Create a mock corporate compliance and risk management plan: You have been tasked with creating a corporate compliance and risk management plan for a small, rural public community hospital. In a minimum of 1000 words, discuss the steps you would take to create the plan, what specific areas you feel should be covered based upon the demographics of patients being served and how your plan will ensure patients are receiving quality care? with references.

Healthcare stakeholders disagree about the impact of legal risks, medical malpractice claims, tort reform, and defensive medicine on the cost of care and the cost of health insurance in the United States, as well as the importance of such impact. How do legal risks, medical malpractice claims, tort reform, and defensive medicine impact the relationship between healthcare providers and patients? How should they impact the relationship? Make three suggestions to improve existing healthcare policy based on your analysis of impacts on the provider-patient relationship. 1. Your analysis of the issue or situation 2. Your assessment of the impact on key stakeholders 3. Your clear recommendations on a course of action or policy

just write the choice answer ty

1. Which of the following is NOT a reason that there is E. Coli 0157:H7 in ground beef in America?

2.

What was wrong with the US government recommendations to eat less saturated fat to reduce risk of heart disease?

Assignment: Asthma and Stepwise Management

Asthma is a respiratory disorder that affects children and adults. Advanced practice nurses often provide treatment to patients with these disorders. Sometimes patients require immediate treatment, making it essential that you recognize and distinguish minor asthma symptoms from serious, life-threatening ones. Since symptoms and attacks are often induced by a trigger, advanced practice nurses must also help patients identify their triggers and recommend appropriate management options. Like many other disorders, there are various approaches to treating and managing care for asthmatic patients depending on individual patient factors.

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One method that supports the clinical decision making of drug therapy plans for asthmatic patients is the stepwise approach, which you explore in this Assignment.

To Prepare

• Reflect on drugs used to treat asthmatic patients, including long-term control and quick relief treatment options for patients. Think about the impact these drugs might have on patients, including adults and children.
• Consider how you might apply the stepwise approach to address the health needs of a patient in your practice.
• Reflect on how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

By Day 7 of Week 3

Create a 5- to 6-slide PowerPoint presentation that can be used in a staff development meeting on presenting different approaches for implementing the stepwise approach for asthma treatment. Be sure to address the following:

• Describe long-term control and quick relief treatment options for the asthma patient from your practice as well as the impact these drugs might have on your patient.
• Explain the stepwise approach to asthma treatment and management for your patient.
• Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease. Be specific.

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