Pregnant Mothers and Babies Deserve a Better Deal Essay

Pregnant Mothers and Babies Deserve a Better Deal - Essay Example The theme of his writings indicates his passion for â€Å"humanised birth.† A child has the right to be born through right procedures and the woman has the right to give birth to a child in the normal course, wherein their human values and individual freedoms are protected. Medical fraternity has no business to adopt unethical practices cultivated on the fear psychology of pregnant women. Dr. Wagner makes a perfect case how and why a broken maternity system must be fixed to put women and children first, for it is an all-comprehending sociological problem which has important bearing on the overall welfare of the society. He is forthright to say that a patient need not and should not accept the doctor’s versions and decisions as truth-based in all circumstances, and doctors lie to the patients to serve their vested interests. Their disposition is like businessmen in any other category. They have a hidden agenda that serves their personal economic interests and that of the hospital of which they are the part. Detailing some of the pitfalls in the procedures adopted by obstetricians, Dr. Wagner writes, â€Å"Having the bag of water break before labour begins means that the baby and the womb are no longer protected from germs and infection.†(93)Wagner, citing many studies and real-life examples, concludes that natural births are healthier for women and babie s and it is an important psychological asset the mothers will carry proudly throughout their life. Delivering a baby is one of the most profound experiences, and the mother must own the right to make the informed choices of one’s life instead of making abject surrender to the doctor at the hospital. No options should be imposed on the pregnant mother and her choices should not be fear-based.

Black Colour And Black Consciousness History Essay

Black Colour And Black Consciousness History Essay Slavery, Henry Clay proclaimed in 1816, forms an exception to the general liberty prevailing in the United States. Based on the firm belief that blacks were innately inferior to whites and unsuited for life in any condition other than slavery, slavery was argued by many as essential to human progress. Despite this, many white southerners hypocritically declared themselves to be the true heirs of the American Revolution; inspired by the same spirit of freedom and independence that motivated the fathering generations. The proslavery writers began to manipulate the words of the founding documents to change the peoples perception of freedom: the language of the Declaration of Independence that all men were created equal and entitled to liberty was the most false and dangerous of all political errors, insisted the pro-slavery minister John C. Calhoun. Slaves never abandoned their desire for freedom or their determination to resist subordination to the whites. The creation of an independent culture centred on the family and church created strength in morality and values which could pass from generation to generation fundamentally at odds with those of their masters. Historians have documented rebellions and revolts by slaves; however these are rare and have led some historians to question the extent and nature of slave resistance. I believe that the more subtle forms of resistance that may have been overlooked by historians still stand as rebellions, or silent sabotage, such as purposeful negligence in manual work, obstruction, ignorance, illness, and the destruction of property. In the narrative of Linda Brent, a North Carolina slave, we find an interesting account of how the refusal of women slaves to submit to sexual advances of the slaveholder can be seen as resistance to slavery.[1] However other historians such as George Fred rickson and Christopher Lasch have claimed that such acts should not qualify as acts of resistance; they believe resistance should constitute acts that involved the planning of actual or potential violence. These would have included committing crimes such as arson, poisoning and armed assaults against individual whites. Even small instances of violent resistance were sometimes effective; an Arkansas overseer decided to make an example of a slave woman named Lucy to show the slaves that he was impartial. Lucy, however, was not to be made an example of. According to her son, she jumped on him and like to tore him up. Word got around that Lucy would not be beaten; she was sold by her master soon after, but she was never whipped again.[2] Considerably more crippling to the stability of the slave system was running away, despite the trying and potentially fatal obstacles in their vulnerable escape methods. As Solomon Northup recalled, Every white mans hand is raised against him, the patrollers are watching for him, the hounds are ready to follow in his track.[3] In Frederick Douglasss slave memoir, The Life of Frederick Douglass, he tells us of the plan formulated by him and a group of slaves to escape via canoe to escape to the north. Slaves generally had little or no knowledge of geography but many understood that the North Star led to freedom: Douglass himself planned to follow the guidance of the north star till we got beyond the limits of Maryland. Douglass knew the dangers of becoming a fugitive, but firmly wrote in his memoir For my part, I should prefer death to hopeless bondage. Aged twenty at the time of his escape, there was a general trend of the majority of fugitives being young men. Most slave women were unwilling to leave children and taking them along proved arduous and almost impossible to survive. Some freed slaves also engaged in achieving freedom for others, a highly complex and dangerous undertaking. Enslaved blacks and their white sympathizers planned secret flight strategies and escape routes for runaways to make their way to freedom. Although it was neither subterranean nor a mechanized means of travel, this network of routes and hiding places was known as the underground railroad. Some free blacks were active conductors on the underground railroad while others simply harboured runaways in their homes. No one knows the exact number of slaves that succeeded in reaching the North the most common rough estimate is about 1,000 per year. Most of those who succeeded lived in the Upper South, like Douglass, who went on to publish his brilliant memoir which inspired the huge abolitionist movement. Harriet Tubman escaped to Philadelphia in 1849 and spent ten years risking her life by making some twenty or so trips back to her place of enslavement to lead relatives and other slaves to freedom. Probably one of the most famous instances of slave resistance was the case of the seizing of the Amistad, a slave ship transporting 53 slaves from one port in Cuba to another. The slaves succeeded in gaining control of the ship, and attempted to force the navigator to steer it to Africa. A slave by the name of The Amistad worked its way up the Atlantic coast till it was seized by an American vessel off the coast of Long Island. While the President Martin Van Buren wished to return the slaves to Cuba, abolitionists brought their case to the Supreme Court, where former president John Quincy Adams argued that since they had been recently brought from Africa in violation of international treaties banning the slave trade, the captives should be freed.[4] The court accepted Adams reasoning and most of the captives made their way back to Africa; a huge triumph for the commandeering slaves. This may well have inspired a similar uprising that occurred in 1841 when 135 slaves seized control of the ship they were being carried on, and to the dismay of the administration back home were given refuge by the British. One of the largest scale rebellions was the revolt led by Nat Turner in 1831. Nat Turner was a slave preacher who believed he was chosen by God to lead an uprising. By the time militia could stop the rebellion it had become eighty slaves strong and had killed some sixty whites in neighbouring farms. Turner was subsequently captured and condemned to die; on being asked before his death whether he felt any remorse, he replied was not Christ crucified? Despite Nat Turners rebellion being one of the most significant rebellions in southern history, it proved largely ineffective. Instead of moving the south towards emancipation, the Virginia legislature of 1832 increased in severity the laws which bonded slaves. New laws prohibited all blacks, free or enslaved, from acting as preachers; blacks could not own firearms; and it was illegal to teach a slave to read. Free blacks in the antebellum period the years from the formation of the Union until the Civil War were quite outspoken about the injustice of slavery. Their ability to express themselves, however, was determined by whether they lived in the North or the South. Free Southern blacks continued to live under the shadow of slavery, unable to travel or assemble as freely as those in the North; this made it almost impossible for them to organize and sustain churches, schools, or fraternal orders such as the Masons. Although their lives were circumscribed by numerous discriminatory laws even in the colonial period, freed African Americans, especially in the North, were active participants in American society. Black men enlisted as soldiers and fought in the American Revolution and the War of 1812. Some owned land, homes, businesses, and paid taxes. In some Northern cities, for brief periods of time, black property owners voted. A very small number of free blacks owned slaves, and usually these were members of their own family that they had bought off slaveholders to later emancipate. A few free blacks also owned slave holding plantations in Louisiana, Virginia, and South Carolina. Free African American Christians founded their own churches which became the hub of the economic, social, and intellectual lives of blacks in many areas of the fledgling nation. Blacks were also outspoken in print. Freedoms Journal, the first black-owned newspaper, appeared in 1827. This paper and other early writings by blacks fuelled the attack against slavery and racist conceptions about the intellectual inferiority of African Americans. Free people of colour like Richard Allen, Frederick Douglass, Sojourner Truth, David Walker, and Prince Hall earned national reputations for themselves by writing, speaking, organizing, and agitating on behalf of their enslaved compatriots. For Frederick Douglass, the most beneficial step for him to the road to freedom was learning to read and recognizing his enslavement was morally wrong. For him, resistance came in the form of giving speeches and writing books about slavery and his experiences, rousing tumultuous crowds and touching the hearts of many. Throughout his Narrative, literacy, education and reason are deemed crucial tools in the fight for emancipation. After reading speeches on behalf of Catholic emancipation in The Columbian Orator Douglass explained that they gave tongue to interesting thoughts of (his) own soul, which had frequently flashed through (his) mind, and died away for want of utterance.[5] Douglass noted that slaveholders were right in forbidding their slaves from learning to read because literacy and therefore access to enlightenment would undermine the system by strengthening slaves recognition of their own humanity and desire to be free. Henry Bibb was born a slave in Kentucky in 1815. He recounts his sufferings, escapes, recaptures, and unsuccessful attempts to free his family. Bibb lectured for the Liberty party in Ohio and Michigan during the 1840s and fled to Canada after the Fugitive Slave Act of 1850, as did thousands of other fugitives living in the North. His narrative includes many illustrations, including the depiction of the celebration of the Sabbath among the slaves and a slave sale. In the text Bibb mentions that slaves were not allowed books, pen, ink, nor paper, to improve their minds. He stated that such circumstances gave him a longing desire . . . a fire of liberty within my breast which has never yet been quenched. Bibb believed that he too had a right to liberty and the pursuit of happiness. In Black Culture and Black Consciousness, historian Lawrence Levine summarizes the important role that slave resistance legends played in the black community: For an understanding of the post-slave generations, the history of slave resistance is less important than the legends concerning it, though the two by no means contradict each other. Looking back upon the past, ex slaves and their descendants painted a picture not of a cowed and timorous black mass but of a people who, however circumscribed by misfortune and oppression, were never without their means of resistance and never lacked the inner resources to oppose the master class, however extreme the price they had to pay.[6] These legacies of resistance, which led to the final emancipation after the issuance of the Emancipation Proclamation in 1863, marked the generations of change that followed the slave period and have continued to build on the past right up until today. Bibliography Howard McGary and Bill E. Lawson, Between Slavery and Freedom: Philosophy and American Slavery, Indiana University Press 1992 John Hope Franklin, The Free Negro in North Carolina 1790-1860, Norton Library 1971 Ulrich B. Phillips, American Negro Slavery, Louisiana State University Press 1966 Eric Foner, Give Me Liberty! An American History, Norton Company 2009 Edmund S. Morgan, American Slavery, American Freedom: The Ordeal of Colonial Virginia, Norton Company, New York, 1975 Deborah Gray White, Arnt I a Woman? Female Slaves in the Plantation South, Norton Company 1995 Frederick Douglass, Narrative of the Life of Frederick Douglass, an American Slave, Penguin Classics 1982 Lawrence Levine, Black Colour and Black Consciousness, New York 1977 K.Sue Jewell, From Mammy to Miss America and Beyond: Cultural Images and the Shaping of U.S Social Policy London, Routledge 1993

Definition Essay -- essays papers

Definition Essay The origin of the word myth seems to be a myth in itself. Myths have generally originated from a Greek history that used an oral tradition to explain events that occurred before the written word. Often supernatural beings or fictitious characters were used to explain popular ideas concerning phenomena's of nature or the history of people. The myths that were carried on from generation to generation were often very imaginative in an attempt to spark the interest of young listeners. These would be told at social gatherings. The main purpose of a myth was to relay historical information among groups. Early myths often dealt with the origin of man, customs, religious rights, incidents involving the lives of gods, stories of culture heroes, adaptations of old world myths, or the retelling of biblical stories. From the Webster’s dictionary the real meaning of the word myth is, â€Å"a story or legend† that was created as oral traditions that were told from generation to generation. Often as individuals told the stories, they were changed slightly in context or meaning. One cannot be certain, however, that historically based myths are not historically correct. Exaggeration due to personal vendetta was often the cause for discrepancies of factual or not factual information included in dialect from a mythical standpoint. An instance where this fact was the case is seen in the Old Testament. Even, the Old Testament can be looked upon as being mythical. From a religious perception, the Old Testament may be viewed as the history of Judaism and believed to be completely factual and true, but from a mythical standpoint that selection may be fictitious in context. Mythology suggests that due to the fact that events w... ...ide to them. The mythical side is present because a culture or society does not want to believe the facts that are known in an attempt to give reassurance to ones inner self. A modern example of a myth is the belief that one cannot achieve a pregnancy upon the primal intercourse experience. Research has proven that this is not true, but many believe or are told that this is the case. These types of myths are used today to create reassurance for those believing them. The word myth has been defined by scientific evidence throughout history. As scientific evidence has become clearer, early myths have become less clear to the present day human being. Even though early myths are becoming obsolete, they are still being studied to teach all aspects of life and culture past and present. Also, modern myths are being studied just as well to teach the aspects of the world today.

Elderly Client Project

Elderly Client Project Winston Salem State University Nursing 3303 October 17, 2012 Elderly Client Project Mrs. F. Nowell is a ninety-four year old mother, grandmother and great grandmother living in a skilled nursing facility. She has several co-morbidities which are managed medically and chemically within a detailed nursing care plan. She is diagnosed with type II diabetes, hypertension, coronary artery disease, pedal neuropathy, and arthritis.Within this paper we will explore her age related changes, concept of health and wellness, one chronic disease, diabetes, along with the care and health maintenance associated with this chronic illness, compare and contrast medical/nursing care with current research, health promotion, safety and any special concerns, current resources used and community resources not used, and the clients perspective of her own quality of life. Age Related ChangesWe begin with age related changes which everyone can see externally, however it’s in part, the individual’s concept of these changes that occur over the life span that help define the person’s health. American’s are living longer and Mrs. Nowell is a prime example of this fact at age ninety-four along with her sister-in-law in the same nursing facility at age one hundred and four. Americans over the age of 65 now comprise almost 13 percent of the United States’ population. Mrs. Nowell notes a definite change in her physical body and abilities.However, though now faced with physical mobility limitations, she admits a life satisfaction and is living a happy and productive life. Common age-related changes she’s experiencing are visual acuity or presbyopia for which she wears glasses to assist in ready, very slight hearing impairment or presbycusis, along with hypertension, coronary artery disease and arthritis. Though Mrs. Nowell does have diabetes, she doesn’t associate this chronic disease with normal aging. She stated â€Å"Iâ⠂¬â„¢ve been a diabetic as long as I can remember. Obvious integumentary changes are seen, yet no deep, well defined wrinkles, having not been a smoker, and wore hats to protect her face from sun exposure. Mrs. Nowell does appear to have a slight bit of memory loss because when asked how old her husband was when he died she was unable to recall. However, when asked about her childhood and where she grew up, she recounted very vivid memories. This is typical of the aging adult. The speed with which information is processed, stored, and received is decreased; older memories tend to be intact with new memories being recalled less frequently.What is important to remember about the aging population is while they are experiencing moderate physical limitations, they learn to live with them and lead happy and productive lives, as is Mrs. Nowell. Concept of Health and Wellness Mrs. Nowell’s concept of health and wellness is definitely one of her own perspective. She equates herself to being healthy for a ninety-four year old lady. At ninety-four Mrs. Nowell is mentally healthy with little to no signs of dementia. And because she â€Å"has her mind,† she does not see her physical limitations as making her unhealthy.She envisions wellness and her state of well-being as optimal because with the use of her motorized wheelchair she can come and go as she pleases within the confines of the skilled nursing facility in which she lives, as well as, out in the community. She feels she’s definitely one of the healthiest ninety-four year olds she knows because each day she dresses well, though with assistance, puts on her lipstick and matching jewelry. She states when she looks good, she feels good. Chronic Disease and Care to Improve/Maintain Health Though Mrs. Nowell has several co-morbidities, this paper will focus on her type II diabetes.Diabetes Mellitus is associated with many related health factors of which Mrs. Nowell currently precipitates. She does h ave some visual impairment which is linked with aging, as well as diabetes. She also manifests pedal neuropathy of which she admits to taking Neurontin to alleviate the nerve discomfort and tingling. She lives in a skilled nursing facility where her blood sugar is checked before meals and at bedtime. She is treated with Novalog Insulin in the morning and evening which keeps her blood sugars at a normal range between 80 and 100, and below 150. They ncourage healthy meals and eating, though Mrs. Nowell admits to having family bring in snacks to her liking which are not always on the American Diabetic Association (ADA) food options. The nursing facility also goes to great lengths to ensure meticulous foot care is provided to all diabetics. They inspect their feet when assisting in dressing and showering, as well as, have podiatry perform toenail clipping. Mrs. Nowell does not see her diabetes as a disease, but rather a lifestyle and way of living. Compare and Contrast Medical/Nursing C are and Current Research As previously mentioned Mrs.Nowell’s diabetes is treated with insulin and given a diet per recommendations of the ADA. The nurses perform regular blood sugar checks before each meal and at bedtime, following a regimented nursing care plan to keep her blood sugar below 150. However recent guideline updates recommend that primary care physicians do not push the patients to obtain a standard targeted blood sugar level. The facility nurses also provide education on healthy snacks and exercise programs available to their residents. Because obesity is a major concern and noted problem among the diabetic community daily exercise is recommended for the diabetic patient.However given Mrs. Nowell’s physical limitations daily exercise is minimal at best. Researchers are now giving acceptance to bariatric surgery among diabetics faced with morbid obesity, which has shown rapid blood sugar levels and decreased pharmacological intervention needs. However giv en Mrs. Nowell’s advanced age, she is not a bariatric candidate. Current medical care of Mrs. Nowell includes keeping her hemoglobin A1c below 7% per her primary care doctor and nursing supervision. Yet it is evidenced that the aging adult is more vulnerable to hypoglycemia, and combined with Mrs.Nowell’s cardiovascular disease, recommendations are pointing to an A1c below 8%. The Mayo Clinic also has an online tool developed for diabetics which includes low blood-sugar risks, weight changes, blood sugar testing requirements and costs which help the physician and patient weigh the risks and benefits of diabetic medication therapies. Health Promotion, Safety and Special Concerns Mrs. Nowell’s promotional health needs are met through nursing care provided and maintaining an optimal sense of wellness. Mrs. Nowell’s immunizations are up to date including her flu and pneumonia vaccinations.She receives assistance with activities of daily living (ADL’s) to maintain meticulous skin care and foot inspection to reduce risks of diabetic ulcers. Her diet remains well balanced per the ADA guidelines for optimal nutrition, to further reduce risks of pressure ulcers, which would be of concern with her mobility limitations. She also suffers from incontinence, yet admits to receiving quick response to toileting needs and perineal care. The floors are kept clutter free with no rugs or sliding floormats. The bathrooms are equipped with handrails and emergency call bell pull cords.Showers are large and can be accessed with a wheelchair and have showering chairs for those with mobility limitations such as Mrs. Nowell. Daily use items such as her toothbrush, hairbrush and makeup are kept within easy reach to decrease risk for falls. Mrs. Nowell voiced no special concerns or needs that weren’t being met to her expectations. Current Resources Used and Community Resources Not Used Mrs. Nowells uses the assistance of the occupational therapist that works with the clients of her nursing facility to maintain optimal health and wellness.She has been trained to use a reaching device or â€Å"reacher† which clasps items out of safe reaching range or items she may have dropped and desires to retrieve reducing her risk of falls. Mrs. Nowell takes great pleasure in participating in the community offerings that come to the nursing facility for senior involvement opportunities, such as church groups, entertainment companies, and many local businesses, including restaurants that offer samplings of new menu items. She has participated in numerous provided educational classes and socialization activities for the residents.She also uses the facilities transportation system for group outings and community access. Mrs. Nowell stated they do have a hair dresser that provides services twice a week, however she prefers her daughter, who visits daily, to assist her with her hair care needs. She further does not use their common dinin g area choosing to have her meals in her room or with family when they visit. Yet does frequent the common area for bingo and karaoke for socialization and enjoyed participation. Quality of Life, the Client Perspective Mrs. Nowell considers her quality of life optimal. She finds herself healthy.As with Maslow’s Hierarchy, having her basic needs met, Mrs. Nowell presents with a high self-esteem and self-actualization. She is living a healthy and productive life, exhibiting an exuberant personality. She is still a good mother, grandmother and great grandmother able to enjoy family and friends, while appreciating her life and memories. Conclusion In summary Mrs. Nowell is a wonderful example of an aging population that is well adjusted and reached the highest plateau of hierarchy. As a nurse caring for the elderly, we must be better prepared to assist the aging population to this optimal level of health and wellness.We can achieve this through continued research and provision of age appropriate care. Living happy and productive lives within the elderly population, and given their limitations, be it physical or mental, should be the goal of all nursing. References Anderson, B. , de Chesnay, M. (2012). Caring for the vulnerable: perspectives in nursing theory, practice, and research. (3rd ed. ). Burlington, MA: Jones & Bartlett Learning. Jett, K. , Touhy, T. (2010). Gerontological nursing & healthy aging. (3rd ed. ). Saint Louis, MS: Mosby Elsevier. Khardori, R. (2012, October 8). Medscape references.Retrieved October 14, 2012, from Type 2 diabetes mellitus treatment & management: http://emedicine. medscape. com/article/117853-treatment Resources For Seniors, Incorporated, (n. d. ), Retrieved October 6, 2012, from: http://www. resourcesforseniors. com Seniors Health, (n. d. ), Retrieved October 14, 2012, from: http://medical-dictionary. thefreedictionary. com/Seniors’+Health Winslow, R. (2012, July 9). The wall street journal. Retrieved October 14, 20 12, from New strategies for treating diabetes: http://online. wsj. com/article/SB10001424052702303292204577517041076204350. html

Evolution of the Electronic Health Record

Evolution of the Electronic Health Record By Belinda Martorelli 11 January 2012 The beginnings of a standardized electronic health record system started in the 1960’s. They were mostly written accounts of the patients’ complaints’. As the systems developed, the records followed a business format, with the information being more useful for the financials and statistics. (Johns, Merida L. (Ed. ) (2011) Health Information Management Technology, Illinois: Chicago, Third Edition. It was reported by Summerfield and Empey that â€Å"at least 73 hospitals† were using computerized systems for patient’s records and there were â€Å"28 projects† underway to store and retrieve clinically relevant information. Over time other systems were created such as the CHCS – Composite Health Care System – used by the Department of Defense, COSTAR – the Computer Stored Ambulatory Record- used worldwide, and DHCP – De-Centralized Hospital Computer Program cultivated by the Veteran’s Administration – used nationwide, to name a few. Electronic Health Records, National Institutes of Health National Center for Research Resources, Overview, April 2006, The MITRE Corporation) The Institute of Medicine (IOM) saw new technologies in the mid 1980’s that they wished to implement in Electronic Health Records (EHR) to reduce duplicate records and increase accuracy. In 1991, a committee was created to make a report and recommendations. That first report was titled â€Å"The Computer-based Patient Record: An Essential Technology for Health Care†.The results of this report spoke about the characteristics, features and purposes of the electronic record. (Johns, Merida L. (Ed. ) (2011) Health Information Management Technology, Illinois: Chicago, Third Edition. ) Early in 1999, a report came out that revealed between 44,000 and 98,000 American hospital patients died due to medical errors. Embracing informat ion technology was a priority along with other factors that needed improvement in the American Healthcare System. Other reports focused on patient safety and the quality of care they received. Johns, Merida L. (Ed. ) (2011) Health Information Management Technology, Illinois: Chicago, Third Edition. ) The next important report the IOM produced, in 2003, dealt with the standardization of EHRs to improve patient safety. They created an 8-point list of what EHRs could do. 1. Administrative processes 2. Decision support 3. Electronic communication and connectivity 4. Health information and data 5. Order entry/management 6. Patient support 7. Reporting and population health management 8. Results management (Johns, Merida L. Ed. ) (2011) Health Information Management Technology, Illinois: Chicago, Third Edition. Source: adapted from Kohn 2000. ) There was a study done in 2009 reporting the set-up of health information technology, with limited success, in the industry. The IOM and the Natio nal Research Council spoke about the shortfall of implementing the technology, creating a â€Å"healthcare IT chasm†. (Johns, Merida L. (Ed. ) (2011) Health Information Management Technology, Illinois: Chicago, Third Edition. Source: adapted from Kohn 2000. Some of the challenges to having EHR’s can be system crashes, slow response time and lack of communication between disciplines. Purchasing a system â€Å"off the shelf† can be problematic. It may not be an exact fit. It can also be cost prohibitive. Buying components to meet the facilities needs might perform better. The Personal Health Record (PHR) is controlled by the patient. It contains information about their diseases, hospitalizations, surgeries and any other pertinent facts that affect the patient. Its’ location can be on a flash drive, their computer or on the Web.It can list demographics like occupation, health related plans and their current health status along with a living will, organ donat ion choices and a durable power of attorney. (Johns, Merida L. (Ed. ) (2011) Health Information Management Technology, Illinois: Chicago, Third Edition. ) References: Electronic Health Records, National Institutes of Health National Center for Research Resources, Overview, April 2006, The MITRE Corporation Johns, Merida L. (Ed. ) (2011) Health Information Management Technology, Illinois: Chicago, Third Edition.