...early 20’s explained: Once people (pill brokers) know you take them prescription opioids, they’ll start calling you. “Oh, it’s this time of the month.” Then they wait for that person to get their script. They know exactly in their head what day the script’s getting ready to come so they got the patterns down. Pill brokers and dealers reported congregating in open air drug markets typically strip mall and pharmacy parking lots, and outside methadone clinics to buy, sell, and trade prescription drugs. These markets were reported to involve a variety of transactions, including the purchase of prescription drugs for cash, as well as trades for crack and heroin. Pill brokers also reported the purchase of used fentanyl patches from nurses who have stolen them from pain patients or from disposal containers in hospitals. Some individuals frequenting the drug markets also barter their oxycodone for other opioids or benzodiazepines, typically alprazolam. Doctor Shopping focus group participants indicated that even in a small state like Delaware, doctor shopping appeared to be fairly easy. The vast majority of abusers reported obtaining medications through doctor shopping, and most reported frequenting at least four physicians in order to obtain sufficient amounts of their desired medications. Occasionally clinics and hospital emergency rooms were reported as locations for doctor shopping as well. A heavy user stated: Another focus group member was saying about the doctors, it’s out of...
Words: 3476 - Pages: 14
...Chapter 51. Enhancing Patient Safety in Nursing Education Through Patient Simulation Carol Fowler Durham, Kathryn R. Alden Background The alarming rise in morbidity and mortality among hospitalized patients throughout the United States heightens concerns about professional competency.1 Nurses and other health care professionals are under increased scrutiny to provide safe, effective care. Likewise, nursing education programs are faced with increased pressure to produce graduates who are capable of providing safe patient care. Toward that end, nursing education programs develop curricula, hire qualified faculty, and select learning experiences for students in an effort to train and graduate competent, effective nurses. The instructional strategies utilized in both didactic and clinical components of nursing education courses are highly influential in determining critical thinking and clinical decisionmaking ability as well as in developing the psychomotor skill performance of new graduates. Of course, it is unrealistic to think that graduates of nursing education programs have received all the training they need when they depart the doors of academia. Orientation programs for new graduates and continuing education for nurses are essential tools to help practitioners improve their knowledge, skills, and expertise so that quality patient care is provided and outcomes are optimized while errors are minimized. Ongoing evaluation of nursing competence is necessary...
Words: 20085 - Pages: 81
...Analysis of Goodwill and Walgreens Jean Johnson PHI 445 Personal & Organizational Ethics Instructor: Laticia Dezell November 16, 2013 Analysis of Goodwill and Walgreens Abstract: When it comes to business, ethics is very important. It is often different in not-for-profit and for-profit companies. Not-for-profit organizations use their profits to continue providing services that help mankind. For-profit organizations use their profits to share with investors or used for whatever the owner wants. Discussed here will be Goodwill and Walgreens, to show the differences between an not-for-profit and for profit companies. By presenting a case study on the two companies, will help the reader to have a clear understanding of the information that is addressed. This paper analyzes personal and organizational ethics and values between not-for-profit and for-profit organizations. The purpose of this paper is to identify key problems related to business ethics in these two organizations and how they use different ways to solve those problems. Introduction: The purpose of this case study is to provide knowledge of a analysis of personal and organizational ethics and values between not-for-profit and for-profit organizations. Goodwill Industries and Walgreens will be the not-for-profit and for-profit organizations that will be analyzed in this paper. The paper will be broke down into four parts. The first and second part is an analysis of Goodwill Industries and Walgreens including...
Words: 3875 - Pages: 16
...Knee Surg Sports Traumatol Arthrosc (2013) 21:1510–1515 DOI 10.1007/s00167-012-2149-5 KNEE Patient recall of surgical information after day case knee arthroscopy R. E. da Assuncao • J. Neely • J. Lochab • ¸˜ N. Mizumi-Richards • A. Barnett • H. Pandit Received: 29 November 2011 / Accepted: 19 July 2012 / Published online: 2 August 2012 Ó Springer-Verlag 2012 Abstract Purpose Day case knee arthroscopy is frequently performed on dedicated lists designed to optimise the throughput of patients. This could affect patient recall of clinical information with clinical, ethical and medicolegal consequences. The purpose of this study was to assess patient recall after knee arthroscopy and identify potential contributory factors. Methods Seventy-two patients undergoing day case knee arthroscopy were provided with information about their surgery post-operatively and tested for recall of the information prior to discharge. All patients underwent cognitive assessment when information was delivered and again when tested. Patient recall was correlated with demographic and anaesthetic factors and a multivariate regression model was used to identify risk factors for reduced recall. Results Recall overall was poor. Significant independent risk factors for reduced recall were reduced cognitive state at the time of information delivery and a shorter time between surgery and information delivery. Duration of R. E. da Assuncao (&) Á J. Lochab Á N. Mizumi-Richards ...
Words: 4021 - Pages: 17
...Why Are There So Many Deaths Caused By Medical Errors and What Solutions Can Decrease Them? Health Service Systems – HSM541 June 20 2015 Background Medical errors kill at least 44,000 people and perhaps as many as 98,000 people per year. Or do they kill over 180,000 per year? Maybe even 440,000 people killed by medical errors? Allen (2013) In 1999 the Institute of Medicine (IOM) published a report titled “To Err Is Human: Building A Safer Health System” that leveled the healthcare community. They reported that according to two studies “perhaps as many as 98,000 people die in hospitals each year as a result of medical errors that could have been prevented”. IOM (1999) Then the Office of Inspector General for Health and Human Services followed up with a report in 2010 that stated “bad hospital care contributed to the deaths of 180,000 patients in Medicare alone in a given year”. Allen (2013) And finally in 2013, the numbers were once again raised. Per a report from the Journal of Patient Safety that approximately “440,000 PAEs (preventable/potential adverse events) that contribute to the death of patients each year from care in hospitals. This is roughly one-sixth of all deaths that occur in the United States each year”. They are now the U.S.’s third leading cause of death, behind only heart disease and cancer. All of the numbers mentioned in the first paragraph are medical errors that were “preventable”. Mistakes by the people you put your trust in killed you...
Words: 5284 - Pages: 22
...11). . Significantly revises the screeners’ performance evaluation requirements (paragraph 13). . Allows the use of other approved algorithmic systems besides the ADTMC (paragraph 18). . Deletes the use of MEDCOM Form 425-R (Internal/External Audit Form for ADTMC). . Provides changes to the narratives that accompany the following algorithms: SORE THROAT, A-1 EAR PAIN/DISCOMFORT/DRAINAGE, A-2 SINUS PROBLEMS/PAIN, A-4 RINGING IN THE EARS (TINNITUS), A-8 EXTREMITY PAIN NOT ASSOCIATED WITH A JOINT, B-3 NAUSEA/VOMITING/DIARRHEA, C-1 RECTAL PAIN/ITCHING/BLEEDING, C-3 CONSTIPATION, C-4 CHEST PAIN, D-2 DIZZINESS/FAINTNESS/BLACKOUT, F- 1 NUMBNESS/TINGLING, F-3 PARALYSIS/WEAKNESS, F-4 FATIGUE, G-1 MEDCOM Pam 40-7-21 FEVER/CHILLS, G-2 ACNE, J-2 SHAVING PROBLEM--PSEUDOFOLLICULITIS BARBAE (PFB) (INGROWN HAIRS), J-3 DANDRUFF (SCALING OF THE SCALP), J-4 HAIR LOSS, J-5 ATHLETE’S FOOT (TINEA PEDIS), J-6 JOCK ITCH (TINEA CRURIS), J-7 SCALING, DEPIGMENTED SPOTS ON THE CHEST, BACK, AND UPPER ARMS (TINEA VERSICOLOR), J-8 FEVER BLISTERS (COLD SORES), J-10 DRUG RASH, J-14 SUNBURN, K-8 . Contains changes in appendix B, List of Medications. . Adds constipation to list of terms defined in the glossary. 2 MEDCOM Pam 40-7-21 DEPARTMENT OF THE ARMY HEADQUARTERS, UNITED STATES ARMY MEDICAL COMMAND 2050 Worth Road Fort Sam Houston, Texas 78234-6000 MEDCOM Pamphlet No. 40-7-21...
Words: 35999 - Pages: 144
...Significantly revises the screeners’ performance evaluation requirements (paragraph 13). . Allows the use of other approved algorithmic systems besides the ADTMC (paragraph 18). . Deletes the use of MEDCOM Form 425-R (Internal/External Audit Form for ADTMC). . Provides changes to the narratives that accompany the following algorithms: SORE THROAT, A-1 EAR PAIN/DISCOMFORT/DRAINAGE, A-2 SINUS PROBLEMS/PAIN, A-4 RINGING IN THE EARS (TINNITUS), A-8 EXTREMITY PAIN NOT ASSOCIATED WITH A JOINT, B-3 NAUSEA/VOMITING/DIARRHEA, C-1 RECTAL PAIN/ITCHING/BLEEDING, C-3 CONSTIPATION, C-4 CHEST PAIN, D-2 DIZZINESS/FAINTNESS/BLACKOUT, F- 1 NUMBNESS/TINGLING, F-3 PARALYSIS/WEAKNESS, F-4 FATIGUE, G-1 MEDCOM Pam 40-7-21 FEVER/CHILLS, G-2 ACNE, J-2 SHAVING PROBLEM--PSEUDOFOLLICULITIS BARBAE (PFB) (INGROWN HAIRS), J-3 DANDRUFF (SCALING OF THE SCALP), J-4 HAIR LOSS, J-5 ATHLETE’S FOOT (TINEA PEDIS), J-6 JOCK ITCH (TINEA CRURIS), J-7 SCALING, DEPIGMENTED SPOTS ON THE CHEST, BACK, AND UPPER ARMS (TINEA VERSICOLOR), J-8 FEVER BLISTERS (COLD SORES), J-10 DRUG RASH, J-14 SUNBURN, K-8 . Contains changes in appendix B, List of Medications. . Adds constipation to list of terms defined in the glossary. 2 MEDCOM Pam 40-7-21 DEPARTMENT OF THE ARMY HEADQUARTERS, UNITED STATES ARMY MEDICAL COMMAND 2050 Worth Road Fort Sam Houston, Texas...
Words: 35999 - Pages: 144
...BMI & PHYSICAL FITNESS PERFORMANCE OF THE BPE STUDENTS Chapter 1 Introduction to the Study Chapter one is divided into five parts; namely: (1) Background and Theoretical Framework of the Study, (2) Statement of the Problem and the Hypothesis, (3) Significance of the Study, (4) Definition of Terms, and (5) Scope of Delimitation of the Study. Part One, Background and Theoretical Framework of the Study, presents the rationale for the choice of the problem and presents the Theoretical Framework upon which this study was anchored. Part Two, Statement of the Problem and the Hypothesis, enumerates the general and specific questions answered in the study and states the hypothesis tested. Part Three, Significance of the Study, identifies the beneficiaries and benefits that could be derived from the results of the study. Part Four, Definitions of Terms, gives the conceptual and operational meanings of the important terms used in the study. Part Five, Scope and Delimitation of the Study, specifies the coverage and limitations of the study. Background and Theoretical Framework of the Study The human body is a perfect work of art for its symmetry & proportion. It can handle innumerable tasks ranging from the light to heavy up to the simple to intricate one wayback prehistoric times. The interest of man towards the “human body” was been the subject of several investigations as documented...
Words: 11061 - Pages: 45
...|Ethics Case Studies—Learning Application of the 2009 ADA/CDR Code of |[pic] | |Ethics for the Profession of Dietetics | | |Case Study #1: A registered dietitian (RD) is newly employed as part of a treatment team in an ambulatory care setting. After several | |counseling sessions, one of the clients he is counseling for obesity discloses that she is being physically abused by her spouse and is | |experiencing depression. The RD continues to have the client come in for nutrition counseling sessions in an attempt to better understand | |the relationships among her current domestic situation, psychological state and weight issues. During a treatment team meeting, the RD | |reports on the client and is questioned by one of the team members about why he did not refer the client to the mental health professional. | |What should be done in this situation? | |Questions for Discussion | |Is the situation described an ethical issue? Or, is it a business dispute? It is an ethical issue. | |What principle(s) of the Code of Ethics does it...
Words: 9616 - Pages: 39
...Chapter 1 INTRODUCTION Background Euphorbia hirta, belongs to the family of Euphorbiaceae which is a large family of dicotyledons, with about 300 genera and over 5,000 species. Here in the Philippines, the Euphorbia hirta, is commonly referred to as Tawa-tawa or Gatas-gatas in some provinces. It is also known as Asthma weed or Snake weed in the United States. The plants of 3 different species share Phoretic variations, these plants are: (1) Mutha (Cyperus rotundus), (2) Gatas-gatas (Euphorbia hirta) and (3) Botoncillo (Gomphena globosa). Tawa-tawa is usually very abundant in tropical regions such as the Philippines. A simple weed scattered in sunny lawns, waste places and open grasslands. It is pantropic in distribution. The plant is an annual, hairy herb, usually branched from the base, spreading up to 40 cm long. The stem is slender and often reddish and purplish in color, covered with yellowish bristly hairs especially in younger parts. The leaves are oppositely arranged, elliptical-oblong to oblong-lanceolate, 1 to 2.5 cm long, toothed at the edge, and blotched with purple in the middle. In the axils appear numerous involucres, purplish or greenish, dense, axillary, short stalk clusters or crowded cymes, about 1 mm long. The capsules are broadly ovoid, hairy, three-angled, about 1.5 cm. The small green flowers constitute the inflourescence characteristics of the euphorbias. The stem and the leaves produce white or milky juice when cut (Lind and Tallantire...
Words: 8195 - Pages: 33
...MIH514-Cross Cultural Perspectives 9/3/2013 Elizabeth Glasser Japanese Culture I am choosing to do my session long project on Japan. I think Japan is a very interesting and beautiful place. No other country in the world has experienced such a confluence of tradition, technology, and circumstance. Japan is the hub for cutting edge technology; it is the only country that has witnessed the wrath of the atomic bomb, and it has the most massive economy in the world. The Japanese have interesting and amazing traditions that have been passed on from generation to generation for thousands of years. Japanese people can be very modern but till hold onto traditions that have been passed on for centuries. They wear amazingly beautiful clothes, have interesting art techniques and have one the largest markets for music. Japan is also known for their Geisha girls, martial arts, and bizarre foods. Origins “The Japanese Archipelago includes more than 3,000 islands, covering a total area of 377,835 square kilometers. The four main islands, from north to south, are Hokkaido, Honshu, Shikoku, and Kyushu” (Szczepanski, n.d.). There is evidence that people inhabited Japan 30,000 years ago. According to Szczepanski (n.d.), these people were called Jomon and were hunter and gatherers who lived off the land. Japan first appears in the historical records of China in about 300 BC. There are many theories regarding the evolution of Japan. The most popular is that “Japanese...
Words: 10400 - Pages: 42
...Introduction Walgreen Co. and CVS/Caremark are two of the largest retail drugstore chains in the United States, offering consumers a variety of basic consumer goods including household products, convenience foods, personal care, beauty care, photofinishing, and seasonal items, as well as over-the-counter and prescription medication. In addition to their well-known retail pharmacies, both companies also operate a health services health and wellness division. Within the retail pharmacy industry CVS/Caremark and Walgreens continually battle for the retail position. This document will offer an overview and basic competitive analysis of the two companies. Background Location & Type of presence (brick and mortar, or internet) According to the CVS/Caremark 2011Annaul Report, page 23; as of December 31, 2011, the CVS/Caremark Retail Pharmacy segment operated 7,327 retail drugstores with 7,271of these retail stores operating a full service pharmacy. Their stores are located in 41 states and the District of Columbia and Puerto Rico. Additionally, within these retail stores operate 657 health care clinics conducting business under the Minute Clinic name. The retail pharmacy stores operate primarily under the CVS/pharmacy or Longs Drugs names. In addition, the Pharmacy Services segment operates under the names CVS Caremark Pharmacy Services, Caremark, CVS Caremark, Care Plus CVS/pharmacy, Care Plus, and Rx America to providing pharmacy benefit management services to employers, insurance...
Words: 10113 - Pages: 41
...HLTHIR403C. Work effectively with culturally diverse clients and co-workers Author John Bailey Copyright Text copyright © 2008 by John N. Bailey. Illustration, layout and design copyright © 2008 by John N. Bailey. Under Australia's Copyright Act 1968 (the Act), except for any fair dealing for the purposes of study, research, criticism or review, no part of this book may be reproduced, stored in a retrieval system, or transmitted in any form or by any means without prior written permission from John N. Bailey. All inquiries should be directed in the first instance to the publisher at the address below. Copying for Education Purposes The Act allows a maximum of one chapter or 10% of this book, whichever is the greater, to be copied by an educational institution for its educational purposes provided that that educational institution (or the body that administers it) has given a remuneration notice to JNB Publications, Disclaimer All reasonable efforts have been made to ensure the quality and accuracy of this publication. JNB Publications assumes no responsibility for any errors or omissions and no warranties are made with regard to this publication. Neither JNB Publications nor any authorised distributors shall be held responsible for any direct, incidental or consequential damages resulting from the use of this publication. To Order this Publication This publication can be ordered in a wire bound...
Words: 39856 - Pages: 160
...ADHD: Kiddie Watch Affecting our Daily Lives Benefits of early intervention for special children stressed Article by: | | IVY LISA F. MENDOZA Manila Bulletin Website If there is one thing that has been proven beneficial to children with special needs, it is early intervention (EI). Experts say that intervention services given early to children with special needs starting from ages 0 to eight years old result to long-term benefits thus minimizing the need for special education and other related services. Among these EI services are therapies (speech, physical, occupational), special education and others. "There are also the humanistic and pragmatic rationales for EI, and the biological fact that the human brain?s plasticity allows it to develop when stimulations are provided,?? revealed Dr. Mark Reysio Cruz III, a developmental and behavioral pediatrician whose work involves children with special needs. Dr. Reysio-Cruz along with Mrs. Susana Gosalvez-Pe, a parent of three children with Attention Deficit and Hyperactivity Disorder (ADHD) recently shared their expertise and experience with early intervention, detection and assessment in special education at a symposium. Titled ??Phases to Face: Detection, Assessment and Intervention," the symposium was organized by the master?s in special education class of Dr. Lilia S. Bautista in De La Salle University (DLSU) which aimed to present varying viewpoints in dealing with children with special needs, particularly...
Words: 5911 - Pages: 24
...4240 JULY 22, 2010 JOHN A. QUELCH HEATHER BECKHAM Metabical: Positioning and Communications Strategy for a New Weight-Loss Drug “I have tried countless diets and every new weight-loss pill that has come on the market. Nothing seems to take off those extra pounds. With diets, I am miserable because I am starving all the time, and none of the weight-loss pills seem to work. I might lose a couple pounds, but I never reach my weightloss goals and I usually end up gaining more back. I would give anything to lose this extra 20 pounds, so that I can live a longer, happier life.” — Tamara Jinkens: focus group participant, age 42 Barbara Printup, senior director of marketing for Cambridge Sciences Pharmaceuticals (CSP), listened as overweight focus group participants recounted their lifelong struggles with weight loss. Printup had just been placed in charge of the upcoming U.S. product launch of CSP’s newest prescription drug, Metabical (pronounced Meh-tuh-bye-cal). In clinical trials, Metabical proved to be safe and effective in stimulating weight loss for moderately overweight individuals. CSP was an international health care company with a focus on developing, manufacturing, and marketing products that treat metabolic disorders, gastrointestinal diseases, immune deficiencies, as well as other chronic and acute medical conditions. The company captured over $25 billion in sales in 2007. Printup had over 20 years of experience marketing prescription drugs for CSP. She had led six...
Words: 4967 - Pages: 20