Q1. Critically discuss the key important factors and forces in the general and industry environments that affect the Jaw Resort and Spa Bahrain choice of strategy. Discuss how the pandemic COVID-19 affected environment factors and forces and consequently your Jaw Resort and Spa Bahrain performance. From your own perspective, what actions should your Jaw Resort and Spa Bahrain do to keep its competition alive if this situation prevailed? (35 marks-800 words)

The neurology consult report includes the following statement: “Client’s diet is notable for moderate amounts of aspartame and no significant glutamate.” What are aspartame and glutamate? Why did the neurologist assess Mrs. Giammo’s intake of aspartame and glutamate?

1. Ambulatory Care refers to

1. Emergency Care done in an ambulance
2. First Aid performed by an EMT
3. Cannot be covered by medical insurance
4. Is another term for Outpatient Services

2. The increase in the elderly population in the United States will be a factor

1. In increasing the cost of health care
2. In decreasing the cost of health care
3. Will have no effect on the cost of health care
4. In lowering health insurance premiums

3. Primary Health care is regarded as
   1. Essential Health Care
   2. Specialty Care
   3. Rehabilitative Services
   4. Allied Health Care

4. The supplemental insurance that is part of the Medicare program is known as
   1. Medicare Part A
   2. Medigap
   3. Medicare Part B
   4. Medicaid

5. The term used to describe medical tests and services that are not medically justified or billing for a higher priced service
   1. Primary Care
   2. Defensive Medicine
   3. Inpatient Care
   4. Fraudulent Care

6. A characteristic that is needed to be considered a hospital
   1. Is a license from the Federal Government
   2. That you provide a minimum of five specialty services
   3. Registered Nurses must supervise continuous nursing care
   4. You must have access to Public Transportation

7. One of the needed criteria that is necessary to be labeled a Critical Access hospital is
   1. It is located in a rural area
   2. It has over 100 beds
   3. It is located in an urban area
   4. It only takes Health Market Place insurance

8. The Primary Care Physician provides the following service
   1. Specialty Care
   2. Rehab Services
   3. “Gatekeeping”
   4. Tertiary Care

9. State sponsored anti-smoking programs is an example of this type of Determinant of Health
   1. Co-Payment
   2. Policy Making
   3. Individual Behavior
   4. Health Disparities

10. Which Health Market Place plan provides the best cost coverage from the Insurance Carrier
    1. Bronze
    2. Gold
    3. Silver
    4. Platinum

11. A veterans administration or military hospital is an example of
    1. A teaching hospital
    2. A Public, Federal hospital
    3. A propriety hospital
    4. A non-profit community hospital

12. Health Insurance Companies are regulated by the
    1. Federal Government
    2. American Medical Association
    3. Hospital Associations
    4. State that they serve

13. A factor in the high cost of health care in the United States is
    1. Electronic Medical Record Keeping
    2. A Multipayer system and administrative costs
    3. The Social Security Act
    4. The TriCare Medical System

14. Eating, Bathing, and Dressing are considered
    1. Activities of Daily Living
    2. A Determinant of Health
    3. Macroview Evaluations
    4. Instrumental Activities of Daily Living

• Consider the issues of staffing, nursing shortages, and the aging population. Choose one, describe the issue, and explain the factors that contribute to it.

The concept of informed consent is based on the patient’s right to make an informed decision regarding medical treatment. It is a legal requirement in all 50 states. It is more than a patient signing an informed consent form—it is the communication between the provider and patient regarding a specific medical treatment.

True

False

Scenario

G.C. is a 78-year-old widow who relies on her late husband's Social Security income for all of her expenses. Over the past few years, G.C. has eaten less and less meat because of her financial situation and the trouble of preparing a meal “just for me.” She struggles financially to buy medicines for the treatment of hypertension and arthritis. Over the past 2 to 3 months, she has felt increasingly tired, despite sleeping well at night. When she goes to the senior clinic, the nurse practitioner orders blood work. G.C.'s chemistry panel is all within normal limits and a stool guaiac test is negative. Her other results include the following:

Laboratory Test Results

WBC 7600 /mm 3

Hct 27.3%

Hgb 8.3 mg/dL

Platelets 151,000 /mm 3

RBC indices

Mean corpuscular volume (MCV) 65 mm 3

Mean corpuscular hemoglobin (MCH) 31.6 pg

MCH concentration (MCHC) 35.1%

Red cell distribution width (RDW) 15.6%

Iron (Fe) 30 mcg/dL

Total iron-binding capacity (TIBC) 422 mcg/dL

Ferritin 8 mg/dL

Vitamin B 12 414 pg/mL

Folate 188 ng/mL

1. Which lab values are normal, and which are abnormal?

2. Explain the significance of each abnormal result.

3. What type of anemia does G.C. have?

4. What are some causative factors for the type of anemia G.C. has?

5. Which individuals are at risk?

6. Describe the signs and symptoms of this type of anemia.

7. Discuss some of the treatment options for her disease.

8. The physician starts G.C. on ferrous sulfate (Feosol) 325 mg orally per day. What teaching

needs to be done regarding this medication?

9. Discuss some ideas that might help her with her meal planning.

10. You teach G.C. about foods she should include in her diet. You determine that she

understands your teaching if she states she will increase her intake of which of the

following foods?

a. Whole wheat pastas and skim milk

b. Lean cuts of poultry, pork, and fish

c. Cooked cereals, such as oats, and bananas

d. Beans and dark green, leafy vegetables

11. What evaluative parameters could you use to determine whether G.C.'s nutritional needs are

being met?

Describe the three types of prevention efforts and identify examples of each

Scenario

You are a home health nurse who has been seeing P.C., who was diagnosed with small-cell lung cancer approximately 1 year ago. She has been treated with radiation and chemotherapy; however, her provider recently informed her that her cancer is no longer treatable because it has spread to her bones and liver and that the focus of her treatment will change from curative measures to symptom relief. She is confused and somewhat bewildered. She vaguely remembers the term palliative treatment when discussing her situation with her provider but doesn't know what it means.

1. How would you describe palliative treatment?

  CASE STUDY PROGRESS

P.C. confides that she has never formally written down her wishes concerning what types of treatments she would or would not want. You advise her to complete an advance directive and/or living will or to complete a medical durable power of attorney and/or a surrogate decision maker form. In current practice, it is very likely that a part of the home health intake process will be completion of a Physician Orders for Life-Sustaining Treatment (POLST) Paradigm form.

2. What is the purpose of these documents?

3. What health care decisions are considered in these documents?

4. How are advance directives and living wills formalized?

5. P.C. states that she is confused and has mixed feelings about her health care wishes right now.

She asks, “If I fill out this form, can I change my mind down the road?” How should you

answer this question?

6. You inform P.C. that you will help with symptomatic control of her illness. Outline four areas

of care you will focus on.

7. As P.C. becomes frailer and incoherent, how will her treatment be given?

  CASE STUDY OUTCOME

P.C. discusses her wishes with her family and completes the documents describing what she would like her plan of care to be over the remainder of her life span. She passes away peacefully 7 weeks later in her home, supported by her family and friends, under her terms.

Outline and describe the adult and child nutrition programs in the United States including: assistance provided, population served, agency providing program, legislation program authorized under (if applicable), and eligibility for the following programs:

SNAP

SNAP Ed

CSFP

TEFAP

USDA foods

National School Meals Programs

Summer food service program

CACFP

WIC

EFNEP

Head Start

SFMNP

Meals on Wheels

Congregate meals

Role playing exercise/Scenario-

Pricilla Longfellow, a 30-year-old woman, comes into Dr. Fran Practon's office with her mother. She is having an ingrown toenail looked at today to see if surgery is needed. She has experienced traumatic brain injury from an automobile accident that occurred when she was 18 years old. She has difficulty speaking and has a level of understanding somewhere between that of a 5- and a 7-year-old. You will be greeting her at the reception desk and collecting a copayment. The patient is emphatic about wanting to see the physician herself and tells her mother, “I can do it by myself, I don't need you.” Role-play the communication between the administrative medical assistant, the patient, and her mother.

Directions: Write the complete dialog between the administrative medical assistant, the patient, and her mother. in complete descriptive sentences in paragraph form using the concepts below. Factors to include in your scenario:

1. Greet the patient warmly; address the patient by name.

2. Act professionally and keep the conversation focused.

3. Speak slowly and in a calm manner.

4. Select simple words and short phrases.

5. Use verbal and nonverbal cues.

6. Use tone of voice to express concern; do not raise your voice.

7. Repeat and rephrase the message as necessary.

8. Use demonstration when appropriate to reinforce the message.

9. Allow more time than usual.

10. Reassure the patient and do not overload her with information.

11. Inform the patient of what to expect prior to it happening.

12. Exhibit tolerance and sensitivity; do not force answers.

13. Remind the patient why she is at the physician's office; orient her to reality.

Outline and describe the US food assistance programs including assistance provided, population served, agency providing the program, legislation the program is authorized under (if applicable), and income eligibility for the following programs:  

SNAP, CSFP, TEFAP, USDA Foods, School Meal Programs, CACFP, WIC, SFMNP, Meals on Wheels, Congregate Meals.

As a Health Education Specialist, provide detailed examples and rationale for each level of prevention: primary, secondary, and tertiary for the current COVID-19 pandemic.

please answer in essay format

Outline and describe the adult and child nutrition programs in the United States including: assistance provided, population served, agency providing program, legislation program authorized under (if applicable), and eligibility for the following programs:

TEFAP

USDA foods

National School Meals Programs

Summer food service program

Outline and describe the US food assistance programs including assistance provided, population served, agency providing the program, legislation the program is authorized under (if applicable), and income eligibility for the following programs:

CACFP, WIC, SFMNP,