Long-Term Care for All

Case
Long-Term Care for All
The newly elected governor of a small state in which the elderly comprise 26% of the total population—twice the national average—is eager to fulfill his campaign promise. He had run for office on the slogan “long-term care for all.” The elderly in the state had overwhelmingly voted for him. Now in office about 9 months, his advisors tell him that providing long-term care services for all citizens in the state will be next to impossible because of high demand for the services. The governor, however, remains undeterred. The cornerstone of his proposed policy includes three things: (1) Develop a state-sponsored long-term care insurance plan. The insurance premiums will be income based, and will cost at least 15% less than a midlevel private long-term insurance plan being sold in the state. (2) Make it mandatory for all citizens, old and young, to purchase LTC insurance, either from the state or from a private insurance company. (3) Place restrictions on the use of nursing home and assisted living services in favor of community-based services.
Questions
1.  Give specific reasons why the governor’s policy may not work, pointing out specific problems that would likely arise.
2.  Will the policy work in a large state, everything else being equal? Give reasons.
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What Has Epidemiology Taught US About AIDS?

Chapter 6 Discussion – What Has Epidemiology Taught US About AIDS?

Chapter 6 Epidemiology of HIV
Epidemiology is the study of patterns of disease occurrence
in populations, and the factors that affect them.
Epidemiology of HIV is The study of how HIV moves
between individuals, and its effects on populations.
Allows you to consider very large data sets to generate
statistically meaningful data.
Epidemiological studies give information about
populations, not about specific individuals.
Benefits of epidemiology
Identify new diseases
Identify populations at risk for a disease
Identify possible causative agents
Identify factors or behaviors that determine the risk for a disease, and also determine the relative importance of that factor in causing the disease
Rule out factors or behaviors as causes
Evaluate therapies
Guide the development of effective public health measures and preventative strategies
Types of epidemiological studies
1. Descriptive studies – gathers data from existing
or previous epidemics
2. Analytical studies – builds upon quantitative data
from existing or previous epidemics
Types of Descriptive studies
Descriptive studies – gathers data from existing
or previous epidemics
Look for clustering by person, place, time,
or a combination.
Case Reports/Case Report Series
Cross-sectional/Prevalence Studies
Types of Analytical studies
Analytical studies – quantitative data from existing
or previous epidemics
Experimental/Interventional Studies
Observational Studies
Analytical studies – quantitative data from existing
or previous epidemics
Correlations – studies may show different outcomes.
Possibilities:
There is no causal relationship
There is an indirect relationship
There is a direct causal relationship
What type of associations are needed to show a casual relationship?
Types of Analytical studies
Criteria for a causal relationship:
Strength of the association between the factor and
the disease. The strongest collation would be if everyone who with the factor gets the disease, and no one without the factor does. Perfect correlation is rarely achieved.
The association is consistent. The same correlation is observed in other studies under different circumstances.
The association has the correct time relationship. Exposure to the agent must occur before the onset of the disease.
The association has a biological plausibility. The association of the factor with the disease must make biological sense.
Types of Analytical studies
The following slides show examples of the type of information that can be obtained
from analytical studies using
epidemiological data
New AIDS conversions in the US by year: 1978-2010
AIDS Distribution by
Risk Group
AIDS Distribution by Ethnicity
Relative Risk of Unprotected Anal Sex
AIDS Cases by Risk Group
has changed over time
AIDS Cases by Ethnicity
has changed over time
Worldwide distribution of HIV Infection 2008-2009
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Cadet Selection Procedure and FFDE

M2 Assignment 1 Discussion

Assignment 1: Weighing Chief Concerns


Cadet Selection Procedure and FFDE

Click here to study a vignette.
Dr. Johnson is entrusted with the evaluation of the police’s cadet selection procedure.
Tasks:
On the basis of the vignette you read, analyze the vignette and respond to the following questions regarding the PEPE process:
· Should the department attempt to select individuals who will be good officers, or should the department simply try to weed out potentially bad officers?
· How should this selection process be conducted, and what psychological testing instruments, if any, should be included?
Now, let’s look at a procedure that may be necessary following employment—an FFDE:
· Explain how informed consent and the limits of confidentiality should be handled by the forensic examiner.
· Explain how an FFDE is conducted. Include discussion of psychological tests that might be administered in an FFDE.
· Present the possible outcomes of an FFDE. In other words, what might the examiner recommend to the police department?
All responses should follow APA rules for attributing sources.
Submission Details:
· By the due date assigned, post your responses to this Discussion Area.
· Through by the end of the module, respond to at least two of your classmates’ posts. While responding, compare the similarities and differences between what you have constructed and what your classmates have.

Grading Criteria Maximum Points
Quality of initial posting, including fulfillment of assignment instructions 16
Quality of responses to classmates 12
Frequency of responses to classmates 4
Reference to supporting readings and other materials 4
Language and grammar 4
Total: 40
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Identify and describe the positive implications of Medical Research and Education

EDUCATION AND RESEARCH
Using APA Cited Guidelines
According to The Institute for Health Care Improvement (2006), “Continuing Education (CE) is a vehicle for spreading best practices and how to improve patient outcomes.” In short, continuing education assists with keeping health care teams well-informed of current research, laws, regulations, and practices in the fields in which they practice.
Massoud M. R., Nielsen, G. A., Nolan K., Schall, M. W., Sevin. C. (2006). A Framework for Spread: From Local Improvements to System-Wide Change. Retrieved from http://www.ihi.org/resources/Pages/IHIWhitePapers/AFrameworkforSpreadWhitePaper.aspx
Review the following literature:
Belliolio, M. F. & Stead, L. G. (2009). Continuing Education Meetings and Workshops: Effects on Professional Practice and Health Care Outcomes. Annals of Emergency Medicine. 53(5). 685-687.
Filipe, H. P., Sliva, E. D., Stulting, A. A., Golnik, K. C. (2014). Continuing Professional Development: Best Practices. Middle East African Journal of Ophthalmology. 21(2), 134-141. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4005177/
Based on your research of professional literature and the literature above, in a 3 page scholarly evaluation essay:

  1. Identify and describe the positive implications of Medical Research and Education.
  2. Explain the importance of continued education for health care professionals.
  3. Explain benefits of organizational/departmental training and staff development.
  4. Identify two current issues/problems in health care organizations and explain from a health care administer perspective how they could have been avoided with proper education.

For assistance on writing an evaluation essay, please review the following source: http://web.ics.purdue.edu/~pbawa/421/Evaluation%20Essay%20sample.htm

  1. Conduct additional research to gather sufficient information to justify/support your position and answers to the questions.
  2. Limit your response to a maximum of 3 pages.
  3. Include an introduction and conclusion in your paper.
  4. Support your case with peer-reviewed articles, with at least 4 references. Use the following link for additional information on how to recognize peer-reviewed journals: http://www.angelo.edu/services/library/handouts/peerrev.php.
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FORMULATE A PICOT STATEMENT USING THE PICOT FORMAT

FORMULATE A PICOT STATEMENT USING THE PICOT FORMAT.

 NO COMMENTS
NEUTROPENIC SEPSIS ( PATIENT’S POST CHEMO)
A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process.
Formulate a PICOT statement using the PICOT format provided in the assigned readings. The PICOT statement will provide a framework for your capstone project.
In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.
PICOT format is a helpful approach for summarizing research questions that explore the effect of an intervention.
(P) – Population refers to the problem and the population that is effected.
(I) – Intervention refers to will be provided to solve or improve the problem
(C) – Comparison identifies what you plan on using as a reference to compare with your  intervention
(O) – Outcome represents what result you plan on measuring to examine the effectiveness of your intervention
(T) – Time describes the duration for your data collection.
Make sure to address the following on the PICOT statement:
Evidence-Based Solution
Nursing Intervention
Patient Care
Health Care Agency
Nursing Practice
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 Turnitin. Please refer to the directions in the Student Success Center.
30.0 %Identification of Clinical Problem/Issue
30.0 %Clinical Problem/Issue, Including Description, Evidence-Based Solution, Nursing Intervention, Patient Care, Health Care Agency, and Nursing Practice
10.0 %PICOT Statement Focused on Resolution, Improvement, Application, and Intervention
10.0 %PICOT Statement Including Population, Intervention, Comparison, Outcomes, and Time
WE CAN USE SAME REFERENCES
Butcher, L. (2016). Stepping up against SEPSIS. H&HN: Hospitals & Health Networks, 90(1), 38-42.
Clarke, R., Bird, S., Kakuchi, I., Littlewood, T., & Hamel Parsons, V. (2015). The signs, symptoms and help-seeking experiences of neutropenic sepsis patients before they reach hospital: a qualitative study. Supportive Care in Cancer, 23(9), 2687-2694. doi:10.1007/s00520-015-2631-y
Ford, A., & Marshall, E. (2014). Neutropenic sepsis: a potentially life-threatening complication of chemotherapy. Clinical Medicine (London, England), 14(5), 538-542. doi:10.7861/clinmedicine.14-5-538
Knight, T., Ahn, S., Rice, T. W., & Cooksley, T. (2017). Acute Oncology Care: A narrative review of the acute management of neutropenic sepsis and immune-related toxicities of checkpoint inhibitors. European Journal of Internal Medicine, 4559-65. doi: 10.1016/j.ejim.2017.09.025
Raz, B. (2017). Neutropenic sepsis. Nursing Standard (Royal College of Nursing (Great Britain): 1987), 31(48), 64-65. doi:10.7748/ns.31.48.64. s47
Vossen, M. G., Milacek, C., & Thalhammer, F. (2018). Empirical antimicrobial treatment in haemato-/oncological patients with neutropenic sepsis. ESMO Open, 3(3), e000348. doi:10.1136/esmoopen-2018-000348
Wells, T., Thomas, C., Watt, D., Fountain, V., Tomlinson, M., & Hilman, S. (2015). Improvements in the management of neutropenic sepsis: lessons learned from a district general hospital. Clinical Medicine (London, England), 15(6), 526-530. doi:10.7861/clinmedicine.15-6-526
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Effects of classical music on cognitive development 

Psychology homework help
Consider the following: Many products, diets, and services are marketed to parents as beneficial to infant or toddler development. In order to increase sales to parents and caretakers, some companies use marketing strategies that make exaggerated, unfounded, or unrealistic claims about the effects of their product(s) on child development.
Select one claim that you suspect to be exaggerated or false (your research may in fact show the claim has validity). Describe in detail what the advertised product, diet, or service is supposed to do. Some examples include:
• Educational videos related to language development
• Effects of classical music on cognitive development
• Benefits of soy diet or organic food diet on physical and cognitive development
• Service promising to teach your 18-month-old how to read
• Any other claim made by a manufacturer or service provider, aimed at enhancing infant or toddler development
Write a 1,050- to 1,400-word paper addressing the following:
• What area or areas of development does the product, diet, or service claim to enhance?
• Use the University Library to investigate the claim. What does the published literature say about the issue you are investigating? What does the research reveal about how to promote healthy development in this area? What does this reveal about the necessity and actual benefits of the product, diet, or service?
• Is there any evidence to support the claim? Why or why not?
• Imagine that a licensed psychologist in your state publicly endorsed a product with no empirical evidence supporting its claims.  It was later discovered that the psychologist was receiving a percentage of money from the sale of the product to parents.  Is this a violation of the APA Code of Ethics?  Explain.
Be sure to cite the appropriate section or sections of the Code in your response. Investigate the claim using your textbook and a minimum of four additional scholarly sources (such as peer reviewed journal articles). Format your paper consistent with APA guidelines. Note: You may not find a peer-reviewed journal article on a specific product, diet, or service. However, you will most likely be able to find peer-reviewed journal articles on the general issue that you are investigating. For example, if you are investigating educational videos that claim that cognitive skills in infancy are enhanced by using a particular approach or method, you can then review and evaluate studies that focus on enhancing cognitive skills in infancy. Review the evidence for and against the use of specific techniques and summarize your findings. Click the Assignment Files tab to submit your assignment.
**Attached you will find chapter 3-6 of the textbooks you still need to find four additional references**
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The Pathophysiology of Disorders Essay Assignment Papers

The Pathophysiology of Disorders Essay Assignment Papers
neurological, cardiovascular, respiratory, and hematological. These four systems work together along with other body systems to complete a myriad of functions. For this reason, when disorders occur within one body system, it can create potentially devastating effects throughout the entire body. For instance, Parkinson’s disease is a disorder of the central nervous system, yet its alterations actually affect multiple body systems from the cardiovascular system to the gastrointestinal system. In this Assignment, you examine alterations associated with disorders, as well as the impact of the alterations on multiple body systems.
To Prepare
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From the list below, select a disorder of interest to you:
Alzheimer’s disease
Asthma in children
Chronic obstructive pulmonary disease (COPD)
Congestive heart failure
Hepatic disease (liver disease)
Hypertension
Hyperthyroidism and hypothyroidism
Seizures
Sepsis
Identify alterations associated with your selected disorder. Consider the pathophysiology of the alterations. Think about how these alterations produce pathophysiological changes in at least two body systems.
Reflect on how patient factors such as genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as the diagnosis and treatment of your selected disorder.
Review the “Mind maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for the disorder you selected. Consider the epidemiology and clinical presentation of your selected disorder. The Pathophysiology of Disorders Essay Assignment Papers.
To Complete. The Pathophysiology of Disorders Essay Assignment Papers
Develop a 5- to 10-slide PowerPoint presentation that addresses the following:
Describe your selected disorder, as well as associated alterations. Explain the pathophysiology of the alterations, including changes that occur in at least two body systems.
Explain how genetics, gender, ethnicity, age, and behavior might impact the pathophysiology of the alterations you identified, as well as diagnosis and treatment of your selected disorder.
Construct a mind map for the disorder you selected. Include the epidemiology, pathophysiology of alterations, risk factors, and clinical presentation, as well as the diagnosis and treatment of the disorder. The Pathophysiology of Disorders Essay Assignment Papers.
Please paper should have introduction and summary. references should be within the last 5 years. The Pathophysiology of Disorders Essay Assignment Papers

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Describe the exceptionality, including its identification and assessment

,
 Psychology homework help

Assignment 1: LASA 2—Exceptionality Presentation

In this course, you have learned about a range of exceptionalities in children. For this assignment, you will have the opportunity to gain a more in-depth understanding of a particular exceptionality.
The local public school has asked you to give a presentation to parents or teachers about a specific exceptionality of your choice.
The presentation should cover at least two peer-reviewed articles. Select an exceptionality for this assignment and provide the following information in your presentation:

  • Describe the exceptionality, including its identification and assessment.
  • Explain the incidence of exceptionality in children, including known causes or those hypothesized in peer-reviewed research.
  • Describe the cultural considerations in identification, assessment, and intervention.
  • Hypothesize the prognosis.
  • Recommend interventions for the following areas:
    • At school
    • In the community
    • At home
    • From early childhood through transition into adulthood

While developing the presentation, keep in mind individual differences and strengths, culturally and linguistically diverse populations, and ethical or legal issues in identification, assessment, and intervention. Be sure to include detailed speaker notes to accompany each slide to elaborate on the talking points being raised in the slide.
Use the accompanying PowerPoint presentation tip list to assist in formatting the presentation and speaker’s notes. Be sure to include a title slide and a slide with your references. All citations and the reference list should follow APA format. Click here to review some useful tips for an effective slideshow.
Develop a 15–20-slide presentation in PowerPoint (not counting the title and reference list slides). Provide detailed speaker notes for each slide of your presentation, which include the main talking points for the topic addressed in the slide. Apply APA standards to citation of sources. Use the following file naming convention: LastnameFirstInitial_M5_A1.ppt.

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& Successful Change Management Essay Assignment Papers

PSYC 305 – Stress and Burnout Prevention & Successful Change Management Essay Assignment Papers

Stress and Burnout Prevention

What is burnout? Who gets burned-out?
Read the stories about Joe in “We Buried Joe Today” and the “A tragic story” about ambulance attendants on pages 432 and 433. Comment on the stories and similar ones you may have heard about. PSYC 305 – Stress and Burnout Prevention & Successful Change Management Essay Assignment Papers

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Successful Change Management

Since change in the workplace is constant, a good leader knows how to implement and lead effective change. A description on p. 418 and 419 explains how change affects top management, middle management, and frontline employees. Read this section, and consider a time when you experienced change in your organization.
Describe how people at those three levels in the organization initiated or responded to the change. Did top management help his or her middle managers prepare employees for and implement the change? Did management understand the “losses” experienced by employees? Were employees resistant to the change? How did management overcome that resistance? PSYC 305 – Stress and Burnout Prevention & Successful Change Management Essay Assignment Papers
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The cause and effect of getting good grades

350 words including references do not  copy or paste
I want to teach my child the cause and effect of getting good grades
Consider a behavior that you would like to teach someone. Tech my child about getting good grades. Describe the behavior and select one of the learning theories (Operant conditioning)  we learned about this week (i.e. observational learning, operant conditioning, etc.) as the framework for how you would teach the person that behavior.
Explain how you would ensure they have learned the behavior and why you felt that approach would work best for the particular behavior and setting. What challenges do you encounter  to the learning process using your planned approach?
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