Several factors have resulted in the shift in utilization from inpatient hospitalization to ambulatory care services. What are the implications of this shift for hospitals, consumers, and the health care delivery system as a whole? Is the increase in outpatient care and corresponding decrease in inpatient care a positive for patients?

Benzodiazepines are commonly prescribed medications for several indications, including anxiety and sleep disorders. Let's discuss their use in our health care systems and the impact on our patients.
Things to consider might include:

Safety: How could the side effect profile affect your patients?
Efficacy: Are benzodiazepines efficacious for anxiety and sleep?
Use: Are they under or over prescribed? How can we ensure safe use of these medications?

Consider the following case:

A 46 year old female who was referred for management of insomnia. She reports that she is unable to sleep at all during the week (difficulty going to sleep and staying asleep) and sleeps all day on Sunday. She currently takes temazepam (Restoril) 30 mg HS (recently increased from 15mg). She also experiences depression due to an abusive relationship with her boyfriend as well as her current lack of employment. She reports poor sleep hygiene (reads and watches TV in bed), drinks 6-8 cups of coffee throughout the day and does not pay attention to how late she eats or exercises.

What non-pharmacological and pharmacological therapies would you recommend for her?

How might the public health professional best demonstrate the public health function of policy analysis/development as it applies to quality assurance, and why might this understanding be important to public health?

Why would anyone want to work as a PCT?

What is the purpose of each of these? Proton pump inhibitors, Bismuth salts, H2 receptor antagonist, GI protectants. Give an example of each

Please explain the administration , distribution, metabolism and excretion from pharmakinetics and how these processes work?

You have a patient being discharged home with CHF and diabetes. This patient is a frequent flyer so you want to facilitate their transition to home as best as possible. In 300-500 words, identify 1- 2 important technologies you have learned about, read about or used in patient care that could be considered for use at home in order to promote patient safety for this particular patient. Explain what it is, how it is used, how it promotes safety and why it would help maintain the patient’s health and minimize the likelihood of readmission. Give the top reason for your selection and identify one improvement that you feel would enhance your identified technology.

Calculate the flow rate:

a. 1000 ml D5W, infuse over 8 hours: ______________________

b. 1000 ml 0.9% NaCl, infuse over 12 hours: _____________________

c. 500 ml 0.45% NaCl, infuse over 6 hours_________________________

1. Calculate the drip rate:   Round rates to the nearest gtt.
   1. Lactated Ringers Solution, infuse at 100 ml/hr, 15 gtt/ml factor tubing. _____________

2. 500 ml D5W with 1 gm Ancef, infuse at 75ml/hr, 10 gtt/ml factor tubing: ____________

3. 1000 ml 0.9% Normal Saline, infuse at 60 ml/hr, 60 gtt/ml factor tubing: ____________

Select from one of the following vulnerable populations:

• Elderly
• Poor, homeless, and underserved
• Mental illness and personality disorder
• Drug-Addicted patients at end of life
• Pediatrics

give a summary of some of the factors that make this particular population vulnerable. Identify recommendations for improving palliative care utilization for this population.

You have been asked by your local elementary school principal to address a group of parents about the problem of obesity. Among the topics you have been asked to talk about are good nutrition, exercise, and lifestyle changes. Since all of your parents are adults, list five principles of adult learning, and describe how you would incorporate them into your teaching plan.

What does reliability mean to you? In your experience, what healthcare process have you found to be reliable? What process have you found to be unreliable? Explain what is different about the reliable process versus the unreliable process