26 August 2015

Health policy and economics
health policy and economics
Order Instructions:
This course contains a course project where you will identify and solve a healthcare problem. Assuming you have been listening to the news or following the talk shows the last 6 months (more like 2 decades), you know that healthcare is a key and contentious issue in America. There is no shortage of concerns, nor are there approaches on how to best solve them. (Some people call healthcare, from a problem standpoint, a target-rich environment.) The course projects requires you to identify a problem and, using the below model, to arrive at a recommended solution along with its implementation. The course project is a key academic activity. Because of its importance, you may need to commit time throughout the course, beginning with developing a problem statement in Week 2 to successfully complete the project. Below is a review of the project academic expectations, evaluation criteria, and examples of how to write an effective problem statement.
Academic Requirements:
Format: The two main content sections are (a) the introductory (noncontent) title page and table of contents (noncontent pages) and (b) the body (content sections 1-8 listed below).
Content: Write a problem-solving, decision-making research paper that is no less than 18 pages and no more than 22 pages of content (body of paper) and is double spaced. It should be based on your chosen subject, in which you convince your readers to support your recommendation. Details on format and content follows:
Category Points Description
Documentation 15 A quality paper will include proper citations and references.
Editing 15 A quality paper will be free of any spelling, punctuation, or grammatical errors. Sentences and paragraphs will be clear, concise, and factually correct.
Content 185 A quality paper will have significant scope and depth of research to support thoughts, statements, concepts, and conclusions. Relevant illustration or examples are encouraged. Use of external source material is required. A quality paper will employ use of sound reasoning and logic to reinforce conclusions.
Organization & Formatting 20 A quality paper will include the above content sections, beginning with an executive summary through references. The content will be properly subdivided into the above required headings and subheadings (bold and in caps). In a quality paper, each step in the problem-solving model will be complete with relevant content that meets the content expectations for that section; a thoughtful problem statement, clearly researched and defined, with relevant and reasonable problem-solving recommendations, assessed in ways that produced a constructive solution and implementation plan is the expectation. Managing communication flow is key to effective writing.
Total 235 A quality paper will meet or exceed all of the above requirements.
Submit your assignment to the Dropbox located on the silver tab at the top of this page. For instructions on how to use the Dropbox, read these step-by-step instructions or watch this Dropbox Tutorial.
See the Syllabus section “Due Dates for Assignments & Exams” for due date information.
Content Section 1, Executive Summary (15 points)
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Once your paper is completed, you will need to summarize the paper’s main points for your reader. Explain succinctly the problem or issue you are writing about along with a summary of your paper’s main points. Include the solutions offered along with your identified best solution and plan and how it will solve the identified problem or issue. The purpose is to provide the reader (in this case me, your professor) an overview of the main points in the paper. The maximum length of an executive summary is one page, single spaced.
Content Section 2, Define the Problem or Issue in a Single Statement (25 points)
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Identify and clearly state the problem that needs improvement or is not meeting expectations. Remember, that what appears to be the healthcare problem or issue may actually be just a symptom of a bigger problem: dig deep to be sure that you have identified the real problem or problems. If there appears to be more than one problem or issue, decide if they are separate or related issues. State the problem in the form of a single, clear problem statement (required). A problem statement contains identified the focus issue the rest of the model addresses. It presents an existing adverse outcome or concern. For the course project, the problem statement can be a statement or a question. The following is an example of a national-level focus (do not use it): The un- and under-insured receive 45% of their healthcare through expensive rates (two to three times higher than standard delivery systems) for Emergency Departments (ED), adversely impacting the ability of EDs to meet their quality service standards. The following is an example of a healthcare facility focus (do not use it): How can healthcare access be improved? Our lack of an automated information management system is adversely impacting our ability to compete; how can we achieve automated information management?
Please note, there should be no more than one paragraph in this section with a clear problem statement easily identified in that paragraph. The problem statement should be underlined and in bold letters. There will be a deduction if more than one paragraph is used.
Content Section 3, Literature Review (30 points)
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Present what you discovered in your search of the literature. Review theories, concepts, and studies discussed in class and in our textbook, and review what other writers or researchers have to say about the subject of your analysis. In short, demonstrate an understanding of the literature and apply it sensibly to the problem. This is not a course in applied commonsense; however, such practical intelligence is important, especially in the application stage. A literature review is like playing a video game in which you are in a chamber with many doors. As you open each door, you uncover clues to help you progress to the next level. Similarly, in a literature review, your objective is to open the doors that can point the way to solving your business problem. Begin your literature review with a broad look at your field of interest, then narrow your focus until you zero in on the essential issue or issues of concern. Please note, a literature review is a required element of this assignment. At least 10 resources are required, beyond the textbook and course readings, to ensure the effectiveness of your research. Be sure to list them in the bibliography. Suggestion: Begin your literature survey by accessing Keller”s online library at www.keller.edu.
Present what you discovered in your search of the literature. Review theories, concepts, and studies discussed in class and in our textbook, and review what other writers and researchers have to say about the subject of your analysis. In short, demonstrate an understanding of the literature, and apply it sensibly to the problem. This is not a course in applied commonsense; however, such practical intelligence is important, especially in the application stage. A literature review is like playing a video game in which you are in a chamber with many doors. As you open each door, you uncover clues to help you progress to the next level. Similarly, in a literature review, your objective is to open the “doors” that can point the way to solving your business problem. Begin your literature review with a broad look at your field of interest, then narrow your focus until you zero in on the essential issue or issues of concern. Please note, a literature review is a required element of this assignment. At least 10 resources are required, beyond the textbook and course readings, to ensure the effectiveness of your research. Be sure to list them in the bibliography.
Content Section 4, Problem Analysis (40 points)
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This section should provide a detailed analysis of the causes of the problems or issues you identified in Section II. A major objective is to clearly illustrate how you are using course concepts (as well as what you learned from your literature review) to better understand the causes of the problem or issue. Show that you are applying course material! The purpose of this analysis is to make clear the focus issue (problem). It narrows the focus from the understanding created in the Literature Review into a clear problem definition, which is the detail that the problem-solving effort is to correct.
Content Section 5, Possible Solutions (30 points)
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List, number, and describe at least three alternative solutions that could be appropriate methods to solve the identified problem or issue. Number each solution to make them clear to the reader (required). Be sure these solutions are logical, based on your analysis and that each would effectively treat the problem, not the symptoms. Also, discuss the anticipated outcomes (positive and negative) of implementing each of the possible solutions you identified. This is a probability assessment, meaning your assessment of the alternatives ability to solve the problem and at what cost. This assessment should transition to the solution section, meaning the solution should be the one you assessed as having the best chance to solve the problem within any cost constraints (key to the selection process).
Content Section 6, Solution and its Implementation (25 points)
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Outline your recommended solution to the problem or issue. (It will be one of the alternatives explored in Section V or a combination of those alternatives.) State your solution clearly and specifically. Describe exactly what should be done; how it should be done, including by whom, with whom, and in what sequence; when actions should begin; and estimate cost and means of payment. List each bold and underlined word and then discuss (required).
Here are key points to keep in mind as you write this section:
Have I indicated an awareness of the problem and of implementation (i.e., the what and how aspect)?
Have I been specific enough ( i.e., when and cost)? (A specific solution will state what style is most appropriate for the situation and how you will attempt to the have the manager realize the appropriate style.)
What aspects of the problem remain unresolved by my solution?
Does my recommended solution and implementation plan address the problem or issues and causes identified in the previous sections?
Does my solution consider and resolve the identified pros and cons?
How will I evaluate the effectiveness of the implemented recommended solution?
What process checks or procedures will I put in place to institutionalize the improvement?
Could my solution cause other problems or issues?
What risks are inherent in the solution you recommend?
What contingency plans do you recommend?
Assess the realism of your proposed action plan. For example, is there adequate time, money, or other resources for your solution? In addition, does your solution place too much reliance on other people being reasonable (i.e., on what you think is reasonable)?
Content Section 7, Justification (20 points)
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Justify why your recommended solution and its implementation will solve the identified problem or issue in the organization or unit you have selected. An important element of this section is to show very clearly how you applied course concepts to arrive at a workable solution and a successful implementation. Apply appropriate course material; support your conclusions with appropriately referenced facts, quotes, and readings, and be sure your justification addresses identified pros and cons.
Content Section 8, References (15 points)
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All citations in the paper must appear in the reference list, and all references must be cited in the text. Choose references judiciously, and cite them accurately. A citation of an author’s work in the text documents your work, briefly identifies the source for readers, and enables readers to locate the source of information in the alphabetical reference list at the end of the paper. To use the ideas or words of another without crediting the source is plagiarism.
Plagiarism in its purest form involves copying of entire passages either verbatim or nearly verbatim, with no direct acknowledgment of the source. The most common (and unconscious) form of plagiarism is when a direct quotation is simply paraphrased. Paraphrasing does not relieve you of the obligation to provide proper identification of source data. The best way to avoid plagiarism is to make sure all quotes, ideas, or conclusions that are not your own are given proper acknowledgment in your text. Footnotes are required.
Grammar and Composition (15 points)
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The paper uses acceptable terminology in standard English and reflects the use of word processing software and spell check. Acceptable sentence structure is reflected with appropriate use of grammar and style and is considerate of the audience for which the paper is written.
Formatting (20 points)
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Failure to follow required format, content length, or other issues impacting effective communication (flow) will result in a reduction of up to 20 points.
Constructing an Adequate Problem Statement
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Leaders and managers must be clear in their definition of an issue, concern, or problem to achieve an effective outcome. Decision making is not just about problem solving, but problem solving outcomes are often the measure of decision making. While problem solving has many steps, the process depends upon an adequate definition of the problem. Keep in mind if outcomes have not been clearly articulated, those tasked with planning and implementing actions directed at achieving new outcomes will be less than efficient and effective, and managers will be unable to measure performance quality against new outcomes.
An effective problem statement should contain the following two elements: an adverse outcome and suggested causal factors.
Below are examples of an adverse outcome:
Cost of healthcare is rising faster than inflation.
Access to healthcare in rural areas is lower than urban areas.
Research indicates the quality of care in the United States has declined over the last 2 decades.
Below are examples of relevant factors to above adverse outcomes:
There is a greater use of unnecessary care, the uninsured are being provided care via the most costly delivery methods (emergency departments), or the cost of health insurance is rising.
Rural areas lack sufficient numbers of healthcare providers, or rural areas lack specialists.
Physicians do not spend enough time with patients to arrive at a correct diagnosis, or physicians perform unnecessary services that needlessly expose patients to less than high-quality outcomes.

26 August 2015,
 0

Health policy and economics health policy and economics Order Instructions: This course contains a course project where you will identify and solve a healthcare […]


26 August 2015

Appropriate nursing care for a patient receiving palliation
appropriate nursing care for a patient receiving palliation
Order Instructions:
Aim of Assessment
The aim of this assessment is to provide students with an opportunity to (1) gain a deeper understanding of age appropriate nursing care for a patient receiving palliation, their family and carers and the nurse’s role surrounding death and dying; (2) further develop research and written communication skills.
Essay Question:
Australia’s population is becoming increasingly diverse. Therefore, meeting the palliative care needs in a range of settings poses many challenges. To demonstrate your understanding of a palliative care approach in a diverse environment, select a patient from one of the following lifespan categories:
• Child
• Young Adult
• Older adult (65+)
Write an essay that:
a) Discusses the importance of providing age appropriate care reflecting a palliative
approach for a person and their family.
b) Illustrate your understanding of nursing care using a palliative approach when applied to your chosen life span category.
• Use current and relevant literature to adequately support your discussion throughout the essay.
Getting started with the literature
To commence this process the following reading may initiate further understanding in relation to age appropriate in nursing care for a patient receiving palliation and their family and carers.
Haley, C., & Daley, J. (2014). Palliation in chronic illness. In E. Chang & A. Johnson (Eds.), Chronic illness and disability. Principles for nursing practice (2nd ed.). (pp. 232-248). Chatswood: Elsevier.
Monterosso, L., Kristjanson, L., Aoun, S., & Phillips, M. (2007). Support and palliative care needs of families of children with life-threatening illnesses in Western Australia: evidence to guide the development of a palliative care service. Palliative Medicine 21 (8), 689-696 DOI: 10.1177/0269216307083032
Bhatnagar, S,. & Joshi, S. (2011). Palliative care in young adults: an issue which needs higher and better awareness. Indian Journal of Palliative Care, 13(3), 173-174. doi:10.4103/0973-1075.92332
Brererton, L., Gardiner, C., Gott, M., Ingleton, C., Barnes, S., & Carroll, C. (2011). The hospital environment for end of life care of older adults and their families: an integrative review. Journal of Advanced Nursing, 68(5), 981-993.

26 August 2015,
 0

Appropriate nursing care for a patient receiving palliation appropriate nursing care for a patient receiving palliationOrder Instructions: Aim of AssessmentThe aim of this assessment […]


26 August 2015

Assisted suicide
Assisted suicide
Order Instructions:
BACKGROUND INFORMATION: PLEASE USE THIS INFORMATION TO BASE A SHORT ESSAY ON.
(When I was 7 years old, my mother told me a story about her younger
sister that was diagnose with depression. At the time I wasn’t aware of
the word depression but what my mother described to me was it’s a
feeling inside that makes you feel sad and hopeless all the time. At the
age of 8 and a half my mother sent my aunt to a clinic to be retreated
for her depression. After 7months of treatment she started to show some
signs of improvement. Within the next few months my aunt was released.
However, the first 2 weeks out of her release she attempted suicide. She
failed consuming some types of pills. She was then was sent to a 7day
watch. Due to her pattern of depression my mother advise the doctors
that she will not sign a release form. After my aunt learned about this
my aunt asked one of the doctors on staff to help her commit suicide. My
mother didn’t get into deep details due to the level of pain it caused
her but within the next 3 months my aunt was able to get pills from a
doctor which were fatal if consumed in mass volume. At the time there
weren’t any laws that prevented these acts done by doctors and my mother
with very little English sued the hospital but after a few months in
court it was thrown out. Till this day my mother missed her sister and
it caused my mother her own level of depression which caused her to get
let go of her job and a divorced from my father.) Just make some times up as you write the essay its all good. thank you.

1) Describe a moral problem you are confronting or have confronted in your life that is important to you. Identify the moral problem clearly and explain why it is a moral problem, as opposed to an economic problem or a legal problem.
2) Apply the five steps of decision-making methodology in organizing a description of how you treated or are treating the problem.
(i) What is the issue? Identify it the issue clearly. (ii) What facts are you are considering or considered? (iii) What are your reasons? This is the most crucial step. Here you should explain your reasons for deciding or judging. And, you may also describe feelings or emotions that influence your approach as well. (iv) What did you decide or judge? (v) What are your reflections? This is also an important step. Do you regret your decision? If so, why? If not, why not?
3) Lastly, are there any predispositions or assumptions derived from your personal experience, or your cultural or civic background that influence your decision or judgment? If there are, describe them. If not, review your reasons for deciding or judging and identify an assumption. Why do you make that assumption? Explain.

26 August 2015,
 0

Assisted suicide Assisted suicide Order Instructions:BACKGROUND INFORMATION: PLEASE USE THIS INFORMATION TO BASE A SHORT ESSAY ON.(When I was 7 years old, my mother […]


26 August 2015

Why Extremist Groups Should be Banned
Why Extremist Groups Should be Banned
Order Instructions:
Must be a persuasive essay with hook, thesis statement, 3 reasons why and conclusion.

26 August 2015,
 0

Why Extremist Groups Should be Banned Why Extremist Groups Should be BannedOrder Instructions: Must be a persuasive essay with hook, thesis statement, 3 reasons […]


26 August 2015

Encephalitis in Texas
Encephalitis in Texas
Case Study:
Please Complete in APA format
On May 30, a 22-year-old man complained of right hand weakness.
On June 1, he complained of right arm numbness.
On June 2, he exhibited several episodes of staring and unresponsiveness lasting 10 to 15 seconds.
He consulted a physician in Mexico, who prescribed an unknown medication. That evening, he presented himself to a hospital emergency room in Texas complaining of right hand pain. He had been punctured by a catfish fin earlier in the week, so, based on this information, he was treated with ceftriaxone and tetanus toxoid.
On June 3, when he returned to the emergency room complaining of spasms, he was hyperventilating and had a white blood cell (WBC) count of 11,100 per mm3. Although he was discharged after reporting some improvement, he began to have intermittent episodes of rigidity, breath holding, hallucinations, and difficulty swallowing. Eventually he refused liquids. That evening, he was admitted to the intensive-care unit of another hospital in Texas with a preliminary diagnosis of either encephalitis or tetanus. Manifestations included frequent spasms of the face, mouth, and neck; stuttering speech; hyperventilation; and a temperature of 37.8°C. His WBC count was 17,100 mm3 with granulocytosis. He was sedated and observed.
On the morning of June 4, the patient was confused, disoriented, and areflexic (without reflexes). Although his neck was supple, muscle tonus was increased in his upper extremities. Analysis of cerebrospinal fluid indicated slightly elevated protein, slightly elevated glucose, and 1 WBC per 0.1 ml. An electroencephalogram showed abnormal activity. Because he had uncontrolled oral secretions, he was intubated. His temperature rose to 41.7°C, and he was sweating profusely.
On June 5, the man died.
The patient had worked as a phlebotomist for a blood bank and had donated blood on May 22. His platelets had been transfused before he became ill, but the remainder of his blood products were destroyed.
* Case Studies are intended for use as class assignments. If you are a student, you may email your answers to your instructor using the form below. Answers to case studies are available to instructors in the Instructor’s Manual accompanying Microbiology: An Introduction, 9th edition.

Explain this questions while completing the case study
1) What was the purpose of the ceftriaxone? The tetanus toxoid?
2) What is the most likely cause of the man’s illness and death?
3) Explain what is granulocytosis?
4) How could he have being treated?
5) what information do you need to be sure?
6) How should the platelet recipient be treated?

26 August 2015,
 0

Encephalitis in Texas Encephalitis in TexasCase Study:Please Complete in APA format On May 30, a 22-year-old man complained of right hand weakness.On June 1, […]


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