INTEREST RATE SWAPS AT HOLOGEN INC

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You will use the following case study for this assignment:

Case Summary:

INTEREST RATE SWAPS AT HOLOGEN INC

Hologen Inc., a diversified company in medical technological products, is planning on aggressively expanding its market share to become the largest global pure-play women�s health company. Presently, it operates in three business segments (Skeletal Health, Breast Health, and GYN Surgical) and it is imperative to penetrate the diagnostic heath-care segment to attain its status as the world leader. Acquiring Cybertech, a British diagnostic firm, will be the quickest and most cost-effective option given its existing international clientele. Hologen requires approximately $ 200 million to make the tender offer for Cybertech and is considering three borrowing alternatives, and your task is to recommend the best option.

Your well-written draft should address the seven questions at the end of the case study and meet the following requirements:
�Be two to three pages in length total
�Be formatted according to the CSU-Global Guide to Writing and APA Requirements

What was the patients subjective complaint? What details did the patient provide regarding his or her personal and medical history?

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The patient you select should be currently taking at least five prescription and/or over-the-counter drugs. With this patient in mind, address the following in a SOAP Note: Subjective: What was the patients subjective complaint? What details did the patient provide regarding his or her personal and medical history? Include a list of prescription and over-the-counter drugs the patient is currently taking. Compare this list with the Beers Criteria and consider alternative drugs if appropriate. Objective: What observations did you make during the physical assessment? What functional assessments were used? Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from top priority to least priority. Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management including alternative therapies? What is your care plan for the patient? How would you offer caregiver support? Reflection notes: What would you do differently in a similar patient evaluation? How might you improve your assessment, diagnosis, and/or plan through interprofessional collaboration?

Explain the need for the blood transfusion.

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In order to answer this weeks discussion board, consider all required readings, but place particular emphasis on the information contained in the article: What do I do now? Ethical dilemmas in nursing and health care. (2013). ISNA Bulletin, 39(2), 5-12. In addition, carefully consider the 9 provisions of the ANA Code of Ethics for Nurses: https://www.nursingworld.org/MainMenuCategories/EthicsStandards/CodeofEthicsforNurses (read article part I and II to view all 9 provisions)

You are a nurse in the Intensive Care Unit and have been assigned to care for a 26-year-old male patient who was brought in via helicopter transport the night before, following his involvement in a single motor vehicle accident. The young man supposedly lost control of his vehicle while traveling at a high speed and was not wearing his seat belt because he was thrown through the front windshield of the car, sustaining a traumatic, closed-head injury. The man was coded during the entire transport to the hospital and was unconscious upon arrival. He is currently receiving ventilator support to sustain his life. The medical staff has advised the family they are doing everything in their power to keep the patient alive. In addition, it appears he is bleeding internally; the lab just phoned to say his recent H & H values are critically low. The medical team has just met and the physician has ordered a stat blood transfusion, so the patients fianc and his mother have been called to the patients room to discuss this. When the family arrives in the patients room, you, as the nurse, begin to explain the need for the blood transfusion. Suddenly the patients mother becomes very upset and reports that due to the family�s religious beliefs (the family is Jehovah�s Witness), her son cannot receive a blood transfusion. The patient�s fianc� begins to argue with his mother, reporting that her son is no longer practicing these religious beliefs and she wants him to have the blood transfusion to try to save his life. The fianc� begins to cry, saying that she and the patient were supposed to be married in two months, and she is requesting that all available treatment be provided. The fianc� turns to the patient�s mother and exclaims, �Your son no longer follows or believes in your religious practices; he must receive this blood transfusion!� As the nurse caring for this young man, what would you do?

Health care workforce: Identify the number of General Practitioners and Psychologists per 1,000 population in your region

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You are required to choose a rural or remote region in Western Australia from the list below and complete a simple needs assessment (population profile) for that region. Please chose one of the following regions for your needs assessment.
– Kimberly
– Pilbara
– Wheat Belt

Assessment Brief:
You are working for a Primary Health Network (PHN) in Australia and you have been asked to undertake both; a simple Needs Assessment (Assignment 1) and an Annual Strategic Plan (Assignment 2) for a region of your choice (listed above) in Western Australia.
PHNs were established in July 2015, with the objectives of increasing the efficiency and effectiveness of medical services for patients, particularly those at risk of poor health outcomes; and to improve coordination of care to ensure patients receive the right care in the right place at the right time.
Primary Health Networks aim to achieve these objectives on the basis of an understanding of the health care needs of their communities through analysis and planning.�In order to achieve these objectives they must identify the available services and help to identify and address service gaps, while getting value for money.
You have been asked to assist with the first stage of the PHN commissioning cycle, which is the strategic planning stage. You will complete these in two stages.

1. Population Profile (14 Marks)

a. Geography: which area/population does this profile cover? A description of a community includes its location. Defining the boundaries is necessary to identify who is included within a community. (1 Marks)

b. Numbers: how many people? The total number of people within the community should include all people from birth to death. This will show the number of people the community assessment is designed to cover. (1 Marks)

c. Age distribution: What age are they (% of population) and compared to the wider population of WA or Australia (4 Marks)
Identify the age distribution of each of the following categories
� Pre-school children

� School-age children and young people

� Adults

� Elderly people.

d. Gender distribution: Identify how many males and females and compared to the wider population of WA or Australia. Write a brief comment on how this relates to the health needs of the community. (2 Marks)

e. Population trends: Identify the patterns over a period of time Population trends give an indication of patterns of disease and compared to the wider population of WA or Australia. Comment on how population trends can reflect on the health care needs of a community. (2 Marks)

f. Language and literacy: Identify the language and literacy profile of your community. Comment on why this is important when considering the healthcare needs of a community. (2 Marks)

g. Employment and Socioeconomic status: outline the socioeconomic profile and rates of unemployment of your community and compared to the wider population of WA or Australia. (2 marks)
2. The health status and health behaviours of the population (14 Marks)
There are different ways of finding out about the health status of the community and a number of measures commonly used to identify the health of a population such as:

a. Mortality data: *This generally describes patterns of death in relation to age, gender and
cause of death. It is a basic measure of epidemiology � the study of disease in populations.
(2 Marks)

Mortality rate = Number of deaths per year x 1000
Total size of the population
Life expectancy =

b. Morbidity data: *This is information refers to the incidence and prevalence of illness and disability in the community
Identify the incidence and prevalence of the following and compare these to the wider population of WA or Australia. (4 Marks)

Region
Wider population

Prevalence
Incidence
Prevalence
Incidence
Cardiovascular disease

Diabetes

Mental illness

Obesity

c. Health behaviours:
Identify the following for your community: (3 Marks)

� Physical activity:

� Smoking rate:

� Alcohol consumption:

d. Service information: Use the following resource to identify the number of General Practitioners, Psychologists and Dietitians in your region. You may place a screen capture of your map here. Health Service Services: https://www.healthmap.com.au (3 Marks)

e. Health care workforce: Identify the number of General Practitioners and Psychologists per 1,000 population in your region (2 Marks)

General practitioners =

Psychologists =

3. Identifying Health Needs Using the information above, please complete the following table by identifying 3 key health needs for your community. (12 marks)