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Safety And Effective Quality Of Care To Patients College Essay Help

QUESTIONJUL 30, 2020

Reply1Patient safety and effective quality of care is very important to provide when a nurse. This case was very sad to listen too as a nurse and mother. We should be able to help prevent hospital-acq

Reply1

Patient safety and effective quality of care is very important to provide when a nurse. This case was very sad to listen too as a nurse and mother. We should be able to help prevent hospital-acquired infections by doing proper sterile technique when needed and cleaning equipment properly. This scenario is very devastating to know they lost such a young patient due to continue medical errors. Nurse’s can definitely low cases that involve medical error if we were to properly clean equipment and take our time. I feel some nurses can get so amped up they begin to not follow protocols and procedures properly. This story really shows how cautious we need to be with assessments, and providing care. We need to communicate with all medical professional properly to help avoid mistakes.

Reply2

Hi Marial,

Thank you for your post. Shared decision making, like you said, should be an engagement between both parties of the guardian and their child. The parents must be consented in all treatments or procedure along with the all the information regarding the disease process and possible treatments. As the nurse, we oath to maintain patient’s safety and always provide high quality of care. We do not want these things to happen, but these unfortunate things happen, and it is our job to raise awareness and make sure it does not happen again and take accountability.

Differences between negligence and malpractice in nursing write my essay help: write my essay help

QUESTIONJUL 30, 2020

Both reply are about the differences between negligence and malpractice to the practice of nursing Reply1 Negligence is the failure to take reasonable care or to prevent injury to someone. Examples of

Both reply are about the differences between negligence and malpractice to the practice of nursing

Reply1

Negligence is the failure to take reasonable care or to prevent injury to someone. Examples of negligence in nursing can be for example: a nurse who forgets to put side rails up of the bed and activate the bed alarm on after changing a patient who is confused with dementia and that cause the patient to fall on the floor when the patient get out of bed and broke her hip.

According to the diffen.com website, malpractice in nursing is when the nurse fails to perform her duties competently and because of this failure the patient is harmed. For example, administering the wrong medication dosage to the patient and the nurse not notifying the physician of the error.

Reply2

Negligence in nursing is a term that defines a conduct that is careless and lacking care and that deviates from the standard of care (“Negligence and Malpractice”, 2020). Anyone can be held liable including professionals and non professionals (“Negligence and Malpractice”, 2020). One of the most common examples of negligence is failing to inform the doctor of any abnormal results resulting in injuries, or placing a patient, who has an unstable gait, in proper safety measures causing the patient to fall and injure him/herself.

Malpractice in nursing is a type of negligence that is defined by the courts as failure of a professional to act in accordance with the professional standards while having the necessary skills and education, causing harm to the patient (“Negligence and Malpractice”, 2020). The individual must be a professional to be held liable for malpractice unlike negligence, when a non professional can be held liable (“Negligence and Malpractice”, 2020). Examples of nursing malpractice are failure to follow physician’s order causing harm to the patient or giving a patient wrong medication causing injuries to the patient.

Explanation on Public policy and Private policy ccusa autobiographical essay help

QUESTIONJUL 30, 2020

1- What is Policy? 2-Explain each of them: Public policy— Private policy— Health policy— Social policy— Organizational policy? 3- Who was F lorence Nightingale, and what was her contribution to the N

1- What is Policy?

2-Explain each of them: Public policy— Private policy— Health policy— Social policy— Organizational policy?

3- Who was F lorence Nightingale, and what was her contribution to the Nursing Field?

4- Who wasLillian Wald?

5- Who was Margaret Sanger, and in what way she helped to thedevelopments of Nursing Field?6_ what is (ICN), and what they do?

7- What is s (NLCA) and they do?

8-Which stage of the policy model does this scenario represent? ■

Jeanne Blum, RN, is a nurse on a LDRP unit. Recently, the policy and procedures manual for Jeanne’s unit included the premature rupturing of membranes of a laboring patient as a practice acceptable for nurses to perform. Jeanne and some of her coworkers shared their concern over lunch about this new responsibility.They felt uncomfortable with the possibility of cord prolapse and other potential medical complications resulting from this practice. Jeanne gathered data from her state and many others states and noted that her hospital was not in compliance with her professional organizationpractice standards. Jeanne shared this information with her coworkers. She volunteered to contact the state board of nursing on their behalf to request a declaratory statement on the nurse’s role in the initiation of premature rupturing of uterine membranes. Her state board’s clinical practice committee reviewed her request for a declaratory statement and gathered information from other states. A formal declaratory statement was drafted by the board and made it available on its Web site. A letter from the board was sent to Jeanne’s institution, informing it of the declaratory statement, which stated that the task nurses were requested to perform was beyond their scope of practice based on the Nurse Practice Act.

APA style (intext citations and references)

Plagiarism FREE

Benefits of high quality healthcare public policy cheap mba definition essay help: cheap mba definition essay help

QUESTIONJUL 30, 2020

I need both reply short, those reply are about What kinds of public policies might be designed to give individuals more incentives to remain healthy and reduce demand for costly health care services?R

I need both reply short, those reply are about What kinds of public policies might be designed to give individuals more incentives to remain healthy and reduce demand for costly health care services?

Reply1

I think the public policies should be designed to focus on preventative cares than disease treatments. I think Affordable Care Act (ACA) is one of examples of it. ACA expanded Medicaid to uninsured people who are low income. The ACA eliminated the concept of categorical eligibility and replaced it with standard eligibility criteria of 138 percent of the federal poverty level. And ACA utilizes preventive services. Some studies found that use of preventive care, such as diabetes screening, increased. It led to higher rates of preventative services, which resulted in more diagnoses of diabetes and high cholesterol. (National Academies of Sciences, Engineering, and Medicine, 2018)

Furthermore, under ACA, payers are required to provide preventive services such as screenings, tests, and health evaluations at no cost when consumers receive care in specific provider networks.

Many studies have found that the preventative care can reduce health care spending in the U.S. Chronic diseases that are avoidable through preventive care services account for 75 percent of the nation’s healthcare spending and lower economic output in the US by $260 billion dollars a year. (Beaton, 2017) Those spending could be reduced by providing the preventative care to all the American without the cost. Therefore, public policies should focus on the preventative care for people to remain health and reduce demand for costly health care services.

Reply2

For individuals to enjoy optimal health and avoid costly health services, they must have the benefit of high-quality healthcare that is coordinated with the public health system. Public policies should be designed by increasing funding for wellness and prevention programs, health promotion, public health services, and support of the public health infrastructure (NAS, 2020). In addition to that, it should end agricultural incentives for products harmful to health, such as tobacco, increase its taxes, and reinforce control of the marketing and labeling of this product. Profits for gains from such actions should be used to promote programs to improve the people’s health. Duplication of services, including technology that does not improve patient care and health, should be avoided in order to reduce unnecessary services (NAS, 2020).

Principles of integrity in healthcare personnel gp essay help

QUESTIONJUL 30, 2020

Purpose: Explore conflict management principles and professional integrity through review of healthcare personnel conflict management review. This conflict management assignment gives you the opportu

Purpose:

Explore conflict management principles and professional integrity through review of healthcare personnel conflict management review.This conflict management assignment gives you the opportunity to review common conflict scenarios in clinical practice, and reflect on appropriate resolution strategies. This gives you a review of an evidence based approach to a training conflict management in healthcare settings.Critically access conflict management as it relates to team building in clinical practice

Description:

Students will reference the conflict case management study from the nursing literature. Students will develop a summary and reflection consensus of strategies used to resolve the case review. Support your summary using a minimum of three academically credible sources in addition to the source provided.

Please retrieve and read the following Journal article from the Library.

Forbat, L., Simons, J., Sayer, C., Davies, M., Barclay, S (2017). Training pediatric healthcare staff in recognizing, understanding and managing conflict with patients and families: findings from a survey on immediate 6-month impact. Archives of Disease in Childhood, 102 (3): 250.

Directions:

Students are expected to:

Create a 5-10, 6-8, (etc.) slide PowerPoint presentation not including the title slide or reference slide addressing the following:Create a brief and concise overview of the case study within the PowerPoint slides;Reference a minimum of three academically credible sources in addition to the source provided;As a team, develop a Poster Project using PowerPoint, like an executive summary, critically assessing conflict management principles used in the case for clinical practice;Submit the Summary and Poster Slide to the Unit 8 Dropbox

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.

Assignment Requirements:

Before finalizing your work, you should:

be sure to read the Assignment description carefully (as displayed above);consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; andconduct a spelling and grammar check to minimize errors.

Your writing Assignment should:

follow the conventions of Standard English (correct grammar, punctuation, etc.);be well ordered, logical, and unified, as well as original and insightful;display superior content, organization, style, and mechanics; anduse APA 6th Edition format.Please see the Writing Center located in the Academic Success Center in the student portal for assistance with writing, APA, and online communication. https://campus2.purdueglobal.edu/page/writing-center

How to Submit:

Submit your Assignment to the unit Dropbox before midnight on the last day of the unit.

When you are ready to submit your Assignment, select the unit Dropbox then attach your file. Make sure to save a copy of the Assignment you submit.Hide 

Discussion on the types of euthanasia essay help tips

QUESTIONJUL 30, 2020

Step 1: Read about Death and Dying The death often reflect about spiritual beliefs, the importance of spirituality, and how it influences their view of death. Step 2: In a two page paper: Define Eutha

Step 1: Read about Death and Dying

The death often reflect about spiritual beliefs, the importance of spirituality, and how it influences their view of death.

Step 2: In a two page paper:

Define Euthanasia.Discuss the two types of euthanasia.Discuss whether or not you believe that euthanasia is acceptable in some situationsHow do you feel about other forms of assisted suicide?Support your opinions with 3-5 references.

Hide 

Discussion on how to write a speech melbourne essay help: melbourne essay help

QUESTIONJUL 30, 2020

1.Think about the professor’s speech about her bike. For next week’s class, prepare a similar 2-minute speech about a time when you learned a lesson. Start your speech with a quote or joke that’s rele

1.Think about the professor’s speech about her bike. For next week’s class, prepare a similar 2-minute speech about a time when you learned a lesson. Start your speech with a quote or joke that’s relevant to your audience and the point you want to make.

Order of Speech

1. Greeting

2. Hook/Attention Grabber (Joke or Quote related to the lesson)

3. Tell your story

4. Revisit Hook

5. Thank the audience

6. Ask “are there questions”.Hide 

Discussion on Billing and Collections essay help online

QUESTIONJUL 30, 2020

5040115W8 Discussion Billing and Collections Each week, you will be asked to respond to the prompt or prompts in the discussion forum. Your initial post should be 75-150 words in length and is due on

5040115W8 Discussion 

Billing and Collections

Each week, you will be asked to respond to the prompt or prompts in the discussion forum. Your initial post should be 75-150 words in length and is due on Sunday. By Tuesday, you should respond to two additional posts from your peers. 

Most insurance contracts require providers to bill insurance companies before billing patients, with the exception of co-payments. 

What process can you implement as the billing and collections specialist to ensure payment is a collection from patients? Explain how you would implement the process.

View your discussion rubric. Hide 

Research public health issues on the Climate Change write essay help: write essay help

QUESTIONJUL 31, 2020

Benchmark – Policy Brief Research public health issues on the “Climate Change” or Investigate a public health issue related to an environmental issue within the U.S. health care delivery system and ex

Benchmark – Policy Brief

Research public health issues on the “Climate Change” or Investigate a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population.

Write a 750-1,000-word policy brief that summarizes the issue, explains the effect on the population, and proposes a solution to the issue.

Follow this outline when writing the policy brief:

1. Describe the policy health issue. Include the following information: (a) what population is affected, (b) at what level does it occur (local, state, or national), and (c) evidence about the issues supported by resources.

2. Create a problem statement.

3. Provide suggestions for addressing the health issue caused by the current policy. Describe what steps are required to initiate policy change. Include necessary stakeholders (government officials, administrator) and budget or funding considerations, if applicable.

4. Discuss the impact on the health care delivery system.

Include three peer-reviewed sources and two other sources to support the policy brief.

Factors that led to improvement of cultural competence my assignment essay help: my assignment essay help

QUESTIONJUL 31, 2020

Go to the link https://www.thinkculturalhealth.hhs.gov/clas/standards(Links to an external site.). View the National Culturally and Linguistically Appropriate Services Standards (CLAS) categories aime

Go to the link https://www.thinkculturalhealth.hhs.gov/clas/standards(Links to an external site.).

View the National Culturally and Linguistically Appropriate Services Standards (CLAS) categories aimed at equity and quality care (HHS, n.d.). Notice how these standards overlap with many of the expectations and standards in professional nursing practice!

In what ways are you and your peers using these standards in your areas of nursing practice?Discuss one nursing action you might incorporate to improve cultural competence in your organization.

Sign and symptoms of bony tenderness essay help free

QUESTIONJUL 31, 2020

This is the case study that was assigned: Case Study 2: HPI: A 12-year-old girl presents with left knee pain during and after playing soccer. She’s been a member of an elite soccer team for the last

This is the case study that was assigned: Case Study 2: HPI: A 12-year-old girl presents with left knee pain during and after playing soccer. She’s been a member of an elite soccer team for the last 6 years. She has 2 hour practices 3 times a week. Does not recall any injuries. PMH: asthma, eczemaMS: Anterior/posterior drawer tests negative; negative ballottement; negative edema/erythema; bony tenderness, slight swelling at the left tibial tubercle.These are the questions that need to be answered in the post: (**The rubric is still the same one I sent last time) – Include 3 differential diagnosis for the patient in the case study you selected (a summary of the diseases, their symptoms, and their treatments). – Then write about the primary diagnosis you choose for the patient (summary, symptoms, treatments). **Provide medication treatment and symptomatic care for primary diagnosis. – When writing about the treatment and management plan for the patient, be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments. – Include strategies for educating patients and families on the treatment and management of the musculoskeletal or neurologic disorder. – What additional questions will you ask the patient? (Has the case addressed the LOCATES mnemonic? If not, what else do you need to ask? What additional history will you need? (Think family medical history, allergies, meds and so forth, that might be pertinent in arriving to your differential diagnoses). – What additional examinations or diagnostic tests, if any will you conduct? – What immunizations should this child have had? Based on the child’s age, when is the next well visit? At the next well visit, what are the next set of immunizations? – Explain strategies for educating parents on their child’s disorder and reducing any concerns/fears presented in the case study – What additional anticipatory guidance should be provided today?Hide 

Assignment of sampling method assessment my assignment essay help london: my assignment essay help london

QUESTIONJUL 31, 2020

You will upload and record a video response along with the written portion of this assignment. Part 1:You will be applying what you have learned in this course by gathering data and running a statisti

You will upload and record a video response along with the written portion of this assignment.

Part 1:You will be applying what you have learned in this course by gathering data and running a statistical analysis.

To study the relationship between height and the weight of people you know, you need to collect a sample of nine (9) people using a systematic sampling method.Where and how are you going to collect your sample?Collect the sample and record the data.Construct a confidence interval to estimate the mean height and the mean weight. (CLO 1)Find the sample mean and the sample standard deviation of the height.Find the sample mean and the sample standard deviation of the weight.Construct a confidence interval to estimate the mean height.Construct a confidence interval to estimate the mean weight.Test a claim that the mean height of the people is not equal to 64 inches using the p-value method or the traditional method. (CLO 2)State H0 and H1.Find the p-value or critical value(s).Draw a conclusion.Find the correlation coefficient between the height and the weight.Construct the equation of the regression line and use it to predict the weight of a person who is 68 inches tall. (CLO 3)Write one to two paragraphs about what you have learned from this process.When you read, see, or hear a statistic in the future, what skills will you apply to know whether you can trust the result?

MATH 211 Signature Assignment

Part 2: Provide a video response that shows a step by step overview onhow you create all of the components in step 2. Submit your video response along with your word document submission. Yourvideo response MUST include a webcam component showing your face while completing the above requirements.Hide 

Discussion on Musical Challenge Instructions writing essay help

QUESTIONJUL 31, 2020

Musical ChallengeInstructions:Try your own experiment by choosing a challenging online article to read, and listen to 4 different types of music while trying to read and comprehend the article. List t

Musical ChallengeInstructions:Try your own experiment by choosing a challenging online article to read, and listen to 4 different types of music while trying to read and comprehend the article. List the challenging passage in APA format, and answer the following questions for every piece of music: Make a note of the genre of music, (Vivaldi, death metal, jazz, gospel, hip hop, blues, rap, country). Was it easy or difficult to understand the challenging paragraphs? Why do you think it was easier to understand what you were reading while listening to some music and not to others? What impact do you think having certain music in schools or on the job would have on the people in those environments?Please be sure to validate your opinions and ideas with citations and references in APA format.

Benefits of the quality improvement initiative. english essay help online

QUESTIONJUL 31, 2020

In this assignment, you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board fo

In this assignment, you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (750-1,000 words) to present to the board, from which the board will make its decision to fund your program or project. Include the following:

The purpose of the quality improvement initiative.The target population or audience.The benefits of the quality improvement initiative.The interprofessional collaboration that would be required to implement the quality improvement initiative.The cost or budget justification.The basis upon which the quality improvement initiative will be evaluated.

RUBRIC:

The purpose of the quality improvement initiative meets all criteria for the assignment, as indicated in the assignment instructions, is provided in detail, and demonstrates higher level thinking by incorporating prior learning or reflective thought.

The target population or audience meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.

The benefit of the quality improvement initiative meet all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.

The interprofessional collaboration that would be required to implement the quality improvement initiative is clearly discussed and meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.

The cost or budget justification issue meets all criteria for the assignment, as indicated by the assignment instructions, and is provided in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.

The basis, upon which the quality improvement initiative will be evaluated as indicated by the assignment instructions, is provided in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought

Potential barriers that prevent EBP change essay help app: essay help app

QUESTIONJUL 31, 2020

Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization’s culture so

Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization’s culture so it will continue to impact outcomes over time. Name two potential barriers that may prevent your EBP change proposal from continuing to obtain the same desired results 6 months to a year from now, and your strategies for overcoming these barriers.

The Conceptual and Theoretical Empirical Mode Theory academic essay help

QUESTIONJUL 31, 2020

Use the theory that you developed in week two. Improve it by using the information you have obtained in the intervening weeks. Use the Conceptual – Theoretical – Empirical Model (CTE) to link the oper

Use the theory that you developed in week two. Improve it by using the information you have obtained in the intervening weeks. Use the Conceptual – Theoretical – Empirical Model (CTE) to link the operational definitions with the empirical indicators with the theoretical concepts and the conceptual model components. Post your revised theory and explain how you would measure the concepts and proposition in a research study.

What is the drug treatment and dosage of bradycardia? buy essay help: buy essay help

QUESTIONJUL 31, 2020

A 60-year-old male patient is admitted with chest pain to the telemetry unit where you work. While having a bowel movement on the bedside commode, the patient becomes short of breath and diaphoretic.

A 60-year-old male patient is admitted with chest pain to the telemetry unit where you work. While having a bowel movement on the bedside commode, the patient becomes short of breath and diaphoretic. The ECG waveform shows bradycardia.

What other assessment findings should you anticipate?Why does this patient probably have bradycardia?Does this dysrhythmia need treatment? Why or why not? What intervention would you implement first?What is the drug treatment and dosage of choice for symptomatic bradycardia? How does this drug increase heart rate?

Please use complete sentences to answer the questions. Ensure that you are using correct grammar. In additions, support your answers by using your textbooks, scholarly journals, and credible Internet sources. All citations must be in APA format. Include in-text citation and 3 references

Discussion on patients with mental illness. cheap mba definition essay help: cheap mba definition essay help

QUESTIONJUL 31, 2020

Discussion Question: Discuss your experiences/research with policies implemented to protect vulnerable populations such as patients with mental illness. How does the mental health Parity Act of 2008 i

Discussion Question:

Discuss your experiences/research with policies implemented to protect vulnerable populations such as patients with mental illness. How does the mental health Parity Act of 2008 improve mental health services?  Describe ethics as it relates to vulnerable populations and you as a healthcare professional. Include values, beliefs, and laws in your discussions.

Discussion on specific causes and symptoms of STD’s essay help websites

QUESTIONJUL 31, 2020

Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling. Design a PowerPoint presentation for high school-aged students discussing normative

Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.

Design a PowerPoint presentation for high school-aged students discussing normative aging changes, sexuality, STDs, and prevention.  

Discuss normal body changes that occur through puberty into young adulthood

Discuss specific STDs, causes, symptoms, complications, and treatment:             

                        **You should include a slide or two for each of the following:  Gonorrhea, Chlamydia, Herpes, HIV, Syphilis, HPV

Discuss pregnancy and prevention

The assignment should be submitted in PowerPoint format, with at least 10 content slides (in addition to a title slide and reference slide) and include at least two scholarly sources other than provided materials.Hide 

Developing of a Literature Search Burnout college admission essay help houston tx: college admission essay help houston tx

QUESTIONJUL 31, 2020

Steps to developing a Literature Search:Burnout*Determine your topic/area of interest*The key to a good search is the use of Key Words. Key words are those words/terms databases use to sort and catego

Steps to developing a Literature Search:Burnout*Determine your topic/area of interest*The key to a good search is the use of Key Words. Key words are those words/terms databases use to sort and categorize resources*Compile a list of at least 5 Key Words; include them at the top of your document*Use appropriate databases (CINAHL is one of the best for nursing research); search e-books; use reputable online sources ONLY*Searchcurrentreferences using your key words/terms—you need to haveat least5 references, no more than 5 years old, andat least 3of them need to bepeer-reviewed journal articles*References should appear inAPA format*Submit a summary of what each reference will contribute to your project (Burnout is the Project Topic)

Commission on Collegiate Nursing Education essay help online free

QUESTIONJUL 31, 2020

The RN to BSN program meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), u

The RN to BSN program meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

Note: This is an individual assignment. In 1,500-2,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include:

Summary of teaching planEpidemiological rationale for topicEvaluation of teaching experienceCommunity response to teachingAreas of strengths and areas of improvement

Prepare this assignment according to the APA guidelines found in the APA Style Guide. 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.Hide 

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.