Aetna Case Study

Ms. Bynum is a self-referral who agreed to participate in the TPAPN monitoring program. On 11/24/16, Ms. Bynum tested positive for alcohol (ETG - 2510 ng/ml, ETS - 77 ng/ml) and renewed her program with TPAPN. On 2/26/16, Ms. Bynum tested positive for alcohol (ETG - 7980 ng/ml, ETS - 1580 ng/ml). On 4/7/16, Dr. John Lehman conducted an assessment on Ms. Bynum and recommended 90-day inpatient treatment program that Ms. Bynum refused. Additionally, Dr. Lehman stated on assessment that Ms. Bynum is not fit to practice and has a high-risk for relapse.

(Alcohol and Public Health,2017) study found the following: Binge drinking is a serious but preventable public health problem.

Physicians routinely order a panel of lab tests for their patients however, that does not mean that all the tests meet the requirement for medical necessity. This can be an expensive problem for patients that are on Medicare and Medicaid. Physicians must provide patients with the ABN if they suspect that these tests will not be covered.

A recent US study revealed that more than 15 million people, 18 years of age and older, have Alcohol Use Disorder (AUD). Broken down by gender, this includes 9.8 million men and 5.3 million women. Even more disturbing is the fact that roughly 623,000 adolescents between 12 and 17 years of age have AUD. Of those, 298,000 were male and 325,000 were female.

Some treatments that could be given to people who have alcoholism would be a cleansing of the body by having a withdrawal or getting rid of alcohol in order to clean the

The confidentiality of patients and practice records were maintained in accordance with CPRD policy. The studies that were selected for review are those that enrols adult with Alcohol Use Disorder (AUD) and make use of FDA-approved medication for at least 12 weeks and measure the following outcomes: 1) (a) Consumption: return to drinking, heavy drinking, drinking days or heavy drinking days (4 days for Males and 5days for Females) (b) Health: such as accidents ( Road Traffic Collision), injuries, quality of life, mortality and ability to function daily. (c) Adverse effect. 2) Compared one of the medications to another medication.

In the United States, health care accessibility, quality, and affordability continue to be ongoing topics of discussion that effect many Americans on a regular basis. The need for affordable, quality healthcare continues to grow, not only due to a growing elderly population, but also as a result of the Affordable Care Act which has allowed millions of previously uninsured Americans access to health insurance and therefor better access to healthcare services (Patient Protection and Affordable Care Act, 2010). According to the Institute of Medicine (IOM) the projected demand increased for healthcare have led to a call for expansion of primary care services by policy makers (Institute of Medicine, 2010; National Governors Association, 2012). Since Advanced Practice Nurses or Nurse Practitioners (APNs or NPs will be used interchangeably for the purpose of this paper) are one of the fastest growing groups of healthcare providers, and continue to practice and provide care in a range of settings including primary care, it is important to investigate and address any potential barriers to practice. This author believes that allowing APNs to write prescriptions for commonly used controlled substances will help improve timeliness and flexibility in health care delivery; studies have shown that there is a positive impact on high

Mr. Hundert is a teacher that follows many virtues: courage, discipline, justice, and honesty. One can definitely see this teaching when he meets Sedgewick Bell, but one may also see his failures. To entice his virtue of courage, for example, he tells Sedgewick to do well in school. One can tell in the movie that Sedgewick might believe that trying in school will make him not popular, or maybe it fears him. Either way, there’s something hindering his performance in school, and of course, Mr. Hundert was able to convince Sedgewick to start doing well in class by giving him a book that helped him get understand the material. Another incident where he’s helping Sedgewick was when he wasn’t able to check out a book in the library. Then, Mr. Hundert enters asking the librarian to give him the book, and it was given. Another virtue

Alcohol abuse is growing rapidly throughout U.S. society. One in every twelve adults is being diagnosed with alcohol abuse (Barlow and Durand, 2006). All that are diagnosed with alcohol abuse must meet one or more of the following criteria within a twelve month period: he/ she must fail to accomplish major work, school or home

Lord of the Flies Essay There is always a leader to lead you in the right direction, but that is up to you and who you think is a good leader as in this book. Commanders show people the right direction and prove themselves as good role models. In William Golding’s dystopian novel Lord of the Flies a group of boys try to survive without getting killed from the mystics of the island after a deadly crash during wartime. On an island with no adults and no image of civilization a group of children try to pursue their way through the use of resources on the island.

Today, “alcohol is the most commonly used addictive substance in the United States” (NCADD Staff, 2017). According to the National Council on Alcohol Drug and Dependance, “17.6 million people, or one in every 12 adults, suffer from alcohol abuse or dependence” (NCADD Staff, 2017). To cope with this mass issue, several self-help programs has evolved. Perhaps the most well known and most accepted program is AA. AA stands for Alcohol Anonymous. This global program is designed for men and women who have problems with drinking alcohol, alcohol abuse or dependence. The association is accepting of all individuals regardless of age, race or other distinguishing factors, and hopes to help those who wish to resolve their drinking issues.

The foundation for a Drug Free World (2017) outlines the effects of binge drinking for an individual, including drowsiness, vomiting, and liver disease. Valley Sleep Centre (2016) suggests that alcohol causes drowsiness, due to alcohol’s sedative effect (substance that relieves anxiety and helps you fall asleep). On the other hand, New Health Advisor (2014) exclaims that vomiting is caused by the excessive consumption of alcohol, and it is the reaction to get rid of the extreme amount of alcohol in the body’s system. Alcoholic cirrhosis, a type of liver disease is considered by Patient (2015) to be when the liver loses its capability to function efficiently, and is caused by around 10 years of heavy

Binge Drinking 5 or more alcoholic drink during the same occasion on 1 day within the past month. However the National Institute on Alcohol Abuse and Alcoholism states the pattern of drinking by which your blood alcohol concentration is above 0.07g/dl, 4 drinks for women, and 5 for men over a 180 minute period.

The National Council on Alcoholism and Drug Dependence cites fourteen primary indicators of alcohol or

Types of drug addiction can include a number of things including cocaine, alcohol, heroine, and inhalants. Cocaine is a stimulant that comes from the leaves of a coca bush. Inhaling or snorting cocaine as a powder or smoking it in the form of crack cocaine, can cause who ever is using