2023 Week 4 Week 4 W4 Assignment 1 Discussion Discussion Assignment Week

2023 Nursing week 4

Week 4 Week 4 W4 Assignment 1 Discussion Discussion Assignment Week 2023

Week 4: Week 4 – W4 Assignment 1 Discussion

 

 

 

 

 

 

Discussion Assignment: Week 4(1 ½ -2 pages).

Assignment 1: Discussion Questions

 

The discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered.

 

For this assignment, make sure you post your initial response to the Discussion Area by Wednesday, June 1, 2016.

 

To support your work, use your course and text readings and also use outside sources. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

 

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Complete your participation for this assignment by Sunday, June 5, 2016.

 

(1)Long-Term Care in the U.S.

 

Determine the average daily cost of nursing home care in your state. Discuss the funding options (public and private) that exist to pay for long-term care. What policy and financing recommendations would you make to ensure that long-term care is available for everyone who needs the services in the U.S.? Please justify your answer.

 

(2) Rationing of Healthcare Services

 

Healthcare services can be rationed by governmental rationing or by allowing those who can afford the services to purchase the services. If you were the chairperson of a medical ethics committee faced with the decision concerning which of the following patients would receive a heart transplant, what decision would you make and what justification would you give to the families of each of the patients for making that decision?

 

Patient 1: A seventy-six-year-old nonsmoker with good pulmonary and renal function is a good candidate for a heart transplant, and his life expectancy without the transplant is one month. The patient has the resources to pay cash for the transplant procedure and follow-up care.

Patient 2: A forty-six-year-old unemployed auto worker with a history of alcohol use and smoking suffered a heart attack and will die within one month if he does not receive a heart transplant. The patient does not have health insurance, nor does he have the resources to pay for the procedure.

Presents the grading criteria and rubric for this assignment.                          Maximum Points.

Quality of initial posting                                                                                              40

Participation in discussion                                                                                            20

Writing mechanics (spelling, grammar, APA) and information literacy                 20

Total                                                                                                                                   80

 

 

 

Week 4 Assignment 2

 

Week 4: Week 4 – W4 Assignment 2

 

 

 

 

Turnitin Assignment 2

: The Affordable Care Act

 

Over the next few weeks, you will explore many of the critical components of the Patient Protection and Affordable Care Act, also known as the Affordable Care Act (ACA). Each week, a different provision will be introduced. Your assignments will include researching the provision and explaining the changes that will occur with the ACA.

 

In Week 4, you will explore changes to Medicare included in the Patient Protection and Affordable Care Act.

 

Medicare

 

The U.S. created Medicare, a publically funded healthcare program, to assist people sixty-five years of age and older in obtaining healthcare services.

 

Tasks:

 

(1)Identify the legislation that introduced Medicare and the funding source for the program.

(2)Identify some of the changes that have occurred in the Medicare program since its inception.

(3) Describe the demographics of the population covered by Medicare and identify the number of people in the U.S. covered by Medicare.

(4)Describe the changes that will occur in Medicare with the Patient Protection and Affordable Care Act.

(5)Research the ages of individuals in your state by reviewing information available on the website www.census.gov. How do you think the changes in Medicare will affect the citizens and legal residents in your state?

Submit your answers in a 4- to 5-page Microsoft Word document. Support your answers with appropriate examples and research.

 

Submission Details:

 

 

By Saturday, June 4, 2016, submit your report to the W4 Assignment 2 Turnitin.

Cite all references in APA format.

Assignment 2 Grading Criteria          

Maximum Points

Included the legislation that created, Medicare and the funding sources for the program.           

10

Discussed some of the changes that have, occurred in the Medicare program since its inception.           

10

Discussed the demographics of the population covered by Medicare.        

10

 

Described the changes that will occur in Medicare with the Patient Protection and Affordable Care Act.

10

Described the impact on citizens and legal residents of a state.     

5

Used correct spelling, grammar, and vocabulary. Cited all sources using APA format.      

5

Total:  

50

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2023 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT BETWEEN 100 120 WORDS 1 What health risks associated with obesity

2023 Nursing comment katarzyna

I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT BETWEEN 100 120 WORDS 1 What health risks associated with obesity 2023

 

 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 100-120 WORDS

 

1) What health risks associated with obesity does Mr. C. have? Is bariatric surgery an appropriate intervention? Why or why not?

Health risks associated with obesity that Mr.C has are:

–          Elevated fasting blood glucose at 146/mg/dL (Mr. C. possibly might have diabetes)

–          Elevated 172/96 with RR at 26. Mr. C. has hypertension and his RR shows that his body has to work harder to breathe; sleep apnea               is another health risk.

–          elevated total cholesterol is 250mg/dL (desirable value is below 200mg/dl).

–          HDL is 30 mg/dL, which is low. Optimal value that protects ones heart is above 60 mg/dL.

–          Elevated triglycerides at 312mg/dl and the desirable value should be below 200 mg/dl (Cholesterolmenu, 2017).

“Consensus guidelines suggest that the surgical treatment of obesity should be reserved for patients with a body-mass index (BMI) >40 kg/m(2) or with BMI >35 kg/m(2) and 1 or more significant comorbid conditions, when less invasive methods of weight loss have failed and the patient is at high risk for obesity-associated morbidity and mortality “ (Pentin, Nashelsky, 2005). Mr. C.’s Height: 68 inches (170 cm); Weight 134.5 kg; BMI is 46.9 (BMI calculator, 2017). Mr. C. is considered obese and meets criteria for beriatric surgery with BMI of 46.9 and at least one comobordity that puts him at risk for heart disease and stroke.

 

2) Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered:

  1. Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime.
  2. Ranitidine (Zantac) 300 mg PO at bedtime.
  3. Sucralfate/Carafate 1 g or 10ml suspension (500mg / 5mL) 1 hour before meals and at bedtime.

The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an administration schedule that will be most therapeutic and acceptable to the patient.

 06:00: Carafate

10:00 Mylanta

11:00: Carafate

15:00 Mylanta

17:00 Carafate

21:00 Mylanta

21:00 Carafate

22:00 Mylanta and Zantac

22:30 (after snack) Carafate

 

3) Assess each of Mr. C.’s functional health patterns using the information given (Hint: Functional health patterns include health-perception – health management, nutritional – metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception – self-concept, role-relationship, sexuality – reproductive, coping – stress tolerance).

What actual or potential problems can you identify? Describe at least five problems and provide the rationale for each.

 

Health perception – health management: Mr.C.is obese. He seeks information about bariatric surgery. He was always heavy but within last 2-3 years gained about 100lb. Potential problem within health perception and management for this individual is knowledge deficit. Mr. C.’s labs reveal high cholesterol, triglycerides. Mr C.  knows he has high blood pressure but the only intervention is sodium restriction. Mr C. does not know how to manage his weight and needs to be aware about the risks he might be facing like heart disease, stroke. Even with surgery Mr C. still needs to know about what his daily nutrition should be.

nutritional – metabolic: Mr.C has imbalanced nutrition: more than body requirements. He consumes too much food and possibly not the healthy nutrients that his body needs (HDL is low). Sedentary lifestyle (working at a call center where he is sitting all day) is contributing to his obesity. Mr C. was diagnosed with peptic ulcer as well. According to a study by the National Institutes of Health [NIH], obesity can be a contributing factor to the development of gastric ulcers (2014).

 Elimination: there is not enough data to examine this pattern.

activity-exercise: Mr.C’s job requires him to sit most of the day at the call center. Physical activity deficit is consequitive problem. Lack of exercise is contributing to Mr. C.’s obesity. Intervention with safe exercise plan is needed for Mr. C.

sleep-rest: Sleep pattern is disturbed due Mr. C.’s sleep apnea. This problem can cause him to be tired and weak during the day. Body that is depleted from oxygen can suffer other negative consequences such as heart problems.

 self-perception – self-concept: Mr.C’s body image is disturbed due to his obesity. He knows that he is overweight and his self esteem is probably low. We can assume he is self aware and is looking for change since he is seeking information about surgery. He needs support, help and education

 

role-relationship: Mr. C. is single. Further assessment is needed for more information

References:

Cholesterolmenu. (2017). A comprehensive Guide on Ideal Cholesterol Levels. Retrieved from: http://www.cholesterolmenu.com/cholesterol-levels-chart/

National Institutes of Health [NIH]. (2014). Measures of adiposity are associated with increased risk of peptic ulcer. Retrieved from: https://www.ncbi.nlm.nih.gov/pubmed/24681076

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2023 Provider Patient Confidentiality With School Age Children and Adolescents Consider the following three case studies

2023 Nursing 6541 wk 3 discus

Provider Patient Confidentiality With School Age Children and Adolescents Consider the following three case studies 2023

 

Provider-Patient Confidentiality With School-Age Children and Adolescents

 

Consider the following three case studies.

 

Case Study 2:

 

 A 17-year-old girl comes to your office with a complaint of abdominal pain and missed periods. She thinks she may be pregnant. She requests pregnancy testing and does not want you to tell her parents if she is pregnant.

 

 

 

To prepare:

 

•Review this week’s media presentation, as well as “Developmental Management of School-Age Children” and “Developmental Management of Adolescents” in the Burns et al. text and the Schapiro article in the Learning Resources.

 

•Think about confidentiality laws regarding providers, school-age children, adolescents, and their families.

 

•Select one of the three provided scenarios. Reflect on the provider’s role and responsibility regarding confidentiality between the patient and the patient’s family in the scenario.

 

•Consider the appropriate way for the provider to respond and facilitate the care of the patient in the scenario you selected. Think about interventions and strategies that the provider should use to address the issues presented.

 

 

 

POST  2 PAGES  DISCUSSION PAPER ON :  An explanation of the provider’s role and responsibility regarding confidentiality between the patient and the patient’s family in the scenario you selected. Explain how you as a  provider should appropriately respond and facilitate the care of the patient in the scenario. Include interventions and management strategies that the provider should use to address the issues presented

 

 

 

 

 

REFERENCES

 

Readings

 

• Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric primary care (5th ed.). Philadelphia, PA: Elsevier.

 

◦ Chapter 7, “Developmental Management of School-Age Children” (pp. 92–109)

 

 

 

◦Chapter 8, “Developmental Management of Adolescents” (pp. 110–129)

 

Schapiro, N. A. (2009). Confidentiality and access to adolescent health care services. Journal of Pediatric Health Care, 24(2), 133–136.

 

 

 

 Media

 

•Laureate Education (Producer). (2011a). Body image and self-esteem in adolescence.

 

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2023 Discussion Political Social and Sociocultural Influences on Women s Health As an advanced practice nurse you must remain

2023 Nursing womens health

Discussion Political Social and Sociocultural Influences on Women s Health As an advanced practice nurse you must remain 2023

Discussion: Political, Social, and Sociocultural Influences on Women’s Health

As an advanced practice nurse, you must remain current on health issues that commonly impact women such as birth control, abortion, family planning, the human papillomavirus (HPV) vaccine, and human immunodeficiency virus (HIV). Many of these women’s health issues are heavily influenced by political, social, and sociocultural factors. These influences might not only affect a woman’s ability or desire to receive care, but also a provider’s ability or willingness to offer care. How might political, social, and sociocultural factors influence your personal perceptions of these women’s health issues?

To prepare:

  • Review this week’s media presentation, as well as Chapter 1 of the Schuiling and Likis text.
  • Select and research one of the following women’s health issues: birth control, abortion, family planning, human papillomavirus (HPV) vaccine, human immunodeficiency virus (HIV) in women, or another issue approved by the course Instructor.
  • Consider the impact of political, social, and sociocultural factors on the women’s health issue you selected.
  • Reflect on how the personal perceptions of providers might influence their ability or willingness to care for women in relation to this issue.
 

Post an explanation of the women’s health issue you selected, including the impact of political, social, and sociocultural factors on this issue. Explain how personal perceptions of providers might influence their ability or willingness to care for women in relation to this issue.

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