Sexual History and assessment paper

Sexual History and assessment paper

©Philip G. Monroe, PsyD, 2009 | Sex Therapy Assessment Questionnaire 1
Sex Therapy Assessment Questionnaire Directions: Sexual problems in marriage can be complex and multi-faceted. This survey will help us assess the nature of your problem and more quickly focus therapy to your needs. Your responses will be held in confidence and only shared with your spouse with your permission. Please answer questions by checking the box the most fits your current feelings and experiences.
Name
Age
Years married?
Previously married?
Typical frequency of sex?
Strongly Agree Agree Neutral Disagree
Strongly Disagree
1. I find thoughts about sex with my spouse pleasant. 0 1 2 3 4
2. When my spouse asks to have sex I readily agree. 0 1 2 3 4
3. When I think about sex I have unpleasant memories. 4 3 2 1 0
4. Sex disgusts me. 4 3 2 1 0
5. Sex feels like a chore most of the time. 4 3 2 1 0
6. It is easy for me to become aroused. 0 1 2 3 4
7. I am usually able to stay aroused throughout sex. 0 1 2 3 4
8. I am often distracted by other thoughts during sex. 4 3 2 1 0
9. Our sexual activity is rarely rushed. 0 1 2 3 4
10 Planning time to have sex seems undesirable to me. 4 3 2 1 0
11. I regularly satisfy my spouse’s sexual desires. 0 1 2 3 4
12. My spouse regularly satisfies my sexual desires. 0 1 2 3 4
13. I wish my spouse would be more adventurous in bed. 4 3 2 1 0
14. I feel pressured to try new things during sex. 4 3 2 1 0
15. We both usually orgasm during sex. 0 1 2 3 4
16. My spouse takes a long time to orgasm. 4 3 2 1 0
17. I take too long to orgasm. 4 3 2 1 0
18. I am able to orgasm alone but not with my spouse. 4 3 2 1 0
Alexandra Slater
37
15 No
Once a week
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
©Philip G. Monroe, PsyD, 2009 | Sex Therapy Assessment Questionnaire 2
19. My spouse orgasms too quickly. 4 3 2 1 0
20. I orgasm too quickly. 4 3 2 1 0
21. It is a big problem if I or my spouse fails to orgasm. 4 3 2 1 0
22. Our sex activity usually includes vaginal penetration. 0 1 2 3 4
23. Vaginal penetration is difficult and/or painful. 4 3 2 1 0
24. We agree on what makes for good sexual activity 0 1 2 3 4
25. We cannot talk about sexual matters without fighting. 4 3 2 1 0
26. Overall, I am satisfied with our sex life. 0 1 2 3 4
27. Overall, our marriage relationship is very strong. 0 1 2 3 4
Additional comments, questions, or problems not yet noted (e.g., known physiological problems (e.g., diabetes, heart disease, menopause), medication side effects, current or past infidelity, history of child sexual abuse, addictions, domestic violence, etc.):
X
X
X
X
X
X
X
X
X
I have suffered in my past from domestic violence. I also have diabetes. I don’t believe either of those affect my sex life. My husband sometimes during sex gets a pain in his genital area. He believes it has something to do with an accident he had years ago on a motorcycle.
©Philip G. Monroe, PsyD, 2009 | Sex Therapy Assessment Questionnaire 3
Sex Therapy Assessment Questionnaire Administration and Scoring/interpretation Directions
This survey has not been statistically evaluated. Scores are calculated only to guide clinicians in treatment decisions by eliciting information in an efficient manner. At the start, provide copies of the survey questions to each spouse ask them to respond independent of each other. Respondents are to answer questions according to their current experiences and feelings. Encourage each to write any additional concerns, problems, and questions related to their struggles in the final comments box. Once completed, score the survey by noting:
1. Total Score: Sum the total score of the 27 items. Totals may range from a low of zero to a high of 108. High scores suggest significant sexual difficulties. Respondents choosing the neutral answer for every question would receive a score of 54 while admitting a problem for each item would receive a score of 81. Thus, clinical judgment suggests totals scores of 81-108 have very serious sexual dysfunction and may need other interventions prior to engaging in sex therapy proper. Total scores between 54 and 81 may suggest significant sexual dysfunction. Scores below 27 may suggest the respondent does not perceive any significant or repetitive sexual dysfunction.
2. Domain Scores: Examine the items in the five domains assessed in the survey: Desire (#1-5), Arousal (#6-10), Technique satisfaction (#11-14), Orgasm (#15-21), Pain (#22-23), and Relationship (#24-27). The following chart provides possible interpretation of domain scores
Domain Minimal Problem Likely Problem Significant Problem
Desire 0-5 6-14 15-20
Arousal 0-5 6-14 15-20
Technique satisfaction 0-4 5-12 13-16
Orgasm 0-6 7-18 19-24
Pain 0 1-3 4-8
Relationship 0-4 5-12 13-16
3. Critical Items: Examine the responses to items 4 (disgust), 14 (pressure), 25 (fighting about sex) and 27 (overall marriage satisfaction). Dialog with the respondent about their responses if their choice acknowledges problems in this area. Also, make note of any serious issues acknowledged in the comments section of the survey. If concerns about child sexual abuse, active addictions, domestic violence, imminent divorce, coercion, etc. are present, sex therapy may not be appropriate at this time since therapy is based on a trust relationship between the couple.
4. Couple Differences: Note significant differences between spouse responses. Review these discrepancies with the couple (with permission) if confident that exposing such differences will not risk harm to either spouse.
Possible exploratory questions regarding common sexual dysfunction
Desire 1. What are your feelings about sex? If experiencing negative emotions about sex, when did they first
begin? 2. Have you ever experienced positive sexual desire for your spouse? For a previous mate? 3. What, if anything, helps increase your desire for sex with your spouse? What hinders it? 4. What efforts have you made to try to cultivate appropriate sexual desire? What worries you about
trying to cultivate desire?
Arousal
©Philip G. Monroe, PsyD, 2009 | Sex Therapy Assessment Questionnaire 4
1. Have you difficulty achieving and/or maintaining arousal through sexual activity? No. What happens when you lose your arousal? That has not happened with my husband.
2. What is necessary to achieve physical or emotional arousal for sex? With my husband I get aroused very easily. A simple kiss, touch, or even sometimes the way he looks at me gets me aroused.
3. Who initiates sex? How? Planned? Spontaneous? Frequency? We both initiate sex. We sometimes just give each other a sexy look. We have been married for 15 years we know how to read each other. Sometimes we just say “Want to?” The initiation is mostly spontaneous but we do have a deal that we keep our sex life alive so one of us initiates it at least once a week.
Techniques
1. What sexual activities provide you the greatest pleasure? I seem to get the most pleasure during the old fashion missionary position. I love to feel my husbands body on top of me and him looking down on me with his pleasure smile.
2. Does your spouse know this? Is he/she able and/or willing to provide this activity? He does know that is my favorite and is willing and able anytime.
3. Do you know what pleases your spouse most and are you able/willing to provide it? My husband loves for me to perform oral sex on him. I am willing to do it anytime even if our sexual encounter ends there.
4. What constitutes foreplay? How quickly do you move to the genitals? To penetration? We take our time. Foreplay is the best part sometimes. We have even made each other beg to move to the genital area. There are times when in the genital area we wait until right before orgasm to move to penetration but other times we just want each other so bad we go to penetration after the teasing foreplay.
5. Do you attempt to have simultaneous orgasms? We have attempted it at times but it is a difficult task sometimes.
6. Are any activities or body-parts off limits for one spouse that frustrates the other? No. I do not enjoy anal sex but my husband doesn’t mind either. He doesn’t really like it that much either.
Orgasm 1. Do both achieve satisfactory orgasm? If not, why not? I always thought satisfactory orgasm was
all orgasms. With each other every orgasm is a minimum of satisfactory. 2. Does orgasm take too long? Too premature? How much time? For me orgasm takes a long time.
It always had. My husband goes fast but not to fast and he can keep going after about a minute break. A long time to me is 20 minutes. If i do not orgasm within the first 10 then I think I am not going to. We have tried up to 20 minutes before. My husband can go in 3 – 5 minutes but he does wait for me most of the time unless I dont want him to wait.
Pain 1. Presence of pain and/or distracting sensations that hinder sexual activity or satisfaction?
Sometimes my husband has pain in his scrotum area and loses his erection. 2. Vaginal tightness hindering penetration? History of penetration? No 3. Lubrications used? Sometimes KY Jelly but mostly none used.
Relationship
1. Has your spouse ever violated your trust in regards to sexual matters? No 2. Do you feel coerced to try new things relating to sex? No 3. Do you feel you have the right to refuse sex because of interest, emotions, tiredness, etc.? Yes 4. What happens when you talk about your sexual feelings? When your spouse talks about sexual
feelings? My spouse and I have a great relationship and can talk about anything. We share everything. If there is a problem we do not have any problem communicating the problem. If we want to try something new there are no barriers and we feel comfortable and trust each other enough to ask.
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? What skills, experiences, insights do you possess that make you unique and how do they connect with what you want to achieve?

 Psychology homework help
Over the course of this semester you have explored your interests, identified your strengths, reflected on your goals and how to achieve them. Your Capstone Report will comprise of a summary of what you have learned.
This paper is about mapping out your strategy to meet your goals so it is okay to draw from your personal experience but the conclusions you reach have to consist of more than your self-reflections. Think, for example, about what have you read and discussed over the semester and how that is informing your strategy. You are required to cite at least five sources from the course’s assigned readings. In addition, you can also cite material from outside the course’s reading list. Note that you will only get points for citing sources if they appear in the text of your paper and in your bibliography. If you struggle with citing material properly, I encourage you to visit the Center for Excellence in Writing for help.
You are welcome to use whatever citation style you are most comfortable with such as MLA, APA etc. FIU has a number of online resources dedicated to avoiding plagiarism (Links to an external site.)Links to an external site. and making proper citations. With regard to citing from social media, UCF has outlined some guidelines for MLA style citations (Links to an external site.)Links to an external site.. If your paper consists of a bibliography without corresponding in text citations, you will lose points.
As we have learned while reading, “Everybody Writes” it helps to have an audience in mind to guide your writing. Your audience for this report is your personal board of directors (Links to an external site.)Links to an external site.. These are the people you turn to for career advice, the sounding boards for your ideas, the ones you go to when you need to be nudged to get something done. What information would you need to give them to convince them of your strategy? What concerns might they raise and how will you address them?
Your paper must specifically address the following:

  • What are your goals? What skills, experiences, insights do you possess that make you unique and how do they connect with what you want to achieve? What concrete steps have you already taken and what additional measures do you plan to take to make your goals a reality? I encourage you to revisit the readings and exercises from modules 1 to 5 for inspiration. Think of what you write in this section as your answer to the ubiquitous interview question, “Tell me about yourself”. Chapter 10 & 11 of “You Majored in What?” have some great tips to help you construct your answer.
  • Next, outline your plan to create a network that will help you achieve your objectives. You can begin by presenting an assessment of your current network (use the Uzzi and Dunlop HBR article as a guide) before discussing how you plan to broaden your circle of contacts.
  • You also need to discuss how you will be managing your online presence. Be as detailed as possible. For example, at this point you have a LinkedIn profile and perhaps a couple of connections. How are you going to expand your network to help achieve your goals? By asking people for introductions? By joining groups that share your interests? If you have come to the conclusion that you don’t need to maintain a prominent presence online, elaborate on your reasoning behind this decision.
  • Finally, what is your plan to sustain your network, and online presence?

This report should be 1500- 2500 words in length. You will be graded on the following:

  • Content: Does it fulfill the stated objective of the assignment? Has the writer made clear and well supported arguments? Are citations appropriately used? Has the author adhered to the word limits?
  • Organization: Is it easy to understand the point the author is making? Does the paper flow in a way that makes it readable?

This assignment must be submitted as a Word document.

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Explanation of gender identity development

 Psychology homework help
 
Gender dynamics manifest in families, schools, workplaces–anywhere that humans interact socially. As you explored throughout the course, theories to explain gender development and gender roles have grown in number, as has the body of research to explain the causes and effects of these gender dynamics.
Part of Walden University’s mission is to create scholar-practitioners committed to social change. There is tremendous potential for social change related gender-based issues, and will be as long as achievement gaps, discrimination, abuse, and inequalities persist throughout the world. This week you complete and submit your Final Project, which should be not just a literature review of a topic, but also contain proposals for how to foster positive social change related to the topic.
To prepare
· Be sure to incorporate any Instructor feedback that you received on the outline you submitted in Week 7 (if you have not done so already).
· Search the Walden Library and other reputable academic sources to locate literature related to the gender-related topic you selected.
Based on the outline you submitted in Week 7, write an 8- to 10-page paper (including title page and references) in which you do the following:
· Introduce and summarize key literature about your selected topic. Include in your summary how this topic relates to home, school, and/or work environments.
· Explain the challenges surrounding the topic. This may include challenges related to conducting research and/or how the gender topic you selected impacts individuals or society.
· Provide solutions or strategies to address the challenges related to the topic.
· Evaluate each of your proposed solutions and provide final recommendations that have opportunities for positive social change.
Previous work for assignment
The Impact of Toys on Gender Identity Development in Children
1. Introduction
I. Explanation of gender identity development
(a) Definition of key terms
i. Gender identity
ii. Child development
iii. Gender-specific toys
(b) Psychological theories about gender identity development
i. Kohlberg’s Theory
ii. Piaget’s Theory
II. Background Information
(a) Toy selection criteria in children
(b) Gender identity stereotyping by toy manufacturers
2. Related Research
I. Child development and sexual identity
(a) Physical, cognitive, emotional, and social development.
(b) Onset of gender identity and sexual development
(c) The role of sex stereotype on children’s memory
II. Impact of Gender-specific toys on gender identity development
(a) The impact of toy characteristics on gender identity
(b) The impact of exposure to gender specific toys on the development of gender identity
3.  Psychological Intervention
I. The main challenge
a. The need for more study on the role of toys in influencing gender identity
b. Toy manufacturers’ exploitation of gender stereotypes.
c. Social impacts: the use of toys to teach certain behaviors to children.
II. Suggested solutions
a. More research into the impact of toys on child development
b. Provision of a wide range of toys for children to play with.
c. Advocacy for more neutral play environments
4. Conclusion
I. Assessment of recommended solutions
II. Final recommendations for provision of a range of child toys and neutral play environments.
The impact of toys on gender identity development in children
I choose this topic because it is the most familiar one in our lives and that at one point we had gone through the similar experience especially when it came to toys selection.
Toys are the major assets own by the children in our environment. We find that children like toys very much but careful when it comes to selection based on the child’s gender. Boys concentrate more on toys resembling engine powered machines like tracks, bikes, and trains while the girls focus more on care toys like for example dolls, utensils and general cleanliness (Todd, et al., 2018).
Toys impact the children psychology by creating this idea that they both should play with specific kinds of toys and grow up believing and exhibiting the same approach to other kids younger than them (Todd, Barry, & Thommessen, 2017). This trend and belief are so apparent that anyone just by looking at the toys in a given household can determine the child’s gender.
References
Todd, B. K., Barry, J. A., & Thommessen, S. A. (2017). Preferences for ‘Gender‐typed ‘Toys in Boys and Girls Aged 9 to 32 Months. Infant and Child Development, 26(3).
Todd, B. K., Fischer, R. A., Di Costa, S., Roestorf, A., Harbour, K., Hardiman, P., & Barry, J. A. (2018). Sex differences in children’s toy preferences: A systematic review, meta‐regression, and meta‐analysis. Infant and Child Development, 27(2), e2064.
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LEGAL REGULATION OF NURSING

LEGAL REGULATION OF NURSING

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Although every RN in the United States takes the same licensing exam (NCLEX-RN), each state is charged with the licensing of nurses and the creation of law and rules to govern nursing practice in that state. Locate the Nurse Practice Act (or nursing law) for your state, and investigate one of the following issues: delegation by the RN to the unlicensed assistive personnel, use of the term nursing diagnosis, patient abandonment (refusal of an assignment), or requirements for continued licensure (practice, continuing education, or others). Tell us what your state’s law says on this issue and how this impacts your practice.
 

Respond

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Legal Regulation- Nurse Practice Act  
Nurses,
The earliest Nurse Practice Act was developed in 1903 to protect the citizens and regulate nursing practice and education (Brekken & Evans, 2011). Investigate the Nurse Practice Act for your state and tell us about the directives regarding delegation to unlicensed personnel, the use of nursing diagnosis, patient abandonment, or license renewal requirements.
Reference:
Brekken, S. A., & Evans, S. (2011). Strateg

Legal Regulation of Nursing
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Ethical Dilemmas In Medication Administration

Module 02 Discussion – Ethical Dilemmas In Medication Administration

Choose a medication type from the following list, note why the medication is used, and consider adverse effects. Invent a scenario where giving this medication could result in an ethical or legally charged situation. Try not to choose a category that has been well addressed by your peers.

  1. Bethanaechol / cholinergics: Consider risks of inducing urgency or bradycardia in a clients with dementia issues
  2. Benztropine /anticholinergics: Consider harms that can occur with comorbidities like glaucoma or BPH
  3. Albuterol /adrenergics: Consider harms that can occur is asthmatic children are in charge of their own inhalers
  4. Atenolol/ beta blockers: Consider harms that could occur if heart rate was low or patient was asthmatic
  5. Lorazepam /benzodiazepines: Consider vulnerability issues related to sedation and induction of memory loss
  6. Oxycodone / opiates: Consider addiction, drug seeking and patient vulnerability in impaired nurses
  7. Amitriptylline /tricyclics: Consider vulnerability issues with risk of suicidal overdose given anticholinergic effects
  8. Phenelzine /MAOIs: Consider consequences of nonadherence to dietary restrictions on these medications
  9. Haloperidol / neuroleptics: Consider risks of chemical sedation, especially long term risks
  10. Lithium: Consider risks of mismanagement by clients whose behaviors are unpredictable
  11. Phenytoin / antiepileptics: Consider risks of Class D in young women vs risks of going without anti-epileptics
  12. Secobarbital / barbituates: Consider risks related to availability of barbituates to teens via the internet
  13. Kava or Valerian: Consider risks of availability of compounding poorly controlled over the counter sedatives
  14. Sumatriptan / triptans: Consider risks of cerebral ischemia when giving vasoconstrictors for migraine control
  15. Cyclobenzaprine for back spasms: Consider risks of impaired function when nurses take muscle relaxants
  16. Prednisone / steroids: Consider long term effects, when other immune suppressors are too expensive to access.
  17. Aspirin / NSAIDs: Consider vulnerability of elders due to over the counter, affordable nature of this analgesic
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Political Awareness Paper in Nursing

 

EXPLAINS HOW NURSE LEADERS USE PROFESSIONAL ORGANIZATIONS TO STAY INFORMED OF POLITICAL ACTIONS IN THE NURSING AND HEALTH CARE INDUSTRY

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Political Awareness Paper in Nursing
  • Select a professional organization in the nursing industry.

 

  • Research a current political issue addressed through the organization.

 

  • Write a 350- to 700-word paper in which you explain how nurse leaders can use professional organizations to stay aware of political actions in the nursing and health care industry and the importance of doing so.

 

  • Format your paper consistent with APA guidelines.

 

Content3 points possible Points available Points earned
·       Explains how nurse leaders use professional organizations to stay informed of political actions in the nursing and health care industry. 1
·       Discusses importance of maintaining awareness of political actions related to the nursing and health care industry. 2
Format2 points possible Points available Points earned
·       Follows rules of grammar, usage, and punctuation·       Has a structure that is clear, logical, and easy to follow
·       Consistent with APA guidelines for formatting and citation of outside works		 2
Total 5
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ADJUST AUTOMATIC MARKING AS READ SETTING CHOSE TO FURTHER MY EDUCATION IN HOPES OF PROVIDING BETTER PATIENT CARE AND EDUCATION

ADJUST AUTOMATIC MARKING AS READ SETTING CHOSE TO FURTHER MY EDUCATION IN HOPES OF PROVIDING BETTER PATIENT CARE AND EDUCATION.

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Purpose: DiscussionThing to Remember:Discussion: Opinion LeadersAdjust automatic marking as read settingI chose to further my education in hopes of providing better patient care and education. I want to be seen as an influence and a primary healthcare provider. My goal is to provide specialized high-leveled care to patients with different backgrounds.An opinion leader is someone who has strong influence within a work place giving of their time and experience and creates strategies to help change an initiative. An opinion leader earns their role after much experience and expertise. Others look to them for advice and new information (Hamric Hanson Tracy & OGrady 2014).When problems arise in a work environment employees will look towards opinion leaders and others who will lead them through the stressors and crises. In order to be successful as an opinion leader staff must be committed to serving the organization and devote time for teaching. Patient and staff safety should always be at the forefront. Not one person knows all the answers but once we live through various experiences our abilities and competence improve and widen (Kai Tiaki 2014).Communication skills can improve opinion leaders abilities. It is important that communication allows everyones voice to be heard in an open non-combative manner. In order for piers and other staff to have a positive trusting relationship with the opinion leader they must feel as though they are being heard and also guided in difficult situations (Pollard & Wild 2014).By the end of the summer I am hoping my schedule allows me to become a preceptor for new graduates. I view that role as being an opinion leader for an individual which would progress to a small group. I would love the opportunity to mold new fellows with everything I have learned so far as a postpartum nurse. When a newer nurse comes to me for advice I want them to feel safe. My goal is never to talk down to someone making him or her feel inadequate for coming to me for help in the first place. If I do not know how to solve the issue I have been made aware of I seek guidance from another senior nurse. I feel as though a good opinion leader wants others to seek their guidance instead of possibly making a mistake.ReferencesHamric A. B. Hanson C. M. Tracy M. F. & OGrady E. T. (2014).Advancedpractice nursing: An integrative approach(5thed.). St. Louis MO: Elsevier.Kai Tiaki. (2014) Nursing New Zealand.What nursing leaders are saying 20(6) 12-13.doi: edsgcl.375815611Pollard C. Wild C. (2014) Nursing leadership competencies: low-fidelitysimulation as a teaching strategy.Nurse education in practice 14(6) 620-626.doi:10.1016/j.nepr.2014.06.006
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Biology And Technology In The Real World

Essay: Biology And Technology In The Real World

Written Assignment 2: Biology and Technology in the Real World
Addresses course outcomes 1, 3, 4:
-recognize and explain how the scientific method is used to solve problems
– weigh evidence and make decisions based on strengths and limitations of scientific knowledge and the scientific method
– use knowledge of biological principles and the scientific method to ask relevant questions, develop hypotheses, design and conduct experiments, interpret results, and draw conclusions
This assignment will give you the opportunity to participate in ongoing scientific research.  For the past several years, I have been involved in ecological research in old-growth forests in Wisconsin.  A major problem in many woods is that the forest floor is dominated by a grasslike species, Pennsylvania sedge (likely due to the effects of high deer populations).  Another problem in many areas is that dominant trees, such as white pine and sugar maple, do not show successful reproduction to replace old pines and maples that die.
With support from a UMUC Faculty Research Grant to create this assignment, I collected data this summer to address the question, “Does Pennsylvania sedge inhibit regeneration of trees?”  Your assignment will be to follow the steps of the scientific method to analyze the field data to test the hypothesis that sedge inhibits tree reproduction.  We will also examine a second hypothesis that the sedge cover lowers biodiversity.  You will also be asked to generate new hypotheses from the data. (You also will be use the technology of Google Earth to examine the study site.)
You will be given the background and specifics of the assignment in detail during Week 4. The written report on the assignment will be due Monday 2 April at the end of Week 6 and worth 15% of your grade.
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WHY A NURSING HOME SHOULD HAVE AN ETHICS COMMITTEE

WHY A NURSING HOME SHOULD HAVE AN ETHICS COMMITTEE

In Chapter 8 of your textbook Moody (1996) discusses ethics committees in nursing homes and states that federal regulation may soon require that nursing homes move in the direction of establishing ethics committees (pp 172-174).
 
As of 2011 there were only a handful of state laws and no federal laws mandating the existence of ethics committees. However, there was a mandate for ethics committee made in the private, although influential, accreditation standards of the Joint Commission, an independent, not-for-profit organization, that is seen as the nation’s predominant standards-setting and accrediting body in healthcare (Pope, 2011).
 
In addition to Joint Commission the American Medical Director Association (AMDA) recommends that each facility should have an ethics “mechanism” to assist in managing decisions such as do-not-resuscitate and other end-of-life issues (AMDA).
 
Research nursing home ethics committees and write a 2 – 3 page paper on why a nursing home should have an ethics committee and what the responsibilities of the committee are.
 
Support your statements with evidence from the Required Studies and your research. Cite and reference your sources in APA style.
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THE U.S.DETERMINE THE AVERAGE DAILY COST OF NURSING HOME CARE IN YOUR STATE

THE U.S.DETERMINE THE AVERAGE DAILY COST OF NURSING HOME CARE IN YOUR STATE.

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Week 4 DiscussionLong-Term Care in the U.S.Determine the average daily cost of nursing home care in your state. Discuss the funding options (public and private) that exist to pay for long-term care. What policy and financing recommendations would you make to ensure that long-term care is available for everyone who needs the services in the U.S.? Please justify your answer.Rationing of Healthcare ServicesHealthcare services can be rationed by governmental rationing or by allowing those who can afford the services to purchase the services. If you were the chairperson of a medical ethics committee faced with the decision concerning which of the following patients would receive a heart transplant what decision would you make and what justification would you give to the families of each of the patients for making that decision?Patient 2: A forty-six-year-old unemployed auto worker with a history of alcohol use and smoking suffered a heart attack and will die within one month if he does not receive a heart transplant. The patient does not have health insurance nor does he have the resources to pay for the procedure.
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