A holistic approach to improve the nursing care for older heart failure patients

National League for Nursing, C Coordinate and manage care Manage chronic conditions, including atypical presentations, in daily life and during life transitions to maximize function and maintain independence. Advocate during acute exacerbations of chronic conditions to prevent complications.

Download PDF version 1. While there have been improvements made in some areas since the s notably in reducing high rates of infant mortality 1 overall progress has been slow and inconsistent. The inequality gap between Aboriginal and Torres Strait Islander peoples and other Australians remains wide and has not been progressively reduced.

With a significant proportion of Aboriginal and Torres Strait Islander peoples in younger age groups, there is an additional challenge to programs and services being able to keep up with the future demands of a burgeoning population.

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Unless substantial steps are taken now, there is a very real prospect that the health status of Aboriginal and Torres Strait Islander peoples could worsen.

A steady, incremental approach will not reduce the significant health disparities between Aboriginal and Torres Strait Islander peoples and other Australians. There is a need for commitments to a course of action, matched with significant funding increases over the next years, if there is to be real and sustainable change.

This chapter outlines a human rights based campaign for achieving Aboriginal and Torres Strait Islander health equality within a generation. Such a goal is achievable through building on existing approaches to Aboriginal and Torres Strait Islander health, by seizing opportunities that currently exist through the new arrangements on Indigenous affairs at the federal level and by capitalising on the overall healthy economic situation of the country.

The challenge - addressing Aboriginal and Torres Strait Islander health inequality The poor health status of Aboriginal and Torres Strait Islander peoples is a well known fact. Substantial inequalities exist between Aboriginal and Torres Strait Islander peoples and non-Indigenous Australians, particularly in relation to chronic and communicable diseases, infant health, mental health and life expectation.

Governments of all persuasions have made commitments to address this situation over a prolonged period of time, accompanied with incremental funding increases. Governments have detailed strategies and national frameworks in place, developed through engagement with Aboriginal and Torres Strait Islander peoples, which clearly articulate the need for a holistic address to Aboriginal and Torres Strait Islander health and acknowledge the complex interaction of issues.

Yet despite all of this, what data exists suggests that we have seen only slow improvements in some areas of health status and no progress on others over the past decade. The gains have been hard-fought.

But they are too few. And the gains made are generally not of the same magnitude of the gains experienced by the non-Indigenous population, with the result that they have had a minimal impact on reducing the inequality gap between Aboriginal and Torres Strait Islander peoples and other Australians.

There are a number of disturbing trends among Aboriginal and Torres Strait Islander peoples that reveal an entrenched health crisis. In particular, there remain: On top of this, I fear that Aboriginal and Torres Strait Islander peoples face substantial health problems which are often left undiagnosed, and hence untreated.

These issues do not receive adequate attention in health frameworks and needs to be redressed. There are three main failings in the approach of Australian governments to date in addressing Aboriginal and Torres Strait Islander health inequality.

First, governments of all persuasions have not activated their commitments by setting them within an achievable time frame. Governments have instead left the achievement of equality to an unspecified future time.

By doing so, all Australian governments have been unaccountable for progress in achieving health equality. Second, they have not matched their commitments with the necessary funds and program support to realise them. And third, while they have accepted in health frameworks the need to address Aboriginal and Torres Strait Islander health in a holistic manner, they have not engineered their health programs consistent with this understanding nor considered the impact of their broader policy and program approach on Aboriginal and Torres Strait Islander health.

It is ten years since the Social Justice Commissioner has given detailed consideration to Aboriginal and Torres Strait Islander health issues.

The comments of my predecessor at that time, apply equally today. We have all heard them - the figures of death, and of disability Every few years, the figures are repeated and excite attention. But I suspect that most Australians accept them as being almost inevitable.

A certain kind of industrial deafness has developed. The human element in this is not recognised. The meaning of these figures is not heard - or felt.

The statistics of infant and perinatal mortality are our babies and children who die in our arms The statistics of shortened life expectancy are our mothers and fathers, uncles, aunties and elders who live diminished lives and die before their gifts of knowledge and experience are passed on.

We die silently under these statistics. The gap between the numbers of our people who live and the number who should be alive is one measure of the inequality we have endured.

The gap between the numbers living a healthy, socially-functional life and those living a life of pain, humiliation and dysfunction is another measure.

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They are both measures of our loss of elementary human rights. There should be no mistake that the state of Indigenous health in this country is an abuse of human rights.Academic Team Leader (Care of Older Persons and Continuing Care Nursing), School of Nursing and Midwifery, University of Dundee, Ninewells, Dundee, UK Background.

Focus group interviews are a method for collecting qualitative data and have enjoyed a surge in popularity in health care research. ME Conferences invites you to attend the International Conference on “Annual Emergency Medicine & Acute Care Conference” during April , at Helsinki, Finland focusing on the theme “Medicine and the Present Emergency”.

Fig. 1: Therapeutic and Non-Therapeutic Reasons for the Use of Ayurvedic Therapies for HIV/AIDS

We cordially invite all the participants who are interested in sharing their knowledge and research in the area of Emergency Medicine & Acute care. Preventive healthcare (alternately preventive medicine, preventative healthcare/medicine, or prophylaxis) consists of measures taken for disease prevention, as opposed to disease treatment.

Just as health comprises a variety of physical and mental states, so do disease and disability, which are affected by environmental factors, genetic predisposition, disease agents, and lifestyle choices.

Abstract. Introduction. Implementation of technology in health care has become a global trend. The society modernization has led to the increasing development of technology and information systems.

Improving the U.S. health care system requires simultaneous pursuit of three aims: improving the experience of care, improving the health of populations, and reducing per capita costs of health care.

This exam is all about the Legal and Ethical considerations in nursing which also covers nursing jurisprudence and a few questions about leadership and management.

We'll keep you thinking and help you sharpen your critical thinking skills with this item practice quiz for the NCLEX.