Therapies Approaches Essay Example for Free

Therapies Approaches Essay What are the major strengths and weaknesses of the following approaches to therapy? (A) Psychoanalysis: The main goal of psychoanalysis is to resolve internal conflicts that lead to emotional suffering. Traditional psychoanalysis called for three to five therapy sessions a week, however, treatment may still go on for years for the sake of increasing the application and the accuracy of the analysis of the behavioral development of the clients attended with through the said therapy. Today through the application of the new approaches of psychology, the said therapy has already been briefed to be able to give ample and accurate solutions to issues that clients are supposed to take into consideration. This therapy is then noted for its capability to analyze the different factors that contribute to the situations that clients are primarily involved with. However, with the lengthened way of applying the process, finding solutions becomes less applicative in this manner of psychological approach. (B) Person-centered therapy: Individual-focused, this is the characteristic of this particular approach. Since it is individual, the subject becomes more concise and much easier to identify. Having to deal with the issue through the singularity of the subject actually notes the possibility of being more specific with the solutions that are formulated along the application of the therapy. However, being individually centered makes the approach less broad. (C) Behavior therapy: Behavior centered therapy incites the importance of approaching the problem through knowing who and how the person or the client is dealing with the situations that he is facing in life. Through this therapy, the examination of the situation shall be based on the ideal character of the person being dealt with. This makes the process of understanding the problem more accurate and more efficient. (D) Cognitive therapy: This therapy actually notes the process of using the attitudes and reactions of the clients to be able to create the most possible solution available for the problem to be answered. Considerably, cognitive therapy is actually an approach that estimates the specific manner by which people react to the different issues that they deal with everyday. Although effective in many ways, it is indeed noticeable how this particular therapy is subjected to some issues since people change every now and then. (E) Drug therapy: Medication may not be as effective as expected all the time. At some point, this process may even result to a more complicated problem that could be due to overdose. Although helpful, too many limitations should be considered in pursuing this particular approach in psychological therapy. References: Samuel E. Wood, Ellen Green Wood, and Denise Boyd. (2007). Mastering the World of Psychology (3rd Edition) (MyPsychLab Series). Allyn Bacon; 3 edition.

Prevention Strategies for the Development of Pressure Ulcers

Prevention Strategies for the Development of Pressure Ulcers This assignment will examine the process and methods used when gathering empirical evidence, for a chosen based care issue, using different search strategies and medical databases. An appraisal and discussion of the chosen evidence will also be made, identifying how the evidence was gathered and its relevance to the chosen based care issue. The process of collecting such evidence and the importance of its use will be reflectedupon using a specific reflective model. The practice based care issue which has been chosen is ‘prevention of pressure ulcers’. A pressure ulcer is an area of localised damage to the skin and underlying tissue (EPUAP, 2009) which develops when there is persisting pressure on a bony site, obstructing healthycapillary flow , leading to tissue necrosis (Lyder, 2003).The rationale for selecting this type of research is due to the high prevalence rate of pressure ulcer among patients and the current lack of knowledge concerning guidelines of pressure ulcer prevention (Moore Price, 2004). I am very interested in this topic and feel a deeper knowledge of pressure ulcer development and risk assessment tools will enable me to provide better clinical practice. According to Davies (2008) health care professionals are striving constantly to improve and develop standards of care which evolves from the integration of research evidence, clinical expertise and patient needs and values (Institute of Medicine, 2001),this is al so known as evidence-based practice. The reflective model that I will be using is Rolfe et al (2001) ‘what’ model which composes of three main areas, what? So what? Now what? This model aims to identify the following; what was I trying to achieve? What is my new knowledge of understanding? What information is needed to face a similar situation again? Ichose this particular model compared to John’s model of reflection (1994) as I found it the easiest model for organisation and meaning to the process of reflection. .Reflection involves accessing previous experience to help in developing tacit and intuitive knowledge (Johnsand Freshwater, 2005) and the main principles of reflection include becoming mindful, understanding and learning from experience. Reflection facilitates an evaluation of one’s own practice, both as individuals and with their teams (Sines, Saunders Burford, 2013). It is vital that Nurses reflect and practice reflectively as it allows them to learn from experience and make better future judgement, becoming critical practitioners and facilitating excellent patient care. The critique model I will be using for the critical appraisal and discussion is the Critical Appraisal Skills Program (CASP) as it is a clear tool which identifies the worth of the articles I have found (CASP, 2013). Critical Appraisal After researching for relevant articles, I decided to choose three of the most relevant articles to critically appraise. Each of these three articles involves a study evaluating the effectiveness of prevention strategies for the development of pressure ulcers. The first single blind randomised control study by Webster et al (2011) aimed to evaluate the effectiveness of two pressure-ulcer screening tools against clinical judgement in preventing pressure ulcers. This study had a very clear and focused objective which stimulated the reader to continue reading due to the study avoiding the use of jargon or buzz words (Carr, 2001). This was an experimental and correlation study showing the link between two factors with the aim of producing quantative results. 1231 patients were randomly allocated to either a water low or ramstadius screeningtool or to a clinical judgement group. Randomised Control Trials (RCT) are comparative studies with an intervention group and a control group; the assignment of the subject is assigned through randomisation(Melnick Everitt, 2008). The advantages of using RCT are that it removes potential of bias in the allocation of participants and that randomisation tends to produce comparable groups; that is, measured as well as unknown or unmeasured prognostics factors and characteristics at the time of random allocation will be balanced (Friedman, Furberg Demets, 2010). The researchers ensured that patients allocated were excluded if their hospital stay was expected to be less than 3 days or if they had been in hospital 24 hours prior to the baseline assessment occurring. This is to allow thorough and regular direct observation of the incidence of hospital acquired pressure ulcers, allowing the researcher to attempt to control the studies validity and reliability (Marshall, 2004). In a research study it is vital that the researcher ensures that the subjects are aware of the process of the study and have given informed consent. In the case of this study, for pressure ulcer screening and observation, consent was not required. However, signed consent was sought from any patient who developed a pressure injury in order to validate the assigned pressure ulcer through clinical photography. The researchers also obtained institutional ethics approval which included the right to access the patient’s medical record for audit purposes. The incidences of hospital acquired pressure ulcers were similar between all groups. The authors found no evidence to show that two common pressure ulcers risk assessment tools were superior to clinical judgement to prevent pressure injury. The authors felt that resources associated with the use of these tools might be better spent on careful daily skin inspection and improving management targeted at specific risks. This is supported by the work of Sarabahiand Tiwari (2012) who suggests a regular and rigid schedule of inspection must be followed as part of the patients daily routine. Nurses undertaking the trial were more familiar with the Water low scoring system which could have led to contamination in the clinical judgementgroup. The limitation of this study is that they did not use patients from acute settings who could be at risk and therefore cannot use these results as a representation of all hospital settings. The second randomised controlled study by Nixon et al (2006) aimed to compare whether differences exist between alternating pressure overlays and alternating pressure mattresses in the development of new pressure ulcers. This criterion for this study involved participants aged at least 55 years who had been admitted to vascular, orthopaedic, medical, or care of elderly wards, and had limited mobility. The methodology used for this study was pragmatic, open, multicentre and randomised controlled trial. An open label study is where the investigator and experimental units knows which treatment the experimental unit is to receive. Although this type ofstudy is simple and easy to design, it could cause the individual to favour the type of treatment, leading to possible bias (Ambrosisus, 2007). A multicentre method involves the study being conducted by several institutions. An advantage to conducting a multicenter is that it increases the number of patients available to participate (Bhandari Joensson, 2011), which in the this trial is a large 1972, leading to the findings beinghighly likely to be representative of what would happen in usual clinical practice. The design of this study involved patients beingallocated to either an alternating pressure overlay or an alternating pressure mattress, within 24 hours of hospital admission, with the expected length of stay of at least seven days. Clinical research nurses assessed skin status twice weekly for 30 days and then once a week up to 60 days for the development of pressure ulcers. A limitation of this study is the lack of blinded outcome assessment due to difficulty in disguising or masking the mattresses, however, according to Khan, Kunz, Kleijen Antes (2011) only few observational studies manage to implement appropriate measures to achieve blinding. The researcher tried to combat this through independent skin assessments which were taken by the Nurses to avoid any bias.Ethical approval for this study was approved by theNorth West multicentre research ethics committee and local ethics committees in order to undertake this research. This study had a clear aim to evaluate the effects on p ressure ulcer risk and was able to undertake the study with fairly low rates of ulcer incidence, meaning the patients were subjected to minimal harm.The most important issue arising in the ethical review of scientific research involves preventing human participants, is risk of harm (Smith Waddington, 2013)therefore it was extremely important that the researchers were able to conduct this study with low incidence rates. The results of this study were that the patients allocated to either an alternating pressure overlay or alternating pressure mattress that developed a new pressure ulcer of grade 2 or worse did not differ, highlighting the need for other preventive measures. The final study by Moore et al (2011) aimed to compare the incidence of pressure ulcers among older persons nursed using two different repositioning regimens. The researchers aim is very clear, evaluating the effectiveness of positioning patients 3 hourly and 6hourly at night time. The methodology used was a pragmatic, multi-centre, open label, prospective and cluster-randomised controlled trial, similar to the study above, the findings are highly likely to be representative of what would happen in usual clinical practice due to a multicentre approach being commonly accepted as providing a more representative population (Luchetti Amadio, 2008). Cluster randomised control trial involves randomizing professionals so it is much easier to keep the intervention separate from the control groups but methodological, statistical and ethical issues must be taken into account in making sense of cluster trials(Gilbody Bower, 2010). This study did indeed ensure that ethical approval was received by participants before the study commenced. The results obtained through the research were that repositioning patients with a pressure ulcer every three hours at night, using the 30 degree tilt, reduces the risk of pressure ulcers compared with usual care which issupported by the recommendations of the International pressure ulcer prevention guidelines (2009). Arguably, the research is well written with a good amount of supporting literature, stating clearly the incidence of pressure ulcers with a good rationale for the studies aim. This study included results of other similar researchers who have found similar results of repositioning, giving scope for further research such asDefloor et al (2005). The limitation of this study is that the target of 398 participants was hard to find which caused the variance in the size of the clusters to be different, which could have had a major effect on the research gathered. Another limitation is that most participants were 80 years or older which means it cannot be a representative of mos t patients, as expected. Reflection Using the Rolfe et al (2001) reflective model, I will evaluate the actions in undertaking my searches and what I found. As mentioned above, the stages of the reflective model includes what? So what? Now What? The first stage (what?) involved the process of searching for my articles in relation to the subject issue‘pressure ulcer prevention’. Using the databases,Pubmed, Scopus and JSTOR I searched for articles using key words such as, prevention, pressure ulcer, pressure sore and risk assessment. In order to limit the amount of results gathered I used the Boolean operators ‘and’ and ‘or’ as well as advanced searches such a ‘UK based’ and ‘No older than 2005’; ensuring a realistic amount of hits were gathered, relevant to the subject issue. In order to identify relevant articles, I read through the titles and abstracts, as this gave me an idea of how relevant the articles were. Once I read through a few studies, I was able to choose 3 studies to critically evaluate. The second stage (So what?) involved identifying the difficulties which I encountered when conducting the search. I found the searching quite challenging as many of the results either came back as a large amount of hits or a small number of hits based around irrelevant research to my subject. Using keywords and re wording phrases such as ‘pressure sores’ instead of ‘pressure ulcers’ enabled me to widen my search. The final stage (Now what?) involved reflecting on the search which I had undertaken as well as the results obtained. I had to conduct many different searches and keywords to find effective results. The problem I encountered was that many results obtained were regarding wound care and not prevention; if I was to repeat this search again I would ensure I put ‘NOT wound care’. I feel further exploration of medical databases would be beneficial for future research to give me a better understanding of search terms and criterion available. Prior to carrying out this assignment, I was certain that risk assessment tools played a major part in the role of pressure sore prevention. However, risk assessments such as water low, have been criticised due to its poor validity, particularly for the tool to underestimate the numbers at risk (Pancorbo Fernandez, 2006). Thestudies which I have critically evaluated have made it clear that observation and repositioning is key to pressure sore prevention. As identified by Guyatt et al, (2000) Nurses do not feel sufficiently competent to be able to appraise research findings because they lack the necessary understanding of information retrieval techniques, research design and data analysis and therefore it is important that Nurses are educated in pressure sore management, for clinical practice to be effective. This assignment has expressed the importance of evidence based practice for effective clinical practice,although contradictory findings from different sources and a lack of critical appraisal skills can make interpretation of evidence difficult. It has taught me the value of observation when caring for patients and made me become mindful of reading and evaluating research to learn and improve my clinical practice. I am aware that repositioning and skin integrity checks are a major pressure ulcer prevention and that risk factors such an nutrition also need to be monitored closely, I feel I will confidently use the knowledge I have obtained when in practice. This assignment has put into perspective the importance of identifying all factors when caring for a patient and aiming to prevent pressure sores. For future development I would like to do further research on methodology as I believe this will help me to evaluatethe studies in much more depth, especially seeing ascertain study methodological designs are likely to be more reliable compared to others. Conclusion In conclusion, this essay demonstrates an effective search strategy for research studies on ‘preventing pressure ulcers’ which have each been critically appraised. A reflection on the process of the research was carried out using Rolfe model of reflection (2001) highlighting learning outcomes as well as encouraging me to exploreimprovements for my future practice and search strategies.

Race and the Zone System Controversy :: Free Essays Online

Race and the Zone System Controversy You get in the cab; you are white and well dressed showing your social status. The cab driver is friendly and takes you directly to your destination. The little map in the backseat of the cab tells you the cost of your trip; however since you, like most people, never even read it, the cabbie tells you the price, and you go ahead and pay without question. You are a resident of the District and have gone the same route many times and for some reason the price varies occasionally. You only traveled through one zone from your upper-middle class neighborhood of Foggy Bottom to Capital Hill where you go about your busy life. For you the zone system of taxicab fares is no big deal. You have the money to pay for each ride and a cab driver will always pick you up. A change to the metered system would only be a slight adjustment to your daily routine. However, other residents of the District would be greatly affected by a change to the metered system. Would a change in the zone syste m benefit the upper class, the tourists, the drivers or the lower income residents of DC? Is the city watching out for its lower income black residents? Will changing from a zone system to a metered payment system segregate Washington, DC even more than it is today? The zone system that is used today has been in effect since the Great Depression and has changed very little since then. With the zone system, passengers pay according to the number of zones they pass though with all of Downtown, the Mall and Capital Hill encompassing one zone. DC is the only major city that still utilizes this zone system; there are only a handful of areas that continue to use the system and all are smaller towns without the tourism that DC has. Hanbury president and CEO of the Washington Convention and Tourism Corporation stated that the, â€Å" hospitality industry, which employs more than 260,000 individuals in the Washington area pumps fourteen billion annually into our economy† (Hanbury). Having the second largest taxi industry in the country supports the substantial tourism in DC; the taxi fleet is second only to New York City, with a fleet of over 6000 cabs and 8000 drivers.

Lolita: An Analysis of Obsession Through the Decades :: Essays Papers

Lolita: An Analysis of Obsession Through the Decades "Lolita, light of my life, fire of my loins. My sin, my soul. Lo-lee-ta: the tip of the tongue taking a trip of three steps down the palate to tap, at three, on the teeth. Lo. Lee. Ta." In 1958, Vladimir Nabokov created two of the most unrelenting characters in the history of literature: Humbert Humbert and Lolita Haze. His narrator's voice and main character, Humbert Humbert, explains the complex story of a man and his obsession. To set this book off from other books about obsession, Nabokov gives Humbert possibly the most socially unacceptable obsession of all: pedophilia. This obsession leads Humbert on a cross country journey to find his precious Lolita upon the discovery that she has run away and decided to marry. It is this Lolita that causes much of the controversy in the book. Is she an innocent child who is caught up by a wave of "Humbertism" that seems to control her life? Or is she simply an adult in a child's body who plays off of Humbert's obsession to gain things for herself? The answer is one that involves not only an analysis of the text, but also an analysis of the context in which the text is read. It is this analysis of context that will supp ly a new appreciation for not only the basic plot of Lolita, but also the underlying satire that riddles the book. As with all literature, many of the ideas and plot twists that supply the excitement to this particular book are seen under a guise of the particular generation that reads it. Not only do these ideas no longer play an important part to the interpretation as it is transferred from generation to generation, but many times the way in which a book is written can affect the reader. The most prominent case of this happening is in the works of Shakespeare. The ideas and plots he present in his books are most often lost in our contemporary society as we find not only his word usage, but also his themes to be archaic, and unbarring on modern life. Such is the case of Nabokov's Lolita. There is one slight difference, however, between the writing of Shakespeare, and the writing of Nabokov (and in particular Lolita).

Racism in Cry, the Beloved Country by Alan Paton :: Cry, The Beloved Country Essays

Is Alan Paton racist in his portrayal of the natives? Yes, Alan Paton is racist in his portrayal of the natives as evidenced by the text below: Part I Page 10 Then she and put her head on it, with the patient suffering of black women, with suffering of oxen, with suffering of any that are mute. Pg 13, already full of the humbler people of his race., some with strange assortments of european garments. Pg 22 White Johannesburg was afraid of black crime. OLD COUPLE ROBBED AND BEATEWN IN LONELY HOUSE - FOUR NATIVES ARRESTED. Pg. 35 Who is nothing but a white man's dog. Pg. 44-45 These things are so bad, said Msimangu... it is true that they are often bad women, but hta is theone crime we dare not speak of. Pg. 58 God have mercy upon us, Christ have mercy upon us. White man have mercy upon us. Pg. 59 The white men come to Shanty town. They come and wonder what they can do, there are so many of us. What will the poor devils do in the rain? Pg. 72 Murder in ParkwoldASSAILENT THOUGHT TO BE NATIVES. Pg. 75 I say we shall always have native crime **** until the native people of this counrty have worthy purposes to inspire and worthy goals to work for. Pg. 77 We went to Zoo lake dear. But its quite impossible. I really don't see why they can't have separate days for natives. Where can these poor creatues go? Pg. 78-79 and others say there is a danger for better paid laor will not , but will also read more, think more, ask more, and will not be content to be forever voiceless and inferior. Pg. 79 Who knows how we shall fashion such a land? We fear not only the loss of our possessions , but the loss of our whiteness. Pg. 86 Soe he introduced Kumalo to the European Superintendent, who called him Mr. Kumalo Pg. 123 He loooked l ike a man used to great matters, much greater htan the case of a black boy Part II Pg. 150 God knows what's comign to the country, I don't. I'm not a nigger hater...Pg. 154 The truth is that our christian ...he created white and black, and gives divine approval to any human that is deisnged to keep black men from advancement. Pg. 158 but at the door of the People, which means at the door of the white people. Pg.

Sentence Structure

Sentence Structure and Avoiding Run-on Sentences Sentence Structure Depending on the number and type of clauses they contain, sentences are classified as simple, compound, complex, compound-complex. 1. Simple Sentences A simple sentence contains only one independent clause. Without dancing, life would not be fun. A simple sentence can also contain compound elements (subject, verb, object). Evil enters like a needle and spreads like an oak. (compound verb) 2. Compound sentences A compound sentence consists of two or more independent clauses with no subordinate clauses. They are joined with a comma and a coordinating conjunction (and, but, or, nor, so, for, yet) or with a semicolon. He wanted to join the group, but the other members wouldn’t let him. Most singers gain fame through hard work and dedication; Evita, however, found another means. 3. Complex sentences A complex sentence is composed of one independent clause with one or more subordinate clauses. The fur that warms a monarch once warmed a bear. Home is the place where you slip in the tub and break your neck. Talent is what you possess. Dig a well before you are thirsty. Whoever gossips to you will gossip about you. Juan can run faster than I can bicycle. When he adopts a creed, a scientist commits suicide. The receptionist knows [that] you are here. Subordinating Adverbs afterbeforerather thanthoughwherealthough even thoughsinceunlesswhetherasas if if howso thatuntilwhilethan whenwhybecausein order thatthatbecause although Relative Pronouns thatwhowhomwhosewhich Other words introducing subordinate clauses whoeverwhomeverwhateverwhicheverwheneverwherever The above is true in both Spanish and English (Hacker, 2009, 768-770). Run-On Sentences Run-on sentences are a serious problem because they indicate that the writer does not understand basic sentence structure either in Spanish or English. Run-ons are independent clauses (a word group that can stand alone as a complete sentence) that have not been joined correctly. There are two types of run-on sentences. When a writer puts no punctuation and no coordinating conjunction between independent clauses, the sentence is said to be fused. EX: Gestures are a means of communication for everyone they are essential for the hearing paired. A more common run-on sentence is the comma splice—two independent clauses joined with a comma without a coordinating conjunction (and, so, but, for, yet, or, nor). EX: Gestures are a means of communication for everyone, they are essential for the hearing impaired. In other comma splices, the comma is accompanied by a joining word that is not a coordinating conjunction. EX: Gestures are a means of communication for everyone, however they are essential for the hearing impaired. There are four methods of fixing a run-on sentence: 1. Use a comma and coordinating conjunction: EX: Gestures are a means of communication for everyone, but they are essential for the hearing impaired. 2. Use a semi-colon (if the clauses are related) or a colon or a dash to separate the independent clauses. EX: Gestures are a means of communication for everyone; they are essential for the hearing impaired. Sometimes the semi-colon is accompanied by a transitional expression. EX: Gestures are a means of communication for everyone; however, they are essential for the hearing impaired. Other common transitions: moreover, nevertheless, for example, in fact, etc. ). If appropriate you may also use a colon or a dash (less formal than the colon): EX: Nuclear waste is hazardous: This is an indisputable fact. 3. Make the clauses into separate sentences. EX: Gestures are a means of communication for everyone. They are essential for the hearing impaired. 4. Restructure the sentence so that one of the clauses becomes subordinate. EX: While gestures are a means of communication for everyone, they are essential for the hearing impaired (Hacker, 2009, 296-308). EXERCISE Revise any run-on sentences using a technique that you find effective. If a sentence is correct write correct after it. 1. Carlos never drove the vintage cars his father left him, however, he wouldn’t sell them. 2. The volunteers worked hard to clean up after the hurricane, in fact, many of them did not sleep for days. 3. The center of Monterrey is the Macroplaza, this plaza is one of the largest in the world. 4. I ran the three blocks as fast as I could I missed the bus. 5. We didn’t trust her, she had lied before. 6. If you want to get good grades, consider this advice, don’t wait until the end of the semester to start studying. 7. Juan is a top competitor he has been running for years. 8. The floor around the refreshment stand was sticky, I was lucky to make it away with both shoes on my feet. 9. The streets of Mexico City are dangerous, it is not safe to drive. 10. Are you able endure boredom, then this might be the right career for you. 11. We planned to spend our vacation at Padre Island, however, the hurricane made us come home earlier than we had planned. 2. There was one major reason for his wealth, his grandfather had been a multi-millionaire. 13. President Fox was standing next to the podium, he was waiting for President Bush to introduce him to the press. 14. Mr. Romero is an excellent linguist, he speaks six languages. 15. Somedays I only have money for the bus, lunch is a luxury I cannot afford. 16. The building is being renovated we have no heat or water. 17. The next time an event is canceled because of rain, don’t blame the weatherman, blame nature.

Health Care Dysfunctions and their Solutions

The American health care system has been previously bragged as the most excellent around the world until the emergence and realization of its major dysfunctions. The increasing number of American people who still could not afford the high cost of the health care system as well as the obvious problems within the structure itself is concrete manifestations that the existing health care program is no longer working to the advantage of the people.In fact, the alarming reality of the escalating health care price and its apparent inaccessibility definitely comprise a valid predicament particularly dysfunctions in the health care system. In any dilemma, there are possible solutions and however difficult, concerned people including authorities and those belonging in the health care industry need to continue look for ways to address and eventually solve the system’s failures.This is because in doing so, the health care system’s objectives to advocate excellent health among peopl e, be accessible and for it to be at reasonable price will ultimately become a reality hence paving way for the rectification of health care dysfunctions. Hence, the said factors are what the readers will be able to learn from the topic of health care system ultimately paving the way for the essential understanding of its dysfunctions and needed solutions.Health Care System, an OverviewThrough a comparison of the different health care structures of a variety of countries, relevant survey results indicated the true nature of a high-quality and reasonable health care system. The pieces of information and ideas resulting from such studies have signified a clear assessment of the health care systems of the United States and several countries as regard concerns about its price, accessibility, quality and choice of people but most importantly the effectiveness of the system in creating good health among people (â€Å"The U. S. health Care System: Best in the World, or Just the Most Expen sive? †, 2001).Citing the statistical report by the World Health Organization on some 191 member countries, the global health body was able to create three major objectives which also serve as the factors to be considered for a country’s health care system to be considered as good and fair. These include the health care program’s promotion of good health hence â€Å"making the health status of the entire population as good as possible† (cited in â€Å"The U. S. health Care System: Best in the World, or Just the Most Expensive?† 2001).Responsiveness is also a requirement where the system needs to respond to people’s prospects of appropriate health management and the corresponding orientation by health care providers to their respective public. Health care system should also be rational or fair in its costs and financing thereby assuring the financial protection of people and wherein its costs determined and spread based from a client’s financial capacity (â€Å"The U. S. health Care System: Best in the World, or Just the Most Expensive?†, 2001).Hence, the health care system’s general and excellent characteristic could be best yet simply exemplified in a way that it should supposedly deal with failures concerning its price, worth, convenience and variety. Health Care Dysfunctions Failures in the health care system are already evident even for the past years. Citing the Census Bureau, Davidz (2007) reported that there were already close to 47 million Americans who were not insured or not part of the country’s health care system for at least the past two years.While the statistics is only around 15 percent of the overall American population, recent records have shown that the percentage is likely to increase taking into consideration the significant dysfunctions of the system. Davidz also mentioned an economist’s observation that health care malfunction is characterized by too expensive or unaffordable health care program. However, the author noted that a possible plan to make a program reasonably priced discourages the provision of health care as it will slash into the enormous, untaxed privileges offered to those belonging to the top structure of an organization (Davidz, 2007).In essence, this cost-related failure of health care is an essential element which needs to be resolved. A personal experience or observation proves this particular dysfunction. In the State of California alone, approximately seven million residents do not have health coverage or health care program. The number is regarded to be the country’s biggest uninsured public and that the uncontrollably increasing price has been noted to be the main detrimental factor which pressures the inexpensiveness of any health care.While the emergence of the so-called â€Å"year of health reform† in California guarantees change in the system, it is still unfortunate to note that other equally-impo rtant health care dysfunctions continue to be unaddressed. Aside from the failure of making the system affordable, other malfunctions include the need for the system to be of high quality, accessible and provider of different selections where a person has diversity in choosing what health care plan is best fitting (Smith, 2007).Meanwhile, the accessibility failure of the American heath care only proved that the country is the only developed nation, aside from South Africa, which fails to give such benefit to its people. In contrast, the government only provides a mixture of insurance coverage offered by private organizations which is determined according to one’s employment as well as some government-based health programs which cater to active and retired military personnel, handicapped and deprived citizens. Such dysfunction forms severe breach as far as the accessibility of the insurance coverage.Coupled this with the cost fiasco, more people eventually let go of their resp ective health care program (â€Å"The U. S. health Care System: Best in the World, or Just the Most Expensive? †, 2001). A research has also proven that Americans are provided with only half of the suggested and supposed health care. Such study was determined based from the rising proofs of quality-related dysfunction in the American health care system. This also showed that a health program does not ensure one from getting quality care (Napier, 2006).Additionally, the system only poses harm to patients because it fails to live up to what is expected and that extensive quality-related issues are manifested by the rising number of medical blunders. Such error is due to the fact that people are provided with the misleading notion of service quality instead of the needed clinical or medical quality (â€Å"American families deserve quality health care,† 2007). Solutions to Health Care Dysfunctions Possible solutions were already provided such as overhauling the system wher ein the new administration commits to make health care program carry a high cost tag (Feld, 2009).However, what are needed are concrete solutions which aim to finally get to the bottom of this issue. Specifically as regard the quality of the health care, medical blunders need to be avoided through correct diagnosis, surgery and medication. These can be particularly done by creating and implementing means to track such clinical mistakes which will make health providers liable for the blunder as well as also ensuring the best quality among medical personnel making them fit for their work (â€Å"American families deserve quality health care,† 2007).As for the high cost, there is a need to limit the price of medical technologies, services and medication thereby ensuring the benefit of both the health care providers and clients. Aside from private-based health programs, government-initiated plans need to be more diverse offering easier access to almost sectors of the society such as children (Davidz, 2007). Finally, giving people with free choice of suitable health care program and provider will be another significant step to completely address, if not resolve the problem.Conclusion A nation’s health care system is expected to be free of dysfunctions in order to attain the good well-being of people. While failures in the system are inevitable, what is important and required are that the needed solutions are clearly identified and effectively implemented.References Davidz, E. (2007). Diagnosing the problem but not the remedy. Retrieved January 13, 2009, from http://www. marketwatch. com/news/story/healthcare-problems-agreed-solutions-not/story. Feld, S. (2009, January 11).Congressional Budget Office Reveals Budget Hurdles in Financing Healthcare Reform. Message posted to http://stanleyfeldmdmace. typepad. com/ Napier, M. (2006).All Americans at risk of receiving poor quality health care. Retrieved January 13, 2009, from http://www. rwjf. org/files/publ ications/other/asch_nejm_20060316. pdf National Partnership for Women & Families. (2007).American families deserve quality health care. Retrieved January 13, 2009, from http://www. nationalpartnership. org/site/PageServer? pagename=qcn_factsheet_poorquality Smith, M. D. (2007).Health Care Reform 2007: Defining Problems, Examining Solutions. Retrieved January 12, 2009, from http://www. chcf. org/topics/view. cfm? itemID=132238 University of Maine. (2001).The U. S. Health Care System: Best in the World, or Just the Most Expensive?. Orono, Maine: Bureau of Labor Education.