Competency

Appraise the relationship between a heightened regulatory environment and corporate governance.

Instructions

ABC Bank officials view compliance with regulations as a necessity for the very survival of their business. The leadership team at ABC also understands the impact that banks have on the aggregate economy, particularly the ramifications of mismanaged risks within banks. ABC’s leadership team believes that a holistic understanding of the intricacies of risk management within banks as well as the impact of risk on the economy is necessary to drive the desired behavior. As a result, you have been hired to facilitate a presentation for ABC’s new hires. Your presentation should be composed in PowerPoint or Prezi and must be submitted to ABC’s HR department for approval by the end of the week. Along with the slides, you must also submit notes on what you will say during the presentation. You should use the Note feature at the bottom of the PowerPoint slide to submit the notes.

Your presentation and notes should include the following 8 slides min.

• Identify three ways that banks impact the economy. Include clear examples and well-defined reasons.
• Identify two regulations and describe their origin and role in managing risks within banks.
• What risk management standards did the banks employ as a result of the regulations?
• What are the consequences of failing to meet the standards outlined by the regulators?
• Would a firm be prudent to properly manage its leverage and liquidity levels if they are not regulated? Why or why not? What tools can organizations employ to manage the risks caused by inadequate levels?
• 1. Three ways that banks can impact the economy are described, and all include clear examples, well-defined reasons, and a thorough explanation of the economic impact.
• 2.Two applicable regulations are identified, and the origin and role in managing risks within banks are correctly described with a high level of detail for each.
• 3.For each regulation mentioned, appropriate risk management standards that were a result are listed and described.
• 4.Consequences of failure to meet the standards outlined by regulators are thoroughly described.
• 5.A response with specific examples and with appropriate reasoning on why a firm would or would not want to manage its level of leverage and liquidity if it were not regulated is given.
• 6.Appropriate tools for managing each risk associated with leverage and liquidity that is mentioned are included.

Peer replies

1-Alberto :

Polypharmacy is an area of concern for many patients, especially the elderly.  Elderly patients are at a greater risk for adverse drug reactions (ADRs) because of the reduced drug clearance associated with aging and because of metabolic changes (Boris, Cafiero & Smith, 2014).  Some risk factors associated with polypharmacy are potential of drug-drug interactions because it is further increased by use of multiple drugs.  Another risk factor is hip fractures, associated with adverse drug reactions and losing balance or fainting (Boris, Cafiero & Smith, 2014).  Polypharmacy may sometimes lead to “prescribing cascades.”4 Prescribing cascade is said when signs and symptoms (multiple and nonspecific) of an ADR is misinterpreted as a disease and a new treatment/drug therapy is further added to the earlier prescribed treatment to treat the condition (Piere & Farrell, 2012).

       In my practice working with the elderly population, to reduce the incidence of polypharmacy medication, patients are evaluated on a monthly basis.  Additionally, a single drug is be prescribed instead of multiple drugs for the treatment of a single condition, if possible.  Another strategy we use is staring medication with the lower drug dosage and slowly increasing as indicated.

           A strategy that seems to be effective, according to research, is prescribe drugs that can be given once or twice a day instead of prescribing drugs that require to be taken three times a day (Thomas, Liao, & McCliar, 2016).  The reasoning behind this is to lower the risk of forgetting to take the medication or taking the medication together with other drugs.  Another strategy that can be employed is that if the drug taken has no therapeutic beneficial effect or clinical indication it should be eliminated. Unessential drugs should be identified and eliminated prescribed by different health care providers for the same condition/disease (Thomas, Liao, & McCliar, 2016).

2-maceda 

Polypharmacy refers to the effects of taking multiple medications concurrently to manage coexisting health problems, such as diabetes and hypertension (Piere & Farrell, 2014).  Too often, polypharmacy becomes problematic, such as when patients are prescribed too many medications by multiple healthcare providers working independently of each other. Also, drug interactions can occur if no single healthcare provider knows the patient’s complete medication picture. Nurses have a unique opportunity to help identify patients at risk for inappropriate polypharmacy and to educate patients and families about risk reduction. Nurses can use strategies such as patient teaching and consistency in care plan (Piere & Farrell, 2014). 

Some of the risk factors of polypharmacy are age and chronic conditions.  The elderly are more sensitive to the effects of certain drugs, particularly those that affect the central nervous system.  As a consequence, drug classes such as benzodiazepines should be used with caution, and if absolutely necessary, then at a reduced dose to minimize the risk of falls and other adverse events (Thomas, Liao & McCliar, 2016). In addition, age is associated with decreased regulatory functions, therefore anti-hypertensives can more easily result in postural hypotension and opiates in respiratory depression.  Communication barriers often go undetected in health care settings and can have serious effects on the health and safety of patients. Limited literacy skills are one of the strongest predictors of poor health outcomes for patients (Thomas, Liao, & McCliar, 2016).  If the patient is deaf, can’t see or is illiterate there are various strategies the nurse can use for example, advise the patient to bring someone with them to the visit.  Nurses who are responsible for checking patients in should be friendly and helpful. The length and number of forms patients are asked to fill out should be limited.

Nurse Educator Interview

At some point between weeks 2 and 4, you will conduct an interview with an experienced nurse educator following the assignment guidelines below.

Assignment Guidelines

The Interview

• Dress and act professionally. Be punctual and organized.
• Take your typed questions with you. Ask only one question at a time.
• Be courteous and confident, and demonstrate your interest in the nurse educator’s comments. Strive to create a connection.
• Should you wish to quote any responses, get permission in writing.
• If you are using a tape recorder, check to make sure it is working over the course of the interview.
• If the nurse educator strays from topic, ask questions to steer the conversation back.
• Before concluding the interview, ask if there are any final comments or points the nurse educator would like to add.
• Do not extend the interview time beyond 30-minutes unless the nurse educator strongly encourages you to do so.
• Conclude the interview by thanking the nurse educator.
• Offer a copy of your final paper if the nurse educator wishes to have one.
• Explain how the nurse educator can contact you later if necessary.
• Ask for the nurse educator’s business card before leaving.

Interview Follow-Up

• Send a short thank you note to the nurse educator within a day or two after the interview.
• Keep the interview information on file for future reference. The nurse educator may be an important contact for you at some point in your career.

*This must be on a Health Informatics Topic, DO NOT WRITE ANYTHING ON HIPAA**

Introduction

·  Topic area

·  Research question

·  Significance

Assignment details:

Based on your work from week 1 [improved by using any feedback received] continue to elaborate on your proposed research study.

Topic Area: Begin by stating the type of facility in which, or about which, the research will focus [for example: hospital, physicians’ office, urgent care center, etc.]

Then, follow with a strong introduction that will share a brief overview that will inform the reader about the specific topic on which the research will focus. This section should also include a brief explanation of why the results are expected to be relevant to the facility, and its ability to be effective and efficient.  

Research Question: Once the topic area is established, repeat and elaborate on what you wrote about your research question in week one’s assignment [improved by implementing any feedback, as necessary]. What specific issue or question will your work investigate? What can be learned from this research project?

Significance: Why is this study, and its statistically significant results, important to this facility and its ability to provide quality health care services? Explain why it will be beneficial to answer this question with facts. What are the implications of completing this study? How might these facts [statistically significant results] affect the policies and procedures of this facility? This section should also include why the reader should find value in the completion of the project.

Submit your original work on a Microsoft Word. Estimated length: two-to-three pages