Aspect Of The Health Care Payment System

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  1. Identify an aspect of the health care payment system.
  2. Provide an overview of the criteria and parameters for implementation.
  3. Identify the impact on nursing practice.

NOTE: The team grouping process will be explained by your professor.

Submission Instructions:

  • Presentation is original work and logically organized. Followed current APA format including citation of references.
  • Power point presentation with 10-15 slides were clear and easy to read. Speaker notes expanded upon and clarified content on the slides.
  • Your PowerPoint presentation should be formatted per APA and references should be current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions).
  • Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to current APA style (the library (Links to an external site.) has a copy of the APA Manual).

Concepts of Women’s and Men’s Health, Infections, and Hematologic Disorders

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Week 10: Concepts of Women’s and Men’s Health, Infections, and Hematologic Disorders

 

 

 

In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis. And you explain the implications to patient health.

 

Case Study (Scenario)

42-year-old man presents to ED with 2-day history of dysuria, low back pain. Inability to fully empty his bladder, severe perineal pain along with fevers and chills. He says the pain is worse when he stands up and is somewhat relieved when he lies down. Vital signs T 104.0 F, pulse 138, respirations 24. PaO2 96% on room air. Digital rectal exam (DRE) reveals the prostate to be enlarged, extremely tender, swollen, and warm to touch.

 

Instructions:

In your Case Study Analysis related to the scenario provided, explain the following as it applies to the scenario you were provided:

· The factors that affect fertility (STDs).

· Why inflammatory markers rise in STD/PID,  prostatitis and infection happens. Also explain the causes of systemic reaction.

· Why a patient would need a splenectomy after a diagnosis of ITP.

· Anemia and the different kinds of anemia (i.e., micro and macrocytic).

 

Requirements:

 

1. The College of Nursing requires that all papers submitted include a title page, introduction, summary, conclusion, and references.

 

1. Keep in mind that APA 7 formatting is required.

 

1. At least 5 References and they should be no older than five years from publication.

 

Week 10: Concepts of Women’s and Men’s Health, Infections,

and Hematologic Disorders

Describe The “Levels Of Evidence

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 opic 4 DQ 2

The levels of evidence are an important part of all evidence-based practice. Understanding the levels. Wnd why they are necessary to the research is a great way for the reader to become involved. There are different levels of evidence that begin at a level one being the most factual. And level four being either old information that is not relevant anymore. Or it is not factual anymore through new evidence.

It is important that the researcher read all levels because it provides a huge story line of where and how we got to the practices we perform today. A type of practice that could change the results from each level would be a new set of information that debunked the old information. Such as the urinary catheter research. It has just come out in recent years that the urinary catheter needs to be removed immediately to decrease the chances of infection. EBP relies very heavily on levels of evidence to maintain the best practices in nursing (Burns 2018).

Using 200-300 words APA format with at least two references to support this discussion

 

Describe the “levels of evidence” and provide an example of the type of practice change that could result from each.

the integration of individual clinical expertise

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the integration of individual clinical expertise

Evidence-based practice is the integration of individual clinical expertise with the best available external clinical evidence from systematic research and patient’s values and expectations into the decision making process for patient care. It is a fundamental skill to be able to identify and appraise the best available evidence in order to integrate it with your own clinical experience and patients values.

Describe the four phases of critical appraisal and how to incorporate them into practice.

using 200-300 words APA format with at least two references. References within last five years.

patterns of communication. 

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Parent–child relationships may include communication that “shoots the other person down,” which often adds fuel to negative situations. Assess the effect of harsh communication patterns between parents and children, and generate alternative patterns of communication. 

Discuss whether you have ever used or heard these kinds of statements.

I don’t understand why you do these things.

How could someone with your brains and your background do such a thing?

I’m stumped; you really have confused me.

I do not understand how one little _____ is going to hurt you.

You never tell me what you’re thinking.

I demand an apology.

Discuss the manifest and latent meanings of these statements.

I don’t understand why you do these things.

How could someone with your brains and your background do such a thing?

I’m stumped; you really have confused me.

I do not understand how one little _____ is going to hurt you.

You never tell me what you’re thinking.

I demand an apology.

For each statement, generate a healthier alternative statement.

I don’t understand why you do these things.

How could someone with your brains and your background do such a thing?

I’m stumped; you really have confused me.

I do not understand how one little _____ is going to hurt you.

You never tell me what you’re thinking.

I demand an apology.

Qualitative Article Critique

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Title: qualitative article critique

Paper type Dissertation Chapter – Literature Review

Paper format APA

Course level Master

Subject Area Nursing

# pages 2   ( or 600 words Minimum)

Spacing Double Spacing

# sources 1

Paper Details

Assignment Content

Conduct a search of the literature for qualitative studies on your problem utilizing the search plan submitted Week 3. You may revise the plan as you conduct the search.

Locate a minimum of four academic research studies. Each member should read all of the articles selected using the reading plan developed in Week 3. Selection of final articles should reflect a group process and not simply each team member selecting an article and submitting.

Use the Literature Search Activities in Bibliographic Databases Log to document your search process. You will add to the form in future weeks as you continue the search.

Write a 350-word summary of your search process and explain why you selected the articles you chose.

Include a reference page identifying the articles you selected using APA guidelines.

Submit the Literature Search Activities in Bibliographic Databases Log and your summary.

Resources

Center for Writing Excellence

Reference and Citation Generator

Grammar and Writing Guides

Learning Team Toolkit

Copyright 2019 by University of Phoenix. All rights reserved.

Use this space to build your submission.

You can add text, images, and files.

Add Content

moral problems that recent healthcare technology creates

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Required Resources

Read/review the following resources for this activity:

  • Textbook: Chapters 7, 8
  • Lesson
  • Minimum of 2 scholarly source (in addition to the textbook)
  • Narrated PowerPoint Tutorial (Make sure to review this tutorial before you begin recording.)

Instructions

For this week’s assignment respond to one of the following options, and include Option 1, 2, or 3 as part of your heading.

Option 1: The first option is to name and describe in detail a key specific and recent healthcare technology. What are at least two key moral problems this technology creates? What are the proper moral guidelines for dealing with it in your view? Compare your approach to what a utilitarian and ethical egoist would say (each independently). Consider whether differing ethical beliefs globally might or not agree with what you say.

Option 2: In the second option, name and describe in detail a key specific and recent social technology. What are at least two key moral problems this technology creates? What are the proper moral guidelines for dealing with it in your view? Compare your moral approach to what a utilitarian and social contract ethicist would say (each independently). Consider whether differing ethical beliefs globally might or not agree with what you say.

Option 3: John Doe, Patient One, is in late stage of kidney disease. If he does not receive a new kidney, then he is predicted to die within a week. Doe is 45, single, and has no children. Doctors theorize that Doe damaged his kidney by not following a low-salt diet. Doe inherited one million dollars and is known for giving money to charity. Without a transplant, he will probably be forced to spend all his money searching for a kidney outside of the usual legal channels. Patient Two is Jane Doe (no relation to John). Patient Two is a mother of two children (ages 21 and 24). She is divorced and 55 years old.

She developed kidney problems due to eating a high-fat and high-sugar diet. If she does not receive a kidney within one month, doctors believe she will die. Patient Three is an orphan. This orphan lives in a state facility. She was born with a genetic condition that constantly damages her kidney. The only known approach to her condition is to provide her with a kidney transplant every so often. She is 11 and has already undergone two kidney transplants. She will perish in two months if she does not receive another transplant.

All three patients are at the same hospital. The hospital only has one kidney to give out. The orphan’s birth parents were known to be of a religion that is opposed to organ donation. The other patients come from religions that do not oppose organ donation. Who should get the kidney? Why should that candidate receive it over the others? Devise a course of social action and a solution for this case by using the ethics of egoism and then utilitarianism to a key moral conflict involving health care in this case. Appraise the interests of diverse populations (in terms of ethnicity, race, religion, sexual orientation, etc.) and how they relate to the case. Consider whether differing ethical beliefs globally might or not agree with what you say.

For all the options:

Cite the textbook and incorporate outside sources, including citations.

You should not be using any text you used in a discussion board or assignment for this class or any previous class.

Consider whether differing ethical beliefs globally might or not agree with what you say.

You will submit the following:

  • An audiovisual presentation that presents one of the options above. Be sure to give equal time to each element. Doing a PowerPoint presentation with audio recorded on the slides is preferred. Please refer to the Narrated PowerPoint Tutorial located in the Required Resources in this assignment.
  • Please provide a transcript of anything said in the recording aloud that does not appear as text on a slide. This transcript can be provided as a Word document or placed in the Notes section on the PowerPoint slides.
  • The link or a scan of the article mentioning any health technology, social technology, or case you are reporting on. If you made up the case, please indicate that in your report. If you choose to do option #3 (the case about a shortage of transplant kidneys), your article would likely be an article about the shortage of transplant organs, or a shortage of people signing up to be transplant donors, or the status of educating people about being donors, etc.

Presentation Requirements

  • Length: 4-6 minutes narrated presentation
  • Slide length: 4-6 slides (not including title slide, conclusion slide, or references slide)
  • Title slide
  • Conclusion slide
  • References slide (minimum of 2 scholarly sources cited in APA format; not narrated)

Major depression

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2 REFERENCES

Major depression is highly prevalent among childbearing women. And is present in twice the rate of depression among men in the same age group. Unfortunately, major depression is the leading cause of disability among women of childbearing age. (Kalfoglou 2016). Not only does perinatal depression result in being a significant cause of disability during pregnancy, but it also adversely impacts intra-uterine growth. And development. Unfortunately, there are limited evidence-based treatment guidelines or algorithms for treating mental conditions during pregnancy due to the complicated risk-benefit analysis for both mother and unborn child. (Van Ravesteyn et al., 2017).

There are several psychotropic treatment modalities for depression during pregnancy. Selective serotonin reuptake inhibitors are relatively safe during pregnancy. Sertraline is considered a first-line treatment for depression during pregnancy. But not without risk to the fetus. Current research studies pose an increased risk of atrial/ventricular defects and craniosynostosis associated with the use of Sertraline during the first trimester of pregnancy. (Bérard et al., 2015). There are limited off-label treatment options for perinatal depression. Gabapentin is extensively used as an off-label treatment modality for many conditions. It is likely to become increasingly prescribed for off-label use during pregnancy. There is very little information about the safety of Gabapentin during pregnancy. Current studies found that Gabapentin use during pregnancy was associated with a higher rate of preterm births and low birth weight. (Patorno et al. 2020).

analyses for psychotropics medications during pregnancy

Due to all the complex risk-benefit analyses for psychotropics medications during pregnancy, non-pharmacological interventions should be explored before prescribing psychotropic medications during pregnancy. There are several viable non-pharmacological treatment modalities for perinatal depression. Cognitive-behavioral therapy, psycho-educational and interpersonal therapy (IPT) are good non-pharmacological options (Evans et al. 2020).

I was unable to find clinical practice guidelines for treating perinatal depression. However, I was able to find the clinical practice guidelines for postpartum depression. The mood disorder questionnaire or Edinburgh, postnatal depression scale can be utilized to screen for depression. There are many challenges associated with prescribing psychotropic medications during pregnancy. When selecting a psychotropic medication, the provider must consider the health of the mother and unborn child. The provider needs to understand the withdrawal of these medications during pregnancy and the possibility of symptom relapse during pregnancy. The provider should consider that all medications could enter the fetus through the placenta. It is essential to consult the FDA risk category before prescribing the medication. (Lotito & Cook 2015). It is also essential to determine the severity of the depressive symptoms, mild depression symptoms should be treated with psychotherapy only.

References

Bérard, A., Zhao, J.-P., & Sheehy, O. (2015). Sertraline uses during pregnancy and the risk of major malformations. American Journal of Obstetrics and Gynecology, 212(6). https://doi.org/10.1016/j.ajog.2015.01.034

Evans, K., Spiby, H. & Morrell, J.C. (2020) Non-pharmacological interventions to reduce the symptoms of mild to moderate anxiety in pregnant women. A systematic review and narrative synthesis of women’s views on the acceptability of and satisfaction with interventions. Arch Women’s Ment Health 23, 11–28 https://doi.org/10.1007/s00737-018-0936-9

Kalfoglou A. L.(2016) Ethical and Clinical Dilemmas in Using Psychotropic Medications During Pregnancy. AMA J Ethics. 2016;18(6):614-623. DOI: 10.1001/journalofethics.2016.18.6.stas1-1606.

Lotito, M., & Cook, E. (2015). A review of suicide risk assessment instruments and approaches. Mental Health Clinician, 5(5), 216–223. https://doi.org/10.9740/mhc.2015.09.216

Patorno, E., Hernandez-Diaz, S., Huybrechts, K. F., Desai, R. J., Cohen, J. M., Mogun, H., & Bateman, B. T. (2020). Gabapentin in pregnancy and the risk of adverse neonatal and maternal outcomes: A population-based cohort study nested in the US Medicaid Analytic eXtract dataset. PLoS medicine, 17(9), e1003322. https://doi.org/10.1371/journal.pmed.1003322

van Ravesteyn LM, Lambregtse – van den Berg MP, Hoogendijk WJG, Kamperman AM (2017) Interventions to treat mental disorders during pregnancy: A systematic review and multiple treatment meta-analysis. PLoS ONE 12(3): e0173397. https://doi.org/10.1371/journal.pone.0173397

Exercise Recommendations

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Post one response to the original post
• Your response should be 50+ words
• Posting should ask for clarification, challenge respectfully ideas, or describe a situation that illustrates the points being made. Simply agreeing or disagreeing with a post is NOT adequate.

1.

Exercise Recommendations

Physical exercise is one of the things that promote a healthy life. It benefits people of all ages, including elderly people with no health complications. As well as those with chronic health conditions. Such as high blood pressure, diabetes, and cardiovascular diseases. Physical exercise promotes both physical and mental health. For older people, being physically active puts them at a lower risk of mortality and developing chronic health conditions. For the older woman in the scenario, it would be advisable for her to engage in exercises that will strengthen her muscles, give her balance, promote flexibility, and generally promote her fitness (Taylor, 2014).

the World Health Organization (WHO)

According to Taylor (2014), the World Health Organization (WHO) recommends that people aged 65 years and older do at least 150-300 minutes of aerobic fitness with breaks in-between and muscle balancing exercises 2-3 days a week. Activities for improving her strength should include, but not be limited to dancing, swimming, brisk walking, light weightlifting, and cycling. Balance can be gained by participating in Tai Chi and Yoga. Flexibility exercises, including stretches and lunges, will help improve her stability and minimize the risk of falls and allow her to move around more comfortably. It is also helpful for older people to participate in daily activities as they will help them move around and can be said to be low-intensity exercises.

Several precautions should be observed when engaging in physical exercises to reduce the risk of injury. First, since she has not been exercising regularly, it would be advisable that she starts exercising lightly, and as time goes by, she can gradually increase the intensity of the exercise. It is good for a person to check with the doctor if they feel dizzy, have shortness of breath, feel pain in the lower legs when walking, or feel pain in the chest (Mayo Clinic, 2021). Stretching before exercising and cooling down afterward helps to prevent muscle strains.

question 2

The Joint Commission (TJC) limits the use restraints to situations when it is clinically necessary to protect the physical safety of the patient, staff, or others (Meiner, 2015).

In this scenario, the patient should not be restrained because, it would be a matter of convenience and not a matter of safety.  The patient is not confused nor a significant threat to self or others.  I would also assess why the patient is agitated instead of making her more anxious with restraints.

Information to consider about the patient includes her poor vision.  I would make sure that the environment is free from clutter to prevent a fall.  The patient has functional urinary incontinence. I can place a bedside commode, so she does not have to walk far when she needs to sit on the commode.  The patient is diabetic.  If her blood glucose is high or low, it can cause behavioral changes, which may explain her agitation.

I would not request body restraints because less preventative measures must be taken to prevent falls.  I would use a bed alarm, tele monitoring service, and place a commode at the bedside.  We can assign the nursing aid as a sitter to monitor the patient if other measures fail. Further more, restraint can cause injury to an agitated patient if they keep struggling to break free.

stress management

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 stress management

In this discussion, we’ll discuss anxiety, effective and ineffective interventions, and stress management. Please include the following in your initial posting:

Describe a client from your clinical setting or work who experienced severe anxiety or panic. Include a brief history and three most pertinent medications.

  • Describe the assessment process for this patient.
  • Identify at least one effective and one non-effective nursing intervention. Why did they work? What didn’t work?
  • Name and describe two stress reduction techniques you have used and whether they were helpful or not in reducing stress.