Economic Dynamics of Health Care Delivery Models
After reading Chapter 7 and the required resources for this week, consider the following scenario:
HIV Help-Inc., a non-profit organization focusing on the prevention of HIV/AIDS just received a $10 million grant to fund several projects. The organization is currently located in an older building that needs extensive repairs. The organization is using outdated office equipment In addition, one additional staff member is needed in order to keep up with incoming phone calls and requests for presentations and community outreach activities. A portion of the grant – $2 million – is allotted for business improvements which can address one of these three areas: repairs to building, outdated office equipment, and more staff. The remaining $8 million is to be used to further enhance the continuum of care level to provide access to preventive health services.
- Section A: Create a cost benefit analysis for an update that will improve the business: structural, office equipment, or staff. You can be creative in determining what the business needs. The cost will use the full amount of funds allotted to this improvement ($2 Million), so you can only improve one of these three needs
Note: Your work must include Steps 1-4, as outlined in section 7.2 of your course text. - Section B: Create a cost effective analysis to determine how to best spend the $8 million portion of the grant funding on education and other preventive services.
The organization currently serves the community and clientele with community education classes at schools and community centers, as well as the distribution of condoms and educational materials. They wish to expand their current services to reach the neighboring community (4,000 residents), add social media advertising and messaging to reach the younger population, distribute educational material and condoms to homeless shelters in the area, and add HIV testing to at-risk individuals. Select two of the potential services and determine how the money can be best spent to have the greatest outcome for the HIV+ population in the community.
Note: Your work must address the costs as well as the anticipated benefits, as outlined in section 7.2 of your course text - Section C: Based on the CDC website (Links to an external site.), analyze how cultural norms impact the risk of getting HIV. Explain one method or action on how to address this challenge.
Your initial contribution should be 250 to 300 words in length. Use proper APA formatting for in-text citations and references as outlined in the Ashford Writing Center
7 assignment
I need two paper for each assignment and can you put the name of each assignment ??
1.) Professional Experience: Presentation Outline
Overview
The Professional Experience assignments are designed to help prepare you for communicating in a professional work setting. To earn credit, make sure you complete all elements and follow the instructions exactly as written. This is a pass or fail assignment, so no partial credit is possible. Assignments that follow directions as written will receive full credit. Assignments that are incomplete or do not follow directions will be scored at a zero.
Last week, you created a PowerPoint presentation; next week, you will submit an audio or video recording of that presentation. For this week’s Professional Experience, you will create an outline for your recorded presentation. You may use the outline example provided or create your own for this Professional Experience.
Instructions
Download and review the Presentation Outline Sample [XLSX].
Save the outline template to your desktop using the following file name format:Your_Name_Presentation_OutlineExample file name: Ed_Buchanan_Presentation_Outline
Review the outline guidelines that you will use to create an outline.Note: A video preview is available under the Week 7 tab in Blackboard. Make sure you leave the comments column blank so your instructor can provide feedback.
Outline Guidelines:You may use the provided Presentation Outline Sample or develop one of your own using MS Word or Excel.
Use short bullet points rather than long paragraphs.
Focus only on the key points in your Week 6 presentation. Remember that the content should focus on a specific aspect of social media use in the workplace, such as the importance of companies embracing social media, advertising through social media, policies involving social media, or proper professional communication through social media platforms.
If you are not using the outline sample provided, be sure that you follow the file naming convention specified in step 2.
Save all changes you made to your document.
Submit your completed outline for your instructor’s review in the Week 7 Professional Experience: Presentation Outline assignment.
2.) Case Study: The College Student
Introduction
This case study is designed to make you think like a forensic psychologist. Read the following scenario and answer the prompt below, referring to Chapter 10 in your textbook and the B.S. in Criminal Justice Library Guide.
Scenario
I am a college student who went to a friend’s party last month. I have never drunk, smoked, or taken drugs. At the party I drank some punch and ate some brownies. The police told me that on the way home, I started hallucinating due to the LSD someone had purposely placed in the punch. My hallucination consisted of seeing three Martians who I thought had landed on the planet to kill the President. Due to my drug-induced state, I’m told I ran over the aliens (innocent people) with my car and killed them. I woke up without any memory of these events. The doctors tell me I’ll be fine although I do run the risk of occasional flashbacks. The person who put the LSD in the punch has been arrested.  I was charged with negligent homicide and my trial begins next week.
Instructions
Answer the following in a half-page paper:
- You are hired by the defendant to be an expert witness to testify in the trial of this college student. How does a psychologist explain to the jury the mental capacity of someone under the influence of drugs who commits a crime? Explain your answer.
- Use at least one academic resource to back up your explanation.
This course requires the use of Strayer Writing Standards. For assistance and information, please refer to the Strayer Writing Standards link in the left-hand menu of your course. Check with your professor for any additional instructions.
Leadership in nursing practice 1500 words 5-18-21
Use the attached textbook and corresponding chapters to respond to the questions below in APA 7th edition format with at least 4 scholarly sources. Total word count should be 1500. Textbook must be used.
300 words – Question A: Chapter 1—A) List and discuss 4 things that you would change to reduce healthcare spending/cost without negatively affecting patient care. Provide examples B) What factual information do you base these suggestions on?
300 words – Question B: Chapter 2 —A) Discuss how organizational environment and culture impact nursing. Provide examples be specific. B) Based on the chapter list the 6 characteristics of a healthy work environment. How do the 6 characteristics of a healthy work environment influence the organization use example from the chapter?
300 words – Question C: Chapter 4 – A) Discuss the different levels of nurse in practice and the responsibilities/competencies for each. B) Discuss how your role as a public health nurse and the impact you can and will have on client and population health.
300 words – Question D: Chapter 8 – A) in a healthcare setting/ role, consider someone that you know that is a leader but not assigned to a management role. Discuss the leadership characteristics that person has. B) In addition, analyze the type of power this person has: negative or positive and what is the basis of that person’s power?
300 words – Part 2: Address your ‘a-ha moment’ for this week: Something that was a realization for the week, that really opened your eyes, changed your perceptions and/or something that you now know that you will remember forever. It may be from another class or clinical but the topic has a direct connection to something in this course, and this weeks assigned chapters.
Final Portfolio Project:
The readings this week outlined how to write an argumentative essay. Many of the same steps used in writing an argumentative paragraph are used when composing an essay. You will explain the core of the argument: Major Premise, Minor Premise and Conclusion of Euthanasia
Use the outline:
A clear statement of the issue: I believe a terminally ill person should have the right to die.
What is your position on that issue? I am pro-choice, terminally ill people are medically diagnosed as dying, therefore there is no cure, and should be allowed the right to die if they choose.
What is your basic argument on the issue? My argument is that terminally ill patients/people who consent have the right to die with dignity. Therefore, who has the right to tell them they have to suffer while dying.
What is a possible rebuttal of the argument? Just as people value having control over where to live, which occupation to pursue, whom to marry, and whether to have children, some people value having control over whether to continue living when quality of life deteriorates.
You will write a 3 page essay on the topic:
1. Student provides a succinct and detailed Introduction that gets to the point of the argumentative essay. There are no errors.
2. Student provides a well-organized and well-reasoned argumentative essay addressing the argument in the first paragraph, explains and defends this argument, and devotes one paragraph to each premise. Each premise relates to the other, thoroughly explains the connection between his/her ideas, provides clarity to the reader, explains specific terms, and supports objections with arguments avoiding common fallacies.
3. Student provides a thorough and detailed conclusion that synthesizes key points made in the essay.
MVC Reflection Essay #5–Adolescence & Emerging Adulthood
You will respond to 1 of the 3 questions/prompts provided. It is expected that you will have raised your child through the MVC online platform to be 18 years, 1 mo (i.e., the end of the MVC program) prior to completing these reflections & you will use information from this simulation as well as the course (e.g., readings, lectures, discussions) in your responses. It is anticipated that your responses will be between 1-2 pages.
- Based on your child’s cognitive abilities, psychological adjustment, and plans for the next two years, think about what your child might be like two years after the program ends, at age 20. What careers might your child be interested in and why? How do you think your child will have adjusted to issues of increasing independence and self-reliance in this age range? How do you think your child’s friendships and romantic relationships might be going? How do you anticipate being included in your child’s life?
- How has your child adjusted to typical adolescent, emerging adulthood issues such as risk-taking, drugs, alcohol, and sexual interests, and how have you responded to your teen? Were there times when you were worried about her/his health/safety? Did you have concerns about peers your child was interacting with or decisions that were being made? How did you deal with these experiences? How did your child respond? How is your child similar to you? How is s/he different? What do these similarities and differences mean for how you’ve engaged with your child over time?
- What are the physical changes that occur for your child during these developmental periods? What habits have become established for your child? What are challenges to supporting positive and healthy habits that you might have encountered? As your child begins to develop her/his independence, how do you continue to engage with her/him to support positive growth? How is your child similar to you? How is s/he different? What do these similarities and differences mean for how you’ve engaged with your child over time?
DON’T FORGET TO Highlight
Book Review chapter 3
Book Review Chapter 3
Due: Sunday, End of Module by 11:55 p.m. EST
After reading, chapter 3, write a 3-4 page review (not including the Title page or Reference page) of the chapter. The review is to give your point of view on the topics found on pages 75 and 76 of the Don’t’ Forget section book.
Writing Requirements
- Use the APA template located in the Student Resource Center to complete the assignment.
Grading Criteria:
- This assignment will be graded using the UOTP Writing Rubric displayed below
Assignment Submission Instructions:
- Prepare your assignment offline in a word processing software such as Microsoft Office
- To submit your document, scroll to the bottom of the page, below any rubric if applicable and click the Add Submission button
- Drag and drop your paper to the File Submissions area, or browse for your file by clicking the Add.. icon
- Check the box next to the original work acknowledgment statement
- Click the Save changes button to submit
Note: You may edit your submission up until the assignment is graded by your instructor or if requested by your instructor. To edit your submission, scroll to the bottom of the page, below any rubric if applicable and click the Edit Submissions button, and follow steps 3-5 above.
resume and cover letter
Resumé: o Your current contact information o Job objective/summary o Educational history o Experience: Employment, volunteer experience, and extracurricular experience, if applicable o Special skills: Occupation-specific and transferable skills that relate to the position o Awards and achievements • Cover Letter: o Outline/draft the first paragraph of your cover letter. ▪ The first paragraph should indicate the position you’re interested in applying for and how you learned about the position. If a network contact knows people at the company to which you’re applying, consider mentioning that person’s name and your connection. o Outline/draft the next paragraph(s) of your cover letter. ▪ The next paragraph or two should explain why you’re suited for the job. If you have experience or qualifications that are of particular value to the employer, call them out clearly. If you have little experience but a solid education, mention it and any special awards that may interest an employer. o Conclude your cover letter. ▪ The final paragraph should express your interest in the position and thank the person for his or her time. • Elevator Pitch o Use at least three (3) keywords that connect to the job requirements and how you want to portray your personal brand. Instructions: CTC301 – Professional Success Seminar Unit 8 Assignment: Final Project: ePortfolio – Final Versions of ATS Resumé, Chronological Resumé, Elevator Pitch, Cover Letter, and Thank You Letter Complete the final versions of your customized elevator pitch, resumé, cover letter, ATS resumé, and thank-you letter.
Microeconomics Analysis
Microeconomics Analysis “Why are things the way they are?”
General Guidelines
- Do not research this analysis online. This is not a research paper. This is an application of economics to something that puzzles you. Any research you do should support your logic.
- If you use statistics or laws or rules, please cite the source.
- This is a thought project with your opinions supported by economics.
- There is possibly no good answer for your question or possibly multiple answers. If there are multiple answers, pick one concept and explain it well. It is better to explain one idea well than to explain multiple ideas poorly.
Project Format/Delivery
Pick one of the two methods for your project analysis
A. paper based project analysis
- There is no page minimum, but there is a maximum. We’re not looking for quantity but quality! Don’t ask “how many pages should the analysis be?” Our response will be “write until your question is answered but don’t write more than 5 pages”
- Concise and clear language should be your goal. Fluffed up analysis will be downgraded. Just answer your question! There is no need to provide filler to make your pages longer.
- Citations. You can write a proper reference page or you could make it easy and use footnotes.
B. creative, non-paper based project analysis
You may instead do your project as a video, PowerPoint presentation, song, short movie, animation, audio recording, modern dance … or any other creative method that demonstrates your knowledge of the topic and the application.
There is no limit for length/time but do keep it reasonable. For video/audio, over 60 minutes is likely too long and under 3 minutes is likely too short. For short stories, any length is fine.
If you take a creative approach for this project and run short of time, talk to me and we can likely extend your due date. It is better to turn your work in late and be proud of it than to turn it in ontime with the knowledge that you could have done better.
WK10 ASSIGN NURS 6630
Assignment: Assessing and Treating Patients With Impulsivity, Compulsivity, and Addiction
Impulsivity, compulsivity, and addiction are challenging disorders for patients across the life span. Impulsivity is the inclination to act upon sudden urges or desires without considering potential consequences; patients often describe impulsivity as living in the present moment without regard to the future (MentalHelp.net, n.d.). Thus, these disorders often manifest as negative behaviors, resulting in adverse outcomes for patients. For example, compulsivity represents a behavior that an individual feels driven to perform to relieve anxiety (MentalHelp.net, n.d.). The presence of these behaviors often results in addiction, which represents the process of the transition from impulsive to compulsive behavior.
In your role as the psychiatric nurse practitioner (PNP), you have the opportunity to help patients address underlying causes of the disorders and overcome these behaviors. For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat clients presenting with impulsivity, compulsivity, and addiction.
Reference: MentalHelp.net. (n.d.). Impaired decision-making, impulsivity, and compulsivity: Addictions’ effect on the cerebral cortex. https://www.mentalhelp.net/addiction/impulsivity-and-compulsivity-addictions-effect-on-the-cerebral-cortex/
To prepare for this Assignment:
- Review this week’s Learning Resources, including the Medication Resources indicated for this week.
- Reflect on the psychopharmacologic treatments you might recommend for the assessment and treatment of patients requiring therapy for impulsivity, compulsivity, and addiction.
The Assignment: 5 pages
Examine Case Study: A Puerto Rican Woman With Comorbid Addiction. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.
At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.
Introduction to the case (1 page)
- Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.
Decision #1 (1 page)
- Which decision did you select?
- Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
- Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
- What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
- Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #2 (1 page)
- Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
- Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
- What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
- Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #3 (1 page)
- Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
- Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
- What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
- Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Conclusion (1 page)
- Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.
Note: Support your rationale with a minimum of five academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature.
Week 10: Therapy for Patients With Impulsive/Substance Use Disorders (SUD)
Impulsivity and compulsivity have a wide range of clinical presentations and often overlap with many other psychiatric disorders. Some individuals act without forethought and have difficulty saying “no” to certain things, such as using illicit drugs or spending money, whereas other individuals engage in compulsive behaviors with undesirable consequences. In some cases, these impulsive and compulsive behaviors also fuel issues with addiction. To effectively assess and treat patients, you must understand how these disorders differ as well as how their symptoms impact patients and their families.
This week, as you examine therapies for individuals with impulsivity, compulsivity, and addiction, you explore the assessment and treatment of patients with these disorders. You also consider ethical and legal implications of these therapies.
Learning Objectives
Students will:
- Assess patient factors and history to develop personalized therapy plans for patients with impulsivity, compulsivity, and addiction
- Analyze factors that influence pharmacokinetic and pharmacodynamic processes in patients requiring therapy for impulsivity, compulsivity, and addiction
- Synthesize knowledge of providing care to patients presenting for impulsivity, compulsivity, and addiction
- Analyze ethical and legal implications related to prescribing therapy for patients with impulsivity, compulsivity, and addiction
Learning Resources
Required Readings (click to expand/reduce)
Kelly, J. E., & Renner, J. A. (2016). Alcohol-Related disorders. In T. A. Stern, M. Favo, T. E. Wilens, & J. F. Rosenbaum. (Eds.), Massachusetts General Hospital psychopharmacology and neurotherapeutics (pp. 163–182). Elsevier.
Renner, J. A., & Ward, N. (2016). Drug addiction. In T. A. Stern, M. Favo, T. E. Wilens, & J. F. Rosenbaum. (Eds.), Massachusetts General Hospital psychopharmacology and neurotherapeutics (pp. 163–182). Elsevier.
Substance Abuse and Mental Health Services Administration. (1999). Treatment of adolescents with substance use disorders: Treatment improvement protocol series, no. 32. http://www.ncbi.nlm.nih.gov/books/NBK64350/
Chapter 1, “Substance Use Among Adolescents”
Chapter 2, “Tailoring Treatment to the Adolescent’s Problem”
Chapter 7, “Youths with Distinctive Treatment Needs”
Medication Resources (click to expand/reduce)
Note: To access the following medications, use the IBM Micromedex resource. Type the name of each medication in the keyword search bar. Be sure to read all sections on the left navigation bar related to each medication’s result page, as this information will be helpful for your review in preparation for your Assignments.
- naltrexone (revia/vivitrol)
- naloxone
- acamprosate
- disulfiram
Required Media (click to expand/reduce)
Case Study: A Puerto Rican Woman with Comorbid Addiction
Note: This case study will serve as the foundation for this week’s Assignment.
Optional Resources (click to expand/reduce)
Comorbid Addiction (ETOH and Gambling)
53-year-old Puerto Rican Female
BACKGROUND
Mrs. Maria Perez is a 53 year old Puerto Rican female who presents today due to a rather “embarrassing problem.”
SUBJECTIVE
Mrs. Perez admits that she has had “problems” with alcohol since her father died in her late teens. She reports that she has struggled with alcohol since her 20’s and has been involved with Alcoholics Anonymous “on and off” for the past 25 years. She states that for the past 2 years, she has been having more and more difficulty maintaining her sobriety since the opening of the new “Rising Sun” casino near her home. Mrs. Perez states that she and a friend went to visit the new casino during its grand opening at which point she was “hooked.” She states that she gets “such a high” when she is gambling. While gambling, she “enjoys a drink or two” to help calm her during high-stakes games. She states that this often gives way to more drinking and more reckless gambling. She also reports that her cigarette smoking has increased over the past 2 years and she is concerned about the negative effects of the cigarette smoking on her health.
She states that she attempts to abstain from drinking but she gets such a “high” from the act of gambling that she needs a few drinks to “even out.” She also notices that when she drinks, she doesn’t smoke “as much,” but she enjoys smoking when she is playing at the slot machines. She also reports that she has gained weight from drinking so much. She currently weights 122 lbs., which represents a 7 lb. weight gain from her usual 115 lb. weight.
Mrs. Perez is quite concerned today because she borrowed over $50,000 from her retirement account to pay off her gambling debts, and her husband does not know.
MENTAL STATUS EXAM
The client is a 53 year old Puerto Rican female who is alert and oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. Her speech is clear, coherent, and goal directed. Her eye contact is somewhat avoidant during the clinical interview. When you make eye contact with her, she looks away or looks down. She demonstrates no noteworthy mannerisms, gestures, or tics. Her self-reported mood is “sad.” Affect is appropriate to content of conversation and self-reported mood. She denies visual or auditory hallucinations, and no delusional or paranoid thought processes are readily appreciated. Insight and judgment are grossly intact; however, impulse control is impaired. She is currently denying suicidal or homicidal ideation.
Diagnosis: Gambling disorder, alcohol use disorder
Decision Point One
Select what you should do:
Vivitrol (naltrexone) injection, 380 mg intramuscularly in the gluteal region every 4 weeks
Antabuse (disulfiram) 250 mg orally daily
Campral (acamprosate) 666 mg orally three times/day
Comorbid Addiction (ETOH and Gambling)
53-year-old Puerto Rican Female
Decision Point One
Vivitrol (naltrexone) injection, 380 mg intramuscularly in the gluteal region every 4 weeks
RESULTS OF DECISION POINT ONE
- Client returns to clinic in four weeks
- Mrs. Perez says she feels “wonderful” as she has not “touched a drop” of alcohol since receiving the injection
- Client reports that she has not been going to the casino, as frequently, but when she does go she “drops a bundle” (meaning, spends a lot of money gambling)
- Client She is also still smoking, which has her concerned. She is also reporting some problems with anxiety, which also has her concerned
Decision Point Two
Add on Valium (diazepam) 5 mg orally TID/PRN/anxiety
RESULTS OF DECISION POINT TWO
- Client returns to clinic in four weeks
- Mrs. Perez reports that when she first received the Valium, it helped her tremendously. She states “I was like a new person. This is a miracle drug!” However, she reports that she has trouble “waiting” between drug administration times and sometimes takes her Valium early
- She is asking today for an increase the Valium dose or frequency
Decision Point Three
Guidance to Student
Anxiety is a common side effect of Vivitrol. Mrs. Perez reports that she is doing well with this medication, and like other side effects, the anxiety associated with this medication may be transient. The psychiatric mental health nurse practitioner should never initiate benzodiazepines in a client who already has issues with alcohol, or other substance dependencies. Additionally, benzodiazepines are not to be used long-term. Problems associated with long-term benzodiazepine use include the need to increase the dose in order to achieve the same therapeutic effect. This is what we are seeing in Mrs. Perez’s case.
The most appropriate course of action in this case would be to continue the current dose of Vivitrol, while decreasing the Valium with the goal of discontinuation of the drug within the next two weeks. At that point, you would need to evaluate whether or not the side effect of anxiety associated with Vivitrol persists.
Increasing the dose of Valium would not be appropriate, neither would maintaining her on the current dose of Valium. Additionally, the client should be referred for counseling to help with her gambling addiction, as there are no FDA approved medications gambling disorder.
Medication should never be added treat side effect of another medication, unless that side effect is known to be transient (for instance, benzodiazepines are sometimes prescribed to overcome the initial problem of “activation” associated with initiation of SSRI, or SNRI therapy). However, in a client with multiple addictive disorders, benzodiazepines should never be used (unless they are only being used for a limited duration of therapy such as acute alcohol detoxification to prevent seizures).
Additionally, it should be noted that Mrs. Perez continues to engage in problematic gambling, at considerable personal financial cost. Mrs. Perez needs to be referred to a counselor who specializes in the treatment of gambling disorder, and should also be encouraged to establish herself with a local chapter of gamblers anonymous.
You need to discuss smoking cessation options with Mrs. Perez in order to address the totality of addictions, and to enhance her overall health.
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