[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] Compare and contrast the various ways you can access information delivering professional continuing education. Explore any relationships between technology and learning and evaluate which works best for you
Compare and contrast the various ways you can access information delivering professional continuing education Discussion Question: Discussion Question 1: Compare and contrast the various ways you can access information delivering professional continuing education. Explore any relationships between technology and learning and evaluate which works best for you. Assignment: Select two diverse clinical settings; for example: ED versus ICU, PeriOp versus Med-Surg, Pediatrics versus Adults, or Sports Medicine vs. Nursing Home, etc. For your two selected clinical settings, compare and contrast the content, features, need, and value of data, information, knowledge, and decision support to clinical practitioners in those settings. Justify the clinical elements necessary for each clinical setting and create a recommendation of necessary elements for a shared clinical system. Make sure that you include the four expanding rings of information (EMR, warehouse, regional, NHIN/PHIN) in your analysis. Describe how the differences would alter the design or features of a clinical system. Support your statements where you claim either similarities or differences between your two settings. Construct a justification for the shared clinical system from ethical, legal, social, and public policy viewpoints. Formulate a plan for implementation and create the necessary workflow for a successful implementation. Evaluate the role of the master’s prepared informatics nurse after implementation. 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. Assignment Expectations Length: 1000-1500 words; must thoroughly address the questions in a clear, concise manner. Structure: Include a title page and reference page in APA style. These do not count towards the minimum word count for this assignment. References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims. Format: Save your assignment as a Microsoft Word document (.doc or .docx). File name: Name your saved file according to your first initial, last name, and the assignment number (for example, “RHall Assignment 1.docx”) Discussion Question 1 Expert Answer and Explanation Accessing Information Delivering Professional Continuing Education Accessing information can be done through multiple frameworks depending on convenience, availability, and affordability. Delivering professional care and continuing with education can have a number of challenges to the learner in terms of the acquisition of relevant information or resources to get the needed information (McGonigle & Mastrian, 2017). Depending on the nature of the education, a person can choose the most preferred form of information acquisition to help advance in their various academic fields. As a nurse, one can be able to access information either through the ease of technology or by learning from different avenues (McGonigle & Mastrian, 2017). Progress in education is important to improve the understanding of how the nursing sector operates as well as the creation of a positive impact within the healthcare industry. Relationship Between Technology and Learning Access to information can be obtained either through the use of technology or other forms of learning. To begin with, technology in terms of access to information can be viewed as a large inventory of different information waiting to be discovered and put into practice. Technology from devices, to software to databases offers an effective way for nurses to access information from different sources in the world with easer and in an affordable manner (Pickering et al., 2017). Healthcare professionals can make use of technology to impact the quality of care as well as improve their education. Learning on the other hand is the acquisition of education either through theoretical or practical engagement with an educator. A nurse delivering professional care can best use technology for continuing education as it works best and can be conducted at their convenience (Pickering et al., 2017). Learning requires one to be present physically, but technology can be utilized any time and a person can easily schedule their time. References McGonigle, D., & Mastrian, K. (2017). Nursing Informatics and the Foundation of Knowledge (4th ed.). Jones & Bartlett Learning. ISBN: 978-1284121247. Pickering, J. D., Henningsohn, L., DeRuiter, M. C., de Jong, P. G., & Reinders, M. E. (2017). Twelve Tips for Developing and Delivering A Massive Open Online Course in Medical Education. Medical Teacher, 39(7), 691-696. Alternative 1: EHR and Education Professional continuing education is a necessity for all nursing staff. This is a requirement by state boards of nursing and the nurse is responsible for maintaining any certificates to prove hours earned for continuing education credit (Moazami et al., 2014). These hours were previously offered in a traditional classroom setting or in a hands-on environment such a simulation lab. However, as technology has advanced and the need for online education has grown, CEUs (Continuing Education Credits) were offered via internet offerings (Moazami et al., 2014). Many nurses struggle and want an in person education. Others are very technologically savvy and prefer the online environment. The state board here where this nurse is employed offers CEUs online through their nursing portal. Others offer education via webinars or attending virtually to a forum. This nurse previously preferred an in-person education class due to the need for retaining information. As this nurse returned to school and learned more technology, virtual offerings became easier to attend and earn CEUs. As Covid impacted the healthcare world, nurses needed to attend many different virtual offerings. Many forums such as Dialysis care and post transplant care hosted Zoom conferences to allow more attendance. The entire world learned to be more technologically savvy and utilized webinars, Zoom, Webex and other virtual platforms to allow attendance and still have involvement. As this nurse is nearing completion of her MSN online, she is very grateful for technology and the opportunity to grow in a virtual classroom. Reference: Moazami, F., Bahrampour, E., Azar, M. R., Jahedi, F., & Moattari, M. (2014, March 5). Comparing two methods of education (virtual versus traditional) on learning of Iranian dental students: a posttest only design study. BMC medical education. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3975717/. Alternative 2: Learning through technology Continuing education is delivered in various ways thanks to technology. McGonigle and Mastrian (2018) described simulation, gaming, and virtual reality to educate nurses. Simulation represents real life situations done in person with role play, manikins, or web-based applications.
[ANSWERED] Patient is a 24-year-old female administrative assistant who comes to the emergency department with a chief complaint of severe right-sided headache
Patient is a 24-year-old female administrative assistant who comes to the emergency department with a chief complaint of severe right-sided headache Case Study Analysis An understanding of the neurological and musculoskeletal systems is a critically important component of disease and disorder diagnosis and treatment. This importance is magnified by the impact that that these two systems can have on each other. A variety of factors and circumstances affecting the emergence and severity of issues in one system can also have a role in the performance of the other. Effective analysis often requires an understanding that goes beyond these systems and their mutual impact. For example, patient characteristics such as, racial and ethnic variables can play a role. An understanding of the symptoms of alterations in neurological and musculoskeletal systems is a critical step in diagnosis and treatment. For APRNs this understanding can also help educate patients and guide them through their treatment plans. In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health. To prepare: By Day 1 of this week, you will be assigned to a specific case study scenario for this Case Study Assignment. In your Case Study Analysis related to the scenario provided, explain the following: Both the neurological and musculoskeletal pathophysiologic processes that would account for the patient presenting these symptoms. Any racial/ethnic variables that may impact physiological functioning. How these processes interact to affect the patient. Case Study Scenario Patient is a 24-year-old female administrative assistant who comes to the emergency department with a chief complaint of severe right-sided headache. She states that this is the sixth time in the last 2 months she has had this headache. She says the headaches last 2–3 days and have impacted her ability to concentrate at work. She complains of nausea and has vomited three times in the last 3 hours. She states, “the light hurts my eyes.” She rates her pain as a 10/10 at this time. Ibuprofen and acetaminophen ease her symptoms somewhat but do not totally relieve them. No other current complaints. Rubric Detail Excellent Good Fair Poor Develop a 1- to 2-page case study analysis, examining the patient symptoms presented in the case study. Be sure to address the following: Explain both the neurological and musculoskeletal pathophysiologic processes of why the patient presents these symptoms. 28 (28%) – 30 (30%) The response accurately and thoroughly describes the patient symptoms. The response includes accurate, clear, and detailed explanations of both the neurological and musculoskeletal pathophysiologic processes of patients who present these symptoms and is supported by evidence and/or research, as appropriate, to support the explanation. 25 (25%) – 27 (27%) The response describes the patient symptoms. The response includes accurate, explanations of both the neurological and musculoskeletal pathophysiologic processes of patients who present these symptoms and is supported by evidence and/or research, as appropriate, to support the explanation. 23 (23%) – 24 (24%) The response describes the patient symptoms in a manner that is vague or inaccurate. The response includes explanations of both the neurological and musculoskeletal pathophysiologic processes of patients who present these symptoms and is supported by explanations that are vague or based on inappropriate evidence/research. 0 (0%) – 22 (22%) The response describes the patient symptoms in a manner that is vague and inaccurate, or the description is missing. The response does not include explanations of both the neurological and musculoskeletal pathophysiologic processes of patients who present these symptoms, or the explanations are vague or based on inappropriate evidence/research. Explain how the highlighted processes interact to affect the patient. 28 (28%) – 30 (30%) The response includes an accurate, complete, detailed, and specific explanation of how the highlighted processes interact to affect the patient and is supported by evidence and/or research, as appropriate, to support the explanation. 25 (25%) – 27 (27%) The response includes an accurate explanation of how the highlighted processes interact to affect the patient and is supported by evidence and/or research, as appropriate, to support the explanation. 23 (23%) – 24 (24%) The response includes a vague or inaccurate explanation of how the highlighted processes interact to affect the patient, with explanations that are based on inappropriate evidence/research. 0 (0%) – 22 (22%) The response includes a vague or inaccurate explanation of how the highlighted processes interact to affect the patient, with explanations that are based on inappropriate or missing evidence/research. Explain any racial/ethnic variables that may impact physiological functioning. 23 (23%) – 25 (25%) The response includes an accurate, complete, detailed, and specific explanation of racial/ethnic variables that may impact physiological functioning and is supported by evidence and/or research, as appropriate, to support the explanation. 20 (20%) – 22 (22%) The response includes an accurate explanation of racial/ethnic variables that may impact physiological functioning and is supported by evidence and/or research, as appropriate, to support the explanation. 18 (18%) – 19 (19%) The response includes a vague or inaccurate explanation of racial/ethnic variables that may impact physiological functioning, and/or explanations that are based on inappropriate evidence/research. 0 (0%) – 17 (17%) The response includes a vague or inaccurate explanation of racial/ethnic variables that may impact physiological functioning, or the explanations are based on inappropriate or no evidence/research. Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria. 5 (5%) – 5 (5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria. 4 (4%) – 4 (4%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. The purpose, introduction, and conclusion of the assignment are stated, yet they are brief and not descriptive. 3.5 (3.5%) – 3.5 (3.5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. The purpose, introduction, and conclusion of the assignment are vague or off topic. 0 (0%) – 3 (3%) Paragraphs and sentences follow writing standards
[ANSWERED 2022] In this assignment you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding
In this assignment you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved In this assignment you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (750-1,000 words) to present to the board, from which the board will make its decision to fund your program or project. Include the following: The purpose of the quality improvement initiative. The target population or audience. The benefits of the quality improvement initiative. The interprofessional collaboration that would be required to implement the quality improvement initiative. The cost or budget justification. The basis upon which the quality improvement initiative will be evaluated. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 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. Refer to the LopesWrite Technical Support articles for assistance Expert Answer and Explanation Quality Improvement Initiative A quality improvement initiative focuses on monitoring, analyzing, and improving the quality practices to improve healthcare outcomes in the healthcare organization. Beran et al. (2018) said that hospitals could gather and examine data in critical areas to effectively select a project that can meet their quality requirements. Therefore, this paper proposes a pharmacist-provided Medication Therapy Management (MTM) program to an organization’s board of directors for funding. Purpose of the quality improvement initiative The primary purpose of pharmacist-provided Medication Therapy Management (MTM) project is to improve patients’ outcomes and reduce healthcare costs (Beran et al., 2018). The target population or audience The pharmacist-provided or led MTM project will target the Medicare population. The population constitutes of individuals ages 65 and above, irrespective of their income, health status, medical history, and people with long-term disability (Beran et al., 2018). These persons use a lot of medicines because of their chronic conditions, including depression, heart diseases, influenza, respiratory infections, and diabetes. The benefits of the quality improvement initiative The two essential advantages of the MTM project include empowering of patients and provide service value. Empowering of patients Pharmacist-provided Medication Therapy Management (MTM) encourages patients to participate in their healthcare actively. This is an approach of empowering patients to be responsible and be knowledgeable about their medication use and health (Henderson, Brooks, Richey & Thompson, 2019). MTM services enable an active partnership among pharmacists, patients, physicians, and other healthcare professionals or providers for the attainment of optimum medication treatment outcomes. Henderson, Brooks, Richey, and Thompson (2019) concluded that various patients have attested that pharmacist-provided MTM services have a positive impact on their care in most states in the United States. Provision of services value Pharmacist-led Medication Therapy Management (MTM) services contribute to patients’ safety, appropriateness care, and effective use of drugs. These are the three ways in which this initiative will provide service value to patients. The methods are highlighted below. One, MTM project improves the quality of patient outcomes and care. For example, MTM services usually save lives at risk. Two, the MTM program reduces healthcare spending. Spivey et al., 2019 explained that MTM services have the potential of lowering medical expenditure linked with physician visits or emergency care visits or hospitalizations. Three, MTM project also reduce medication-associated adverse events by improving patient safety (Spivey et al., 2019). Moreover, there are various pieces of evidence indicating that improved healthcare outcomes and better management of healthcare spending result from pharmacist-provided MTM services in both the private and public health sector. For example, the Iowa Medicaid Pharmaceutical Case Management (PCM) Program. This is an MTM project that was established in 2000 to target high risks patients who use more than four medicines. The program has improved prescribing of appropriate drugs and a significant reduction in the utilization of high-risk medications. Another example, The Diabetes Ten City Challenge. This is an MTM health benefit project instituted by groups of employers in ten communities. The initiative has resulted in savings of about $918 per worker in total healthcare expenses for the past years and a 50% reduction in employees’ absenteeism (Spivey et al., 2019). Therefore, the value of pharmacist-provided Medication Therapy Management in clinical, humanistic, and economical is real as its results are outstanding and replicable. The interpersonal collaboration required for the implementation of the quality improvement initiative Enhancement of patient-centered medical care and patient outcomes, a comprehensive team-based will be necessary for the implementation of this project. In MTM project implementation, pharmacists will be prerequisite to boost medicines use that can help to improve patient outcomes. According to the American College of Clinical Pharmacy et al. (2015), for organizations to deliver pharmacist-provided Medical Therapy Management, pharmacists are required to work together with doctors or physicians effectively. Physicians are also required to collaborate with nurses. Nurses are needed to work in partnership with patients (American College of Clinical Pharmacy et al., 2015). The three collaborations are vital for the implementation of pharmacist-led MTM. The cost or budget justification The table below presents different costs needed for the implementation of pharmacist-provided Medication Therapy Management (MTM) program at the organization. Cost category Cost in USD in million % of total Type of cost (USD) Personnel 19. 21 41.32 Variable Material and Supplies 9.25 19.90 Variable Equipment 7.45 16.02 Fixed Non-salary direct 10.1 21.72 Fixed Overhead 0.48 1.03 Fixed Total 46. 49 100% Source (Author, 2019). From the table above it can be deduced that the project requires a total of US$46.49 million. Variable costs in this program are will be caused by the changing cause quality and quantity of the service that the health organization will deliver (Berry, Eizenberg & Waldfogel, 2016). Fixed costs are also expenditures that dependent on the level of services that the organization will offer to its clients. The basis upon which the
[ANSWERED 2023] Explain the concepts of setup time, utilization time, production scheduling, and bottlenecks in a simple manufacturing process and what the role of the operations manager is
Explain the concepts of setup time, utilization time, production scheduling, and bottlenecks in a simple manufacturing process Within the Discussion Board area, write 200-300 words that respond to the following with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas. Using what you learned in the game module, please explain the following aspects of a production process: Provide an overview of what a manufacturing process is and how it is organized. Explain the concepts of setup time, utilization time, production scheduling, and bottlenecks in a simple manufacturing process and what the role of the operations manager is. Expert Answer and Explanation Manufacturing Process Manufacturing is the production of goods and services for sale or use using tools, machines, biological formulation, and labor (Yang et al., 2018). Therefore, the manufacturing process, also known as manufacturing engineering, can be defined as the stages followed to change raw materials to the final product or service. For instance, stages of transforming wheat into bread can be called a manufacturing process. The manufacturing process can be organized in the following steps. The first step is the product concept, where an idea is generated. The second step is research. The third step is a product design and materials specification. Here, the manager will design a product and identify the resources needed to make it. The fourth step is researching and developing the final product or service design (Yang et al., 2018). Step five is prototype testing to find any faults in the design for appropriate changes to be made. Other steps include manufacturing, assembly, feedback and testing, product development, and final product. Concept of Setup Time Setup time is the period taken to reconfigure a machine to operate a different production section. Utilization is the amount of an element used to achieve a specific goal. Utilization time is the period used to manufacture a single product. Manufacturing and production run on the timeline. Production scheduling is the process of planning the time taken to complete an activity in the manufacturing process. A bottleneck in manufacturing is a point where workloads arrive faster for a production process to handle. It can create delays to lead to higher production costs. Operations managers can hire and fire workers, improve organizational processes, set training standards and hiring policies, planning, operations strategy, embracing design, and managing the operation process (Wolniak, 2019). References Wolniak, R. (2019). Operation manager and its role in the enterprise. Production Engineering Archives, 24(24), 1-4. https://content.sciendo.com/view/journals/pea/24/24/article-p1.xml Yang, B., Qiao, L., Cai, N., Zhu, Z., & Wulan, M. (2018). Manufacturing process information modeling using a metamodeling approach. The International Journal of Advanced Manufacturing Technology, 94(5-8), 1579-1596. https://link.springer.com/article/10.1007/s00170-016-9979-0 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 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 “explain the role of the operations manager” “setup time in manufacturing” “utilization time in manufacturing” “what is manufacturing process” “manufacturing processes examples” “manufacturing process pdf” “what is manufacturing industry” “manufacturing process steps” “manufacturing process types” “5 types of manufacturing process” “importance of manufacturing process”
[ANSWERED 2023] Describe the national healthcare issue/stressor you selected and its impact on your organization
Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system. Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time. you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected. To Prepare: Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for the study. Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected. Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor. The Assignment (3-4 Pages): Analysis of a Pertinent Healthcare Issue Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following: Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization). Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations. Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples. APA citation 3 to 4 references within 5 years Grading Rubric Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing the selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following: · Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).— Excellent 23 (23%) – 25 (25%) The response accurately and thoroughly describes in detail the national healthcare issue/stressor selected and its impact on an organization. The response includes accurate, clear, and detailed data to quantify the impact of the national healthcare issue/stressor selected. Provide a brief summary of the two articles you reviewed from outside resources, on the national healthcare issue/stressor and explain how the healthcare issue/stressor is being addressed in other organizations.— Excellent 27 (27%) – 30 (30%) A complete, detailed, and specific synthesis of two outside resources reviewed on the national healthcare issue/stressor selected is provided. The response fully integrates at least 2 outside resources and 2 or 3 course-specific resources that fully support the summary provided. Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected and explain how they may impact your organization both positively and negatively. Be specific and provide examples.— Excellent 27 (27%) – 30 (30%) A complete, detailed, and accurate summary of the strategies used to address the organizational impact of the national healthcare issue/stressor is provided. The response accurately and thoroughly explains in detail how the strategies may impact an organization both positively and negatively, with specific and accurate examples. Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.— Excellent 5 (5%) – 5 (5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria. Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation— Excellent 5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors. Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.— Excellent 5 (5%) – 5 (5%) Uses correct APA format with no errors. EXPERT ANSWER Analysis of a Pertinent Healthcare Issue With the increasing number of people who are covered by the government-sponsored health insurance programs, a challenge has emerged on how to cater to the healthcare needs of the nation. The number of monetary investments has been on the increase but the manpower has failed to catch up to the increasing number of patients needing healthcare services. This especially has been the case with the increasing aged population who qualify for the Medicare and Medicaid programs (Blouin & Podjasek, 2019). This is an issue that has trickled down to the healthcare facilities including the organization I work for. Nurse staffing is considered an issue that has major significance in patient outcomes, including the quality of care delivered to patients. several studies have indicated the effects of nurse staffing on patient outcomes,
[ANSWERED 2022] Create the table below of the most prominent fallacies in thinking. Select 15 of the 44
Unit VIII Assignment Table of Dirty Tricks Create the table below of the most prominent fallacies in thinking. Select 15 of the 44 “Dirty Tricks” outlined in your textbook beginning on page 313. Include each of the following items in your table: the name and number of the dirty trick, the decision-making that would lead someone to employ this trick, how you would detect it was being used, and one or two ways in which you might counter the strategy. See the table headings below and help fill in below each heading. Can be a Word document. Course Textbook(s) Paul, R., & Elder, L. (2012). Critical thinking: Tools for taking charge of your learning and your life (3rd ed.). Upper Saddle River, NJ: Pearson. Expert Answer and Explanation Name Decision making leading to use How to detect the trick How to counter the trick Dirty trick #16: Create misgivings: Where there is smoke, there is fire A manipulator uses this type of fallacy when they want to demean you or your efforts towards something (Bennet, 2013). They create false charges that they know that the audience will believe. This type of fallacy can be detected the moment an opponent includes rumor or false allegations in the course of argument as a way of taking off the heat from the issue which they were initially questioned of. We can counter this kind of trick by informing the audience that the allegations or rumors being spread are purely fabricated. That the lies being peddled lack credible evidence. Dirty trick: #17: Create a straw man This type of fallacy is used when the opponent, in this case known as “straw man”, wants to make you look bad through your case, and at the same time justify their case. One can detect this trick when the manipulator starts to portray the opponent’s well-intended message in a way that the audience will reject it. The best way to counter this trick is to emphasize your message and let the audience understand clearly the reason as to why you are supporting your message. Dirty trick #18: Deny or defend inconsistencies A manipulator uses this trick whenever they are caught in a contradiction. In most cases, the manipulator will try as much as possible to defend or deny the contradiction. We can detect this trick by listening keenly to what the manipulator is saying. It is through being keen that we can be able to under a deviation or contradiction. We can counter this trick by exposing the manipulator’s contradiction and let the audience know that the manipulator is trying to cover it up. Dirty trick #19: Demonize his side, sanitize yours This type of trick is used when the manipulator manipulates the audience to accept his or her message and reject that of their opponent by systematically using “good” words to represent themselves and “negative” words to represent the opponent (Bennet, 2013). One can detect this kind of trick by listening carefully to the manipulator’s message in order to understand their intention or the kind of information they are trying to put across. This kind of trick can be countered by letting the audience understand your message and intention. This will help to discredit the manipulator’s message Dirty trick #20: Evade questions, gracefully This kind of dirty trick is used when an opponent is faced with a tough question. In such a scenario, the opponent will often respond with a superficial answer or a joke just to get an avenue to get to the next question. We can detect this type of trick when an opponent deviates from answering the question asked, and instead resorts to engage in jokes to evade the question asked. Let the audience know the question asked and the response given by the opponent. This will help to show the opponent’s incompetence. 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 Solved questions 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
[ANSWERED 2022] In this project, you will select an organization, or a segment of an organization, and interview key employees in order to gather information concerning the organization’s critical success factors (CSFs)
Individual Learning Project 1 Instructions [ANSWERED 2022] In this project, you will select an organization, or a segment of an organization, and interview key employees in order to gather information concerning the organization’s critical success factors (CSFs). Company Analysis and Evaluation Project In this project, you will select an organization, or a segment of an organization, and interview key employees in order to gather information concerning the organization’s critical success factors (CSFs). Be sure to inform your interviewees that any proprietary information included in this project will be kept confidential. You will then develop a SWOT analysis to clarify and aid in the identification of the organization’s/segment’s CSFs. The written project requires you to prepare and submit the following in order: Brief description of the organization/segment (1 paragraph) SWOT analysis in chart form containing the following 4 categories: Strengths, Weaknesses, Opportunities, and Threats. Each item must be clearly and concisely stated. Balanced Scorecard in chart Clearly and concisely list CSFs in each of the 4 categories identified in the text. For each CSF, explain in a separate column how the measurement of the CSF will transpire. A discussion of the CSFs chosen for the organization/segment – Why were these particular factors selected? Why are they important in accessing the success of the company? (2–3 pages) An evaluation of the organization/segment to determine if it is achieving each of the CSFs. Analyze each CSF and use data from the measures indicated in the Balanced Scorecard as support for the conclusions. (2–3 pages) >additional guidelines Additional guidelines: The project must be at least 5 pages, excluding the 2 charts. The project must be written in current APA format. Avoid using first and second person (e.g., “I,” “we,” “you,” etc.). You must reference a minimum of your textbooks and 2 additional scholarly sources. Wikipedia, Investopedia, and the like are not considered scholarly sources and should not be used. Any use of these sources will be grounds for a 100-point deduction. Any personal communication must be cited appropriately within the text; however, citations of personal communication are not needed for the reference section. The project must include a properly formatted cover page. An abstract and table of contents are not needed. The final assignment must be submitted via the SafeAssign submission link. If the information within the SWOT chart or the Balanced Scorecard chart needs to be cited, you may deviate from current APA format and use superscripts, with the citations placed underneath the chart. This is the only deviation from the current APA manual that is allowed. See the Course Syllabus for the Late Assignment Policy. See the grading rubric for more information concerning the point breakdowns. >individual learning project 1 Individual Learning Project 1 is due by 11:59 p.m. (ET) on Sunday of Module/Week 4 Expert Answer and Explanation Company Analysis and Evaluation Project Coca-Cola Company has been a key player in the manufacturing and distribution of nonalcoholic beverages across the world. The company has made significant highlights in addressing both internal and external concerns that affected their operations. Founded in Georgia in 1892, Coca-Cola is notably a global leaders in beverage manufacturing and distribution. The company controls distribution channels of more than 500 nonalcoholic beverage brands; mainly beverages but also a series of varieties of other options including water, juice, coffee and related drinks. SWOT Analysis Strength Brand Awareness String brand awareness The company has a string brand awareness. Robust Distribution Network The company manufactures and distributes its products through consumer networks around the world that are owned and controlled by independent distributors and partners. Weaknesses >water managementdiversificationnutritious selection
[ANSWERED] Shadow Health: Interview Rachel
Shadow Health: Interview Rachel Complete the Digital Experience. The estimated average time to complete this assignment is 60 minutes. Please note, this is an average time. Some students may need longer. This clinical experience is a conversation concept lab. Students have one opportunity to complete this graded assignment. Upon completion of the interview, submit your lab pass to your instructor in the classroom. Students will receive full points for successful completion of this assignment. A proficiency score is not provided. Please review the assignment in the Health Assessment Student Handbook in Shadow Health prior to beginning the assignment to become familiar with the expectations for successful completion. Expert Answer and Explanation 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 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