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Essay On Issues In Prison Health care

Share this: Facebook Twitter Reddit LinkedIn WhatsApp Prison Health Care Prison health services differ in the United States between states. In 2001, the National Commission on Correctional Health Care did a survey on the organizational structure of healthcare services in 28 prison systems. The results showed that 7 systems have health systems that are operated by the Department of Corrections, 9 contracted out their services, 8 being for-profit organizations and 1 being universities, and 12 prison systems having health care being provided by the Department of Corrections and for-profit firms. In 2004, the US Census Bureau did a survey of Inmates in State and Federal Correctional Facilities. And in 2002 a Survey of Inmates in Local Jails. Wipler and colleagues analyzed the survey and determined the access to care using the following measurements: medical examinations, access to pharmacotherapy, access to prescription medication, access to laboratory tests, and adequacy of acute care. These results show that “13.9% of federal inmates, 20.1% of state inmates, and 68.4% of local jail inmates had received no medical examination since incarceration.” Of inmates who were taking prescriptions before prison, 26.3% of federal inmate, 28.9% of state inmates, and 41.8% of jail inmates no longer take their prescriptions. Of inmates that were taking prescriptions for an active medical condition, 20.9% of federal inmates, 24.3% of state inmates, and 36.5% of jail inmates stopped taking their medication after being incarcerated. For mental health problems, only 69.1% of federal inmates, 68.6% of state inmates, and 45.5% of jail inmates were given medication for their mental conditions since they were incarcerated. In the next few paragraphs, I will be comparing health care of prison inmates based on age and gender. Older inmates are more likely to have chronic health conditions such as hypertension, liver disease, cancer, arthritis, kidney disease, and heart conditions. Skarupski and colleagues state that 61% of the older inmates that were surveyed have arthritis, 53% have hypertension, 30% have menopause issues, 29% have digestive disorders and ulcers, and 26% had heart conditions. Correctional prisons are the largest mental health service providers in the United States. A study of older women in prison discussed by Skarupski shows that 46% have severe levels of depression, 43% have anxiety, and 42% have “interpersonal sensitivity.” The study also showed that about 78% fear of getting sick and dying while in prison, 64% report to be fairly healthy, 30% report good health, and 6% report excellent health. The elderly inmates have difficulty with bathing, dressing, eating, and using the toilet, but must be able to perform these tasks as well as prison tasks such as dropping to the floor during an alarm, standing for count, walking while handcuffed, and climbing on bunkbeds (Skarupski, 2018). A study discussed in the paper showed that 89% of older, female, inmates have trouble walking independently and 66% have problems walking up stairs. Elders who are incarcerated have health problems, mental health problems and cannot maintain independent living due to mobility. These issues must be fixed so there is more accommodation for the elder prison population. A solution to this problem is to develop a more systematic and effective health care model. An example is to have case managers who organize the amount of times an elder goes to the clinic or regulates their medication so they do not miss a dose. Another example is to get specialized doctors like geriatricians (Skarupski, 2018). Another solution to this is to provide more counseling to the elder population in prison to discuss their depression, anxiety, and fear of death. According to the paper written by Mignon, “women incarcerated in jails, state prisons, and federal prisons have significant health problems.” For women in prisons, they do not get proper health care services, which includes menstruation, pregnancy, child birth, breastfeeding, and menopause. It has also been noted in a survey of women in jails, federal, and state prisons, there is a disproportionate number of women who were victims of sexual and physical assault before incarceration. These women could be a high risk for HIV/AIDS, hepatitis C, and human papillomavirus. According to Mignon, once becoming incarcerated, the women are at a greater risk of getting other STIs such as gonorrhea and syphilis due to sexual victimization and prostitution. Mignon has mentioned that in a study of 362 women in maximum security prison, they had high levels of stress, anxiety, depression, and more physical pain than non-incarcerated women. This was shown to be due to the highly stressful environment and having limited contact with their children. The women in prison are shown to have mental health issues that are not treated has caused suicide, which is accounted for majority of deaths in prison. There is also a large amount of sexual victimization in female prisons. A sample of 463 incarcerated women has shown that 17.2% of women have been sexually victimized and 3% reported rape (Mignon, 2016). Most prisons and jails do not readily have services for sexual assault. Pregnant women in prison raises a whole new challenge for prison health care. Pregnant women need more check-ups and doctor visits compared to other women. It has been noted by Mignon that of the 4% of state and 3% of federal pregnant inmates, 94% have received an obstetric exam, but only 54% have received prenatal care. It has also been reported by the women that they have been treated inappropriately and that during labor and delivery, they were forced to wear shackles. There are some very clear-cut solutions to the problems that female inmates have. One solution is to mandate prisons to have a mental health assessment of inmates once admitted and be placed in a program with other people with the same mental conditions. An example is women with prior substance abuse or group therapy for women who are victims of sexual assault. Another solution could be to use telemedicine. Telemedicine would work great for women in prison since they do not have direct access to medical professionals and are in a very remote location. It is especially useful for female inmates since they have reproductive issues and cannot reach a specialist when needed. “Over the past decade, there has been a dramatic increase in the population of juvenile offenders in the United States” (Kaplan, 2001). The juveniles that are in the correctional facilities have shown to have many health and emotional problems including parental neglect, physical, sexual, and drug abuse, STDs, HIV, depression, and ADD. According to Kaplan, adolescents entering juvenile hall are at a higher risk of getting STDs, abusing drugs, getting HIV, and having issues regarding pregnancy and parenting. Adolescence entering juvenile hall are also more likely to have preexisting mental health disorders. It has been reported that 46% of incarcerated youths have documented medical problems; only a third of these youths had regular medical care and only a fifth had a private physician. A survey of a group of incarcerated, male youths showed that more than 50% have gonorrhea and 90% have chlamydia, which were only visible through screening. The survey also showed that the mean age for sexual intercourse was 13 years old with a median of 8 partners and only 37% or the youths always used condoms. HIV rates may be low (less than 1%), but risk-taking behavior like sexual intercourse with multiple partners, inconsistent use of condoms and drug use increases the chances of developing HIV or AIDs. A national survey shows that “approximately two thirds of 261 correctional facilities housed between 1 and 5 pregnant adolescents on any given day” (Kaplan, 2001); only about a third of correctional facilities provide prenatal service and provided parenting classes. 12% to 26% youths have been inpatient psychiatric hospitalized prior to juvenile hall have and high posttraumatic stress disorder has been shown to occur after admission. It has also been shown that 25% to 31% of incarcerated youths have been abused or neglected (Kaplan, 2001). Youths in juvenile need to be treated differently compared to adults in prison. A solution for these children is to not be treated like adult criminals. They are young and cannot make the right decisions because of their environment. The youths need to have counseling and proper education in order for them to learn through punishment alone. There are such high rates of STDs and risk-taking behaviors that need to be addressed properly through therapy, counseling, and education. Another problem that needs to be addressed is the lack of prenatal services and parenting classes. It has been reported in the article that quite a few of these children are abandoned by their family, and it is important for these pregnant youths to get proper parenting education and to understand what is going on during pregnancy. It should be a requirement for all juvenile halls. A pattern is visible with elders in prison, women in prison, and youths in juvenile hall. All these people need proper counseling and therapy. For elders, it is dealing with death, and for all three it is therapy for mental health problems. There is a pattern of lack of medical treatments. It seems like a lot of prisoners do not have the medications that they need or proper checkups, especially pregnant women. In conclusion, prison health care system is very broken and needs to be reformed for people to get the proper treatment for their conditions. References Kaplan, D., Feinstein, R., Fisher, M., Klein, J., Olmedo, L., Rome, E., …
MGT 201 Saudi Electronic University McDonalds A Global Giant Case Study.

References case study about mcdonalds The Assignment must be submitted on Blackboard (WORD format only) via allocated folder.Students are advised to make their work clear and well presented, marks may be reduced for poor presentation. This includes filling your information on the cover pageAvoid plagiarism, the work should be in your own words, copying from students or other resources without proper referencing will result in ZERO marks. No exceptions. All answered must be typed using Times New Roman (size 12, double-spaced) font. No pictures containing text will be accepted and will be considered plagiarism).Leaning Outcomes:Demonstrate an understanding of the global competitive environment and the changing marketing practices. (LO- 1.8)Ability to formulate marketing strategies that incorporate psychological and sociological factors which influence consumers (LO- 1.9)Build a strong understanding of the social, economic, ethical and technological challenges facing marketers (LO- 3.4)
MGT 201 Saudi Electronic University McDonalds A Global Giant Case Study

Analysis of Financial Annual Reports. The Home Depot and Lowe’s Companies are major American home improvement retailers, keen rivals with Home Improvement leading both in sales and in profits. This assignment aims to analyse their operational and financial results in detail for a period of five years, namely 2002 to 2006 on the basis of the following Annual Reports filed by the companies with the Securities Exchange Commission (SEC) Company Year Ending Year Ending Year Ending Year Ending Year Ending Home Depot January 28, 2007 January 29, 2006 January 30, 2005 February 1, 2004 February 2, 2003 Lowe’s February 2, 2007 February 3, 2006 January 28, 2005 January 30, 2004 January 31, 2003 The working details and financial calculations used for the analysis are available in the appendices at the end of the assignment. Whilst the two companies operate in the same market and are keen rivals, with Lowe’s’ being the nearest competitor to The Home Depot, the actual distance between these two is prima facie substantial with The Home Depot being practically two times the size of Lowe’s, both in sales and in profits. The analysis of the financial statements of the two companies for the five years 2002 to 2006 covers issues like the percentage increase in sales and profits during this period, as well as the analysis of a number of ratios that indicate (a) year on year increase of turnover and profits, (b) profitability, (c) use of long term assets, capital employed and working capital, and (d) capital gearing. An analysis and comparison of various financial and operational ratios over a period of a number of years helps in validating the authenticity of presented figures by enabling analysts to compare related figures, for example year on year increases in sales and profits, and the relationships between sales and profits, sales and capital employed, and current assets and current liabilities, and locate and investigate anomalies that arise from year to year. “While it is useful to understand the absolute quantum of each asset, liability and revenue item in isolation, far greater understanding of its implication with respect to the trend and performance of the company can be achieved by a `relationship’ study. For instance, if one studies profits in relation to sales for the current year and compares it with the same relationship for a series of years, a greater understanding of the trend and performance can be had. The `relationship’ study referred has two facets: i) the relationship of one item to another for the current or previous years, but in respect of the same company, and ii) the relationship of these parameters with industry figures or representative figures of competitors or of firms of similar size and operations. The first set enables one to understand the performance of the company in isolation, while the second gives an insight as to where the company stands vis-à-vis the industry or competition.” (OsteryoungAnalysis of Financial Annual Reports
Create 38 SOAP NOTES for a family nurse practitioner student..

You are a FNP running a rural clinic as their healthcare provider. Documentation is important to paint the picture of your time spent with the patient. Your patients are adult only with the ages ranging from 19-70. Create 38 different SOAP notes. Addressing different systems of the body. The best way to complete this assignment would be to assign by groups for example 6pts/Cardiovascular -chf. In your soap template include medications, ICD 10 diagnosis codes ,CPT billing codes and referrals if needed. Attached you will have sample of the templates used. No need to have in text citations or references.Please follow format. Below are the textbooks used.Dains, J.E., Baumann, L. C. & Scheibel, (2015)Advanced health assessment and clinical diagnosis in primary care. (5th Ed.). St. Louis, MO: Elsevier. ISN: 981-1-60913-762-5 Buttaravoli,P. & Leffler, S.M. (2014).Minor Emergencies. (3rd Ed.) Phildadelphia, PA: Saunders. ISBN-13: 978-0323079099, ISBN-10: 0323079091Bickley, L. (2014).Bates’Guide to Physical Examination and History-Taking [VitalSouce bookshelf version]. https://batesvisualguide.com/.Eleventh, North American Edition; Lippincott Williams & Wilkins: ISBN 1609137620Karen Fenstermacher, Barbara Toni Hudson (2015). Practice Guidelines for Nurse Practitioners (4thed.). Saunders: Elsevier ISBN 9780323290807
Create 38 SOAP NOTES for a family nurse practitioner student.

UoP Certifications and Continuing Education in your Professional Role Paper

UoP Certifications and Continuing Education in your Professional Role Paper.

Wk 2 Individual Assignment: Certifications and Continuing Education in Your Professional Role [Due Day#]
Assignment Content

Resources: Certifications and Continuing Education in Your Professional Role Grading Criteria
Select one of the following options to complete this assignment:

Your current role in a hospital setting
A professional role, such as an administrator, a nurse, respiratory therapist, health information specialist, physical therapist, or radiology technologist.

Write a 700- to 1,050-word paper that summarizes the certifications and continuing education that would be appropriate for a professional role in a hospital or other applicable health care setting. Your paper should:

Identify a professional organization that would provide professional development opportunities for the role you have selected.
Describe the professional development and other opportunities the professional organization would provide to you as a member.
Explain the importance of being a member in a professional organization.
Include the link to this organization.

Resources 

Center for Writing Excellence 
Reference and Citation Generator 
Grammar and Writing Guides

UoP Certifications and Continuing Education in your Professional Role Paper

Rasmussen College Deliverable Hypothesis Tests for Two Samples

python assignment help Rasmussen College Deliverable Hypothesis Tests for Two Samples.

Formulate and evaluate hypothesis tests for population parameters based on sample statistics using both Critical Regions and P-Values, and be able to state results in a non-technical way that can be understood by consumers of the data instead of statisticians.Student ProfileYou are a statistician working for a drug company. A few new scientists have been hired by your company. They are experts in pharmacology, but are not experts in doing statistical studies, so you will explain to them how statistical studies are done when testing two samples for the effectiveness of a new drug. The two samples can be dependent or independent, and you will explain the difference.Concept being StudiedYour focus is on hypothesis tests and confidence intervals for two populations using two samples, some of which are independent and some of which are dependent. These concepts are an extension of hypothesis testing and confidence intervals which use statistics from one sample to make conclusions about population parameters.What to SubmitYour research and analysis should be presented on the Word document (attached) provided. All calculations should be provided on a separate Excel workbook (you must provide yourself) that should be submitted to your boss as well.YOU MUST MEET THE BELOW REQUIREMENTS: All problems are solved correctly. Complete and detailed steps are provided to explain how to solve the problem. Explanations demonstrate a mastery of understanding of the statistical concepts and terminology. All variables, equations, and expressions are properly formatted.
Rasmussen College Deliverable Hypothesis Tests for Two Samples

Journal Entry – Music

Journal Entry – Music.

Respond to each of the following prompts:Looking back to your Module 2 music portfolio, choose your favorite genre and song out of the five that you identified, and in 3–5 sentences describe how the elements of music work to elicit a response from you. Be sure to give the title and artist information.Consider the following:Which elements of music stand out to you in this choice?Are there any elements that this choice is missing?Be sure to explain fully.Reflection: In 3-5 sentences, discuss how knowing the detailed elements of music can affect your opinion of a given piece of music.
Journal Entry – Music

What is the subject of most sonnets,

What is the subject of most sonnets,.

 including Shakespeare’s “Shall I compare thee to a summer’s day?” and “When, in disgrace with fortune and men’s eyes”?  A.the beauty of nature  B.the inevitability of death  C.love and romance  D.wealth and success
What is the subject of most sonnets,