Assignment: Visions of healthcare administration

Assignment: Visions of healthcare administration

Assignment: Visions of healthcare administration

Assignment Details

1) Write a paper of 1,000–1,200 words that compares and contrasts the competing visions of health care administration among stakeholders, identifies the areas where they conflict, and discusses how those conflicts could be seen in the delivery system.

2) Refer to the assigned readings to incorporate specific examples and details into your paper.

3) Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

4) This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

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Imagine being in an unfamiliar room, constantly barraged by unfamiliar people and invasive instruments, very sick, and in excruciating pain, with no end to that pain in sight. This is the plight of thousands of patients with drug abuse history admitted to acute care units right now. According to the Center for Behavioral Health Statistics and Quality (2010) – a division of SAMHSA – in 2010, 2 1.5% of adults ages 18-25 reported using illicit drugs in the last month, and 6.6% of adults ages 26 and older reported the same. Recent statistics also show that pain management is still grossly inadequate in U.S. hospitals. The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Hospital Survey (2012) reported that from 2010-2011, only 70% of patients stated their pain was controlled during their hospital stay. From these statistics, it can be concluded that 30% of patients reported having uncontrolled pain; many of them are drug abusers, a label that consistently leads to espe­

cially poor pain management. SAMHSA also reported that 14% of all inpatient admissions consist of patients with drug abuse history and that 20% of all Medicaid costs and $ l out of every $4 Medicare spends on inpatient care is associated with substance abuse (SAMHSA, 2009). Managing patients’ pain is the complex responsibility of many team members on an acute care unit; however, nurses are on the front line. Unfortunately, many nurses begin and practice for years without ade­ quate training in pain management and almost no training in pain management for patients with a history of drug abuse.This lack of education and expe­ rience is costly to millions of patients. In order to remedy all this unrelieved suf­ fering, nurses need to understand the meaning of drug abuse, its implications for pain control, and the moral respon­ sibilities they have to treat pain in all individuals, including those with drug abuse history.

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