Category: Nursing

Today, Health care delivery system has been increasingly expensive because of the shortage of health care professionals and costs of health care. Not only that, the costs of medical treatment been doubled with in ten years for each individual. The Affordable Care Act intends to resolve the health care problems in the United States and developing the resources to improve the health care delivery system (Abrams et al., 2015). In this situation, The Patient Protection and Affordable Care Act focus on health promotion and disease prevention for the people. The PPACA build the new models to deliver the care that would be essential to the patients and families in low costs. The PPACA plan is to lower the health costs with in ten years. “The major ways that these cost savings will be accomplished are promoting health and preventing disease, decreasing reliance on fee for service, providing cost-effective care, and using the electronic health record (EHR) across settings. Two of the delivery systems highlighted in PPACA are the “Patient Centered Medical Home” (PCMH) and the “Accountable Care Organization” (ACO)” (Hass, 2011). The PPACA established to deliver the care in health system by involving interdisciplinary care team because they can work together to provide most cost effective care and coordinate each other to achieve better outcomes. For example, Electronic health record information is available to entire health care team to share the information and evaluate the care if action needs to be taken. The interdisciplinary care team can monitor the patients if their chronic health problems need to be managed by educating or counseling them. The entire team members can document their notes and it will be easier to access their documentation to the rest of the team who is involved in patient’s care. Not only that, the results would be also available in timely manner to evaluate as well as it reduces the error on documentation. The EHR is reliable tools to use today and it is a great way to deliver the care to the patients to achieve better outcomes.

I NEED YOU TO COMMENT FROM THIS POST, 100 WORDS NEEDED AND A REFERENCE PLEASE

Respond to the following on health insurance, healthcare and abortion…

States have been cutting insurance for women to access reproductive health services. This particularly affects low-income families with the overall lack of access to quality reproductive health care. The lack of proper health insurance for women impedes on their reproductive rights as they should be given an opportunity to make their own reproductive choices when it comes to the use of contraceptives and abortions.

This scenario is not different in the state of Florida. As of April 2017, the state only covers abortion under the Affordable Care Act if the woman in question has been raped, is in danger, or if it is an incest case. An abortion may so be performed from week 24 of the woman last menstrual period, but only if the woman’s life is endangered (Jones & Jerman, 2017). Looking at the state’s infant and maternal mortality rates, one can make the connection between bad policies and the consequences. 160 resident pregnancy-associated deaths were recorded in the state January 1, 2015, to December 31, 2015 (Jones & Jerman, 2017). With a pregnancy-related mortality ratio 16.9 per 100,000 live births, it is not hard to associate lack of good reproductive health policies as a major cause attributed to these rates. Of the deaths, approximately 31.6% were non-Hispanic Black women with Hispanic women accounting for 10.5%. It is illustrative of the lack of proper reproductive health insurance.

As an advanced practice nurse and nursing leader, it is the individual’s responsibility to advocate for changes in such policies to ensure better health outcomes for women. Essential VII: Interprofessional Collaboration for Improving Patient and Population Health Outcomes adequately prepares nurses to collaborate, communicate, and consult with other interprofessional groups in order to manage and coordinate care (American Association of Colleges of Nursing, 2014). Women reproductive health is highly important and as a nurse, one is required to play a leading role to ensure better policies are put in place to insure women requiring reproductive health not only in the state of Florida but all over the country.

References

Jones, R. K., & Jerman, J. (2017). Abortion incidence and service availability in the United States, 2014. Perspectives on Sexual and Reproductive Health, 49(1), 17-27.

American Association of Colleges of Nursing. (2014). The essentials of master’s education in nursing. March 21, 2011.

Question 1   Explain the purpose of an organization chart, and reference an organization chart related to health information management from the Internet.  Your response must be at least 200 words in length.

Question 2   List the HIM functions in a paper processing department and compare them with the functions required for processing in an EHR environment.  Your response must be at least 200 words in length.

Question 3   List three circumstances that will require planning in the HIM department.  Your response must be at least 200 words in length.

Question 4   What is the purpose of performance standards?  Your response must be at least 200 words in length

Leadership In Nursing And Healthcare

Post
 a description of the problem, including relevant indicator(s). Provide a synopsis of how you would proceed in locating evidence, including research literature you would consult, which professional organization standards may be relevant, and with whom you would communicate or network to ascertain community standards. Then, identify how you would adapt Lewin’s classic model of change based on chaos and complexity theory to address this evidence–based change.

Respond on the following…

Discuss current research that links patient safety outcomes to ADN and BSN nurses. Based on soe real-life experiences, do you agree or disagree with this research?

 

According to current research there has been continuing evidence linking the benefits of BSN degree nurses when comparing ADN prepared. According to a study by Linda Aiken it was found that hospitals who had a 60% of nurses BSN prepared there was a 30% less mortality rate. This was compared to  only 30% less mortality rate when only 30% of the nurses had BSN degrees (The Sentinal Watch, 2014). Healthcare has many issues that need to be addressed in the coming years such as CLABSI, hospital acquired infection and medication errors ( The Sentinal Watch, 2014). Nurses who have acquired their BSN are trained better to deal with these problems. The extra 2 years of training allows for the important teachings related to leadership and evidence based practice (The Sentinal Watch, 2014).

The Importance of getting your BSN cannot be underestimated, in my opinion the extra schooling gets nurses more acclimated with research, this helps them see the issues that face healthcare today. Nurses who have only their Associates degree lack the important aspects of research and leadership training. Todays healthcare system needs nurses who can overcome the many challenges they will be faced with. I believe we need at least 90% of nurses to have their BSN. With rising costs that are not associated with better outcomes trained nurses are our best option to fix the healthcare system.

 

References

The Sentinal Watch (2014). How Does Your Nursing Degree Affect Patient Outcome Mortality Rates. Retrieved from www.sentinalwatch.com

MOST SCIENTITICS BELIEVE THATWE HAVE MORE CANCER-CASES TODAY THAN BEFORE. WHY?

GUIDE TO WRITING AT3 – THE ESSAY

Select a case study from given options (see 02 – Essay Case Studies.pdf)

and address the following points:

1) Identify the ethical issues at stake in your chosen case study

2) Establish and defend an ethical perspective on the issues

3) Discuss the ethical issues from the perspectives of:

 The requirement to respect human dignity & human rights;

 Your future profession’s codes of ethics/ professional conduct & professional

standards;

 One ethical theory you have studied in the unit; &

 The principles of health care ethics

4) Make recommendations for professional practice

2

A week by week plan

Week Activity MyNotes

1 Read assessment task & marking criteria. Prepare to jot down

ideas & note the sources from where you read those ideas each

week. It is very helpful to record your references as you use

them. Don’t waste valuable time later on looking for

references/ sources that you have not already recorded

2 Choose a case study that addresses concerns that are most likely

to involve members of your future profession.

Identify one or more ethical issues in the case scenario.

Consider the issue(s) in the light of the professional codes of

conduct, code of ethics (if relevant), and professional standards

3 Choose one ethical theory (e.g. deontology – duty-based ethics

or virtue ethics) from which to draw theoretical support for

your discussion/ argument(s). This is required on the marking

rubric under the section: Analysis of ethical issues and conflicts

4 Consider the issues you have identified in relation to the

notions of human dignity & human rights. Jot down some ways

of applying them in your discussion

5 Consider the issue(s) from the perspective of the principles of

beneficence, non-maleficence and respect for patient

autonomy. What if those principles conflict? Consider, also,

confidentiality, privacy and veracity (truth-telling). You don’t

have to be able to solve the conflicts between the principles yet

– just be aware of them at this stage. You may wish to at least

acknowledge/ mention this awareness in your essay

6 Consider the conflict(s) in relation to the principle of justice (if

relevant). What would the law/ professional tribunals require?

Prepare questions on the essay for this week’s tutorial class

7 By week 7, you should have a plan for how to go about writing

the essay. If you require assistance with essay writing, go to the

ACU website, or click on here:

https://www.studentportal.acu.edu.au/ACUInfo/ss/academic-skills-unit

3

A QUICK OVERVIEW ON ESSAY WRITING

 In an essay, you are attempting to answer a question.

 In this essay, you will be asking, in general: what does a health care professional do when faced

with particular ethical issues and conflicts. You go about answering that question by

considering it from a range of perspectives (as set out in the assessment task)

1) Your essay should have:

 an introduction in which you identify the case study you have chosen, outline the

essay discussion, briefly specify the main points, and briefly state your proposed

recommendations for professional practice

 a body in which you work through the required perspectives in order to answer the

essay question. Each paragraph should address one idea only. Keep working through the

perspectives until you have considered the ethical issue(s) from all the required

perspectives and made some recommendations for professional practice. Remember:

all the ideas you use should be supported by reference to the literature/ course

material.

 A conclusion in which you bring together your main points and provide an answer to

your question. Do not introduce any new material in your conclusion – just sum up the

discussion and make a final comment to lend strength to your argument.

 A reference list formulated in accordance with the APA referencing convention (6th

edition). Remember: only include those references you have actually used in your essay

(as indicated by in-text citations). Always use credible, peer-reviewed sources – you will

lose marks if you use non-peer reviewed sources (e.g. consumer websites, informal blogs

etc)

2) Ensure that your name and student number is on each page of the essay, use size 11 font,

double space your essay, and remain within the 2,000 word limit (+/- 10%).

There was a cross-sectional study conducted in 2013, with the use of data from 21 University Health System Consortium hospitals,that analyzed the association between RN education and patient outcomes. The results from this study showed that Hospitals with a higher percentage of RNs with baccalaureate or higher degrees had lower congestiveheart failure mortality, decubitus ulcers, failureto rescue, and postoperative deep vein thrombosis or pulmonary embolism and shorter length of stay. This particular article stated that how studies dating back to 2002, linked the percentage of RNs in a hospital with baccalaureate degrees to decreased patient mortality (in-hospital and 30-day mortality, failure to rescue) However, other studies have not found significant relationships between mortality and nursing education. It further mentinoed how the few studies that examined the impact of baccalaureate education on other patient outcomes, particularly those that are considered sensitive to nursing care, did not find beneficial effects. This study also mentioned how the ducation of RNs did not affect hospital-acquired infections once other characteristics were controlled, whereas nurse staffing levels did (Blegen, Goode, et al, 2013).

Looking back on real life experiences, one thing I have observed is that some of the BSN prepared nurses that I have worked with were more skilled at critical thinking that the ADNs which now I can see why after being in this program which requires much more research. The BSN prepared Nurses are more detailed oriented in assessments and charting as well.

Begen, M, Goode, C, Park, S et al (2013). Baccalaureate Education in Nursing and Patient Outcomes. Retrieved 9/19/2017 from  http://www.aahs.org/aamcnursing/wp-content/uploads/Baccalaureate-Education-in-Nursing-and-Patient-Outcomes.pdf

B. H. is a 72 year old man who presents for evaluation of several painful red bumps on his left side. The pain radiates around to his chest. The rash resembles blisters that are just forming. He noticed them yesterday and more are forming. His wife is receiving chemotherapy for breast cancer. His laboratory results are all normal and his creatinine is 1.2.

Dx: Herpes Zoster

1. List specific goals of treatment for J. F.

2. What drug therapy would you prescribe? Why?

3. Write a prescription for the medication prescribed

4. What are the parameters for monitoring the success of this therapy?

5. Discuss specific patient education based on this prescribed therapy

6. List one or two adverse reactions for the selected agent that would cause you to change therapy

7. What would be the choice for second line therapy?

8. What over the counter and alternative medications would be appropriate for J. F.?

9. What lifestyle changes would you recommend to J. F.?

10. Described one or two drug-drug or drug-food interactions for the selected agent.

You must submit ALL parts of the scenario not just one question .

MUST HAVE REFERENCE WITHIN 5 YEARS AND BE NURSING JOURNALS!!

The Appalachian And Arab People And How Their Cultural Beliefs Influence The Delivery Of Health Care.

A minimum of 3 evidence based references no older than 5 years are required as 

Please follow the instructions given and stated in the syllabus.  A maximum of 500 words are required.
1.  Please discuss health heritage of the Appalachian and Arab people and how their cultural beliefs influence the delivery of health care (focus on community care).

2.  Mention at least 2 health practices of the Appalachian and Arab people and if there is any pros and cons in the delivery of health care.

A word document Arial 12 font APA format