2023 My opinion of healthcare effectiveness is mixed I see every day that health care in this country is top

2023 Nursing comment from post 4

My opinion of healthcare effectiveness is mixed I see every day that health care in this country is top 2023

My opinion of healthcare effectiveness is mixed.  I see every day, that health care in this country is top notch.  We have some of the best treatments and facilities in the world.  Everyone, however does not have equal access to it, and it can be very hard to navigate.  The Affordable Care Act was created in response to the extremely high costs of medical care. It sought to decrease financial burdens related to health care expense by providing all Americans with affordable health care.  In theory, the ACA is a good plan, but it causes financial hardship for some people, and if unable to afford even the lowest level of coverage, they may still avoid seeking medical care during times of illness, or seek the care they need, but then be unable to pay the high copays, deductibles and out of pocket expenses, forcing hospitals to absorb the losses.  Not only that, people who do not obtain insurance coverage, are subject to penalties. The penalty payable to the government is based on household income or per individual.  The higher of the two is collected at tax time. This year, the penalty for not securing proper health insurance coverage is $695/adult, and $347.50/child, with a maximum yearly family penalty of $2,085, or two and a half percent of household income (Individual Mandate Penalty, n.d.).  There are some exemptions to the penalties.  For example, people who are without health insurance for only a month or two, due to a job change, are exempt from the penalty. 

Better health care means people are living longer.  Since people are now living much longer after retirement age, they are needing health care for longer periods of time (Liaropoulos & Goranitis, 2015).  This is also a source of financial strain, since most people lose employer provided health care coverage at retirement.  For years, we’ve heard Medicare is in danger of losing funding.  Medicare supplements are now recommended for the retired, older generation with extra out of pocket expense to the subscriber.  There are multiple insurance options available to everyone in the U. S., but affordability is an issue for too many people. 

For me, the question of the financial sustainability of healthcare in its present state is of the utmost importance.  I believe all people should receive equal medical care and treatment.  I do not, however, support you paying $1000 for the exact same procedure I pay $2000 for.  Like everyone in Washington, D.C., I don’t have the magic resolution for cost effective health care reform.  In my lifetime, I’ve seen prevention become a priority in healthcare.  I think the ACA has been influential is supporting preventive care.  I’d like to see more community education with an emphasis on health care literacy as a national priority.  I believe arming the public with knowledge is a key to a decreasing in the cost of health care.  If everyone can gain just a little more knowledge on the appropriateness of an emergency room visit vs. an office visit, it could cut down on unnecessary costs.

 

I NEED YOU TO COMMENT FROM THIS POST, NO MORE THAN 150 WORDS NEEDED AND A REFERNCE

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we successfully helped over 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

Place Order Now

2023 Please follow instructions very carefully Should you have any questions please dont hesitate

2023 Nursing Week 7

Please follow instructions very carefully Should you have any questions please dont hesitate 2023

Please follow instructions very carefully. Should you have any questions please dont hesitate to contact me. NO PLAGIARISM. Similarity report should be <20%.

For the following Case Study, as follow is Discussion Question: As an NP student, needs to determine the medications for constipation.

According to the ACC/AHA Guidelines, what medication should this patient be prescribed for constipation? Write her complete prescriptions using the prescription writing format.

Support with 1 journal no older than 5 years.

Week 7: DISCUSSION QUESTION IN DISCUSSION BOARD

Gastroenterology-Motility Case Study

ACC/AHA Guidelines

Chief complaint: “ I have chronic constipation, incomplete defecation and abdominal bloating” for past 2 years.  

HPI: M.C. a 46-year-old hispanic female presents to the GI-Motility clinic for complaint of chronic constipation, incomplete defecation and abdominal bloating. She has pmhx of DM-type 2, IBS-Constipation, Tubular Adenoma.

She also indicates that she has noticed that her symptoms are worsening for past 3 months. She has associated her symptoms with abdominal bloating, straining and incomplete defecation. 

She has tried Miralax one packet po daily for at least 8 weeks and it has not relieved her symptoms. 

Denies associated symptoms of hematochezia, melena, hemoptysis, abdominal pain, fever, chills, pain or any other symptoms. 

PMH:

Diabetes Mellitus, type 2

Constipation, chronic-IBS

Surgeries: None

Allergies: Penicillin

Vaccination History:

She receives an annual flu shot. Last flu shot was this year

Social history:

High school graduate, married and no children. He drinks one 4-ounce glass of red wine daily. He is a former smoker that stopped 3 years ago.

Family history:

Both parents are alive. Father has history of DM type 2, Tinea Pedis. 

mother alive and has history of atopic dermatitis, tinea corporis and tinea pedis. 

ROS:

Constitutional: Negative for fever. Negative for chills. 

Respiratory: No Shortness of breath. No Orthopnea

Cardiovascular: + 1 pitting leg edema. + Varicose veins. 

Skin: + rash crusted white in feet and inter-digit in feet. 

Psychiatric: No anxiety. No depression. 

Physical examination:

Vital Signs

Height: 5 feet 5 inches Weight: 140 pounds BMI: 31 obesity, BP 110/70 T 98.0 po P 80 R 22, non-labored

HEENT: Normocephalic/Atraumatic, PERRL, EOMI; No teeth loss seen. Gums no redness. 

NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement.

LUNGS: Lungs clear bilaterally. Equal breath sounds. Symmetrical respiration. No respiratory distress. 

HEART: Normal S1 with S2 during expiration. Pulses are 2+ in upper extremities. No edema.

ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses.

GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred. 

MUSCULOSKELETAL: Slow gait but steady. No Kyphosis.

SKIN: +Dryness, No open lesions. +Dry crusts in sole of feet. + moist crust in between toes. 

PSYCH: Normal affect. Cooperative. 

Labs day of visit:: Hgb 15.2, Hct 40%, K+ 4.0, Na+137, Serum Creatinine normal 1.0, AST/ALT normal. TSH 3.7 normal, glucose 98 normal

A:

Primary Diagnosis: Chronic Constipation, ideopathic

Secondary Diagnoses:

Incomplete Defecation

IBS-Constipation

Differential Diagnosis:

Small intestine bacterial overgrowth (SIBO)

Plan: Medications:

Miralax one packet po daily for at least 8 weeks.

Plan: Tests

Anorectal Manometry with rectal sensation/tone compliance test to evaluate if patient has dyssynergic defecation. If test positive then will consider ordering sessions of Biofeedback bowel retraining program to correct cause of incomplete defecation.

Labs: No new labs are needed.  

Referrals: may refer based on effect of medication therapy given for 2 weeks.

Follow up: return to office in 8 weeks to reevaluate her symptoms.

Questions: As an NP student, needs to determine the medications for constipation.

According to the ACC/AHA Guidelines, what medication should this patient be prescribed for constipation? Write her complete prescriptions using the prescription writing format.

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we successfully helped over 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

Place Order Now

2023 Imagine you are a supervisor in a health care office and you want

2023 Nursing 1. Employee Memo DUE BY MIDNIGHT

Imagine you are a supervisor in a health care office and you want 2023

 

 

 

Imagine you are a supervisor in a health care office and you want to address this topic with your employees.

 

Write a 350–word memo to your employees in which you do the following:

 

  • Describe the principles of verbal and nonverbal communication.

  • Provide examples of how verbal and nonverbal communication can improve relationships in the workplace.

 

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we successfully helped over 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

Place Order Now

2023 For this discussion post Describe the rationale for a step in the research and development

2023 Nursing U9D1

For this discussion post Describe the rationale for a step in the research and development 2023

For this discussion post:

•Describe the rationale for a step in the research and development of a new drug that does apply to your practice.

I work in pediatric (children) nursing. I dont have any in particular, so research a new drug and the steps in takes for researching and developing a new drug. Needs to be 150 words with at least one APA formatted reference throughout the post, and at the end of the post in the reference section.

We give our students 100% satisfaction with their assignments, which is one of the most important reasons students prefer us to other helpers. Our professional group and planners have more than ten years of rich experience. The only reason is that we successfully helped over 100000 students with their assignments on our inception days. Our expert group has more than 2200 professionals in different topics, and that is not all; we get more than 300 jobs every day more than 90% of the assignment get the conversion for payment.

Place Order Now