Video Games: Positive Agents Of Change Essay -- Video Games Essays

Computer games have experienced harsh criticism as of late. Numerous individuals guarantee the realistic viciousness and grown-up subjects in the games have influenced more youthful ages and caused numerous savage demonstrations. Others guarantee that computer games have added to heftiness and an absence of relational abilities. Both of these cases are regularly a more seasoned age's misconception of the present youth and the overcompensation of the media. Once in a while does the predominant press depict computer games for what they truly are, another route for children to interface and offer important encounters all without being in any peril. Computer games have unlimited prospects and ought to be thought of as instruments to show the young as opposed to the malignancy that attacks them. Albeit numerous individuals see computer games as an issue, they are really a positive power since they have vast opportunities for good. Computer games have gotten one of the most well known leisure activities for kids nowadays. With the approach of amazing illustrations processors and increasingly imaginative chip plans, games are getting fantastically practical. This authenticity is the thing that carries numerous gamers to the business. Authenticity, it could be said, is the reason the gaming business has taken off and expands benefits each year. Computer games are not only a great leisure activity or diversion, they are path for gamers to get away from the world and envision themselves in an altogether new scene. Computer games are dreams with controllers. While passing through a circuit in a computer game, one doesn't feel as though they are sitting before a TV playing a game, they feel as though they are the vehicle. This is a hard marvel to clarify however computer games are such a worldwide movement inside the mind that the client really feels as though he is in the game living the experience. This, is clearly lim... ...deo games are an incredible path for kids and even grown-ups to escape from the world for some time. Players are enveloped with their own virtual world and can communicate how they are feeling through the game. Computer games can likewise have incredible positive symptoms and could even be the preparation instrument of things to come for some callings. The individuals who contend against computer games on the grounds of brutality and desensitization misjudge the mentality of youngsters toward computer games and suggest that people are not any more muddled than â€Å"monkey-see monkey-do.† Video games despite everything have a ton of potential and they can be utilized for significantly more than just unwinding and fun. They can be a social medium, a specialist of progress. A decent computer game can resemble a gem that moves individuals to attempt new things or change the manner in which they consider something. Be that as it may, to the exclusion of everything else, compute r games sure are enjoyable.

Teaching free essay sample

The instructing clinic and the clinical school shared just one high ranking representative practically speaking the executive. The abnormal idea of the budgetary courses of action was a major issue. Patients paid for proficient administrations, yet the incomes went into division reserves, which were constrained by the office seats. The clinic, then again, turned in all patient-income livelihoods to the state. The working conditions and remuneration were greatly improved in the clinical school than those in the medical clinic. There was a genuine absence of coordination in the combination of clinical school personnel into medical clinic capacities. Dr. Robert Uric, leader of the renal unit was one special case. The emergency clinic representatives with whom he worked all preferred him definitely. One reason was he frequently shared his award monies with the medical clinic representatives in his unit at whatever point it was conceivable. Dr. Uric accepting the renal unit as his home and his preferred kid monetarily and inwardly. We will compose a custom paper test on Instructing or on the other hand any comparable subject explicitly for you Don't WasteYour Time Recruit WRITER Just 13.90/page The renal unit was a bright spot under the administration of Uric. The National Institutes of Health (NIH) bolstered Dr. Uric with a few government awards to do look into on kidney transplantation. In the exploration Dr. Uric found a liquid that could keep the cut stem end from shutting. As indicated by the award understanding, Uric announced his revelation to NIH. NIH authorities didn't need it. Uric offered the liquid to a major nursery-flexibly maker; the firm named it Flower Life, and started mass-delivering. NIH lamented and documented suit at an unexpected, the story was generally spread the country over on papers. The staff concerned the story would make a terrible effect on the notoriety of the school, and Uric was moved to another new unit. The official board of trustees advanced Dr. George Conrad (the central occupant of renal medication) to supplant Uric’s position after the evacuation of Uric. Genuine work force issues emerged in the dialysis unit not long after Conrad took the position. B y the finish of the primary month representatives began to leave the renal unit; a quarter of a year later 90% of the old workers were no more. Understudies on turn through renal medication grumbled about Conrad mentality toward and treatment of them; the program of inhabitants applying to the administration dropped significantly. Astounded by the acknowledgment of how terrible the circumstance had become, the dignitary and the official advisory group needed to put Uric back to be the leader of the renal unit once more. †¢ Major Problem Competition between the Hospital and Medical School †¢ Summary of Recommended Plan of Action The executive administration’s proper isolation of obligations and duties must be actualized at the earliest opportunity through this the opposition could be decrease if officials would be dealt with similarly. Along with the assortment and installment of assets for compensations, wages and advantages. Working condition should likewise be improve to empower representatives inspiration and obligation. II. Articulation of the Problem †¢ State the issue confronting the administrator/key individual (Provost) 1. Uncommon nature of money related game plan 2. Irregularities between the activity of the emergency clinic and those of clinical school 3. Impossible to miss conduct of Head Renal Unit (Dr. Uric) transplantation objection made by NIH and college authorities Dr. Uric in an undercover position. Inappropriate transport of position of Dr. Conrad 5. Absence of correspondence 6. Dr. Conrad’s interruption of routine †¢ Identify and connection the manifestations and main drivers of the issue . award cash ; on account of the monetary adaptability, working condition were likewise regularly better on the clinical school side and clinical school staff had cash for greater hardware, more travel and much more gatherings; pay rates for doctors 2. employees of the school additionally work medical clinic capacities 3. amateurish (cried straightforwardly when tolerant kicked the bucket); undignified (connection with persistent) it drove the revelation of the expanding life through kidney transplantation in the most conceivable manner NIH was not happy with the similarity among plant and human cell the suggestion made by Dr. Uric in a nursery-flexibly producer of the pending claim recorded to him, which thus the notoriety endures as saw by the administration 4. In light of the reference letter that Dr. Conrad is resolute and rather heartless 5. The officials are willfully ignorant of the best possible activity for grumbles in choosing authoritative habits. 6. There ought to be an appropriate preparing and transposition of task and duty that ought to be given to Dr. Conrad from Dr. Uric †¢ Differentiate Short Term to Long Term Better arrangements are given to present moment while long haul issues were left holding tight the floor. Long haul issues are not effortlessly observed. They are at some point must be seen by individuals outside the association to structure the significant issues looked by the association or organization all in all. Those issues are create in due time and now and then they develop a lot further, while anyway transient issues, sprout effectively and in times the concerned individuals are handily followed and arrangements are promptly given. †¢ Conclude with the choice confronting the administrator/key individual The issue emerge from wrong activity of the executive if there should be an occurrence of the since quite a while ago run issues. While the momentary issues were quickly reacted to by being unforeseen. III. Reasons for the Problem †¢ Detailed Analysis 1. Has a significant influence in the managerial capacity of the instructing medical clinic. The possibility inside arrangement of compensation and acquisition of assets went things to most noticeably terrible situation. The doctors who are acting additionally as employees could just get pay rates yet no cash for persistent assistance. Patients paid for proficient administrations, yet the incomes went into division reserves, which were spent by the circumspection of the office seats. The clinic, then again, turned in all patient income salaries to the state. 2. The occupations performed by the doctors and employees isn't appropriately isolated by the organization that is the reason time the board procedures are additionally incontinent bringing about the sufferings of either the understudy/tolerant help. These eccentricities additionally lead to rivalry between the emergency clinic side and school, because of consideration spent by the executive to the workers. 3. The examination made by Dr. Uric about the liquid which upgrades or draw out life had an incredible effect in the outcomes in changes on the earth of his work environment. Because of the dismissal of the NIH with the suggestion, he thus offered it to another who didn't scrutinize the viability and market of the liquid. At the point when the liquid end up being valid, the NIH, fills in as help recorded a suit which exacerbates the circumstance. The dismissal of the NIH may be a direct result of no trust and certainty for Dr. Uric’s capacity and information. Having this debates, we can't accuse the specialist in the event that he offered it to another who he thinks will best value his hardwork. 4. The prompt endorsement of the transposition of the activity to Dr. Conrad that should set aside effort to pick the correct faculty.

The Opioid Epidemic and Medicare Part D

The Opioid Epidemic and Medicare Part D Addiction Drug Use Opioids Print Opioid Abuse Is on the Rise in the Medicare Population American seniors struggle with opioid abuse By Tanya Feke, MD facebook twitter linkedin Tanya Feke, MD, is a board-certified family physician, patient advocate and best-selling author of Medicare Essentials: A Physician Insider Explains the Fine Print. Learn about our editorial policy Tanya Feke, MD Medically reviewed by a board-certified physician Updated on December 08, 2017 Roel Smart / E / Getty Images More in Addiction Drug Use Opioids Cocaine Heroin Marijuana Meth Ecstasy/MDMA Hallucinogens Prescription Medications Alcohol Use Addictive Behaviors Nicotine Use Coping and Recovery From 2000 to 2014, nearly a half million people died from an opioid overdose, 165,000 of those being from prescription  narcotics. In 2016, it was estimated that 78 Americans die from opioid abuse every day. Half of these opioid-related deaths are attributed to prescription drugs. It doesnt matter if you are young or old, rich or poor, opioid abuse is a problem that needs to be addressed by the United States at large. How the U.S. Government Defines Addictive Drugs The Centers for Disease Control and Prevention (CDC) report that overdose deaths from opioids have increased four-fold since 1999. Interestingly, the use of prescription opioids also quadrupled during this time. Is the American health care system to blame? The Drug Enforcement Administration (DEA) assigns drugs to one of five different categories, referred to as Schedules. Schedules I through V describe whether a drug is appropriate for medical use in certain conditions and whether or not it has addictive potential. Schedule I: No medical use, high addictive potentialSchedule II: Medical use, high addictive potentialSchedule III: Medical use, moderate to low addictive potentialSchedule IV: Medical use, low addictive potentialSchedule V: Medical use, lowest addictive potential It should be no surprise that heroin falls under Schedule I (interestingly, so does marijuana). Common prescription opioids that fall into Schedule II are codeine, fentanyl (Sublimaze, Duragesic), hydromorphone (Dilaudid), methadone, meperidine (Demerol), morphine, and oxycodone (OxyContin, Percocet). Schedule III narcotics include combination products containing less than 15 milligrams of hydrocodone per dose (Vicodin), products containing less than 90 milligrams of codeine per dose (Tylenol with Codeine), and buprenorphine (Suboxone). Have you ever been prescribed one of these medications? Pharmaceutical Companies Minimize the Risk for Addiction In 2001, The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) released its first statement on pain management. Intending to bring awareness to under-treated pain and to improve quality of care, JCAHO made recommendations that affected how hospitals monitored, addressed and treated pain. As a result, the pain scale came into existence, and there was an increased public awareness around pain control. That, in and of itself, is a great thing. No one should be in pain. The trouble, however, was that many people misunderstood what pain control was all about. It meant improving pain, not necessarily bringing pain levels down to 0 on a 0-10 scale. Elimination of pain is not always possible. With that came pressure on the health care system to live up to unrealistic expectations. While JCAHO did not tell healthcare providers how to treat pain, concern was raised over materials the Commission distributed that were sponsored by Purdue Pharma, the pharmaceutical company that makes OxyContin. The materials minimized the link between opioid medications and addiction. Pharmaceutical representatives for the company went so far as to say that the risk for addiction was  less than one percent when it was long known that the risk for abuse in non-cancer patients could reach as high as 50 percent. In fact, Purdue Pharma was later found guilty of misleading marketing practices and fined $634 million. It is important to note that the Joint Commission no longer distributes those materials to healthcare professionals but had the damage already been done? JCAHO states that prescription opioid use was on the rise before they released their statement but it is important to note that it continued to rise in the aftermath of the pain scale. Government Policies May Have Affected Opioid Prescribing In 2006, the Centers for Medicare and Medicaid Services (CMS) initiated the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). The survey was used as a way to assess hospital performance and was completed by patients based on their experience during their hospital stay. HCAHPS includes questions about pain control: How often was your pain well controlled? and How often did the hospital staff do everything they could to help with your pain? The responses are subjective and do not necessarily represent what the patient actually received for pain control or if the care was the most medically appropriate. A patient who expected 0 on the pain scale could rate a hospital with a low score even if his pain was much improved over his stay. Still, it was a step in the right direction to hear how patients perceived their care. The problem? HCAHPS scores were linked to hospital reimbursement rates. CMS would pay hospitals more if they had higher scores. While CMS claims the pain control questions contributed little to payment, the fact is that they were included. The concern is that some healthcare professionals may have felt pressured to prescribe opioids to achieve higher scores. Aware that HCAHPS could have contributed indirectly to increased prescription opioid use, CMS has since removed the pain control survey questions from their reimbursement model. The data continues to be collected, however, to help hospitals improve quality of care and pain control. Medicares Increased Use of Opioid Drugs A 2016 study in JAMA Internal Medicine raised eyebrows when it revealed that Medicare beneficiaries were being prescribed a disproportionate amount of opioid medications after hospital stays. Specifically, researchers reviewed hospitalizations for approximately 623,000 Medicare beneficiaries in 2011. These beneficiaries were not previously on opioid medications, at least not for the 60 days preceding their hospital stay. Nearly 15 percent of them filled a new opioid prescription within one week of hospital discharge and 42.5 percent of them continued on those medications for longer than 90 days. For anyone who questioned whether HCAHPS affected prescription patterns, the study showed a modest correlation between inpatient satisfaction scores and new opioid prescriptions. Another study, this time in JAMA Psychiatry, also showed a concerning trend. Data from Medicare Part D was assessed and it was found that 6 in 1,000 Medicare beneficiaries have an opioid abuse disorder. This is a six-fold increase compared to people on other insurance plans. Why are Medicare beneficiaries more prone to opioid abuse? Do they truly have more chronic pain? Are they more likely to be put on opioids because, as seniors, they tend to have more hospitalizations? In that regard, is HCAHPS to blame? More investigation is needed so that we can get at the heart of the problem. We need to not only prevent opioid abuse but also the complications that surround it. What Can We Do to Stop Opioid Abuse? The opioid epidemic does not belong to any one group. Multiple factors led to this state of affairs, and collaboration between the government, pharmaceutical companies, insurance companies, healthcare systems and healthcare providers will be needed to make effective changes. These steps may help to move us in the right direction. Policies and regulations should not allow reimbursements to healthcare systems based on patient satisfaction scores that may relate to prescription drug use. This could shift prescription patterns in a way that favors higher payments to hospitals.Research needs to be done to develop newer less addictive pain treatments. Pharmaceutical companies and others need to invest money to increase available options.Insurers need to expand coverage of alternative pain therapies. Acupuncture, biofeedback, massage therapy, and physical therapy, for example, have shown benefit in improving pain levels but insurance does not always cover them.Healthcare providers may need additional training when it comes to pain management strategies and use of prescription opioids.Other pain therapies should be considered before opioid medications whenever possible. Using opioid therapies first-line is more likely to lead to continued use of those medications.Access to rehabilitation programs (counseling, medicat ions, etc.) that promote recovery from opioid abuse needs to be improved. People need help but limited resources are available to address the magnitude of the problem at the present time.