Literature review about ( dose the follow up with one single physician Essay

Literature review about ( dose the follow up with one single physician at diabetic clinic improve the complaiance ) - Essay Example The compliance of diabetic patients is estimated to range from 11% to 93%. It is also estimated that around a third of the total diabetics patients fail to complete their medications. Poor compliance places the patients a t risk of continued disease and also complicates the relationship between the patient and the physician. This article looks at how compliance can depend on the way that a patient relates with the physician. It also looks at the relationship between a patient who only sees one physician and that patient with many physicians and compares their level of compliance based on these facts. It is noted that a one on one relationship is needed for patients to increase their level of compliance. This is because this will enhance better communication between the physician and the patient. Our main question is, can the level of compliance be increased if a patient only has one physician and can the level of compliance be reduced in the event where a patient has many physicians. The article tries to look at 20 articles that deal with health records and try to read and understand the relationship between having one physician and compliance. 20 articles have been looked and out of them 4 have been selected and given a critical appraisal. Introduction Diabetes is a disease that is affecting most people in the world today. Once someone has been diagnosed with diabetes it is always normal for them to come after some to the hospital or health care centers for medication and advice on how to live healthy and what to do and what not to do. When these patients come to the health facilities some hospitals will keep changing their physicians while some will just maintain one physician for every patient, meaning that a patient will only be able to see the physician that he saw on the first date and not keep changing the physician. In this research paper, 20 articles are taken and used to compare the relationship between seeing one physician and seeing different physic ians. The search strategy used in this paper is known as Framing the research question, in this type of search analysis, the question is framed and then put on the search engine for and used to search for the 20 articles. The search terminology used includes â€Å"compliance†, and â€Å"a patient with one physician†. I came up with questions such as â€Å"what is the relationship between having one diabetes patient and compliance in medicine†. Out of this I found thousands of articles and selected 20 articles which I have used for the paper. Later on I selected 4 of the articles and did a thorough analysis of them and came up with the information that will be discussed below. The four articles were selected mainly based on their content and the data that they contain. 20 articles were selected from the internet and used for analysis. There were two searches that were used, the first search was limited to the records of the past 2 years about the patient dropout while the second search was limited to the records of patients who dropped out of their medications or refused medication. The 20 articles that were used for this paper were valid to clinical relevance. It is however important to note that the reliability of the data is not guaranteed since some of the patients don’t report cases of incompliance. This is to say that compliance is lower than reported. According to Elliot (2000, p.120), a research using diabetes patients in England showed that there was 60% compliance. However

Song Analysis Essay Example | Topics and Well Written Essays - 500 words

Song Analysis - Essay Example Buble wrote these lines when he was on a tour to Italy where the separation from his beloved pained him too much, and he wished to get back to his beloved at the earliest. A close reading of the song explores certain other poetical devises such as the repetition of some phrases, images and the usage of figurative speech that add imaginative coloring to the song. Buble begins the song with a note of pathos in his words. For Buble, even the great cities like Rome or Paris does not pacify his unquenchable thirst to reach home and share some sweet moments with his beloved. Like a child’s crossness, he repeats, ‘I wanna go home.’ The repetition of the phrase is capable of haunting the minds of the listeners who feel the intense desire of the writer to reach home. The multitude of people, ‘Another aeroplane (Line 17),’ ‘Another sunny place (Line 18), ‘Another winter’ (32) and so on, does not satisfy the writer. While reading through the lyrics of the song, one gets various images of the male narrator of the song, his journeys, alienation, and his earnestness for reunion. From the narration, it is quite evident that the narrator is a busy man, travelling from one place to another and could not find sufficient time to reach home. He himself admits that his words are cold and flat and his beloved needs more than that. This also brings to us the image of a beloved, anxiously waiting for the letters and presence of her lover. The narrator’s words, ‘I feel just like I’m living someone else’s life/It’s like I just stepped outside’ (Lines 25-26) bring out the image of a discontented person. The lyricist has resorted to some figure of speech to enkindle the feeling of the narrator in the song. One can find the usage of the figure of speech simile in the lines, ‘I feel just like I’m living someone else’s life,’ and in, ‘It’s