Empowering Patients and Honoring Individuals' Choices

Empowering Patients and Honoring Individuals' Choices PDF Author: United States. Congress. Senate. Special Committee on Aging
Publisher:
ISBN:
Category : Advance directives (Medical care)
Languages : en
Pages : 88

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Empowering Patients and Honoring Individuals' Choices

Empowering Patients and Honoring Individuals' Choices PDF Author: United States. Congress. Senate. Special Committee on Aging
Publisher:
ISBN:
Category : Advance directives (Medical care)
Languages : en
Pages : 88

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Book Description


Dying in America

Dying in America PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309303133
Category : Medical
Languages : en
Pages : 638

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Book Description
For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.

Crossing the Quality Chasm

Crossing the Quality Chasm PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309072808
Category : Medical
Languages : en
Pages : 360

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Book Description
Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

Improving the Quality of Health Care for Mental and Substance-Use Conditions

Improving the Quality of Health Care for Mental and Substance-Use Conditions PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309133661
Category : Medical
Languages : en
Pages : 528

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Book Description
Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are seriousâ€"for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substanceâ€"use conditions will benefit from this guide to achieving better care.

Strengths-Based Nursing Care

Strengths-Based Nursing Care PDF Author: Laurie N. Gottlieb, PhD, RN
Publisher: Springer Publishing Company
ISBN: 0826195873
Category : Medical
Languages : en
Pages : 448

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Book Description
This is the first practical guide for nurses on how to incorporate the knowledge, skills, and tools of Strength-Based Nursing Care (SBC) into everyday practice. The text, based on a model developed by the McGill University Nursing Program, signifies a paradigm shift from a deficit-based model to one that focuses on individual, family, and community strengths as a cornerstone of effective nursing care. The book develops the theoretical foundations underlying SBC, promotes the acquisition of fundamental skills needed for SBC practice, and offers specific strategies, techniques, and tools for identifying strengths and harnessing them to facilitate healing and health. The testimony of 46 nurses demonstrates how SBC can be effectively used in multiple settings across the lifespan.

Responsibility in Health Care

Responsibility in Health Care PDF Author: G.J. Agich
Publisher: Springer Science & Business Media
ISBN: 9400978316
Category : Philosophy
Languages : en
Pages : 294

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Book Description
Medicine is a complex social institution which includes biomedical research, clinical practice, and the administration and organization of health care delivery. As such, it is amenable to analysis from a number of disciplines and directions. The present volume is composed of revised papers on the theme of "Responsibility in Health Care" presented at the Eleventh Trans Disciplinary Symposium on Philosophy and Medicine, which was held in Springfield, illinois on March 16-18, 1981. The collective focus of these essays is the clinical practice of medicine and the themes and issues related to questions of responsibility in that setting. Responsibility has three related dimensions which make it a suitable theme for an inquiry into clinical medicine: (a) an external dimension in legal and political analysis in which the State imposes penalties on individuals and groups and in which officials and governments are held accountable for policies; (b) an internal dimension in moral and ethical analysis in which individuals take into account the consequences of their actions and the criteria which bear upon their choices; and (c) a comprehensive dimension in social and cultural analysis in which values are ordered in the structure of a civilization ([8], p. 5). The title "Responsibility in Health Care" thus signifies a broad inquiry not only into the ethics of individual character and actions, but the moral foundations of the cultural, legal, political, and social context of health care generally.

Empowering Health Decisions

Empowering Health Decisions PDF Author: Jerrold S. Greenberg
Publisher: Jones & Bartlett Publishers
ISBN: 1449617387
Category : College students
Languages : en
Pages : 377

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Book Description
Empowering Health Decisions offers a personal health text focused on essential content for students to assist them in making informed decisions about their health. This text is unique from other personal texts on the market in that it focuses on decision-making models and theories of behavior change. These models are carried throughout each chapter and will describe how it can be used to make health enhancing decisions specific to the chapter content.

Democracy as the Political Empowerment of the Citizen

Democracy as the Political Empowerment of the Citizen PDF Author: Majid Behrouzi
Publisher: Lexington Books
ISBN: 9780739118092
Category : Philosophy
Languages : en
Pages : 262

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Book Description
Democracy as the Political Empowerment of the Citizen: Direct-Deliberative e-Democracy conceptualizes the age-old idea of democracy in a new way. The fundamental idea underlying this new conceptualization is the now-neglected notion of the people's sovereignty. Although democracy means rule by the people, the people cannot rule unless they are empowered to do so. In order to introduce the notion of sovereignty, and its direct exercise into the liberal-democratic conceptual scheme, this book attempts to 'individuate' the idea of the people's sovereignty via individuating the notion of the political empowerment of the people. Using the existing theoretical framework of American liberal democracy as its theoretical grounds, Majid Behrouzi argues that present-day American society has at its disposal the material and technological means and infrastructures (e.g. 'e-technologies'), and the political-cultural institutions needed for the actualization of the idea of the direct exercise of the individuated sovereign powers. Together with its companion volume, Democracy as the Political Empowerment of the People: The Betrayal of an Ideal, this book is essential to scholars interested in the evolution of modern democracy and the future of politics and political technology.

Best Care at Lower Cost

Best Care at Lower Cost PDF Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309282810
Category : Medical
Languages : en
Pages : 437

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Book Description
America's health care system has become too complex and costly to continue business as usual. Best Care at Lower Cost explains that inefficiencies, an overwhelming amount of data, and other economic and quality barriers hinder progress in improving health and threaten the nation's economic stability and global competitiveness. According to this report, the knowledge and tools exist to put the health system on the right course to achieve continuous improvement and better quality care at a lower cost. The costs of the system's current inefficiency underscore the urgent need for a systemwide transformation. About 30 percent of health spending in 2009-roughly $750 billion-was wasted on unnecessary services, excessive administrative costs, fraud, and other problems. Moreover, inefficiencies cause needless suffering. By one estimate, roughly 75,000 deaths might have been averted in 2005 if every state had delivered care at the quality level of the best performing state. This report states that the way health care providers currently train, practice, and learn new information cannot keep pace with the flood of research discoveries and technological advances. About 75 million Americans have more than one chronic condition, requiring coordination among multiple specialists and therapies, which can increase the potential for miscommunication, misdiagnosis, potentially conflicting interventions, and dangerous drug interactions. Best Care at Lower Cost emphasizes that a better use of data is a critical element of a continuously improving health system, such as mobile technologies and electronic health records that offer significant potential to capture and share health data better. In order for this to occur, the National Coordinator for Health Information Technology, IT developers, and standard-setting organizations should ensure that these systems are robust and interoperable. Clinicians and care organizations should fully adopt these technologies, and patients should be encouraged to use tools, such as personal health information portals, to actively engage in their care. This book is a call to action that will guide health care providers; administrators; caregivers; policy makers; health professionals; federal, state, and local government agencies; private and public health organizations; and educational institutions.

Words that Empower Honor, Value &; Integrity VIII

Words that Empower Honor, Value &; Integrity VIII PDF Author: Kate Ellis,ccht
Publisher: Kate Ellis
ISBN: 0985048387
Category : Games & Activities
Languages : en
Pages : 203

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Book Description
Why and How Empower Wordsearch Puzzles Work Their Magic You are looking at a remarkable book and a powerful method indeed. If you want better results in your life, then Kate Ellis' Words that Empower puzzles are one of the simplest, most effective brain exercises to use AND they offer an opportunity to make major positive changes in your life at the same time. There are six main ways that empower puzzles work their magic: 1. They are fun. 2. They are thematic. 3. They encourage concentration and focus. 4. They exercise the brain. 5. They enlist the power of your subconscious. 6. They can be very effective in changing behaviors and habits.