Elder Abuse
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Most people are aware that there are laws that exist to protect children and animals from abuse. Many are not aware that there are laws that protect adults such as the elderly and disabled. Few people are aware of the magnitude of the problem or the consequences. Elder abuse affects all the systems that the individual is a part of, from the individual level to family, friends, social institutions, care providers, government agencies and American societal norms. The America belief system includes a responsibility to protect those who are not able to care for themselves. This 8 page paper examines the issues of elder abuse and the means that are in place to protect vulnerable adults. Bibliography lists 8 sources.
Filename: Elderab.wps

Elder Neglect in Nursing Homes
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A 10 page research paper that offers an overview of the topic of neglect and abuse of elderly patients in nursing homes and other long-term care facilities, such as assisted living homes. This also includes issues relating to nursing care of the elderly, as influenced by the nursing theory of Dorothea Orem. Bibliography lists 10 sources.
Filename: khelorem.rtf

Elderly Pain Mgmt/Home Care v. Institutions
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A 10 page research paper that examines the topic of pain management with elderly patients. While there is general consensus that pain management in elderly populations is being under-treated, the literature on this subject is less clear as to whether the best environment for elderly pain management is provided by home environments or institutional settings, such as nursing homes and hospitals. Examination of the literature on elderly pain management reveals that each environment has its own particular set of problems, which must be overcome in order to solve the problem chronic under-treatment of pain in elderly patients. Bibliography lists 10 sources.
Filename: kheldpn.rtf

Elderly Patients & Depression
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A 5 page research paper that offers a hypothetical research study proposal, designed to investigate the extent to which depression is a complicating factor in elderly prognoses. Research suggests that this topic has not been fully explored and may be a factor in facilitating the goal of positive nursing outcomes. Bibliography lists 4 sources.
Filename: khgerdep.rtf

Elderly Patients & Falls
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A 10 page research paper that examines nursing and medical literature relating to falls and the elderly. This literature review discusses the significance of falls the elderly; intrinsic and extrinsic risk factors; precautions/interventions that can be taken and the negative drawbacks to the use of side rails. Bibliography lists 7 sources.
Filename: khelfals.rtf

Elderly Patients/Loss of Independence
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A 10 page research paper that investigates this topic. While safety is a consideration for all patients, it is a particularly intense consideration in regards to when an elderly patient is hospitalized. Elderly patients who have previously been active can resist the loss of their independence and have trouble accepting a new reduced level of activity while hospitalized. Furthermore, an elderly patient may become confused in new surroundings and this may acerbate the tendency to wander or try to maintain their usual degree of independence. This can be inherently dangerous. An elderly patient who attempts to climb out of hospital bed with the bed rails raised can become entrapped and injured. They can fall while trying to get to the bathroom and falls for the elderly can be potentially fatal. This literature review looks at the factors that can impact how elderly patient adjust to a loss of independence. Bibliography lists 7 sources.
Filename: kheploi.rtf

Elderly Sexuality: Gender Differences
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A 3 page discussion of the importance of sexuality among older adults. This paper defines the term “elderly” and explores the literature for insight on gender differences in elderly sexuality. Bibliography lists 6 sources.
Filename: PPsexelderly.rtf

Elderly/Physical Changes & Dependency
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A 5 page research paper that examines the dependency needs of the elderly from a nursing perspective. The natural decline in abilities as one ages can cause increased dependency needs, which can threaten an elderly individual's sense of identity and his or her connections with others and the greater outside world. However, literature on this topic shows that there are numerous nursing interventions and strategies that can help to lessen dependency issues. Also, the literature suggests that this is an area of nursing care that needs to be explored further in order for nurses to evaluate their own contributions to encouraging "learned" dependent behaviors. Bibliography lists 7 sources.
Filename: kheldep.rtf kheldep.rtf kheldep.rtf

Elective Cesarean Section
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A 6 page research/reaction paper to the issue of whether or not the medical community should encourage elective cesarean section, which is becoming an increasingly popular choice for busy working women. The writer looks at the various issues involved in this debate. Bibliography lists 10 sources.
Filename: khecsec.rtf

Electroconvulsive ("Shock") Therapy
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A 12 page paper that considers the topic of ECT in terms of nursing over the past 5 decades. This paper provides an overview of the literature which suggests the changing perceptions of ECT and the increasing use of it in recent years as a specific element of individualized treatment. Bibliography lists 17 sources.
Filename: Electro.wps

Electrolytes
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A 3 page paper discussing the role of electrolytes, which are minerals in body fluids including blood that carry an electric charge and contribute to the transmission of messages and impulses from the brain to other parts of the body. Electrolytes both affect and are affected by the volume of water in the body; two leading ones are sodium and potassium although there are several others. Bibliography lists 5 sources.
Filename: KSelectrolytes.rtf

Electronic Data Security’s Impact on Nursing
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An 8 page paper discussing how the Health Insurance Portability and Accountability Act (HIPAA) of 1996 might affect nurses’ approach to their jobs. There is no question that HIPAA will change the way that nurses work. The only question at present is how it will change work processes and work flows. It appears to have ability only to complicate nurses’ already-full days. Bibliography lists 8 sources.
Filename: KSnursHIPAAnurs.rtf

Electronic Personal Patient Record
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This 8 page paper considers what could and should be in a personal electronic patient record and discusses how it could be laid out, justifying all proposals.
Filename: TEperecord.rtf

Elements of Psychiatric Nursing Practice
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A 4 page research paper that draws on the nursing model of Hildegarde Peplau, as she is acknowledged to be one of nursing's leading theorists, as she was one of the first to emphasize the importance of the nurse/patient relationship. Peplau's model specifies three phrases in this relationship: orientation (meeting the patient, establishing a relationship), exploitation (the patient takes advantage of the nurse's expertise) and termination (discharge plan is initiated). When Peplau formulated her model of psychiatric nursing, Interpersonal Relations in Nursing, the routines of mental institutes tended to reinforce illness (Sills, 1999). Peplau taught nurses to nurture mental health, to conduct research and seek methods for interrupting the illness maintenance systems (Sills, 1999). This examination of psychiatric nursing practice looks briefly at research literature in order to demonstrate how Peplau's model remains applicable today. Bibliography lists 6 sources.
Filename: khelepep.rtf

Elizabeth Fenn's Pox Americana
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This 5 page paper examines the book in the context of a hypothetical example provided by a student. In a letter addressed to the Commissioner of New York State's Health Department, a student relays how the book may be used to initiate unique public service announcements. No additional sources cited.
Filename: SA411pox.rtf

Emergency Nurses Association
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A 4 page research paper that offers an in-depth look at this nursing organization. Bibliography lists 4 sources.
Filename: khena.rtf

Emergency Response Disaster Management
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A 20 page paper discussing issues surrounding emergency response as it relates to disaster management. The paper discusses emergency response resulting from the terrorist attacks of September 11, 2001, but it also discusses events such as Hurricane Fran in 1996, centering on the coast of North Carolina where the category 3 storm made landfall. The key to effective emergency response - excluding the training that can be seen as being a constant value – lies in the quality of communication between diverse teams and agencies responding to the event that has generated a crisis. The purpose here is to address two primary questions: “Are emergency responders equipped to communicate with others outside of their departments in time of crisis? [and] What are strategies to improve communications?” The paper concludes that emergency response in urban areas is highly effective, but that the same efforts in rural areas can be hindered by communication deficiencies. Bibliography lists 11 sources. A companion 16-slide Power Point presentation is available.
Filename: KSnursEmerResp.rtf

Emergency Room Expansion
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This 7 page paper presents a proposal to expand an emergency room in an urban city. The proposal focuses on creating a room to hold patients awaiting admissions. A specific three year plan is outlined. Bibliography lists 5 sources.
Filename: SA011ER.rtf

Emergency Room Organization and Administration
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A 5 page paper assessing 5 Internet sources discussing aspects of improving patient care while striving to make ER operation more efficient. The paper discusses a Texas effort to transfer Medicare patients from rural to urban hospitals; the use of software to track patients’ progress through the ER; and the use of “product” process flow to achieve Total Quality Management (TQM) principles of increased quality with simultaneous increased efficiency. MLA-style bibliography lists 5 sources.
Filename: KShospERorg.rtf

Emergency Services in Towns and Cities
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This 5 page paper looks at how emergency services are dispatched in different areas. Responsibilities of the police, fire, and first aid departments are discussed. Bibliography lists 4 sources.
Filename: SA143eme.rtf

Emergency Treatment and Labor Act (EMTALA)
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A 4 page overview of the conditions stipulated by this law. The author reviews a recent case where a woman in premature labor admits to the ER and is subsequently admitted. When her infant is born it only lives two hours because it did not receive adequate care because of a technicality in EMTALA. Bibliography lists 3 sources.
Filename: PPnrsemtala.rtf

Emerging And Re-Emerging Infectious Diseases
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A 12 page paper that begins with an explanation of infectious diseases. Beginning fifty years ago, the medical profession believed that infectious diseases were under control and in fact, believed that many had been eliminated entirely. That turned out to be a naïve assumption. Over the past two decades, we have seen both "emerging" and "re-emerging" infectious diseases become a major health problem in many geographic regions. This paper identifies some of the emerging diseases and some of the re-emerging diseases and discusses the factors involved in their appearance. The writer comments on bioterrorism but points to other reasons as being far more significant in both emerging infectious diseases and re-emerging diseases. Bibliography lists 8 sources.
Filename: PGinfct.rtf

Emotional Suppression in the Development of Illness
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This 7 page report discusses the fact that research over the past several decades has validated what ancient and traditional healers have known for centuries -- the connection between the mind or the individual consciousness of a person and his or her body cannot be dismissed. What modern researchers have found is that there is no single way in which emotions affect health but, instead follow many pathways. Bibliography lists 5 sources.
Filename: BWemosup.rtf

EMPHYSEMA
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This 3 page paper gives a scholarly overview of the disease, emphysema, with an emphasis on clinical research. Bibliography lists 5 sources.
Filename: MBempyh.rtf

Emphysema
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This 12 page paper provides a comprehensive overview of emphysema, one of the two primary chronic obstructive pulmonary disease (COPD)/chronic obstructive lung diseases (COLD). This paper offers an beginning introduction to how the lung functions, focusing on how emphysema affects the functioning. Other topics include: incidence of the disease; symptoms; diagnosis; treatment and prognosis. Bibliography lists 7 sources. tf
Filename: PGemphys.r

Emphysema / A Radiographic Overview
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A 5 page overview of the various classifications of emphysema and the use of radiographic techniques, especially High Resolution CT, in the diagnosis, assessment and monitoring of patients with the disease. Bibliography lists 9 sources.
Filename: Emphys.wps

Empirical Research; The Link Between Age and Hospital Visits
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This 7 page paper looks at data provided by the student and uses it to present a sample paper that present the style and contents of a research report. The paper looks at the link between age and the number of hospital visits, including an introduction, hypotheses and justification, literature review, methodology and repost of findings. The bibliography cites 7 sources.
Filename: TEagehosp.rtf

EMPLOYEE BENEFITS AND COST CONTROL STRATEGIES
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This 5-page paper details how companies have dealt with rising costs in employee benefits by controlling costs where possible. Bibliography lists 3 sources.
Filename: MTempcos.rtf

Employee wellness, health and safety, and HRM
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A paper which compares two articles dealing with human resource management in the context of health and safety issues, and employee wellness. The articles consider employee health in relation to productivity and efficiency, and also from the perspective of control within labour management. Bibliography lists 2 sources.
Filename: JLhrmarts.rtf

Empowerment in Nursing
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A 6 page paper discussing empowerment in nursing. True empowerment can enable nurses to provide much needed help and innovative thought to the field of health. A discussion of the basics of empowerment is detailed as it applies to the complicated industry of nursing, illustrating that it is a reality that requires participation by all individuals involved in the health profession if it is to work. When empowerment is given to nurses, the benefits are great and the involvement of all concerned results in many positive realities. Bibliography lists 6 sources.
Filename: Nursepower.wps

End-of-Life Decision Making for Nursing Home Residents with Dementia
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Forbes, Bern-Klug and Gessert (2000), in their article End-of-Life Decision Making for Nursing Home Residents with Dementia, relate the problem of family decision making and the focus on nursing home care for individuals with dementia. This 5 page paper provides an overview of the issue presented and relates it to the current literature. Bibliography lists 5 sources.
Filename: MHDemen3.rtf

Endorphins, Exercise & Pain
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A 7 page study proposal on the relationship of endorphin release to the perception of pain. The writer theorizes that vigorous exercise helps lessen non-exercise related pain, and outlines a detailed research proposal for proving this. Bibliography lists five sources.
Filename: Endorph.wps

Enhancing Cultural Competency
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A 3 page research paper that addresses the topic of cultural competency in nursing. Census statistics indicate that the population of the US is annually becoming more culturally diverse. This fact poses a challenge to healthcare professionals as providing care that is culturally congruent with the patient can significantly affect the likelihood of positive patient outcomes. As this suggests cultural competency constitutes a significant nursing area of interest. This literature review examines specifically the role of nurses in enhancing their opportunities for strengthening cultural competency. Bibliography lists 3 sources.
Filename: khecc.rtf

Enhancing Evidenced-Based Practice in Nursing
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A 7 page paper discussing the trend toward evidence-based practice. The concept of evidence-based nursing is an attractive one that calls for abandoning closely-held, longstanding attitudes toward many of the duties of nursing. There are problems with making that shift, however, not the least of which is the time required to search and study current literature. Nursing leadership can help to overcome this significant barrier. Bibliography lists 12 sources.
Filename: KSnursEvid.rtf

Enhancing Outcomes by Revising a Protocol Based on Evidenced Based Practice
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This 3 page paper provides an overview of the issue of falls in the hospital setting and methods for enhancing oucomes through the use of a prevention protocol. Bibliography lists 3 sources.
Filename: MHArtRev2NL.rtf

Ensuring the Competency and Accountability of Temporary Agency Nurses in the Hospital Environment
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A 9 page analysis of the use of temporary agency nurses to supplement shortcoming is permanent nursing staff. This paper asserts that although the use of temporary nurses is justified in certain situations, this use must occur with managerial provisions in place to insure competence and accountability. The recommendation is made that clinical pathways are an appropriate mechanism for insuring this. Bibliography lists 6 sources.
Filename: PPnrsTmp.rtf

Enteral-Nasogastric Feeding in Children
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A 3 page paper discussing enteral-nasogastric feeding of children and its ethical implications. Of course enteral feeding is good for the patient, but the fact is that sometimes it can cause harm. This is certainly contrary to the principle of non-maleficence, but it is in the spirit of trying to provide benefit to the patient. Though both can be seen as being present, it is the intention of beneficence rather than the possibility of harm that should guide the use of enteral feeding. Harvard-style bibliography lists 6 sources.
Filename: KSnursNasoFed.rtf

Entrepreneur Nursing
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A 3 page research paper that examines entrepreneurial opportunities for nurses. The writer concentrates on nurse anesthetists and mental health nursing. Bibliography lists 4 sources.
Filename: khentnur.rtf

ENTREPRENEURIAL PROCESS AND HEALTH CARE DELIVERY
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This 4-page paper provides an overview of the enterpreneurial process (including the four steps) and how it fits in with health care delivery. Bibliography lists 4 sources.
Filename: MTentrproc.rtf

Environmental Factors on Primary Health Care Trusts
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This 15 page report style paper (including 1 page outline) considers the different influences that may be felt by the new Primary Care Trusts (PCT) created under the reorganising of the NHS in the UK. The political, economic, social, technological, environmental and legal influences are examined and the way that this will impact on the operation and personnel matters are discussed. The paper focuses on the Kensington and Chelsea Primary Care Trust but may be seen as applicable to other PCT’s. The bibliography cites 14 sources.
Filename: TEchepct.rtf