Assignment Directions: 

1. Review your participant’s holistic assessment form from week 3 as well as feedback from your instructor. Make sure your participant and medical condition are approved before creating the presentation.
2. Using the Grand Rounds Slide Outline provided, create a 10-slide presentation. You should have one slide for each content area. Do not include more content slides. You may include an additional reference slide if needed. Slide design should be professional and engaging for the target audience.  Review the grading rubric for details and expectations. 

Respond to two of your colleagues by recommending strategies to overcome the challenges your colleagues have identified. Support your recommendation with evidence-based literature and/or your own experiences with clients.

PLEASE READ THE FOLLOWING POST AND RESPOND IN 50 WORDS OR MORE:

Low socioeconomic status is an obstacle to obtaining adequate medical care for low-income populations. Braveman and Gottlieb report that some patients lack transportation and miss their outpatient appointments (2014). Another problem is inadequate or low-quality food consumption. Insufficient space for exercise can lead to a passive lifestyle, since several generations can live in one household. Lack or inadequate health insurance can prevent people from managing their chronic diseases.

Healthy People 2030 offers prevention as one of the strategies to reduce health care disparities and promote disease prevention for all. Community RNs can offer assistance with colorectal, breast, cervical and other screenings. To eliminate food insecurity nurses can assist local communities with participation in National School Lunch Program, Supplemental Nutrition Assistance Program, and Women, and Infants and Children Program.

WEEKLY ETHICS QUESTIONS

1.
Physicians frequently receive medication samples from pharmaceutical reps. These samples are often distributed to patients. Patients may not be charged for these samples, although an administration fee may be charged if the drug must be delivered in an injection. It could also include special grafting material. In this case, the physician could charge for applying the graft, but not for the graft material.

It is allergy season and a close friend has asked if you can obtain samples for the symptoms since the friend is not employed and cannot afford to purchase from the pharmacy.

Would it be appropriate to do this since there was no cost to the physician? If not, how would you respond to the friend?

2.
Physicians have been caught charging for the samples. Your physician instructs you to charge the patient for the free sample because the practice needs the money & the patient “probably won’t know the difference”. How would you handle such a request?

3.
Search the internet for “Anti-kickback statue” and “Stark” violations. These are federally mandated guidelines that are subject to severe penalties for violations.

Now apply to the following scenario:

A pharmaceutical rep offers the physician tickets to a major sporting event if the physician will agree to purchase all of their drugs from this rep. If the physician accepts, will this violate one of these federal guidelines?