Nursing Teaching Ethics in Nursing Term Paper

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It is saddening to note that as hospital stays grow more expensive, patients are getting less care and families must resort to the private sector and pay still more money to feel as though their loved ones are being treated competently. The problems are rife, legally in terms of liability and medically in terms of nursing conflicts over patient treatment. There is also the ethical issue that the poor are getting less decent care than the rich, because poor families cannot provide private nurses. Clearly, hiring private nurses or assistants is not the solution to an overburdened medical system, but families will continue to do so to protect their loved ones until a better solution is achieved by policy makers.

Poststroke Rehabilitation

Deutsch, Anne, Rodger C. Fielder & Kenneth J. Ottenbacher. Stroke. 37 (Jun

2006):1477-1482.

Rehabilitation after a stroke is a critical part of the healing process. The article attempts to assess differences in outcomes between patients treated at inpatient rehabilitative facilities (IRF) versus skilled nursing facilities (SNF).

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Overall, it was discovered that most patients, except for those patients who had suffered the most minor motor disabilities, had better quality of care and improved general outcomes when they went to the more expensive IRFs. Yet, although IRF payments for Medicare patients were higher, the stays were shorter than the SNF stays and this ultimately might result in lower costs overall to the health care system, when patient treatment is viewed in a long-term fashion.

This article highlights the problems of patients who have similar conditions, yet have vastly different insurance policies. Policymakers and health insurance assessors must ask, what incurs more long-term costs, and how should the value of rehabilitation be calculated? The article provides a compelling case for the superiority of IRFs as well as the difficulties of putting a price on rehabilitation, when more intensive rehabilitation can result in better outcomes….....

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