NHS Health Provision Essay Example | Topics and Well Written Essays - 2000 words

NHS Health Provision - Essay Example The health service was an important aspect, so it had to exist, with reasons for its existence ranging from: Financial constrains for the hospitals which were volunteering; The 2nd world war which ensured an emergency medical service was ensured as part of the war effort; Emergence of the view that every human being had the right to health care, and it should not be something given to people charity thought they needed; The wide spread effect of war that saw it possible that the system was changed rather than modified; Mutual agreement that services that existed were in disarray, and something had to be done to sort it; and Young members who practiced medicine saw a better way of handling things hence its existence (NHS core principles, 2005). One of the major health care provisions in the national hospital service was the development of a network that would handle unplanned and emergency care services. This was an inter-organisation development criterion which was effective as a too l that would support the required changes in interrelated services. These were intensive care networks, emergency care networks and surgical service networks. The subtopic on emergency care networks is solely based on the fact that it is used by the public as a port of call which is safe for most, if not all of their problems. This is especially so if the other agencies are shut (Enthoven, 2000). Over the years as a result, services have been built in this department and also their knowledge in distinct areas such as minor injuries which accounts for 2/3 of the workload, trauma services which estimates to approximately 2% of the work in most of the departments and major injuries which accounts for work in balance. Such specialist services needed competent individuals around in a sort of shift patterns and a rota. Surgical services are becoming highly specialised, and some anaesthetists’ and surgeons’ ability to be flexible in that they can cross-over in general areas i s becoming a challenge. This in turn, creates pressure in mid-sized and smaller general district hospitals, in that their staff is small and cannot meet the new shifts and rota layered down by the existing rules. This pressure is due to concentration of staff members in areas of excellence such as cardiology, neurosurgery, cancer, urology, paediatrics and ophthalmology; increase in the percentage of daily case surgery which includes the transfer of some cases out of private sectors in east London (public policy reforms and the National Health Service strategic development agenda) (Oakley 2009, p. 13-15). The National Health Service was created out of thought that healthcare services to a person should be available regardless of wealth. This was based on these three core principles: It should not be based on a person’s ability to pay but on essential clinical needs, It should meet the needs of each and every one, At the point of delivery it should be free, The three principles have seen that the development of the national hospital service is guided for over sixty years and remaining at its pillar core. The department of health in March 2011 published the National Hospital Service. In its content were the guiding principle of the NHS and the publics’ right as an NHS patient. These rights did a wide coverage of the quality of care a NHS patient receives, an NHS patient right, confidentiality, programmes and treatments available to the patient and the patient’

Community Health Nursing Essay Example | Topics and Well Written Essays - 1000 words

Community Health Nursing - Essay Example state of Columbia. It is the major center for researches and development. Maryland is known as third largest nexus in the field. Demographic Data Total Population 5,615,727 In Maryland, Asthma is a disease from which Maryland’s people are suffering. Asthma is a curable chronic lung disease categorized by inflammation of the excuses mucus secretion, reversible airway and constriction. This bounding of the airway outputs in decreased airflow that may cause effects of coughing, wheezing and tightness of the chest, and patient’s usually safe difficulty in breathing. Asthma attacks on both adults and children and is considered as the most common chronic disease of in early ages. In 2007, around 9.6 million (13.1%) U.S. children under 18 years had been suffered from asthma at some stage in their whole life. Approximately 6.7 million (9.1%) children recently had diagnosed with asthma. An estimated 24.4 million (11.0%) U.S. mature population have been identified with asthma dur ing their lifecycle, and around 16.2 million (7.3%) currently suffering from asthma. In the end of 2006, asthma was considered responsible for 443,600 hospitalizations countrywide (Bule & Golosinsky, 2006). In 2002, the Maryland State Legislature announced the MACP in statute. This mandate, In conjunction with the CDC funding, has published the Maryland Department of Health and Mental Hygiene (DHMH), and the MACP to facilitate leadership for minimizing morbidity and mortality because of asthma in Maryland, specifically for its most valuable populations. Fig 1: Current Asthma Prevalence Windshield Survey A windshield survey depends on the observation of data instead of asking direct questions from the participants. It needs to develop survey questions and getting answers of them. A windshield survey was performed in a posh area of Maryland. There were hundreds of multi story houses with a very short distance (U.S. Department of Health and Human Services 2000). The target audience was between the ages of 30-45 and the survey focused on their income, free access to the hospital and good medicine availability issues. The main issue was people’s income, access to medical center and ability to bear doctor’s fee. There are hundreds of popular names who expired due to improper care of themselves. Education and prevention is required in order to spend a healthy and disease free life (Pleis & Lethbridge-Cejku, 2009). PO 1). Decision making is an integral part of nursing. Quick and strong decision making skills help a lot in nursing practice. One should be capable of quick decision and an absolute of judgment for finding the best options for his patients. Clinical judgment is considered one of the vital and essential skills for nursing. In the community, as there is a very short list of people who can afford doctor’s fees and medical treatment charges. Nurses should be more accurate and fast in decision making for the community people. PO 2) Communic ation and excellent people skills are required for nursing. There are several collaborative techniques like ability to answer questions and advice; nurses spend more time with patients than a doctor. Patients are always curious to know and discuss about their disease so nurses must have ability to co-operate with them at every stage of their disease. PO 5) Accountability helps in identifying and recognizing the