[ANSWERED 2023] In recent years, women have broken through the ”glass ceiling” by achieving senior executive
In recent years, women have broken through the “glass ceiling” by achieving senior Woman Executives and the C-Suite In recent years, women have broken through the “glass ceiling” by achieving senior executive (i.e., CEO, CFO, and COO) status in Fortune 500 companies—including General Motors, IBM, Oracle, Yahoo, and Facebook—to name a few. Yet, in 2012, only 17% of Fortune 500 companies’ board directors were women. In addition, a number of high-profile lawsuits were settled in 2013, including Calibuso v. Bank of America Corp. (BAC), in which the bank agreed to pay $39 million to settle claims that it discriminated against women in its investment advice division. The suit alleged that the most lucrative clients were pushed to men, undermining women‘s compensation and professional opportunities. Instructions: For this assignment, read the following article about women in executive leadership positions and incorporate the piece as an in-text citation in your paper: Kranc, J. (2014). Diversity’s bottom line (Links to an external site.). Financial Executive, 30(1), 34-39. Select two organizations based in the same country that have made the news for their policies regarding women in executive positions, one for the better and one for the worse. Compare and contrast the organizations based on the following: For each organization, describe the situation that led to the news coverage. What led to the situation? Was there a satisfactory conclusion, or is the case ongoing? Describe the outcome or the current situation, and the players involved. Describe any laws that were violated or may have been violated. Assess the impact of the gender diversity, or lack thereof, in each organization. Consider profitability, reputation, growth, and competitiveness, for example, but don’t be limited by this list. Provide two scholarly references in addition to the Kranc piece in support of your assessment. The CSU Global Library is a good place to find these resources. Formulate three actions that a company with an already established gender diversity program can take to sustain or increase the number of qualified women at the executive and board levels. Formulate three actions that the company performing poorly in gender diversity can take to increase the number of qualified women at the executive and board levels. Paper Requirements: Your well-written paper should include an introduction and conclusion, and be 3-4 pages in length, not counting the required title and references pages. Note that you must include at least two scholarly references for this paper. Use in-text citations and include a references page. Incorporate, cite, and reference the Kranc piece above. Expert Answer and Explanation Woman Executives and the C-Suite According to the Business Journals, the article by Bizwoman iterates the percentage of women that are currently in the C-suite roles as of 2019. The women representation in the C-suite positions among the top 1000 US companies based on revenue, and those in the fortune 500, increased in 2018 (Stych, 2019). According to the study, an average of 25% of the C-suite representation comprises of women, which is a slight improvement from the 23 of the previous year. Organizations and Women in Executive Positions One of the companies with the best policies for women in executive positions is Chico’s FAS, Inc. leading to the company receiving the Corporate Salute Elevate Award under the Women Executive Leadership Florida in 2017. The award was aimed at recognizing the measures of the company in the advancement of gender diversity in its C-suite and boardrooms. The company reaffirms the social and financial benefits attributed to gender diversity within corporate leadership (Valet, 2018). The company operates a total of 1482 stores within the US and Canada. These situations and having 96% of employees who are re women made the company warrant the news coverage. The statistics which were present on Forbes show that the company has 91% of women holding the corporate positions while the percentage of women among the board members stands at 56%. On the other hand, a company that made the news for their worse policies against women in executive positions is Walmart. According to the Guardian, Walmart faces a lawsuit concerning the discrimination of female employees (Sainato, 2019). Based on the lawsuit, more than 100 former and current female workers filed a court case against the company suing them for lack of opportunity as their male counterparts and unequal pay. The lawsuit against Walmart came following the US Supreme court ruling in 2011 in the case between Walmart v Dukes. The suit was against the Walmart culture that women were selected specifically for selected positions with no opportunity for promotion or growth. While the case was too large to merit a class action, the supreme court ruled that the plaintiffs ought to file an individual case against the company. Due to the pressures, Walmart has to alter with its absence policy as a response to the building pressure from the numerous lawsuits. Violated Laws One reason that led to the lawsuit was the move by the company to fire women due to pregnancy absence. This move is against Title VII of the Civil Rights Act of 1964, which is mandated by the government and enforced by the Employment Opportunity Commission (EEOC) (Siegel, 2017). Additionally, the company also violated the Pregnant Workers Fairness Act that was introduced to Congress in 2017. According to these acts, an employer is prohibited from engaging in employment activities that make unreasonable demands to discourage the accommodation of employees that are affected by childbirth, pregnancy, or other medical condition. Impact of Gender Diversity In the case of Chico’s FAS, Inc., gender diversity as had a positive impact mainly in terms of growth, reputation, and competitive advantage. The company deals with the production of women’s clothes, and their high number of women employees and managerial staff is a major impact on their growth (Fine, Sojo, & Lawford‐Smith, 2020). The organization also ensure that they produce products that are with recent designs, trends, and quality product. The reputation and the quality products of the company helps in the marketing and creation of awareness to their potential customers. This drives profitability and eventual growth. On the other hand, Walmart faces a negative
ANSWERED!! Should government continue to take an aggressive role in reshaping the health care system or should the economy be allowed to continue exerting market-driven reforms?
Should government continue to take an aggressive role in reshaping the health care system or should the economy be allowed to continue exerting market-driven reforms? You are responsible for minimally at least 3 posts for each question in your discussion boards; your initial post and reply to two of your classmates. Your initial post(s) should be your response to the questions posed in the Discussion Question. You should research your answer and cite at least one scholarly source when appropriate, and always use quality writing. The discussion board is never a place to use text language or emoticons. You will also be asked to respond to your classmates. This is designed to enhance the academic discussion around the topic. It is all right to disagree with something posted by another, however your responses should always be thoughtful and respectful and reflect your opinions professionally. Discussion Question: OPTION 1 With so many different stakeholders in the health care system, many with powerful political lobbies, it is understandable that the government has been unable, until the Patient Protection and Affordable Care Act of 2010, to effectively address the problems of cost, access, and quality. Despite this recent legislature, employers and the public have deep concerns about the ever-increasing costs of health care. Physicians, hospitals and other providers continue to voice displeasure with managed health plans’ requirements and restrictions, while employers and the insured are railing against potential huge premium increases. Should government continue to take an aggressive role in reshaping the health care system or should the economy be allowed to continue exerting market-driven reforms? Please take a stance of either pro-government or pro-free enterprise factions and explain how the public will fare in each situation. How are the problems of cost, access, and quality likely to be addressed in each circumstance? OR: OPTION 2 The practice of medicine, long valued for individual entrepreneurship and physician control, has undergone dramatic change. Physicians now face vexing oversight of case and utilization management and loss of control over the allocation of health care dollars. Managed care organizations control health costs by arbitrarily refusing reimbursement for certain medical procedures and reducing payments for others. Since medicine is now a less attractive career option, will fewer high performing individuals choose to become physicians? What are the implications for the quality of care? OPTION 1 Expert Answer and Explanation Healthcare Regulation The government should still implement aggressive policies that can be used in reshaping the healthcare system due to the following reasons. First, the role of government in reshaping healthcare has, on many occasions, made health services accessible to more people. For instance, Tomaszewski (2017) report that the Affordable Care Act has provided health insurance for more than 20 million Americans. Second, the act made it possible for American citizens to get more insurance packages for their dollar. Thus, currently, even people in low-income communities can get a certain level of coverage through the act. Through cost-sharing reduction, the ACA has provided millions of American families to buy affordable health cover. Third, Shaw andTewdwr-Jones (2017) argue that if healthcare is left for the private sector, many people will not have equal access to care. Private stakeholders in the healthcare sector came into the industry for business, and thus all their actions are based on profits. Therefore, when left drive the sector, people from low-income communities will not get quality care. The regulations implemented by the government ensure that the drugs and other healthcare services are available to the public at a regulated price. Shaw andTewdwr-Jones (2017) mention that government regulations prevent hospitals and other healthcare stakeholders from overcharging the public. Lastly, the government should be allowed to reform the sector because it can ensure that people delivering the services are qualified and have the required knowledge and certification. However, Porter and Kaplan (2016) mention that the government should always consult the private sector when it wants to develop and implement healthcare reforms. The authors mention that the ACA has failed to achieve its goals because the other stakeholders were not involved. References Porter, M. E., & Kaplan, R. S. (2016). How to pay for health care. Harv Bus Rev, 94(7-8), 88-98. Retrieved from https://www.semanticscholar.org/paper/How-to-Pay-for-Health-Care-Bundled-payments-will-Kaplan-Porter/e9f5dceed5def3c8bd81bceb06495500fd4a6fef Shaw, K., & Tewdwr-Jones, M. (2017). “Disorganised Devolution”: Reshaping Metropolitan Governance in England in a Period of Austerity. Raumforschung und Raumordnung-Spatial Research and Planning, 75(3), 211-224. https://link.springer.com/article/10.1007/s13147-016-0435-2 Tomaszewski, K. A. (2017). Personal Health Budgets–Should Patients Be Able to Manage their Care in a Way that Suits Them? A Concise Narrative Review. Horyzonty Wychowania, 16(40), 147-157. https://www.ceeol.com/search/article-detail?id=719275 Place your order now on the similar assignment and get fast, cheap and best quality work written from scratch by our expert level assignment writers. Other Solved Questions: SOLVED! How would your communication and interview SOLVED! Describe the difference between a nursing practice SOLVED! How do you think evidence from nursing journals SOLVED! Discuss how elimination complexities can affect SOLVED! Case C 38-year-old Native American pregnant ANSWERED! In a 1,000–1,250 word essay, summarize two [ANSWERED] Students will develop a 1,250-1,500 word paper that includes [ANSWERED] Post a description of the national healthcare ANSWERED!! Explain how you would inform this nurse ANSWERED!! In a 4- to 5-page project proposal written to the ANSWERED!! A 15-year-old male reports dull pain in both ANSWERED!! Should government continue to take an [ANSWERED] Mrs. Adams a 68-year-old widow who was [ANSWERED] Compare and contrast the various ways you can ANSWERED! Provide a summary of your learning style FAQs Impact of affordable care act on health care organizations The Affordable Care Act (ACA), also known as Obamacare, had a significant impact on healthcare organizations in the United States. Some of the key impacts include: Increased patient volume: The ACA increased the number of insured individuals in the United States, leading to a significant increase in patient volume for healthcare organizations. This put pressure on healthcare organizations to increase capacity and efficiency to handle the additional patient load. Changes to reimbursement models: The ACA introduced new reimbursement models that incentivized healthcare organizations to focus on quality of care and outcomes rather than
[ANSWERED 2023] Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting
Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting Discussion: Review of Current Healthcare Issues If you were to ask 10 people what they believe to be the most significant issue facing healthcare today, you might get 10 different answers. Escalating costs? Regulation? Technology disruption? These and many other topics are worthy of discussion. Not surprisingly, much has been said in the research, within the profession, and in the news about these topics. Whether they are issues of finance, quality, workload, or outcomes, there is no shortage of changes to be addressed. In this Discussion, you examine a national healthcare issue and consider how that issue may impact your work setting. You also analyze how your organization has responded to this issue. To Prepare: Review the Resources and select one current national healthcare issue/stressor to focus on. Reflect on the current national healthcare issue/stressor you selected and think about how this issue/stressor may be addressed in your work setting. Post a description of the national healthcare issue/stressor you selected for analysis, and explain how the healthcare issue/stressor may impact your work setting. Then, describe how your health system work setting has responded to the healthcare issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples. Rubric Detail Excellent Good Fair Poor Main Posting 45 (45%) – 50 (50%) Answers all parts of the discussion question(s) expectations with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. Supported by at least three current, credible sources. Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 40 (40%) – 44 (44%) Responds to the discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module. At least 75% of post has exceptional depth and breadth. Supported by at least three credible sources. Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 35 (35%) – 39 (39%) Responds to some of the discussion question(s). One or two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Post is cited with two credible sources. Written somewhat concisely; may contain more than two spelling or grammatical errors. Contains some APA formatting errors. 0 (0%) – 34 (34%) Does not respond to the discussion question(s) adequately. Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible sources. Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style. Main Post: Timeliness 10 (10%) – 10 (10%) Posts main post by day 3. 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) Does not post by day 3. First Response 17 (17%) – 18 (18%) Response exhibits synthesis, critical thinking, and application to practice settings. Responds fully to questions posed by faculty. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Communication is professional and respectful to colleagues. Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English. 15 (15%) – 16 (16%) Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English. 13 (13%) – 14 (14%) Response is on topic and may have some depth. Responses posted in the discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. 0 (0%) – 12 (12%) Response may not be on topic and lacks depth. Responses posted in the discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited. Second Response 16 (16%) – 17 (17%) Response exhibits synthesis, critical thinking, and application to practice settings. Responds fully to questions posed by faculty. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of learning objectives. Communication is professional and respectful to colleagues. Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English. 14 (14%) – 15 (15%) Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English. 12 (12%) – 13 (13%) Response is on topic and may have some depth. Responses posted in the discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. 0 (0%) – 11 (11%) Response may not be on topic and lacks depth. Responses posted in the discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited. Participation 5 (5%) – 5 (5%) Meets requirements for participation by posting on three different days. 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) Does not meet requirements for participation by posting on 3 different days. Total Points: 100 Name: NURS_6053_Module01_Week01_Discussion_Rubric Expert Answer and Explanation National Healthcare Issues Healthcare is an important factor of consideration in every society.
[ANSWERED] Mrs. Allen is a 68-year-old African American who presents to the clinic for prescription refills
Mrs. Allen is a 68–year–old African American who presents to the clinic for prescription refills. The patient indicates that she has noticed shortness of breath which started about 3 months ago [ANSWERED] Mrs. Allen is a 68-year-old African American who presents to the clinic for prescription refills. Case Study: Chief complaint: “I’m here for a medication refill because I ran out of my medicines”. Noticed shortness social history Social history: High school graduate married and no children. Drinks one 4-ounce glass of red wine daily. She is a former smoker and stopped 5 years ago. Family history: Both parents are alive. Father has history of MI and valvular heart disease; mother alive and cardiac history is unknown. He has one brother who is alive and has history of MI 5 years ago at age 52. >ros ROS: Constitutional: Lightheaded and faint with exertion. Respiratory: Shortness of breath with exertion. + Orthopnea. Cardiovascular: + 2 pitting leg edema for 3 weeks. Psychiatric: Non-contributory. Physical examination: 5 feet 1 inches weight Vital Signs: Height: 5 feet 1 inches Weight: 175 pounds BMI: 32, Obese, BP 160/92, T 98.0, P 111, R 22 and non-labored HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRLA, EOMI; Teeth intact. Negative for gum disease. NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement. LUNGS: + Mild Crackles on inspiratory phase not clearing with cough. Equal breath sounds. Symmetrical respiration. No respiratory distress. HEART: Normal S1 with S2 during expiration. An S4 is noted at the apex; + systolic murmur noted at the right upper sternal border without radiation to the carotids. Pulses are 2+ in upper extremities and 2+ in pedal pulses bilaterally. 2+ pitting edema to her knees noted bilaterally. ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses. GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred.MUSCULOSKELETAL: + Heberden’s nodes at the DIP joints, hands. + Crepitus, bilateral knees. Slow gait but steady. No Kyphosis. PSYCH: Normal affect. Cooperative. SKIN: No rashes. Positive for dry skin. >labs Labs: Hgb 13.2, Hct 38%, K+ 4.0, Na+137, Cholesterol 228, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98. A: Primary Diagnosis: Congestive Heart Failure (CHF) Secondary Diagnoses: Primary Hypertension, Obesity, Osteoarthritis (OA) Peripheral vascular disease Differential Diagnosis: Peripheral Vascular Disease (PVD) Plan: Medications: Tylenol 650 mg PO Q4 hours as needed for arthritis pain Labs: UA; Brain natriuretic peptide (BNP); LFTs and TSH; 12-lead EKG, Chest X-ray; Initial 2D echo with Doppler; Ankle-brachial index. Additional lab results: Echo results 1 week ago: Left ventricular EJ Fraction decreased to 35 % >bnp – BNP – not available. As a future FNP, you need to determine the medications for CHF/ASCVD. (Arteriosclerotic Cardiovascular Disease). Questions: 1. According to the ACC/AHA guidelines, what medications should this patient be prescribed? 2. Does he need medication(s) given his history of MI? NOTE: All posts must be supported by at least 2 peer reviewed references and all paragraphs must be cited. EXPERT ANSWER AND EXPLANATION Case Study on Myocardial Infarction Medications that should be given to the Patient According to ACC/AHA Guidelines The American College of Cardiology (ACC) and American Heart Association (AHA) is focused on improving cardiovascular health through the proper management of health conditions. Mrs. Allen presents to the facility with the chief complaint of ‘medication refill,’ but she has fears that taking her medication would not help in her condition. She has hypertension which is presented by numerous symptoms such as shortness of breath (SOB), and she also has a 1 year history of MI (Anderson & Morrow, 2017). The first step that should be made in improving her condition is the education therapy with the aim of helping her understand the way the drugs work with alleviating her conditions. Other medications I would give to the patient include thrombolytic and antiplatelet drugs which would prevent the formation of blood clots and hence prevent the occurrence of instances of SOB. Need for Medication Given the History of MI Evidence-based practice recommends Mrs. Allen’s family is seen to have a history of MI, and this shows that she is more likely to suffer just like them. Her father has history for valvular heart disease as well as MI, while her brother, who is 57 years, has a 5 years history of MI. Evidence-based practice recommends that patients with a history of MI can be placed on medications such as beta blockers and antiplatelet agents (Muntner et al. , 2017). These would reduce the negative health outcomes as well as the number of deaths associated with the condition. Superstitions such as the idea that patients with MI history should not spend too much on their medication should be completely dismissed as they could become great barriers to access of healthcare. References Anderson, J. L., & Morrow, D. A. (2017). Acute myocardial infarction. New England Journal of Medicine, 376(21), 2053-2064. Muntner, P., Carey, R. M., Gidding, S., Jones, D. W., Taler, S. J., Wright, J. T., & Whelton, P. K. (2018). Potential US population impact of the 2017 ACC/AHA high blood pressure guideline. Journal of the American College of Cardiology, 71(2), 109-118. Place your order now on the similar assignment and get fast, cheap and best quality work written by our expert level assignment writers. Other Solved Questions: SOLVED! How do you think evidence from nursing journals SOLVED!! Nursing C228: Task 1 SOLVED! Describe the difference between a nursing practice SOLVED! Case C 38-year-old Native American pregnant ANSWERED!! Assume you are a nurse manager on a unit FAQs The nurse is caring for a client with spastic bladder what is the nurses priority? The nurse’s priority when caring for a client with spastic bladder would be to manage the client’s symptoms and prevent complications associated with the condition. Some of the nursing interventions that the nurse might implement include: Monitoring the client’s urinary output and assessing for signs of urinary retention, such as bladder distention, discomfort, and overflow incontinence. Administering medications as prescribed, such as anticholinergics, to reduce bladder spasticity and improve bladder control. Implementing bladder retraining techniques, such as timed voiding and pelvic floor exercises, to improve bladder function and reduce incontinence. Assessing the client’s fluid intake and output to ensure adequate hydration and to prevent bladder irritation and infection. Educating the client on proper hygiene techniques to prevent urinary tract infections and other complications associated with spastic bladder. Ultimately, the nurse’s priority would be to help the client achieve optimal bladder function and prevent complications
[ANSWERED 2023] Explain the agonist-to-antagonist spectrum of action of psychopharmacologic agents, including
Explain the agonist-to-antagonist spectrum of action of psychopharmacologic agents, including how partial and inverse agonist functionality For this Discussion, review the Learning Resources and reflect on the concepts of foundational neuroscience as they might apply to your role as the psychiatric mental health nurse practitioner in prescribing medications for patients. Explain the agonist-to-antagonist spectrum of action of psychopharmacologic agents, including how partial and inverse agonist functionality may impact the efficacy of psychopharmacologic treatments. Compare and contrast the actions of g couple proteins and ion gated channels. Explain how the role of epigenetics may contribute to pharmacologic action. Explain how this information may impact the way you prescribe medications to patients. Include a specific example of a situation or case with a patient in which the psychiatric mental health nurse practitioner must be aware of the medication’s action. ******* REQUIRED READINGS/RESOURCES -Camprodon, J. A., & Roffman, J. L. (2016). Psychiatric neuroscience: Incorporating pathophysiology into clinical case formulation. In T. A. Stern, M. Favo, T. E. Wilens, & J. F. Rosenbaum. (Eds.), Massachusetts General Hospital psychopharmacology and neurotherapeutics (pp. 1–19). Elsevier. http://neuroanatomy.ca/videos.html Expert Answer Neurotransmitters and Receptor Theory Agonist-To-Antagonist Spectrum of Action of Psychopharmacologic Agents An agonist is a chemical that fixes a receptor and activates it to yield a biological response. However, an antagonist is a group of institutions, characters, or concepts representing or stands in opposition and must be contended by the protagonist (Wager et al., 2017). In other words, the antagonist is an individual or group of persons opposing a protagonist. The agonist and antagonist’s difference is that agonist causes an action while antagonist opposes an action of the former. Inverse agonist produces a biological response opposite from that of agonist. In pharmacology, partial agonists are medications that fit themselves on a given receptor and activate them. Their efficacy is partial compared to full agonists (Camprodon & Roffman, 2016). Partial agonists can be used to activate the receptors so that they can respond to medications. Inverse agonists can be used to induce a pharmacological response of the agonist. Actions of G-Couple Proteins and Ion Gated Channels G couple proteins receptors, also known as &TM receptors or serpentine receptors, are part of evolutionarily-related proteins, the largest and diverse class of membrane receptors found in the eukaryotes (Meng, Kang & Zhou, 2018). The g couple proteins function as an inbox for messages in peptides, light energy, sugars, lipids, and proteins. On the other hand, ion gated channels are a group of proteins known as transmembrane ion-channel, which open to permit ions, such as sodium, calcium, potassium, or chloride, to pass through the cell membrane in response to the action of a ligand. The key difference between the two elements is that G protein-coupled receptors have a wide variety of functions, including transmitting signals from many stimuli outside the cell into the cell. However, ion gated channels are pores in the cell membrane that allow the passage of in and out of the cell. The similarity is that these two elements are fundamental in pharmacology in that they determine how humans respond to certain medications. Impact of Epigenetics Role in Pharmacologic Action Epigenetics is the study of how environment and behavior can cause transitions that impact the functions of one’s genes. Unlike genetics, epigenetics changes cannot alter the DNA sequence and are reversible but can change how the body sees the DNA sequence. The role of epigenetics may have a huge contribution to pharmacologic action, especially pharmacokinetics or drug metabolism. The changes in the expression of enzymes involved in drug metabolism can impact the pharmacokinetic process. For instance, Mestre-Fos et al. (2018) report that minRNAs can help medication behavior by changing the drug’s distribution of metabolism. Impact of the Information in Drug Prescription Epigenetic alterations are fundamental in both disease and normal state of a patient. The alterations include phosphorylation, acetylation, methylation, and ubiquitylation of the histone chromatin and the DNA (Mestre-Fos et al., 2018). Few patients respond to standard therapies because of various gene alterations in their cells. Therefore, when prescribing medications, a caregiver should evaluate the patient’s epigenetics. In mental health, epigenetics can determine the side effects of medications and identify new pharmaceutical targets for treatment (Camprodon & Roffman, 2016). For instance, a drug such as aripiprazole can have an epigenetic effect on a patient’s gene. Hence, when prescribing it, psychiatric mental health should be aware of its action. References Camprodon, J. A., & Roffman, J. L. (2016). Psychiatric neuroscience: Incorporating pathophysiology into clinical case formulation. In T. A. Stern, M. Favo, T. E. Wilens, & J. F. Rosenbaum. (Eds.), Massachusetts General Hospital psychopharmacology and neurotherapeutics (pp. 1–19). Elsevier. Meng, X. Y., Kang, S. G., & Zhou, R. (2018). Molecular mechanism of phosphoinositides’ specificity for the inwardly rectifying potassium channel Kir2. 2. Chemical science, 9(44), 8352-8362. DOI: 10.1039/C8SC01284A Mestre-Fos, S., Penev, P. I., Suttapitugsakul, S., Ito, C., Petrov, A. S., Wartell, R. M., … & Williams, L. D. (2018). Dynamic G-quadruplexes on the surface of the human ribosome. bioRxiv, 435594. doi: 10.1016/j.jmb.2019.03.010 Wager, T. T., Chappie, T., Horton, D., Chandrasekaran, R. Y., Samas, B., Dunn-Sims, E. R., … & Schmidt, C. J. (2017). Dopamine D3/D2 receptor antagonist PF-4363467 attenuates opioid drug-seeking behavior without concomitant D2 side effects. ACS chemical neuroscience, 8(1), 165-177. https://doi.org/10.1021/acschemneuro.6b00297 Alternative Answer Agonist-Antagonist Spectrum of Action of Psychopharmacologic Agents Foundational neuroscience is one of the crucial backgrounds that mental health practitioners should have. Knowledge in this field allows to increase the understanding of the pathophysiology of mental conditions as well as how the medications affect the central nervous system (Saleh et al., 2016). An agonist is a chemical or biomolecule which interacts with a cell receptor to produce relevant reaction while an antagonist is substance which reduces or opposes the action of an agonist (Saleh et al., 2016). A drug that has the agonist characteristics often ties to the site of reception and causes the required response. On the other hand, antagonists bind with the receptors and limit such action by reducing the number of sites available for the agonist to
[ANSWERED] In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal.
In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Capstone Project Topic Selection and Approval In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Students should consider the clinical environment in which they are currently employed or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a leadership or quality improvement initiative, or an unmet educational need specific to a patient population or community. The student may also choose to work with an interprofessional collaborative team. Students should select a topic that aligns to their area of interest as well as the clinical practice setting in which practice hours are completed. Write a 500-750 word description of your proposed capstone project topic. Include the following: The problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project that will be the focus of the change proposal. The setting or context in which the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project can be observed. A description (providing a high level of detail) regarding the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project. Effect of the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project. Significance of the topic and its implications for nursing practice. A proposed solution to the identified project topic with an explanation of how it will affect nursing practice. You are required to cite to a minimum of eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Plan your time accordingly to complete this assignment. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Prepare this assignment according to the guidelines found in the APA Style Guide. Expert Answer and Explanation Capstone Project Topic Selection and Approval Nurses should ensure that patients receive safe and quality care. This capstone project focuses on fall prevention, an issue that has significant implications on the safety and quality of care. The information concerning this topic is detailed as follows; The Problem This Capstone project centers on falls among geriatric patients. Patient falls are one of the major concerns affecting the safety and wellbeing of patients, especially in geriatric facilities. According to estimates by the Agency for Healthcare Research and Quality, approximately a million patients fall each year. The same report attributes almost 10% of total adverse events in health care facilities to falls resulting in significant injuries. The problem poses a significant concern not only on the health outcomes of patients but also on the cumulative health care costs attributed to treating fall-related injuries. Based on these factors, it was considered a significant problem that needed to be addressed. The setting in which the Problem Occurs. Falls are an issue that occurs in both community settings and within health care facilities. From the estimates provided by the AHRQ, the cases of hospital falls show that it is a major challenge affecting the health outcomes of patients. The prevalence of community-related falls is even higher, with geriatric patients being at a higher risk than any other population group, as per Bor et al. (2017). Due to the fragile nature of geriatric patients, the rate of falls in nursing homes and other geriatric care facilities experience higher cases of fall-related injuries compared to other health care settings. Therefore, a targeted solution focusing on this setting is essential in improving the health outcomes of geriatric patients (Prabhakaran et al., 2020). Description of the Issue Hopewell et al. (2018), in their study, noted that patients who are 65 years and above are at a higher risk of experiencing falls. There are various factors associated with falls among the elderly population. For example, a study by Hamza et al. (2019) identifies a positive link between falls and medication use in assisted living facilities. Moreira et al. (2018) noted that fall risk awareness, functional capacity, and physical activity level were significant predicting factors associated with falls among older adults. Understanding these factors is crucial in coming up with viable interventions to reduce falls-related injuries among older patients. Effect of the Problem Falls should be an issue of concern to all care providers as noted by Aryee et al. (2017). Aryee et al. note some of the implications relating to falls which include increased cost of care, long hospital stays, hospital readmissions, risk of permanent disability, and unfortunately, at times even death. Sherrington et al. (2017) list patient falls as a leading cause of morbidity and mortality among older adults, with significant socio-economic burdens for patients and their families. The significant impact of the issue makes it a cause for concern that should be handled with utmost priority by care providers. Significance of the Topic and its Implications for Nursing Practice Falls and falls prevention is a significant topic in nursing practice. Nurses are supposed to advocate for patient safety and quality of care (Abbasinia et al., 2020). Therefore, the prevention of falls among geriatric patients aligns with this mandate. Similarly, as a way of improving the health outcomes of patients, reducing falls-related incidents within geriatric facilities. Proposed Solution The proposed falls prevention solution is to initiate a nurse education intervention, to inform and remind nurses of some of the best evidence-based practices relating to falls prevention. Some of these practices include proper medication administration practices, effective risk assessment strategies, use of risk identification tags, to list a few. The efficacy of educational interventions for health care professionals as a way of reducing incidents of falls is supported by Shaw et al. (2020). Conclusion This paper has provided an overview of the capstone topic and why it is relevant in nursing practice. Addressing the issue of falls in older adults will go
[ANSWERED 2023] Lab Assignment Assessing the Abdomen
Lab Assignment Assessing the Abdomen A male went to the emergency room for severe midepigastric abdominal pain. He was diagnosed with AAA ; however, as a precaution, the doctor ordered a CTA scan. Because of a high potential for misdiagnosis, determining the precise cause of abdominal pain can be time consuming and challenging. By analyzing case studies of abnormal abdominal findings, nurses can prepare themselves to better diagnose conditions in the abdomen. In this Lab Assignment, you will analyze an Episodic note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible To Prepare Review the Episodic note case study your instructor provides you for this week’s Assignment. Please see the “Course Announcements” section of the classroom for your Episodic note case study. With regard to the Episodic note case study provided: Review this week’s Learning Resources, and consider the insights they provide about the case study. Consider what history would be necessary to collect from the patient in the case study. Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis? Identify at least five possible conditions that may be considered in a differential diagnosis for the patient. 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. 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. Optional Resource LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014). DeGowin’s diagnostic examination (10th ed.). New York, NY: McGraw Hill Medical. Chapter 9, “The Abdomen, Perineum, Anus, and Rectosigmoid” (pp. 445–527)This chapter explores the health assessment processes for the abdomen, perineum, anus, and rectosigmoid. This chapter also examines the symptoms of many conditions in these areas. Chapter 10, “The Urinary System” (pp. 528–540)In this chapter, the authors provide an overview of the physiology of the urinary system. The chapter also lists symptoms and conditions of the urinary system. NURS_6512_Week_6_Assignment_1_Rubric NURS_6512_Week_6_Assignment_1_Rubric Criteria Ratings Pts This criterion is linked to a Learning Outcome With regard to the SOAP note case study provided, address the following:Analyze the subjective portion of the note. List additional information that should be included in the documentation. 12 to >9.0 pts Excellent The response clearly, accurately, and thoroughly analyzes the subjective portion of the SOAP
[ANSWERED 2023] Research the range of contemporary issues
Research the range of contemporary issues teenagers face today. In a 500-750-word paper, choose one issue (besides teen pregnancy) Research the range of contemporary issues teenagers face today. In a 500-750-word paper, choose one issue (besides teen pregnancy) and discuss its effect on adolescent behavior and overall well-being. Include the following in your submission: Describe the contemporary issue and explain what external stressors are associated with this issue. Outline assessment strategies to screen for this issue and external stressors during an assessment for an adolescent patient. Describe what additional assessment questions you would need to ask and define the ethical parameters regarding what you can and cannot share with the parent or guardian. Discuss support options for adolescents encountering external stressors. Include specific support options for the contemporary issue you presented. You are required to cite a minimum of three peer-reviewed 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. Rubric Criteria Total90 points Criterion 1. Unsatisfactory 2. Insufficient 3. Approaching 4. Acceptable 5. Target Mechanics of Writing Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc. 0 points Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout. 4.05 points Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent. 4.27 points Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted. 4.81 points Few mechanical errors are present. Suitable language choice and sentence structure are used. 5.4 points No mechanical errors are present. Appropriate language choice and sentence structure are used throughout. Thesis, Position, or Purpose Communicates reason for writing and demonstrates awareness of audience. 0 points The thesis, position, or purpose is not discernible. No awareness of the appropriate audience is evident. 4.73 points The thesis, position, or purpose is unfocused or confused. There is very little awareness of the intended audience. 4.98 points The thesis, position, or purpose is discernable in most aspects but is occasionally weak or unclear. There is limited awareness of the appropriate audience. 5.61 points The thesis, position, or purpose is adequately presented. An awareness of the appropriate audience is demonstrated. 6.3 points The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience. Development, Structure, and Conclusion Advances position or purpose throughout writing; conclusion aligns to and evolves from development. 0 points No advancement of the thesis, position, or purpose is evident. Connections between paragraphs are missing or inappropriate. No conclusion is offered. 4.73 points Writing lacks logical progression of the thesis, position, or purpose. Some organization is attempted, but ideas are disconnected. Conclusion is unclear and not supported by the overall development of the purpose. 4.98 points Limited advancement of thesis, position, or purpose is discernable. There are inconsistencies in organization or the relationship of ideas. Conclusion is simplistic and not fully aligned to the development of the purpose. 5.61 points The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on each other. Conclusion aligns to the development of the purpose. 6.3 points The thesis, position, or purpose is logically advanced throughout. The progression of ideas is coherent and unified. A clear and logical conclusion aligns to the development of the purpose. Contemporary Issue and Associated External Stressors A description of the contemporary issue and explanation of what external stressors are associated with the issue are provided. 0 points A description of the contemporary issue and explanation of what external stressors are associated with the issue are omitted or inaccurate. 16.88 points A description of the contemporary issue and explanation of what external stressors are associated with the issue lack detail or are incomplete. 17.78 points A description of the contemporary issue and explanation of what external stressors are associated with the issue are present. 20.03 points A detailed description of the contemporary issue and explanation of what external stressors are associated with the issue are present. 22.5 points A thorough and accurate description of the contemporary issue and explanation of what external stressors are associated with the issue are present. Support Options for Adolescents Encountering External Stressors A discussion of support options for adolescents encountering external stressor and specific support options for the contemporary issue presented is provided. 0 points A discussion of support options for adolescents encountering external stressor and specific support options for the contemporary issue presented is omitted or inaccurate. 13.5 points A discussion of support options for adolescents encountering external stressor and specific support options for the contemporary issue presented lacks detail and is incomplete. 14.22 points A discussion of support options for adolescents encountering external stressor and specific support options for the contemporary issue is present. 16.02 points A detailed of includes support options for adolescents encountering external stressor and specific support options for the contemporary issue presented is present. 18 points A thorough and accurate discussion of support options for adolescents encountering external stressor and specific support options for the contemporary issue presented is present. Assessment Strategies to Screen for the Issue and External Stressors An outline includes assessment strategies to screen for the issue including external stressors during an assessment for an adolescent patient and a description of what additional assessment questions one would need to ask. A definition of the ethical parameters regarding what you can and cannot share with the parent or guardian is provided. 0 points An outline that includes assessment strategies to screen for the issue, including external stressors during an assessment for an adolescent patient and a description of what additional assessment questions one would need to ask, is omitted or inaccurate. A definition of the ethical parameters regarding what you can and cannot share with the parent or
[ANSWERED 2023] Using the Marketing Plan Outline
Using the Marketing Plan Outline WHAT: Using the Marketing Plan Outline on pages 84-66 in Chapter 2, create a Marketing Plan for a health care provider of your choice (real or fictional). See Exhibit 1-1 on page 25 for some examples of “primary providers” – use one of these types of providers. The Marketing Plan should include the following sections: I. Management Summary II. Economic Projections III. The Market – Qualitative IV. The Market – Quantitative V. Trend Analysis VI. Competition VII. Problems and Opportunities VIII. Objectives and Goals IX. Action Programs WHEN: You should have already posted your topic during Week One. Your final project will be due on Saturday of Week 4. WHERE: Post the Marketing Plan as a Word document by clicking on the title above Week 4 Final Project. Final Project Grading Criteria: Marketing Plan Content: 50 points possible Followed Guidelines: 20 points possible Grammar/Spelling: 20 points possible Creativity: 10 points possible Total: 100 points possible Expert Answer and Explanation Marketing Plan for NHC Place at Cool Springs HealthCare Overview of the Organization NHC Place at Cool Springs HealthCare is a private long-term care facility providing nursing care and therapy services to patients with long-term health problems and senior people in Franklin, Tennessee, a city with a population of about 83,454. The healthcare facility was started in 1971 as part of a larger corporation known as the National HealthCare Corporation (NHC) by Dr. Carl E Adams, a community leader in Murfreesboro and a physician. The facility is home to a 180-bed post-acute 24-hour skilled nursing HealthCare Center. It provides care to people to need skilled nursing care after a serious illness, joint replacement surgery, stroke, and a cardiac procedure. The facility has a team of specialized nursing practitioners, physicians, therapists, and nurses. It provides 24-hour nursing care using licensed nursing professionals. Services provided by the facility include diabetes management, ambulatory care, memory care, high acute care, staffing and ancillary services, incontinence care, and medication management. It also provides specialized care services such as podiatry care, wound care, IV therapy, psychological services, and pain management. The vision of the facility is to provide care to all patients in a better way every day. The current strategic plan of the facility is to expand its services to Brownsville, Haywood County, Tennessee. Management Summary The healthcare facility is managed by a board of directors. The chairman of the board is Robert G. Adams. Stephen F, Flatt is the Chief Executive Officer & Inside Director of the healthcare facility. Other leaders of the organization are Vicki Dodson, Senior Vice President, Patient Service, Michael Ussery, Senior Vice President & Treasurer, Jeffrey R. Smith, Senior Vice President & Chief Information Officer, B. Anderson “Andy” Flatt, President & Chief Operating Officer, Bubba McIntosh, Senior Vice President, Ancillary Services and Service Strategy, and Brian F. Kidd, Senior Vice President, Controller & Principal Accounting Officer. Economic Projections Economic projections show that economic factors that will affect the marketing of the healthcare facility’s services in the coming years. One of the factors that will impact the marketing of NHC Place at Cool Springs HealthCare’s service is inflation. There has been a rise in inflation in recent years. Adam et al. (2022) noted that the cost of commodities has increased since 2020. The authors noted that covid-19 impacted production and thus decreased the number of goods in the market. As a result, the supply of goods decreased and demand and prices increased. The rising costs of oil will also affect the marketing of the facility’s services. increasing oil services will increase the cost of transporting drugs and other healthcare facility equipment to the new city and this will increase marketing costs. The business expectations will also impact the marketing of NHC Place at Cool Springs HealthCare’s service. The facility expects to attract customers from all over Haywood County by the end of the year. As such, the facility’s management will increase financial support for a marketing campaign. The facility aims to capture a huge market share in Haywood County. The Market – Qualitative Demographics is defined by Sánchez-Cabrero et al. (2018) as information used by marketers to describe populations affected by the marketing plan. According to the authors, marketers must understand their customers to provide products and services that meet their needs. In marketing, marketers should understand the target market to better appeal to their needs (Sánchez-Cabrero et al., 2018). NHC Place at Cool Springs will provide care services to various people including the senior population, individuals with long-term health problems, such as diabetes, major surgeries, serious heart conditions, patients with drug and alcohol addiction, those who need physical therapy, and those who need palliative care. The facility targets all members from all races and age groups. It will also provide mental health and rehabilitation services. The facility will target those who need its services regardless of their income. The population’s culture will not be considered when providing them. Some of the programs the facility will work with include Medicare, Medicaid, and TRICARE. These programs provide health insurance services to many Americans. The organization will also work with third-party payers, such as employee insurers in providing health services to their patients. Other healthcare institutions will also be part of the organization. The facility will work with neighboring hospitals and clinics to get referrals for patients who need long-term care. Some of the healthcare organizations that will be targeted by NHC Place at Cool Springs HealthCare include Rhea Medical Center Physician Group, A Pattern Medical Clinic, A Pattern Medical Clinic, Rhea Medical Center Physician Group, and Fairfield Memorial Hospital. The Market-Quantitative The healthcare facility seeks to open another office in Brownsville City. According to the Tennessee Department of Health (n.d), the state is ranked 31 in the US in terms of nursing homes that meet the CMS National Nursing Quality Care Collaborative score meaning that most of the nursing homes in the state provide quality care that is above average. The state has a composite score of 10.97% against the US average of 8.2. Image 1 below shows how