| Papers [1-16] of 100 :: [Page 1 of 7] | | Go to page : 1 2 3 4 5 6 7 —> | Search results on "MEDICATION ADHERENCE PATIENTS COPD": |
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Medication Adherence In Patients With COPD, 2006. An in-depth study of the treatment of older patients who are suffering from chronic obstructive pulmonary disease (COPD) and the success of medication adherence. 4,822 words (approx. 19.3 pages), 16 sources, MLA, AU$ 178.95 »
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Abstract This paper examines the critical success factors for medication adherence in older men and women with chronic obstructive pulmonary disease (COPD). Specifically, the paper attempts to identify what critical factors improve medication adherence among the elderly diagnosed with COPD. The results of this study help to fill the gap in literature that currently exists related to medication adherence among the elderly. The paper further discusses the ample evidence lending support for studies that specifically target the elderly, as empirical data suggests their compliance to procedures and practice guidelines varies significantly from that of younger populations.
Contents:
Chapter 1
Introduction to the Study
Overview
Problem Statement
Purpose
Significance
Chapter 2
Literature Overview
Conceptual & Theoretical Framework
Medication Adherence and COPD
Operational Definitions
Hypothesis Research Questions
Chapter 3
Method
Research Design
Sample Characteristics
Instruments and Interventions
Ethical Issues Protection Human Subjects
Chronology of Events
Chapter 4
Plan for Data Analysis
Data Analysis
Results and Discussions
Chapter 5
Evaluation of Proposal
Abstract
Strengths and Limitations
Publication
Appendix I - Survey Questionnaire
References
From the Paper "In any study involving human subjects it is vital the researcher take precautions to ensure the confidentiality, safety and support of all participants involved in the study. It is also vital the researcher fully inform study participants of the intent of the study, and provide ample guidance for completing each aspect of the study. For this reason the researcher will provide comprehensive instructions at the beginning of each survey mailed to participants, and provide participants a contact number to ensure they have a resource for discussing questions related to the study if necessary.
To ensure the ethical nature of this study, all study participants will be fully informed of the intent of this study and the potential uses for the information provided by this study. Study participants will be asked to sign an agreement stating they understand the focus and implications of this study. All study participants will be afforded the opportunity to provide information confidentiality for purposes of this study. Further, participants will all receive the results of this study in a separate mailing at the end of study. In cases where participants are unable to complete the questionnaires mailed to them, they may appoint a proxy to complete the questionnaire for them."
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Nursing Interventions for COPD Patients, 2002. This paper discusses the nursing interventions required to prevent postoperative complications in Chronic Obstructive Pulmonary Disease (COPD) patients. 2,495 words (approx. 10.0 pages), 11 sources, MLA, AU$ 109.95 »
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Abstract This paper uses the definition of Chronic Obstructive Pulmonary Disease (COPD) as an umbrella term that refers to a large group of lung diseases which can interfere with normal breathing including emphysema, chronic bronchitis and chronic asthma. This paper reviews nursing interventions such as COPD education, exercises of upper and lower extremities, breathing exercises and psychosocial support. The author concludes that the nurse should do a thorough assessment of the patient?s physical and psychological status and that there are several interventions from which nurses can select, thus the patient need not be restricted to any one particular type of intervention.
Table of Contents
Introduction
Nursing Interventions
Conclusions
Applications
From the Paper "In terms of interventions to prevent post-operative complications in COPD patients, the first step that must be taken is a complete assessment of the patient. This assessment is most likely best accomplished by using Gordon?s (1998) Function Health Pattern classification for assessment developed for The North American Nursing Diagnosis Association (NANDA). What Gordon (1998) observed is that a diagnosis is a conceptual model for interpreting a set of observations in order to provide organization for understanding these observations as they relate to diagnosis of any kind."
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Patient Compliance/Adherence, 2004. An analysis of the treatment given to chronically ill patients and how they respond and manage to adhere to it. 2,950 words (approx. 11.8 pages), 9 sources, MLA, AU$ 126.95 »
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Abstract This paper critically analyses the factors that may contribute to the chronically ill person maintaining or not maintaing adherence to treatment. Five related areas of concern associated with compliance metatheory are briefly reviewed. It is asserted that theory building, assessment, research, and clinical application have been needlessly constrained as a result of the tendency of compliance investigations to be: (a) unidimensional, (b) practitioner centered, (c) reductionist, (d) stability (consistency) oriented, and (e) a motivational. The problem listing is then followed by a discussion of potential conceptual alternatives, and by the presentation of a tentative family of terms to replace the current overextended usage of the compliance label.
From the Paper "Compliance is usually defined as a technical problem that is a theoretical in nature; that is to say, compliance is a problem associated with getting the patient to behave in accord with medical advice. Karoly finds this definition to be somewhat sterile and urges that compliance should be thought of as a construct not unlike intelligence. Karoly argues that control theory offers a useful meta-analytic framework for conceptualizing the construct. The power of this approach is that it offers the possibility of combining cause-effect models and those that attempt to analyze "properties of people and/or systems (e.g., families) that are capable of yielding consistencies in health maintaining behavior." Karoly offers a triarchic model of compliance that is analogous to Sternberg's model of the construct of intelligence."
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Nursing Interventions to Prevent Post-operative Complications in COPD Patients, 2002. A discussion of a number of strategies and intervention that nurses can employ to prevent complications after surgery for Chronic Obstructive Pulmonary Disease (COPD), 2,475 words (approx. 9.9 pages), 11 sources, AU$ 126.95 »
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Abstract Discusses a number of strategies & interventions nurses can employ to prevent complications ater surgery for Chronic Obstructive Pulmonary Disease (COPD). Description of COPD including prevelance, conditions, symptoms. Sociodemographics & medical profile. Risks. COPD education. Examines nursing interventions including exercises & weight loss program.; psychosocial support. Value of physical assessment data. Nursing applications.
From the Paper "Nursing Interventions to Prevent Postoperative Complications in Copd Patients
Introduction
Madison, and Irwin (1998) define Chronic Obstructive Pulmonary Disease (COPD) as a sort of umbrella term that refers to a large group of lung diseases which can interfere with normal breathing. In their discussion of the various illnesses that are associated with the condition, COPD Support (2001), notes that there are three basic conditions which COPD patients can suffer from: emphysema (the progressive destruction of the grape-like sacs that exchange oxygen in the air for carbon dioxide); chronic bronchitis; and chronic asthma. Not all patients have all three conditions, although a few do.
In a report issued by the National Institutes of Health..."
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Praying With Patients, 2005. This paper looks at the ethical dilemma of praying with patients from a nursing perspective. 4,859 words (approx. 19.4 pages), 10 sources, APA, AU$ 178.95 »
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Abstract The current controversy regarding the ethical considerations of nurses praying with patients has not always been an issue. In the past, prayer was an acceptable treatment method for the sick. This paper shows that while nurses do pray with patients, it is still controversial for some professionals. Supporters of Holistic nursing practices believe that nurses should not only pray with patients but also receive training on the subject, while many people believe that prayer is an aspect of religion and to pray with a patient would be to impose religious values on the patient. This paper examines the many aspects of this controversy.
Table of Contents:
Abstract
History of Praying with Patients
The Current Practice of Prayer with Patients
Ethical Values Affecting Prayer with Patients
Ethical Theory of Divine Command
Ethical Principles
Nursing Perspective of Praying with Patients
Conclusion
Bibliography
From the Paper "If a nurse was a divine-theory believer, she could be inclined to pray for a patient due to Biblical knowledge or a personal request from God. The problem with only using divine-theory to justify praying with patients is that, "Divine-command theory rightly indicates that our sense of obligation ultimately flows from our relationship with God" (Vacek 1996 633). At this point the nurse would not be using personal motivation and a nurse must be motivated internally to become as independent as possible. Nurses are obligated to solve this dilemma of whether or not to pray with patients by using Divine Theory because it is part of the training they receive while being educated to nurse. The field of nursing lays part of it's foundation on Divine Theory so it should therefore be utilized by nurses in all situations possible."
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AIDS/HIV Patients and Health Care, 2002. A thorough examination of health care for HIV and AIDS patients and a review of the literature relevant to access to care, quality of care and funding. 9,785 words (approx. 39.1 pages), 46 sources, MLA, AU$ 288.95 »
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Abstract A research study is proposed that investigates the experiences of HIV/AIDS patients with health insurance. The specific problem that is investigated concerns variations between HIV/AIDS patients and non HIV/AIDS patients in relation to denial of coverage, premium levels and experimental drug approval. Literature is reviewed is support of the proposed research study. The major bodies of literature reviewed are those related to access to care for HIV/AIDS patients, the quality of care received by HIV/AIDS patients and health care funding, especially as such funding applies to HIV/AIDS care and research and with a further emphasis on future funding prospects.
Introduction
Access to Care for HIV/AIDS Patients
Bioethical Issues
Social Psychological Influences
Effects of Managed Care on Health Care Access for HIV/AIDS Patients
Quality of Care Received by HIV/AIDS Patients
HIV/AIDS Funding
The Welfare State
Summary of the Literature Review
References
From the Paper "A critical factor affecting access to necessary health care for HIV/AIDS patients is health care insurance coverage. Approximately 60-percent of the American population is covered by private health care insurance programs (Congressional Budget Office, 1999). Most of these programs?the very great majority?are either fully or partly funded by employers, while the remainder of such programs is funded fully by the covered individuals and families. For the remaining 40 percent of the population, the delivery of health care services is dealt with in a variety of ways, as follows: (1) for approximately 25 percent of the population, health care services are funded by the federal government, primarily through the Medicaid and Medicare programs; (2) approximately five-percent of the population, both individuals and families, who for whatever reason do not choose to contract for health care insurance, are in the financial position to pay for health care services at the time of delivery; and (3) approximately 10 percent of the population defer health care services to the point where they can non longer be deferred, at which time they typically enter the health care system as emergency patients (Congressional Budget Office, 1999). As emergency patients, their care is more expensive than it would have been if treated earlier, and the care is either (1) paid by government or charity or (2) results in charges to the patients and their families that they seldom have any hope of ever paying. In the latter case, caregivers, typically public hospitals, must absorb the losses.
When all is said and done, approximately 12 percent of the country?s population is without any formal health care insurance coverage (Minahan, 1999; Rosen, Fanshel, & Lutz, 1999), although some estimates of this proportion are higher. Further, in most cases, such individuals are not in a financial position to fund such services as required. With the size of the American population established at approximately 273 million by the 1999 census estimate (Population Reference Bureau, 2000), the 12 percent without formal health care insurance translates into approximately 33 million people."
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Aquatic Therapy for Multiple Sclerosis Patients, 2002. Reviews literature on Aquatic Therapy and its general effects on patients with Multiple Sclerosis (MS) in order to evaluate the effectiveness of this form of rehabilitation for MS patients. 6,747 words (approx. 27.0 pages), 29 sources, APA, AU$ 221.95 »
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Abstract This paper examines the nature of Multiple Sclerosis. It discusses its symptoms, probable causes, diagnosis and treatment. The paper then evaluates the effectiveness of a rehabilitative technique said to be useful to a variety of patients with chronic illnesses including those patients with multiple sclerosis. In particular, the study evaluates the effects of Aquatic Therapy for improving the functionality of MS patients. The primary method used to develop this evaluation is that of a literature search on the subject.
From the Paper "Because MS is a neurological disorder, other pertinent literature regarding the benefits of aquatic therapy consists of studies indicating that the rehabilitation strategy has worked for patients with general neurologic disorders. In this regard, Morris (1997) discusses several benefits that have been for Aquatic Therapy with patients with neurologic disorders. The benefits listed by Morris include: profound relaxation, greater stretching of muscles resulting in increased flexibility, increased muscular strength, increased ability of the patient to stabilize multiple segments of the body, improved skill in specific patterns of movement, and increases in postural stability during functional activities."
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Health Care for HIV/AIDS Patients, 2002. A review of the literature relevant to access to care, quality of care and funding for HIV and AIDS patients. 9,674 words (approx. 38.7 pages), 51 sources, MLA, AU$ 285.95 »
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Abstract The difficulty of HIV/AIDS patients in acquiring adequate and equitable health care coverage is examined. The specific problem that is investigated concerns variations between HIV/AIDS patients and non HIV/AIDS patients in relation to denial of coverage, premium levels and experimental drug approval. A thorough review of published literature from different fields is conducted in support of this study. This literature is categorized, analyzed and collected as a unified body. Conclusions about the meaning of the various reviewed studies are presented. The primary conclusions of this study are the needs for portability and true universality in health care for all, as well as guarantees that expensive and experimental treatments will be covered. The writer explains that such changes would benefit not only HIV/AIDS patients, but all Americans as well.
Abstract
The Problem
Introduction
Statement of the Problem
Purpose to the Study
Importance of the Study
Scope of the Study
Review of the Literature
Access to Care for HIV/AIDS Patients
Bioethical Issues
Social Psychological Influences
Effects of Managed Care on Health Care Access for HIV/AIDS Patients
Quality of Care Received by HIV/AIDS Patients
HIV/AIDS Funding
Conclusion
References
From the Paper "A critical factor affecting access to necessary health care for HIV/AIDS patients is health care insurance coverage. Approximately 60-percent of the American population is covered by private health care insurance programs (Congressional Budget Office, 1999). Most of these programs?the very great majority?are either fully or partly funded by employers, while the remainder of such programs is funded fully by the covered individuals and families. For the remaining 40 percent of the population, the delivery of health care services is dealt with in a variety of ways, as follows: (1) for approximately 25 percent of the population, health care services are funded by the federal government, primarily through the Medicaid and Medicare programs; (2) approximately five-percent of the population, both individuals and families, who for whatever reason do not choose to contract for health care insurance, are in the financial position to pay for health care services at the time of delivery; and (3) approximately 10 percent of the population defer health care services to the point where they can non longer be deferred, at which time they typically enter the health care system as emergency patients (Congressional Budget Office, 1999). As emergency patients, their care is more expensive than it would have been if treated earlier, and the care is either (1) paid by government or charity or (2) results in charges to the patients and their families that they seldom have any hope of ever paying. In the latter case, caregivers, typically public hospitals, must absorb the losses. "
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The Patients' Bill of Rights, 2007. This paper discusses the the history and future of The Patients' Bill of Rights. 5,770 words (approx. 23.1 pages), 16 sources, MLA, AU$ 200.95 »
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Abstract This paper addresses the present state of the Patients' Bill of Rights, as well as its history and future possibilities. Also explored are the issues of political support, arguments for and against, and major pitfalls in getting this legislation passed into law. The paper attempts to further explain general intentions of the Patients' Bill of Rights. The most pertinent bills specific to the Patients' Bill of Rights are presented and analyzed.
Outline:
Introduction
Arguments For and Against Patients' Bill of Rights
History of the Patients' Bill of Rights
Why the Patients' Bill of Rights has Failed
Summary and Conclusion
From the Paper "Before exploring the more complex issues involved, it is necessary to understand the general intentions of the Patients' Bill of Rights. Numerous bills involving patients' rights have been presented to the House of Representatives and the U.S. Senate. Discussed in this paper are the most pertinent bills specific to the Patients' Bill of Rights: the 1998 Patients' Bill of Rights, H.R. 3605 and S. 1890; the Bipartisan Patient Protection Act of 2001, S. 1052, S. 872, and H.R. 526; and the 2005 Patients' Bill of Rights, H.R. 2259, H.R. 2650, and S. 1012. In general, federal legislation that safeguards patients' rights is supported by both major political parties and the President, and also has considerable public appeal (Chavez, 2001, 606; Chaddock, 2001, 1)."
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Nurses and the Treatment of HIV + Patients, 2002. How nurses treat patients with HIV. 1,150 words (approx. 4.6 pages), 5 sources, AU$ 64.95 »
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Abstract This paper discusses the treatment of HIV + patients in the hospital setting from a nurse's point of view. A discussion of nurses' emerging attitudes about treating patients and their vigilance with every patient due to this deadly disease is focused on. This paper also stresses the social responsibilities necessary in caring for these patients.
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Tuberculosis Treatment Adherence Strategies, 2008. A study to identify the treatment strategies which may be used in sub-Saharan Africa to improve adherence to tuberculosis (TB) treatment. 3,438 words (approx. 13.8 pages), 36 sources, APA, AU$ 140.95 »
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Abstract The research paper examines different strategies that are being used within communities in order to determine the most successful ones in increasing the amount of patients who adhere and complete the treatment plan and therefore decrease the level of tuberculosis (TB) infection. The paper explores the reasons behind non-compliance with treatment and shows how successful strategies attempted to take a multi-faceted approach, addressing issues such as supervision,
economic factors, social support, drug availability, healthcare set-up and others. The paper includes a literature review as an appendix to the paper.
Outline:
Introduction
Results
Conclusions
Appendix: Literature Review
From the Paper "Tuberculosis remains a significant cause of mortality in sub-Saharan Africa, a situation which is exacerbated due to the association of TB as an opportunistic infection of HIV. Despite there having been treatment programmes in place in many areas of Africa for a number of years there remain a large number of deaths from the disease partially due to poor adherence rates to the treatment programmes available. There has been a large amount of literature published which discusses the factors which may impact on adherence to these treatment programmes, and some which evaluates strategies to improve adherence."
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Dialogues with Nursing Patients, 2008. This paper analyzes three nursing dialogues with very different patients. 1,345 words (approx. 5.4 pages), 5 sources, APA, AU$ 65.95 »
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Abstract This paper explains that the only way that nurses will learn about patients' needs and concerns is to really listen and to communicate well. The author points out that the purpose of the dialogues described in the paper was to identify or express the concerns of a patient with tachycardia, a breast cancer patient and a person with chronic abdominal pain. The paper stresses that the better the nurse's communication skills, the higher will be the quality of care that she or he provides. The author underscores that the most important point learned from these dialogues is the importance of the patient's perspective. The paper suggest that open-ended questions, going with the flow, patients' use of certain words or sentences and attentive listening are essential to a successful patient-nurse dialogue.
From the Paper "I made other errors with Mrs. K, but they became a learning experience for the next two dialogues. For instance, I interrupted Mrs. K at times to respond to her. The most valuable lesson from Dialogue 1 was that we can remain true to the original intent by asking open-ended questions. The whole direction of the communication can be guided with open-ended questions. At the same time, there were blocks to effective communication because I began with a closed question. When Mrs. K stated that she felt she was becoming paralyzed, that statement needs to be explored with a great deal of empathy."
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Emergency Room Treatment Of The HIV/Aid Patients., 2002. An overview of emergency room treatment of HIV/Aid patients at the end of their illness. 650 words (approx. 2.6 pages), 5 sources, AU$ 38.95 »
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Abstract This paper is on the topic of Emergency Care of the HIV/AIDS patient. Patients with HIV/Aids must often face emergency room treatment during the last stage of their illness. The question has been asked in the medical field, "Do doctors and nurses have to treat these patients?" What can the medical staff do to minimize their chances of getting the illness?
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Mentally Ill Patients, 2005. A look at the reasons that mentally ill patients do not receive adequate care. 1,620 words (approx. 6.5 pages), 7 sources, MLA, AU$ 75.95 »
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Abstract This paper examines the causes of inadequate care with regard to patients with mental illnesses, irrespective of the type of mental illness the patient has. Some of the causes cited and discussed by the paper include: (1) a lack of adequate healthcare coverage, (2) lack of access to sufficient and qualified healthcare professionals/providers and (3) social stigma that might prevent patients from seeking out care when needed.
Introduction
Barriers to Effective Care for Mentally Ill Patients
Conclusions
From the Paper "Mentally ill patients have historically faced many obstacles when seeking out health care. For those that do have health insurance, many policies limit coverage. In some instances for example, patients are limited to 90 day in patient stays, even in the event that they are diagnosed with symptoms that indicate they may pose a danger to themselves or others (SAMHSA, 1999). The Surgeon General recently discussed the issue of parity with regard to mental health care. Specifically parity deals with the notion that mental health treatment should be financed in the same manner that general heath care services are (SAMHSA, 1999). "
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Caring for Alzheimer's Patients, 2003. An evaluation of the Calista Roy nursing model for caring for patients with Alzheimers. 690 words (approx. 2.8 pages), 3 sources, APA, AU$ 34.95 »
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Abstract This paper paper applies the Calista Roy nursing practice model to the care of elderly Alzheimer's patients. The paper begins by discussing the five major concepts of nursing, according to the model. Next the paper evaluates the impact of both internal and external environments on patient care. Finally, the paper discusses how the burden of care for Alzheimer's patients most often falls on family members and asks whether the Calista Roy model might alleviate this burden.
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Alzheimer Patients, 2004. An analysis of a social work internship experience with Alzheimer patients. 1,328 words (approx. 5.3 pages), 1 source, MLA, AU$ 64.95 »
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Abstract This paper presents an overview of a social worker's service learning experience at an Alzheimer's care facility, with patients exhibiting various stages of Alzheimer's disease. The writer's experiences are examined in this paper. The paper describes what the writer learned through his interactions with older adults at the clinic, that much like anyone else, Alzheimer's patients need stimulation, warmth, compassion and an environment that encourages interaction and relationship building.
From the Paper "My first impressions were that Legacy Gardens provided optimal care for the elderly. Up until this point in time I had held a somewhat negative image of care centers, believing that they were a place that people might 'dump' elderly family members or sick patients in order to 'wash their hands of them.' I held an image that staff were abrupt with patients and unkind, simply doing a job because they had to rather than because they wanted to. My impressions were immediately changed however, upon working at Legacy Gardens. "
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