Discussion week 3 foundations

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As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.
• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template

Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.

TASK

Variables in a Research Study and Data Collection

Select one of the articles listed below to review.

Course Content Related to Chronic Wounds in Nursing Degree Programs in Spain

Health Empowerment among Immigrant Women in Transnational Marriages in Taiwan

Post your initial response to the article, addressing the following criteria:

  • Read the process for data collection employed in the study.
  • Identify the method used in the study.
  • Provide a list of the tasks performed as part of data collection in the study, add comments as needed.
  • Draw conclusions about the data collection process.
  • Enter your responses in the organizer.

Content WK5

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Learning Resources

Required Resources

  • Course Text: Diversity in Early Care and Education
    • Review Chapter 1, “Perceiving and Responding to Differences”
    • Chapter 2, “Communicating across Cultures”
    • Chapter 3, “Working with Diversity Issues”
  • Course Text: How Culture Shapes Social-Emotional Development
    • Review the bullet points on pp. 5–6
    • Read pp. 16–24, “The Process of Cultural Reciprocity” and “Conclusion”
  • Article: Bruno, H. E. (2003). Hearing parents in every language: An invitation to ECE professionals Click for more options . Child Care Information Exchange, 153, 58–60.
    Used by permission.

Optional Resources

  • Book: Barrera, I., Corso, R. M., & Macpherson, D. (2003). Skilled dialogue: Strategies for responding to cultural diversity in early childhood. Baltimore: Paul H. Brookes.

Content Review

Directions:

  • Respond to each item. Each response should be concise and between 2–3 paragraphs in length.
  • Use MS Word to write your responses, and submit your answers to all three questions in one Word document.
  • Copy and paste each question within the document, so that your Instructor can see which question you are responding to.
  1. In Chapter 1 of Diversity in Early Care and Education, Janet Gonzalez-Mena introduces the concept of transformative education and discusses the role of dialogue. Review the information presented on pages 25–26 (including Point to Ponder 1.9). Using an example related to the care of infants or toddlers that you have read about or observed in the first four weeks of this course, explain what the terms transformative education and dialogue mean, as well as how these concepts relate to each other.
  2. Differences between individuals’ concepts of time, which are shaped by culture, can lead to conflicts. Review the information on time concepts presented on pages 38–39 of Diversity in Early Care and Education and then review the information on outcomes to cultural conflicts addressed on pages 54–56 of the text. Describe one or more conflicts that may arise between an infant/toddler professional and a family member if the two individuals have different views on time. Then, using this example, compare and contrast two or more of the five outcomes described on pages 54–56, and explain the advantage(s) of one outcome over the other.
  3. On page 56 of Diversity in Early Care and Education, Janet Gonzalez-Mena refers to the challenge issued by the National Association for Education of Young Children (NAEYC) for infant/toddler professionals to move beyond dualistic thinking toward holistic thinking. Using an example related to the care of infants or toddlers, explain what holistic thinking means and describe how it presents a better alternative for addressing the needs of everyone involved.

jkproject5

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Final Guidance Plan

Your Final Guidance Plan should demonstrate your ability to think critically about a child’s behavior and implement developmentally appropriate strategies that will help support and guide the child in learning new ways to manage behavior.

In a minimum of 6-pages (not counting the title page and reference page) address the following:

Step 1: Review Previous Assignments
  • Review your individual Course Project Assignments from Module 02, 03, and 04.
  • Revise your assignments based on the feedback received from your instructor.
Step 2: Write an Introduction
  • Write a short summary describing your Guidance Plan.
Step 3: Assemble Previous Assignments
  • Compile all revised Course Project Assignments into one (1) document. Organize in the following order:
  • Title Page
  • Introduction
  • Initial Thoughts
  • New Information About Jana
  • Establishing Goals and Strategies
  • Conclusion
  • References
Step 4: Write a Reflection
  • Reflect on the entire process, using examples from your Guidance Plan. What did you discover or learn about the process of planning for guiding behavior?
  • Share reasons for why you chose the developmentally appropriate strategies included in your Guidance Plan.
  • Describe why and how your Guidance Plan is effective for Jana.
  • Conclude with a short summary of your Guidance Plan.
Step 5: Compile References
  • Provide an APA formatted reference page containing the citations for all your research.

Reflective Questions

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Instructions: Read the following case study and answer the reflective questions. Please provide rationales for your answers. Make sure to provide citations/references for your answers in APA format.

CASE STUDY: Active Labor: Susan Wong 

Mrs. Wong, a first-time mother, is admitted to the birthing suite in early labor after spontaneous rupture of membranes at home. She is at 38 weeks of gestation with a history of abnormal alpha-fetoprotein levels at 16 weeks of pregnancy. She was scheduled for ultrasonography to visualize the fetus to rule out an open spinal defect or Down syndrome, but never followed through. Mrs. Wong and her husband disagreed about what to do (keep or terminate the pregnancy) if the ultrasonography indicated a spinal problem, so they felt they did not want this information.

 Reflective Questions 

1. As the nurse, what priority data would you collect from this couple to help define relevant interventions to meet their needs?

 2. How can you help this couple if they experience a negative outcome in the birthing suite? What are your personal views on terminating or continuing a pregnancy with a risk of a potential anomaly? What factors may influence your views? 

3. With the influence of the recent Human Genome Project and the possibility of predicting open spinal defects earlier in pregnancy, how will maternity care change in the future?

Application of Systems Theory to a Case Study

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In this course, you will be asked to select one case study and to use it throughout the entire course. By doing this, you will have the opportunity to see how theories guide your view of a client and the client’s presenting problem. Although the case may be the same, each time you use a different theory, your perspective of the problem changes, which then changes how you go about asking the assessment questions and how you intervene.

The first theoretical approach you will use to apply to a case study is systems theory. In other words, your theoretical orientation—your lens—will be systems theory as you analyze a social work case study.

Different theories can be used to take a systems approach. For example, Bertalanffy’s General Systems Theory considers how a system is made of smaller subsystems that influence each other and seek homeostasis, whereas Brofennerbrenner’s Ecological Systems Theory focuses on how an individual’s experience is influenced by different system levels (micro, meso, exo, macro, and chrono). Systems theory is commonly used to understand the interrelationships of the systems (e.g., family, community, organizations, society) of the client. If you are working with families, communities, and organizations, it is also beneficial to use systems theory to get a holistic picture of all the interrelated parts of the system.

To prepare: Select and focus on one of four case studies listed in the Learning Resources. You will use this same case study throughout the course.

  • Focus on the identified client within your chosen case ( Tiffani Bradley  )
  • Analyze the case using a systems approach, taking into consideration both family and community systems.
  • Complete and submit the “Dissecting a Theory and Its Application to a Case Study” worksheet based on your analysis.

Media review

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 Your task:

  1. is to analyze and evaluate how various types of media affect change, influence perception, or otherwise drive the narrative related to a specific topic of your choice.
  2. Create an example that shows how you could use social or other media to influence public opinion or play a significant role in the public conversation. This could be a paper, a video/Prezi, or possibly a  newspaper or magazine format.

Requirements:

  • Identify a topic that you think has been influenced by characteristics or use of the media. Consider whether various media, or media use, have:
    • Played a role in framing the key arguments related to the topic, and/or
    • Influenced how key arguments are (or were) discussed/debated, and/or
    • Shaped audience perception and interpretation or information, and/or
    • Affected particular actions or policies.
  1. Analyze information gathered from multiple sources, being aware of the author’s intent, perspectives, audiences, biases, and credibility.
  2. Write a clear thesis statement regarding your analysis of how the media characteristics and choices influenced the discourse.
  3. Present well-reasoned arguments that support your thesis.
  4. Support your analysis with compelling evidence.
  5. Describe how you could use 21st century media to exert influence on the issues you discuss.
  6. Provide a minimum or ten sources including at least two scholarly sources and a variety of media such as newspaper, radio, television, twitter, blogs, Ted Talk, You Tube, etc.

Format for a Written Paper:  280 points.  Rough draft is worth 40 pts reviewed by peer/family 

  1. Paragraph #1 (25 pts)  identification of your topic, abstract and thesis
  2. Paragraph #2 (25 pts) How has your topic played a role in shaping audience perception/interpretation of information.  What connections, wonderment and questions do you have concerning the media’s over or under involvement?
  3. Paragraph #3 (40 pts) first scholarly source (author(s), titles of articles, background, claims, evidence, discussion/debates, and reasoning.
  4. Paragraph #4 (40 pts) second scholarly source (author(s), title of the article, background/expertise of the scholar, claim, evidence, discussion/debates and reasoning)
  5. Paragraph #5 (40 pts) one media source (author’s/speakers, titles or topics discussed, claims, evidence and reasoning, written/produced for what groups and why?
  6. Paragraph #6 (40 pts)  second media source (author’s/speakers, titles or topics discussed, claims, evidence and reasoning, written/produced for what groups and why?
  7. Paragraph #7 (25 pts) What particular actions or policies are these authors/media trying to initiate or delineate and how successful are they?  Do you agree or disagree and why?
  8. Paragraph #8 (25 pts) Conclusion – how is 21st media used to exert influence on your topic and the views of society today? Is the media beneficial, or demonstrative in its coverage and what type of public policy do you believe needs to be invoked to provide “honest media for the future?
  9. APA Reference page (20 points) with six sources alphabetized, double spaced & indented on 2nd & 3rd

Requirements:

  • Typed 12 point Times New Roman or Arial
  • Double –spaced with minimum 2000 words
  • Use of images, charts, or diagrams to illustrate or support your information/arguments
  • APA Reference page 

Assignment 11: Reverse Referral Fees

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HA4070D – Regulatory Environment in Health Care 

Assignment 11: Reverse Referral Fees

Assignment

 Task: Submit to complete this assignment

Directions

Complete the Problem on page 573 “Reverse Referral Fees” as a two to three-page paper. A general description of the Marcus Welby Hospital is located here.

You are outside counsel to the Marcus Welby Healthcare Corporation (MWHC), which is concerned that expenses in some of its ancillary departments are causing it to lose money under Medicare and HMO insurance. It would like to start charging its hospital-based physicians for some of the costs of running their departments. Its current relationship with these physicians is one in which they have exclusive contracts to work in these departments, but no money changes hands between them. The hospital handles all billing, staffing, and overhead, but it bills separately for facility charges versus professional fees, and the physicians keep all the professional fees the hospital collects on their behalf. This is the standard practice in the industry. MWHC has the following suggestions for changing this arrangement:

• Have the radiology group pay for services, supplies, personnel, utilities, maintenance, and billing services furnished by the hospital. In a non-hospital, office-based setting, this package would normally cost about $100,000 to $150,000 per year. The hospital will charge the radiology group only $25,000 at first, but increase the charges to $100,000 over four years. Payments are due only if the hospital’s gross revenue derived from radiology services exceeds $1,000,000 in the previous year.

• The hospital’s clinical laboratory, under the direction of the pathology group, would pay the hospital a 20 percent fee for “specimen collection and handling services” when a physician on the MWHC medical staff orders a test from the clinical lab.

What advice would you give?

The Law of Health Care  Finance & Regulation—Vitalsource [email protected]#magicMAN61

Treatment for a Patient With a Common Condition

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PLEASE FOLLOW THE INSTRUCTIONS AS INDICATED BELOW:

1). ZERO (0) PLAGIARISM

2). AT LEAST 5 REFERENCES, NO MORE THAN 5 YEARS (WITHIN 5YRS, OR LESS THAN 5YRS)

3). PLEASE SEE THE ATTACHMENT FOR RUBRIC DETAILS.

4). Please review and follow the grading rubric details, and include each component in the assignment as required. Also, follow the APA 7 writing rules and style/Format, Title page, Introduction, Purpose statement, Literature Review, Conclusion, References. 

Thank you very much. 

  

 

Insomnia is one of the most common medical conditions you will encounter as a PNP. Insomnia is a common symptom of many mental illnesses, including anxiety, depression, schizophrenia, and ADHD (Abbott, 2016). Various studies have demonstrated the bidirectional relationship between insomnia and mental illness. In fact, about 50% of adults with insomnia have a mental health problem, while up to 90% of adults with depression experience sleep problems (Abbott, 2016). Due to the interconnected psychopathology, it is important that you, as the PNP, understand the importance of the effects some psychopharmacologic treatments may have on a patient’s mental health illness and their sleep patterns. Therefore, it is important that you understand and reflect on the evidence-based research in developing treatment plans to recommend proper sleep practices to your patients as well as recommend appropriate psychopharmacologic treatments for optimal health and well-being.

Reference: Abbott, J. (2016). What’s the link between insomnia and mental illness? Health. https://www.sciencealert.com/what-exactly-is-the-link-between-insomnia-and-mental-illness#:~:text=Sleep%20problems%20such%20as%20insomnia%20are%20a%20common,bipolar%20disorder%2C%20and%20attention%20deficit%20hyperactivity%20disorder%20%28ADHD%29

For this Discussion, review the case Learning Resources and the case study excerpt presented. Reflect on the case study excerpt and consider the therapy approaches you might take to assess, diagnose, and treat the patient’s health needs.  

Case: An elderly widow who just lost her spouse. 

Subjective: A patient presents to your primary care office today with chief complaint of insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago. Since then, she states her depression has gotten worse as well as her sleep habits. The patient has no previous history of depression prior to her husband’s death. She is awake, alert, and oriented x3. Patient normally sees PCP once or twice a year. Patient denies any suicidal ideations. Patient arrived at the office today by private vehicle. Patient currently takes the following medications: 

  • Metformin 500mg BID 
  • Januvia 100mg daily 
  • Losartan 100mg daily 
  • HCTZ 25mg daily 
  • Sertraline 100mg daily 

Current weight: 88 kg

Current height: 64 inches

Temp: 98.6 degrees F

BP: 132/86 

Post a response to each of the following:

  • List three questions you might ask the patient if she were in your office. Provide a rationale for why you might ask these questions. 
  • Identify people in the patient’s life you would need to speak to or get feedback from to further assess the patient’s situation. Include specific questions you might ask these people and why. 
  • Explain what, if any, physical exams, and diagnostic tests would be appropriate for the patient and how the results would be used. 
  • List a differential diagnosis for the patient. Identify the one that you think is most likely and explain why. 
  • List two pharmacologic agents and their dosing that would be appropriate for the patient’s antidepressant therapy based on pharmacokinetics and pharmacodynamics. From a mechanism of action perspective, provide a rationale for why you might choose one agent over the other. 
  • For the drug therapy you select, identify any contraindications to use or alterations in dosing that may need to be considered based on ethical prescribing or decision-making. Discuss why the contraindication/alteration you identify exists. That is, what would be problematic with the use of this drug in individuals based on ethical prescribing guidelines or decision-making?
  • Include any “check points” (i.e., follow-up data at Week 4, 8, 12, etc.), and indicate any therapeutic changes that you might make based on possible outcomes that may happen given your treatment options chosen. 

Discussion – Positive Attitude

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Discussion: Unit 3, 

Positive Attitude

The role models you identify as “successes” did not get there without adversity, obstacles, and challenges. They simply focused on their outcome and did not allow themselves to become sidetracked with guilt or excuses.  “Ask and you shall receive, seek and you will find.” They focused on exactly what they wanted and formulated the internal belief and attitude that it was attainable. The common denominator to success and life balance is a positive attitude.

Did you know that it takes the same amount of energy to formulate a positive thought as it does a negative one?  Positive thinking is ultimately about structuring your belief system; that is, substituting positive images for negative ones.  It is the process of consciously filtering out unhealthy thoughts and cleansing the mind.

For the discussion, find a quote about attitude on the website (see link) that resonates well with your personal views on what you believe about your current attitude (or what you want your attitude to be).

Then, answer these questions about your quote in 3-5 sentences:

  1. Explain to your classmates why your quote is important to you.
  2. How will your quote motivate you when you face a challenge to accomplishing your academic goals?
  3. How will your quote change your attitude?

Kenya Medical Supplies Agency

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 To prepare:

  • Review Final Project: Developing a Strategic Plan –Part 1: The Fundamentals media in the Weekly Resources.
  • To prepare for this Assignment, review your Discussion 2 post from Week 1. Research the core values, mission, and vision of your selected agency, organization, or community.
  • In addition, consider the key stakeholders involved with the agency, both internally and externally, including other professions.
  • Consider whether this agency addresses or supports the mental health and welfare or human rights of individuals.

The Assignment (3 pages):
For this Assignment, perform the following:

  1. Identify and describe the core values of the agency.
    1. Discuss the degree to which those core values are aligned with advocacy, leadership, or social change.
    2. State how those core values contribute to the well-being of individuals, groups, societies, or international communities.
  2. Identify and describe the mission of the agency, organization, or community.
    1. Evaluate whether the mission statement is aligned with the core values of the agency, organization, etc.
    2. Describe whether the mission statement promotes advocacy, leadership, or social change.
    3. Discuss whether the mission statement provides evidence of how the agency/organization contributes to the well-being of individuals, groups, societies, or international communities.
  3. Identify and describe the vision of the agency.
    1. Evaluate whether the vision is aligned with the core values of the agency, organization, etc.
    2. Describe whether the vision promotes advocacy, leadership, or social change.
    3. Discuss whether the vision provides evidence of how the agency/organization contributes to the well-being of individuals, groups, societies, or international communities.
  4. Identify and describe key stakeholders involved with the agency.
    1. Discuss whether each stakeholder is internal or external to the agency/organization.
    2. Describe the role each stakeholder has in the organization (i.e., leadership, management, staff, recipient of services, etc.).
    3. Discuss how each stakeholder can be an essential element for gathering information to develop the strategic plan.