Calculations: Analytic Methods for Financial Decision Making

Determining how to make a capital investment decision using financial techniques is an essential aspect of long-term financial decision making.

To prepare for the Calculations, review the sections of Chapter 7 (“The Investment Decision”) from your Financial Management of Health Care Organizations: An Introduction to Fundamental Tools, Concepts, and Applications textbook that explain how to analyze capital investment decisions using financial techniques. (The pertinent section of Chapter 7 to review for each type of Calculation is identified in the below list of Calculations.) Then, read scenario #15 (Kaiser Oakland Practice) on page 329, which contains the information that you will use to populate and perform the Calculations.

Complete the following Calculations and submit your completed Calculations in an Excel spreadsheet with three tabs—one tab for each of the following Calculations and with that particular tab reflecting only the result of that particular Calculation.

1. Determine the payback for both projects.

Note: For detailed information on how to perform this type of Calculation, review the section “Payback Method” and Exhibit 7-2 “Cash flows for two alternative project investments” and Exhibit 7-3 “Calculation of payback year for two alternative investments” on pages 308 and 309, respectively, of the Financial Management of Health Care Organizations: An Introduction to Fundamental Tools, Concepts, and Applications textbook.

2. Determine the IRR for both projects.

Note: For detailed information on how to perform this type of Calculation, review the section “Unequal cash flows” and Exhibit 7-8 “Using Excel to Calculate the IRR…that yields unequal operating cash flows…” (This can also be used for equal cash flows) on page 318-319 of the Financial Management of Health Care Organizations: An Introduction to Fundamental Tools, Concepts, and Applications textbook.

3. Determine the NPV at a cost of capital of 12 percent for both projects. Which project should be chosen? Explain.

Note: For detailed information on how to perform this type of Calculation, review the section “Using spreadsheets to calculate NPV” and Exhibit 7-6 “Using Excel to calculate the net present value of unequal annual cash flows” (This can also be used for equal annual cash flows) on page 316 of the Financial Management of Health Care Organizations: An Introduction to Fundamental Tools, Concepts, and Applications textbook.

1. Length – 750 – 1,000 words, excluding title page and reference page.

2. Word Processing Format – Microsoft WORD is the required file format using APA, Times New Roman, font of 12; (6th Ed. Publication Manual of the American Psychological Assoc.) This assignment requires an Abstract.

3. APA issues – one point will be deducted for each APA issue, please use your APA resources, for correct formatting of APA. 

Nurses’ expertise and empathy are valued in the health care setting. As nurses, we should ensure that we each contribute to advancing the nursing profession through health policies that will improve health care. you will have the opportunity to become a grassroots nurse advocate by acting and speaking as one collective voice. Follow the steps outlined below to write a letter to your Congressperson or Senator to express your view on an issue in nursing that is negatively or will negatively impact health care. The letter should be typed and proofread with no plagiarism 

Instructions==> Address the following in about 4 paragraphs to include:

1.  Introduce yourself; state the issue that you will address in the letter that is causing the problem

2.  Your opinion on this issue. Why is your issue important for you as a registered nurse; research about the issue to support your argument;

3.  Restate your purpose for writing the letter. Ask the Congressman/Senator to help to take action to address the issue.

we have to include the bill. If the bill exist, use it, if not, make one. Your recommendations are the ones you want in your bill. Ask the Legislator to help take action to support your bill. Please look up Florida congressmen of Palm beach county and address them directly. And look up a bill. I have attached a sample copy of what the letter is suppose to look like. Please see attachment.

4.  Ensure that you thank the Congressman/Senator

Please complete the following steps for your discussion post and response.

• Discuss the primary, secondary, tertiary and quaternary structures of protein.
• Choose a food protein item.
• How does the primary, secondary, tertiary and quaternary levels of the protein change when the food is cooked?
• How does the primary, secondary, tertiary and quaternary levels of the protein change when the food enters our body?
• List two enzymes in our body that help breakdown protein. Explain how they work.

Please be sure to validate your opinions and ideas with citations and references in APA format.

Estimated time to complete: 2 hours

  

In this assignment I need a peer response for the main discussion, that show below.

The peer’s responses

Discussion Grading Criteria: Agreeing and disagreeing do not mean just voicing one’s opinion. The focus of the discussions should remain on the ideas posed in the readings. Agreeing and disagreeing mean making scholarly arguments from the literature that may support your own ideas. Faculty expects you to support your ideas from the readings or similar scholarly writing about the topic in nursing literature. Always cite your source(s) and reference in APA format.

Remember the post and responses should include scholarly writing about the topic in nursing literature.

Note por the professor:

Hello class,

Please refer to your APA format in your postings. The journal name and volume is italicized font. Ex.

…The American Nursing Journal,7(9),,,,

Please update your APA to reflect doi 

Top of Form

Care at the end of life management

Loanys Lazo Delgado

                                                         Florida National University

           Nursing practice, education, and research are important in managing patients at the end of life. American nurses association position statement is aimed at providing direction for nurses to help in supporting patients as well as the families in acknowledging and adapting to the patient’s impending death. Nurses plays crucial role in determining the symptoms of the patients, taking measurements within their scopes to help in the administration of the drugs, offering other measures for the reduction of symptoms, and working together with other healthcare providers to improve patients’ comfort as well as the understanding and adaptation of the families (American Nurses Association (ANA), 2016).

           While caring for patients at the end of life care, nurses are required to be compassionate through recognizing that death is near and to convey such information to the families. Therefore to better their practices while managing care to the patients in the end life, nurses have to strive to achieve the standards of primary palliative care so that healthcare professionals possess the basic knowledge of palliative nursing to help in the improvement of care and families. In this case, nurses together with other healthcare professionals must make an effort to ensure that there is an expansion in palliative care services. It is important to ensure that there is an improvement in the healthcare quality at the end of life so that there will be no need for physician-assisted suicide (Ding, Saunders, Cook, & Johnson, 2019).

           Concerning education, individuals involved in the practice of secondary or tertiary palliative care will have special education and certification. Through an expansion of palliative care services, nurses and healthcare professionals have to develop perfect post-graduate healthcare training to help them have basic skills required for palliative care. There are some principles of palliative care for example those which involve the enhancement of the symptom evaluation and management, using the goals of the client and family vs. the problem-focused care as directive; being well informed about prognosis; delivery of the message with sympathy and understanding; and the process of acknowledging the spiritual, psychosocial, and cultural aspects of caring for patients with severe injuries. Therefore, it is important as a nurse to ensure that learning or training on these principles is well covered to improve the palliative healthcare services (Thomson, Faahpm, & Patel, 2013).

           About research, it is important to integrate evidence-based care across a dimension of end of life care. Research work is important in finding more effective types of palliative care. Through research work, management of the case becomes easier since it is associated with a clear understanding of the end of life choices and the methods of communicating the choices to the patients and their families (Ding, Saunders, Cook, & Johnson, 2019). Concerning administration, it is crucial to work towards the standards of palliative care available to the patients and the families from diagnosis of severe illness or injury. The issue of caring for a patient towards end of life requires interdisciplinary specialty as well as effective decision making with includes even families to help in improving the well-being of the persons with severe sickness. Through the use of support from all levels of the healthcare system through effective communication skills regarding major concerns, it becomes easier to overcome the challenges associated with meeting the standards of palliative care (Kelley, 2015)

References

American Nurses Association (ANA). (2016). Position Statement: Nurses’ Roles and Responsibilities in Providing Care and Support at the end of life. Retrieved September 24,2019,fromhttps://www.nursingworld.org/~4af078/globalassets/docs/ana/ethics/endoflife-positionstatement.pdf

Ding, J., Saunders, C., Cook, A., & Johnson, C. E. (2019). End-of-life care in rural general practice: how best to support commitment and meet challenges? BMC Palliative Care, 18 (51).

Kelley, A. S. (2015). Palliative Care for the Seriously Ill. New England Journal of Medicine, 373 (8), 747-755.

Thomson, R. M., Faahpm, F. D., & Patel, R. C. (2013). Palliative Care Principles Primary Care Physicians Should Know. Primary Care Reports.