1000 results for “Prescription”.
Prescription, Nonprescription and Herbal Medicines
Prescription, Non-prescription and Herbal Medications: Exploring Interactions in the Geriatric Population
Geriatric medicine, generally referred to as just "geriatrics" is a branch of internal medicine and health care that focuses primarily on the diagnoses, prevention, care and treatment of disease and disability in elderly patients. Elderly patients involve those senior members of the population that develop a disability, or are suffering from a disease that is a resultant of old age or is a prompt symptom of old age. Geriatrics commonly involves treatment of these old age symptoms and disabilities such as deteriorated memory, immobility, impaired vision and hearing etc. Geriatrics, in modern times, is quite advanced. Specialized services such as psycho-geriatrics, where expert psychologists focus on treating old age related depression, memory loss and other psychological conditions that occur in the elderly population, along with development of physical therapy centers whose prime focus is…
Bibliography
Administration on Aging, U.S. Department of Health and Human Services. (2004). A Profile of Older Americans: 2004. Pg. 3,.
Alavijeh, M.S., Chishty, M., Qaisar, Z.M., & Palmer, A.M. (2005 October). Drug Metabolism and Pharmacokinetics, the Blood Brain Barrier, and Central Nervous System Drug Discovery. NeuroRx, 2(40.
Aschenbrenner, D.S., & Venable, S.J. (2009). Drug Therapy in Nursing. Wolters Kluwer- Lippincott, Williams & Wilkins.
George, J., Byth, K., & Farrell, G. (1990). Age But Not Gender Selectively Affects Expression of Individual Cytochrome P450 Proteins in Human Liver. Pub Med- Biochem Pharmacol, 48:365-374.
Prescription Drug Comparison
The rate at which Americans consume prescription or over-the-counter pharmaceuticals has increased significantly during the last two decades, and today "the number of prescriptions filled each year increased by 39% between 1999 and 2009 & #8230; while the average American fills 12 prescriptions each year" (ice, 2012). I have selected a total of five medications commonly found throughout the typical home, and recorded the route of transmission for each substance. In addition, the various side effects experienced after taking each of these drugs are described in detail.
Ibuprofen
oute of Transmission: When presented with headache symptoms or other localized pain issues, two disintegrating tablets each containing 200mg of ibuprofen, are ingested orally along with water. While ibuprofen is available in a number of brand names, including Advil and Motrin, I happen to take a generic version of the drug for the sake of practicality.
Side Effects: During…
References
MIMS Online Database. (2011). Ibuprofen. Available: http://www.mims.com/USA/drug/info/ibuprofen/ . Last accessed 30th Nov 2012.
MIMS Online Database. (2011). Lansoprazole. Available: http://www.mims.co.uk/Drugs/gastrointestinal-tract/peptic-ulcer-z-e - syndrome/lansoprazole/. Last accessed 30th Nov 2012.
Rice, S. (2011, May 31). Are you taking too many meds?. CNN Health. Retrieved from http://www.cnn.com/2011/HEALTH/05/31/med.nation.too.many.meds/index.html
Tiziani, A. (2010) Harvard's Nursing Guide to Drugs. 8th ed. Sydney, Australia: Elsevier- Mosby
Prescription, OTC and Herbal emedies in Canada
More and more consumers are becomes wise to the ways of medicine, and seeking methods of self-medicating and treating acute or chronic ailments with as little hassle as possible. There are several therapies available to patients suffering from physical ailments, including prescription drugs, OTC and herbal medications. Each of these medications is treated differently by the Canadian government, and regulated in a slightly different manner.
Though all of these medications may potentially be taken safely, they can also cause a variety of symptoms and side effects if taken incorrectly. Thus it is critical that consumers educate themselves to as great an extent as possible to ensure that the medicine options they take are safe given their personal medical history. An overview of each of these different therapies is provided below, as well as legislation governing their disbursement and use.
Prescription, OTC and Herbal…
References:
HC. (2004). "The regulation of prescription drugs: roles and responsibilities." Health
Canada. May 2004. Retrieved 7, December 2004: http://www.hc-sc.gc.ca/english/media/releases/2004/internet_pharmacybk1.htm
Longtin, D. & Miller, H.I. (2000). "Death by dietary supplement." Policy Review: 15
Ruedy J, Kaufman DM, MacLeod H. (1999). Alternative and complementary medicine in Canada: A survey. Can Med Assn J; 160:816-818
In a study by Shah, Aslam and Avery (2001) of approximately 38,000 prescriptions by 23 doctors, there were a number of errors including: 715 or 25% no directions; 510 or 18% prescribed item not mentioned (usually on repeat prescription); 321 or 11%, directions incomplete, illegible or written "as directed"; 306 or 11%, more than one month's supply given on separate repeat prescriptions without patients request; 260 or 9%, strength missing where a product existed in various strengths, and no guidance available in the BNF; 8% or 229, the prescribed quantity was not clearly written, missing or too large; and 5% or 132, prescriber's signature missing. Another 100 errors were due to prescribing medicines no longer available, incorrect medicine because handwriting, no date or wrong strength.
Given that this is the digital age, it seems that prescriptions can be easily "written" by computer or some form of electronics, and indeed that…
References
Preece, J.F,. Ashford, J.R and Hunt, R.G. Writing all prescriptions by computer (1984). The Journal of the Royal College of General Practitioners. 34: 654-657
Romano, M. (2002) Patient-safety awards abound, but do they represent real progress in the fight against medical errors, or are they just for show? Modern Healthcare
http://www.modernhealthcare.com/
Rovner, J. (2007) Congress Looks to Require Electronic Prescriptions. NPR
Prescription Drug Use Research
Pradel, V., Delga, C., Rouby, F., Micallef, J. nd Lapeyre-Mestre, M. (2010). ssessment of buse Potential of Benzodiazepines from a Prescription Database Using 'Doctor Shopping' as an Indicator. CNS Drugs, 24(7), 611-620.
This study involved assessing the potential for abuse of several benzodiazepines using so called doctor shopping and to recommend that a "doctor shopping indicator" statistic can be useful in reducing prevalence of prescription drug over-use.
McCabe, S.E., West, B.T., Morales, M., Cranford, J.., Boyd, C.J. (2008). Does early onset of non-medical use of prescription drugs predict subsequent prescription drug abuse and dependence? Results from a national study. ddiction, 102, pgs. 1920 -- 1930 doi:10.1111/j.1360-0443.2007.02015.x
This study examined the associations between early onset of non-medical use of prescription drugs and the development of prescription drug abuse and dependence in the United States. Research participants comprised a nationally representative cross-sectional sample of civilian non-institutionalized adults aged…
Article 10:
Higgins, G.E., Mahoney, M., Ricketts, M.L. (2009). Non-Social Reinforcement of the Non-Medical Use of Prescription Drugs: A partial test of social learning and self-control theories. Journal of Drug Issues. 949-964.
Researchers examined the explanation of the nonmedical use of prescription drugs to test the comparative utility of two theories of drug use (i.e., social learning theory and self-control theory) on the nonmedical use of prescription drug use. Using data from the 2006 Monitoring the Future Survey, they found that both theories have a link with the nonmedical use of prescription drugs. A consistent theme was that social learning theory had a consistent link with the nonmedical use of prescription drugs. However, self-control and nonsocial reinforcement have inconsistent links with the nonmedical use of prescription drugs.
Health care [...] prescription compliance among the homeless. Health care for the homeless is perhaps one of the biggest challenges for the healthcare professional. The homeless in America face many problems, and healthcare is only one of them. It is difficult for most homeless people to fill and use prescription drugs for health problems for a number of reasons, from cost to the ability to self-administer drugs they may not understand or want. The problems of homeless noncompliance with prescription medications must be addressed to avoid a crisis in homeless health care.
Most homeless people do not have health care coverage, and so even basic prescription medications for health problems may be out of their reach. If they do attempt to receive health care at all it is usually through a county facility such as a clinic or a free clinic. If their conditions require prescription drugs, often they cannot…
References
Boucher, L.A. (1995). Medication: Overview and issues. In Old and homeless -- Double-jeopardy: An overview of current practice and policies, Rich, D.W. & Mullins, L.C. (Eds.) (pp. 53-63). Westport, CT: Auburn House.
Clarke, P.N., Williams, C.A., & Percy, M.A. (1995). Health and life problems of homeless men and women in the southeast. Journal of community health nursing, 12(2), 101-110.
Editors. (2004). Health care for the homeless. Retrieved from the American Medical Student Association web site: http://www.amsa.org/programs/gpit/homeless.cfm 27 Dec. 2004.
Sociology
The United Nations predicts that by 2050, the world's population will exceed 9 billion people. Discuss the consequences of population growth on the world's resources (include environmental and health factors such as food, water, air, access to medicine). Why is the world's population growing so fast? And how is technology contributing to this rapid growth?
There are several major reasons for population growth being what it is. As described by an article on the Yale University website, there are three main ones. Those would be tackling of infectious disease in many countries, improvement in public health overall and improved production and distribution of food. When it comes to food production, just one example of how well food production is done now would be that grain has increased in volume from 631 million tons to about 1.65 billion tones just from 1950 to 1984 alone. This is a factor of…
References
Carroll, J. (2015). BIO boots Martin Shkreli's Turing out after pricing controversy erupts. FierceBiotech. Retrieved 11 October 2015, from http://www.fiercebiotech.com/story/bio-boots-shkrelis-turing-out-after-pricing-controversy-erupts/2015-09-23
Healthcare.gov,. (2015). Essential Health Benefits. HealthCare.gov. Retrieved 11 October 2015, from https://www.healthcare.gov/glossary/essential-health-benefits/
News Medical,. (2014). Treat or eat: Many people forced to choose between food or medicine. News-Medical.net. Retrieved 11 October 2015, from http://www.news-medical.net/news/20140321/Treat-or-eat-Many-people-forced-to-choose-between-food-or-medicine.aspx
Yale. (1998). 98.07.02: The Population Explosion: Causes and Consequences. Yale.edu. Retrieved 11 October 2015, from http://www.yale.edu/ynhti/curriculum/units/1998/7/98.07.02.x.html
Perception of Drug Companies
The author of this response has been asked to respond to several questions that pertain to the pharmaceutical industry. In order, those questions will be what practice, factor or event has been most damaging to the public perception of the pharmaceutical industry, what practice, factor or event has been most enhancing of the public perception of the pharmaceutical industry and what would be the most effective day for the medical product industry to improve its public image. While drugs are most certainly life-saving and life-sustaining, there are also some major problems that are present and thus must be dealt with.
While it is easy to point to the recent "pharma bro" brouhaha with Turing Pharmaceuticals and drug pricing overall, most people have coverage and what Turing did is not really that common in terms of frequency and the amount of companies that devolve into the practices…
References
CDC. (2016). Understanding the Epidemic -- Prescription Drug Overdose -- CDC Injury Center. Cdc.gov. Retrieved 18 February 2016, from http://www.cdc.gov/drugoverdose/epidemic/
Chandler, A. (2015). Who Is 'Pharma Bro'? The Atlantic. Retrieved 18 February 2016, from http://www.theatlantic.com/national/archive/2015/12/pharma-bro-martin-shkreli/421083/
Addiction of Teenagers to Prescription Drugs
Addiction of teenage prescription drugs
The problem of addiction of teenagers to prescription drugs has been on rise in modern days. It is estimated that daily in the United States 2,500 youth abuse prescription drugs. This is not only a problem in the United States, but it also affects teenagers in Europe, South Asia, and Southern Africa. Over 15 million people have reported abusing prescription drugs globally. This is higher than those who reported abusing heroin, cocaine, and hallucinogens. A 2007 survey carried out in the United States in 2007 indicated that in one month 6% of 17 to 25-year-olds and 3.3% of 12 to 17-year-olds had abused prescription drugs. This might seem like a low number, but considering that this only happened in one month you can imagine how prevalent the rates would be in one year. A survey conducted in 2012 found…
References
Cranford, J.A., McCabe, S.E., & Boyd, C.J. (2013). Adolescents' nonmedical use and excessive medical use of prescription medications and the identification of substance use subgroups. Addictive Behaviors, 38(11), 2768-2771.
Drazdowski, T.K., Jaggi, L., Borre, A., & Kliewer, W.L. (2014). Use of Prescription Drugs and Futur e Delinquency among Adolescent Offenders. Journal of substance abuse treatment.
Havens, J.R., Young, A.M., & Havens, C.E. (2011). Nonmedical prescription drug use in a nationally representative sample of adolescents: Evidence of greater use among rural adolescents. Archives of pediatrics & adolescent medicine, 165(3), 250-255.
McCabe, S.E., Boyd, C.J., & Young, A. (2007). Medical and nonmedical use of prescription drugs among secondary school students. Journal of Adolescent Health, 40(1), 76-83.
ecommended Pricing Strategies:
As a pharmaceutical benefit manager, I have several primary stakeholders to whom I am responsible. These include: my organization, the employer as my client, the employees of the client as plan participants, the pharmacists dispensing the medications, and the pharmaceutical manufacturers and/or distributors. My job is to develop a plan that is profitable for my organization. I must also develop a plan that is cost-effective for the employer. The employees of the client must find the plan valuable and beneficial in the maintenance of their healthcare. The pharmacists must be compensated fairly for their time, and the pharmaceutical manufacturers and/or distributors must be able to make a profit in an increasingly competitive, rapidly changing industry. Developing a pricing strategy to meet these competing stakeholder needs is challenging and will require looking at each employer's unique pharmaceutical needs to determine the best pricing plan possible.
The MAC pricing…
References
Jones, J.D. (2003). "Developing an effective generic prescription drug program." Benefits Quarterly, 19(1), p. 14-18.
Maximum allowable cost. (17 Feb 2009). Retrieved February 24, 2011, from http://www.gphaonline.org/resources/2009/maximum-allowable-cost-mac.
McClurg, J. (Jan 2009). "Understanding the Rx financial trail: Who pays what, when, where, and why." Employee Benefit News, 23(1). p. 41-42.
The FDA also, amongst others, has recommended that clinical trials used to support advertising claims be approved by the FDA and to institute stiff fines against those found gaily of deceptive tactics. (Turning Medicine Into Snake Oil...) There is little doubt from the research that pharmaceutical companies have to be made more accountable for their products and advertising promises.
eferences
Borden Anne. Vioxx Stroke isk could last for Years. 2007. etrieved June 1, 2007 at http://www.lawyersandsettlements.com/articles/00888/vioxx-stroke-risk.html
Deceptive Prescription Drug Marketing Tactics 'Common and Dangerous'. 2006.
etrieved June 1,2007, at http://www.uspirg.org/newsroom/health-care/health-care-news/deceptive-prescription-drug-marketing-tactics-common-and-dangerous
Introduction to the Health Care Industry: Health Expenditures and Services in the U.S. etrieved June 1, 2007, at http://www.plunkettresearch.com/HealthCare/HealthCareTrends/tabid/294/Default.aspx
O'Connor K. x for prescription drugs. etrieved June 1, 2007, at http://www.oconnorhealthanalyst.com/pgs/rx.html
Oxycontin Manufacturer Agrees to Plead Guilty and Pay Fine of $600,000,000.
etrieved June 1, 2007, at http://tyler.injuryboard.com/defective-products/oxycontin-manufacturer-agrees-to-plead-guilty-and-pay-fine-of-600000000.php?googleid=8636
Prescription Meds Changing Health Care. etrieved June 1, 2007, from Spending http://www.medicalnewstoday.com/medicalnews.php?newsid=60788…
References
Borden Anne. Vioxx Stroke Risk could last for Years. 2007. Retrieved June 1, 2007 at http://www.lawyersandsettlements.com/articles/00888/vioxx-stroke-risk.html
Deceptive Prescription Drug Marketing Tactics 'Common and Dangerous'. 2006.
Retrieved June 1,2007, at http://www.uspirg.org/newsroom/health-care/health-care-news/deceptive-prescription-drug-marketing-tactics-common-and-dangerous
Introduction to the Health Care Industry: Health Expenditures and Services in the U.S. Retrieved June 1, 2007, at http://www.plunkettresearch.com/HealthCare/HealthCareTrends/tabid/294/Default.aspx
The Act creates a positive balance between government interests to save money and the interests of Medicare recipients to receive a wide range of drugs for their specific needs. The current ban on government negotiations with pharmaceutical companies serves to protect Medicate recipients by using the positives of the free market, such as the experience and purchasing power of PBMs. hile there are serious potential problems with this approach, such as the potential for fraud between pharmaceutical companies and private interests, overall the ban on government negotiations with pharmaceutical companies provides a good balance between recipient and government interests.
orks Cited
American Legislative Exchange Council. Prescription Drugs. 19 October 2005. http://www.alec.org/2/4/talking-points/7.html
Barry, Patricia. New Salvos in the Prescription Drug ars: Class action suits are exposing schemes that gouge consumers. AARP Bulletin, January 2005.
19 October 2005. http://www.aarp.org/bulletin/prescription/a2005-01-06-salvos.html
Dealey, Sam. Drug Dealings: Democrats had it right before. National Review Online, May…
Works Cited
American Legislative Exchange Council. Prescription Drugs. 19 October 2005. http://www.alec.org/2/4/talking-points/7.html
Barry, Patricia. New Salvos in the Prescription Drug Wars: Class action suits are exposing schemes that gouge consumers. AARP Bulletin, January 2005.
19 October 2005. http://www.aarp.org/bulletin/prescription/a2005-01-06-salvos.html
Dealey, Sam. Drug Dealings: Democrats had it right before. National Review Online, May 05, 2004, 9:12 A.M. 19 October 2005. http://www.nationalreview.com/comment/dealey200405050912.asp
Teen Drug Abuse - Prescription or Not
Differences between nonalcoholic offspring of alcoholics (family history positive, FHP) and matched offspring of nonalcoholics (family history negative, FHN) have been identified on a variety of behavioral, cognitive, and neurological measures. Compared to FHN teens, FHP adolescents and young adults demonstrate more disturbed school careers, impulsivity, rebelliousness, and nonconformity (National Survey on Drug Use and Health, 2006); poorer neuropsychological performance (Worden & Slater, 2009); and significantly lower amplitude in P300 brain waves, which are believed to measure selective attention (Cicero, et al. 2005). Further, following ingestion of alcohol, sons of alcoholics report less body sway and less subjective intoxication (Grant, et al., 2005), higher levels of flushing (McBride, 2011), and decreased P300 amplitudes when performing difficult tasks (Foster, et al., 2009).
Not all individuals with a family history of alcohol dependence become alcohol and/or drug abusers, however, and genetics alone cannot account for…
Resources
Ajzen, I. (2010). The theory of planned behavior. Organizational Behavior and Human Decision Processes, 50(2), 179-211.
Centers for Disease Control and Prevention [CDC]. (2006). Youth risk behavior surveillance -- United States, 2005. MMWR 2006, 55.
Cicero, T.J., Inciardi, J.A., & Munoz, A. (2005). Trends in abuse of OxyContin and other opioid analgesics in the United States: 2002-2004. The Journal of Pain, 6, 662-672.
Drug Enforcement Administration. (2005). Prescription pain medications: Frequently asked questions and answers for health care professionals and law enforcement personnel. Journal of Pain and Palliative Care Pharmacotherapy, 19(1), 71-104.
Pharmacy Ethics
The author of this report has been asked to review the legal and ethical considerations in play given the test case scenario surrounding Pharmacare and Compcare. As is quickly apparent while reading the case study, the company engaged in a long and extensive list of ethical and/or legal violations as a means to maximize profit and minimize the legal and other red tape that seems to bother them even though it is there for a very good reason. The ethical issues involved will be touched upon and analyzed. There will also be an exploration and analysis of direct-to-consumer marketing of drugs, whether John is the "investor" of AD23, the arguments about John being a whistleblower and the associated protections he would have if he is and examples of intellectual property theft that have occurred in the last two years or so. While bad things do incidentally happen and…
.....prescription process can incur high costs in the healthcare industry due to poor risk management. Lack of continued assessment, technological upgrades, and information sessions can lead to an increased rate of data entry errors. Data entry errors may result in patient deaths, and lawsuits that lessen the financial success of any hospital/clinic. However, there is opportunity to reduce data entry errors in order to minimize negative outcomes related to prescription errors and patient satisfaction. The recommendation for minimizing negative outcomes is to incorporate a cloud service that allows for integration of existing electronic prescription records, allowing optimization of prescriptions from doctor/nurse to pharmacy to patient, thus minimizing potential data entry error. The impact the cloud service application can have on healthcare can be great. Costs may be reduced and legal ramifications from human error can be avoided by exemplifying the risk management essentials of assessment, technological upgrades, and training.
Part…
Direct to Consumer Advertising
According to a report by the United States General Accounting Office, "spending on direct-to-consumer advertising of prescription drugs has tripled in recent years," (Collins et al. p. 4). Consequently, spending on prescription drugs has also risen. Although the United States Food and Drug Administration (FDA) regulates the content of prescription drug advertisements under the Federal Food, Drug, and Cosmetic Act (FFDCA), many critics of direct-to-consumer (DTC) promotion of prescription drugs contend that the advertisements can be misleading or even dangerous. Spending on DTC drug ads can also cut into costs that could be channeled into research and development, which is another reason why many consumer groups express concern over the proliferation of DTC ads for pharmaceuticals. The FDA changed their stance somewhat regarding DTC ads for prescription drugs in 1999, which is why DTC ads for pharmaceuticals have become commonplace, most notably on television (Palumbo and…
Works Cited
'A Brief History of Drug Advertising." NOW Science and Health on PBS.org. 7 Jan 2005. .
Collins, Susan, et. al. "Prescription Drugs: FDA Oversight of Direct-to-Consumer Advertising Has Limitations." United States General Accounting Office. Oct 2002. .
Deselle, Shane P. "Direct-to-Consumer Prescription Drug Advertising and Pharmacy Practice." Pharmaceutical Education. 27 July 2004. .
'Direct to Consumer Advertising for Prescription Drugs." American College of Physicians. 9 Oct 1998. .
History of Direct to Consumer Advertising of Prescription Drugs in the U.S.
Imagine this: you are at home watching television one evening after work. As you casually flip through the channels searching for something interesting to watch, you notice a multitude of advertisements for prescription drug products. This form of advertisement is known as direct-to-consumer advertising, and is now well-known to practically all American households. One needs only to watch virtually any commercial television program or to browse through any consumer-directed magazine to view advertisements for a variety of prescription drugs. In regard to broadcast media, this is a relatively new phenomenon because, for many years, pharmaceutical manufacturers had to follow certain requirements. These requirements consisted of the inclusion of a substantial amount of material about the drug product's side effects, contraindications, and effectiveness.
Recent changes in 1999 under the guidance of the Food and Drug Administration (FDA) altered the…
Bibliography
Jackson, Charles O. (1970). "Food and Drug Legislation in the New Deal." Princeton University
Press.
Palumbo, Francis B. "The Development of Direct-to-Consumer Prescription Drug Advertising
Regulation." Food and Drug Law Journal 57.3 (2002). 423-443.
Health Care -- Statistical Thinking in Health Care
The HMO pharmacy is inaccurately filling prescriptions. Prescribers blame pharmacy assistants, the assistants blame pharmacists and pharmacists blame prescribers. Analysis of their system show points ripe for change in order to improve accuracy. In addition, there are multiple measures that can be applied to substantially enhance the quality of the HMO pharmacy's work.
Process Map & SIPOC Analysis
Process Map of Prescription Filling Process
Process Map of Prescription Filling Process
Prescriber determines patient needs medication
Prescriber selects medication type
Prescriber selects medication dosage
Prescriber hand-writes prescription
Prescription delivered to pharmacy
Prescription entered into pharmacy computer system by pharmacy assistant
Pharmacist selects medication
Pharmacist measures medication
Pharmacist counsels patient about prescription
Medication delivered to patient
SIPOC Analysis of Business Process
SIPOC Analysis of Business Process
Supplier
Input
Process Steps
Output
Customer
Prescriber
Patient information
Determines need for medication
Determines type of medication
Determines…
Works Cited
Bright Hub Project Management. (n.d.). Six Sigma: Network diagram examples. Retrieved April 26, 2015 from www.brighthubpm.com Web site: http://www.brighthubpm.com/six-sigma/25326-dmaic-phase-two-measuring/
Caamano, F., Ruano, A., Figueiras, A., & Gestal-Otero, J. (December 2002). Data collection methods for analyzing the quality of the dispensing in pharmacies. Pharmacy World & Science, 24(6), 217-223.
DrFirst, Inc. (n.d.). Rcopia e-prescribing. Retrieved April 26, 2015 from go.drfirst.com Web site: http://go.drfirst.com/l/8842/2012-08-02/7p276?pi_ad_id= {creative}&utm_source=google&utm_medium=cpc&utm_term=%7Bkeyword%7D
Nair, R.P., Kappil, D., & Woods, T.M. (2010, January 20). 10 strategies for minimizing dispensing errors. Retrieved April 26, 2015 from www.pharmacytimes.com Web site: http://www.pharmacytimes.com/publications/issue/2010/January2010/P2PDispensingErrors-0110
Article 1: McCauley, J.L., Back, S.E. & Brady, K.T. (2013). Pilot of a brief, web-based educational intervention targeting safe storage and disposal of prescription opioids. Addictive Behaviors 38(2013): 2230-2235.
In this article, McCauley, Back & Brady (2013) report on the results of an open pilot trial focusing on increasing patient knowledge of safe use of prescription opioids. Participants were 62 outpatients at a chronic pain management clinic or dental clinic who were prescribed opioids. All participants received informed consent and then completed the Script Safety intervention, which is an online information service containing information specific to the medication each participant was taking. Telephone interviews were conducted one week and one month following the intervention to assess knowledge retention and comprehension, misuse behaviors, and overall satisfaction. Results showed that satisfaction rates were high, knowledge comprehension and retention rates were also high, and that some self-reported misuse behaviors had decreased at the…
Knowledge of the program's existence within a state can also hopefully act as a deterrent for an addicted 'doctor-shopper.'
Article Relevance: Doctors are growing increasingly cautious about prescribing pain medication. This is unfortunate, given the fact that not treating pain can be equally dangerous as over-treating pain. States' lack of sharing of information in the name of state's rights and patient privacy is interfering with doctors' abilities to provide appropriate care. Currently, 41 states have used federal funding to monitor and share information about the use of prescription drugs across state lines. Doctors in non-participating states, however, can still use other states' data about patients when making decisions about prescribing drugs. Doctors all states should consult records if they have any question about a patient's honesty: this can either flag a potential addict, or set their mind at ease when they write a prescription for a patient who says that…
One problem for law enforcement is the lack of a consistent medical and legal bookkeeping strategy for individuals being prescribed addictive prescription painkillers. Prescription drug addicts will often go from doctor to doctor, crossing state lines to get their 'fix' and often succeed in persuading unsuspecting doctors to give them more opiates. The 2005 National All Schedules Prescription Electronic Reporting allocated $50 million to states to create a program that will allow doctors interstate access to patient records, to make sure that the patient is not 'doctor swapping.' Although the program is still under-funded, and many states, including Vermont, are not actively participating in the program, it is hoped it will cut down on the number of patients using doctors to provide them with their 'fix.'
Author's Points: A coherent system across all 50 states is required for doctors to have the security of knowing that they have a full and complete picture of a patient's medical history before prescribing a potentially addictive opiate painkiller. Knowledge of the program's existence within a state can also hopefully act as a deterrent for an addicted 'doctor-shopper.'
Article Relevance: Doctors are growing increasingly cautious about prescribing pain medication. This is unfortunate, given the fact that not treating pain can be equally dangerous as over-treating pain. States' lack of sharing of information in the name of state's rights and patient privacy is interfering with doctors' abilities to provide appropriate care. Currently, 41 states have used federal funding to monitor and share information about the use of prescription drugs across state lines. Doctors in non-participating states, however, can still use other states' data about patients when making decisions about prescribing drugs. Doctors all states should consult records if they have any question about a patient's honesty: this can either flag a potential addict, or set their mind at ease when they write a prescription for a patient who says that he or she is in pain.
Prescription Drug Abuse
The overall point of conversation when speaking of prescription drugs in the public and political sphere has usually focused on cost and/or ease of access among all Americans. The overall points of conversation relating to drug has often centered on drugs like heroin, cocaine, crack and marijuana. However, as time and trends have shifted, the primary focus of both overall topics has centered on the use and abuse of prescription drugs, usually certain classes of drugs such as sedatives, opiates and anti-anxiety drugs. Common drugs focused on include Xanax, any narcotic-based painkiller such as Oxycontin and sedatives or muscle relaxers such as Valium and Soma. While prescription drugs are very important to have at the ready, the likelihood and propensity towards abuse of the drugs and other legal behavior is significant and this is even true among people who obtain the drugs legally at the onset.
Analysis…
References
Doyon, S., Klein-Schwartz, W., Anderson, B.A., & Welsh, C. (2013). A Novel Approach
to Informing the Public about the Risks of Overdose and Nonmedical Use of Prescription Medications. American Journal on Addictions, 22(2), 108-112.
doi:10.1111/j.1521-0391.2013.00305.x
Garcia, A.M. (2013). State Laws Regulating Prescribing of Controlled Substances:
Prescription antifungal or antiyeast medications may also interfere with the action of omeprazole and should not be taken concurrently with it.
Plain Language:
Omeprazole is a drug primarily used to treat the symptoms of heartburn and acid reflux. Acid reflux occurs when stomach acid shoots up into the esophagus, the tube connecting the throat to the stomach.
Although it is a prescription-only medication in many places, it is also sold over-the-counter in some countries. The drug is usually administered in a time-release tablet form, although some patients might prefer the powdered version because the tablets cannot be chewed.
Omeprazole is not an antacid (like olaids or Tums) and works on an entirely different principle. Unlike antacids, omeprazole is not taken to relieve symptoms of heartburn immediately. It is a drug that addresses the root cause of heartburn and acid reflux, and must be taken regularly for it to be effective.…
References
"Omeprazole." (2011). PubMed. Retrieved online: http://www.ncbi.nlm.nih.gov/pubmedhealth/PMH0000936/
health management systems designed to serve public needs during disasters and emergencies, two are discussed here: Emergency rescription Assistance rogram (EA) and state social media platforms. Each system addresses a different aspect of health management during disasters and emergencies. The EA is a highly formalized system -- as it must be since it deals with prescription drugs and equipment -- yet, the rigidity of the system may limit its effectiveness or, minimally, its responsiveness early in an emergency or disaster. The state's social media platforms have limited utility if electrical supplies are interrupted during a disaster. Even though the systems may depend on servers that are located out of harms way, the individuals who are impacted by a disaster may not be able to access the state's social media sites.
Introduction
The two approaches to emergency management discussed in this paper address two very different aspects of emergency preparedness and…
Planning. In 2006, the United States Army took planning steps to move away from a de facto demand-driven process of force generation that left the forces, in the words of Army Chief of Staff General George Casey, "out of balance" ("Stand To!," 2010). The demand for forces in the protracted conflicts in Afghanistan and Iran was met without conscription -- a first time circumstance for military campaigns of such length. Forces were readied and supplied rapidly, but with great fiscal, organizational, and personal cost, stress, and inefficiencies. This new force generation plan that was designed to address these dynamics and problems is called Army Force Generation (ARFOGEN).
ARFOGEN is the model and the process used to achieve the progressive levels of readiness with recurring periods of availability as both active and reserve component units progress through three distinct force pools: RESET: Train/Ready; and Available."
Leading. Army leadership is defined by the privilege to command which "is exercised by virtue of office and the special assignment of members of the United Sates Armed Forces holding military grade who are eligible to exercise command" ("Army Command Policy," 2010, p. 1). Responsibility and authority are the key elements of command. Further, "formal authority for command is derived from the policies, procedures, and precedents presented in chapters 1 through 3" ("Army Command Policy," 2010, p. 1). The regulations of
Healthcare
Making Prescription Drugs Affordable?
Parallel Trade and the Pharmaceutical Industry
The skyrocketing cost of prescription drugs remains one of the most contentious issues in America. In this presidential election year, especially, politicians are continually debating ways to make life-saving drugs more affordable. Alone in the world, the United States prohibits the free importation of prescription medications from abroad. Yet, as is so often pointed out by those in favor of changing the law, such drugs are nearly always much less expensive in foreign countries - even medicines that are actually manufactured by American corporations. Of central importance in the argument is the precise rationale for current pricing levels. The pharmaceutical companies and their allies claim that high prices are necessary to finance the continuing innovation of American medicine. Foreign nations, they say, artificially control drug costs, thereby depriving corporations of the sizeable funds required for new research. New medications…
References
Barry, Patricia. "States in Revolt Look to Canada for Rx Drugs: States Defy Federal Laws, Industry on Drug Purchases." AARP Bulletin Online. AARP, November 2003. URL: http://www.aarp.org/bulletin/prescription/Articles/a2003-11-05-states_revolt.html .
Statement of William K. Hubbard, Associate Commissioner for Policy and Planning, U.S. Food and Drug Administration before the Committee on the Judiciary, United States Senate, 14 July 2004.
Would Prescription Drug Importation Reduce U.S. Drug Spending?" A Series of Issue Summaries from the Congressional Budget Office. 29 April 2004.
Patricia Barry, "States in Revolt Look to Canada for Rx Drugs: States Defy Federal Laws, Industry on Drug Purchases," AARP Bulletin Online, AARP, November 2003. URL:
Drug Profile
Drug addiction is a human issue that cultivates biological, psychological, and social consequences, among others. The manifestation of addiction itself is characterized by physical dependence, and is defined by the uncontrollable, compulsive urge to seek and use drugs despite harmful repercussions (Fernandez, odriguez & Villa, 2011). Philologically, drug use affects the reward center, where dopamine receptors are over-stimulated. Ultimately, the repetition of drug use is encouraged to achieve the same, heightened, pleasure response (U.S. DHHS, 2007). Psychological responses to drug use may reflect motivations caused by positive pleasure, anxiety, or protection. The bodily effects of drugs often reflect the drug's class: stimulants, depressants, narcotics, hallucinogen, and cannabis. Each class represents various drugs and causes distinct biochemical responses. In addition to illicit drugs, prescription drugs are also highly abused and are categorized within the drug classes. Drug addiction does not discriminate between gender, race, sexual orientation or creed, and…
References
Connecticut Department of Mental Health and Addiction Services (CDMHAS). (n.d.). Drugs with addictive potential. Retrieved 08 March 2012 from: http://www.ctclearinghouse.org/topics/customer-files/Drugs-with-Addictive-Potential-071105.pdf
Coon, D., & Mitterer, J. (2009). Psychology: A journey. (1st ed.). Belmont, CA: Wadsworth.
Fernandez, G., Rodriguez, O., & Villa, R. (2011). Neuropsychology and drug addiction. Papeles del Psicologo, 32(2), 159-165.
Hyman, S., & Malenka, R. (2001). Addiction and the brain: The neurobiology of compulsion and its persistence. Neuroscience, 2, 695-703.
It is also important to identify to what extent such advertisements play on human emotions to evoke positive purchase decisions. Other ethical issues would include the extent to which such DTC advertising encourages consumers to circumvent the physician-patient relationship. In other words, to the extent that such DTC advertising encourages "drug-shopping" behaviors among healthcare consumers is likely the extent to which such advertising could be regarded as unethical.
Most sick people are scared, many are in pain, and some of them may grasp at any claims from marketers concerning a potential cure. Conversely, denying these very same healthcare consumers with as much information about the current choices that are available to them also appears to be unethical, assuming that the targeted populations are in a position to make informed decisions.
3.
What are the costs and benefits of marketing prescription drugs directly to physicians?
The costs of marketing prescription drugs…
References
Advertising prescription drugs. (n.d.). Decision point, 335.
eflection
A reflection on the case shows me that ethical and moral guidelines must be instilled in pharmacy as a profession. It is therefore necessary for the pharmacies to collaborate with other key stakeholders in ensuring that proper guidelines are put in place together with polices aimed at ensuring an ethical and moral pharmaceutical practice. Case esolution Model (CM) (Brincat & Wike,1999) is therefore an important model since it has taken me through all the necessary steps that can allow me to effective conclude this case amicably.
eferences
World Health Organization (2001). The ole of the Pharmacist in Self-Care and Self-Medication.Available online at http://apps.who.int/medicinedocs/pdf/whozip32e/whozip32e.pdf
Brincat, C.,Wike, vs (1999). Morality and the Professional Life: Values at Work. Pearson; 1st ed.
Passmore P, Kailis SG (1994).In pursuit of rational drug use and effective drug management: clinical and public health pharmacy viewpoint. Asia Pac J. Public Health. 1994;7(4):236-41.
outledge, PA., O'Mahony, MS., WoodhouseKW…
References
World Health Organization (2001). The Role of the Pharmacist in Self-Care and Self-Medication.Available online at http://apps.who.int/medicinedocs/pdf/whozip32e/whozip32e.pdf
Brincat, C.,Wike, vs (1999). Morality and the Professional Life: Values at Work. Pearson; 1st ed.
Passmore PR, Kailis SG (1994).In pursuit of rational drug use and effective drug management: clinical and public health pharmacy viewpoint. Asia Pac J. Public Health. 1994;7(4):236-41.
Routledge, PA., O'Mahony, MS., WoodhouseKW (2003).Adverse drug reactions in elderly patients. Br J. Clin Pharmacol. 2004 February; 57(2): 121 -- 126. doi: 10.1046/j.1365-2125.2003.01875.x PMCID: PMC1884428
Clayton Chistensen teamed up with Jeome Gossman, and Jason Hwang, both medical doctos, to bing a thooughly eseached insight into a disuptive solution fo efficient value-added health cae in "The Innovato's Pesciption." He peviously wote the vanguad book on innovation called "The Innovato's Dilemma." Chistensen and his team display the enables of disuption with the use of cuent technology. They also explain how diffeent facets of the Ameican healthcae system should be disupted, to esult in cheape, moe effective healthcae fo evey citizen. They include the business model fo idyllic hospitals, the individual physician model, how to cae fo those who have chonic disease, the eimbusement system, education fo medical pofessionals, and the development of phamaceuticals and medical devices. These authos cast a wide net and cove all bases when it comes to the floundeing healthcae system in the United States. They also discuss thei plan to make it bette.…
references and reasoning.
Conclusion
As the assignment was the introduction of 50 pages only, I can't say whether I think it's the answer, however, in studying their work and clearly supports merits in changing the health care industry, I do believe that the government could play an important role in speeding up the process of disruption that Christensen outlines in his book…although I need to investigate a bit more such profound ideas and innovations that are out there facing our current health care status.
In looking forward, a product or a service that is the result of a disruption has the following of a whole new generation of patients, who may find the product or service to be more beneficial than the existing.
If there is anything right on point, or a "crystal ball" so to speak, this book may be it. It thoroughly explains in detail what a revamped American health care delivery system will be like on the horizon. Better quality, more affordability and accessibility for all citizens is the goal and this book lays it out in precise detail. The authors include; a respected Harvard Business School professor, a medical doctor who also was the Director of Health Care Delivery Policy Program at Harvard Kennedy School, and another doctor and graduate of the MBA program at Harvard Business School. They are some of the most credentialed scholars who have more than adequately demonstrated the path to health care reform, and specified why a nationalized system will hinder the innovation necessary to enhance our health care system. This is a must read for anyone who aspires to work in the health care industry in the future. It can help guide young professionals by giving a well thought out analysis of what a new health care system may look like.
Vancomycin should be given for at least 60 minutes. The initial dosage for pediatrics with renal impairment is not less than 15 mg/kg per day or 15 times the GF in mL/min. Premature infants should have longer dosing intervals. PO administration should be 40 mg/kg/day in 3-4 divided doses for 7-10 days. The maximum is 2,000 mg/day, which may be diluted in 1 oz of water or administered through an NG tube (PD).
Contraindications
Vancomycin is contraindicated to patients with hypersensitivity to vancomycin (Drug.com, 2012). Commercially prepared frozen Vancomycyn Hydrochloride injections in 5% dextrose may also be contraindicated to those with known allergic reaction to corn or corn products (Drug.com).
Drug-Drug Interactions
The patient should inform the doctor or pharmacist of all prescription and non-prescription or herbal products currently used (Medicine Net, 2012; Levinson, 2012). Aminoglycosides, amphotericin B, other antibiotics, and live bacterial vaccines are special mentions. If treatment requires…
Reference: PDR Network LLC.
Retrieved on April 20, 2012 from http://www.pdr.net/drugpages/concisemonograph.aspx?concise=688
Direct to Consumer Advertising
HISTRY F DRUG ADVERTISING
THE DTC ADVERTISING PHENMENN
CREATING DEMAND
DECEPTIVE ADVERTISING - A WLF IN SHEEP'S CLTHING
CAUSE F DEATH
PRFIT
UTILIZATIN, PRICING, AND DEMGRAPHICS
LEGISLATIN, PLITICS AND PATENTS
LEGISLATIVE INITIATIVES REGARDING DTC
RECALLED and/or DEADLY DRUGS
In order to provide the most efficient method of evaluation, the study will utilize existing stores of qualitative and quantitative data from reliable sources, such as U.S. Government statistical references, University studies, and the studies and publications of non-profit and consumer oriented organizations. Every attempt will be made to avoid sources of information sponsored by or directly influenced by the pharmaceutical industry.
Existing data regarding the history, levels, content and growth of direct-to-consumer advertising will be examined. In addition, the industry's composition prior to and after the proliferation of direct-to-consumer advertising will be examined, with regard to market share, type of substances sold, benefits of substances sold, and…
On January 9, 2002, Dr. Darlene Jody, Vice President of Medical Marketing for Bristol-Myers Squibb, issued a manufacturer's "Important Drug Warning Including Black Box Information." The Important Drug Warning advises healthcare practitioners that "cases of life-threatening hepatic failure have been reported in patients treated with SERZONE." The manufacturer's Warning indicates that numerous persons have or will suffer liver failure, death or transplantation. The manufacturer's Warning also indicates that the current estimate of the rate of liver failure associated with Serzone use is "about 3-4 times the estimated background rate of liver failure." A new Warning is being added to the Serzone prescribing information, advising that "patients should be advised to be alert for signs and symptoms of liver dysfunction (jaundice, anorexia, gastrointestinal complaints, malaise, etc.) and to report them to their doctor immediately if they occur." According to Warnings, Serzone should be promptly discontinued if signs or symptoms suggest liver failure.
Vioxx belongs to a class of drugs known as COX-2 inhibitors. When the drugs were introduced a few years ago, COX-2 inhibitors were thought to be safer and more effective than other drugs such as Aspirin and Ibuprofen. However, several studies have questioned the cardiovascular safety of Vioxx. Studies indicate that people taking Vioxx have four times the risk of a heart attack.
In May 2002, the U.S. Food and Drug Administration (FDA) published a Talk Paper about new label warnings for the popular arthritis and pain drug know as Vioxx (rofecoxib). The new label warnings are based on the results of the Vioxx Gastrointestinal Outcomes Research (VIGOR). According to the FDA, recent studies demonstrate that Vioxx is associated with a higher rate of serious cardiovascular thromboembolic adverse events (such as heart attacks, angina pectoris, and peripheral vascular events). Based on the recent study, the FDA agreed with the Arthritis Advisory Committee recommendations February 8, 2001 that the label for Vioxx include gastrointestinal and cardiovascular warning information. Serious side effects attributed to Vioxx are heart attacks, seizures, strokes, or liver/kidney problems. http://www.recalleddrugs.com
Map of Prescription Filling at an HMO and SIPOC for Problem Analysis (Bertrand
Filling prescriptions and the estimated time each activity takes consist of four steps in most pharmacies (Bertrand, 2012). The first is entering the prescription when received from two to 10 minutes. It may be longer according to the duration of the billing process and the ease or complicatedness of the prescription. The second is filling the medication, which takes from three to 15 minutes or longer, depending on the type of prescription and its storage or if it has to be reconstituted or compounded. The third is checking it, which can take between three and 10 minutes. The pharmacist makes sure it is the correct prescription, the dose, the interactions and the genuineness of the prescription. The duration depends on the prescription and the patient's history and profile. And the fourth is the release of the prescription.…
WORKS CITED
Banerjee, D. (2016). SIPOC: beyond process mapping. ISixSigma. Retrieved on January 30,
2016 from http://www.isixsigma.com/tools-templates/sipoc-copis/sipoc-beyond-process-mapping/
Bertrand, M. (2012). How are medications filled in a pharmacy? Hub Pages: Hub Pges, Inc.
Retrieved on January 30, 2016 from http://hubpages.com/health/How-are-Medications-Filled-in-a-Pharmacy
Forbes Magazine entitled, "In the Pill Box" discusses Walgreen's Drugstore and the challenge that it faces from Pharmacy Benefit Managers (PBM). The article begins by informing the reader of the astronomical growth of the Walgreen's company. The author explains that the company's stock has risen by 3,000% in the past 20 years and that the store plans to have over 7,000 stores by 2010. (Lambert) The article also asserts that the same-store sales increased by 9% in fiscal 2003. (Lambert)
The author contends that although the company is extremely success, there is a threat on the horizon. This threat comes in the form of Pharmacy Benefit Managers who show health organizations and employers how to make prescriptions drugs more cost effective. The article explains that PBM's often encourage these organizations to persuade patients to get long-term prescriptions through the mail instead of going to a pharmacy. Mail order pharmaceuticals are…
At the other end of the debate there are consumers who like to order their prescriptions through the mail. Some consumers do this even if it is not mandated by their insurance providers. In many cases consumers just find it more convenient to order prescriptions through the mail. In any case, the PBM's and the drugstores will continue to quarrel over which method is less expensive.
In my own opinion, it seems that Walgreen's should not have the right or ability to blacklist customers because of the decisions that are made by their healthcare providers. In many cases people are in dire need of receiving their medication and may not have time to ride around to different pharmacies just to get a prescription fulfilled. It is apparent to me that all Walgreen's is concerned with is its bottom line and they are willing to sacrifice the health of customers just to prove a point to PBM's. The fact of the matter is that consumers have a right to purchase prescriptions in any way that they see fit. Some people prefer going to a traditional pharmacists, while other prefer for the prescriptions to be brought to their homes. Walgreen's has to be careful not to ignore the needs and desires of consumers in the quest for greater profits.
Lambert, Emily. 2004. "In The Pill Box." Forbes Magazine
However, one of the many ways Wal-Mart has been able to cut costs is by not having large stores of items in back rooms at each of their stores. Instead, the organization has used technology to remain customer focused.
By innovating the use of sharing sales data, via computer, with their major suppliers, Wal-Mart has been able to keep key items in stock, without having to stockpile them. When an item is rung up at the cash register, this information is sent to a data warehouse that then facilitates reordering from that particular supplier ("Wal-Mart Story"). Add this product availability to the fact that Wal-Mart offers such a wide variety of items, and services from: financial services to beauticians to optometry to automotive care, and one can easily see how the company has added convenience to its strategies of success.
Wal-Mart's most recent convenience strategy also comes in the form…
References
Dollar Prescription Drug Program. No date. Wal-Mart. December 2, 2007 http://www.walmartfacts.com/FactSheets/4_Dollar_Prescription_Drug_Program_Phase_2.pdf .
Economic Opportunities. No date. Wal-Mart. December 2, 2007 http://www.walmartfacts.com/FactSheets/Economic_Opportunities.pdf .
Site to Store Program. No date. Wal-Mart. December 2, 2007 http://www.walmartfacts.com/FactSheets/Site_to_Store_Program.pdf .
Wal-Mart Story. 24 Aug 2007. Wal-Mart. December 2, 2007 http://www.walmartfacts.com/content/default.aspx?id=1 .
True that the existence of both which is intended for a similar use, operation or treatment might cause confusion and a question on which is a better product. In this case the replacement of Imigran with the new medication Naramig was the best choice among the other 4 options. With this decision it only proves to its customers, hospitals and patients that the new drug is an improved medication for migraines. As it was noted in this article:
The results showed that the replacement strategy met Glaxo U.K. expectations.
Naramig proved to be effective for migraine headaches in the majority of patients.
4. How should GlaxoWellcome position Amerge in the United States?
Considering several factors which are primarily different from UK, the U.S. market is broader in terms of population and territory. Difference in health care system is also a factor to be considered. In my opinion, the alternative positioning…
Bibliography
Net doctor Co.UK
Article on Imigran
http://www.netdoctor.co.uk/medicines/100001324.html
Tiscali Lifestyle Naramig
Third Class Of Drugs
In the United States, all pharmaceutical products: from Advil to Zoloft, are sold either as over-the-counter remedies or as prescription drugs. Over-the-counter remedies like Advil, aspirin, and Tylenol, can be purchased by any consumer at any store that chooses to sell them. Therefore, an eight-year-old can go into a convenience store and buy a bottle of aspirin. On the other hand, if an eighty-year-old man wanted to try Viagra, he would need to consult a physician and retrieve a prescription, and from there he would need to buy the drug from a licensed pharmacist. The two-class division evolved from a series of acts and resolutions passed in conjunction with the Food and Drug Administration (FDA). The most significant landmark in the creation of a specific prescription-only class of drugs was the Durham-Humphrey Amendment, passed in 1951. The Amendment, which revised a 1938 congressional act called the…
Works Cited
Chan, Kwai-Cheung "Value of a Pharmacist-Controlled Class Has Yet to be Demonstrated." U.S. General Accounting Office. Aug 1995. Online at < http://www.gao.gov/archive/1995/pe95012.pdf >.
Hoffman, William. "The Pharmacist as Statesman." The Doric Column. 3 April 2001. Online at < http://mbbnet.umn.edu/doric/humphrey.html >.
Hoffman, William. "Indispensable." Reprinted with permission from Minnesota Medicine, August 1995. Online at < http://mbbnet.umn.edu/hoff/hoff_pharm.html >.
Labbe, Carl R. "Do We Need a Third Class of Drugs?" The Phar Side: ASU Pharmacy Newsletter. Issue 26. Online at < http://www.asu.edu/health/pharside%2026.htm >.
Nursing Theory Framework
Attachment Theory
ecognizing Addiction through Attachment Theory
Affect egulation and Addiction
Handling Addiction as an Attachment Disorder
The First Phase of Therapy
Concepts
Autonomy
Beneficence
Nonmaleficence
Nursing Theory Framework
The misappropriation of prescription drugs by teens in the United States is a growing public health issue. Using a nursing theory framework, the scope of the problem of prescription drug use among teens is reviewed. Equal in variety to manifestations of addiction are sundry psychological theories that attempt to explain and treat the problem. Hardy (2011) was able to look into four traditional models for recognizing alcoholism (social learning theory, tension reduction theory, personality theory, and interactional theory,) in addition to five theoretical models that were developing at the time of their writing.
An approach to treating and understanding addiction that has created a huge amount of research in current decades, and which displays big promise for effective…
References
Caplan, J.P. (2012). Neuropsychiatric effects of prescription drug abuse. Neuropsychology Review, 17(3), 363-80.
Elkashef, A.M. (2012). Prevention and treatment of addiction. Psychiatric Times, 16-18.
Fischer, B.P. (n.d.). Assessing the prevalence of nonmedical prescription opioid use in the general canadian population: Methodological issues and questions. Canadian Journal of Psychiatry, 55(9), 606-9.
Flores, P.J. (2012). Group psychotherapy and neuro-plasticity: An attachment theory perspective. International Journal of Group Psychotherapy, 60(4), 546-70.
Jerry McCall Dr. Williams Office Assistant
Licensed Practical Nurses and Medical Assistants: Legal and Ethical Implications
According to recent reports from the U.S. Bureau of Labor Statistics, medical assistants and licensed practical nurses (LPN) are two of the fastest growing jobs in the country (Bureau of Labor Statistics, 2010). In an effort to save costs, the demand for these professionals is increasing in both in-hospital and outpatient settings. The licenses and registrations, however, remain unstandardized; while LPNs are required to receive a license, some medical assistants receive a one or two-year degree and still others are only trained on the job. The responsibilities and restrictions of the profession are likewise only loosely regulated and vary between states. This has both ethical and legal implications for patient care. The following case scenario illustrates these ramifications and discusses the appropriate course of action for medical assistants working in a clinical setting.
The…
References:
Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2010-11 Edition, Medical Assistants, on the Internet at http://www.bls.gov/oco/ocos164.htm (visited October 17, 2011).
Bureau of Labor Statistics, U.S. Department of Labor, Occupational Outlook Handbook, 2010-11 Edition, Licensed Practical and Licensed Vocational Nurses, on the Internet at http://www.bls.gov/oco/ocos102.htm (visited October 17, 2011).
Couch, C., Minchella, K., Walker, R., Watson N. Occupational Analysis of the CMA (AAMA). (2008). American Association of Medical Assistants, 2007-2008. Available from http://www.aama-ntl.org/resources/library/OA.pdf .
Ferrell, C.W., Aspy, C.B., Mold, J.W. (2006). Management of Prescription Refills in Primary Care: An Oklahoma Physicians Resource/Research Network (OKPRN) Study. Journal of the American Board of Family Medicine, 19, 1, 31-38.
Economics of Alchohol Abuse
Alcohol for consumption is not a necessary food item, but for some has become a standard part of adult culture. Increasing the level of alcohol consumption, however, moves from an economic paradigm to a social issue due to the ancillary health and behavioral effects from alcohol abuse. In turn, this becomes part of economics in that it requires fiscal resources to treat societal issues caused by alcoholism: domestic abuse, crime, traffic or driving issues, etc. The economic effects of alcohol are undebatable, and are pervasive in the overt and covert areas of the economy (short- and long-term) (Fogarty, 2006).
In the economic sphere of political and social policy, alcohol, like tobacco and gambling, are considered a "sin" tax that is ostensibly designed to reduce transactions for issues society considers dangerous or undesirable. However, when it comes to alcohol, many see that this type of a sumptuary…
REFERENCES
Ensuring Solutions to Alcohol Problems. (2011). Ensuring Solutions. Retrieved from: http://www.ensuringsolutions.org/
Profit-Maximization in the Long Run. (2010). Welker'sWikinomics. Retrieved from: http://welkerswikinomics.wetpaint.com/page/Profit-Maximization+in+the+Long-run
Tobacco, Alcohol Industries Reject New Sin Tax Bill. (February 22, 2012). ABS/CBN News. Com. Retrieved from: http://www.abs-cbnnews.com/business/02/22/12/tobacco-alcohol-industries-reject-new-sin-tax-bill
Avorn, J. (2004). Powerful Medicines: The Benefits, Risks, and Costs of Prescription Drugs. New York: Random House.
S. Food and Drug Administration, because they were in wide use before the 1938 Act (grandfathered in, as it were). (Dunn 1938)
The problem was that Act contained a definition for a "new drug" (one in need of prior approval to market), as any drug "the composition of which is such that such drug is not generally recognized, among experts qualified by scientific training and experience to evaluate the safety and effectiveness of drugs, as safe and effective for use under the conditions prescribed, recommended, or suggested in the labeling." FDCA § 201(p) (1). The manufacturers set out to establish then, that anything GRAS/GRAE therefore was not a new drug, and needed no FDA blessing.
Many medicines are ancient, and the active ingredients of many drugs on were first introduced before 1938. To make matters worse, between 1938 and 1962, the FDA considered drugs that were identical, related, or similar…
The structure of yetta is similar to that of GLP-1 and performs the same functions. oth promote decreased appetite (Wilson).
Dr. Wysham was an observer at a study conducted on 20 Rockwood diabetic patients who were taking conventional diabetic medication for their uncontrolled blood sugar (Wilson 2005). She was not informed about their glucose levels for several months after the tests began. About two-thirds of the respondents were given different injectible doses of yetta to incorporate into their medication plan, while the rest were given placebos. All of them were instructed and trained to do the injections at certain times twice daily for a month. Then they were subjected to a physical exam. Dr. Wysham closely monitored their liver, kidney, blood counts, and other functions. She observed that the patients consistently lose weight while taking yetta. The average respondent-patient lost 15 pounds in the duration of the study, 5 lost…
Bibliography
Business Editors (2005). Understand the impact of regulatory reform and raised drug
Safety awareness on off-label drug use. 2 pages. Business Wire: Gale Group
2007). Januvia approved in the European Union for the treatment of type-2 diabetes. 4 pages.
2007). Late breaking data released at ADA showed that the investigational use of Januvia and Metformin as initial combination therapy provided significant glucose lowering efficacy over 54 weeks in patients with type 2 diabetes. 8
Consumers have the right to determine if the drugs are safe, which they often do because regulations in Canada pertaining to safety and drug tampering are just as strict as similar rules in the U.S. All 18 Canadian sites investigated by the General Accounting Office, wrote the journal Community Action in 2004, required consumers to supply a physician-written prescription before filling orders. That was the case for five of 29 U.S. pharmacies; no other foreign pharmacies did. Thus, consumers have the right to choice, and to find the best bargain, just as they might in any other commodity. (Bast, 2005) Viewed as such, importation is just another form of free trade and a "beneficial outcome of changing technology, free trade, and globalization. Free trade benefits everyone, and governments ought not cave in to special pleading by interest groups seeking to avoid competition or limit consumer choice."(Bast, 2004) Opponents counter that…
Works Cited
Colabrese, Inez. "Online Pharmacies." CBS News Report. Broadcast Basler, Barbara (2006) "U.S. Steps Back on Drug Seizures." 2006 AARP Bulletin.
Bast, Joseph. "The Pros and Cons of Importing Drugs from Canada." April 19, 2004.
The Heartland Institute Special Report.
Canadian internet pharmacies have strict standards, U.S. auditors reports." (25 Jul 2005)
Ethics Case Study: Medical Law and Ethics
Jerry McCall is Dr. William's office assistant. He has received professional training as both a medical assistant and an LPN. He is handling all of the phone calls at the office while the receptionist is at lunch. During this period of time, a patient calls and says he must have a prescription refill for Valium, an antidepressant medication, called in right away to his pharmacy, since he is leaving for the airport in thirty minutes. The patient notes that Dr. Williams is a personal friend and always gives him a small supply of Valium when he has to fly. No one except Jerry is in the office at this time.
Does Jerry's Medical Training Qualify Him to efill the Order?
While Jerry's medical training qualifies him to receive a prescription order and transcribe it accurately for other nurses or physicians to implement or…
References
Lloyd, H. (2010). Workers' compensation: a brief history. Florida Department of Financial Services. Web. Retrieved from: http://www.myfloridacfo.com/wc/history.html on 1 November 2011.
Minnesota Board of Nursing. (2010). Nurses and prescribing. Web. Retrieved from:
http://www.state.mn.us/mn/externalDocs/Nursing/NURSES_AND_PRESCRIBING_090904125323_Prescribing%20FAQ2.pdf on 1 November 2011.
Nowicki, M. And Summers, J. (2004). Reducing your credibility liability. Healthcare Financial Management, 58.4: pp. 94-97. Web. Retrieved from: ProQuest Database.
Prescribing Psychotropic Medications to Minors
It is every parent's worst nightmare: the drugs intended to cure a child kill him or her instead. Since the development of drugs like Prozac and Paxil, drugs classified as SSIs (selective serotonin reuptake inhibitors) have been increasingly used to address depression in patients that otherwise would have been treated with talk therapy alone. This is true of adolescents as well as adults, given that SSIs were once thought to have fewer side effects when compared with older types of antidepressants (Antidepressant medications for children and adolescents: Information for parents and caregivers, 2013, NIMH). Since the development of SSIs, the increase in psychotropic drug prescriptions has increased so rapidly that it is estimated that 1 in 5 of all Americans are on some form of psychotropic medication at any one time (Smith 2012:36). However, SSI use in adolescents and young adults has become specifically linked…
References
Antidepressant medications for children and adolescents: Information for parents and caregivers.
(2013). NIMH. Retrieved from http://www.nimh.nih.gov/health/topics/child-and-adolescent-mental-health/antidepressant-medications-for-children-and-adolescents-information-for-parents-and-caregivers.shtml
Boodman, S, (2012). Off-label use of risky antipsychotic drugs raises concerns. Kaiser Health News. Retrieved from:
Generation 'Rx'
When one thinks of teens and drugs, illegal substances such as marijuana and cocaine immediately come to mind. However, the real culprits aren't the drug pushers in the school yards; it's the medicine cabinets in their own homes. A national study has revealed that today's teens are more likely to have abused a prescription painkiller to get high than they are to have experimented with a variety of illegal drugs; 'Generation Rx' has arrived. Although this fact is initially surprising, when one reviews the reasons why teens turn to marijuana, one can easily see why prescription drugs have become even more popular.
The reasons teens use marijuana, repeated below, are even truer for prescription drugs.
Parents don't discuss the danger of drugs with their children.
Teens are left with less adult supervision because of societal changes.
Young people have more access now than they had ever had before.…
Bibliography
Teens becoming 'Generation Rx'" CNN 22 Apr. 2005. Available:
http://www.cnn.com/2005/HEALTH/parenting/04/21/drug.survey.ap/(Accessed 24 Apr. 2005).
Use Of Drugs Among Teens And The Reasons Why They Use It." Available:
http://www.casacanada.com/drug3.html (Accessed 24 Apr. 2005).
Positive Philosophy in Law
Thomas Aquinas and Hans Kelsen held that the law enforced by human courts is indeed a positive law. Legal philosophers have since come up with a flurry of arguments claiming that positive law must have its source and content. These philosophers were and are of contention that the court's core mandate should be that of harmonizing heterogeneous sources of law into a coherent body of law for ease of administration of justice. Sources of law can be drawn from the ancient oman law, legislation, custom, precedent and equity, raw materials processed by courts into genuine law, statutes, precedents, and opinions of experts. With regard to content, law should be enforced to administer justice (Murphy, 2005).
This paper seeks to list some factors that a judge in a state's criminal court system would consider before sentencing burglary/theft offenders, people suspected to have committed aggravated battery, or those…
References
Lahey, B.B., Moffitt, T.E. & Caspi, A. (2003). Causes of Conduct Disorder and Juvenile
Delinquency. New York: Guilford Press.
Murphy, J.B. (2005). The philosophy of positive law: foundations of jurisprudence. New Haven
Conn.: Yale University Press
The act contains a prescription drug entitlement. This is accomplished by providing subsidies for employers to convince them not to eliminate prescription drug benefits for retired workers. Further subsidies were made to prescription drugs for Medicare beneficiaries. Extra money was given to rural hospitals. The act also provided for a trial of partly-privatized Medicare.
Another result of the act was the creation of health savings accounts for workers. These replace company-run health reimbursement arrangements, and the HSAs offer advantages over flexible spending accounts, especially because the former rolls over where the latter does not. This part of the act was designed to replace the Medical Savings Account system. Lastly, there were internal changes such as with respect to the way claims are processed.
This law is a good law. hile expensive for the federal government because of its prescription drug provisions, it introduced the HSA system, which represents an improvement…
Works Cited:
Ellig, Bruce R. (2001). Strategies for gaining a powerful edge in the executive talent wars. McGraw Hill Professional. Retrieved April 1, 2009 from http://books.google.com/books?id=hBPaskPAJUQC&pg=PA4&lpg=PA4&dq=intrinsic+extrinsic+compensation&source=bl&ots=2u2mESAWlv&sig=cxUlTaJEdvUidA_Omlpt7lTfcuE&hl=en&ei=xxjUSYDwHOKPmAeSk8SxDw&sa=X&oi=book_result&ct=result&resnum=6#PPA4,M1
Card, David & Krueger, Alan B. (1997). Myth and Measurement. Princeton University Press. Retrieved April 1, 2009 from http://books.google.com/books?id=VDNI0Uy86J8C&printsec=frontcover
In fact Congress should pass a bill that gives that prescription drug benefit to Medicare patients.
QUESTION NINE: In the United States, healthcare is so expensive that over 45 million people are without health insurance. It is a broken system, leaving out many people, especially children. Recently the executive branch vetoed a bill that would have provided health insurance to millions of middle and low-income children, indicating a lack of government concern for the well being of the population. Bush said it was too expensive, yet it's not too expensive to continue spending billions on an unpopular war in Iraq. Meanwhile, for the past 45 years, Canada has had a "government-funded, national healthcare system..." based on these five principles, according to www.medhunters.com.One, it is universally available to permanent residents; two, it is comprehensive; three, it is available regardless of income; four, it is "portable within and outside" Canada; and five,…
Works Cited
American Association of Colleges of Nursing. (2007). Fact Sheet: Nursing Shortages.
Retrieved Feb. 7, 2008, at http://www.aacn.nche.edu/media/factsheets/nursingshortage.htm .
Duke, Elizabeth. (2004). Report to Congress. The Critical Care Workforce: A Study of the Supply and Demand for Critical Care Physicians. U.S. Department of Health & Human
Services / Health Resources & Services Administration. Retrieved Feb. 6, 2008, at http://bhpr.hrsa.gov/healthworkforce/reports/criticalcare/cc1.htm.
Economics
Suggest Economic Approach
Suggest how an economist would approach the problem of alcohol abuse. Provide two (2) possible solutions to this problem. Include the four (4) elements of the economic way of thinking in your analysis.
Analyze how prescription drugs affect the demand and supply of other products and services in this country
Formulate a reason why the elasticity of demand is an important consideration when analyzing the impact of a shift in supply and why the elasticity of supply is an Important Consideration When Analyzing The Impact Of A Shift In Demand Include At Least One (1) Example In Each Scenario
Provide two (2) examples of increasing-cost industries in your state and propose why they would have a positively sloped supply curve.
Suggest how an economist would approach the problem of alcohol abuse. Provide two (2) possible solutions to this problem. Include the four (4) elements of the…
References
Basheda, G., Chupka, M.W., Fox-Penner, P., Pfeifenberger, J.P., & Schumache, A. (2006). Transmission Investment. In G. Basheda, M.W. Chupka, P. Fox-Penner, J.P. Pfeifenberger, & A. Schumache, Why Are Electricity Prices Increasing? (pp. 51-58). Washington: The Edison Foundation.
Gutenson, A., & Dean, P. (2011, April 26). Project Labor Agreement S. Retrieved January 30, 2012, from ABC Virginia Tells MWAA Phase 2 Metro Rail Construction Project Labor Agreement Scheme Will Increase Costs and Hurt Virginia's Construction Workforce: http://thetruthaboutplas.com/2011/04/26/abc-virginia-tells-mwaa-phase-2-metro-rail-construction-project-labor-agreement-scheme-will-increase-costs-and-hurt-virginias-construction-workforce/
Lipsey, R.G., & Chrystal, K.A. (2007). Economics. Oxford: Oxford University Press.
Nurse Practice Act or OC 4723, permits the OBN to create and enforce regulations and rules for practical nurses, registered nurses, certified nurse-midwives, dialysis technicians, certified registered nurse anethetists, certified nurse practitioners, and also community health works fall under the Act as of 2003. The board members made up of nurses and one consumer adminsters and enforces all provisions under NPA. The licensing and certification requirements of nurses in Ohio are as follows: first in order to get an APN certificate and work in Ohio as a nurse, one must have completed successfully a graduate degree in a nursing specialty, or anything related; Then one must take a national certification examm either in a specialty area within one of four general APN roles or as a generalist according to the Ohio Board of Nursing; Thirdly, one must apply for a certificate of authority or COA. This allows one to practice…
References
AANP,. (2014). Prescriptive Privilege. Retrieved 14 October 2014, from http://www.aanp.org/images/documents/publications/prescriptiveprivilege.pdf Accessed July 24, 2013
Ohiopa.com,. (2014). OAPA | LICENSURE AND PRESCRIPTIVE AUTHORITY. Retrieved 16 October 2014, from http://www.ohiopa.com/aws/OAPA/pt/sp/stayinglegal
OSU,. (2014). Ohio State's Wexner Medical Center, Ohio Valley Health Services Sign Affiliation Agreement. Retrieved 22 October 2014, from http://medicalcenter.osu.edu/mediaroom/releases/Pages/OVMC-hospital-affiliation-agreement.aspx
Ginko Biloba
Gingko Biloba -- Part I
What are the author's general conclusions (summarized) on the effectiveness of Gingko Biloba as a cognitive enhancer?
According to the author, effects of Gingko on cognition are perplexing because of its dual actions as following. It's seen improving short-term memory but at the same time it impairs digit recall ability. It slows down mental decline in patients with Alzheimer's disease but has lower dose response curve than acetyl cholinesterase inhibitors. Gingko slows mental decline during dementia owing to its action as an anti-oxidant and ability to combat stress. This action is of short-term and isn't seen chronically. Gingko has more scores for improvement seen in patients when compared to acetyl cholinesterase inhibitors like Donepezil but has fewer efficacies than the later. Effects of Gingko are mainly attributable not to its direct action on improving memory but to its indirect action of improving attention…
References:
Mark A. McDaniel, Steven F. Maier, and Gilles O. Einstein. (2003) 'Brain-specific nutrients: A memory cure?' Nutrition, vol. 19, pp. 957-973
Paul E. Gold, Larry Cahill, and Gary L. Wenk. (2002) 'Gingko Biloba: A cognitive enhancer?' Psychological Science in Public Interest, vol. 3, May, pp. 2-10.
Five Forces and Pharmaceutical Companies
Pharmaceutical Companies spends many years and millions of dollars developing new drugs. In order for these companies to be successful they must sell any successful drug at a high price to attempt to regain some of the cost of the drug. Once other companies replicate the drug the cost of the drug can be driven down with competition. Most people use their insurance companies to pay for their drugs, pharmaceutical benefits management (PBM). The pharmaceutical companies try to make deals with the PBM, by offering them lower prices so that they would pressure doctors into writing those prescriptions. Below is the five forces that drives the pharmaceutical industry.
Supplier Power is where the pharmaceutical company that is supplying the medication controls the power because of the volume of demand. The supplier power is defined by many different aspects of selling a specified drug. Usually once…
References
Higgins, M. (2006). Stricter gift ethics urged for doctors; study sees influence on diagnosis. The Washington Times.
Porter, M.E. (2010). Strategic management. Retrieved from http://www.quickmba.com/strategy/porter.shtml
Pharmaceutical industries have to operate in an environment that is highly competitive and subject to a wide variety of internal and external constraints. In recent times, there has been an increasing trend to reduce the cost of operation while competing with other companies that manufacture products that treat similar afflictions and ailments. The complexities in drug research and development and regulations have created an industry that is subject to intense pressure to perform. The amount of capital investment investments required to get a drug from conception, through clinical trials and into the market is enormous. The already high-strung pharmaceutical industry is increasingly investing greater amounts of resources in search of the next "blockbuster" drug that can help them gain market position and profits. Laws, regulations and patents are important to the industry while spending billions of dollars in ensuring the copyright of their products.
It is the intention of this…
Bibliography
Ansoff, H.I. (1957). Strategies for diversification. Harvard Business Review, 35(5), 113-124.
Ansoff, H.I. (1965). Corporate Strategy. New York, NY: McGraw-Hill.
Ashour, M.F., Obeidat, O., Barakat, H., & Tamimi, A. (2004). UAE Begins Examination of Patent Applications. Tamino.com. Retrieved January 18, 2004, from the World Wide Web: http://www.tamimi.com/lawupdate/2001-01/intprop.htm
Bain, J.S. (1954). Economies of scale, concentration, and the condition of entry in twenty manufacturing industries. American Economic Review, 44, 15-36.
ole of Informatics in Healthcare
The author of this report has been asked to find an electronic service or mechanism that is involved with the prescription of medications. The source will be identified and explained in terms of how it can be of benefit in a clinical setting. The types of information that it will provide will be listed but there will also be some limitations that need to be pointed out as well. The cost that will be associated with the service or product will be assessed and there will be an assessment as to whether that cost is reasonable and proper. The limitations related to the cost will be summarized as well. Whether or not the overall service or program is useful will be mentioned. While E-Prescribing cannot be used in all applications and situations, it is an idea that has emerged as common-sense and ready for extensive…
References
HRSA. (2015). What are some of the benefits of e-prescribing?. HRSA.gov. Retrieved 23 May 2015, from http://www.hrsa.gov/healthit/toolbox/HealthITAdoptiontoolbox
/ElectronicPrescribing/benefitsepres.html
While it is definitely true that these companies spend a great deal of money on research and development, for which they certainly deserve and in fact need to be compensated (not to mention their right to make a profit, and the fact that profit potential is a major driver in innovation), the amount of profit and compensation that comes solely from the United States is inordinate when compared to that provided by other countries. Nearly half of all revenue going to pharmaceutical companies every year comes from United States' consumers (Sawkar, 2005). The argument that drug reimportation would damage companies' innovation and profit potentials implies that it is the United States' sole responsibility to provide funds for these goals; if reimportation were allowed then prices would even out, meaning other countries would start paying a fair share towards research and development costs while the United States would experience a savings.…
References
Choudhry, N.K., & Detsky, A.S. (2005). A perspective on U.S. drug reimportation. The Journal of the American Medical Association, 293(3). Retrieved from http://jama.ama-assn.org/cgi/content/full/293/3/358
Sawkar, M. (2005, March). High U.S. drug prices: Causes and cures. Paper presented for The Drug Reimportation Debate. Retrieved from www.sawkar.net/blog/high_drug_prices.doc
Wu, M.Y, Kennedy, J., Cohen, L.J., & Wang, C.C. (2009). Coverage of atypical antipsychotics among Medicare drug plans in the state of Washington: Changes between 2007 and 2008. Primary Care Companion Journal of Clinical Psychiatry, 11 (6), 316- 321.
This particular aspect is what most medical trainers miss when dealing with interns or newly appointed nurses. They found that oxygen use, if below the necessary requirement can be damaging, so can its overuse. In another study, it has been found that using oxygen below the prescribed level can instigate damage in the organs, respiratory structures and can be especially damaging for patients who have chronic obstructive pulmonary disease (Danchin et al., 2009). Hence, the training and instructions that are given must follow be thorough enough to let the health caretakers realize that the monitoring is not merely a game of reading and recording, but it can have serious repercussions if handled carelessly.
Some of the common mistakes, which can be avoided through proper and accurate transference of instructions and training, occur in different medical circumstances. Sometimes nurses tend to miss the monitoring deadline. For instance, if a patient is…
Teams should be created that embrace a diversity of skills and workers from different areas of expertise, so there is no knowledge overlap, and thus less jockeying for position of who has the better qualifications within a certain field. If necessary, a clear leader should be established who understands the importance and the time table of the goal of the team. One problem with self-managed teams is that personality rather than goals can become the focus of team discussion. Because the goal is set externally, employees must become internally motivated to reach that goal. Having a clear leader selected beforehand, if the leader does indeed deserve his or her authority, may be a wise managerial move to limit grabs for power. If all members of the team are relatively similar in skills, however, giving the team more jurisdictions in selecting leadership roles might be considered.
The team must have a…
Works Cited
Technical Terms Used in Project Portfolio Management." (2005). Glossary.
Lee Merkhofer Consulting. Retrieved 1 Feb 2008 at http://www.prioritysystem.com/glossary2b.html
Utility analysis: An overview." (2004, April). Vital Enterprises. Retrieved 1 Feb 2008 at http://www.vitalentusa.com/learn/utility_analysis_overview.php#basic_assump
Resolving the Higher Prescriptive Drug Cost Problem
Resolving beneficiary or medical consumer issues with respect to the rapidly rising costs of drugs is a heated issue I government and in every American's living room. Not only are those living in assisted living facilities but also parents with children and the increased number of retiring baby boomers are being financially affected in significant ways. In addition those Americans without proper insurance coverage are beset with problems of being able to obtain needed medications whatsoever. As healthcare costs continue to rise many Americans are finding healthcare coverage less affordable. Besides increasing the national deficit increased healthcare costs are taking a significantly larger portion of government spending away from other programs that need money badly. Without a doubt, strategies are badly needed to moderate growing healthcare costs and these strategies must not only come from the government but also from the consumer, pharmaceutical…
Mental Health Counseling
Discuss the role in relationship to the prescription and monitoring of pharmacological treatments for mental health issues.
Unique advances have been achieved in the treatment offered to clients suffering from mental illness. Mental health care providers must understand the original causes of mental health disorders in order to provide treatment to clients with these disorders. Therefore, mental healthcare providers are able to treat disorders associated with mental health. This is being done with much success as physical disorders (Madden, 2008).
The profession of mental health provision has categorized strategies of treating mental health problems as either psychotherapeutic or somatic. Somatic methods of treating mental disorders include therapies such as electroconvulsive therapy, which have the potential of stimulating the brain. Psychotherapeutic method includes behavioral therapy strategies, hypnotherapy, and psychotherapy. esearchers have established that most mental health disorders require treatment strategies that involve both psychotherapy and drugs. This is…
References
Madden, R.G. (2008). Legal issues in social work, counseling, and mental health: Guidelines for clinical practice in psychotherapy. Thousand Oaks, CA: Sage Publications
Palmo, A.J., Weikel, W.J., & Borsos, D.P. (2011). Foundations of mental health counseling.
Springfield, IL: Charles C. Thomas.
World Health Organization (2009). Mental health aspects of women's reproductive health: A
marketing challenges facing Warby Parker in the future and what advice would you give the company on how to face them?
In 2010, Neil Blumenthal and David Gilboa had started a company called Warby Parker that sold prescription glasses. It was a successful company that had gone from selling 20,000 eyeglasses to over 100,000 per year. The founders too integrated their mission with a social mission: to increase access to prescription eyewear around the world.
In the beginning, in 2010, the founders had come across problems. Now once again, the founders were prepared for change. Change involved the following factors:
the team size was growing
The company was planning to move from a word-of-mouth marketing strategy to a virtual one that would be more intentional
the company was also planning to increase the company's manufacturing partner base
The question was how they were going to accomplish these changes whilst retaining…
Sources
Business Insider Ten Principles Which Spell Continuous Innovation
http://articles.businessinsider.com/2011-03-09/strategy/30024917_1_innovation-new-product-measures#sthash.7pZv6waP.dpuf
Brakus, J et al. (2009) Brand Experience: What Is It? How Is It Measured? Does It Affect Loyalty? Journal of Marketing. 73,: 52 -- 68,
Kun-Hsi Liao & Ming-Fang Hsieh (2011) Satisfaction and Customer Loyalty on the Leisure Resort Industry The 2 nd International Research Symposium in Service Management
young, most of us do not think about making a conscious decision to die. e look forward to years of long and healthy life, and if death ever seems appealing it is as an antidote to depression. It does not often, if ever, occur to us that there will be a time when we look forward to the "good death" promised by euthanasia.
But it is inevitable that for many of us there will come a time in our lives when suicide may indeed seem appealing because we are fighting a losing battle against a certainly fatal disease that fills our remaining days with pain and despair. In such a position many of us may wish to have our doctors help us die by prescribing for us drugs that when we ourselves take them will prove to be fatal. Or we may wish that other people should have this option…
Works Cited
Callahan, Daniel, "Good Strategies and Bad: Opposing physician-assisted suicide," Commonweal, December 3, 1999, sec1. 7+.
Cassel, Christine K. "AMA Guidelines for Caring for Patients in the Last Phase of Life.," CQ Researcher 7 (1997): 774. ( http://www.ama-assn.org/sci-pubs/amnews/amn_97/edit0721.htm )
Humphrey, Derek. Euthanasia: Essays and Briefings on the Right to Die. Los Angeles: Hemlock Society, 1991. http://deathwithdignity.org/euth_us2htm .
Orric, Sarah. "House Judiciary Committee Rationale." Congressional Digest 77 (1998); 263-264.
Anatomy
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The structure of yetta is similar to that of GLP-1 and performs the same functions. oth promote decreased appetite (Wilson). Dr. Wysham was an observer at a study conducted…
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Ethics Case Study: Medical Law and Ethics Jerry McCall is Dr. William's office assistant. He has received professional training as both a medical assistant and an LPN. He is…
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Positive Philosophy in Law Thomas Aquinas and Hans Kelsen held that the law enforced by human courts is indeed a positive law. Legal philosophers have since come up with…
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The act contains a prescription drug entitlement. This is accomplished by providing subsidies for employers to convince them not to eliminate prescription drug benefits for retired workers. Further subsidies…
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In fact Congress should pass a bill that gives that prescription drug benefit to Medicare patients. QUESTION NINE: In the United States, healthcare is so expensive that over 45…
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Economics Suggest Economic Approach Suggest how an economist would approach the problem of alcohol abuse. Provide two (2) possible solutions to this problem. Include the four (4) elements of…
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Five Forces and Pharmaceutical Companies Pharmaceutical Companies spends many years and millions of dollars developing new drugs. In order for these companies to be successful they must sell any…
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Pharmaceutical industries have to operate in an environment that is highly competitive and subject to a wide variety of internal and external constraints. In recent times, there has been…
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ole of Informatics in Healthcare The author of this report has been asked to find an electronic service or mechanism that is involved with the prescription of medications. The…
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While it is definitely true that these companies spend a great deal of money on research and development, for which they certainly deserve and in fact need to be…
Read Full Paper ❯Healthcare
This particular aspect is what most medical trainers miss when dealing with interns or newly appointed nurses. They found that oxygen use, if below the necessary requirement can be…
Read Full Paper ❯Careers
Teams should be created that embrace a diversity of skills and workers from different areas of expertise, so there is no knowledge overlap, and thus less jockeying for position…
Read Full Paper ❯Business - Advertising
Resolving the Higher Prescriptive Drug Cost Problem Resolving beneficiary or medical consumer issues with respect to the rapidly rising costs of drugs is a heated issue I government and…
Read Full Paper ❯Psychology
Mental Health Counseling Discuss the role in relationship to the prescription and monitoring of pharmacological treatments for mental health issues. Unique advances have been achieved in the treatment offered…
Read Full Paper ❯Business
marketing challenges facing Warby Parker in the future and what advice would you give the company on how to face them? In 2010, Neil Blumenthal and David Gilboa had…
Read Full Paper ❯Death and Dying (general)
young, most of us do not think about making a conscious decision to die. e look forward to years of long and healthy life, and if death ever seems…
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