Selective Mutism in Children

-Minimum of 8 references required; web page based references discouraged (use published materials from medical journals and textbooks)

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Organization (30 points)
    Is the paper appropriately organized?
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Format (25 points)
    Is appropriate APA writing style used (title, headings, margins, font, double spacing)?
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                    Respond to the post bellow, offering additional/alternative ideas regarding opportunities and risks related to the observations shared.

Respond to the post bellow, offering additional/alternative ideas regarding opportunities and risks related to the observations shared.

MAIN POST

Introduction

In my psychiatric facility, we have introduced telepsych which is the same as telehealth. This is where the psychiatrist can see patients briefly from a remote location. The doctor can be in another country and still see his patients, give orders to the nurse to write, and do initial psych assessments. This is all done through the web via chatting, video, skype and phone. All these new technologies are very convenient for the doctor. This is an inpatient facility but it can also be done from home when a patient needs to see the doctor for non-emergent issues.

Benefits and Risks

There are benefits and risks to using telehealth. According to Harper, there are 5 benefits. Those are convenience, less time in the waiting room, expedited transmission of MRI’s or X-rays for a second opinion, privacy assurance (Harper, 2012, p. 1). These are benefits that help the patient. Some benefits for the physician would be that they can see more patients and from remote places. On the other hand, there are a few risks as well. Some risks include, electronic glitches, physician resistance, and inadequate assessment. Physician resistance would be about change and change is hard to do. The nurse is a big part of the telehealth scene as the doctor will be giving her orders via phone or video. Telehealth is still a new and evolving technology; while the offsite interventions or contacts often lead to less time being wasted on non-care oriented tasks because of the efficiencies offered by the technology applications, its use must never be associated with less care (McGonigle & Mastrian, 2018, p. 361). Glitches can be inherent to this type of technology and potential hackers can disrupt internet/web using technology. Privacy can ultimately be at risk.

Legislatively, December 21, 2017 – Some 63 pieces of legislation focusing on telehealth or telemedicine were approved by 34 state Legislatures this year, according to the Center for Connected Health Policy (“Mobile healthcare, telemedicine, telehealth, BYOD,” 2017, p. 1). It seems that each state is adding to the services of telehealth and it appears there is an ongoing discussion of regulations as far as Medicare and private payer insurances are concerned.

Most Promising Trends

The most promising trends in healthcare today, in my own opinion, would be the Electronic Health Record (EHR). My facility is hesitant to join this trend and therefore we still use paper for everything. This technology is already impacting healthcare. In nursing practice, it saves a lot of time, it is efficient for treatment planning, its is able to be shared amongst all disciplines. The significance of the EHR to nursing cannot be underestimated. Although EHRs on the surface suggest a simple automation of clinical documentation, in fact their implications are broad, ranging from the ways in which care is delivered, to the types of interactions nurses have with patients in conjunction with the use of technology, to the research surrounding EHRs that will inform nursing practice of tomorrow (McGonigle & Mastrian, 2018, p. 267).

 

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Assignment 2 (Final Report)

This assignment is aligned to this course outcome:

Apply macroeconomic concepts to current and personal economic events and decisions.
In addition to writing about macroeconomic concepts, it’s equally important to be able to convey your understanding of these concepts by communicating them to others. In the workplace you might do this by writing briefs (like you did for Assignment 1), creating presentations, or writing reports for your manager or team. An example final report and optional template are provided below.

For this Final Report assignment, you can build off your previous economic brief and selected industry from Assignment 1, or you can select another industry such as Finance and Insurance, Health Care, or Manufacturing, and examine one of the macroeconomic indicators or policies below:

GDP growth
Unemployment rates
Inflation rates
Interest rates
Imports and exports
Government fiscal policy and issues related to taxation, government spending, and budget deficits
FED (central bank) monetary policy and issues related to the FEDs mission to stabilize the economy
Example Final Report, Assignment 2 Template, Strayer Writing Standards

Review an example final report.
Use the optional template to help you get started.
Review the Strayer Writing Standards. (See Instructions below.)
Instructions

Use Microsoft Word to prepare a Final Report that is a minimum of two to three (2-3) pages long in which you:

1. Introduce your selected industry with a brief one-paragraph introduction. Refer to the NAICS (North American Industry Classification System) to review the details about your industry.

2. Assess your selected industrys relative size and growth rate in the economy.

These macroeconomic resources will help you find the size and growth rate of your industry in the U.S. economy and/or relative to GDP:

Real GDP Select Section 1, then table 1.1.6 (select MODIFY to change the year range and frequency). Data is from Bureau of Economic Analysis (bea.gov).

% Change in Real GDP Select Section 1, then table 1.1.1 (select MODIFY to change the year range and frequency). Data is from Bureau of Economic Analysis (bea.gov).

GDP by Industry Steps:

1. Select “Interactive Data.”
2. Select “Industry Data Tables.”
3. Select “Begin Using the Data.”
4. Select “Gross Output by Industry.”
5. Select “Real Gross Output by Industry (A) (Q).”
6. Select Quarterly or Annual.
7. Select “Next Step.” Data is from Bureau of Economic Analysis (bea.gov).

% Change in GDP by Industry – Steps:

1. Select “Interactive Data.”
2. Select “Industry Data Tables.”
3. Select “Begin Using the Data.”
4. Select “Gross Output by Industry.”
5. Select “Percent Changes in Chain-Type Quantity Indexes for Gross Output by Industry (A) (Q).”
6. Select Quarterly or Annual.
7. Select “Next Step.” Data is from Bureau of Economic Analysis (bea.gov).

3. Identify one newsworthy macroeconomic indicator or policy (e.g., GDP, unemployment, inflation rates, interest rates, government taxation and spending decisions, and/or FED decisions) that the industry should monitor and explain why its important and how it might impact your selected industry.

These resources are available to help you measure and track macroeconomic indicators and outcomes of macroeconomic policies.Youll use one or more depending on the macroeconomic indicator selected.

Unemployment rates Data is from Bureau of Labor Statistics (bls.gov).

Inflation rates as measured by the Consumer Price Index (CPI). Data is from Bureau of Labor Statistics (bls.gov).

% Change in Real Exports and Imports – Select Section 4, then table 4.2.1. (Select MODIFY to change the year range and frequency.) Data is from Bureau of Economic Analysis (bea.gov).

Government receipts, expenditures, and savings Select Section 3, then table 3.1 for total government and table for 3.2 for federal government. (Select MODIFY to change the year range and frequency.) Data is from the Bureau of Economic Analysis (bea.gov).

FED Funds Interest Rates. Data is from Trading Economics (tradingeconomics.com).

4. Describe a recent trend in the macroeconomic indicator or policy. Include a graph, chart, or table that illustrates the observed trend.

5. Summarize how you think this industry will perform in the future. Provide support for your rationale.

Your brief should include a cover page.
Your brief should be a minimum of two to three (2-3) pages in length (not including the cover page), double-spaced, 12-point font.
Your report should include a minimum of two (2) references/citations in the text.