Month: September 2014

Analysis Paper on Health Policy Issue – Prescription Drug Abuse.

Analysis Paper on Health Policy Issue – Prescription Drug Abuse.

Objective: to identify and clarify policy issues and problems, their causes, their current and future effect on the community, and how problems become part of the policy agenda; to explore factors involved with the issue while remain objective; to identify key stakeholders in the issue and their relationships to possible outcomes; evaluate policy potentials and effectiveness; summarize benefits, tradeoffs, etc. for policy issues; and analyze the role of profession of nursing in the

topic; include the professional nursing literature.

Guideline
Write your paper using the below order

Guidance:

  1. Problem identification: introduce and clarify/explain the underlying problem/issue (causes, current and future effects on the community, who raised and is now interested in it, how the problem moved to the agenda etc) 1 page
  2. Background: put the problem in context with specifics on social, economic, ethical, legal and political factors ~1 page
  3. Stakeholders: discuss parties having a stake in the outcome of the policy debate (who has proposals/a position related to the issue, who would be affected by the policy, who are the special interest groups~ 1 page
  4. Issue statement: a clear statement that summarizes the underlying problem and conflicting values based on the above information 1 paragraph
  5. Policy objectives/goals: stated specifically (you can list) ~half a page
  6. Policy options: Analyze the role of the profession of nursing in your topic, include the professional nursing literature.. Briefly discuss 2-3of the most relevant/realistic current proposals, or a new one using your literature review and in consideration of the above policy objectives/goals(consider necessary resources, program objectives and criteria, examine whether if X is done Y will result, consider the “do nothing” option) ~1 -2 pages
  7. Evaluation criteria: Analyze the role of the profession of nursing in your topic, include the professional nursing literature. Choose one policy that reflects its potential to achieve the policy goals (quality, access, fairness, cost, administrative feasibility, political feasibility, others identified) Explain your choice ~1 page
  8. APA format and following directions: the most recent publication format should be used, page limit must be adhered to (no more than 8 pages), paper must be submitted by the due date

 

Practicum Experience: SOAP Note and Time Log – Assignment Instructions

In addition to Journal Entries, SOAP Note submissions are a way to reflect on your Practicum Experiences and connect these experiences to your classroom experience. SOAP Notes, such as the ones required in this course, are often used in clinical settings to document patient care. Please refer to the Seidel, et. al. book excerpt and the Gagan article located in this week’s Learning Resources for guidance on writing SOAP Notes.
After completing this week’s Practicum Experience SOAP, select a patient that you examined during the last 3 weeks. With this patient in mind, address the following in a SOAP Note:

  • Subjective: What details did the patient provide regarding his or her personal and medical history?
  • Objective: What observations did you make during the physical assessment?
  • Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?
  • Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management including alternative therapies?
  • Reflection notes: What would you do differently in a similar patient evaluation?

SOAP NOTE TEMPLATE

Select a patient that you have examined in the clinical setting to complete a SOAP Note.You will include evidence-based practice guidelines in the management plan, and include rationales for differential diagnoses (cite source).  Please include a heart exam and lung exam on all clients regardless of the reason for seeking care.  So, if someone presented with cough and cold symptoms, you would examine the General appearance, HEENT, Neck, Heart and Lungs for a focused/episodic exam.  The pertinent positive and negative findings should be relevant to the chief complaint and health history data.  This template is a great example of information documented in a real chart in clinical practice. The term “Rule Out…” cannot be used as a diagnosis. Please describe appearance of area assessed and refrain from using the term “normal” when documenting this note.

  1. Subjective Data
    • Chief Complain (CC): A single statement in patient’s own words with quotations that include timing.  Example:  “ My head has been hurting for 2 days”
    • History of Present Illness (HPI): Use OLDCARTS pneumonic to document this data.  Please see sample HPI in Docsharing
    • Last Menstrual Period (LMP- if applicable)
    • Allergies:
    • Past Medical History:
    • Family History:
    • Surgery History:
    • Social History (alcohol, drug or tobacco use):
    • Current medications:
    • Review of Systems (Remember to inquire about body systems relevant to the chief complaint & HPI.  Please do not include exam findings in this section; only document patient or caregiver’s answer to your history questions)
  2. Objective Data
    • Please remember to include an assessment of all relevant systems based on the CC and HPI.  The following systems are required in all SOAP notes.  You will proceed to assess additional pertinent systems.
      • Vital Signs/ Height/Weight:
      • General Appearance:
      • HEART:
      • RESP:
      •  Assessment
      • Differential Diagnosis (include rationales and cite source)
      • 3.Medical Diagnosis
      • PLAN
        • Prescriptions with dosage, route, duration, and amount prescribed and if refills provided
        • Diagnostic testing
        • Health Education/Promotion/Maintenance Needs
        • Referrals
  • Follow-Up Plans (When will you schedule a follow-up appointment and what will you address in the subsequent visit; Example —F/U in 2 weeks; Plan to repeat CXRAY on RTC (return to clinic)
  • Reflection:  What was your “aha” moment? What would you do differently in a similar patient evaluation?
  • References:  Please include at least 3 evidence-based sources in APA format.

Retaining and Separating, Compensation and Benefits

To learn more about retaining and separating employees, and compensation and benefit processes of Google. You will submit an APA-formatted research paper that addresses these functions.

If the required details are unavailable for the organization you chose, you may research and present recommendations on the topics in the bulleted list below.

Your assignment must include four resources to support your analysis. One resource can be your textbook. Examples of other acceptable choices include informational interviews, scholarly journals, and white papers from professional organizations such as the Society for Human Resource Management (SHRM). (White papers from SHRM are typically available only to its members.)

Your assignment should contain an introduction, body, and conclusion. For this assignment, describe the following:

Retaining and Separating Employees

  • The organization’s formal discipline policies related to harassment, absenteeism, unsafe work practices, poor quality of work, drug or alcohol use, theft, and cyber policies.
  • Formal discipline trends that are necessary to protect the organization from possible employment-related litigation.
  • Any alternative dispute resolution processes.
  • Outplacement counseling and employee assistance programs that are available.
  • Discuss how these policies are needed to protect the organization from employment-related litigation.

Compensation and Benefits

  • The formal pay structure within the organization (exempt, nonexempt, salary, hourly, or commission).
  • Any benchmarking activities undertaken by the organization. Include information as to whether it offers a competitive compensation structure.
  • Incentives offered.
  • Any profit-sharing or stock-ownership programs that are available.
  • Both the legally mandated and voluntary benefits offered.
  • The cost of the benefits to the organization.
  • How benefits are communicated to employees.
  • The environmental factors that have influenced compensation and benefits of the organization.
  • Any current issues faced by the organization as they relate to compensation and benefits.

Deborah Shore Development – Case Study Analysis

 1. A case study. Deborah Shore, aged 45, works for a small corporation in the Research and Development department. When she first became a member of the department 15 years ago, Deborah was an unusually creative and productive researcher; her efforts quickly resulted in raises and promotions within the department and earned her the respect of her colleagues. Now, Deborah finds herself less interested in doing research; she is no longer making creative contributions to her department, although she is making contributions to its administration. She is still respected by the coworkers who have known her since she joined the firm, but not by her younger coworkers.

  Analyze the case study from the psychoanalytic, learning, and contextual perspectives: how would a theorist from each perspective explain Deborah’s development? Which perspective do you believe provides the most adequate explanation, and why?

 2. Interview your mother (and grandmothers, if possible), asking about experiences with childbirth. Include your own experiences if you have had children. Write a paper summarizing these childbirth experiences and comparing them with the contemporary experiences described in the text.

 3. Identify a “type” of parent (e.g., single parent, teenage parent, low-income parent, dual-career couple) who is most likely to be distressed because an infant has a “difficult” temperament. Explain why you believe that this type of parent would have particular problems with a difficult infant. Write an informational brochure for the selected type of parent. The brochure should include an explanation of temperament in general and of the difficult temperament in particular, and give suggestions for parents of difficult infants.

 4. Plan an educational unit covering nutrition, health, and safety for use with preschoolers and kindergartners. Take into account young children’s cognitive and linguistic characteristics. The project should include (1) an outline of the content of the unit; and (2) a description of how the content would be presented, given the intellectual abilities of preschoolers. For example, how long would each lesson be? What kinds of pictures or other audiovisual materials would be used? How would this content be integrated with the children’s other activities in preschool or kindergarten?

 5. Visit two day care centers and evaluate each center using the information from the text as a guide. Request a fee schedule from each center. Write a paper summarizing your evaluation of each center. Note: Unless you are an actual potential client of the center, contact the director beforehand to explain the actual purpose of the visit, obtain permission to visit, and schedule your visit so as to minimize disruption to the center’s schedule.

 6. Watch some children’s television programs and advertising, examine some children’s toys and their packaging, read some children’s books, and listen to some children’s recordings, looking for evidence of sex-role socialization. Write a paper comparing these contemporary influences with those you remember from your own childhood, and discuss the implications of the differences and similarities you find.

 7. Write a paper describing things your parents did to help you in school and anything your parents did that hindered you in school. If you have young brothers and/or sisters, include your parents’ influences on their education. Analyze your parents’ actions from the standpoint of the characteristics discussed in the text.

8. Write a paper summarizing the theoretical perspectives on identity presented in the textbook. Identify the perspective you find most acceptable, and justify your choice. Evaluate the information in light of your own development in adolescence.

 9. A case study. Julie is a 40-year-old homemaker. Besides chauffeuring her very active 13-year-old son and 15-year-old daughter to school activities, maintaining the household, and providing emotional support to her husband (who is facing a stressful job situation), Julie cares for her 70-year-old widowed father. Her father had a stroke last year. After her father’s stroke, Julie dropped the two college courses she had been taking, so that she could visit him regularly in the hospital and help with his rehabilitation there. When he was released from the hospital, he moved into her home for an indefinite period. That seemed to be the only option other than a nursing home. Julie’s brother and sister live out of town and are unable to provide physical care for their father. It has now been several months since Julie’s father moved into her home. Julie is feeling overwhelmed as she tries to meet the needs of her father, her husband, and her children.

 

  Write a paper discussing steps that could be taken to solve or prevent problems for Julie and possible pitfalls in taking these steps. Dimensions of the situation that you will want to consider include (1) finances, (2) health, (3) emotional functioning of individuals, and (4) relationships between family members.

 10. Many colleges and universities allow older people to audit courses tuition-free. But–perhaps because the arrangement does not generate tuition–most institutions do not actively promote this option or encourage people to take advantage of it; the number of older people who actually enroll in such courses tends to be fairly low. Suppose that your college began taking aggressive and effective measures to encourage elderly people to enroll in courses, with the eventual result that around half of the students in most classes were 65 or older. Write a paper discussing two issues. First, how should instructors modify their teaching and their evaluation and testing procedures in response to this change in the student population, given the material in the text describing older adults’ cognitive performance and abilities? Second, how would classes be enriched by an increase in the proportion of older students, and how would classes suffer through such an increase?

 11. Although most older people prefer to live independently in the community, and most are successful in doing so, institutional care is an essential option for an aging population. Some facilities are excellent, providing high-quality care, comfort, and intellectual and social stimulation. However, even in these excellent settings, there is probably some room for improvement. Develop a description of an ideal nursing home. Your description should include the approximate number of residents, the approximate number of staff members, the qualifications of the staff, the physical design of the facility, provisions for promoting contact between residents and the community, and activities offered within the facility.

 

The Importance of Cultural Sensitivity Communication for Advanced Practice Nurses

The Importance of Cultural Sensitivity Communication for Advanced Practice Nurses
For this assignment, consult the “Professional Communication Cultural Sensitivity Guide.”
Write a paper of 1,000-1,250 words on a specific cultural group. Use the following guidelines:
1.    Select one article from a nursing journal focused on a cultural group.
2.    In the introduction, state your reason for selecting the cultural group.
3.    Summarize the key points of the article.
4.    Apply the new information to a practice situation that demonstrates cultural sensitivity in communication, reflecting the reading in chapter 25. The book is

Advanced practice Nursing: Evolving Roles for the Transformation of the profession. 2ND Edition, Denisco & Barker
5.    Write a conclusion.
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.
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.
You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.
NUR502.v10R.CulturalSensitivityGuide_student.docx

Adverse effects of dexamethasone on children with asthma

Our umbrella topic is “Toxicology of Pharmaceuticals”, from which you need to choose a topic dealing with human health, industrial health or environmental health.  This means we’ll be dealing with the adverse (or side) or deleterious effects of pharmaceutical chemicals (not the effects they are prescribed for!) and the toxicological issues associated with them.

How should you go about choosing a topic?  Many of your ideas so far have been good…  and would be perfect f you were going to write a dissertation!  In other words, they are way too broad.  Remember, this is a small review paper, 6-8 pages with 10+ sources.  If you use a search engine on your topic and you get hundreds of potential research articles, then your topic needs to be narrowed down.  If, on the other hand, you put your topic into a search and find less than five articles, then it’s too narrow and will need to be expanded a bit.

So here are some hints for developing your topic.  Start with “I am interested in the adverse effects of [pharmaceutical drug X] on [examples: human health or industrial workers or the aquatic environment]”.  For example, here’s what I might like to do my paper on:  the adverse effects of troclosan (in waterless hand cleaners) on the aquatic environment.  If I was to start my search using “triclosan” and “aquatic environment” as my keywords, I’d get over a thousand articles.  Way too many to sort through!  So I need to narrow this down to something like the adverse effects of triclosan on frog embryos.  Now I have less than 50 papers to choose from.  There’s my paper topic.

Remember that you’ll be studying the toxicological effects of a pharmaceutical chemical (referred to as a stressor) on some aspect of human or environmental health (referred to as a target).  Stressors can be narrow (a specific chemical or metabolite or breakdown product) or wide (a class of chemicals, etc.) and targets can be narrow (a species or life stage of a species or organ/system or specific disease or specific occupation, etc.) or wide (humans in general or terrestrial environment or rivers or air, etc.)

Therefore please consider topics for your paper using one of the following combinations:

Adverse effects of [a specific pharmaceutical stressor] on a [broad target]
Adverse effects of [a class of pharmaceutical stressors] on a [specific target]
Adverse effects of [a specific pharmaceutical stressor] on a [specific target] – BEST!!
As you are researching your topic, be sure to focus on obtaining articles that will provide you with the information needed to meet the requirements of the assignment (see syllabus).  I will post a copy of a SETAC (Society of Environmental Toxicology and Chemistry) Technical Issue Paper (TIP), which is a good example of the type of document your review paper should be: concise, informative, based on current science.  And while you’re at it, reading this SETAC TIP will be a good way to start the course!

Imagine you are a health economist, specifically a health financing advisor working for the World Health Organization (WHO).

Imagine you are a health economist, specifically a health financing advisor working for the World Health Organization (WHO). You have been asked to put together a presentation about what you learned at the recent World Health Summit. Be sure to include the following information in your presentation:

  • Explain your job duties.
  • Describe the history and development of the Global Health Data Exchange (GHDx), and explain why it was formed. Include the types of services it provides around the world.
  • Explain how the WHO, GHDx, and the World Health Summit are involved in world health, including information about how new technology is provided for foreign countries.
  • Provide and describe the types of health care technology available in foreign countries. This can include low-income, middle-income, and high-income economies.
  • Select 5 of the best health care organizations in the world, and summarize the services they provide. Explain why these are considered the best health care organizations in the world.
  • In a table, outline significant differences among 4 nations offering the best health care as compared to those that provide low-quality health care.

Communication Integration

Communication is challenging in any setting. With the addition of cultural factors, communication becomes much more challenging. One way for communication to fluently flow through an organization is to establish clear communication channels. Organizational charts are often used to depict reporting structures and communication channels. As a result of an international acquisition or merger, it is necessary to restructure the organizational chart and communication channels.

For this assignment, you have been provided with two organizational charts. The organizations that use these charts have recently merged. It is your responsibility to restructure the organizational chart to establish clear channels of communication for each organization.

Scenario: Engineering Corporation is based in the United States and Aerospace Corporation is based in China. Aerospace Corporation is the parent company.

The following hyperlinked file should remain a DOC or DOCX, which allows students to revise the organizational charts. Click here to view the link of each organizational chart.

The purpose of this assignment is for you to think about and create clear channels of communication to ensure efficiency and productivity among international organizations.

Part One—The Organizational Chart. Create a new organizational chart that depicts the newly established communication channel. Create a new organizational chart from scratch, or copy and paste one of the provided organizational charts, and update it to include the new structure.

Part Two—The Description of the Communication. In a two-page summary, describe the new communication flow and why it will function effectively. Be sure to mention the communication strategies and theories that are offered by

Luthans and Doh (2012).

Include the following details within your description:

I. Introduce the need for new communication flow.

II. Describe the cultural impacts of each organization.

III. Describe the communication flow.

IV. Describe the communication barriers that were considered.

V. It must be at least two pages.

role of Futurist ideology

Unit 1 content and readings explore the historical and contemporary role of Futurist ideology. Choose one image from any designers mentioned in the unit content and discuss authorship, universality, and social responsibility in relation to the work and the designer’s ideals.

Are examples of Futurist thinking still evident today? How are they the same or different from the ideals of the original Futurists? Post visual examples and explain how these resources support your perspective.
Choose at least three of this Unit’s readings listed in “To Do” List and discuss each separately considering the following (At least 200 words for each reading selected):
Author’s Biography: What are the author’s influences, background, and education?
Micro Review: Reflect on each reading in a micro manner by choosing a specific line, paragraph, section, or topic within the readings that you would like to assess. Summarize what you think the author is saying, why this is important to you, how you think this is significant, and why you agree or disagree with the idea.
Macro Review: Examine how the topic assessed in the micro review fits within the author’s macro (overall)message . How does this macro perspective within the more global function of graphic design. Assess how the knowledge gained from the reading have influenced your design process at a technical or conceptual level. Focus your thoughts on the central themes of this class, authorship, universalism, and social responsibility.
After your initial post, review the posts made by your peers. Respond to at least two of them, with consideration for how you believe your ideas align or differ from their thoughts. Included MLA references and/or direct evidence from the unit’s content, readings, or assignments to support your statements.

Dealing with difficult customers

Dealing with difficult customers

Resisting something that is perceived to be unjust.
Locate a case study that richly illustrates a person, or a group of people,
resisting something they perceive to be unjust.  You might write on a case of
political resistance, such as a protest movement, or a grass-roots political
movement.  Or a case of humanitarian advocacy or action.

In the course of presenting your case study, you should address such questions as:
What is the particular individual or group resisting, and why?  In other words, what does the individual or group perceive as unjust and worthy of change?  How is

resistance expressed in your case study? Why does the individual or group in your case study engage in this particular form of action/expression, as opposed to others?

What does the individual both gain and lose by engaging in the given behavior?  Do you believe this is an effective way (or the most effective way) to resist power in

this case?  Why (or why not)?