Tag: Clinical-Nursing

HMO Models

Use  the Internet to conduct your research.  In 250-300 words, explain the  various HMO Models.  Properly cite your references in APA format.

TRICARE Referral/Authorization Form

Create a TRICARE Referral/Authorization Form.  Complete the form for a fictitious patient in your medical clinic.

The Contribution of Advanced Practice Nurse (APN) to The Nursing Profession

The Advanced Practice Nurse (APN) is one of the professions in the nursing fraternity that requires increased professional awareness. Considerably, the training of an APN means that one has to have some degree of professional alignment regarding the nursing professions. The theoretical perspectives presented in this program are ideal for anyone who wants to possess the relevant knowledge that will make him or her work effectively.

 

First, the program provides the learners with the chance to look at some of the theories that related to their areas of study. Essentially, theories are vital as they made me develop my working philosophy. In most cases, APN’s ought to have a particular attitude towards certain patient issues. As such, this makes APN’s to develop a positive behavior towards patient cases. When an APN does not have any professional philosophy, it is likely that his or her professional conduct may be inconsistent (Kleinpell, 2013). However, when one goes through this program, he or she will have a philosophy which will guide their practice when handling the needs of patients.

Apart from making one to develop a professional philosophy, the program provides an opportunity to experience practical professional situations. The lessons in this program allow an individual to engage with the concepts and make some practical conclusions. Considerably, this coincides with Dunphy, Winland-Brown, Porter and Thomas (2015) argument that indicates that students contextualize ideas appropriately when there is a chance to transform theoretical data into practical situations. Unlike other programs that focus on the information presented in secondary resources, this program gives the learners an opportunity to take part in the generation of knowledge in their targeted areas of the profession.

References

Dunphy, L. M., Winland-Brown, J., Porter, B., & Thomas, D. (2015). Primary care: Art and science of advanced practice nursing. FA Davis

Kleinpell, R. M. (2013). Outcome assessment in advanced practice nursing. Springer Publishing Company.

The Changing United States Health Care System

The Unite States has a health care that is always changing. As nurses we need to be interested and updated with all changes that can be done to provide better health care to patients and also analyze the different trends that are occurring and might affect positive or negatively to the general population.

This chapter explains the major components of the American health system including public insurances, Veterans Administration Health Systems, Indian Health Service, the infrastructure and health information technology, health status and trends, access and cost of health, health status of the population, the new challenges fro the US Health Care System, the Health Care Reform and Opportunities and challenges for nurses.

This chapter relates to nurses directly, especially to people that are studying to be practitioners. We can participate to improve this health system that the best achievement it has is the capability to transform and make possible to reach higher standards of health care.

As I understand from the shown statistics we are behind in life expectancy and also cost per patient compared with other countries that have a system controlled by the government. Those statistics can be changed if we analyze the causes behind them. For example stress, obesity, and lack of exercise and poor control of their health condition cause many of the comorbidities in patients that cannot surpass the 65 years old.

It would be great to improve the bad statistics but we need to maintain the good ones on our way. For example according to one study in Lancet from 2007, American women have a 63% chance of surviving at least 5 years after a cancer diagnosis compared to 56% for European women. For American men, it’s 66% compared to 47% for European men (“5 things that make U.S. health care great”, 2017).

We need to maintain what we have achieved compared to other countries, and try to improve the system with goals that reflect our population, which is extremely diverse.

I am a nurse of the penitentiary system in Miami Florida. There is a lot that we can do as nurses especially as practitioners. We can do a lot of disease control and prevention from the time inmates are screened, which occurs when they enter the institution and have a medical encounter within the first week from their arrival. US institutions lack of medical personal to treat chronic diseases, such as asthma, diabetes, or hypertension.

I think that one of my goals as a nurse practitioner is going to be to increase the availability of communication between patients and me. This is going to make possible more prevention and further deterioration of their health status.

 

 

 

References

5 things that make U.S. health care great. (2017). KevinMD.com. Retrieved 9 September 2017, from http://www.kevinmd.com/blog/2014/08/5-things-make-u-s-health-care-great.html

Health Data and Statistics | Correctional Health | CDC. (2017). Cdc.gov. Retrieved 9 September 2017, from https://www.cdc.gov/correctionalhealth/health-data.html

Answer both of the following discussion questions for your discussion response.

What, in your opinion, is the most dangerous electrolyte imbalance and why? Explain the pathophysiology of the imbalance.

Disease processes can cause an array of fluid and electrolyte imbalances. What does a nurse practitioner need to consider when treating various diseases? When a patient has hemodynamic instability associated with orthostatic hypotension, what treatment is considered to provide stability?

250 words with reference no older than 5 years and intext citation.

DNP Scholarly Project and PhD Dissertation

Becoming Familiar With the DNP Scholarly Project and PhD Dissertation

As a doctoral candidate, you will complete either a DNP Scholarly Project or a PhD Dissertation. Are you curious about what will be required of you? For this

Assignment, you locate and read materials that pertain to your doctoral program at Walden University, and begin thinking about your DNP Scholarly Project or PhD Dissertation.

To prepare:

DNP students:

Review the DNP section of the University website (http://researchcenter.waldenu.edu/DNP-Doctoral-Study-Program.htm.

Carefully review the requirements for the DNP Scholarly Project process.

Consider the steps and timeline you will work through to complete the DNP Scholarly project.

To complete:

Write a 1-page paper outlining the steps, timeline for completing the project / dissertation, and the documents you will use for  the DNP Scholarly Project . Include the main guide document that identifies the processes and procedures for the appropriate doctoral project.

Summarize the purpose of the DNP Scholarly Project.

Briefly describe a project that would be of interest to you and how you might go about completing that project.

IMPORTANT: PROJECT OF INTEREST
: INTRAPROFESSIONAL NURSING COLLABORATION AND COMMUNICATION: BEDSIDE ROUNDING

REFERENCE

Zaccagnini, M. E., & White, K. W. (2014). The doctor of nursing practice essentials: A new model for advanced practice nursing (2nd ed.). Sudbury, MA: Jones & Bartlett. [Vital Source e-reader]

[For DNP students ONLY]

Chapter 9, “Emerging Roles for the DNP”

Chapter 4, “Finding Problems and Writing Questions”

Institute of Medicine (IOM). (2010a). The future of nursing: Leading change, advancing health[Consensus report]. Washington, DC: National Academies Press. Retrieved from https://web.archive.org/web/20150211165201/http://iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx

Institute of Medicine (IOM). (2010b). The future of nursing: Leading change, advancing health[Report brief]. Retrieved from https://web.archive.org/web/20150203150734/http://iom.edu/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20of%20Nursing%202010%20Report%20Brief.pdf

Please respond to the following Health Care Policy post…

Health Care Policy

ACA, also known as Affordable Care Act was enacted in 2010 (Hall, A., & Lorde, R., 2014). This mandated health plan provides coverage for specified preventive items or services. The ACA covers recommended immunizations, recommended preventive care and screenings for women and children.  Also, ACA is a health plan that provides dependent coverage of children for an unmarried, adult child until the child turns 26 years of age. The Affordable Care Act’s core achievement is to make all Americans insurable, by requiring insurers to accept all applicants at rates based on population averages regardless of health status (Affordable Care Act, 2016). The act also increases coverage by allowing states to expand Medicaid to cover everyone near the poverty line, and by subsidizing private insurance for people who are not poor but who do not have workplace coverage. The act allows most people to keep the same kind of insurance that they currently have, and it does not change how private insurance pays physicians and hospitals.

The ACA directly impacts delivery of care people without coverage or group insurance having difficulty obtaining individual insurance, not only because of its expense, but also because private insurers screen people for health status and either decline to cover people with potentially costly medical conditions, or charged them substantially more, or excluded coverage for their existing conditions.

A key challenge I anticipate is provider and hospital payment (Hall, A., & Lorde, R., 2014). Even though, it does not directly change how private insurers pay healthcare providers, direct client billing will pose a problem for collection. Nevertheless, it has set into motion market dynamics that are affecting medical practice, such as limiting insurance networks to fewer providers and requiring patients to pay for more treatment costs out of pocket.

References:

Affordable Care Act. (2016). Retrieved from: 
https://healthcare.gov/glossary/affordable-care-act/

Hall, A., & Lorde, R. (2014). 
Obamacare: what the Affordable Care Act means for patients and physicians
 [PDF]. Winston Salem: BMJ 2014;349:g5376 doi: 10.1136/bmj.g5376.

Please respond to the following Summary of the Health Care Act…

Summary of the Health Care Act 

Summary of the Health Care Act rolls back to affordable care Act’s expansion of Medicaid. The Act eliminates tax penalties for individuals who are not covered by a health insurance and ending taxes on high income earners and manufacturers of medical related devices for them to finance the current health law. The American Health Care Act was announced on 6th March, and passed by the House of Representatives on May. The overall approach of the Act is increase amount for the young and reduce for the older adults. The Act has provisions that help people buy insurance if they are not enrolled in a government program and have no coverage at work. Under the previous rules, insurers could not charge older adults more than three times what they charge young adults (Gaffney & McCormick, 2017). The new Act allows the insurers to charge the older adults five times more compared to young adults.

Under the new Act, continuous coverage is encouraged by requiring that the insurers impose 30% surcharge on premiums for those people who have a gap in paying. On the other hand, the insurers are prohibited from charging very high premiums that are based on an individual’s health status. The Health Care Act does not change the benefit design by a large margin. The requirement of the Affordable Care Act to cover 10 essential health benefit categories remain unchanged. There no changes on prohibition on lifetime and annual dollar limits. Nevertheless, Federal premium tax credits cannot cover abortion services except those outlined in the Hyde Amendment. The Act is expected to cut taxes of high income earners by repealing payroll tax increase and a tax on investment as imposed by the Act.

References

Gaffney, A., & McCormick, D. (2017). The Affordable Care Act: implications for health-care equity. The Lancet, 389(10077), 1442-1452

IOM Future of Nursing recommendations Essay

In a reflection of 450-600 words,
Explain How you see yourself Fitting
into the following IOM Future of Nursing recommendations:

Recommendation 4: Increase the proportion of nurses with a baccalaureate degree to 80% by 2020.

Recommendation 5: Double the number of nurses with a doctorate by 2020.

Recommendation 6: Ensure that nurses engage in lifelong learning.

Identify your options in the job market based on your educational level
.

How will increasing your level of education affect how you compete in the current job market?

How will increasing your level of education affect your role in the future of nursing?

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Select the state where you plan to work as an advanced practice nurse and investigate the state’s policies on access to contraception and abortion for women with insurance and those without. What are the state’s infant and maternal mortality rates? Discuss the possible relationship between these factors. Address how as an advanced practice nurse and nursing leader, one can influence desired change in the current health policies. Be sure to identify 
one
 MSN Essential that most relates to this topic in your discussions.

 

Discussion Board Rubric

Proficient

Novice

Introduction and quality of discussion’s Argument

 

 

 

 

 

 

 

1 point

It is consistent with application in research related to its context. Clarity of ideas.

0.5 point

The topic has a partially weak association to clarity of ideas and related topic.

 

Objectivity of Tone, overall quality & Review of Literature in APA 6
th
format within past 7 years

1 point

Tone is consistent, addressed professionally and objectively.

Evidence in literature supports arguments.

 

0.5 point

The tone is not consistently objective. Partially poor evidence in review of literature.

Quality of Reply posts

1 point

Consistent clarity and supported by research evidence.

 

0.5 point

Partially lack of clarity or lack of support with research evidence.