Health & Medical

Topic: The Developing Adolescent Brain and the Law   At last we know—at least in part—what accounts for some adolescent risk-taking and crazy behaviours. Their brains are still developing. In fact, the development is taking place in a critical part of the brain associated with rational thinking and decision making—the frontal lobes. What’s more, the emotional part of the brain—the limbic system—is particularly active (thanks, in part, to what is often referred to as “raging hormones”), while the thinking, planning, deciding part of the brain has not developed to the point that they have full control over their emotions.   We know this through brain imaging techniques that now allow us to see, in real time, brain activity while people are performing different activities. For instance, research shows that when processing emotional information, the teen’s limbic system is more active than the frontal lobe.   This research has found an interesting application in the legal system. Legislators and advocates are using the research to argue for changes in laws affecting teenagers. For instance, statistics have long shown that teenagers are much more prone to be involved in motor vehicle accidents. Pulling together the research on brain functioning with what we know about peer influence, some provinces have put limits on the number of passengers a teenage driver can have. The reasoning? Due to brain immaturity, teens may be less able to deflect peer pressure to take risks when driving—and the more peers present in the car, the greater the pressure.   Another area in which this research is being used is in laws that allow teenagers charged with serious crimes to be tried as adults. Is this fair, advocates ask, when teenagers still may have the minds of children? For years, psychologists have known that teenagers don’t have the cognitive understanding of adults when it comes to participating in trials. Now there is brain research to back it up. But do you agree?   For this discussion board exercise, we want you to select 1 peer reviewed journal, and 1 supporting scholarly literature to make your case regarding teenagers being tried as an adult or child.  Make sure to be very clear on which way the teenager should be tried in a court of law. Critically analyze the research surrounding this hot topic and use your critical thinking skills to step out of your comfort zone.   As a nurse you will encounter situations where you will be providing care to youth involved with the legal system. You will also be interacting with workers from the prison and young offenders’ system, and police officers, all of whom may have different views from your own. It is therefore critical to consider and reflect on the potential implications these encounters may have on your own values and beliefs.   Be sure to include one or more of the factors below in your discussions. These are examples but feel free to add a perspective or consideration that is not included on the list below.   The dilemma of confidentiality vs duty to report. What are the absolute exceptions? What are the potential implications of withholding information? Is it the nurse’s responsibility to share information disclosed in confidence? Why or why not? What best practice approach should the nurse facilitate? What about personal morals vs ethical values and the potential for moral distress/ moral dilemma? The professional ethical requirements of nurses as per the College of Nurses of Ontario (CNO). Should adolescents be in your care after an incident where charges have been laid, do you think this fact would affect the care you administer? Do you believe socio-economical/ socio-demographic factors (living in rural and remote communities) play a role in these instances? Why or why not? What are some alternative solutions that nurses can advocate for? What are some of the risk factors for incarceration at a young age? How does this factor into your approach/ opinion if at all? Historically individuals have feigned illnesses to escape criminal charges (e.g. DUIs – driving under the influence) and therefore present to the ER as they cannot legally be charged if experiencing a health episode. How do you think you would respond in such situations when caring for the individual? What is the obligation for nursing or any healthcare provider essentially “harboring a criminal” (meaning the obligation for nurses to admit or deny that a specified individual is indeed receiving care within their institution). In reflecting on some of these points, have they impacted your initial thoughts at the outset of this discussion? Share how you feel and what you believe matter?

One common method that employers and individuals use to purchase health insurance plans is by ordering a plan through an insurance carrier’s website. This assignment will provide you with a hands-on view of available insurance plans and how the health insurance industry works. Below is a list of the primary private health insurance companies that service Michigan individuals and employers.  Choose TWO insurance companies from the list (Below) and visit their websites. Pretend that you are searching for health insurance plans, both as an individual consumer and as an employer (group) looking for a group insurance plan for your employees. Look at the information and materials provided online for those plans, and assess (in essay form) your research experience. Discuss what you discovered about the different insurers’ offerings and how information is presented to potential customers. Focus on what you found and your experience finding it, not the details of pricing, specific covered services, or other plan information.  Answer the following questions in your assessment: • How difficult/easy was it to find information about plans? • How organized and understandable was the provided information? • What kinds of plan documents/materials were accessible online? Were they helpful? • What were any noticeable differences/similarities between the websites and plans? • What differences did you experience between searching for individual and group plans? • Based on this experience, from which company would you rather purchase insurance? Why? • What did you find interesting about your experience? What bothered you?  Healthcare Systems in Michigan: Blue Cross Blue Shield of Michigan www.bcbsm.com  Health Alliance Plan (HAP) www.hap.org  United Healthcare www.uhc.com (Employer plans) www.uhc.com/employer Physicians Health Plan www.phpmichigan.com Priority Health www.priorityhealth.com Total Health Care www.thcmi.com Essay Format: 12 pt Times New Roman, double spacing (3-5 pages length), use subheadings and basic organization Grading Checklist Completeness of Analysis __ Two different insurance companies were discussed __ Analysis includes as assessment of both individual and group insurance plans __ Analysis shows evidence of research depth (ex. clear that you clicked through multiple sites) __ Each question listed in the instructions is addressed in the paper  Quality of Assessment __ Sufficient number of company differences/similarities discussed (2-4) __ Sufficient number of insurance plan differences/similarities discussed (2-4) __ Analysis involves a deep evaluation of companies and plans (i.e. beyond a superficial view) __ Assessment is supported by examples (ex. what documents did you use to make the analysis?) __ Paper exhibits the student’s unique research experience

Always Out of Their Seats (and Fighting): Why Are Boys Diagnosed With ADHD More Often Than Girls? Valerie Charat Department of Psychology, Harvard University Psychology 1806: Developmental Psychology Professor Lauren Korfine November 8, XXXX Analytical Paper Assignment The analytical paper assignment will have two parts: Part A is the actual analysis, and Part B is where you reflect on what you need to do to revise your own synthesis paper to comply with and fulfill the requirements of that first paper assignment. Analytical Paper: Part A 1) Analyze the paper written by Valerie Charat entitled “Always Out of Their Seats (and Fighting): Why Are Boys Diagnosed With ADHD More Often Than Girls?” To do so, you must read her paper carefully, multiple times, taking notes on what you are reading about, what you are learning about research writing style, and MAKE A FIRM DECISION on whether she was effective or not in presenting her main argument/thesis and supporting it throughout her writing. 2) Once you have come to your decision on how effective you believe Charat was in her writing, find evidence in the essay of what helped you make up your mind. Make notes for yourself on some of the following: What are some of the things in the essay that convinced you to agree with her main argument? Why did those things work? She provides background information and context before stating her main argument/thesis at the end of her introduction. Is that helpful or distracting? Why? Would the paper be as convincing with fewer or more sources? Was it the type of sources she used that helped you decide on her effectiveness as a writer? Are there things that were not convincing enough or not convincing at all? Why didn’t those things work? Are there things you wish she had addressed in her writing on the subject matter, but she left out? Did she do a poor job of anticipating some of the things you would want to know about the subject that may have left you confused or questioning, or did her paper provide a focused, complete picture on what she said it would be arguing? Did she only present information that supports her point of view, or did she also present one or more counterarguments? Did she give a response to a counterargument that left you agreeing or disagreeing with her point of view?  These are questions to help you think through an analysis of Charat’s paper and not questions you must write and give answers to in your own analytical essay. These questions are just a nudge in the right direction, and you should make notes of some of the ideas you come up with of what to say to critique the strengths and weaknesses you see are in Charat’s paper. 3) Now that you have some notes of things you can discuss in your analysis, write the analytical essay and post it in Achieve under the Analytical Paper Assignment section. Write a 500-600-word essay (that is about a 2-4 paragraph essay) where you analyze Charat’s essay writing skills. Your analytical essay does not need a title page, abstract, nor reference page. It does need a title that summarizes the what criticism you are going to give in analysis. Essay titles such as analytical essay (or synthesis paper) are inadequate, and tells your reader nothing about the subject matter you are discussing in your own writing. A title should summarize your essay’s main focus.  Your essay’s introductory paragraph should summarize Charat’s essay and end with YOUR JUDGEMENT on whether or not Charat’s essay was effective or ineffective in persuading her readers to agree with her and why. Unlike other essays you have to write for this course, you are permitted to use words like “I believe,” “I think,” “I feel,” etc. However, it will show your strength as a writer if you are able say what you think and feel without actually referring to yourself. For example, instead of writing “I believe the essay is effective because it is well-researched with multiple sources,” you could instead write “The essay is effective because it is well-researched with multiple sources.” Leaving out “I” and any other references to yourself makes your writing sound more professional and objective. After the introduction, use the rest of your essay to provide the evidence of why you feel Charat’s paper was effective or ineffective, put in a counterargument to your main point if you can make one, and write your conclusion, summarizing why YOU think she did or did not do a good enough job. Always remember to check your work for grammar mistakes and typos before submitting it for anyone else to read.

Please make a table as in pc1 includes the numbers for social determinants with calculations. follow the instruction in pc2. Please  focus on sentences that need to change or add in yellow color.   Please fix no. 4a by adding trends for social determinants such as in the trends need to show 1) does the economic decline in the New York city overtime and think that may be related to whatever trends and chronic conditions that we saw. 2) Did employment rate go down? did income go down? did major industry decline in the area? has food access got worse because economic decline? did alcohol use go up because economic decline? explain what we are thinking(justification) in no. 4b some ways that think urban planning or developer or policy change could be address these things what we think? Please listen to the audio lecture too. Please always put the justification and why you choose this choice. Please put citation texts and add references in the reference list. Please make the summary at the end of the assignment. It’s OK to use the most recent year you can find, within reason.  For example, 5 year old data might be acceptable, but 20 year old data would not be. When responding to questions where we ask for your choice or what decision you would make, please provide some context and reasoning that explains why you made the choice you made.  In other words, back up your choice with reasoning and evidence

Participate in the selection of a vulnerable client scenario for your group. Each student in the group will select a different agency in their location that can provide services for that client or family. Identify the needs that this agency is designed to meet. Describe the role(s) of nurses within the agency. Identify how this agency could better be utilized by the population of focus. Case Scenario: Scenario 4 One of the first families that you visit as a PHN is heavily involved in substance abuse. The father, at the age of 22, is an alcoholic and uses Meth. The new mother, age 18, is a known user of Meth. Their newborn infant is irritable, spits up his feedings, and refuses to be cuddled. What community resources are available to aid this family? Identify an agency whose services are necessary in meeting the health and social needs of the individuals from the selected scenario. Telephone the agency, identify yourself as a nursing student at JU, and make an appointment to visit the agency. Visit the agency and gather information, using the guidelines. Determine how this agency could best meet your client’s needs. Employ sources for locating community agencies, including the Internet, newspapers, yellow pages, and the local health department.  Guidelines Your presentation should include: History of agency Location and environment Programs and services Eligibility requirements, fees Public relations and marketing Relationships to other agencies within the community Projected needs of agency Utilization of services by people in the community

sing the Sister Callista Roy: Adaptation Model of Nursing Explain the theory, identify the concept and proposition of it.  Explain the concepts.  How might the terms used differ from general use of the term? How might the term be confused or misinterpreted? The references must be no older than 5 yrs.

If you were a potential employer who was interviewing an individual and reviewing the person’s resume, what skills and personal features would you expect to observe, hear about, and see documented? Why are these features important? Support your response with one valid source. Reflect on the following questions about your life experience and skills: List a few of your strengths/skills (Example: draw well, bilingual, personable) that you feel will help in your chosen field. List any (if applicable) life experiences that you can relate to health care (Example: CNA, CPR certification, life guard, caring for ailing person) How do the features that you as a potential employer would expect in a future employee compare to your own answers to questions 2A and 2B? Are they similar or different?

Assignment: Accountability in Healthcare This assignment will be at least 1500 words. Address each bulleted item (topic) in detail including the questions that follow each bullet. There should be three (3) sections in your paper; one for each bullet below. Separate each section in your paper with a clear brief heading that allows your professor to know which bullet you are addressing in that section of your paper. Include a “Conclusion” section that summarizes all topics.   This week you will reflect upon accountability in healthcare and address the following questions: Briefly define an Accountability Care Organization (ACO) and how it impacts health care providers: How do ACOs differ from the health maintenance organizations (HMOs) of earlier years What role does health information technology (HIT) play in the newer models of care? What is the benefit of hospitals partnering with primary care providers? How does bundling payments contain healthcare costs? How does pay for performance (P4P) improve quality care? Briefly discuss the value-based purchasing program? How do value-based purchasing (VBP) programs affect reimbursement to hospitals? Who benefits the most from value-based reimbursement and why? How does the VBP program measure hospital performance?   Assignment Expectations Length: 1500-2000 words in length Structure: Include a title page and reference page in APA format. These do not count towards the minimal word amount for this assignment.  Your essay must include an introduction and a conclusion. References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment. Format: Save your assignment as a Microsoft Word document (.doc or .docx).

1.      TB is one of illnesses that has horrible consequences if not treated and is fairly contagious. What is the treatment and what have we historically done for patients that are not complaint with treatment. (150 words)   2.      Asthma is a disease that effects the airways, describe the pathological process in how it makes the patient/affected, not be able to move air. How do you help the person with an acute attack? (150 words)   3.      What do steroids do (think patho level) to calm an allergic reaction/inflammation? (150 words)   4.      Why patient education is key when it comes to these serious life-threatening allergies? (150 words) Please answer each question separately.  Thank you.

How will using the basic fundamentals in unit 1 prepare you for a better understanding of medical terminology? Give at least three examples.