Quest Holl

How do you think you could lobby the pharmaceutical companies to participate in a comprehensive healthcare program that includes prescriptions, with or without a co-pay tier? . Currently, the pharmaceutical industry is largely based on volume, and pharmaceutical companies are incentivized to sell as many pills as possible, at the highest price.  This is primarily due to the cost associated with research and development.  Once a drug is FDA approved, the patent lasts for approximately 13 years.  This means the pharmaceutical company only has a short time to recover research and development expenses and turn a profit before anyone in the industry can manufacture the same drug in generic form. It just seems to me there is no incentive for the pharmaceutical industry to participate in any healthcare program that will have a negative fiscal impact on their bottom line.

References

Drug Patents and Generic Pharmaceutical Drugs. Retrieved from www.news-medical.net/health/Drug-Patents-and-Generics.aspx

 

Milstead,  J. A. & Short, N. M.  (2019). Health policy and politics: A nurse’s guide (6th ed.).  Burlington, MA: Jones and Bartlett Publishers.

 

Thorton, Grant. (2017). Health Care and Life Sciences; Affordable Care Act – Pharmaceuticals. Retrieved from /www.grantthornton.com/library/articles/health-care/2017/affordable-care-act-impact-pharmaceuticals.aspx

Please cite references in the answer of the question

 
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Quest Heath

Yes!  I agree completely that the cost of drugs required to treat acute and chronic illness is a huge problem among health care facilities and patient quality of life!  I have known several people diagnosed with cancer and have great insurance in the beginning, only have to go on to stop working and lose insurance.  What happens next? They cannot afford the treatment due to the high prices for meds.  It’s really sad that that is the way it is.

One of the reasons that the cost of drug prices are higher in the United States, is that the U.S. allows drug companies to set their own price for medications.  In other countries, a delegated body negotiates the price, and it is loosely based upon the benefit of the drug to the patient (Kesselheim, Avorn, & Sarpatwari, 2016).

With the prevalence of chronic diseases, the Centers for Medicare and Medicaid Services (CMS) cite part of the reasoning for high drug prices is due partially to specialty drugs (Abramowitz & Cobaugh, 2016).  Do you feel that with the high number of baby boomers approaching the age of needing more medical needs, big pharma companies see a supply and demand-type situation to raise the cost of drugs?

References

Abramowitz, P. W., & Cobaugh, D. J. (2016). The costs of prescription drugs in the United States: the pharmacists’ voices must be heard. American Journal of Health-System Pharmacy. http://dx.doi.org/10.2146/ajhp160156

Kesselheim, A. S., Avorn, J., & Sarpatwari, A. (2016, August 30). The high cost of prescription drugs in the United States origins and prospects for reform. JAMA, 316(8), 858-871. http://dx.doi.org/10.1001/jama.2016.11237

 
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Quest Heath 19105067

                                                     Initial Post

The Code of Ethics for Nurses Act provides guidance to these professionals on how to conduct themselves and handle various topics in a professional manner when dealing with public matters (Notes, n.d.).  Some of these ethics may be conflicting as well as competing with those of their patients, place of work to their personal ethics. Milstead and Short (2017)  therefore deduce on the importance of nurses being knowledgeable on the area of clinical practice, institutional rules and procedures, the Nurses Code of Ethics and the field of ethics, as well as understanding their personal values. 

In our case, Lena is therefore a nurse who is bound by these regulations as a professional. However, there are various ways of reasoning through this ethical problem to find an ethical solution. The American Nursing Association, 2015 (ANA) endorses patient privacy and confidentiality protection for the purpose of upholding a trusting relationship between healthcare providers and patients (American Nursing Association, 2015). Confidentiality therefore means that the patient’s information and identity is kept private at all times, meaning that the patient retains the right to decide whom to share the information with. Lena’s sister’s boyfriend is therefore protected under this code. 

However, ANA 2015 annuls this protection and confidentiality code in the case that a person’s life is at risk or could endanger the public, meaning that Lena’s sister is protected here.  If I were Lena, I would inform my sister’s boyfriend of his rights as a patient and the importance of sharing the information with his girlfriend to avoid infecting her. . I would stay within my scope of practice and make sure that the patient reports the information to the required entities.

References

American Nursing Association. (June 2015). American Nursing Association Position Statement on Privacy and Confidentiality. Retrieved from https://www.nursingworld.org/~4ad4a8/globalassets/docs/ana/position-statement-privacy-and-confidentiality.pdf

Milstead, J. & Short, N. (2019). Health policy and politics : a nurse’s guide. Burlington, MA: Jones & Bartlett Learning.

Notes on Guide to the Code of Ethics for Nurses: Interpretation and Application

Based in this Post posted above,  answer the following question 

My state is : Florida

In researching for this discussion post, I ran across a law from the state of Maryland that reads, “It is the responsibility of the physician to ensure that partner notification occurs, either by the patient or by the physician.  Assistance can be requested from the health department.” (“Maryland Partner Notification,” n.d.).  The law does not state how and within what time period the partner should be notified.  Are there any laws such as this where you are from?  What regulating agencies certify that physicians are upheld to this standard for reporting?

References

HIV/AIDS reporting and partner notification. (n.d.). Retrieved from http://healthymaryland.org/wp-content/uploads/2013/03/10-HIVAIDS-Reporting-and-Partner-Notification.pdf

 
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Quest 4

 

CS/SB 614 authorizes  an ARNP to prescribe, dispense, administer, or order any drug, which would include controlled substances.

ARNP disciplinary sanctions are added to the bill in s. 456.072, F.S., (Section 5) to mirror a physician’s sanctions for prescribing or dispensing a controlled substance other in the course of professional practice or failing to meet practice standards. Additional acts for which discipline may be taken against an ARNP relating to practicing with controlled substances that are added to the Nurse Practice Act (Section 10) include:

 Presigning blank prescription forms.

 Prescribing a Schedule II for office use.

 Prescribing, dispensing, or administering an amphetamine or sympathomimetic amine drug, except for specified conditions.

 Prescribing, dispensing, or administering certain hormones for muscle-building or athletic performance.

 Promoting or advertising a pharmacy on a prescription form unless the form also states that the prescription may be filled at the pharmacy of your choice.

 Prescribing, dispensing, or administering drugs, including controlled substances, other than in the course of his or her professional practice.

 Prescribing, dispensing, or administering a controlled substance to himself or herself.

 Prescribing, dispensing, or administering laetrile.

 Dispensing a controlled substance listed in Schedule II or Schedule III in violation of the requirements for dispensing practitioners in the Pharmacy Practice Act.

 Promoting or advertising controlled substances.

After reading the following news article http://c-hit.org/2015/04/06/high-prescribing-nurse-surrenders-drug-licenses/

Identify what issues may arise with prescriptive authority of controlled substances and how you may avoid these situations? 

 
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Quest 3

Part 1:   

* Explain what obligations the U.S. government has towards its citizens and how these obligations impact individual and group rights.

* Provide real-world examples to support your explanation, including one personal example from your own experiences.

* Using your personal example, explain the position of the Democratic, Republican and a third party, regarding the example you presented

Post must be at least 300 words. 

 
 

Part 2: 

· Thinking about the Affordable Care Act 2010; 

* how do the Democratic, Republican and a third party politics impact the Affordable Care Act 2010?

* What position do Republican, and Democrat and a third party take on your topic? Expand on this idea

 

Post must be at least 300 words.  

Due 5/15/19

11pm Eastern Time

 
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Question 1 Health Care Organizations Continually Face Challenges From Various

  

This is a discussion post, ABOUT 250 WORDS, tittle page not require In- text citation is required original work please, scholarly references are required for this assignment, website source strongly preferred.

QUESTION 1 : Health care organizations continually face challenges from various

Health care organizations continually face challenges from various regulatory and government agencies and are also bound by Managed Care Organization (MCO) standards. View the video “College of Nursing and Health Care Professions: Do we know what our future is?” for insight into the challenges of health care reform. http://lc.gcumedia.com/zwebassets/courseMaterialPages/nur508_healthcare-reform-video-series-v1.1.php. Based on the video, describe, with rationale, two key factors that you feel will need to be addressed by future health care workers and health care leaders. (Note: you can download slides from this video within the media piece itself for ease of review in developing your forum response).

Additionally, what role does adherence to MCO standards play in your future health care vision?

Support your response with a minimum of 3 peer-reviewed article.

 
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Question 1 Core Principles And Values Of Effective Team Based Health

  

This is a discussion post, ABOUT 250 WORDS, tittle page not require In- text citation is required original work please, scholarly references are required for this assignment, website source strongly preferred.

QUESTION 1: Core Principles & Values of Effective Team-Based Health

In the assigned article, “Core Principles & Values of Effective Team-Based Health Care”(https://www.nationalahec.org/pdfs/VSRT-Team-Based-Care-Principles-Values.pdf )

the authors state that “the incorporation of multiple perspectives in health care offers the benefit of diverse knowledge and experience; however, in practice, shared responsibility without high-quality teamwork can be fraught with peril.” Describe the perils that the authors say lead to uncoordinated care and unnecessary waste and cost. How do communication and interdisciplinary collaboration prevent adverse events? 

A minimum of THREE academic references from credible sources are required for this assignment

 
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Question 19232623

Educate patient on how to manage and improve her chronic conditions.”

 
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Question 19023175

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Question 18999089

 thank you for your detailed posting. As I read your posting, the one thought that keep coming to me was the importance of communication and detailed assessment.  Was it ever asked how often Patricia was taking the narcotic and how long ago did she take it?  Perhaps she has not needed a strong narcotic every day and has found other alternatives to pain relief. Perhaps she only needs it occasionally. It would be helpful if people monitored on narcotics would have an electronic sign in and out system whereby they could only get x number of doses in one day. Of course this would be expensive but may in the end save not only money but lives as well. What do you think? This way, the practitioner would have access to each patient’s pattern of use. 

 
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