Category: Health care

Question :
The Australian Federal Government is currently undertaking a significant reform of the aged care sector. Specifically, the sector has been criticised for not being responsive to the needs of the Australian population and will be unable to deliver appropriate and effective caretoan ageing population with increasingly more complex care needs. A key element of the reform process will involve a move towards Consumer-Directed Care where by people will have greater choice, and the care they receive will be based on the individual needs.

You have been asked to provide a summary of Consumer-Directed Aged Health Care both here and internationally and include examples of where it has been implemented and evaluated. You are then required to provide a summary of the requirements for effective implementation in Australia along with an evaluation frame work that you have developed to determine its effectiveness overtime.

 

1) I would like from you to do it the Chapter Literature Review and Chapter Methodology. I upload the Chapter one that will guide you what will you do in chapter Literature Review and Chapter Methodology. In Chapter one you will find all Structure about my dissertation from the topic, objective, Problem Statement and Questions, Significance of the Study, Nature of the Study, Study population and sample, Study Model and Hypotheses, Study Scope, Terminologies of the Study and Research Structure. In the end of each Chapter I would like from you to but Conclusion for each chapter.

2) I will upload to you the Reference that I want from you to use it, use only my Reference that I will uploaded for you only. You can add some web side such as (www.org) .

3) In Chapter One just I want from you to modify and add information to the Introduction and Significance of the Study.

4) I would like also to design and write a questionnaire. The questionnaire should be related to the model and the Hypotheses and the implementation of HER in the hospital.

Finally I would like from you to write Abstract to the dissertation
(Please be careful about the plagiarism)

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Must read 5 excerpts and discuss different forms of treatment for pain, successful and unsuccessful.
in your analysis, be sure to explain what pain is, and how it works neurologically?
You may also address, what are the effects of music, massage, exercise upon the experience of pain? what do these effects suggest about the nature of pain? what is the role of the brain in perception of pain? why according to the author does the meaning of pain affect the experience of pain? why does symbolic representation have an effect upon the experience of pain? why does a person’s emotional state have an effect upon the experience of pain?
Include key terms and define them to support argument ie chronic pain, pain management, analgesia, nociceptive pain, protective pain. maladaptive pain, somatic pain, emotional pain, non-pharmacological intervention and symbolic representation
No heavy quotations, please.
succinct and concise, focusing on healthcare/medicine with some creative writing infused, if possible

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Summarize the Every Woman Matters program and how the issue of women�s preventive health care was approached. Analyze possible reasons the program was ineffective.

�Summarize the characteristics at least two prevention programs that advocate for early screening, describing what made them successful.

�If you were the nurse leader in charge of developing a follow-up to the Every Woman Matters program, what strategies would you propose for creating a more effective prevention program?

summary of the paper one paragraph

 
Poster

You are required to produce a case study in the form of a poster on the following disease:

– Hodgkin’s Lymphoma
FURTHER INFORMATION ON ASSIGNMENT

You are required to:
a) develop a case study on a patient with the following diseases: Lymphoma

Further information on the coursework:
The only information you have been provided with on this case study is the disease, lymphoma
Therefore, you need to decide:
• age (select an age from the typical age range the disease is diagnosed in) and gender of patient;
• What led to the patient being diagnosed (was it a routine blood test or were they symptomatic?).
• Need to describe tests performed to diagnose the condition, and the patient’s results of these tests, together with the normal reference ranges. This means you will need to identify what abnormal findings are typically found in the disease and select appropriate ones. The easiest way of concisely summarising this information is in a table.
• Remember to match symptoms to the laboratory values, and also to the disease stage/severity
• Describe how the disease progresses in your patient, providing further information on clinical symptoms and results of additional tests that accompany disease progression
• Provide details of the treatments given (name, dosage, frequency) to your patient and monitoring the treatment response in your patient (i.e. selecting appropriate values).
• The case study of a particular disease, which means you need to provide all the above information in the context of your patient. It is not an essay in which you write about the above topic generally, it must be related to your patient.
• Need to provide references and include labelled figures appropriate and tables in the context of the disease and your patient.

 
Week 3 / Cardiovascular Drugs / Case Study #2
Patient HM has a history of atrial fibrillation and a transient ischemic attack (TIA). The patient has been diagnosed with type 2 diabetes, hypertension, hyperlipidemia and ischemic heart disease. Drugs currently prescribed include the following:
Warfarin 5 mg daily MWF and 2.5 mg daily T, TH, Sat, Sun
Aspirin 81 mg daily
Metformin 1000 mg po bid
Glyburide 10 mg bid
Atenolol 100 mg po daily
Motrin 200 mg 1–3 tablets every 6 hours as needed for pain

In this scenario, Mr. H. M. is given an age of 55 and a behavioral history of smoking.

The medications he is prescribed are listed in the table next to the conditions that I have assumed they are prescribed for.
HISTORY

Male, age 55 / Smoker

CURRENT

MEDICATIONS

PROPOSED CHANGES
TIA

Aspirin 81 mg daily
ATRIAL FIBRILLATION

Coumadin 5 mg MWF,

And 2.5 mg T,Th,S,S
TYPE 2 DIABETES

Glyburide 10 mg BID

Metformin 1000 mg BID

Stop Glyburide,

– try Glipizide
HYPERTENSION

Atenolol 100 mg QD

(Beta Blocker)

Stop Atenolol. Change to ACE Inhibitor,

– Lisinopril *May potentiate Glipizide
HYPERLIPIDEMIA

No treatment

Add Statin drug: Simvastatin
ISCHEMIC HEART DISEASE

Aspirin 81 mg po daily
Unknown pain History?

Ibuprofen

Discourage / Discontinue

Suggest Tylenol for mild pain.
A history of frequency and reason for using Ibuprofen is required from H.M. If this is a rare occasion, it may be benign to use this, but if he is using ibuprofen on a regular basis daily for mild pains, he should be advised to change to Tylenol due to the interactions between Ibuprofen, aspirin and Warfarin which will increase the risk of GI bleeding. Ibuprofen will also reduce the anti-platelet effect of aspirin (Drugs.com, n.d.a; Li, Fries, Li, Lawson, Propert, Diamond, Blair, Fitzgerald & Grosser, 2014).

Atrial Fibrillation and History TIA

Warfarin/Coumadin. H.M. is on low dose of aspirin which has a risk of increased bleeding when used with Coumadin, but the risk is lower than if he were on 325 mg doses. Given his history of ischemic heart disease and hypertension, TIA and atrial fibrillation, Coumadin and aspirin are both appropriate medications; under the assumption PT/INR are within correct therapeutic range.

Ischemic heart disease, Hypertension, Atrial Fibrillation

Atenolol 100 mg po Daily: H.M. is on Atenolol which is a cardio-selective beta blocker. According to the American Heart Association (2014, p. e222) a class I choice for controlling the ventricular rate in atrial fibrillation is a beta blocker or calcium channel blocker. However, H.M.’s diabetes control may be affected by being on a beta blocker as the blocking of beta 1 masks the fight or flight response and symptoms of hypoglycemia, such as tachycardia, could be masked (Reese & Peterson, 2013). This is not the best blood pressure drug for H.M. because of his diabetes history and ischemic heart disease. I am assuming a controlled blood pressure @ 140/80 while on the beta-blocker, with the following recommendation:

A better course of action would be a baseline BUN and creatinine and then initiation of an Angiotensin-converting Enzyme (ACE) inhibitor (Reese & Peterson, 2013; American Heart Association, 2012). The AHA 2012 guidelines for ischemic heart disease, a Class I recommendation in the presence of hypertension and diabetes is for an ACE inhibitor (p.3114). The JNC-8 recommendations for patients < 60, (Mr. H.M. is 55) are to use an ACE or ARB as the initial line of therapy. They do not recommend a beta-blocker as initial hypertensive treatment with diabetes (American Medical Association, 2013, Recommendation #6, p. e7)

Hyperlipidemia

That Mr. H.M. is not on a specific medication for hyperlipidemia in the context of his history of ischemic heart disease may mean that his physician wanted him to try to implement lifestyle modifications such as reduced cholesterol and diabetic diet along with exercise and smoking cessation (Barron, 2013). A trial of lifestyle modifications is foregone with diabetes (Barron, 2013) and a statin should be initiated for H.M. now.

The American Diabetic Association (2015) standards of care for diabetes indicate that Statin drugs should be implemented in diabetic patients based on risk factors alone regardless of LDL level. Therefore, although lifestyle modifications are indicated, this should not delay starting H.M on a Statin drug. He will need a baseline liver profile. Lipitor does not require a follow up lipid panel in 6 weeks (Barron, 2013). Lipitor is a started at 10mg and increased based on response. Absorption of Lipitor is the same regardless of when it is taken, morning or evening whereas some statins are best taken at night (Pfizer, 2015).

Type II Diabetes

Evaluation of H.M.’s baseline renal function and hemoglobin A1c is required in order to make any decisions about his diabetic medications. However, because his Metformin 1000 mg bid is the maximum daily dose (Drugs.com, 2015c) and has been combined with Glyburide 10 mg b.i.d., the indication is, that Mr. H.M.’s diabetes was not well controlled with one medication. Although there is no known changes in pharmacodynamics & pharmacokinetics between Metformin and Glyburide, the maximum recommended dose for Glyburide is 12 mg daily (Drugs.com, 2015c) and H.M. is taking 10 mg twice dialy. Glyburide also peaks at 4 hours and has a terminal half life of 10 hours (Drugs.com, n.d.b). If H.M. is truly needing a second drug twice daily, he may benefit from one with a shorter half life such as Glipizide. Starting dose is 2.5-5.0 mg once daily and titrated according to their response (Drugs.com, 2015b). The effects of Glipizide may be potentiated with the use of Lisinopril (ACE) inhibitor (Drugs.com, n.d.b)

Smoking history. H.M. should be strongly encouraged to stop smoking. A study in 2015, for which I could only access the abstract and conclusions, indicates that metformin appears to decrease the risk of mortality from cardiovascular events with smokers (Paul, Klein Majeed & Khunti, 2015).

Alison

 
The Coursework Essay description:

Select an area of service or practice and formulate a plan that outlines a development or improvement to that area. The development and/or improvement may be one of the following
• An additional practice or intervention, which makes a difference to service delivery
• A continued professional development activity
• A service improvement or extension
The coursework word count should not exceed 2500 words. Tables, figures, schematics and/or appendices do not count in the word count. The coursework should begin with an “Executive Summary” not exceeding 500 words and main report (2000 words).
.The purpose of the “Executive Summary” is to outline the key points of the project, summarising the content of the report in a succinct and clear fashion. There is an explanation of the executive summary within the narrated presentation on assessment. You should access examples of executive summaries in government and professional papers to help with this. NB An executive summary is NOT an abstract.

The main body of the assignment should not exceed 2000 words.

Your answer should include the following:
• A succinct description of the existing service, identifying the issue or problem and the reasons you have chosen to address it
• An outline of, and justification for, the proposed service development with reference to:
o Relevant legislation
o Appropriate supporting literature
• A brief estimate of the financial impact on the service, justifying the anticipated costs and savings (this should be included in a brief table).
• Appropriate governance / quality issues e.g. audit, risk, management, staff skills, as relevant to your chosen context
• Appropriate presentation and writing style for your plan.
The coursework topic:

Renovation of Radiological Services from Conventional X-Ray to Digital System in Aseer Central Hospital in Saudi Arabia

Note:
Number of Staff in the Aseer hospital: There are currently 16 radiographers and 4 radiologists

The coursework requires:

1- There is in attachment an example file ( 4000 words), which has the same idea and same requirements. Thus, could you flowing the same headings and graphs and appendix please?

2- Please start the work with Executive Summary ( 500 words).

3- Could you please paraphrase the topic? ( because it’s the same topic in the example which is submitted through the Turintin, please make sure for the hospital and meaning still the same things.

8

Approaches to Addressing Health Issues
Do health theories truly define the extent of a public health or social issue?
The social and behavioral sciences have provided myriad models and theories that health professionals often use when developing health interventions. While some of these models focus on changing an individual’s health behavior, others encompass social and environmental influences. As described in Week 2, the premise of ecosocial theory posits that the behavior of individuals is dependent upon the dynamic interaction of intrapersonal, interpersonal, organizational, community, and policy influences.
Consider the inequitable distribution of rates of obesity when comparing affluent versus lower socioeconomic neighborhoods. Can food deserts (where easy access to cheap fast-food far outweighs the prevalence of healthy and nutritious food) lead to higher rates of obesity in lower socioeconomic neighborhoods? Do social class, education, and culture represent additional contributing factors in these communities? What perspectives or lens can best inform interventions to address obesity in low-income communities?
For this Discussion, review this week’s Learning Resources. Then, select a health issue and population of interest. Consider which level in the SEM might most impact changes in health outcomes in your selected population. Reflect on a social or behavioral theory/model associated with a level in the SEM to focus the intervention for your target population.
Post by Day 3 a brief description of the health issue in the population you selected. State your position as to which level in the SEM would most impact changes in health outcomes for this population and explain why. Then, identify a social or behavioral theory/model that maps to the SEM level. Briefly explain how this social or behavioral theory/model could be applied in an intervention aimed at your target population. Be specific and provide examples.
Introduction An examination of the changing health patterns in this century justifies both celebration and dismay. (Levins, 1998) The world of public health is replete with past triumphs and challenges in addressing health issues. Consider for example increased life expectancy at birth, advances in promoting safe drinking water, the eradication of smallpox, or even technological advances that make diagnosis and treatment for myriad health issues more expedient. While these triumphs are certainly celebrated and contribute to the quality of life for everyone, we must keep in mind that “solutions designed to solve isolated problems can exacerbate or give rise to new ones” (Levins, 1998). Effective interventions are based on understanding the context in which a health issue occurs and selecting appropriate theories and strategies for addressing the problem within that context. In this week, you will explore how different theories and models are better suited for interventions aimed at specific targets—e.g., the individual or community. This week, you examine social and behavioral theories and consider how these theories and models relate to levels in the social ecology framework. You also consider the impact of cultural perspectives on health interventions. Objectives Students will: Identify concepts of social and behavioral theories and models Analyze social and behavioral theories and models in relation to levels in the social ecology framework Evaluate levels of the Socio-Ecological Model on the impact of health outcomes Identify considerations in choosing an appropriate theory or model to address a health issue

 
In addition to Journal Entries, SOAP Note submissions are a way to reflect on your Practicum Experiences and connect these experiences to your classroom experience. SOAP Notes, such as the ones required in this course, are often used in clinical settings to document patient care. Please refer to the Seidel, et. al. book excerpt and the Gagan article located in this week’s Learning Resources for guidance on writing SOAP Notes.
After completing this week’s Practicum Experience, select a patient that you examined during the last 3 weeks. With this patient in mind, address the following in a SOAP Note:
Subjective: What details did the patient provide regarding his or her personal and medical history?
Objective: What observations did you make during the physical assessment?
Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?
Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management including alternative therapies?
Reflection notes: What would you do differently in a similar patient evaluation?

This soap note must be on an Hypertension

 
The focus in health care reform is cost control in light of annual double-digit inflation since the late 1990s and the consumption of nearly 17% of the gross domestic product (GDP) in 2009 (more than any other country in the world). The debate is over how to reduce the rate of spending for health care while preserving quality and access to care for patients. Research at least 2 methods of reducing the percentage of the GDP spent on health care. You will need to be able to describe how you would do this in specific terms. This can be a number of approaches, such as the following:

Completely dismantle the current system and start over—A monumental task
Revise the current payment system to reflect current economic constraints
Cut Medicare and Medicaid
Insurance reform
National health insurance based on the Massachusetts Model
Malpractice reform
Legislation such as the Balanced Budget Act of 1997, the Medicare Modernization Act of 2003, the Affordable Care Act (2010), and others

Provide the following elements in your paper:

Describe the model you are supporting to best control costs without compromising the quality and access to health care, and explain how the model works.
Analyze the method that you are supporting, detailing the strengths and weaknesses from all stakeholder group (e.g., patient, provider, and third-party payer) perspectives.
Provide an example of the model in real time or as a scenario.
Summarize the anticipated results in terms of costs and benefits.f