Essays on Primary Care Provider

Care Plan

Subjective The patient presents at the clinic complaining of nocturia, decreased urinary flow, decreased flow as well as terminal dysuria. TG states that the symptoms have been persistent for the last two years but the last two weeks have seen a significant increase in intensity of the symptoms. TG denies any case or instance of radiated pain within the period of two weeks,

Objective:

60 year old, Hispanic male

Vital signs: BP at 140/92;

Pulse rate: 80; Temperature: 99.0 Weight = 200 pounds; height = 71”, BMI = 27.9

Patient Hx for hypercholesterolemia, hypertension, costochondritis, suspected angina, possible family history of heart disease in the family

Patient denies any use of alcohol, tobacco, or drug abuse Current medication list: Cardizem 240mg QD and Zocor 20mg ...

          The health care delivery system in the United States is unique when compared with delivery structures in other developed countries. In most developed nations, the government manages the national health insurance programs. These programs are financed through taxes collected within the country. Approximately all the citizens of such nations are entitled to insurance services paid by the government (PAHO, 2014). In America, such an insurance policy does not exist. There is a slight difference in the health care structure of various states in the country. This paper is set to analyze the health care structure, compare, as well as ...

Mary is a 51-years old female who has been a bookkeeper for the large part of her lifetime. In her childhood days, Mary had a weak chest in her childhood, but these problems have significantly reduced in her adulthood save for occasional colds during the cold season. Mary admits that she thinks that she would experience some wheeziness in case she participated in exercise, but she has had a sedentary lifestyle and thus there was no cause for worry with her asthma (British Thoracic Society, 2015). Mary’s symptoms over the last five years have increased gradually even amidst ...

A referral system is a system used in health institutions to transfer safely patient care services across different departments, such as referring to a specialist, conducting assessments and treatments, and coordination of services for complex patients. An automated referral system is online. An electronic form is filled out with information about the patient and the primary care provider and the reasons for the referral request with relevant exam results and case history. Upon getting the request, the specialist reviews the form and begins to manage the case. The speciality aims at ensuring that the patients get the needed care ...

The primary care providers have the key responsibility of maintaining and providing first contact medical services to all the patients and it is expected that they are responsible for the overall ordination of medical services. The emergency Department is responsible to handle cases in the first contact if they are referred and require emergency attention which is available 24 x 7 and is only a one-time service and may not provide a continuous support like the primary care provider team. There is a specialty care Department is then which cannot be a first contact and is only used for patients in cases where ...

The management of chronic diabetes self-care programs is mainly the responsibility of the patient. In primary care, nurses normally emphasize the prevention of complications and adherence to diabetes self management regimes. However, compliance to diabetes self-care programs is always a challenge for many diabetes patients. Diabetes self-management programs require patients to make many lifestyle and dietary changes. Diabetes patients need to be highly motivated to adopt and conform to the lifestyle changes in diabetes self-care programs (Perry & Collins, 2009). This paper describes the process of implementing a protocol for motivational interviewing for diabetes patients at Ben Taub Hospital in Houston, Texas. ...

Evaluation parameters

The effectiveness of motivational interviewing techniques in eliciting behavioral change is determined by the skill of the health care practitioners in using motivational interviewing techniques and the degree of collaboration by the patient. The success of Motivational interviewing is determined by how best it motivates people in meeting the goals of the change process (Butler et al, 2007). In this change program on the use of motivational interviewing to motivate diabetic patients to embrace positive lifestyles, the effectiveness of motivational intervention can be evaluated on how it meets the health outcomes of the diabetic patients. The overall ...