For Phyllis Young: Consequences of Family Dysfunction and Substance Abuse

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Discussion Question: Consequences of Family Dysfunction and Substance Abuse

 

Thelma, a 16 year old girl, suspected that her father had a drug problem but never knew it for certain. One day, she found out from some friends at school that her father used to buy crack cocaine from a known dealer. She agonized for over a week about whether she should tell her mother. She eventually did. Her mother asked Thelma’s father to leave the house and filed for a divorce. Thelma felt that the breakup of the family was her fault.

 

 Read the article on http://www.aaets.org/article230.htm that discusses behavioral, medical, educational, and emotional consequences of family dysfunction and substance abuse.

 

 Read the following article http://www.cigna.com/healthwellness/hw/medical-topics/teen-alcohol-and-drug-abuse-tp17749 on Teen Alcohol and Drug Abuse, paying particular attention to the Why Some Teens Abuse Alcohol and Drugs and Prevention Strategies sections.

 

 Answer the following:

 Did Thelma do the right thing by revealing her knowledge of her father’s drug use to her mother? Explain why. What behavioral and emotional consequences might Thelma experience as a result of her situation? What risk factors for teen substance abuse are present in Thelma’s life? What practical action would you recommend for Thelma to fight against the guilt and anger she feels about the situation with her father? What practical action would you recommend for Thelma’s mother to reduce Thelma’s risk for substance abuse?  

 

Here are some additional web sites that you might find helpful in answering this question:

http://www.phac-aspc.gc.ca/publicat/mh-sm/divorce/2-eng.php  

http://www.ces.ncsu.edu/depts/fcs/pdfs/fcs482.pdf

http://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/Facts_for_Families_Pages/Children_and_Divorce_01.aspx  

Be sure that you have:

Applied your readings from the texts and the lecture to your response

 

 

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4011

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patient education

 

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quality output only 1

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I only need and outline of this information below

Final Paper Preparation
Review the instructions for your Final Paper located in Week Six of your online course. As part of your Final Paper, you are asked to research and identify solutions implemented at five other hospitals in the U.S. that were dealing with the same issues. Create an outline illustrating five solutions implemented at five other hospitals, including key details.  Use the “Guide to Creating an Outline” for assistance.   

Your outline must be formatted according to the guidelines as stated in the Ashford Writing Center.  Your paper must be two to three double-spaced pages (excluding title and reference pages) and formatted according to APA style as outlined in the Ashford Writing Center. Including the textbook, utilize a minimum of five scholarly and/or peer-reviewed sources from the Ashford University Library published within the last five years. Document all references in APA style as outlined in the Ashford Writing Center APA Checklist.
Ashford General Hospital is a 263-bed regional hospital located in California, serving its community for more than 50 years. The hospital maintains the only 24-hour emergency department in the area and an “extended hours” urgent care clinic. Similar to other hospitals in the United States, Ashford General Hospital is encountering a nursing shortage. Sixty-eight percent of the nursing staff is over the age of 45, facing retirement. The retention rate on nurses is 61%, compared to 65% nationwide.  Many of the nursing staff find the work too physically demanding and have a feeling of emotional burn-out as well.   In the past two years, the hospital has used both per diem nurses and traveling nurses who sign short-term contracts to fill individual shifts and accommodate short-term staffing needs arising from staff vacations or medical leaves.  This has not only driven up personnel costs but also resulted in lower scores on patient satisfaction surveys. Ashford General Hospital faces significant challenges in nurse staffing ahead as it grapples with these issues, and the hospital board is very concerned. They know there must be some changes made in order to prevent a major financial and human resources crisis in the future. As the newly hired CEO, you are asked to present a proposal in the next board meeting.

For your Final Paper, you will create a 10 to 15 page proposal (excluding title and reference pages) for the Ashford General Hospital Board of Directors. In your proposal, you will:

  • Include an executive summary.
  • Research and describe solutions implemented at five other hospitals in the US that were dealing with these same issues.
  • Based on your research, describe two solutions that are the most viable for Ashford General Hospital to implement within the next two years.
  • Create a total of two stakeholder group analyses for two solutions you select. Each analysis should include at least five stakeholder groups involved (e.g. patients, hospital executive administration, accounting, Human Resources (HR), marketing, third-party payers, etc.). As part of your analysis, address the following questions:
    • Who is impacted?
    • What change processes may be required?
    • What fiscal impact would occur?
    • What are the ethical, legal, and diversity risk factors involved?
  • Based upon the stakeholder group analyses, recommend the best solution for Ashford General Hospital with detailed justification. Explain why you feel it is the most viable and appropriate solution given the financial impact, HR issues, and interpersonal dynamics of hospital personnel, cultural shift, and change management.

 

 

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Analyze the current health care delivery structure in the state of Georgia.

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Assignment 2: The Healthcare Market
Due Week 6 and worth 240 points
Use the Internet or Strayer online database to research the current health care delivery structures—both private and public—within your state.
Write a 6-8 page paper in which you:
Analyze the current health care delivery structure in the state of Georgia. Compare and contrast the major determinants of healthcare market power.
Analyze the main competitive forces in the your healthcare delivery system in the state of Georgia, and compare the major factors that influence the fundamental manner in which these competitive forces determine prices, supply and demand, quality of care, consumerism, and providers’ compensation.
Evaluate the positive benefits and negative aspects, respectively, of HMO managed care from the provider’s point of view—i.e., a physician and a healthcare facility—and from a patient’s point of view. Provide a rationale for your response.
Assess the efficiency of the types of economic incentives available to providers in the delivery of healthcare services in the state of Georgia.
Propose who bears the financial risk of a capitation payment system: the provider, the patient, or the consumer-driven health plan itself.
Use at least five (5) current references. Three of these references must be from current peer-reviewed sources to support and substantiate your comments and perspectives.
Your assignment must follow these formatting requirements:
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
The specific course learning outcomes associated with this assignment are:
Explain how selected economic principles apply to the health care market and the provision of health care services.
Analyze the factors that are influencing the demand and supply of health care services in the U.S.
Assess current economic trends that influence the cost, quality, and access to care.
Use technology and information resources to research issues in health economics.
Write clearly and concisely about health economics using proper writing mechanics.