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Tag: Homework Solution

  • [Solved] American Lit

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    In-depth study guidance and analytical solution covering American Lit.

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    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] eths in tech

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    This assignment requires you to write sa's in response to all of the following: Part 1: In your own words, describe early milestones in information storage and retrieval, beginning with the Greek alphabet and proceeding to the advent of Ted Nelson’s creation of the hypertext system. Part 2: Explain …

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    This assignment requires you to write sa's in response to all of the following:
    Part 1: In your own words, describe early milestones in information storage and retrieval, beginning with the Greek alphabet and proceeding to the advent of Ted Nelson’s creation of the hypertext system.
    Part 2: Explain Rawls’ theory of justice, including basic concepts of his thought experiment, and in particular the idea of one’s original position, the veil of ignorance, and the difference principle.
    Part 3: Describe evidence that Internet addiction exists based on your personal experience followed by a summary of expert opinion offered in our text. In that context, discuss factors that contribute to Internet addiction.

  • [Solved] Deliverable – Revising and Editing Professional Emails

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    #### **Competency** Apply Concepts of Professional Writing to Prewriting, Drafting, Revising, and Editing. #### **Instructions** Below are two professional emails. Read through each of the emails copy and paste them to a Word Document. Edit them utilizing the Review tab in Microsoft Word. Please rev…

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    #### **Competency**
    Apply Concepts of Professional Writing to Prewriting, Drafting, Revising, and Editing.
    #### **Instructions**
    Below are two professional emails. Read through each of the emails copy and paste them to a Word Document. Edit them utilizing the Review tab in Microsoft Word. Please review each email, finding all errors in grammar, vocabulary, spelling, punctuation and professionalism.
    After you have completed editing and revising the email, pick one of the two and re-write the email so that it is free of all spelling, grammar and content errors and is professional and informative.
    **Email #1**
    From: Tricia Marcus
    To: Allison Brown
    Subject: Today’s Meeting
    Hey Allison!
    I am looking forward to seeing you today for our meeting. I’ve attached the materials needed for our discussion. Let me know if you have any questions.
    Regards,
    Tricia Marcus
    _Marketer Extraordinaire_
    hotpartychick@triciamarketing.com
    (555) 545-5656
    “Be so good they can’t ignore you.” – Steve Martin
    **Email #2**
    To: Bob Pope
    From: Gabrielle Mendes
    Subject: Job?
    Hey Bob, We talked a couple weeks back at the chamber of commerce event. (I was the one looking for a summer internship and had a zit on my lip that could have passed for a cold soar. Lol. Whew. It was not. You’re probably like, “uh.. What?” Maybe that helps you recall, maybe not. Not completely important, I suppose.
    I’d really like to come work for you at your IT business. You seemed like a cool person to work for, I liked ur striped pants. I’m available to start working on Monday, but I am taking my driver’s test in June and have to study and go an hour and half away to take it at an easier place cause I’m not a great driver so I’ll miss a few days. I am also going to the beach with friends for a week in July. Oh, and my grandmother has bad gas (OMG IT’S TERRIBLE) and sometimes I have to take her to the doctor.
    I’ve attached my resume, it’s the bomb dot com. Let me know if you have a job opening for me. I can’t wait to play on some computers. If I don’t respond to your email, I’m always on FB, snapchat or insta!
    Peace out,
    Gabrielle Mendes

  • [Solved] Roles

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    – ## RubricAssignment2RolePaper.pdf **## RubricAssignment2RolePaper.pdf** Wilkes University Passan School of Nursing NSG 504 Assignment 2 Role Paper Assignment (30 points) Professional Role Paper This is a formal paper in which the student chooses the advanced practice nursing (APN) role that he/she…

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    – ## RubricAssignment2RolePaper.pdf

    **## RubricAssignment2RolePaper.pdf**

    Wilkes University
    Passan School of Nursing
    NSG 504
    Assignment 2
    Role Paper Assignment (30 points)

    Professional Role Paper

    This is a formal paper in which the student chooses the advanced practice
    nursing (APN) role that he/she is currently enrolled in and explores this role in
    depth, as this student may function in the future.

    – The Interview Paper will be used as a guide to complete this assignment.
    – Compare and contrast the ideal and observed role according to

    professional guidelines, theory, and research reviewed in this course and
    in the literature.

    – Does the role/practice of this APN follow theory, literature, and
    professional guidelines?

    – Provide a job description. Describe how this APN practices in the domains
    of the role job description.

    – Discuss whether this role has leadership functions and describe them.
    – Discuss the current United States healthcare structure and how the APN

    role fits in. Compare this to the role of the APN in one other country.
    – Discuss how the Affordable Care Act impacts the APN role.

    The paper should include:

    • Title page

    • Introduction

    • Body of paper with content as described above.

    • Conclusion

    • Reference page (minimum of 5 references, including your text)

    • This paper should not exceed 5 pages (excluding the title page, and
    reference page)

    • APA 7th ed. is the required format, double-spaced, 12-point font

    • Please refer to the Grading Rubric for written assignments

    Revised 7/22/2022

    **## RubricAssignment2RolePaper.pdf**

    Wilkes University
    Passan School of Nursing
    NSG 504
    Assignment 2
    Role Paper Assignment (30 points)

    Professional Role Paper

    This is a formal paper in which the student chooses the advanced practice
    nursing (APN) role that he/she is currently enrolled in and explores this role in
    depth, as this student may function in the future.

    – The Interview Paper will be used as a guide to complete this assignment.
    – Compare and contrast the ideal and observed role according to

    professional guidelines, theory, and research reviewed in this course and
    in the literature.

    – Does the role/practice of this APN follow theory, literature, and
    professional guidelines?

    – Provide a job description. Describe how this APN practices in the domains
    of the role job description.

    – Discuss whether this role has leadership functions and describe them.
    – Discuss the current United States healthcare structure and how the APN

    role fits in. Compare this to the role of the APN in one other country.
    – Discuss how the Affordable Care Act impacts the APN role.

    The paper should include:

    • Title page

    • Introduction

    • Body of paper with content as described above.

    • Conclusion

    • Reference page (minimum of 5 references, including your text)

    • This paper should not exceed 5 pages (excluding the title page, and
    reference page)

    • APA 7th ed. is the required format, double-spaced, 12-point font

    • Please refer to the Grading Rubric for written assignments

    Revised 7/22/2022

  • [Solved] Follow the instruction below

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    – ## Module12and13Assignment1.docx **## Module12and13Assignment1.docx** HCA 6013 Dynamics of Healthcare Markets Module Twelve Assignment **Economic Evaluation in Healthcare** 1) Why is economic evaluation in healthcare important? 2) Why has economic evaluation been slow to develop in the U.S? 3) Des…

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    – ## Module12and13Assignment1.docx

    **## Module12and13Assignment1.docx**

    HCA 6013 Dynamics of Healthcare Markets

    Module Twelve

    Assignment

    **Economic Evaluation in Healthcare**

    1) Why is economic evaluation in healthcare important?

    2) Why has economic evaluation been slow to develop in the U.S?

    3) Describe the different types of economic evaluation utilized in healthcare.

    4) Describe in general the categories of common measurers and tools of economic evaluation in healthcare. (For this question just describe the categories. More detailed questions will follow)

    5) Describe the step process of measuring costs.

    6) Explain direct and indirect costs.

    7) Describe the different types of effectiveness measures.

    8) Describe what is meant by quality-of-life measures.

    9) Explain the concept of willingness to pay.

    a. Report the percentage of US citizens in medical debt and the number of US citizens that file bankruptcy due to medical debt.

    b. Explain what YOU think is happening with “willingness to pay” in the US.

    c.

    10) Describe the process and importance of discounting costs and benefits.

    11) Describe how decision trees are utilized in economic evaluations.

    12) Describe the concept of sensitivity analysis in economic evaluation.

    13) Describe the hierarchy of data source utilized in economic evaluations.

    14) Summarize the issues faced in economic evaluations.

    HCA 6013 Dynamics of Healthcare Markets

    Module Thirteen

    Assignment

    **Healthcare Systems in Developed Countries: Organization, Outcomes, and Lessons**

    15) What are the different approaches to the role of government in healthcare?

    16) What is universality of coverage? Describe some of the approaches to universality of coverage abroad and in the U.S.

    17) What are the advantages and disadvantages of universality of coverage?

    18) Describe the notion of coordination of payers and how this is handled in countries outside the U.S.

    19) Describe the role of private insurance in healthcare.

    20) What are the advantages of allowing private insurance companies to compete with government insurance?

    21) What are the advantages and disadvantages of competition between private insurance companies?

    22) Describe the advantages and disadvantages of publicly mandated health systems?

    23) What are some mechanisms which may be used to control the supply of physicians? What is the major disadvantage of controlling the physician supply?

    24) Describe how hospitals are paid as well as the advantages and disadvantages of different methods.

    25) Describe the different methods by which physicians are paid and the advantages and disadvantages of these methods.

    26) Summarize the evidence of cross-national health system performance.

    27) Describe the lessons on the role of government in healthcare.

    28) Write short reflection on class and textbook. Please explain if and how this class affected your view of the market forces in healthcare. Answer should be at least ½ a page single spaced or 1 page double spaced. Do not bold the font.

    Thank you for being the first version of this class! I appreciated your patience.

    · Please let me know if you have an opinion to the below.

    · These are general student preference questions –
    **Answering is voluntary**.

    · These answers are not included in the grade.

    · Of course you will have the opportunity to evaluate the professor at the end of the course with the typical course evaluation.

    1) Please agree or disagree and explain if you would like: I would like to have discussion board assignments added to this class.

    2) Please agree or disagree and explain if you would like to. I would have liked/found valuable being assigned into a small group of people with similar amount of years in healthcare for roundtable discussion about market forces in healthcare.

    3) Any other feedback you want to tell instructor. This is not anonymous.

    Thank you!

    **## Module12and13Assignment1.docx**

    HCA 6013 Dynamics of Healthcare Markets

    Module Twelve

    Assignment

    **Economic Evaluation in Healthcare**

    1) Why is economic evaluation in healthcare important?

    2) Why has economic evaluation been slow to develop in the U.S?

    3) Describe the different types of economic evaluation utilized in healthcare.

    4) Describe in general the categories of common measurers and tools of economic evaluation in healthcare. (For this question just describe the categories. More detailed questions will follow)

    5) Describe the step process of measuring costs.

    6) Explain direct and indirect costs.

    7) Describe the different types of effectiveness measures.

    8) Describe what is meant by quality-of-life measures.

    9) Explain the concept of willingness to pay.

    a. Report the percentage of US citizens in medical debt and the number of US citizens that file bankruptcy due to medical debt.

    b. Explain what YOU think is happening with “willingness to pay” in the US.

    c.

    10) Describe the process and importance of discounting costs and benefits.

    11) Describe how decision trees are utilized in economic evaluations.

    12) Describe the concept of sensitivity analysis in economic evaluation.

    13) Describe the hierarchy of data source utilized in economic evaluations.

    14) Summarize the issues faced in economic evaluations.

    HCA 6013 Dynamics of Healthcare Markets

    Module Thirteen

    Assignment

    **Healthcare Systems in Developed Countries: Organization, Outcomes, and Lessons**

    15) What are the different approaches to the role of government in healthcare?

    16) What is universality of coverage? Describe some of the approaches to universality of coverage abroad and in the U.S.

    17) What are the advantages and disadvantages of universality of coverage?

    18) Describe the notion of coordination of payers and how this is handled in countries outside the U.S.

    19) Describe the role of private insurance in healthcare.

    20) What are the advantages of allowing private insurance companies to compete with government insurance?

    21) What are the advantages and disadvantages of competition between private insurance companies?

    22) Describe the advantages and disadvantages of publicly mandated health systems?

    23) What are some mechanisms which may be used to control the supply of physicians? What is the major disadvantage of controlling the physician supply?

    24) Describe how hospitals are paid as well as the advantages and disadvantages of different methods.

    25) Describe the different methods by which physicians are paid and the advantages and disadvantages of these methods.

    26) Summarize the evidence of cross-national health system performance.

    27) Describe the lessons on the role of government in healthcare.

    28) Write short reflection on class and textbook. Please explain if and how this class affected your view of the market forces in healthcare. Answer should be at least ½ a page single spaced or 1 page double spaced. Do not bold the font.

    Thank you for being the first version of this class! I appreciated your patience.

    · Please let me know if you have an opinion to the below.

    · These are general student preference questions –
    **Answering is voluntary**.

    · These answers are not included in the grade.

    · Of course you will have the opportunity to evaluate the professor at the end of the course with the typical course evaluation.

    1) Please agree or disagree and explain if you would like: I would like to have discussion board assignments added to this class.

    2) Please agree or disagree and explain if you would like to. I would have liked/found valuable being assigned into a small group of people with similar amount of years in healthcare for roundtable discussion about market forces in healthcare.

    3) Any other feedback you want to tell instructor. This is not anonymous.

    Thank you!

  • [Solved] Business & Finance Homework

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    In-depth study guidance and analytical solution covering Business & Finance Homework.

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    Assignment Prompt & Instructions

    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] Follow the instruction below

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    – ## ModuleEightStudyQuestionsFall20253.docx **## ModuleEightStudyQuestionsFall20253.docx** HCA 6923 Graduate Seminar – Graduate Medical Education Module Eight Study Questions Note: In order to receive full credit for an answer, you must address every part of the question. ***Academic Integrity and…

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    – ## ModuleEightStudyQuestionsFall20253.docx

    **## ModuleEightStudyQuestionsFall20253.docx**

    HCA 6923 Graduate Seminar – Graduate Medical Education

    Module Eight

    Study Questions

    Note: In order to receive full credit for an answer, you must address every part of the question.

    ***Academic Integrity and AI-Assisted Work**

    All assignments submitted for this course are subject to review by AI detection software. This process helps ensure the integrity of your work and that it adheres to the academic honesty policies of the university. Using AI tools to generate content for your assignments may be considered a form of academic dishonesty, similar to plagiarism, if not properly cited and approved by the instructor.

    Please review the university's academic integrity policy for more information. If you have any questions about using AI tools in your work, please talk to me before submitting your assignment.

    **Graduate Medical Education Program Evaluation**

    1) Please provide a comprehensive overview of how Medicare pays for physician services in teaching settings, detailing the specific criteria that must be met for payment under the Medicare Physician Fee Schedule (PFS) for services furnished by both non-resident physicians and residents, including any exceptions for primary care and the specific requirements for anesthesia services.

    2) Elaborate on the guidelines and specific requirements that must be met for medical and surgical services furnished by an intern or resident to be covered as physician services when they are performing "moonlighting" activities, distinguishing between services provided outside the training facility versus those in an outpatient department or emergency room of the training hospital.

    3) Explain the core intent behind the establishment of the Accreditation Council for Graduate Medical Education's (ACGME) Clinical Learning Environment Review (CLER) program as part of its Next Accreditation System (NAS), and describe the anticipated outcomes and benefits of its implementation for graduate medical education (GME) settings.

    4) Describe each of the six specific areas of focus for the Clinical Learning Environment Review (CLER) program, outlining what each area encompasses in terms of resident and institutional engagement.

    5) Describe the multifaceted responsibilities of the Graduate Medical Education Committee (GMEC) within a sponsoring institution, explaining how it functions as an administrative system to ensure the educational quality of residency programs, including its role in monitoring compliance, reviewing programs, and facilitating continuous quality improvement efforts.

    6) Provide a thorough explanation of the proposed performance-based metrics for the future funding of graduate medical education (GME) as presented by Caverzagie, et al., including the foundational categories they identified and their process for metric development.

    **## ModuleEightStudyQuestionsFall20253.docx**

    HCA 6923 Graduate Seminar – Graduate Medical Education

    Module Eight

    Study Questions

    Note: In order to receive full credit for an answer, you must address every part of the question.

    ***Academic Integrity and AI-Assisted Work**

    All assignments submitted for this course are subject to review by AI detection software. This process helps ensure the integrity of your work and that it adheres to the academic honesty policies of the university. Using AI tools to generate content for your assignments may be considered a form of academic dishonesty, similar to plagiarism, if not properly cited and approved by the instructor.

    Please review the university's academic integrity policy for more information. If you have any questions about using AI tools in your work, please talk to me before submitting your assignment.

    **Graduate Medical Education Program Evaluation**

    1) Please provide a comprehensive overview of how Medicare pays for physician services in teaching settings, detailing the specific criteria that must be met for payment under the Medicare Physician Fee Schedule (PFS) for services furnished by both non-resident physicians and residents, including any exceptions for primary care and the specific requirements for anesthesia services.

    2) Elaborate on the guidelines and specific requirements that must be met for medical and surgical services furnished by an intern or resident to be covered as physician services when they are performing "moonlighting" activities, distinguishing between services provided outside the training facility versus those in an outpatient department or emergency room of the training hospital.

    3) Explain the core intent behind the establishment of the Accreditation Council for Graduate Medical Education's (ACGME) Clinical Learning Environment Review (CLER) program as part of its Next Accreditation System (NAS), and describe the anticipated outcomes and benefits of its implementation for graduate medical education (GME) settings.

    4) Describe each of the six specific areas of focus for the Clinical Learning Environment Review (CLER) program, outlining what each area encompasses in terms of resident and institutional engagement.

    5) Describe the multifaceted responsibilities of the Graduate Medical Education Committee (GMEC) within a sponsoring institution, explaining how it functions as an administrative system to ensure the educational quality of residency programs, including its role in monitoring compliance, reviewing programs, and facilitating continuous quality improvement efforts.

    6) Provide a thorough explanation of the proposed performance-based metrics for the future funding of graduate medical education (GME) as presented by Caverzagie, et al., including the foundational categories they identified and their process for metric development.

  • [Solved] erica

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    please see attachment. Any use of AI will result in automatic 0 – ## adavis1.docx **## adavis1.docx** You need to write a 5-paragraph summary addressing one of the prompts below. You must have an introductory paragraph that concludes with a thesis for your summary. You need to have clear body paragr…

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    please see attachment. Any use of AI will result in automatic 0

    – ## adavis1.docx

    **## adavis1.docx**

    You need to write a 5-paragraph summary addressing one of the prompts below. You must have an introductory paragraph that concludes with a thesis for your summary. You need to have clear body paragraph points that prove your thesis. Each body paragraph must consist of a topic sentence, evidence, and analysis of your evidence that proves your topic sentence. You also need a concluding paragraph. Your paragraphs need to be at least 5 sentences. This summary is to determine your writing skills. Do not use outside sources just your head. 1. Some people are actively involved in promoting and supporting a cause. Is there a cause you actively support? Write an summary convincing readers to support that cause. 2. All-girl schools have been gaining popularity in recent years because of the belief that girls learn better when they aren’t competing with or intimidated by boys, who statistically get more attention in the classroom. Do you think single-sex schools are a good idea? Why or why not? Use specific reasons and examples to support your position. 3. We all have favorite activities that we enjoy. Write an summary convincing readers to try the activity that you enjoy most. 4. Write an summary convincing readers to break a specific habit that is harmful to their physical, emotional, or financial health. 5. Have you ever traveled to a place that you found very meaningful and rewarding? Write an summary that persuades others to visit this important place

    **## adavis1.docx**

    You need to write a 5-paragraph summary addressing one of the prompts below. You must have an introductory paragraph that concludes with a thesis for your summary. You need to have clear body paragraph points that prove your thesis. Each body paragraph must consist of a topic sentence, evidence, and analysis of your evidence that proves your topic sentence. You also need a concluding paragraph. Your paragraphs need to be at least 5 sentences. This summary is to determine your writing skills. Do not use outside sources just your head. 1. Some people are actively involved in promoting and supporting a cause. Is there a cause you actively support? Write an summary convincing readers to support that cause. 2. All-girl schools have been gaining popularity in recent years because of the belief that girls learn better when they aren’t competing with or intimidated by boys, who statistically get more attention in the classroom. Do you think single-sex schools are a good idea? Why or why not? Use specific reasons and examples to support your position. 3. We all have favorite activities that we enjoy. Write an summary convincing readers to try the activity that you enjoy most. 4. Write an summary convincing readers to break a specific habit that is harmful to their physical, emotional, or financial health. 5. Have you ever traveled to a place that you found very meaningful and rewarding? Write an summary that persuades others to visit this important place

  • [Solved] Environmental Health and You Discussion Board

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    – **Introduce yourself to your peers by sharing something unique about your background. Explain how you expect this course will help you move forward in your current or future career.** – **Describe any environmental health problems that have been important in your own life or within communities whe…

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    Assignment Prompt & Instructions

    – **Introduce yourself to your peers by sharing something unique about your background. Explain how you expect this course will help you move forward in your current or future career.**
    – **Describe any environmental health problems that have been important in your own life or within communities where you have lived. Use the internet or the Strayer Library to search for information about the environmental health problem(s) you described, and provide evidence from a published source. Provide SWS references to the resources you find.**
    **Be sure to respond to at least one of your classmates’ posts.**
    \
    IMG_4966.png](https://www.sweetstudy.com/files/img-4966-png "IMG_4966.png")

  • [Solved] Opioid pharmacology post

    ✓ Verified Academic Solution Available

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    #### Other Resources – Dynamed – Opioids for chronic pain: [https://wilkes.idm.oclc.org/login?url=https://www-dynamed-com.wilkes.idm.oclc.org/management/opioids-for-chronic-noncancer-pain](https://wilkes.idm.oclc.org/login?url=https://www-dynamed-com.wilkes.idm.oclc.org/management/opioids-for-chroni…

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    Assignment Prompt & Instructions

    #### Other Resources
    – Dynamed – Opioids for chronic pain: [https://wilkes.idm.oclc.org/login?url=https://www-dynamed-com.wilkes.idm.oclc.org/management/opioids-for-chronic-noncancer-pain](https://wilkes.idm.oclc.org/login?url=https://www-dynamed-com.wilkes.idm.oclc.org/management/opioids-for-chronic-noncancer-pain)
    – Dynamed- Chronic low back pain: [https://wilkes.idm.oclc.org/login?url=https://www-dynamed-com.wilkes.idm.oclc.org/condition/chronic-low-back-pain](https://wilkes.idm.oclc.org/login?url=https://www-dynamed-com.wilkes.idm.oclc.org/condition/chronic-low-back-pain)
    – Dynamed- Osteoarthritis of the hip: [https://wilkes.idm.oclc.org/login?url=https://www-dynamed-com.wilkes.idm.oclc.org/condition/osteoarthritis-oa-of-the-hip](https://wilkes.idm.oclc.org/login?url=https://www-dynamed-com.wilkes.idm.oclc.org/condition/osteoarthritis-oa-of-the-hip)
    – Dynamed – Osteoarthritis of the knee: [https://wilkes.idm.oclc.org/login?url=https://www-dynamed-com.wilkes.idm.oclc.org/condition/osteoarthritis-oa-of-the-knee](https://wilkes.idm.oclc.org/login?url=https://www-dynamed-com.wilkes.idm.oclc.org/condition/osteoarthritis-oa-of-the-knee)
    – Dynamed – Peripheral neuropathy: [https://wilkes.idm.oclc.org/login?url=https://www-dynamed-com.wilkes.idm.oclc.org/condition/peripheral-neuropathy](https://wilkes.idm.oclc.org/login?url=https://www-dynamed-com.wilkes.idm.oclc.org/condition/peripheral-neuropathy)
    – Dynamed – Opioid abuse and dependence: [https://wilkes.idm.oclc.org/login?url=https://www-dynamed-com.wilkes.idm.oclc.org/condition/opioid-abuse-and-dependence](https://wilkes.idm.oclc.org/login?url=https://www-dynamed-com.wilkes.idm.oclc.org/condition/opioid-abuse-and-dependence)
    – Nociceptive and neuropathic pain: [https://www-proquest-com.wilkes.idm.oclc.org/docview/2000726586?pq-origsite=360link](https://www-proquest-com.wilkes.idm.oclc.org/docview/2000726586?pq-origsite=360link)
    – [SUBOXONE® (buprenorphine and naloxone)  Prescribing information: https://www.suboxone.com/pdfs/prescribing-information.pdf](https://www.suboxone.com/pdfs/prescribing-information.pdf)
    #### Evidence Based Practice Guidelines
    – Chou, R., et al. (2009). _American Pain Society: Clinical Guidelines for the Use of Chronic Opioid Therapy in Chronic Noncancer Pain_. The Journal of Pain, Vol 10, No 2 (February), 2009: pp 113-130 **.** [https://www.jpain.org/article/S1526-5900(08)00831-6/pdf](https://www.jpain.org/article/S1526-5900(08)00831-6/pdf)
    – Dowell, D., Haegerich, T. M., Chou, R. (2016). _CDC: Guideline for Prescribing Opioids for Chronic Pain. Recommendations and Reports._ Morbidity and Mortality Weekly Reports. March 18, 2016 / 65(1);1–49. [https://www.cdc.gov/mmwr/volumes/65/rr/rr6501e1.htm?s_cid=rr6501e1_w](https://www.cdc.gov/mmwr/volumes/65/rr/rr6501e1.htm?s_cid=rr6501e1_w)
    – Manchikanti, L., et al. (2017) _ASIPP: Responsible, Safe, and Effective Prescription of Opioids for Chronic Non-Cancer Pain_. Pain Physician. 2017 Feb;20(2S):S3-S92. [http://www.painphysicianjournal.com/current/pdf?article=NDIwMg%3D%3D&journal=103](http://www.painphysicianjournal.com/current/pdf?article=NDIwMg%3d%3d&journal=103)
    – Ferrell, B., et.al. (2009) _American Geriatric Society:_ Guideline on pharmacological management of persistent pain in older persons. Journal of American Geriatric Society,  2009 Aug;57(8):1331-46. [http://pubmed.ncbi.nlm.nih.gov/19573219?dopt=Abstract](http://pubmed.ncbi.nlm.nih.gov/19573219?dopt=Abstract)
    Patient rounds involve various disciplines coming together to discuss the patient’s condition and coordinate care. They are used as an educational tool and also help keep everyone on the same page when it comes to the treatment plan. The following case is found in the textbook (Pharmacotherapy: Principles and Practices. Chisholm-Burns et al, eds.  6th edition.  McGraw-Hill.  New York 2022. ISBN: 978-1-260-46027-8; Chapter 35. "Patient encounter").
    After reading the assigned chapters in the textbook, resources identified in Dynamed and Evidence based practice guidelines, please present the case to your peers in the form of a discussion. This will be your initial post. Please be sure to address all parts of the case and ensure your responses are well researched [including supporting, evidence based guidelines such those of the WHO, CDC, APS, etc.]. _It is recommended this be complete between weeks 4-6._
    Your response post(s), to at least one peer, shall be based upon your research and references citing circumstances where you may either endorse or refute the information your peer has presented in their case workup.  _The response post(s) must be completed by week 12_
    **Part 3:**
    She was discharged to a skilled nursing facility and is receiving physical therapy and occupational therapy 6 days each week.
    **Current Meds:** Metoprolol succinate ER 50 mg daily; rivaroxaban 20 mg daily; levothyroxine 150 mcg daily; polyethylene glycol 3350 17 g daily; lisinopril 2.5 mg daily; amiodarone 200 mg daily; sertraline 50 mg daily, hydrocodone/acetaminophen 10/325 mg every 6 hours as needed for pain.
    **Pain Assessment:** Patient reports pain of 7 out of 10; worse with movement. She complains of pain “everywhere, but my shoulder is really bothering me.” Physical therapy notes indicate patient is unable to complete therapy goals due to complaints of pain in her shoulder.
    – _Based on this information, what would you recommend to optimize pain control?_
    – _Prescribers play a critical role in prescription drug misuse and abuse prevention. What steps can be taken to identify signs of dependence and abuse and what education can you provide to the patient regarding the negative effects of medication misuse?_
    **Part 4:**
    The patient has been at the skilled nursing facility for 2 weeks and is making progress toward rehabilitation goals; however, during a follow-up appointment to her surgeon, she learned that she has metastatic ovarian cancer.
    She states that she has not been sleeping well and has lost 7 lb (3.2 kg) since admission. She also states that she hates waiting for her pain pills and requests something longer acting.
    **Pain Assessment:** 8 out of 10
    **Current Meds:** Metoprolol succinate ER 50 mg daily; rivaroxaban 20 mg daily; levothyroxine 150 mcg daily; polyethylene glycol 3350 17 g daily; lisinopril 2.5 mg daily; amiodarone 200 mg daily; sertraline 50 mg daily; diclofenac transdermal gel 1% to neck and left shoulder four times daily; hydrocodone/acetaminophen 10/325 mg every 4 hours as needed for pain (uses 6 doses per day).
    – _What additional recommendations would you have at this time regarding pain management?_
    – _Are there any other therapeutic issues that should be addressed?_
    **Part 5:**
    The patient was discharged to her home, but 3 months after discharge was admitted to hospice service. She is no longer able to swallow her tablets and requires them to be crushed. The hospice nurse requests your advice on an equivalent regimen using transdermal fentanyl and oxycodone for breakthrough pain.
    **Pain Assessment:** 8 out of 10
    **Current Meds:** Metoprolol succinate ER 50 mg daily; rivaroxaban 20 mg daily; levothyroxine 150 mcg daily; polyethylene glycol 3350 17 g daily; lisinopril 2.5 mg daily; amiodarone 200 mg daily; diclofenac transdermal gel 1% to neck and left shoulder four times daily; morphine sulfate ER 30 mg twice daily; mirtazapine 15 mg at bedtime.
    – _What additional recommendations would you have at this time regarding pain management?_
    – _Are there any other therapeutic issues that should be addressed?_