3 paragraphs due in 24 hours.

Overview: 

Develop a position statement regarding whether you would consider participating in a clinical trial related to heart disease.  Simply look at the pros and cons to determine which would persuade your decision and write 3-4 paragraphs to defend your position. Be sure to include at least one citation to support your work.

Breakdown:

Heart Disease Assignment

1. Review the following websites to gain an understanding of the #1 threat to women:

 http://www.consultant360.com/content/heart-disease-women

 https://www.yourethecure.org/     Explore You’re the Cure to gain better understanding.

1. Review the booklet: http://www.healthyheartsforwomen.com/whd/#/1 with close review of page 31.
2. Read the following to become more aware of the historical disparity in clinical trial that have likely had impact ;on the diagnosing and treatment of heart disease in women.  

Women make up just over half the US population and should not be considered a special, minority population, but rather an equal gender whose health needs require equal research efforts as those for men. Historically, however, the health needs of women, apart from reproductive concerns, have lagged in medical research. In 1985, the Public Health Service Task Force on Women’s Health Issues concluded that “the historical lack of research focus on women’s health concerns has compromised the quality of health information available to women as well as the health care they receive.” Since the publication of that report, there has been a transformation in women’s health research—including changes in government support of research, in policies, in regulations, and in organization—that has resulted in the generation of new scientific knowledge about women’s health. Offices on women’s health have been established in a number of government agencies.1Government reports and reports from other organizations, including the Institute of Medicine (IOM), have highlighted the need for, and tracked the progress of, the inclusion of women in health research. A number of nongovernment organizations have also provided leadership in research in women’s health. And women as advocates, research subjects, researchers, clinicians, administrators, and US representatives and senators have played a major role in building a women’s health movement. A number of non-governmental organizations have also provided leadership in research in women’s health. And women as advocates, research subjects, researchers, clinicians, administrators, and US representatives and senators have played a major role in building a women’s health movement.  

Institute Of Medicine, Committee on Women’s Health Research (2010). Women’s Health Research: Progress, Pitfalls, and Promises. http://www.nap.edu/openbook.php?record_id=12908&page=1.

4.  Review: http://www.fda.gov/forpatients/clinicaltrials/default.htm then develop a position statement regarding whether you would consider participating in a clinical trial related to heart disease.  Simply look at the pros and cons to determine which would persuade your decision and write 3-4 paragraphs to defend your position. Be sure to include at least one citation to support your work.

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Ethical Resource Allocation

Work through the simulation titled Resource Allocation from the end of Chapter 8 of your course text.  Review the various options in the simulation, then select “Your Own Option” to type out your own solution to the scenario.  You will need to copy and paste your response from “Your Own Option” into the discussion board forum.  Here is a brief synopsis of the simulation regarding the hospital’s budget and dilemma:

Hospital costs in millions for one year:

• One 35-year-old cancer patient who needs significant time with the doctor, medical supplies, tests, and around the clock care: Cost: 100
• Emergency Room operations for daily care and treatment of about 100 people (~365,000/year) Cost: 100
• 2 Senior Patients who need hip replacement surgery. Cost: 50
• 10 patients (ranging in age from 18 to 45) receiving assistance in your inpatient drug/alcohol rehab unit: 100
• An MRI unit that is on the fritz and could die any day. Replacement Cost: 170
• One of your two X-ray machines is inoperable and must be replaced: Cost 100
• Ambulance drive-in area was damaged and needs to be repaired: Cost: 25
• Training needs for nursing staff for certification requirements: Cost: 55
• TOTAL: $700 million

For this discussion, address the following:

• You have $700 million in expenses and only $500 million to work with. How do allocate your resources?
• Who gets treated and who has to wait?
• What about your facilities?
• Determine what you plan to do and explain your reasoning as well as the ethical considerations behind your decision.

Your initial response must be at least 250 words and must use at least two scholarly sources.

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Initial Discussion Post: Choose one of the primary source documents from the topic list below. Using the primary source reading, answer the following questions. Use this template provided to complete the assignment.

1. Context (25 points):
   1. Name of the document you chose to analyze
   2. Who is the creator of the document?
   3. Briefly describe the creator of the document. (To answer this question, you may need to use information obtained from the introduction to the source, or other course materials such as the Lib Guide, Intellipath, or your Instructor.)
   4. When and where was the document created? (Again, you may need to use information obtained from the introduction to the source, or other course materials such as the Lib Guide, Intellipath, or your Instructor.)
2. Summary (30 points):
   1. Write a brief summary of the source. (What is the topic or issue of the source? What are the creator’s main points about that topic? What is one interesting thing said in this source?) 
3. Connections (30 points):
   1. How does this source connect to the Unit 4 Learning Material? How does it help you better understand that moment in American History? (Here you want to think about how this source fits into the other material for the unit in the Lib Guide, Intellipath, or your Instructor.)
      Does this source support what you already know about the topic? If so, how? Or does this source change the way you think about this topic? If so, how?
4. Issue Today (25 points)
   1. Identify how the issue in the document relates to American life today. You will want to use specific examples to explain your points. Reagan, R. (1981). Remarks on Signing the Economic Recovery Tax Act of 1981 and the Omnibus Budget Reconciliation Act of 1981, and a Question and Answer Session with Reporters. Retrieved from The American Presidency Project: https://www.presidency.ucsb.edu/documents/remarks-signing-the-economic-recovery-tax-act-1981-and-the-omnibus-budget-reconciliation

Bush, G. H. (1990). Iraqi Aggression in Kuwait. Speech before the United Nations General Assembly. (See PDF)

Buchanan, P. J. (1992). Address to the Republican National Convention. Retrieved from American Yawp http://www.americanyawp.com/reader/29-the-triumph-of-the-right/pat-buchanan-on-the-culture-war-1992/

Reagan, R. (1987). Tear Down this Wall. Retrieved from The History Place: Great Speeches Collection: http://www.historyplace.com/speeches/reagan-tear-down.htm

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  ******Due in 8-10 hours.

Discussion 1 (250-300 words, 2-3 credible references in APA)

“Democracies change their policies almost entirely through incremental adjustment. Policy does not move in leaps and bounds” thereby ensuring the stability of government (Miyakawa, 1999, p. 298).

In light of this classic quote, what incremental gains have been made by passage and implementation of the ACA, and what additional reforms will be necessary to move further toward health care access for all?

Reference: Miyakawa, T. (1999). The science of public policy: Essential readings in policy sciences I. New York: Taylor & Francis.

Discussion 2 (250-300 words, 2-3 credible references in APA)

Keeping in mind the case of the home health agency that we have discussed since Module 1. As Sara’s supervisor, how would you approach her case to ensure timely solution is implemented in regards to the concern of disease outbreak? What are the limitations of your approach?

Module 1 Case

Your supervisor told you that she recently received a call from an advocate whom an employee consulted via the Employee Assistance Program because the employee felt that she had been treated unfairly after contracting an illness. She explained that a few months ago, one of your agency’s home health aides, Sara, became ill. Sara had been coughing for approximately six weeks, lost weight without trying, had no appetite, was having difficulty sleeping, and had an intermittent fever. She became concerned and went to see a healthcare professional who diagnosed her with active tuberculosis (TB).

Sara missed a lot of time from work while completing treatment for TB. Her physician cleared her to return to work after she was no longer contagious. Upon returning to work, Sara felt isolated because her boss and co-workers refused to spend time with her. She heard that someone from the agency’s Human Resources Department told her co-workers her diagnosis. The stressful circumstances at work became even worse when another home health aide started to display the same symptoms Sara had.

Your supervisor has asked you to review the entire situation and how it was handled by the agency. Each module includes information about epidemiology, health statistics, public health, health communication and advocacy, health literacy, healthcare delivery systems, the Affordable Care Act, ethical considerations, human resources management, legal aspects, cultural and global perspectives, and financial considerations for the organization.

Your methodology over the next few weeks will be to arrange interviews with the relevant individuals, departments, and agencies, in addition to researching professional and scholarly sources, educational videos, and news articles. You will evaluate the information you gather throughout the course of your investigation in order to determine the best course of action. Ultimately, the information will be used to formulate policies and create an employee education presentation.

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