Discussion On American Psychiatric Association College Admission Essay Help

Non -pharmacologic treatments for childhood deficit professional essay help

QUESTIONJUL 31, 2020

I need a response to this assignment3 references zero plagiarism The hyperactive child is an adolescent, African American, Female client. Her speech is rapid, pressured, and tangential. Her thought pr

I need a response to this assignment

3 references

zero plagiarism

The hyperactive child is an adolescent, African American, Female client. Her speech is rapid, pressured, and tangential. Her thought process is disorganized with flights of ideas. She appears impulsive with poor boundaries as evidenced by grabbing items that do not belong to her. She presents with psychomotor agitation evidenced by constant fidgeting in her seat, grabbing objects, and manipulating them continuously in her hands. The client expresses an aversion to doing homework and reports that her parents are always “on my back about video games” (Laureate Education, 2013). While this video file does not provide the ability to ask important follow-up questions for determining diagnostic criteria, the data that can be extrapolated is highly suggestive of ADHD. The client’s observed behaviors are consistent with the following DSM criteria for ADHD: Distracted by external stimuli, frequent fidgeting, constantly on the go, talking excessively, and frequent intrusive or interruptive behavior. Follow-up questions regarding her dislike for homework might meet DSM criteria for inattention to detail in homework, difficulty organizing tasks, and reluctance to engage in activities requiring prolonged mental effort. Together, these inattentive, impulsive, and hyperactive symptoms exceed the six required for a diagnosis of ADHD (American Psychiatric Association, 2013).

The client would be initiated on Methylphenidate SR 18 mg each morning. Stimulant medications are first-line pharmacologic agents for the treatment of ADHD in adolescents, as they display the highest efficacy for both impulsive and inattentive symptoms and improve long term outcomes in those with ADHD (Stahl, 2013). The most evidenced therapy for ADHD is behavioral therapy, in which the therapist works with parents to modify the child’s environment and help improve behaviors. This is done via behavioral parent training in which strategies such as operant conditioning are taught in order to modify dysfunctional behaviors and reinforce positive behaviors (Nathan & Gorman, 2015). The intended outcome for both pharmacologic and nonpharmacologic interventions is to reduce symptoms in order to improve goal-directed behavior. This will ultimately result in improved scholastic achievement, better interpersonal relationships, and will thereby improve long-term functioning overall.

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: Author.

Laureate Education (Producer). (2013). Disruptive behaviors-Part 1 [Multimedia file]. Baltimore, MD: Author.

Nathan, P. E., & Gorman, J. M. (2015). Nonpharmacologic treatments for childhood attention-deficit/hyperactivity disorder and their combination with medication. In Pfiffner, L. J. & Haack L. M., (Eds.), A guide to treatments that work (pp. 55-84). Retrieved from https://ebookcentral.proquest.com

Stahl, S. M. (2013). Stahl’s essential psychopharmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.Hide 

Discussion on National Patient Safety Goal narrative essay help: narrative essay help

QUESTIONJUL 31, 2020

Discussion Question: The Joint Commission determines the highest priority patient safety issues and how best to address them, including as a National Patient Safety Goal (NPSG). Access the Joint Commi

Discussion Question:

The Joint Commission determines the highest priority patient safety issues and how best to address them, including as a National Patient Safety Goal (NPSG). Access the Joint Commission website for the most current NPSGs. Select one or more NPSGs and address the following: Explain the rationale for applying the NPSG in nursing practice. Discuss some of the benefits and/or challenges of implementing the NPSG in a health care organization? How does the appropriate application of the elements of performance in the NPSG reduce negative patient outcomes?

Identification of the nursing leadership models free college essay help

QUESTIONJUL 31, 2020

Select a leader you believe successfully led an organization through a crisis or challenge (e.g., public relations crisis, marketing mishap, shift in market demand, reorganization). Identify the leade

Select a leader you believe successfully led an organization through a crisis or challenge (e.g., public relations crisis, marketing mishap, shift in market demand, reorganization). Identify the leader and the company with which the leader is affiliated. Provide a brief context for the crisis or challenge. Identify the leadership models and approaches that were employed in the handling of the situation. Finally, explain why you think the leadership was particularly effective in this context. BE SURE TO ADD IN-TEXT CITATIONS AND REFERENCE

Nursing research to a communicable disease. free college essay help: free college essay help

QUESTIONJUL 31, 2020

Assignment: Write a scholarly paper in which you apply the concepts of epidemiology and nursing research to a communicable disease. Choose one communicable disease. Epidemiology Paper Requirements Inc

Assignment:

Write a scholarly paper in which you apply the concepts of epidemiology and nursing research to a communicable disease. Choose one communicable disease.

Epidemiology Paper Requirements

Include the following in your assignment:

A thorough description of the disease including causes, mode of transmission, symptoms, treatment, and complications. Discuss the demographic most affected-incidence, prevalence, morbidity, and mortality.

What are the determinants of health affecting this disease? https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health.

Identify the epidemiologic triad including the host, agent, and environmental factors as related to this disease. Note that species and genera of the disease are to be in lower case italics, such as this example:  escherichia coli

Discuss the role of the public health nurse in relation to this disease. How is the public health nurse involved in finding, reporting, collection and analysis of data and follow up?

A minimum of three references is required. The written essay should be at least 1250 words in length.

APA format is required.Hide 

Recommendations on Jeremy about his sports injury college essay help online: college essay help online

QUESTIONJUL 31, 2020

Part A (Just answer questions) Imagine that you are a dermatologist. You are in line at the supermarket and notice the person in front of you has a large black growth on their arm. Based on its appear

Part A (Just answer questions)

Imagine that you are a dermatologist. You are in line at the supermarket and notice the person in front of you has a large black growth on their arm. Based on its appearance, you suspect that it may be a melanoma.

Should you say something to the person?Given that this person is not your patient, what are your legal and ethical responsibilities?  Support your answer with information on your local laws. What does the Hippocratic Oath require?If you do choose to say something, how do you think your comment will be received? Will the person be grateful for your advice or offended?Would your actions change if the lesion was in a location that would be less obvious to the patient, like on the back of the neck?

Part B Unit II Case Study 

Instructions (ONE PAGE ESSAY)

Jeremy Dale is a 30-year-old recreational sports enthusiast and likes to play soccer and baseball on his days off from work. He mentions to you, his co-worker, that he thinks he might have sprained his ankle over the weekend while playing soccer with some friends. He says it is swollen and very painful today and asks whether you think he should see a doctor or just wait for it to get better.

What might be some good recommendations for you to give Jeremy about his sports injury?

What could you tell him in general about minor sports injuries? How could he determine that it is a sprain or a strain? Should he apply ice and elevate or compress the injured ankle? Is it too late for that treatment to be helpful?

Your response should be at least one page in length. Include at least one reference to support your work in APA style. You are required to use at least your textbook as source material for your response. All sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations.

Create a PowerPoint presentation on the Director of IT essay help

QUESTIONJUL 31, 2020

You are the Director of IT at Quality hospital. You have been tasked with providing a presentation regarding cloud computing to the Board of Directors. They have very little to no knowledge about clo

You are the Director of IT at Quality hospital. You have been tasked with providing a presentation regarding cloud computing to the Board of Directors.  They have very little to no knowledge about cloud computing so the presentation should be easy to understand. You will develop the PowerPoint presentation and do voice-over PowerPoint. The presentation should be about 10-15 minutes in length. Be sure to cite your sources on the last slide.

Risk on blood pressure-lowering medications and diuretics. english essay help online: english essay help online

QUESTIONJUL 31, 2020

APA format. MUST BE 1 SEPERATE RESPONSE TO EACH QUESTION. 1 paragraph per response. Use only scholar authors only. References needed Discussion 1: According to Spath (2018), FOCUS PDCA is a frequently

APA format. MUST BE 1 SEPERATE RESPONSE TO EACH QUESTION. 1 paragraph per response. Use only scholar authors only. References needed

Discussion 1:

According to Spath (2018), FOCUS PDCA is a frequently used quality improvement model used to improve processes. This change model has two phases. The first phase, FOCUS, consists of finding a process needing improvement, organizing a team, clarifying the current process and areas needing change, understanding why improvement is needed, and selecting actions to adjust the process (Spath, 2018). The second phase, PDCA, includes planning through investigation, identification, and brainstorming ways to improve the measure, do or incorporate the process improvement on one unit, check the process to make sure changes are improving the measure, and acting to maintain improvements (Spath, 2018). This model provides the structure through analysis, planning, outcomes, and feedback.

FOCUS PDCA is a change model that can be used to decrease falls. Falls during toileting is one safety concern that needs improvement. The quality team, along with other care team members, were organized to clarify current practices and policies and noted care team members are not staying within arms-reach of patients that trigger high fall risk. It is imperative to keep an open line of communication between the team and frontline staff (Godlock, Christiansen, & Feider, 2016). Understanding the policy deviations and brainstorm to select appropriate interventions to decrease falls during toileting. Interventions that need to be changed requires education to all care team members about the falls policy and how important it is to stay within arms-reach of patients that trigger high fall risk. Education also needs to be provided to CNA’s on certain medications that would make patients higher risk like blood pressure-lowering medications, and diuretics. These interventions will be rolled out to one unit to determine the efficacy of changes. These interventions need to be reviewed for improvement and modified if necessary. Once improvement has been met, it is crucial to maintain these improvements. Maintaining improvements can be accomplished through monthly quality improvement meetings.

Discussion 2:

I selected the quality improvement model of FOCUS-PDCA. This model is split up into two separate phases the FOCUS phase and the PDCA phase. F is for finding a problem that need improvement. Falls can be a detrimental occurrence than can affect patients and staff that is involved. Nursing times stated that as many as 20% of hospitalized patients experience a fall at some point during their stay (Grant, 2013). Even though falls are not always preventable they can be decreased with proper staff and patient education. If one fall can be prevented by a changed policy that can be one less patient that avoids an extended hospitalization or additional injury. O if for organizing a team. The team I have selected for the improvement project is my nurse manager and mentor as well as some floor nurses from both shifts and our patient care techs. C is to clarify the current policy and changes that need to be made. Our current policy is a yellow falling star sign that can sometimes be confusing to patients and family members. U is for understanding the causes of variation. Variations from standard fall precautions could be patient confusion or patient noncompliance. Another variation could be that staff coming in to assist your patient may not be aware they are on fall precautions if the proper prevention measures are not in place. S is for selecting the actions needed to improve the process. There needs to be something more in depth for each patient not just something generic. In the next phase, P is for plan to change the process. In a study by Lipsett patients falls were decreased by color coded mobility cards being placed in each patient room depending on how they required assistance (Lipsett, 2019). This would be much easier to see and associate with then just a generic fall risk or no fall risk. D is to do the change on a small scale. We will pilot the fall risk mobility cards on our unit. We have a mix of post op, post-partum, and medical surgical patients. C for checking the data to determine its effectiveness. We will compare the falls for the next months after the implementation with the fall rate prior to implementation. Lastly is A to act to maintain the gains. Randomly compliance should be monitored to make sure that falls risk mobility cards are being used. With this model we will put plans into place and follow up to make sure the best plan possible is put into place.Hide 

Preventive measures of diabetic’s integumentary system essay help cheap

QUESTIONJUL 31, 2020

Instructions Analyze the case study found on p. 198 (“Maria’s Story”) in your textbook by addressing the assigned questions below. While analyzing the case, be sure to identify the major problems and

Instructions

Analyze the case study found on p. 198 (“Maria’s Story”) in your textbook by addressing the assigned questions below.

While analyzing the case, be sure to identify the major problems and issues.

Draft a response or strategy for addressing the major problems and issues.Make recommendations to improve the patient’s health.Discuss any negative consequences that may occur if the patient’s health issue is not addressed.

Your response should be at least two pages in length. Include at least one reference to support your work in APA style. You are required to use at least your textbook as source material for your response. All sources used, including the textbook, must be referenced; paraphrased and quoted material must have accompanying citations.

Reference

Colbert, B. J., Ankney, J., & Lee, K. T. (2013). Anatomy, physiology, and disease: An interactive journey for health professionals (2nd ed.). Pearson Education. https://online.vitalsource.com/#/books/9780133463514

Pg. 198 Maria’s story

Maria, our 35-year-old diabetic, has been developing a series of integumentary system problems over the past several years. Diabetes can, in some ways, be considered a vascular disease. Research the effects of diabetes as it relates to the integumentary system. How and why does diabetes affect wound healing? Why is there a high incidence of toe and leg amputations in the diabetic population? What preventative care measures can be taken to ensure good health of the diabetic’s integumentary system?

Assignment on reading storybooks in groups get essay help

QUESTIONAUG 01, 2020

Completethis week’s assigned readings, chapters 86&87.Aftercompleting the readings, post a short reflection, approximately 1 paragraph in length, discussing your thoughts and opinions aboutone or seve

Completethis week’s assigned readings, chapters 86&87.Aftercompleting the readings, post a short reflection, approximately 1 paragraph in length, discussing your thoughts and opinions aboutone or several of thespecific topics covered in the textbookreadings. pertaining to politics in associations and interest groups.Identify whichoneMSN Essential most relates to your selectedtopic in your discussion.

As a reminder, no scholarly sources are required and students do not have to reply to a classmate’s original post. This post does not have an end date but please make an effort to complete your post before next week’s discussion post is posted and/or due in order to avoid falling behind.

Implementation of healthcare culture and patient outcomes. my essay help uk: my essay help uk

QUESTIONAUG 01, 2020

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can b

As your EBP skills grow, you may be called upon to share your expertise with others. While EBP practice is often conducted with unique outcomes in mind, EBP practitioners who share their results can both add to the general body of knowledge and serve as an advocate for the application of EBP.

In this Discussion, you will explore strategies for disseminating EBP within your organization, community, or industry.

To Prepare:

Review the Resources and reflect on the various strategies presented throughout the course that may be helpful in disseminating effective and widely cited EBP.

This may include: unit-level or organizational-level presentations, poster presentations, and podium presentations at organizational, local, regional, state, and national levels, as well as publication in peer-reviewed journals.

Reflect on which type of dissemination strategy you might use to communicate EBP.

By Day 3 of Week 10

Post at least two dissemination strategies you would be most inclined to use and explain why. Explain which dissemination strategies you would be least inclined to use and explain why. Identify at least two barriers you might encounter when using the dissemination strategies, you are most inclined to use. Be specific and provide examples. Explain how you might overcome the barriers you identified.

Melnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.

Chapter 10, “The Role of Outcomes on Evidence-based Quality Improvement and enhancing and Evaluating Practice Changes” (pp. 293–312)

Chapter 12, “Leadership Strategies for Creating and Sustaining Evidence-based Practice Organizations” (pp. 328–343)

Chapter 14, “Models to Guide Implementation and Sustainability of Evidence-based Practice” (pp. 378–427)

Gallagher-Ford, L., Fineout-Overholt, E., Melnyk, B. M., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Implementing an evidence-based practice change. American Journal of Nursing, 111(3), 54–60. doi:10.1097/10.1097/01.NAJ.0000395243.14347.7e. Retrieved from https://journals.lww.com/ajnonline/Fulltext/2011/03000/Evidence_Based_Practice,_Step_by_Step_.31.aspx

Newhouse, R. P., Dearholt, S., Poe, S., Pugh, L. C., & White, K. M. (2007). Organizational change strategies for evidence-based practice. Journal of Nursing Administration, 37(12), 552–557. doi:0.1097/01.NNA.0000302384.91366.8f

Melnyk, B. M. (2012). Achieving a high-reliability organization through implementation of the ARCC model for systemwide sustainability of evidence-based practice. Nursing Administration Quarterly, 36(2), 127–135. doi:10.1097/NAQ.0b013e318249fb6a

Melnyk, B. M., Fineout-Overholt, E., Gallagher-Ford, L., & Stillwell, S. B. (2011). Evidence-based practice, step by step: Sustaining evidence-based practice through organizational policies and an innovative model. American Journal of Nursing, 111(9), 57–60. doi:10.1097/01.NAJ.0000405063.97774.0e

Melnyk, B. M., Fineout-Overholt, E., Giggleman, M., & Choy, K. (2017). A test of the ARCC© model improves implementation of evidence-based practice, healthcare culture, and patient outcomes. Worldviews on Evidence-Based Nursing, 14(1), 5–9. doi:10.1111/wvn.12188

Review on mandatory vaccination for children essay help online free

QUESTIONAUG 01, 2020

Topic: SUPPORT MANDATORY VACCINATION FOR CHILDRENOnce you receive your topic and position, prepare to create a video that will be due in Week 5. The video should be 4-5 minutes long and address the t

Topic: SUPPORT MANDATORY VACCINATION FOR CHILDRENOnce you receive your topic and position, prepare to create a video that will be due in Week 5. The video should be 4-5 minutes long and address the topic and viewpoint you were assigned. You may not be personally in support or opposition of the topic, however it is your job to convince your peers of your position. Include evidence that supports the viewpoint. Include an introduction to the issue, your stance, the rationale for the stance, the ethical principals involved, theories and evidence supporting your position, and your proposed resolution. Review the rubric in this forum for complete grading criteria. Your video should include both audio and visual components such a graphics or charts. You can choose to do a PowerPoint, yourself on video with a poster or visual aids, or anything that supports and convinces your peers of your stance. Get creative! Be succinct but convincing. If you go over the time limit, you will only be graded on the first 5 minutes. You may create the video using any tool of your choice, however it must be uploaded using theKalturatool. Click on Getting Started with Kaltura, on the left menu, for directions. Once you receive your topic and position, prepare to create a video that will be due in Week 5. The video should be 4-5 minutes long and address the topic and viewpoint you were assigned. You may not be personally in support or opposition of the topic, however it is your job to convince your peers of your position. Include evidence that supports the viewpoint. Include an introduction to the issue, your stance, the rationale for the stance, the ethical principals involved, theories and evidence supporting your position, and your proposed resolution. Review the rubric in this forum for complete grading criteria. Your video should include both audio and visual components such a graphics or charts. You can choose to do a PowerPoint, yourself on video with a poster or visual aids, or anything that supports and convinces your peers of your stance. Get creative! Be succinct but convincing. If you go over the time limit, you will only be graded on the first 5 minutes. You may create the video using any tool of your choice, however it must be uploaded using theKalturatool. Click on Getting Started with Kaltura, on the left menu, for directions.Hide 

Significance and components of the Affordable Care Act essay help for free: essay help for free

QUESTIONAUG 01, 2020

Discussion Question: Use the learning materials and additional resource readings from this week and reflect on whether you oppose or support the Affordable Care Act (ACA). Consider the nursing profess

Discussion Question:

Use the learning materials and additional resource readings from this week and reflect on whether you oppose or support the Affordable Care Act (ACA). Consider the nursing professional’s position as a caregiver and/or the healthcare leader as an administrator. Explore two significant components of the ACA that could potentially impact specific populations unjustly. Appraise the current political climate as it relates to repealing and replacing the ACA. For this weeks’ discussion, identify at least two reasons for keeping the ACA and at least two reasons that it should be repealed, replaced, or revised. Provide rationale for each.

minimum 400 words

Review on Healthy People Global Health Initiatives. university essay help: university essay help

QUESTIONAUG 01, 2020

Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, provi

Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.

TASK

Post your initial response to one of the two topics below.

Topic 1

Review Healthy People 2020 Global Health Initiatives.

Choose one disease process and discuss the disease process.Discuss the goals for this disease presented in Healthy People 2020How does the CDC play a role in meeting the goals?

Topic 2

Search the South University Online Library for information about caregiver role strain.

What is the most important factor that causes caregiver role strain?How do you assess for caregiver strain?What can be done to prevent or decrease caregiver role strain?

Peer 1

According to Hayes, Chapman, Young and Rittman (2015), chronic disease affects the lives of family members causing physical, emotional, social and economic problems. Caregivers are at risk for caregiver role strain due to increased obligations and responsibility related to the role of caregiving. Many studies show that caregivers often neglect themselves in the process of caregiving. According to Yigitalp, Surucu, Gumus, and Evinc (2017) primary caregivers reported high levels of stress and moderate levels of social support when giving care to patients living with a chronic disease. Furthermore, Collins et al., (1994) defines caregiver burden as experiences of negative outcomes such as psychological distress carried by the care giver who takes on the burden of care. Changes and frustrations in the lives of caregivers and there family can cause the care taker experience somatic and psychosomatic problems. Instruments such as questionnaires, scales and indexes have been developed to measure and assess caregiver role strain and perceived social support. For example, in 1980, Reever and Bach-Peterson developed the Zarit Care Giving Burden Scale (ZCGBS) to evaluate stress levels of caregivers of individuals requiring care (Yigitalp et al., 2017). At the start of care, the nurse must observe communication pattern with the patient in their family to assess knowledge about disease, and note attitudes and behavior during the care giving process. This will help the nurse focus on caregiver responsibilities and develop appropriate interventions for the complete care plan.

References

Collins CE., Given BA. & Given CW. (1994) Interventions with family caregivers of persons with Alzheimer’s disease. The Nursing Clinics of North America 29(1): 195-207.

Hayes J., Chapman P., Young LJ. & Rittman M. (2015) The prevalence of injury for stroke caregivers and associated risk factors. Topics in Stroke Rehabilitation16(4):300-308.

Yigitalp, G., Surucu, H. A., Gumus, F., & Evinc, E. (2017). Predictors of Caregiver Burden in Primary Caregivers of Chronic Patients.International Journal of Caring Sciences,10(3), 1168–1177.

Zarit SH., Reever KE. & Bach-Peterson J. (1980) Relatives of the impaired elderly: correlates of feelings of burden. The gerontologist 20(6): 649- 655.

Peer 2

Diabetes is a serious public health problem throughout the world, affecting people of all ages. When uncontrolled, diabetes can place drastic limits on daily life, and is sometimes fatal.

Blood glucose is your main source of energy and comes from the food you eat. According to the NIH, Diabetes is a disease that occurs when the blood glucose is too high (2016). Insulin is a hormone produced by the pancreas to regulate the blood sugar, sometimes the body does not produce enough insulin, or the body does not utilize the insulin well. There are three different types of diabetes, type 1, type 2, and gestational. With type 1 diabetes, the body does not produce insulin and the individual has to use insulin to manage their blood sugar; type 2 diabetes the body does not produce enough insulin; gestational diabetes is developed by some pregnant women with chances of going away after having the baby, but increases the risk of type 2 diabetes in the individual (NIH, 2016)

Healthy People 2020 goals to control diabetes is to reduce the disease burden of diabetes mellitus (DM) and improve the quality of life for all persons who have or are at risk for diabetes. Also reduce the annual number of new cases in the population and reduce the rate of death among people with diabetes. Healthy people 2020, the CDC, in conjunction with many other organizations are working together to accomplish all the objectives by providing funds to train medical personnel which ensures proper treatment, assessments, and education about management of diabetes are available to the community (Healthy People 2020, 2020).

Healthy People 2020. (2015). Diabetes. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/diabetes

What is Diabetes? (2016, December 01). Retrieved July 31, 2020, from https://www.niddk.nih.gov/health-information/diabetes/overview/what-is-diabetes

Policy and politics in nursing health care my essay help uk

QUESTIONAUG 01, 2020

Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, provi

Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.

TASK

Post your initial response to one of the two topics below

The ACA or the AHCA: Imperfect Solutions to Increasing Access to Health Care?

This week’s discussion focuses on the federal government’s role in protecting the public’s health using the ACA and current efforts to “repeal and replace” the ACA. Please note that the government’s role in protecting the public’s health did not begin with the ACA. In the late 1800s, Lilian Wald brought health care to the community. And in 1965, Congress passed bills authorizing Medicare and Medicaid. Since 1965, Congress has expanded government-sponsored health care to pregnant women and children.

Topic 1

Compare the current provisions in the ACA with those in the failed first version of the AHCA.Share your opinions about why the AHCA failed in the first attempt at passage.

Peer 1

The Affordable Care Act is also know as Obamacare. This act was created with the intent to help get insurance to those that were uninsured. According to Mason (2016), “the ACA provisions aim to increase access to care; change the culture of health care from one of cure to one of health promotion and illness prevention; mitigate barriers to practice for primary care providers of all disciplines; capitalize on the skill and expertise of nursing in areas of leadership, practice, research, and innovation; and, through these mechanisms, improve population health outcomes” (p. 193). Many felt that the AHCA would cause many of the previously insured Americans to lose insurance coverage. With many people losing coverage, this would create a problem in the poor community with the ability to have access to health care. The AHCA failed in its first attempt due to lack of proper planning. Although I feel that there are parts of the ACA that need change, we have to fully analyze the effects that this would have on the consumers. I personally feel that the government needs to step in on the reimbursement rates that insurance companies have to pay. I currently work and live in one of the poorest counties in South Carolina. We have one hospital in the entire county. I have had to wear many hats working at Williamsburg Regional Hospital. One of these hats include investigating the reimbursement of insurance versus the cost of the procedure. We have had to stop performing procedures due to the simple fact that the reimbursement rate does not cover the cost to the hospital.

Mason, D. J., Gardner, D. B., Outlaw, F. H., & O’Grady, E. T. (2016).Policy & politics in nursing and health care(Seventh edition.). Elsevier

Peer 2

Healthcare reform has made several efforts by the federal government earliest date known was 1984, but was not considered successful until 2010. ACA created the Center for Medicare and Medicaid Innovation that was intended to facilitate value-based approaches to healthcare primarily by creating and piloting alternative payment models (Hirsch, Rosenkrantz, Nicola, Harvey, Duszak, Silva, Barr, Klucznick, Brook & Manchikanti, 2017). ACA has two goals in mind such as increasing the number of insured individuals, and reducing the cost of healthcare. These goals were met by expanding Medicaid and creating the “exchange” marketplace (Hirsch et al., 2017). As this bill was intended to help the uninsured, it actually increased the deductibles and out of pocket expenses for those with the exchange insurance and employer based plans (Hirsch et al., 2017). AHCA has mentioned that individual plans, the premiums would be based on age with a 5% increase for elderly as ACA has a 3% increase. In my opinion, the reason ACHA has failed is because of the increase in the population that lost insurance and had no additional insurance or means to pay. Although, it really seems like both bills want to point the finger at each other and say that it is because of “pre-existing conditions” or “stipulations imposed” in the bill that caused the failure. Regardless of the “why”, we have to figure out some way to benefit each American that is cost effective and provides the much needed healthcare coverage.

Reference

Hirsch, J. A., Rosenkrantz, A. B., Nicola, G. N., Harvey, H. B., Duszak, R., Silva, E., Barr, R. M., Klucznik, R. P., Brook, A. L., & Manchikanti, L. (2017). Contextualizing the first-round failure of the AHCA: down but not out.Journal of NeuroInterventional Surgery,9(6), 595–600. https://doi.org/10.1136/neurintsurg-2017-013136

Development of nursing clinical problem english essay help: english essay help

QUESTIONAUG 01, 2020

In this assignment, students will pull together the capstone project change proposal components they have been working on throughout the course to create a proposal inclusive of sections for each cont

In this assignment, students will pull together the capstone project change proposal components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. For this project, the student will apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Develop a 1,250-1,500 written project that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

BackgroundClinical problem statement.Purpose of the change proposal in relation to providing patient care in the changing health care system.PICOT question.Literature search strategy employed.Evaluation of the literature.Applicable change or nursing theory utilized.Proposed implementation plan with outcome measures.Discussion of how evidence-based practice was used in creating the intervention plan.Plan for evaluating the proposed nursing intervention.Identification of potential barriers to plan implementation, and a discussion of how these could be overcome.Appendix section, if tables, graphs, surveys, educational materials, etc. are created.

Review the feedback from your instructor on the Topic 3 assignment, PICOT Question Paper, and Topic 6 assignment, Literature Review. Use this feedback to make appropriate revisions to these before submitting.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

1.1: Exemplify professionalism in diverse health care settings.

2.2: Comprehend nursing concepts and health theories.

3.2: Implement patient care decisions based on evidence-based practice.

Review of Legal and Ethical implications college essay help service

eQUESTIONAUG 01, 2020

To prepare: · Review this week’s Learning Resources and reflect on the insights they provide. · Read the case study I am Feeling Like I’m Going Crazy · For guidance on assessing the client, refer to p

To prepare:

· Review this week’s Learning Resources and reflect on the insights they provide.

· Read the case study I am Feeling Like I’m Going Crazy

· For guidance on assessing the client, refer to pages 137-142 of the Wheeler text in this week’s Learning Resources.

·

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Post to Discussion Question link and then select Create Thread to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking Submit!

By Day

1-Post an Explanation of the most likely DSM-5 diagnosis for the client in the case study.

2- Be sure to link those behaviors to the criteria in the DSM-5. Then,

3- Explain Group Therapeutic Approaches you might use with this patient.

4-Explain expected Outcomes for the client based on these therapeutic approaches.

5-Finally consider Legal and Ethical implications of counseling children and adolescent clients with psychiatric disorders.

6-Support your approach with evidence-based literature.