of obtaining HPV. Another reason this would not be a solution is that most of the time parents do not know that sexual encounters are happening, so even though they may think their child is not sexual it is best to protect them from something that can hurt them years before.

This is a 21 year old female patient who present the emergency department with the complainting of having been bit while at she was at work two days ago. Patient reports that client bit her in the upper right arm while they were trying to sit him up in a chair for dinner. Patient reported that skin was broken, she didn't recongnizes any backpain or abdomial pain.

The purpose of this case study on Hepatitis C (HCV) is to come up with a process improvement plan of getting patients screened, approved, educated, and started on treatment within a 20 day period. In order to make this happen, everyone in the clinic needs to be educated on the required clinical screenings and documentation. The case study is designed for: medical assistants, pre, post, tumor, and organ management nurses, and nurse practitioners. The case study will be reviewed over the next two weeks in the liver clinic and the reason is to improve the knowledge of everyone on HCV and to know what is needed in the screening and approval process of treatment.