the costs associated with the increased utilization of health care

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the costs associated with the increased utilization of health care

Discuss the costs associated with the increased utilization of health care. Include a discussion of unnecessary care, consumer attitudes, healthcare financing, pharmaceutical usage, and changing population demographics and disease patterns.

  • Must address the topic.
  • Rationale must be provided.
  • May list examples from your own nursing practice.
  • 150-word minimum/250-word maximum without the references.
  • Minimum of two references (the course textbook must be one of the references) in APA format, must have been published within last 3-5 years.
  • Upload by  Saturday week # 10
  • Each student must respond to two student’s original post by day seven. This grade is a compilation of the original post and the response post. Please see the discussion topic rubric with responses in the course documents folder.

Informatics Competencies And Advanced Nursing Practice

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  • What were your initial thoughts on reading the AACN Information Systems/Technology Essentials for the DNP graduate?

Over the last decade or so there has been fast-paced changes. The government assisted with these changes through the electronic medical records implementation (EMR) to help move us forward. Information technology has been an essential change in today’s medicine. That has helped spread better more accessible ways to gain healthcare. Through this technology, nurses have been able to track areas that needed advancement to provide better. And safer care to patients. Data has been collected and easier to access for quality improvement.

With data stores we can not only access a collection of data easier, but we have been able to transport our health care records with us wherever we go through Information technology. The DNP nurse will have the professional development to influence and enhance essentials through organizational and leadership skills and interprofessional collaboration gained in education and experience to enhance the development of nursing standards according to Giardino & Hickey, (2020.)  The DNP nurse prepares graduates through the development or innovation of practice change and implementation of quality improvement processes. The Ph.D. graduate with the use of research and statistics works with statistical methodologies to make change. Both degrees use information technology to do this. (Loescher, Love Badger, 2021).

statistical methodologies

  • Did you find any of the essentials surprising? Why or Why not? I was not surprised by the changes as I have lived through the advancement of technologies from black. And white TV with 6 channels to Dish, WIFI, and wireless cellphones that we carry in our pockets.
  • Describe the changes you have seen in your practice setting over the past five years that have been brought about by the use of technology and evidence-based practice. The use of electronic medical records (EMR) has changed many things in nursing from the accessibility of one’s history to safer administration of medications. We can find information in a quicker and more easily accessed way. If you are older, you remember charting by hand and looking up medications in drug books. In a way, this is harmful to newer nurses who rely on the internet for information. If the technology of today was to have a breach of functionality, I have my own concerns for the ability of newer nurses to function. I personally have met new nurses who have no idea how to even begin to chart unless using electronic charting. The biggest advancement in the last few years was the advancement of telemedicine and patient care with the pandemic of COVID-19.

  • the advancements

  • Describe the changes you expect to see in your practice setting over the next five years based on technology. WOW, this is a very challenging question. Looking back at the advancements in the last 5 years seems like a lot so trying to guess at what will be is difficult. I would wonder to guess that simulation technology should advance in the next 5 years making teaching hands-on skills more improved and life-like. Also, the ability to scan other more advanced diagnostics would be a possible advancement and a decline in medical injuries with the use of advancing robotic-assisted procedures. By 2025 Artificial intelligence is expected to make great changes in nursing (Robert, 2019) robotics already are advancing in engineering to respond to emotional circumstances these robots are called social or companion robots that are designed to help older adults. They are expecting to develop robots to perform nursing duties like ambulation, vital signs, and medication delivery this will change the role of nursing and how we care for patients. (Robert, 2019).
  • How have these changes affected nursing practice in your setting? Nursing education and clinical practice skills have become a bit more complicated with not only the hands-on patient care, but incorporation of technical skills needed to perform many of the nursing duties. With the expected advancements nursing will be making great changes in what we do. There is no telling where it is going until it happens at this time, we will continue to use information technology as a tool to enhance our safety of practice.

References:

Giardino, E.R., Hickey, J.V. (2020). Doctor of nursing practice students’ perceptions of professional change through the DNP program: Journal of Professional Nursing 36(6) p.595-603. https://doi.org/10.1016/j.profnurs.2020.08.012 (Links to an external site.)

Loescher, L.J., Love, R., Badger, T. (2021). Breaking new ground? The dual (PhD-DNP) doctoral degree in Nursing: Journal of Professional Nursing 37(2) p. 429-434. https://doi.org/10.1016/j.profnurs.2020.05.001 (Links to an external site.)

Robert, N. (2019). How artificial intelligence is changing nursing: Nursing management 50(9) p. 30-39. https://doi.10.1097/01.NUMA.0000578988.56622.21

I NEED A COMMENT FOR THIS DISCUSSION BOARD WITH AT

The gap between the rich and poor in the United States

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The gap between the rich and poor in the United States

Consider the following quote  ”The gap between the rich and poor in the United States …has been widening for some time. In recent years, the gap has been the widest since our government began to keep records on it in 1947” (eText, p.143).  For example, one report states that: “Since 2009, 95% of U.S. economic gains have gone to the wealthiest 1% of the population” (“Income Inequality: Why Does the Gap Keep Widening?” The Week Feb. 7, 2014).

Discuss the growing income inequality in the U.S. and the world with someone mature enough to have some perspective from experience about it.  Ask them what they think about the widening gap between the rich and the rest of us in America, as our course materials speak of this problem.  How has the economic trend for middle class Americans affected them?  How as it affected you? After all do bonded slaves in India effect you in the USA?

references:

Environmentalism and Moral Concern for Animals

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Environmentalism and Moral Concern for Animals

Many believe that we are in serious trouble today as human beings plunging headlong into a major climate crisis on planet earth.

Our course eText on Environmental Ethics states the following:

There is no denying that the global climate is changing, as the level of carbon dioxide in the atmosphere has increased during the past century.  … Coastlines are crumbling as the climate changes and sea levels rise… storms are increasing in severity … the Arctic ice cap is melting… (MacKinnon, 427).

Some skeptics dispute whether the changes are entirely man-made, but the vast majority of experts believe one of the major causes of climate change is the burning of fossil fuels … (MacKinnon, 428).

The following video link and quoted material provide: 1) a summary of a U.N. Climate Change Report from 2019 (the video), and 2) an explanation of the meaning of speciesism as Dr. Richard Ryder first used it (the quotation ).  After reviewing these, please respond to the discussion questions listed below.

U.N. Climate Change Report: LINK (Links to an external site.)

On Dr. Richard Ryder’s use of the term speciesism (which term the moral philosopher Peter Singer later made more popular):

“The view that only humans are morally considered is sometimes referred to as ‘speciesism’. In the 1970s, Richard Ryder coined this term while campaigning in Oxford to denote a ubiquitous type of human centered prejudice, which he thought was similar to racism. He objected to favoring one’s own species, while exploiting or harming members of other species” (Gruen, Lori, “The Moral Status of Animals”, The Stanford Encyclopedia of Philosophy, Fall 2017 Edition, Edward N. Zalta, ed., URL = LINK (Links to an external site.)).

Carl Cohen of the University of Michigan, speaking in Germany, believes that animals do not have rights:

 

Discussion Questions (please address both 1 and 2).

[1] How does the hearing of this U.N. report on the climate crisis affect you, your values, your sense of the world and its future?   What human beliefs or values today will more likely prevent needed changes in our way of life, methods of production, or government policies?  And what beliefs or values will more likely lead to the kind of changes needed to address the climate crisis?

[2] Do you think humans are biased against animals, as moral philosophers like Peter Singer express with the term speciesism (and therefore we should not eat them), or Carl Cohen’s arguments against animal rights ( and therefore we can eat them).

Participants must create a thread in order to view other threads in this forum.

Three postings are the required minimum.

reference:

https://youtu.be/uGY8fPSeow4

telehealth services

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These telehealth services will include both emergencyand non-emergency services:EMERGENCY Services▪Neurology and StrokeNON-Emergency Services▪CardiologyNow that you have some background information, it is time for youto develop a marketing plan to make this new service a success for Blue Sky Regional Medical Center.Points to remember and add to your written assignment1.Formulate overall strategic goals and objectives. What does a successfultelehealth program look like?

2.Establish Marketing Objectives3.Formulate and give an overview of your Marketing Strategy▪Determine your target market. Who is your target audience?▪Perform a SWOT analysis for each target audience▪Develop your “message” -How will I attract my audience? How are wedifferent?4.Develop an Action Plan▪Take the “message” and identify resources, staff [Who should be involved indeveloping the marketing plan?], and finances.▪Summarize key marketing activities▪Be detailed and give specific activities – i.e. brochures, newsletters, socialmedia, community events, campaigns/promotions, etc.5.Evaluate the Plan▪Formulate measurable marketing activities▪How will you measure the program’s success?▪How will you measure the success of your marketing activities? How will know ifyour marketing plan was a success?

Nutrition And Physical Fitness

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Module Objectives

Nutrition and Physical Fitness

Many athletes spend a long time getting into shape. They may train for a 10K run or 20-mile bike race. After a period of time, they may notice that they suddenly cannot train at the same level anymore. Many athletes are not aware of the cause of their symptoms or how they can prevent such symptoms.

For this discussion, the student will:

  1. List at least 3 signs and symptoms of athletic performance decline.
  2. List causes for the signs and symptoms you listed.
  3. List dietary suggestions to prevent each of the signs and symptoms you listed.

pharmacological and nonpharmacological management

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Max King at Kaplan’s  who is 4 years old had leaky liquid stool in his underwear. The associated symptom is abdominal pain. For the past 3 years he is been having Abdominal pain and hard stools when collecting history, the last three weeks he is been having liquid stools. He moved his bowel movement every 2 to 3 days but hard stool .

Primary Diagnosis and ICD-10 code: Also include any procedural codes.

3-5 Differential Diagnoses- Why? What made you select each one as a DDX? How did you rule out? This would be a good area to include references.

 

Additional laboratory and diagnostic tests: May be necessary to establish or evaluate a condition. Some tests, such as MRI, may require prior authorization from the patient’s insurance carrier.

 

Consults: referrals to specialists, therapists (physical, occupational), counselors, or other professionals. If you are sending to hospital, what orders would you write for a direct admit?

 

Therapeutic modalities: pharmacological and nonpharmacological management. 

 

Health Promotion: Address risk factors as appropriate. Consider age-appropriate preventive health screening.

 

Patient education: Explanations and advice given to patient and family members.

 

Disposition/follow-up instructions: when the patient is to return sooner, and when to go to another facility such as the emergency department, urgent care center, specialist or therapist.

 

References (minimum of 3, timely, that prove this plan follows current standard of care).”

 

 

Buddhism

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Buddhism

Read section on Buddhism and answer one of the questions at the end or one of the following bonus questions. (Be sure to indicate which question you are answering.)

Bonus Questions:

  1. What is your opinion on the Buddhist view of suffering in the world?
  2. What is the difference between the Christian and Buddhist view of suffering?
  3. Select and describe one of the Eightfold path and how this might apply in the modern world.

specific patient factors that may impact your decision making when prescribing medication for this patient.

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Introduction to the case (1 page)

Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.
Decision #1 (1 page)

Which decision did you select?
Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #2 (1 page)

Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Decision #3 (1 page)

Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.
Conclusion (1 page)Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

Note: Support your rationale with a minimum of five academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature.

essential time management techniques

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TIME MANAGEMENT:

Time management is the process of planning and exercising conscious control of time spent on specific activities. Especially to increase e�ectiveness, e�ciency, and productivity. Time management skills help you avoid stress and get enough sleep. This has a powerful e�ect on the quality of your decisions and, in turn, a�ects almost every aspect of your life, from your career progression to your relationships, friendships and social life.

 

5 essential time management techniques ● Be intentional: keep a to-do list. … ● Be prioritized: rank your tasks. … ● Be focused: manage distractions. … ● Be structured: time blocks your work. … ● Be self-aware: track your time.

 

For one to have adequate time management, certain factors need to be considered. Some of which are Set goals correctly. Set goals that are achievable and measurable. .

● Prioritize wisely. Prioritize tasks based on importance and urgency. ● Set a time limit to complete a task. ● Take a break between tasks. ● Organize yourself. ● Remove non-essential tasks/activities. ● Plan ahead.

Time management: The act of planning the amount of time you spend on which activities. Managing time helps to increase productivity. Carla Crutsinger: Author who defined effective time management processes. Neil Shipman: Academic leader who described critical skills for time management.

 

 

 

 

Time Management References Neil Shipman: Academic leader who described critical skills for time management.

1. Baruch, E., Bruno, J., & Horn, L. (1987) Dimensions of time use attitudes among middle high SES students. Social Behaviour & Personality: An International Journal , 15 , 1-12. Retrieved from http://www.sbp-journal.com/

2. Bond, M. & Feather, N. (1988). Some correlates of structure and purpose in the use of time. Journal of Personality and Social Psychology , 55 , 321-329.

3. Britton, B. K., & Tesser, A. (1991). Effects of time-management practices on college grades . Journal of Educational Psychology , 83 , 405-410.

http://www.sbp-journal.com/
http://fys.utk.edu/files/2013/08/Britton-B.-Tesser-A.-1991.-Effects-of-Time-Management-Practices-on-College-Grades.-Journal-of-Educational-Psychology-833-405-410..pdf
http://fys.utk.edu/files/2013/08/Britton-B.-Tesser-A.-1991.-Effects-of-Time-Management-Practices-on-College-Grades.-Journal-of-Educational-Psychology-833-405-410..pdf