LO 9 WORD DOC
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School
Kennesaw State University *
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Course
2015
Subject
Medicine
Date
Dec 6, 2023
Type
docx
Pages
4
Uploaded by CorporalClover2512
Luciana Navarro
LO 9
1
.
Disc
uss importance of 21 Century Mind-Body Connection/AMA
-
Federal government spending on mind-body research to the
tune of
OVER $20 million ~AMA, NIH, & CDC 2015
❑
Over 5% managed-care organization started
to cover mind-body practices (NIH 2015
(
❑
Medicare now reimburses for certain relaxation techniques
❑
Hospitals opening mind-body clinics
❑
Over 62.2 % of Americans using some type of mind-body interventions (e.g. meditation
and yoga). Now embracing other Eastern techniques in addition to meditation;
biofeedback, acupuncture, relaxation methods, and holistic care according to CDC,
APA, AMA, and NIH. (2009
(
❑
U.S. research and government moving to increase support for psychological and
psychiatric care
❑
Insurance firms investing for lobby efforts for psychologists to prescribe scripts
2
.
Des
cribe the Nature of Patient - Provider Communication;
Johnson et al. research
-
Research by C. Johnson et al. ‘88 and ‘98 showed
:
1
.
Competent, friendly & warm providers judged as competent and nice
.
2
.
Cool and aloof providers judged-unfriendly & incompetent
.
3
.
Nam
e and discuss the structures/types of 4 Health Care
Delivery
System Plans
~
Traditional Indemnity Plan-
Private fee for service care basis and don’t need referral
for specialist
~
Health Maintenance Organizations (HMO’s)-
Members select a primary care physician
Luciana Navarro
LO 9
from HMO pool, pay small fee for each visit. Anything else (nonemergency and
specialists must be preapproved
.(
~
Preferred-Provider Organizations (PPO’s
)-Network of doctors offer
plan members
discount and don’t need authorization for specialist
~
Point of Service Plan (POS)-
Plans administered by insurance companies or HMO’s-let
members see doctors and hospitals out of network for a price. Members need referral
.
4
.
Ident
ify DRG, Patient Care, and UNESCO 2013 research
-
Diagnostic-Related Group (DRG
:(
■
a classification scheme that determines the nature and length of treatment for particular
disorders
■
DRGs have positive and negative effects on care
■
Statistics report 82.1 % overall satisfaction for Patient Provider Interactions in Japan
(UNESCO, 2013). Vastly different from U.S
.
5
.
Diffe
rentiate between Nonadherence vs. Adherence
-
Nonadherence
◻
patients do not adopt the behaviors and
treatments their providers recommend (diet, taking meds etc
(.
◻
estimates range from 15% to 93% of patients
◻
do not heed their physician’s advice or
take all their med’s
6
.
Disc
uss the findings of AMA Malpractice issues, 2009
-
Malpractice suits have exploded over
the past decades because of
:
Luciana Navarro
LO 9
■
Increases in technical complexity
■
Administrative complexity
■
Incompetence and negligence
■
Poor communication
■
Unemployment
■
Personal greed
■
Personal philosophies that “someone or society owes them
”
AMA, 2009 and 2014
7
.
Ident
ify the critical findings of Janis ‘58 research
-
The research discovered is that fearful patients are too absorbed with their pre-
operative fears to process information. Preparatory information should be provided
adequately. Patients with moderate fears were able to develop realistic expectations of
what post-surgery would be like. Preparation for patients is very beneficial Social
Support and Distress from Surgery
.
8
.
Des
cribe the New Philosophies: CDC and Western medicine
embracing Eastern approaches
-
Physicians' role changing: HMO’s & women added variability to “good ole boys'
network
”
■
Lavin et al. ’87-some doctors have more egalitarian attitudes & once dominant
physicians share authority with administrators, companies, & patients
■
CDC 2009-Western medicine embracing Eastern approach -Holistic Health Care,
Meditation, biofeedback and acupuncture
■
Psychoneuroimmunology also being seen
as a positive state to be actively
achieved
■
All See Health NOT AS The ABSENCE OF DISEASE
9
.
Ident
ify the Anxiety factors and preparation for medical
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Luciana Navarro
LO 9
interventions for hospitalized children and critical research;
Bowlby, Pringle, and Jay et al
,.
-
Not all adverse reactions can be attributed entirely to separation anxiety. – Bowlby ’69
& ’73. A warm nurturant relationship with a caregiver can offset some of the adverse
effects of hospitalization for children – nurses are critical. The mother need not be the
person who provides that relationship but with someone should be able to stay
overnight and be with the child. Preparation children for medical interventions include
conscious sedation, distraction for managing pain and discomfort, exposing children to
modeling film, coping skills preparation, explaining their illness and treatment,
encouraging children to be vigilant copers of stress instead of avoidant copers
.
10
.
Des
cribe the advances of Health Care provisions in Japan and
differentiate the provisions form the U.S. policies
-
Japan has made significant changes by 2018
!
➢
Government regulations for advanced Health Care
➢
New programs for Health Care for citizens of all ages (prenatal through elderly care
(
➢
Significantly reduced cost of Health Care 80%
➢
Significant reduced cost of medications
➢
Created new programs for advanced care for elderly
➢
Created new programs for pregnant women to increase the risk of prematurity
➢
New concern for issues noted in DSM-5 such as depression, anxiety, suicide ideation,
BPD, and eating disorders (must consider the Tsunami effects
(