Research

hospital, which shows that there was clearly a lack of quality care being provided and that there was something that was

Madeline’s debt payments-to-income ratio with the college loan is 31.85 percent; without the college loan it is 14.07 percent. According to the 20 percent rule, she cannot afford the college loan. However, after Madeline pays off her credit card debts, her debt payments-to-income ratio with the college loan will be 17.5 percent. Therefore, once she pays off her credit cards, she will be able to afford the loan. [ANSWER: 19.48%]

the West Indies, and by the early 17th century, tobacco from the Spanish colonies was widely

On May 2, 2012, the National Football League lost one of its elite players to suicide: Junior Seau. Seau played for the Chargers, Dolphins, and the Patriots during his professional football career and was a 12-time Pro Bowler before retiring in 2009. Three years after his retirement however, Seau committed suicide by shooting himself in the chest with a gun. This greatly shocked the football world and its image of Junior Seau as a person, but it soon realized the cause for his action. Shortly after Seau’s death, researchers examined Seau’s brain and found that it contained a disease known as chronic traumatic encephalopathy which is formed

The key legislative changes in the bill are; clinically led commissioning, provider regulation to support innovative services, a greater voice for patients, a new focus for public heath, greater accountability locally and nationally and streamlining of arms-lengths bodies.

Henderson, a well known transplant specialist. Dr. Henderson believes medicine in the United States has become a repetitive system of doctors who prescribe patients with similar symptoms generic prescriptions, whether it is surgery or just a medicine, instead of focusing on the individual patient’s needs. He believes the inflation of medical care costs are associated with doctors doing the same thing over and over again. I can personally relate to this because, in February of 2015, I was emitted into the hospital due to excruciating stomach pains. The doctors did not know what was wrong with me, but after I was in the emergency room for over 48 hours, they decided to take out my appendix. Before I went into the surgery, the surgeon reassured me and my parents by saying she has done this surgery hundreds of times, proving an appendectomy is a go-to surgery for stomach pain. The uncertainty of the success of the surgery resolving the problem worried me and my family. Luckily, the surgery did eliminate the preexisting pain. If it had not, however, my parents would have been out thousands of dollars that would go directly to the surgeon’s pockets. Socialized medicine would be able to resolve problems like this one by increasing the quality, safety, and outcomes of each procedure. Dr. Henderson uses the example of Scotland to explain how socialized medicine increased the quality, safety, and outcomes of each procedure. Compared to the United States, Scotland is a lot more advanced medically. The United States can get to Scotland’s level of healthcare by adopting a program of socialized medicine similar to

“The Patient Protection and Affordable Care Act (ACA), informally referred as Obama Care, is a United States federal statue signed into by law by president Barak Obama on March 23, 2010”( Laxmaiah MAnchikanti,2012). Obama care assures they will provide insurance for everyone, with improvements in quality of and reduction in the cost of health care, opponents criticize it as being a massive bureaucracy laden with penalties and taxes that will ultimately eliminate personal medicine and individual practices (Laxmaiah Manchikanti, 2012). Based on these 2 years since 2010, the prognostics for interventional pain management is unclear. They may provide insurance for everyone but with cuts in Medicare to fund Obama Care. Practically limiting expansions on Medicaid

Pain is a condition that is determined and described by the person reporting it. There are several components to pain including the emotional, psychological, and physical aspects. Many health professionals struggle to understand this phenomenon and thereby insert their own perspectives into the pain assessment of patient reporting pain. The Affordable Care Act (ACA) (2010), also titled the Patient Protection and Affordable Care Act H.R. 3590, was passed by Congress and signed into law on March 23, 2010 (U.S. Department of Health and Human Services (DHHS), 2013). Hospital value based purchasing programs (VBP) were developed to align patient quality care and outcomes to the support initiatives from the ACA. A component of the VBP includes patient satisfaction. Patient satisfaction is a self-reported response to questionnaire administered by a third party. Many hospitals utilize Press Ganey to administer the survey for the inpatient and outpatient patients. One component the survey includes patient’s self-reporting how well their pain was managed during their hospitalization. This measure of satisfaction can have an adverse effect on patient outcomes and increase opioid use in this setting. Patient satisfaction and pain management are both subjective however pain management while within scope of healthcare professionals should not be included in the patient satisfaction survey.

Pain is one of the most common reasons people consult a physician, yet it is frequently inappropriately treated [St Stauver JL, 2013]. To deal with this dilemma, nurse practitioners can play an important role on the pain care team, particularly as primary care clinicians spend less time with patients and are increasingly reluctant to provide care for pain patients. As frontline providers, they can take the time to perform a thorough patient assessment and physical examination and follow through with pain treatment, while also playing an essential role in patient education and assessing and monitoring the patient’s opioid risk. Their primary goal is to develop a therapeutic relationship with patients, providing the time and space for patients to tell their pain story [Hughes, 2013], which they then can communicate to the rest of the team and which forms the basis for all subsequent decisions about treatment.

The Native Americans used tobacco for smoking at ceremonies to amuse their gods. European usage When the Spanish came back from the new world, tobacco became one of the biggest trade products. The Spanish introduced tobacco to Europeans in about 1528, and by 1533, French ambassador in Lisbon Portugal called

Population, participation and productivity: needs to have new migrants to lift the three ‘"Ps" of high economic growth - population, participation and productivity’ (Carvalho, 2015) for its economic sustainability. The IGR 2015 shows that compared to 54% of Australians being under 40, more than 88% of the migrant population is below 40. Similarly more than 50% of those who came in within the last three years are aged between 20-34 years whereas one in five Australians fall in that age group. Migrants are mostly young and fall within the productive age group. Therefore the migrants can be easily the valued human capital for Australia to continue its economic growth. Moreover, increasing aged population will

After a quality improvement issue has been identified, a quality improvement plan (QIP) needs to be developed to address the issue. Once deciding upon what will be measured and what indicators will determine success, strategies must be identified, developed and implemented to improve performance (Sadeghi, Barzi, Mikhail & Shabot, 2013). The purpose of this paper is to describe the strategy that will be implemented to address rates of worsened pain in the Veterans Centre (VC) and to create a process map that outlines how pain is currently assessed and managed in the VC (Appendix 1).

Tobacco is native to the Americas. The methods and purposes for use of the plant were as varied as the aboriginal cultures that used it. As Europeans began their exploration and expansion in the 16th and 17th centuries, tobacco use was rapidly adopted and integrated into their own cultures. Predominantly, the method that Europeans first encountered was how its use was popularized in their home countries.

In the United States, starting salaries for teachers who have completed a four-year degree are far lower compared to many other professions, which also require a four-year degree. In most states, teachers must undergo testing and other rigorous certification requirements, but they are given the same consideration or status as beginning professionals in other areas. Although attractive incentives are offered, the compensation does not compare to the long hours of work and schooling required for a teaching career.

What I have learned about research is that it is a process, a scientific process that psychologist and scientist develop that includes many different approaches and that is carefully peer reviewed and evaluated. There is what is called the Scientific Approach where scientist have an idea or theory and based on their observation will either support the theory or the theory can be falsified by their peers. Data also goes through a review period before it is published in a scientific journal by scientist who have the knowledge and expertise to evaluate it.