What do you see as some of the most significant impacts of managed care for patients?
Managed care for patients have had a negative effect on physician-patient relationships, the ability to obtain ethical obligations, and the quality of patient care. I feel like these are negative effects because of the health care systems "reform" efforts. Managed care actually makes it harder for the patients to access specialized services and makes them less satisfied with the care they receive. The population we live in today is somewhat vulnerable when it comes to their health. So many changes have come about and have caused patients to lose their managed care plans from the guidelines being switched under the health reform. Some of the patients feel like its more about the money than it is about the health quality in patient care. the health reform also made the premiums for health care to be increased. When this happened it made it a lot harder for patients living on SSI or one check per month to not be able to afford the insurance. If the patients can't afford the medical insurance then this causes a health decline in the patients

What else can I add to this

Medication Template:

Please answer the following questions for:

Medication: Doxirubicin

Category Class: Anti Tumor Antibiotics

Expected Pharmacological Action:

Therapeutic Use:

Complications:

Contraindications/Precautions:

Interactions:

Medication Administration:

Nursing Interventions:

Patient Education:

Evaluation of medication effectiveness:

Increasingly patients are creating and maintaining personal health records (PHRs) with data from a variety of healthcare providers as well as data they have generated about their health. What provisions should be included in a model privacy and security policy that patients might use in making decisions related to their privacy and the security of their PHRs?

An 18-year-old patient complains of an increased urge to drink water and urinate. He has been losing weight rapidly for the past few months. Following several diagnostic tests, the physician tells him that he has diabetes mellitus. However, the patient refuses to believe the diagnosis, saying that he always thought diabetes was a disease of obese and older adults. He is devastated and feels that this disease means the end of his social life and carefree lifestyle.

1. Considering the symptoms, with which type of diabetes mellitus is the patient diagnosed? What are its characteristics?
2. How is type 2 diabetes mellitus different from type 1 diabetes mellitus?
3. How is type 1 diabetes mellitus managed?
4. How should the nurse deal with this patient?

Orthopedic. 1. An 8-year-old boy has been brought to the orthopedic clinic by his caregiver after falling from a tree. The child has a broken arm that has been x-rayed and is now being cast. A. What should this child and the caregivers be taught regarding care of the cast? B. What instructions should the nurse give the caregiver regarding things to report to the care provider?

Define implicit and explicit goals. Give an example of each.

Sometimes medical personnel is faced with the task of comforting children in the midst of whatever is going on.

Your task is to tell a child a story about numbers. Your story should include:

1. Mention 2 different types of numbers from this list: integers, rational numbers, percentages

2. Give a realistic scenario that involves each number

3. Give a specific example of each type of number( e.g 2, 3\4, 5, etc)

4. Give a calculation involving the numbers ( e.g, 2+3\4= 11\4)

Why is Lactated Ringers contraindicated for patients with DKA? Can someone break it down for me so I can understand why?

What are the differences between maintenance, replacement and resuscitation fluids?

case study topic

A 32-year-old female presents to the clinic with recurrent migraine. She reports that she has a
moderate to severe migraine once a week, on average. She uses SC Imitrex (sumatriptan), and
most of the time the headache resolves with one dose. She was told to return for a checkup if she
had to use the Imitrex more than two or three times a month.

Susan is married and has four children. She experienced her first migraine at age 18 and
has no other health problems. She was started on Imitrex and has had good results. She is
otherwise healthy. She reports a two to four cup a day intake of coffee; usually, one of those
“cups” is a double latte. She occasionally uses Excedrin Migraine for relief of mild headache—
she thinks only once or twice a week. She has never been hospitalized overnight for her
migraines but has gone to the emergency room for “pain medicine” before she was started on
Imitrex.

Assessment

Susan is afebrile, vital signs are all within normal limits (WNL), and her weight is 135 pounds
(body mass index [BMI] is 24), which is stable. The physical examination is completely WNL.
Her neurological examination is unremarkable.



1. What would be the initial management plan?

2. What would be the plan when the patient returns with her headache diary?

3. What medications can prevent migraines? List 3 medications.

4. Identify a current guideline or an evidence-based article regarding the treatment of migraines.