Analysis/ Diagnoses ( Wizard of Oz)

Using your nursing diagnosis book, write a nursing diagnosis using the correct format in the text. Pick an approved nursing diagnosis from the text that most closely fits the assessment data of the character. Do your best, the purpose is to familiarize yourself with analyzing your assessment data.

The Scarecrow
The Scarecrow is a character whose skin is white in color and rugged. His nose is red, which is what makes him appear more like a clown. He has a clear voice but seem confused. He makes uncoordinated movement. He rarely concentrates. He walks with his back bent forward, and makes sudden movements, unlike a normal human being. Client does not seem to be totally aware of his surrounding therefore, questions everything which is why he never seems to understand anything that is communicated to him (Treas et al., 2018). Client cannot give definite answers. His hair is mostly hidden under the cap that he has on. However, from the part that is visible, one can easily tell that it is unkempt as it sticks to his head. It does not seem like any other human hair. According to this character, client states that he needs brains to become perfect. That is why he is on the journey to seek the Wizard of Oz.
The Lion
In the Wizard of Oz, the Lion is a hairy being that walks on two legs unlike other Lions. His skin color is brown even tone, including the face. Client is alert and oriented. With paws instead of palms and legs, one can easily tell what creature it represents. Instead of walking like other human beings, the Lion hops from one place to the other. From the hair on his body, it is difficult to see his joints, but he has normal movement of joints. However, the face has whiskers and the ears are located at the top of his head. He has no mobility issues. Character states he lacks courage which would make him function properly as a lion (Treas et al., 2018). He is easily scared, even by his own imagination. He exhibits signs of anxiety.
The Wicked Witch of the West
In the movie, the wicked witch’s face and body is green in color. The posture is a bit crooked and she does not walk straight. She is alert and oriented. She has a normal joint movement. This character’s face is creepy since the eyes wink at different times. The fingers are curved, and longer than expected. She has an angry voice with a clear tone. She seems unpleasant and always angry. She has dry cracked hair. This character got killed by Dorothy unexpectedly when she poured water on her. This makes her melt just as she was planning to kill Dorothy and her friends.

Sample Solution

Unfortunately, there is no simple solution to this complex problem, but in order to move forward, we propose several methods that may incite change in the current system in place.  Historically, pharmaceutical companies dictate pricing with no restrictions from Medicare, Medicaid, or Federal/State governments. The US government (i.e. Medicare, Medicaid, Tricare, etc.) is the largest buyer of prescription drugs in the world, yet they have no say in the pricing of drugs.  Our government also generally issues funds to these pharmaceutical companies for research and development, with substantial investments in the basic science that leads to new drug discoveries. For example, the federal government spent $484 million developing the cancer drug Taxol, which was then taken under agreement with Bristol-Myers Squibb in 1993.  In 10 years, the manufacturer earned $9 billion in revenue and paid the federal government $35 million in royalties (article). Although 75% of new innovative drugs are supported by federal funding, most consumers and payers are unable to afford these medications due to the unreasonable prices. (article) We propose for the United States government to have the ability to establish delegated sectors to negotiate drug prices.  By giving the government some power in dictating cost, this could substantially lower introductory prices, annual costs, and which may reduce out-of-pocket costs for patients. For example, the government may establish a drug’s ceiling price similar to the Federal Ceiling Price program used by the Department of Veteran Affairs. They may also begin use of reference pricing, thus permitting the Department of Health and Human Services to set a benchmark price for clinically comparable drugs that are interchangeable. Though these changes may produce more cost-effective medication, a drawback may be the lack of market diversity. Rather than having one pharmaceutical company dictating the price, the federal government is dictating the price thus creating a lack of competition. Having one body dictate everything m

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