[ANSWERED] Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within
Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment. Include the following: Outline a current or emerging health care law or federal regulation introduced within the last 5 years to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility. Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations. Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings. Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years in response to upcoming trends or predicted issues in health care. You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. Expert Answer and Explanation Trends and Issues in Healthcare Today The US healthcare system has undergone tremendous reforms since it was developed. Some of the laws that have been passed to improve US healthcare include the Affordable Care Act of 2010, HIPAA, Medicare, Medicaid, and many more. These laws have improved the healthcare system and made the role of nurses clear. The purpose of this assignment is to discuss action taken for reform and restructuring and the role of the nurse within this changing environment. Current Law The US Congress has passed many laws regarding the US healthcare system. One such law is the Autism Collaboration, Accountability, Research, Education and Support (CARES) Act of 2019. The law expands and reauthorizes the provisions introduced first in the Combating Autism Act of 2006 (Congress.Gov, 2019). The Autism CARES Act ensures support for prevalence tracking, services, research, and other government activities in the improvement of care among people with autism. The law increases yearly authorized federal spending on autism activities to $369.7 million through 2024. The law aims to improve the entire lifespan of people with autism spectrum (Congress.Gov, 2019). This law was enacted to restructure healthcare delivery among people with autism. It aimed to improve the quality of care provided to patients with autism. The Autism CARES Act will affect nursing practice by promoting evidence-based care when dealing with people with autism. The law provides support for prevalence tracking and research regarding autism services (Congress.Gov, 2019). It affects nursing practice by promoting evidence-based practice and high-quality care services in the treatment of patients with autism. The role of nurses based on the law is to engage in research activities that aim to improve the quality of life of people with autism. The responsibility of nurses is to ensure that people with autism receive care that is supported by research and evidence-based. Nurses are also responsible for ensuring that the added funds are used as intended. The law will also affect nursing practice by supporting the inclusion of knowledge about autism in nursing education. Impact of Quality Measures and Pay-for-Performance on Patient Outcomes Quality measures are significant, especially in nursing practice. For a healthcare service to be of high quality, it should be patient-centred, safe, effective, timely, and equitable (Zarowitz et al., 2018). Quality measures affect patient outcomes by identifying what to be done to improve patient outcomes and provide high-quality care. One of the patient outcomes is patient experience. The nurse can improve the patient experience by providing safe, effective, and timely care. In summary, quality measures affect patient outcomes by providing ways for how nurses can achieve these outcomes. pay-for performance, also known as performance-related pay is a care delivery system where healthcare professionals are paid based on their performance. This delivery system affects patient outcomes by ensuring that healthcare professionals achieve what patients envision from the treatment plan (Kyeremanteng et al., 2019). Pay-for-performance ensure that patients get value for their services. Quality measures and pay-for-performance affect nursing practice by directing how nurses should conduct their duties. The role of nurses in these situations is to ensure that patients achieve the best and high-quality care. Nurses also have the role of working together with other healthcare professionals and patients to provide the best care. For instance, nurses need to work with patients in developing a care plan that fits their needs of the patient. Nursing Leadership and Management Roles Nursing management and leadership are vital in nursing practice. New professional nursing management and leadership roles have emerged to respond to emerging trends in promoting patient quality and safe care in diverse healthcare settings. One such role is education and training. Nurse leaders and managers have the role to educate junior nurses and training them about emerging issues in nursing. Nurses need requisite knowledge to handle emerging trends in healthcare such as covid-19 pandemic and other problems. As such, the role of education is vital in ensuring that nurse knowledge to implement emerging trends (Noh et al., 2020). The second role is policy development. Nurse managers and leaders also have the role to develop and implement policies that support emerging trends. One of the emerging trends is the use of
[ANSWERED 2023] Suppose you have been tasked with purchasing health insurance for your organization that has fifty (50) full-time employees.
Suppose you have been tasked with purchasing health insurance for your organization Health Insurance Assignment 4: Health Insurance and the Affordable Care Act Due Week 8 and worth 150 points Suppose you have been tasked with purchasing health insurance for your organization that has fifty full-time employees. Use the Internet or Strayer databases to research different types of health insurance. Write a 2-3 page paper in which you: Suggest one (1) plan that you would use to purchase health insurance for your organization. Determine the extent to which employee lifestyle choices and health economics would factor in to your chosen plan. Provide a rationale for your response. Analyze the implication of the Affordable Care Act on your decision to purchase insurance. Debate two (2) advantages and two (2) disadvantages of purchasing health insurance for your employees, as opposed to having your employees receive governmental insurance. Use at least two (2) quality references. Note: Wikipedia and other Websites do not qualify as academic resources. Your assignment must follow these formatting requirements: This course requires use of new Strayer Writing Standards (SWS). The format is different than other Strayer University courses. Please take a moment to review the SWS documentation for details. Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow SWS or school-specific format. Check with your professor for any additional instructions. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length. The specific course learning outcomes associated with this assignment are: Analyze the impact of healthcare financing and health insurance on healthcare access, quality, and cost. Analyze the influence of health policy and health reform on healthcare access, quality, and cost in the U.S. Use technology and information resources to research issues in healthcare policy, law, and ethics. Write clearly and concisely about healthcare policy and law using proper writing mechanics. Expert Answer and Explanation Health Insurance and the Affordable Care Act The choice of an insurance plan depends on whether one is looking for a family plan or an individual plan. The two types of health insurance plans include group health insurance and individual health insurance. The main factor that one needs to consider in choosing the insurance plan that is suited best for them is their income and the monthly cost of the specific insurance policy if the deductible will get met if the cost of the drugs for prescriptions that are needed for the treatment. Some plans do not cover services that involve emergencies like blood work and x-rays. This paper seeks to suggest a plan for insurance that will be most suitable for an organization that has fifty employees that work on a full-time basis and the implications of the ACA on the insurance purchasing decision. Plan The plan that I will use in purchasing health insurance for the organization is the group insurance plan, which can get purchased by an employee or employer of the organization and are typically cheaper compared to purchasing coverage for each employee in the company. The group health insurance is usually at a cost that is lower because the risk of the insurer gets spread across a group of holders of the policy (Glied et al., 2020).The insurance plan covers liability that is statutory for an employer for bodily injuries or death that may be suffered by the employee because of the accidents that arise out of and in the course of performing his employment duties in the organization. A group insurance plan is the most effective for the employees as they will all be covered for the same amount of medical insurance and it will also be more affordable for the organization, unlike the individual health insurance plan which will be more expensive as it will be based on the individual needs of each employee. With the group insurance plan, the organization will have to pay equal premiums for every employee, and the injury type to be covered will be specified. Health economics and the lifestyle choices of the employees factor into the plan I have chosen in the sense that the coverage gets limited to specific injuries. The employees will not have to have a different insurance plan for their healthcare needs as they will be covered as provided by the group plan. However, the plan does not cover for injuries sustained due to their own negligence or other events that take place outside the place of work. The plan covers what happens in the course of performing duties for the organization. Affordable Care Act Implication The Affordable Care Act has a significant implication on my decision to purchase insurance for the organization. The implication of the ACA on this decision is that the premium revenues for health insurers increased by 6.2%, including the enrolment made in groups of people (Siemons et al., 2017). The ACA makes a provision that an employer that does not provide coverage for its employees may face penalties. This ensures that employees at all levels of the organization have access to affordable care. There are several advantages and disadvantages of purchasing insurance for health for one’s employees. The various advantages include using it as a way of rewarding and attracting talent, it boosts the morale and dedication of the employees to their work and shaping a company culture that is positive (Kumar et al., 2019). Providing health insurance for the employees helps keep them happy and healthy, showing that the employer cares about them. Also, productivity gets enhanced when the employees are healthy as they will perform their duties efficiently. This is unlike letting them have governmental insurance with which they will be less motivated. Some of the disadvantages of purchasing health insurance for the employees include the fact that costs of healthcare have significantly increased over the years making it difficult for employers that are small to plan their finances as they find it to be an affair that is costly (Cooper & Gardner, 2016). If the employees get governmental insurance, the small businesses will not have to worry about the costs. Conclusion Providing health insurance is an essential part of every organization that seeks to achieve
[ANSWERED 2023] Conduct a cultural self-assessment In order to understand culture and cultural diversity, it is important that you understand your own culture and heritage
Conduct a cultural self-assessment In order to understand culture and cultural diversity Conduct a cultural self-assessment In order to understand culture and cultural diversity, it is important that you understand your own culture and heritage. Using the tables that are located throughout Chapter 2 of your textbook (one for each domain of the Purnell Model for Cultural Competence, Table 2-1 to Table 2-12), answer these questions as they relate to you. Remember, you are answering these questions from your personal perspective, so there is no right or wrong response. Explain why you do or do not adhere to the dominant cultural practices and beliefs of the ethnic group(s) with which you primarily identify. Although the information on this self-assessment paper is strictly confidential, if you do not wish to self-disclose a specific area from the Organizing Framework, indicate so instead of just not addressing it. You are not required to provide citations/references in this paper. Attention should be paid to grammar, spelling, and punctuation. Write a 3-4 page APA essay. Expert Answer and Explanation Purnell Model for Cultural Competence Purnell’s model of cultural competence provides twelve main elements that can be used to understand an individual’s cultural identity. This paper will use the twelve tools as described in Purnell‘s model to carry out a personal cultural assessment to help describe my culture and heritage. The following information describes my personal heritage and culture Overview, Inhabited Localities, and Topography Currently, I live in the United States of America, in California. I am originally from Sierra Leone a port city and the capital of Sierra Leone. It is also the same town where I was born. I have lived in the US for more than 8 years with both of my parents being born in Sierra Leone. I came to the US to continue with my academics and pursue my profession as a nurse. I have not lived in any other place in the US other than the state of California. However, I have relatives and friends in other states within the U.S. For now, I would rather not disclose my income level but it is enough to allow me to afford the basic essentials of life. I have a health insurance cover which I am able to afford with my current income. I have a Bachelor of Science in Nursing (BSN) and am currently pursuing Master of Science in Nursing (MSN). Some of the health hazards of working as a nurse include exposure to infections and toxic substances. I have never been in the military. I have been blessed with a wonderful family. Communication My full names are Jess Green. My legal name is Jess Green but calling me Jay will do just fine. My primary language is English but my dialect is Krio. I also know a little bit of French. I am a fairly open person and I rarely shy off to share my feelings with family, friends or healthcare providers. I don’t mind being touched by family or friends. I am however reserved when it comes to being touched by strangers. In terms of greeting, I don’t mind a handshake. I am a time-conscious person and strictly keep time for appointments but not so much when it comes to social engagements. Family Roles and Organization My parents take the center stage when it comes to decision-making, but mainly my father. In my family we don’t have any specific decisions meant for either men or women, all are at liberty to air their opinions. Most of the house chores are taken care of by succeed in their studies to make a good impression of themselves and the family while the women while men usually provide for the family. Children are required to be obedient and respectful, anything short of that will bring a bad image to the family. Young adults are supposed to are not supposed to engage in negative behaviors like drug and alcohol use. The older adults usually provide direction for the family and they are occasionally sought after for advice. There are currently no extended members living with my family. Our family is known for its humility; I think that is what gives us status. I don’t think it is wrong to get children in wedlock but getting them in marriage is a better option. I don’t think it’s a big issue for people to live together and not be married, but personally, I prefer people to live together after getting married. I don’t mind gay, lesbians or transgendered people but personally, I am straight. Workforce Issues Do you usually report to work on time? I am never late at work unless of an emergency and I am never late for meetings. I don’t think I have any concerns about working with someone of the opposite gender. I consider myself a loyal employee. I am very inquisitive especially in what I don’t know. I think I am assertive enough in my job. When a patient does not speak in fluent English or has a different accent, I at times find it hard to understand at times. Biocultural Ecology I am not allergic to any medication and don’t have any issues when taking OTC medication. There is no major illness I am aware of in my family nor any genetic diseases. Given that Sierra Leone is a coastal country, Malaria is one of the major health challenges in terms of diseases but access to medical facilities is an overall healthcare challenge for the country. My racial identity is a native African. High-risk Behaviors I don’t drink alcohol use tobacco or any other illicit or recreational drug. I occasionally jog in the morning but walk daily in the evenings for thirty minutes to an hour. I use seat belts when driving. I prefer abstinence as the best way of dealing with STIs and HIV Nutrition I am currently satisfied with my health and I normally make sure to eat a balanced diet. I avoid foodstuffs with excess fats given the negative health implications the pose. I don’t have any specific food I eat when ill
[ANSWERED 2023] A 50 year old Caucasian female presents to the clinic with complaints of cough for almost 2 weeks. Positive productive green sputum with associated chills, sweating, and fever up to 101.5
A 50 year old Caucasian female presents to the clinic with complaints Examining Chest X-Rays Chest x-rays are an invaluable diagnostic tool as they can help identify common respiratory disorders such as pneumonia, pleural effusion, and tumors, as well as cardiovascular disorders such as an enlarged heart and heart failure. As an advanced practice nurse, it is important that you are able to differentiate a normal x-ray from an abnormal x-ray in order to identify these disorders. The ability to articulate the results of a chest x-ray with the physician, radiologist, and patient is an essential skill when facilitating care in a clinical setting. In this Discussion, you practice your interprofessional collaboration skills as you interpret chest x-rays and exchange feedback with your colleagues. Consider the three patient case studies and x-rays Case Study 1 35-year–old Asian male presents to your clinic complaining of productive cough for two weeks. Stated he has had mild intermittent fever with myalgia, malaise and occasional nausea. SH: works as a law clerk PE: NP noted low grade fever (99 degrees), with very mild wheezing and scattered rhonchi. Case Study 2 This is a 44-year–old Caucasian male being seen at your clinics with complaints of complaints of cough for 4 days and worsening. Stated he has had high grade fever. States he feels weak and has been in bed most of the last two days. Complains of exertional dyspnea, followed by dyspnea at rest, non-productive cough and pleuritic chest pain MEDS: Zovirax, Diflucan, magic mouth wash, Zofran, mycostatin, filgrastin PMH: HTN, Hep C, HIV/AIDS, thrush SH: Past IV Drug abuse; lives in a group home; PE: VS: Ht: 5’7, Wt: 150#, BMI 23, Anorexic male, febrile, tachypneic, tachycardic, with rales and rhonchi. You note decreased in breath sounds, dullness, and egophony Case Study 3 A 50 year old Caucasian female presents to the clinic with complaints of cough for almost 2 weeks. Positive productive green sputum with associated chills, sweating, and fever up to 101.5. She manages a daycare and states that many of the children have had upper respiratory symptoms in the last two weeks. PMH: DM diagnosed 7 years ago, controlled on medications. MEDS: Glyburide 10mg qd PE: She looks ill with continuous coughing and chills. BP 100/80, T: 102, HR: 110; O2Sat 97% on RA. Lungs: +Crackles, increased fremitus Labs: CBC 17,000 cells/mm3 , blood sugar is 120 To prepare: Review Part 10 of the Buttaro et al. text in this week’s Resources, as well as the provided x-rays. Reflect on what you see in the x-ray assigned to you by the Course Instructor. Consider whether the patient in your assigned x-ray has an enlarged heart, enlarged blood vessels, fluid in the lungs, and/or pneumonia in the lungs. Post an explanation of the primary diagnosis, as well as 3 differential diagnoses, for the patient in the case study you were selected or were assigned. Describe the role the patient history and physical exam played in the diagnosis. Then, suggest potential treatment options based on your patient diagnosis. Expert Answer and Explanation Examining Chest X-Rays The Primary Diagnosis The primary diagnosis for this case is pneumonia. Pneumonia is either a bacterial or viral infection that affects one or all parts of the lungs. According to Zhu et al. (2020), pneumonia infection is often spread through droplets from an infected person. This disease has been selected as the primary diagnosis because the patient reports that she has bee interacting with children showing upper respiratory signs for the last two weeks. Some of the signs of pneumonia include fever, chills, a cough that produces mucus, and shortness of breath. The patient has reported almost all the signs highlighted above. The X-ray test showed that the patient has fluids in the alveoli, and according to Lapinsky, Leen, Mak, and Shafiee (2019), this is a sign of pneumonia. Differential Diagnosis 1. Asthma According to Chahin & Opal (2017), asthma is a chronic respiratory condition that causes a person’s airways to be inflamed, swollen, and narrow, making the individual experience difficulty breathing. Some of the symptoms of the disease include coughing that worsens, difficulty breathing, ad chest pain. This disease has been included in the diagnosis because it causes a cough that produces a lot of mucus as experienced by the patient. 2. Chronic Obstructive pulmonary disease COPD is a group of medical conditions that block a person’s breathing system and thus make it hard for the individual to breathe. Some of the diseases’ signs include lack of energy that can cause fainting, frequent respiratory infections, swelling of legs and ankles, and a cough that produces mucus (Zhou et al., 2020). This disease has been included in the diagnosis because one of its signs is a cough that produces mucus like the one reported by the patient. 3. Lung cancer Lung cancer is the growth of abnormal cells in the lung region. The disease symptoms include a new cough that does not fade, hoarseness, shortness of breath, bone pain, and losing weight (Yoon, Kim, Yang, & Ham, 2028). The disease has been included in the diagnosis because one of its symptoms is a prolonged cough, like the one experienced by the patient for two weeks. Role of Patient History in the Diagnosis The personal and medical history provided by the patient was so helpful when diagnosis the individual. The history was used to determine the causes of the ailment. Most of the respiratory problems are often caused by allergies. Therefore, information about allergies could help the medical doctor determine whether the patient’s condition is an allergic reaction (Zhou et al., 2020). By stating where she works, it was concluded that she contracted the disease from the children or the one who infected the kids. Another important history in the diagnosis is that it helped the medical professional risk factors that could have increased the patient’s chances of being infected by the germ. Patient history also provided the medical professional with information about the diagnostic tests the patient can afford. Potential Treatment Options The treatment of the patient will depend on the type of pneumonia the individual has. If the patient has bacterial pneumonia, she should be prescribed
[ANSWERED 2023] Discuss what resources are often necessary for nonacute care for cardiorespiratory issues. Explain how they support patient independence and decrease readmission
Discuss what resources are often necessary for nonacute care for cardiorespiratory issues DQ 1 Identify a cardiac or respiratory issue and outline the key steps necessary to include for prevention and health promotion. DQ 2 Discuss what resources are often necessary for nonacute care for cardiorespiratory issues. Explain how they support patient independence and decrease readmission. Expert Answer and Explanation: DQ 1 Heart Disease The primary purpose of the heart is to facilitate the flow of blood around the different body organs, but it first has to pump blood to the lungs to facilitate oxygenation. Heart disease has a direct impact on the respiratory system as it causes irregularities in the manner in which blood is transported to and from the lungs (DeFilippis et al., 2017). The interconnectedness of the heard and the lungs make them work together in ensuring that all cells within the body are provided with sufficient oxygen required for survival. Heart disease has become one of the leading causative agents for death and disability within the United States. Numerous causative agents can be considered risk factors for heart disease. While these risk factors (age, gender, and family history) cannot change, nor can they be controlled, there are others that can be controlled to prevent heart disease occurrence. The control measures can be evaluated in the form of steps that an individual can perform for the prevention and health promotion of heart disease. The first step for the prevention of heart disease is to control one’s blood pressure as it is a high risk of heart disease. Secondly, there is a need to control the levels of triglyceride and cholesterol as they can clog the blood vessels (Ammouri et al., 2016). Regular exercise is also a step to ensure that a person maintains a healthy weight as a preventive mechanism. Other essential steps include healthy dieting, limit alcohol or smoking, stress management, and also managing diabetes. These steps are essential in ensuring that a person is prevented from the controllable risk of acquiring heart disease. The steps are also a great measure to facilitate health promotion within society. Reference Ammouri, A. A., Tailakh, A., Isac, C., Kamanyire, J. K., Muliira, J., & Balachandran, S. (2016). Knowledge of coronary heart disease risk factors among a community sample in Oman: Pilot study. Sultan Qaboos University Medical Journal, 16(2), e189. DeFilippis, A. P., Young, R., McEvoy, J. W., Michos, E. D., Sandfort, V., Kronmal, R. A., … & Blaha, M. J. (2017). Risk score overestimation: the impact of individual cardiovascular risk factors and preventive therapies on the performance of the American Heart Association-American College of Cardiology-Atherosclerotic Cardiovascular Disease risk score in a modern multi-ethnic cohort. European heart journal, 38(8), 598-608. Expert Answer and Explanation: DQ 2 Resources for Cardiorespiratory Issues Both the lungs and the heart work jointly to ensure there is sufficient and constant supply of oxygenated blood within the body and the removal of carbon dioxide from the system. These cycles facilitate the importance of sustaining life as it is. Issues related to either the heart or the lungs may have a negative influence on the other organ and potentially result in both organs demonstrating nonacute cardiorespiratory issues (Canada et al., 2018). These issues are termed as those that concern both the lungs and heart but do not require urgent or emergency intervention. These patients can also be within hospitals in waiting for discharge to the healthcare facility necessary for their condition. The resources needed for the care of nonacute cardiorespiratory issues entail palliative care, long-term care, nursing and life support services, counseling, physiotherapy, and rehabilitation services. These services provide additional assistance with regards to care and management of the issues that the patient is facing through recovery. For instance, palliative care focuses on the measures that can improve the overall quality of life for both the patient and their families who ace the problems that are associated with the illness (Imboden et al., 2018). These resources are critical in support of patient readmission due to various reasons. To begin with, they offer relief to distressing symptoms and pain that a patient might be experiencing. While nonacute cardiorespiratory issues do not necessitate emergency care, the symptoms can be severe and in need of relief. These resources also help with affirming life by integrating spiritual and psychological elements of care. In the event of readmission, the resources help the patients with spiritual care and regard death as a normal process. They also facilitate quality of life, which positively influences the nature of the illness. References Canada, J. M., Weiss, E., Evans, R. K., Van Tassell, B. W., Garten, R., & Abbate, A. (2018). Determinants of Cardiorespiratory Fitness Following Thoracic Radiotherapy. Circulation, 138(Suppl_1), A14282-A14282. Imboden, M., Harber, M. P., Whaley, M. H., Finch, W. H., Bishop, D. A., & Kaminsky, L. A. (2018). The Association Between Long-Term Changes in Cardiorespiratory Fitness and Mortality Risk. Circulation, 138(Suppl_1), A16590-A16590. Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers.Use Coupon: NEW30 to Get 30% OFF Your First Order FAQs Prevention and control of cardiovascular disease Cardiovascular disease (CVD) refers to a group of conditions that affect the heart and blood vessels, including heart disease, stroke, and high blood pressure. CVD is a leading cause of death globally, but there are steps that individuals can take to prevent and control the disease. Here are some strategies for prevention and control of CVD: Eat a healthy diet: Eating a diet that is low in saturated and trans fats, salt, and added sugars, and high in fruits, vegetables, whole grains, lean protein, and healthy fats can help reduce the risk of CVD. Get regular exercise: Regular physical activity can help lower blood pressure, improve cholesterol levels, and reduce the risk of CVD. Aim for at least 150 minutes of moderate-intensity aerobic exercise or 75 minutes of vigorous-intensity aerobic exercise per week. Maintain a healthy weight: Being overweight or obese can increase the risk of CVD, so maintaining a healthy
[ANSWERED 2023] Health care planners could be more effective and efficient if they used the concept of the natural history of disease and the levels of prevention to design services that intervene at the weakest
Health care planners could be more effective and efficient if they used the concept of the Healthcare Systems Assignment Description: Complete ALL of the bullet points below: Health care planners could be more effective and efficient if they used the concept of the natural history of disease and the levels of prevention to design services that intervene at the weakest link in the chain of progression of specific diseases. Instead, most focus on high-technology solutions to preventable problems. Assess the characteristics of the medical care culture that encourage the latter approach. Hospitals and other health care institutions, whether voluntary or for-profit, need to be financially solvent to survive growing market pressures. Describe how this “bottom line” focus has changed the nature of the US health care system. The insurance industry plays a huge role in the American health care system and absorbs a significant portion of the health care dollar. A single payer system, whether it is a private company or the US government, would eliminate the complex insurance paperwork burden and free substantial funds that could be diverted to support care for the under-served. Why do you believe that so much resistance to a concept used in every other developed country has continued in the U.S.? Include the time management Weekly Planner to show when you will make room for your school work. Please submit one APA formatted paper between 1000 – 1500 words, not including the title and reference page. The assignment should have a minimum of two scholarly sources, in addition to the textbook. They want it in APA with the beginning of the paper stating what it is about and conclusion at the end Required Source: Sultz, H. A., & Young, K. A. (2017). Health care USA: Understanding its organization and delivery (9th ed.). Jones & Bartlett. Read chapters 1 & 2. Expert Answer and Explanation US Healthcare System The US healthcare system has experienced a lot of changes in terms of medical care methods and treatment protocols and financing. In terms of treatment, the US health system has been positively impacted by technologies such as electronic health records among other healthcare technologies (Sultz & Young, 2017). These technologies have allowed healthcare professionals to provide quality and safe care. In terms of financing, the US health system has experienced huge reimbursement changes. Some of the policies that have changed US health financing include Medicare, Medicaid, and Affordable Care programs (Sultz & Young, 2017). The purpose of this assignment is to explain characteristics of the medical care culture that have encouraged US care professionals to focus on high-technology solutions to preventable problems, how the “bottom line” focus has changed the nature of the US health care system, and why universal health care is resisted in the US. Question 1 Certain characteristics are common in a medical culture which encourages healthcare professionals to use high-technology solutions to preventable problems. The characteristics become visible during patient examination and provision of other care services concerning the technologies. It is vital to identify the players in healthcare culture to accurately determine their characteristics and motives. In the US healthcare culture, two main players are the patients and healthcare professionals (doctors, nurses, and other specialists) (Sultz & Young, 2017). Other players include the hospital system and third-party payers (private and government insurance plans). One of the medical care cultures that encourage the latter approach is instant gratification. According to Sultz and Young (2017), most healthcare planers focus on high-technology solutions to preventable problems because of the medical culture of instant gratification. Instant gratification means instant cure (Deo et al., 2020). Most patients in the US need an instant cure for acute illness, chronic disease, and pain which cannot be provided by the former. High-technology solutions can provide instant care while the former cannot. When high technologies are used, the patient is cured almost instantly. The second characteristic is work satisfaction. Sultz and Young (2017) noted that work satisfaction is highly associated with the use of high technology to provide cures and promote disease prevention. The main objective of healthcare professionals is to provide patient care using standardized interventions. Healthcare professionals prefer to use high technology to attain healthcare goals because it prevents them from fewer difficulties as compared to the conventional approach which relies on identifying the history of the illness to create a treatment protocol (Harerimana et al., 2019). In other words, healthcare professionals use high technology to help their patients because it achieves their care goals faster than conventional methods and thus improves their satisfaction. The last characteristic is improved coordination of responsibilities and communication. Healthcare professionals prefer care methods that allow them to effectively coordinate and communicate when providing care to their patients. High-technology methods provide them with the opportunity to coordinate and effectively communicate making it a preferred method of care provision among the players in the US care system. Sultz and Young (2017) noted that US care providers have recently shown interest in Electrotonic Health Records as a tool to be used in providing care. The authors argued that the tool has helped healthcare providers easily and effectively coordinate and communicate with patients and other stakeholders to provide care. EHR technology provided healthcare professionals with a single platform where they can access patient data and communicate with peers, making the high-technology care provision method the preferred approach. Question 2 All healthcare organizations across the US strive to be financially solvent in the process of providing quality and safe care to their patients and this has greatly affected the nation’s healthcare system. One of the ways the “bottom line” focus has changed the healthcare system in the US is increasing the cost of care services. Dieleman et al. (2020) noted that Americans are paying more for their care today than in the last decade due to healthcare organizations’ focus on the bottom line. Healthcare organizations are forced to increase the cost of care services to be able to pay for their human workforce and procure necessary products needed for care providers such as
[SOLVED 2023] Post a description of what you believe to be the consequences of a healthcare organization not involving nurses in each stage of the SDLC when purchasing and implementing a new health information technology system
Post a description of what you believe to be the consequences of a healthcare organization In the media introduction to this module, it was suggested that you as a nurse have an important role in the Systems Development Life Cycle (SDLC). With a focus on patient care and outcomes, nurses may not always see themselves as contributors to the development of new systems. However, as you may have observed in your own experience, exclusion of nurse contributions when implementing systems can have dire consequences. In this Discussion, you will consider the role you might play in systems development and the ramifications of not being an active participant in systems development. To Prepare: Review the steps of the Systems Development Life Cycle (SDLC) as presented in the Resources. Reflect on your own healthcare organization and consider any steps your healthcare organization goes through when purchasing and implementing a new health information technology system. Consider what a nurse might contribute to decisions made at each stage of the SDLC when planning for new health information technology. Post a description of what you believe to be the consequences of a healthcare organization not involving nurses in each stage of the SDLC when purchasing and implementing a new health information technology system. Provide specific examples of potential issues at each stage of the SDLC and explain how the inclusion of nurses may help address these issues. Then, explain whether you had any input in the selection and planning of new health information technology systems in your nursing practice or healthcare organization and explain potential impacts of being included or not in the decision-making process. Be specific and provide examples. Expert Answer and Explanation Inclusion of Nurses in SDLC Process The SDLC process has five key stages, including analysis, design, implementation, evaluation, and maintenance (McGonigle, & Mastrian, 2017). The analysis stage is concerned with determining the areas that would be included in the system, and not involving the nurses might lead to gaps in the system modules leading to performance challenges. The inclusion of nurses might help identify the areas that need to be addressed in the system and better implement the software (Agency for Healthcare Research and Quality, n. d. a). At the design stage, nurses are relevant for providing the required functional framework in terms of structure and routine, and their exclusion can lead to a system that would be partially functional and need numerous changes. At the implementation stage, nurses are involved for they are the main users of the system, and they need to be trained and educated on the system functionality, failure to their inclusion would lead to underutilization of the system and losses in others of return on investment (Agency for Healthcare Research and Quality, n.d.b). Not involving nurses in the evaluation process has a negative impact on understanding the impact of the change. Involving nurses in maintenance can be essential in identifying the areas that are properly functioning and those that require redesign or patches. During my nursing practice, I was partially involved with the selection and planning of the health information technology (HIT) since I was at a lower level. The leadership and management are obligated with the selection, and I was partially involved with planning by providing insights and inputs on how the system would be beneficial to the organization. The potential outcome of being included to be part of the selection and planning is to have a final system that responds to the local problems tailored to the nurses and meet the functional requirement of the organization. References Agency for Healthcare Research and Quality. (n.d.a). Health IT evaluation toolkit and evaluation measures quick reference guide. https://healthit.ahrq.gov/health-it-tools-and-resources/evaluation-resources/health-it-evaluation-toolkit-and-evaluation-measures-quick-reference Agency for Healthcare Research and Quality. (n.d.b). Workflow assessment for health IT toolkit. https://healthit.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning. Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers.Use Coupon Code: NEW30 to Get 30% OFF Your First Order FAQs Involving nurses in developing new technology Involving nurses in developing new technology can be very beneficial for a number of reasons. Here are some potential benefits: Insight into user needs: Nurses are on the front lines of healthcare, and as such, they have a unique perspective on the needs of patients and providers. Involving them in the development of new technology can help ensure that the technology meets the needs of those who will be using it. Improved adoption: Nurses are more likely to adopt new technology if they have had a hand in its development. By involving them in the process, you can increase the likelihood that the technology will be used effectively. Enhanced usability: Nurses can provide valuable feedback on the usability of new technology. They can identify potential issues or areas for improvement that might not be apparent to developers who are not familiar with the healthcare setting. Increased efficiency: Nurses are often responsible for a wide range of tasks, and new technology that can streamline or automate some of these tasks can be a significant time-saver. Involving nurses in the development of such technology can help ensure that it is designed with efficiency in mind. Overall, involving nurses in the development of new technology can help ensure that it is effective, user-friendly, and meets the needs of patients and providers. It can also increase the likelihood of adoption and improve efficiency in the healthcare setting. Roles of a nurse informatics professional in project management and systems life cycle A nurse informatics professional plays an important role in project management and the systems life cycle in healthcare. Here are some specific roles that a nurse informatics professional can play in these areas: Project Management: A nurse informatics professional can act as a project manager for healthcare technology projects. They can plan and organize the project, manage resources, and oversee project timelines and budgets. Requirements Gathering: A nurse informatics professional can
[ANSWERED 2023] JR 47 yo WM complains of having generalized abdominal pain that started 3 days ago. He has no
JR 47 yo WM complains of having generalized abdominal pain that started 3 days ago. He has no ABDOMINAL ASSESSMENT Subjective: CC: “My stomach hurts, I have diarrhea and nothing seems to help.” HPI: JR 47 yo WM complains of having generalized abdominal pain that started 3 days ago. He has not taken any medications because he did not know what to take. He states the pain is a 5/10 today but has been as much as 9/10 when it first started. He has been able to eat, with some nausea afterwards. PMH: HTN, Diabetes, hx of GI bleed 4 years ago Medications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10 units qhs Allergies: NKDA FH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN, Hyperlipidemia, GERD Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys) Objective: VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbs Heart: RRR, no murmurs Lungs: CTA, chest wall symmetrical Skin: Intact without lesions, no urticaria Abd: soft, hyperactive bowel sounds, pos pain in the LLQ Diagnostics: None Assessment: Left lower quadrant pain Gastroenteritis PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses. The Assignment Analyze the subjective portion of the note. List additional information that should be included in the documentation. Analyze the objective portion of the note. List additional information that should be included in the documentation. Is the assessment supported by the subjective and objective information? Why or why not? What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis? Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature. REQUIRED READINGS: Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel\’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby. Chapter 6, “Vital Signs and Pain Assessment ”This chapter describes the experience of pain and its causes. The authors also describe the process of pain assessment. Chapter 18, “Abdomen” In this chapter, the authors summarize the anatomy and physiology of the abdomen. The authors also explain how to conduct an assessment of the abdomen. Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby. Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center. Chapter 3, “Abdominal Pain” This chapter outlines how to collect a focused history on abdominal pain. This is followed by what to look for in a physical examination in order to make an accurate diagnosis. Chapter 10, “Constipation” The focus of this chapter is on identifying the causes of constipation through taking a focused history, conducting physical examinations, and performing laboratory tests. Chapter 12, “Diarrhea” In this chapter, the authors focus on diagnosing the cause of diarrhea. The chapter includes questions to ask patients about the condition, things to look for in a physical exam, and suggested laboratory or diagnostic studies to perform. Chapter 29, “Rectal Pain, Itching, and Bleeding” This chapter focuses on how to diagnose rectal bleeding and pain. It includes a table containing possible diagnoses, the accompanying physical signs, and suggested diagnostic studies. Colyar, M. R. (2015). Advanced practice nursing procedures. Philadelphia, PA: F. A. Davis. Credit Line: Advanced practice nursing procedures, 1st Edition by Colyar, M. R. Copyright 2015 by F. A. Davis Company. Reprinted by permission of F. A. Davis Company via the Copyright Clearance Center. These sections below explain the procedural knowledge needed to perform gastrointestinal procedures. Chapter 107, “X-Ray Interpretation: Chest (pp. 480–487) Chapter 115, “X-Ray Interpretation of Abdomen” (pp. 514–520) Note: Download this Student Checklist and Abdomen Key Points to use during your practice abdominal examination. Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Abdomen: Student checklist. In Seidel\’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby. Credit Line: Seidel\’s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center. Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Abdomen: Key points. In Seidel\’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby. Credit Line: Seidel\’s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center. Expert Answer and Explanation Abdominal Assessment Assessment is a critical practice in nursing. Nursing assessment can be used to determine the current and future care needs of a patient (Ball, Dains, Flynn, Solomon & Stewart, 2019). Nursing assessment includes the recognition of abnormal versus normal physiology. The purpose of this assignment is to analyze the provided Episodic Note case study that describes abnormal findings in patients seen in a clinical setting and answer the provided questions. Additional Subjective Data to be included in the Documentation A lot of information was included in a subjective portion of the note. However, I feel that some critical data that can improve the assessment process are missing. For instance, the patient’s ethnic group was not mentioned. Some diseases are more prone in certain ethnic groups compared to others. Hence, identifying the race of the patient can help a nurse identify whether the client’s ethnicity is a risk factor for specific diseases. Another important data that should be added in the subjective portion of the note is the review of systems. The review of systems is the process of reviewing
[ANSWERED 2023] Search the GCU Library and find one new health care article that uses quantitative research
Search the GCU Library and find one new health care article that uses quantitative research. Search the GCU Library and find one new health care article that uses quantitative research. Do not use an article from a previous assignment, or that appears in the Topic Materials or textbook. Complete an article analysis and ethics evaluation of the research using the “Article Analysis and Evaluation of Research Ethics” template. See Chapter 5 of your textbook as needed, for assistance. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Expert Answer and Explanation Article Analysis and Evaluation of Research Ethics Article Citation and Permalink (APA format) Article 1 Espeland, M. A., Lipska, K., Miller, M. E., Rushing, J., Cohen, R. A., Verghese, J., … & Pahor, M. (2017). Effects of physical activity intervention on physical and cognitive function in sedentary adults with and without diabetes. The Journals of Gerontology: Series A, 72(6), 861-866. https://doi.org/10.1093/gerona/glw179 Point Description Broad Topic Area/Title Effects of physical activity intervention on physical and cognitive function in sedentary adults with and without diabetes Problem Statement (What is the problem research is addressing?) More than a quarter of the US aging population suffer from diabetes mellitus. This condition has increased their chances of developing geriatric syndromes. Medication alone have not entirely reduced the effects of the condition. That said, this study has addressed physical activity and its effects on diabetic patients. Purpose Statement (What is the purpose of the study?) The purpose of this study was to explore the “effects of physical activity intervention on physical and cognitive function in sedentary adults with and without diabetes.” Research Questions (What questions does the research seek to answer?) The researchers used one primary research question to guide the study. The research question was “what are the effects of physical activity intervention on physical and cognitive function in sedentary adults with and without diabetes?” Define Hypothesis (Or state the correct hypothesis based upon variables used) Apart from the research question, a hypothesis was created to guide the study. The hypothesis for this study was that “the intervention may have different effects on physical and cognitive function, depending on individuals’ diabetes status.” Identify Dependent and Independent Variables and Type of Data for the Variables Two main variables were included in the study. The first variable is independent variable. This variable was represented by physical activity intervention. This variable belongs to quantitative data type. The second variable is dependent variable. It is represented by sedentary adults with and without diabetes. Its data type is categorical. Population of Interest for Study Researchers must identify the people or other populations targeted by their study. In this research, the target or population of interest were 65 years and above sedentary adults with and without diabetes. Sample The respondents in the research were 1,476 70–89 years old sedentary individuals who could walk for about 400 meters in 15 minutes regardless of their extreme inability to conduct daily function. Sampling Method Researchers must indicate how they conducted their sampling method to validate if the study was fair or not. In this research, random sampling approach was used to sample and select the participants for the study. Identify Data Collection Identify how data were collected Identifying a data collection instrument is vital because it can help in analyzing the research to determine its reliability and validity. Researchers in this study collected data using interviews as their main data collection instrument. Summarize Data Collection Approach The researchers collected data by administering three computer-based cognitive tests at either 18 or 30 months and at baseline, depending on when the respondents were included in the study. The interviewer-administered tests included the Wechsler Adult Intelligence Scale-III Digit Symbol Coding test (DSC), the Modified MiniMental State Exam (3MSE), and the Hopkins Verbal Learning Test-Revised (HVLT-D). Discuss Data Analysis Include what types of statistical tests were used for the variables. Descriptive analysis was used as the method to analyze data in the study. The authors analyzed data by comparing measures of cognitive and physical functions and baseline risk factors with diabetes groups and intervention based on the analyses of logistic regression and variance. Summarize Results of Study 90.3% of the participants successfully completed the study making it results reliable. The Lifestyle Interventions and Independence for Elders (LIFE) reduced the participants’ risk of developing major mobility conditions by increasing their physical activities. Physical activity alone was found to be beneficial because it increased the participants’ mobility speed but did not have effects on their cognitive health. However, LIFE has both cognitive and physical impacts. Summary of Assumptions and Limitations Identify the assumptions and limitations from the article. Report other potential assumptions and limitations of your review not listed by the author. The first limitation of the study is that it cannot be used to represent general population because few participants volunteered to participate. The second limitation is that the timeframe assigned the project was limited and could not be used to provide maximum results. The last limitation is that diabetes was underdiagnosed in the study. Ethical Considerations The first ethical consideration that may have occurred when sampling was informed consent. Informed consent is an ethical consideration that ensures that the researchers have not forced the participants to participate (Moore, Munguia Gomez & Levine, 2019). In other words, the element ensures that participants have voluntarily participated in the study. In the informed consent form, the researchers are ethically required to tell the respondents the purpose of the study, its importance, and how it will be used to improve healthcare. Another ethical consideration that might have occurred in the study was approved. Moore et al. (2019) mention that researchers should seek
[ANSWERED 2024] Patients frequently present with complaints of pain such as chronic back pain. They often seek medical care with the intent of receiving drugs to manage the pain
Patients frequently present with complaints of pain such as chronic back pain. They often Discussion: Chronic Back Pain Patients frequently present with complaints of pain such as chronic back pain. They often seek medical care with the intent of receiving drugs to manage the pain. Typically, for this type of pain, narcotic drugs are often prescribed. This can pose challenges for you as the advanced practice nurse prescribing the drugs. While there is a process for evaluating back pain, it can be difficult to assess the intensity of a patient’s pain because pain is a subjective experience. Only the person experiencing the pain truly knows whether there is a need for drug treatments. This makes it important for you, as the prescriber, to watch for red flags and warning signs of abuse. In this Discussion, you explore the ethical implications of prescribing narcotics to patients with chronic back pain. To prepare: Review this week’s media presentation on evaluating back pain, as well as Chapter 15 of the Buttaro et al. text in the Learning Resources. Reflect on the evaluation process for a patient with a history of back pain. Consider how you might evaluate a patient that presents with back pain. Think about potential red flags and warning signs of drug abuse. Reflect on the ethical implications of prescribing narcotics for chronic back pain. Think about what you would prescribe and why. By Day 3 Post a description of how you might evaluate a patient who presents with back pain. Then, describe potential red flags and warning signs of drug abuse. Explain the ethical implications of prescribing narcotics for chronic back pain. Finally, explain what you would prescribe for patients and why. Expert Answer and Explanation Chronic Back Pain Evaluating a Patient with Chronic Back Pain An advanced practice nurse should evaluate patients who present with back pain accurately before prescribing them medications, such as narcotics. An APN can evaluate a patient with back pain using the following methods. Patel and Kinsella (2017) note that one of the methods of evaluating backpain is physical examination. The nurse should physically examine the patient to determine whether they suffer from back pain. From the physical exam, a nurse group the patient into the following four categories.The categories include low back pain that is non-specific, back pain related to spinal stenosis or radiculopathy, back pain from a non-spinal source, and back pain linked to another cause of the spinal problem. Patel and Kinsella (2017) also note that the condition can be evaluated using computed tomography (CT) and magnetic resonance imaging (MRI). Signs of Drug Abuse APNs are responsible for identifying the signs of drug abuse in prescribing patients with medications. According to Geise and Powers (2020), physical warning signs and red flags of drug abuse include red eyes, tremors, dilated pupils, impaired physical coordination, rapid speech, lethargy during the day, and slowed speech. The psychological warning signs of drug abuse the nurse should look at include anxiety, confusion, insomnia, depression, forgetfulness, excessive mood swings, illogical thinking, and memory loss. The APN should also analyze the patient’s behavior for warning signs of drug abuse. These signs include erratic behavior, defensiveness or anger about drug abuse-related topics, poor social interaction, legal issues, poor judgment personality changes, violence, use of sleeping r headache drugs, and financial issues (Geise & Power, 2020). The nurse can also collect observations from friends and family. For instance, if the family reports that the patient has chronic relationship challenges, then the nurse should treat this information as a warning sign of drug abuse. The Ethical Implications of Prescribing Narcotics The first ethical implication of prescribing narcotic drugs to patients with chronic back pain is beneficence. According to Smeltzer et al. (2017), an APN should prescribe the narcotic drugs to patients after a prover and careful evaluation of the drugs’ impact in the patients. In other words, this consideration ensures that APNs prescribe narcotic medications that are more beneficial to the patient. Another consideration is non-maleficence. This ethical consideration ensures that an APN considers other safe alternatives before deciding to prescribe narcotics as pain medication. Autonomy is another ethical consideration that has implications on the prescription of narcotic medication (2017). This consideration was designed to ensure that nurses allow patients to decide whether to take narcotics or not. In other words, the consideration forces the nurses to respect the wishes of their patients. Treatment of Back Pain I would not prescribe narcotics as drugs to relieve back pain because Coluzzi et al. (2019) note that medications with opioids, such as hydrocodone and oxycodone do not work well for severe and chronic pain. On that note, I can prescribe nonsteroidal anti-inflammatory drugs (NSAIDs). These over-the-counter medications can help relieve acute back pain. However, if the OTCs have no worked, I would prescribe Baclofen (Coluzzi et al., 2019). This drug is a muscle reluctant and can relieve pain by relaxing the muscles on the back. References Coluzzi, F., Polati, E., Freo, U., & Grilli, M. (2019). Tapentadol: an effective option for the treatment of back pain. Journal of pain research, 12, 1521. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6526923/ Geise, R., & Powers, M. F. (2020). Roles of Pharmacy Technicians in Preventing Prescription Drug Abuse. Journal of Pharmacy Technology, 8755122520939640. https://doi.org/10.1177%2F8755122520939640 Patel, D. R., & Kinsella, E. (2017). Evaluation and management of lower back pain in young athletes. Translational pediatrics, 6(3), 225. doi: 10.21037/tp.2017.06.01 Smeltzer, K. E., Desai, G. J., & Johnson, B. (2017). Ethical Considerations in Prescribing or Withholding Opioids for Chronic Pain. Osteopathic Family Physician, 9(3). https://doi.org/-639-1-10-20170503.pdf Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers.Use Coupon: NEW30 to Get 30% OFF Your First Order Nurses’ Role in Pain Assessment and Management As healthcare professionals, nurses play an essential role in assessing and managing patients’ pain. Pain is one of the most common symptoms that patients report, and its management is crucial for improving their quality of life. In this article, we will discuss the