E. L. is an 88-year-old widow who has advanced dementia. She is a retired secretary and is cared for in the home of her divorced daughter, who is her power of attorney for health affairs. E. L. requires assistance with all activities of daily living. She spends most of the day sitting in her orthopedic recliner (she has had bilateral hip replacements) or lying in bed. She does not speak or acknowledge the presence of others. Recently, E. L. has stopped eating all meals except for small banana slices. She resists a spoon when it is brought to her mouth, and she pockets food in her cheeks without swallowing. E. L. was admitted to the hospital several months ago for influenza and bilateral pneumonia. She was treated in the intensive care unit for three days and then sent home. The possibility of a feeding tube insertion was discussed during her hospitalization. E. L.’s daughter is seeking guidance on artificial nutrition and hydration.

• Use the assigned readings to guide you in the develop five discussion points
• Discussions points should reflect best practices that you will include as you speak with E. L.’s daughter regarding her mother’s end-of-life care.
• Cite your references in proper APA Style.
• Review the rubric for more information on how your assignment will be graded.
• Submit as an attachment to the assignment area.

One of the areas of concern to Mr. Magone and the senior leadership of Healing Hands Hospital is the integration and adoption of information technology and systems that would be needed if the hospital consolidated with a large health system or added more outpatient services or expanded into telemedicine. As a member of the Task Force support team, you have been asked to research and discuss current and future advances and issues related to information technology in healthcare. This may include integration concerns with the Healing Hands Hospital’s current electronic health record system (EHRs), new models of decision support systems, and telemedicine with wearable tracking and smartphone linked devices.

Include the following information in your paper:

• Identify 1 major technological trend (such as data analytics, decision support systems, telemedicine, or tracking devices) in health care that could be adopted by Healing Hands Hospital.
• Discuss the pros and cons of adopting this technology.

Topic: Refusal of Covid 19 Vaccine: Perceptions of African Americans on Covid 19 Vaccine within an online community. 

Problem: African Americans high rate of covid 19 virus deaths.

Purpose: Purpose of study is to relate high rates of covid 19 virus deaths among African Americans to attitudes & refusal of Covid 19 vaccine among African Americans within an online community.

Research Questions:

1.What are attitudes & perceptions of African American women and men, on acceptability of Covid 19 vaccine?

2.How does attitudes and perceptions of African Americans on the covid 19 vaccine associate with reluctances to vaccinate against Covid 19 virus?

3.How do the attitudes & perceptions of African Americans on Covid 19 vaccine acceptability differ among women and men within an online community?

Personalized medicine, or individualized medicine, is a growing trend in the delivery of health care that is specific to the individual patient. Healing Hands Hospital wants to make sure that all staff understand the meaning of personalized medicine. You have been asked to provide a brief summary of personalized medicine that will be shared with the staff. For this discussion, your response should include the following:

• Define personalized medicine, and provide 1 example.
• Discuss 1 pro and 1 con of personalized medicine.

Without a solution to the problem of homelessness, what will happen to the community itself? (such as will they become too ill and die or will they spend several days without food). Elaborate on several adverse outcomes as a result of leaving the homeless issue unsolved.

respond to the following as a peer. According to Brock (2003), a group purchasing organization (GPO) is a business purchases supplies in volume from manufacturers to pass along cost savings to member hospitals that each pay an up-front membership fee. The GPO achieves volume purchasing from each seller/manufacturer to achieve a quantity discount per unit along with a single administrative purchasing fee, allowing member hospitals to achieve savings they could not achieve alone (Brock, 2003). Some GPOs were able to gain proprietary information that individual purchasers could not obtain and perform product testing and comparison that individual healthcare facilities could not achieve, thus contracting with a “best” manufacturer for their members. This and other behaviors brought GPOs under the scrutiny of the Federal Trade Commission (FTC) (Brock, 2003).

Despite violation of Section 1 of the Sherman Act, which makes it unlawful for buyers and sellers of goods and services from entering into contracts or collusions to jointly set prices at which they will jointly buy or sell goods, the Supreme Court has recognized that GPOs provide value to its member healthcare organizations that outweigh the anticompetitive effects of its purchasing model (Brock, 2003). In 1996, the U.S. Department of Justice and the FTC issued the Statement of Antitrust Enforcement Policy in Health Care, noting that most GPOs did not raise antitrust concerns, but addressed specific issues to develop policies or safety zones with goals to prevent market disruption through monopoly purchasing or price fixing (Brock, 2003). Brock notes that the Statement requires that 1) GPO membership services must total 35% or less of total sales of a product or service, and 2) the total costs of the products purchased by the hospital must be less than 20% of its total revenues.

Brock’s article was written in 2003. A Bing search using the terms “group purchasing organization and FTC” yielded an article referenced below by O-Brien et al., (n.d.); though undated the reference section lists publications as recent as 2016. The article delineates multiple additional requirements applicable to GPO’s and members for legal compliance. A search at FTC.gov using terms “group purchasing organization and healthcare” resulted in several articles recovered discussing group purchasing of pharmaceutics but nothing regarding purchase of general medical supplies.

Certainly, with the coming changes in healthcare focused on creating high value healthcare through emphasis on reduced costs and high quality through MACRA legislation, group purchasing organizations make sense in helping hospitals to reduce costs. These groups must be monitored to ensure their market footprint does not result in market dominance, cost control, limitations on research and development, and supplier harm.

References

Brock, T. H. (2003). Hospitals, group purchasing organizations, and the antitrust laws. Healthcare Financial Management, 57(3). Retrieved from https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?direct=true&db=edsbig&AN=edsbig.A98953926&site=eds-live&scope=site

O’Brien, D., Liebowitz, J., and Anello, R. (n.d.). Group purchasing organizations: How GPOs reduce healthcare costs and why changing their funding mechanism would raise costs. Retrieved from https://www.bing.com/search?q=ftc+group+purchasing…

Create a 3-5 page annotated bibliography and summary based on your research related to best practices addressing one of the health care problems or issues in the Assessment Topic Areas media piece faced by a health care organization that is of interest to you.

Introduction

In your professional life, you will need to find credible evidence to support your decisions and your plans of action. You will want to keep abreast of best practices to help your organization adapt to the ever-changing health care environment. Being adept at research will help you find the information you need. For this assessment, you will review the Assessment Topic Areas media piece and select one of the health care problems or issues to research, which will be a current health care problem or issue faced by a health care organization that is of interest to you.

Instructions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.

For this assessment, research best practices related to a current health care problem. Your selected problem or issue will be utilized again in Assessment 3. To explore your chosen topic, you should use the first two steps of the Socratic Problem-Solving Approach to aid your critical thinking.

1. View the Assessment Topic Areas media piece and select one of the health care problems or issues in the media piece to research. Write a brief overview of the selected topic. In your overview:
   • Summarize the health care problem or issue.
   • Describe your interest in the topic.
   • Describe any professional experience you have with this topic.
2. Identify peer-reviewed articles relevant to health care issue or problem.
   • Conduct a search for scholarly or academic peer-reviewed literature related to the topic and describe the criteria you used to search for articles, including the names of the databases you used. You will select four current scholarly or academic peer-reviewed journal articles published during the past 3–5 years that relate to your topic.
     • Refer to the NHS-FPX4000: Developing a Health Care Perspective Library Guide to help you locate appropriate references.
   • Use keywords related to the health care problem or issue you are researching to select relevant articles.
3. Assess the credibility and explain relevance of the information sources you find.
   • Determine if the source is from an academic peer-reviewed journal.
   • Determine if the publication is current.
   • Determine if information in the academic peer-reviewed journal article is still relevant.
4. Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format. Provide rationale for inclusion of each selected article. The purpose of an annotated bibliography is to document a list of references along with key information about each one. The detail about the reference is the annotation. Developing this annotated bibliography will create a foundation of knowledge about the selected topic. In your annotated bibliography:
   • Identify the purpose of the article.
   • Summarize the information.
   • Provide rationale for inclusion of each article.
   • Include the conclusions and findings of the article.
   • Write your annotated bibliography in a paragraph form. The annotated bibliography should be approximately 150 words (1–3 paragraphs) in length.
   • List the full reference for the source in APA format (author, date, title, publisher, et cetera) and use APA format for the annotated bibliography.
   • Make sure the references are listed in alphabetical order, are double-spaced, and use hanging indents.
5. Summarize what you have learned from developing an annotated bibliography.
   • Summarize what you learned from your research in a separate paragraph or two at the end of the paper.
   • List the main points you learned from your research.
   • Summarize the main contributions of the sources you chose and how they enhanced your knowledge about the topic.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

• Assessment 2 Example [PDF].

Additional Requirements

Your assessment should also meet the following requirements:

• Length: 3–5 typed, double-spaced pages, not including the title page and reference page.
• Font and font size: Times New Roman, 12 point.
• APA tutorial: Use the APA Style Paper Tutorial [DOCX] for guidance.
• Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
• Content: Provide a title page and reference page following APA style.
• References: Use at least four scholarly or academic peer-reviewed journal articles.
• APA format: Follow current APA guidelines for in-text citation of outside sources in the body of your paper and also on the reference page.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

• Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.
  • Identify academic peer-reviewed journal articles relevant to a health care problem or issue and describe the criteria used for the literature search.
• Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.
  • Assess the credibility and relevance of information sources.
  • Analyze academic peer-reviewed journal articles using the annotated bibliography organizational format.
  • Summarize what was learned from developing an annotated bibliography.
• Competency 4: Write for a specific audience, in appropriate tone and style, in accordance with Capella’s writing standards.
  • Summarize a health care problem or issue and describe a personal interest in it and experience with it.

Purpose:Analyze and apply critical thinking skills in the psychopathology of mental health patients and provide treatment and health promotion while applying evidence-based research.Scenario:

A 44-year-old white Australian man who was not religious was referred to outpatient psychiatric treatment. He had been playing with an Ouija board for two months when he started to believe that a spirit had entered his body through his rectum and was controlling him. He thought the spirit made him move and speak in a certain way.

He sought help from a local church, where he was told it was a psychiatric problem and that he was not really possessed. Two exorcisms at a local church failed to achieve any improvement. 

Questions:

Remember to answer these questions from your textbooks and NP guidelines. At all times, explain your answers. 

1. Discuss the relationship between mental illness and religion.
2. Is this classified as psychopathology?  Support your response.

From 2218-NURS-4199-600

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In the assignment, you were to compare and contrast a hospital organization or entity by providing an Assessment and Report of Findings in the Hospital Overview.  Reflect on the following within the Discussion Board:

1. Comment on the hospital organizations’ types of program, education, and specialties offered, vision, benefits, work ethic, and/or cultural climate. 

2. List one benefit and/or limitation to pursuing employment with the agency or what was of special interest to you.

Don’t forget to attach the Hospital Entity document to your Discussion Post to show your findings. (Remember to include the Hospital name & location)  so that others can review your assessment and report of findings.