Category: Nursing

  • NURS 4115 – Assignment: Epidemiology in Public and Global Health

    NURS 4115 – Assignment: Epidemiology in Public and Global Health

    NURS 4115 Role of the Nurse in Public and Global Health  
    Week 3 Assignment

    Assignment: Epidemiology in Public and Global Health

    Assignment Epidemiology in Public and Global Health

    Note: You were introduced to this Assignment in Week 2 and will submit your work this week.

    ORDER A PLAGIARISM-FREE PAPER HERE

    Submit a 3- to 4-page paper that includes the following:

    A summary of the article, including the title and author NURS 4115 – Assignment: Epidemiology in Public and Global Health

    Identify the title of the article with in-text citation and corresponding reference in reference list

    The relationship among causal agents, susceptible persons, and environmental factors (epidemiological triangle)

    The role of the nurse in addressing the outbreak

    Possible health promotion/health protection strategies that could have been implemented by nurses to mitigate the outbreak NURS 4115 – Assignment: Epidemiology in Public and Global Health

    NURS 4115 Role of the Nurse in Public and Global Health

    Week 5 Assignment

    Assignment: Global Climate Change and Health

    Note: You were introduced to this Assignment in Week 4 and will submit your work this week.

    Write a 3- to 5-page paper that addresses the following:

    Describe two health care concerns related to global climate change NURS 4115 – Assignment: Epidemiology in Public and Global Health.

    Topics could include increased exposure to vectors that transmit Zika, West Nile virus, or malaria; respiratory problems; food distribution problems due to drought or lack of water; or heat-related illness.

    Compare concerns in the United States related to these topics with one developed and one developingcountry.

    Describe health promotion/health protection strategies a nurse could implement.

    Support your ideas with references from the professional nursing literature. NURS 4115 – Assignment: Epidemiology in Public and Global Health

  • NURS 4115 Role of the Nurse in Public and Global Health Week 2 Discussion

    NURS 4115 Role of the Nurse in Public and Global Health Week 2 Discussion

    NURS 4115 Week 2 Discussion Task – Nurses Working to Improve the Socioeconomic Status of Impoverished Citizens Through Government Actions

    The influence of poverty on health is a problem that transcends national borders. This week’s readings discussed some of the political, economic, and ethical issues that lead to health disparities in developed and developing countries. In addition, in this week’s first media presentation, Dr. Mancuso and Dr. Huijer shared insights on working within political systems to bring about positive changes in health care. Think about the importance of nurses in addressing these needs and in bringing about change.

    ORDER A PLAGIARISM-FREE PAPER HERE

    To prepare for this Discussion:

    Review the case study “Improving the Health of the Poor in Mexico.” Then, prepare your response to the following questions:

    How do politics and economics influence health and health care? NURS 4115 Role of the Nurse in Public and Global Health Week 2 Discussion

    What might the benefits be of awarding the mothers cash grants?

    What social problems might be created by giving the mothers cash grants?

    Do you think the resources were ethically distributed? (Think about stereotyping.)

    What changes do you think should be made to the program, if any?

    If the program were to be discontinued for any reason, what could you, as a nurse, say that might help to maintain funding?

    Do you think a similar program might work in your community? Why or why not?

    By Day 3

    Post your response to the following prompts:

    Explain how politics and economics may influence health and the health care system from your own perspective. Analyze whether the political and/or economic systems play a major role in your or your family’s access to health and explain why. Then, describe how government intervention might benefit a health care system. Be specific and provide examples.

    Support your response with references from the professional nursing literature.

    Note Initial Post: A 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ? 5 years old). NURS 4115 Week 2 Discussion Task

    NURS 4115

    Week 2 Discussion

    To prepare for this Discussion:

    Review the case study “Improving the Health of the Poor in Mexico.” Then, prepare your response to the following questions:

    How do politics and economics influence health and health care?

    What might the benefits be of awarding the mothers cash grants?

    What social problems might be created by giving the mothers cash grants?

    Do you think the resources were ethically distributed? (Think about stereotyping.)

    What changes do you think should be made to the program, if any?

    If the program were to be discontinued for any reason, what could you, as a nurse, say that might help to maintain funding?

    Do you think a similar program might work in your community? Why or why not?

    By Day 3

    Post 
    your response to the following prompts:

    Explain how politics and economics may influence health and the health care system from your own perspective. Analyze whether the political and/or economic systems play a major role in your or your family’s access to health and explain why. Then, describe how government intervention might benefit a health care system. Be specific and provide examples.

    Support your response with references from the professional nursing literature.

     

    1. Explained how politics and economics influence health and healthcare.

    In the United States, politics and economics play a significant role in health and healthcare. The largest healthcare program in the United States since the 1960s is Medicare and Medicaid, which are funded via payroll taxes (Centers for Medicare & Medicaid Services, 2014). The government has regulations in place for determining who can have access healthcare in this country. Medicare, which is regulated by the federal government, provides health insurance for Americans aged 65 and older regardless of income or medical history (Centers for Medicare & Medicaid Services, 2014). Some younger individuals also may qualify that have disabilities that receive Social Security Disability Insurance (Centers for Medicare & Medicaid Services, 2014). Therefore, politics do influence health and healthcare in this country since the government has the power to regulate and set special requirements for use. NURS 4115 Role of the Nurse in Public and Global Health Week 2 Discussion

     

    Analyzed possible benefits and problems that might be generated by giving the mothers the cash grants.

     

    For the reading by Levine (2007, pp. 65-72) possible benefits for giving the mothers the cash grant include helping to increase the families’ income, thereby providing them with food and other necessary resources. The cash grants helped to increase school enrollment and attendance by giving the families money to access preventative care for immunizations to prevent illnesses, basic health care services, and nutrition counseling (Levine, 2007, pp. 65-72). NURS 4115 Role of the Nurse in Public and Global Health Week 2 Discussion. Possible problems that may arise from giving the cash grants could be that once so many people have money to access healthcare, that there may not be enough medical providers to care for those in need. The healthcare system may not be prepared for the increasing number of individuals who now have the financial means to receive care. Therefore, it may not be enough “supply” to meet the increased “demand” for healthcare services.

     

    Analyzed possible ethical dilemmas when promoting health for a select population using cash grants such as equal distribution within the population, possible social problems, or continuation of the program.

     

    Possible dilemmas that could be created by this program could be that the community-at-large may want to have input on how the money is spent by the mothers receiving the grants. People may also feel that singling out the poor is unethical as well. When I think of the cash grants it sort of reminds my of the food stamp welfare program, as only certain people qualify and the money can only be spent on certain items. The food stamps can only be spent for cold food items but many people want more restrictions on how the government assistance should be spent, as well as more restrictions on who qualifies for services NURS 4115 Role of the Nurse in Public and Global Health Week 2 Discussion. I feel that the cash grants could also create the same issues due to people wanting to ensure that the money is being spent appropriately and being provided to those with the greatest need.

     

    Recommended approaches to assure continuation of the program if funding were threatened.

     

    If the program funding were to be threatened, I would show statistical evidence on how the program works. As the article mentioned, that many rural children dropped out of school by the 6
    th
    or 9
    th
    grades, that there were high incidence of preventable childhood and adult illnesses, high infant mortality, and poor reproductive outcomes (Levine, 2007, pp. 65-72). The cash grant program has helped to improve school attendance and enrollment, as well as improving child and adult health, reduce illnesses, and improve nutritional health (Levine, 2007, pp. 65-72) NURS 4115 Role of the Nurse in Public and Global Health Week 2 Discussion.

     

    Determine whether a similar program might work in the community the student lives in.

     

    I currently do not live in the typical community that may need a program of this sort but I grew up in a single parent home in a poor neighborhood. A program of this type may have benefited the community I grew up in, and may have even helped my mom who was a single parent. I do believe that the program would need regulations for who would qualify and regulations set on how the money can be spent to ensure the money is not being misused NURS 4115 Role of the Nurse in Public and Global Health Week 2 Discussion.

     

    References

     

    Centers for Medicare & Medicaid Services. (2014). Medicare program- General information.

    Retrieved January 18, 2018, from https://www.cms.gov/Medicare/Medicare-General-Information/MedicareGenInfo/index.html

    Levine, R. (2007). Improving the Health of the Poor in Mexico. In
    Case studies in global

     

    health: Millions saved
    . Sudbury, MA: Jones & Bartlett. NURS 4115 Role of the Nurse in Public and Global Health Week 2 Discussion

  • NURS 4115 Week 3 Discussion-Preventing Disease in Communities

    NURS 4115 Week 3 Discussion-Preventing Disease in Communities

    NURS 4115 Role of the Nurse in Public and Global Health Week 3 Discussion

    Preventing Disease in Communities: The Role of Public Health, the Silent Sentinel

    Week 3 Discussion-Preventing Disease in Communities

    In this Discussion, you will visit a site and interview people who work there about risks for disease transmission, then report on your findings.

    To prepare, select which site you will visit from the following options:

    High school nurse’s office

    Water treatment plant

    ORDER A PLAGIARISM-FREE PAPER HERE

    Public health department

    Pediatrician’s office

    Create a brief description of your setting, providing some context; for example, how many patients are seen, size or capacity of the facility as applicable, and/or the location of the office or organization. NURS 4115 Week 3 Discussion-Preventing Disease in Communities

    Take pictures of the building and surrounding area/neighborhood to provide context. You do not have to include the interior/s of the building/s or people/clients who may be there.

    Then, during your site visit, pose the questions listed in the following chart:

    High school nurse

    What is the school’s policy on giving students advice about birth control?

    How often do you get requests for information about birth control or how to protect oneself from an STD?

    How do you track vaccination compliance, and what happens to students who fall out of compliance?

    Local water treatment plant NURS 4115 Week 3 Discussion-Preventing Disease in Communities

    Where does your community’s water come from?

    Where is it stored?

    How often is it tested for purity?

    What safeguards are in place to prevent tampering with the water supply?

    Local public health department

    Does this department have an STD clinic?

    In addition to testing, does the department offer treatment of one party or both parties?

    What is the most frequently diagnosed STD? NURS 4115 Week 3 Discussion-Preventing Disease in Communities

    A pediatrician’s office

    What is your policy on accepting patients who refuse vaccinations?

    What are the most common reasons parents decline vaccinations for their children in this particular office?

    What is the policy at this office for giving antibiotics to treat viral syndromes?

    Now, look at the site you visited through the eyes of the public health nurse (PHN). Imagine you are the PHN and have been asked to investigate an outbreak at this facility.

    What questions would you ask?

    What suggestions could you make to avoid a disease outbreak at the facility?

    What would your role as a change agent be for any deficiencies you find in your on-site inspection?

    Our “world” starts with our own community, county, and state, then moves out in concentric rings from that point to include our country and eventually the world. Disease is transmitted from person to person through direct contact, or from a source such as a vector or contaminated water through a variety of means, such as flood waters or even terrorist actions. Individuals with limited or no knowledge of safe sex methods may have unprotected sexual relations and knowingly or unknowingly transmit disease to their partners, then to their partners’ partners, and on and on. Often it is the role of the public health nurse to investigate a disease outbreak, contain it, and then educate others so that the same situation doesn’t happen again NURS 4115 Week 3 Discussion-Preventing Disease in Communities.

    By Day 3

    Post your brief description and pictures of the site you visited. Share the answers you were given to the questions you posed. Then, respond to the above prompts through the eyes of a PHN asked to investigate an outbreak at this facility.

    Support your response with references from the professional nursing literature. Week 3 Discussion-Preventing Disease in Communities NURS 4115 Week 3 Discussion-Preventing Disease in Communities

  • NURS 4115 Week 1 Discussion

    NURS 4115 Week 1 Discussion – The Role of the Nurse in Global Health

    Healthcare burden is a common problem to both developed and developing nations due to shortages in healthcare workforce, high costs incurred for the services and minimal coordination of care among others.  Germany, in particular, provides services compared to India. However, both nations exhibit a rise in chronic diseases such as diabetes and heart disease as well as expensive healthcare services such as medical drugs. These diseases are heightened in the nations due to a…

    NURS 4115 Role of the Nurse in Public and Global Health Week 1 Discussion

    NURS 4115 Week 1 Discussion

    In this week’s media presentation, Dr. Louise Fitzpatrick shared how health and disease are global issues. She pointed out that with the mobility of today’s population, health issues experienced in one area of the world are easily brought to other areas of the world through such means as travel and immigration. They can also be brought to a nation’s doorstep through the migration of animals, insects, and birds. Consider the spread of infectious diseases such as HIV/AIDS, avian flu, H1N1, or SARS. These diseases have quickly crossed oceans and spread to multiple countries. They are a public health concern in the United States as well as other countries. NURS 4115 Week 1 Discussion

    ORDER A PLAGIARISM-FREE PAPER HERE

    To prepare for this Discussion:

    Reflect on Dr. Mancuso’s comments in this week’s media presentation; specifically, on the role of the BSN nurse in public and global health.

    Select one health problem that you will use as a basis of comparison between countries.

    Identify one developed and one developing country.

    Compare and contrast the health problems and countries you selected with the United States in terms of World Health Organization (WHO) outcomes. In your analysis, be sure to include information about workforce availability to deal with the country’s disease burden.

    Based on your examination of the research, how well is the United States performing in terms of public health as compared to the developed and developing countries you selected?

    Think about what countries with worse outcomes could learn from countries with better outcomes.

    Think about why nurses should be concerned with global health issues and what the role of the nurse should be in public health.

    By Day 3

    Post your analysis of one health problem between one developed and one developing country in comparison with the United States in terms of the WHO outcomes and criteria listed above. State your opinion about how well the United States is doing in terms of public health. Share what you think countries with worse outcomes could learn from countries with better outcomes. Explain the nurse’s role in public and global health and why nurses should be concerned with global health issues. Conclude by summarizing your view of the role of the nurse in public health.

    Support your response with references from the professional nursing literature.

     

    The Role of the Nurse in Global Health

    Healthcare burden is a common problem to both developed and developing nations due to shortages in healthcare workforce, high costs incurred for the services and minimal coordination of care among others.  Germany, in particular, provides services compared to India. However, both nations exhibit a rise in chronic diseases such as diabetes and heart disease as well as expensive healthcare services such as medical drugs. These diseases are heightened in the nations due to a poorly coordinated health care system coupled with a workforce shortage.

    High Chronic Infections

    Chronic diseases such as cancer, diabetes, respiratory diseases and cardiovascular diseases have resulted in 57 million deaths by the year 2008. These diseases have high mortality, morbidity and risk factors in both Germany and India. However, India exhibits high prevalence rates of chronic infections especially non-communicable diseases by 40% in all hospital stay and 30% of outpatients than Germany due to the inadequate facility. India has higher death rates of chronic diseases of 53% and 44% disabilities due to chronic diseases (Khosla, Patel & Sharma, 2012). There has been dwindling shift of the policy makers to prioritize the healthcare sectors to include prevention approaches as well as a low investment on personnel and formal systems towards such infections amidst every increasing population.  On the other hand, Germany has lower chronic disease prevalence. However, cardiovascular diseases are responsible for 39.7% deaths while new cases of cancers are at 16% which results in 25% of deaths in Germany (Schoen et al., 2010). NURS 4115 Week 1 Discussion

    High Healthcare Costs

    Both India and Germany exhibit high costs in healthcare services in both the public and private entities. Healthcare in Germany contributes to $ 500 every month for the employed and employers while the self-employed patients experience full payment. The same high costs in healthcare service delivery are experienced in India with worse cases of burden due to higher costs.  For example, the allopathic services provided in India are expensive which cannot be accessed by the common man coupled with high prices on drugs (Khosla, Patel & Sharma, 2012).

    Comparison of the Nations with the USA

    Comparisons of the nations with the USA reveal similarities. The countries exhibit high rates of chronic infections, and citizens experience high costs in healthcare coupled with low healthcare professionals.  However, German and USA have different coordinated care systems. While the USA face high fragmentation and privatized system in preventive and patient-centered care with no universal access to the healthcare system, Germany has a fairly fragmented system with universal access to the healthcare system. In some cases, the nurses provide uncoordinated healthcare delivery which results in increased healthcare problems (Schoen, et al., 2005). However, these nations have improved healthcare outcome due to proper planning of the limited resources that are channeled towards quality healthcare delivery, proper reorientation of the healthcare system and proper management that are patient centered. The Indian government should implement all these activities that experience poor outcome to exhibit a shift in healthcare outcome regarding higher quality with reduced mortality (Schoen, et al., 2005) NURS 4115 Week 1 Discussion.

    Role of Nurse

    Nurses are instrumental in ensuring the provision of quality healthcare delivery at the global level. However, the increased burden on the healthcare system is brought about by the high healthcare costs, uncoordinated healthcare delivery and a shortage of nurses which leads to high nurse-patient ratios. Conversely, the nurses should deliver high-quality care through the provision of well-coordinated services (Khosla, Patel & Sharma, 2012).

    In conclusion, healthcare problems are exhibited in both developed and developing nations especially in Germany and India. Such burdens are also experienced in the USA though the management of such issues varies in these nations.  Comparisons of the burden in both nations with the USA reveal similarities with differences regarding quality in healthcare delivery. Germany, in particular, has a higher quality of healthcare delivery at low cost compared to the USA while both countries are superior in care provision compared to India. However, the healthcare burden is exhibited in the three nations due to nurse workforce shortage against the high population especially the old age who need care. Thus, the healthcare professional should ensure the provision of well-coordinated healthcare services that are patient-centered NURS 4115 Week 1 Discussion.

    References

    Khosla, D., Patel, F. D., & Sharma, S. C. (2012). Palliative care in India: current progress and future needs.
    Indian Journal of palliative care
    ,
    18
    (3), 149.

    Schoen, C., Osborn, R., Huynh, P. T., Doty, M., Zapert, K., Peugh, J., & Davis, K. (2005). Taking the pulse of health care systems: experiences of patients with health problems in six countries.
    Health Affairs-Millwood VA Then Bethesda MA-
    ,
    24
    , W5.

    Schoen, C., Osborn, R., Squires, D., Doty, M. M., Pierson, R., & Applebaum, S. (2010). How health insurance design affects access to care and costs, by income, in eleven countries.
    Health Affairs
    , 10-1377 NURS 4115 Week 1 Discussion.

  • SBAR Template

    SBAR Template  

                                                  SBAR Assessment

    Situation:

    “What is going on with this patient?”

    Chief Complaint (what symptoms the patient came to the hospital with):

    Patient was involved in MVA going 45 mph and hit a tree.

    Diagnosis
    _Right Ankle Fracture
              
    Vital Signs:
    BP-108/71 P-76 Temp- 98.7 F; O2 Sat 99%
       
      

    Pain Level___
    6
    _________  Where_
    Rt leg, chest, & rt wrist_
    ______________

    Description_
    Acute, somatic, pain in rt leg, thorax, and rt wrist SBAR Template

     

    Allergies_
    NKA
    _

    Primary MD__
    Gannu
    _____________            
    Code Status (DNR?)
      N/A (Full code)

    ORDER A PLAGIARISM-FREE PAPER HERE

    Weight_
    76.2
    ___kgs                                          Isolation_____
    N/A
    ______________

    Date of admission__
    10/6/18
    ____________

    Background

    “What is the clinical

    Background?”

    PMH (Previous medical history including past surgeries)

    Diabetes Mellitus, Smoker, Bipolar, Mood Swings, Depression, Heroin Use

    Assessment

     

    “Head-to-toe assessment that I am going to chart into the EMR after I review it with my instructor organized by body system.”

     

    Respiratory (Resp)

    Respiration Rate ______
    16
    ___________   Lung Sounds_____
    Clear
    _____________

    Supplemental Oxygen __
    N/A
    _______LPM   Oxygen Saturations__
    99%___________

     

    Incentive Spirometry
    __unknown

    (I will check EMR next time & collaborate with Respiratory Therapist)

    Cardiovascular (CV)

     

    Heart Rate:
     
    Regular______________

     

    IVF’s __
    Saline Lock
    __________Rate_
    N/A
    _____________

     

    IV Site_
    Left mid forearm
    ______________ Start Date
    _10/6/18
    _________

     

    Edema (where/rate):
    rt wrist +1; rt lower limb (unable to assess due to ace bandage & splint)

    Pedal Pulses:
    Strong on left foot, unable to assess rt foot due to ace bandage & splint

     

    Neurovascular (Neuro)

    Alert and Oriented X4________ or

    Altered mental status___
    N/A
    ______                       Deficits__
    N/A
    _______

     

    Gastrointestinal (GI)

    Diet   
    Normal
    ______      Last Bowel Movement___
    10/8/18
    _________

     

    Assistance eating __
    no
    _______   Bowel Sounds__
    Present x 4
    _______________

     

    Any Drains present____
    N/A
    ________         Accuchecks __
    _90
    _________________

    Genitourinary (GU)

    Voiding__
    Yes
    __________                     Foley Catheter__
    N/A
    _______

     

    Description Of Urine
    unknown
    ___________________________________________

    ____________________________________________________________________

    I and O’s

    Input ____
    N/A
    _______         Output___
    N/A
    ________

     

    Musculoskeletal

    Activity
    _Limited
    __________                    Falls Risk Score_
    70
    ______  Falls Risk  Y

    SCD’s____
    N/A
    ________

    Assistive Devices _
    Walker
    ______________

    ROM _
    Non-weight bearing right leg, limited ROM

    Special Concern’s/Problems/ Scheduled events for the day

    Any wounds/ Skin Breakdown Present

    Location _
    Rt lower limb
    __ Dressing type
    Ace bandage; unknown dressing type     underneath
    __

    Presence of drainage from wound or on dressing (describe drainage characteristics)

    Unknown due to splint and ace bandage on right lower limb. No visible drainage through the ace bandage. Ace Bandage is dry and intact.

    Any diagnostic tests or procedures scheduled for today? No. SBAR Template

    10/6/18 -Head CT: No evidence of intercranial hemorrhage or acute findings within the brain.

    10/6/18-XR(Pelvic, Rt Knee, Rt Tib/Fib, Chest) Comminuted fracture of the distal fibula & medial malleolus w/o displacement. Bilateral fracture of the first ribs.

    Abnormal Labs from 10/9/18-
    Hematology:

    WBC 12.4 (H)(normal 4-11); monocytes 10.7%(H)(Normal 2-8%);Neutrophils# 8.2(H)(normal 1.5-8);monocyte # 1.3(H) (Normal 0.2-1.0)
    Chemistry
    : Na 132(L) (normal 135-145);BUN/Crea Ratio 21.0 (H) (normal 10-20)

    Physical Therapy_
    Yes, educated pt on how to ambulate w/o using NWB right leg
    ____

    Recommendation

    (Evaluation)

    What do you think should be done to help your patient

    This is a summary of your shift’s observations that could assist the next shift in planning  care for the patient

     

    Discharge Plan

    ·         Rest. Limit patient mobility, until right leg can bear weight. Eventual use of CAM boot when ambulating.

    ·         Place an ice pack on right lower limb in 20 minute increments 6-8 times/day

    ·         Elevate leg on pillows to help with swelling.

    ·         Compression. Continue with ACE bandage and splint on right leg for support and to ease swelling.

    ·         Continue with incentive spirometer 5-10 times every 2 hours. SBAR Template

    ·         Have patient wiggle toes on right foot often to promote blood flow.

    ·         Continue with physical therapy to learn how to safely ambulate using walker/crutches due to NWB status of right leg.

    ·         ROM exercises for unaffected joints of the body.

    ·         Consult with Social Services and Case Manager. Possible transfer to skilled nursing facility for rehab due to patient’s living situation SBAR Template.

     

     

     

     

     

     

     

     

     

     

     

     

     

     

    NUR 133 SBAR/Physical Assessment Tool Rubric-

     
     

    Student Name:

     

     

    Date:

     

    Section

    Satisfactory

    Needs

    Improvement

    Unsatisfactory

    Comments

    Basic Information

    All areas addressed

    Some areas addressed

    None of the areas addressed

     

    Neurologic

    All areas addressed

    Some areas addressed

    None of the areas addressed

    SBAR Template

    Skin

    All areas addressed

    Some areas addressed

    None of the areas addressed

     

    Head, Eyes, Nose, Throat

    All areas addressed

    Some areas addressed

    None of the areas addressed

     

    Respiratory

    All areas addressed

    Some areas addressed

    None of the areas addressed

     

    Cardiovascular

    All areas addressed

    Some areas addressed

    None of the areas addressed

     

    Gastrointestinal

    All areas addressed

    Some areas addressed

    None of the areas addressed

     

    Genitourinary

    All areas addressed

    Some areas addressed

    None of the areas addressed

     

    Musculoskeletal

    All areas addressed

    Some areas addressed

    None of the areas addressed

     

    Psychosocial

    All areas addressed

    Some areas addressed

    None of the areas addressed

    SBAR Template

  • NURS 6050 Week 1 Discussion Role of Government in the U.S. Health Care System Essay Examples

    NURS 6050 Week 1 Discussion Role of Government in the U.S. Health Care System Essay Examples

    Week One Initial Post: The Role of Government in the U.S. Health Care System

    After much consideration of the question; is healthcare a right or a privilege? I concluded that healthcare is a right. Our nation was founded on the idea that society should ensure an opportunity for “life, liberty, and the pursuit of happiness.” This is from our declaration of independence (Knickman & Kovner, 2015, p. 4). In those powerful words, I believe the Government has committed to all citizens the provision of healthcare. Healthcare is essential to life, which is necessary for all other human endeavors. The Government has a role to improve health policy by addressing access, cost, and quality (Laureate Education, 2012d). It is in so doing will all populations have a fair chance to live healthy productive lives. NURS 6050 Week 1 Discussion Role of Government in the U.S. Health Care System Essay Examples

    ORDER A PLAGIARISM-FREE PAPER HERE

    Adequate family income, high-quality educational opportunities, and being socially connected are all key factors that predict the health of a given person (Knickman & Kovner, p. 5). These indicators of good health create disparities in the health of the poor. In the United States, medical care, and its associated outcomes depend on ones’ income level, race, and geographical location (Knickman & Kovner, p. 8). The affordable care act has indeed made it possible for more people to have healthcare. The fact remains the insurance in many cases is not truly affordable. Individuals are paying exorbitant premiums and associated deductibles which may keep them from seeking medical care. But keep in mind that is the plight of the fortunate. Our Government has a lot of work to do still to make healthcare affordable and accessible to all.

    I chose to discuss how the issue of socioeconomic status is impacting healthcare delivery. At the heart of much of the day-to-day struggle among the nation’s poor is the persisting lack of access to adequate and affordable healthcare (Clarke, 2018). Clarke describes in a recent publication in U.S. Catholic the social disenfranchisement of poor Americans. He describes their increased risk for preventable diseases. The healthcare delivery organizations are plagued with the cost associated with managing these diseases of populations who can not pay for services received. Clarke considers the current state of health care a remarkable failure in an era when every other advanced economy has long managed to provide universal healthcare. I believe we are way beyond the ability of individual communities to help themselves. Subsidiarity urges that needs are best addressed at the lowest possible level of authority (Clarke, 2018). Clarke further explains that when the poor are faced with the challenges of mere survival as a direct result of the impoverishment of social supports, subsidiarity and personal responsibility break down. This current climate calls for the Government to step-up.

    References

    Clarke, K. (2018, 03). Poor Americans
    . U.S. Catholic,
    83, 42. Retrieved from
    https://ezp.waldenulibrary
    . Org/login?url=https://search-proquest-com.ezp.waldenulibrary.org/docview/2036351842?accountid=14872

    Knickman, J.R., & Kovner, A.R. (Eds.). (2015).
    Health care delivery in the United States
    (
    11
    th
    ed.). New York, NY: Springer Publishing.

    Laureate Education (Producer). (2012d).
    Introduction to healthcare delivery, part 1
    . Baltimore, MD: Author.

     

     

    The Role of Government in the U.S. Health Care System

    As stated in the course text, 
    Health Care Delivery in the United States
    , “the health care enterprise is one of the most important parts of the U.S. social system and of our economic system as well” (Kovner and Knickman, 2011, p. 4); however, with millions of citizens uninsured, rising costs, massive health disparities, and the need to improve quality and access, many view health care as a broken system. As such, it continues to be a significant political issue in the United States. Most agree that something needs to be done to fix the health care system, but the methods and solutions for addressing problems vary greatly, particularly with respect to the role government should play. Proponents of varying approaches often have strong, emotional opinions, making compromise difficult.

    In this Discussion, you will consider the role of government in health care, and you will examine the impact of a social, economic, technological, ethical, or legal issue on health care delivery.

    To prepare:

    With this week’s Learning Resources in mind, consider this question: Is health care a right or a privilege?

    Review the media presentation for this week, focusing on the role of the government in health care including Affordable Care Act.

    Pinpoint a social, economic, technological, ethical, or legal issue that could, or has, affected health care delivery in the United States.

    Locate a current article from the popular press (within the past 6 months) related to the health care issue you identified. How does this article inform your understanding of the influence of your selected issue in the health care debate?

    By Day 3

    Post
     your position on whether health care in the United States is a right or a privilege, and explain what you believe to be the proper role of government in health care. Justify your position. Explain how the social, economic, technological, ethical, or legal issue you selected is impacting health care delivery and whether this issue should be addressed by the government or by private entities. Identify the article you selected, and explain how this article informs your stance.

     

    Benjamin Fernandes

    The Role of Government in the U.S. Health Care System

    The question of: Is health care a right or a privilege, can be debated forever. According to the text, “our nation is built on the idea that society should ensure an opportunity for ‘life, liberty, and the pursuit of happiness’” (Knickman & Kovner, 2015, p. 4). Life being the key word in this statement. Health care is an important role in ensuring life. The statement “life, liberty, and the pursuit of happiness” is taken directly from our Declaration of Independence. Is not the role of the government to protect its citizens? The Patient Protection and Affordable Health Care Act 2010 (ACA) expanded the role of the government in health care. The ACA was designed to protect patient rights and make health insurance more available to the people. The theory was to make health care more available and affordable to the public. As this week’s video stated, the U.S. provides some of the best health care in the world as far as technology to deliver. The video also goes on to explain how on average, people in the U.S. end up pay more for health care in comparison to other countries (Laureate Education (Producer), 2012d).

    We are a pivotal place, waiting and watching, to see which direction our nation will go. We have two candidates debating on issues, and we will have to choose which person to lead our nation in the coming years. This is vitally important to myself and the state I live, much like others across this country. New Hampshire finds itself in a crisis with opiate abuse. According to a local newspaper, the issue is “More Americans are dying from opioids than at any time in recent history, with overdose deaths hitting a peak of 28,000 in 2014” (Ronayne, 2016). When speaking of ensuring life, this statistic is going in the wrong direction. Internationally, the BBC wrote an article about the heroin and opiate crisis in the U.S., writing “The US is in the throes of a heroin and opioid epidemic – drug overdose has become the leading cause of accidental death, overtaking traffic accidents” (Pressly, 2016). While one candidate is electing to stop drugs via policing and tackling the issue through the judicial system, the other is electing to put money toward health care. According to the Concord Monitor (Ronayne, 2016), the candidates plan “would send more money to states to expand drug treatment and mental health services, promote greater availability of the overdose reversal drug naloxone and support better prevention programs in schools, among other things.” In NH, we find ourselves with one of the worse rankings in opiate abuse and death rates. Even worse we rank in the bottom for resources for those suffering from addiction. As a nurse working in the busiest emergency departments in the state, we see the effects of having few resources available for our patients.

    The U.S. Constitution states that life is a right given to all citizens of the U.S. Providing health care to those citizens helps protect the same right.

     

     

    Post
     your position on whether health care in the United States is a right or a privilege, and explain what you believe to be the proper role of government in health care. Justify your position. Explain how the social, economic, technological, ethical, or legal issue you selected is impacting health care delivery and whether this issue should be addressed by the government or by private entities. Identify the article you selected, and explain how this article informs your stance.

     

    Health care in the United States has become a major topic of discussion. There are varying opinions on each end of the spectrum. In my opinion, I feel that health care is a right to all citizens of the United States. Working in the medical field, I have seen medical conditions that could have been prevented if the person had health care coverage. Of course, I have also witnessed instances where people abuse the system, but in my opinion, those cases are few and far between.

    I do not believe that no one should have to be sick or in constant pain to not have access to health care including those who are poor. I know some of the issues related to health care are that many believe that only those who pay taxes should have health care but I disagree. The United States government I believe should ensure that all citizens have health care.

    The United States government is one of the largest payers for health care with Medicare, Medicaid, and the Veteran Administration (VA) system (Laureate Education, 2012). And from personal experience, I firmly believe that the government can provide excellent health care coverage for citizens. There are many other industrialized nations including France and Canada that provide adequate health care for their citizens, and I believe the United States should do this as well. NURS 6050 Week 1 Discussion Role of Government in the U.S. Health Care System Essay Examples.

    As the Declaration of Independence says that our nation is built on “life, liberty, and the pursuit of happiness” (Knickman & Kovner, 2015). And by this, I take it to mean, that all citizens have the right to have the things they need including health care. I believe the government should create regulations that ensure all citizens have health care that they can afford and those who are disabled or poor should have access without limitations. Millions of Americans still lack insurance coverage or have inadequate coverage (Knickman & Kovner, 2015).

    An article I found titled “Health care in the United States: A right or a privilege,” discusses how health care is a right and not a privilege (Bauchner, 2017). The article states that a consensus needs to be made regardless of how health care is to be provided or who provides it (Bauchner, 2017). The article mentions the fact that since 2010, 22 million Americans have obtained health care coverage since implementing the Affordable Care Act (ACA) (Bauchner, 2017). One thing people should think about is how the government provides access to emergency services, education, postal service, military, and many other things, but has not found a way to provide health care for all citizens. NURS 6050 Week 1 Discussion Role of Government in the U.S. Health Care System Essay Examples.

     

    References

    Bauchner, H. (2017). Health care in the United States: A right or a privilege. Retrieved August 29, 2017, from http://jamanetwork.com/journals/jama/fullarticle/2595503

     

    Knickman, J. R., & Kovner, A. R. (Eds.). (2015). The current U.S. health care system. In
    Health care delivery in the United States
     (11th ed.). New York, NY: Springer Publishing.

     

    Laureate Education (Producer). (2012).
    Introduction to healthcare delivery, part I
    . Baltimore, MD: Author.

     

     

    Discussion – Week 1

    The Role of Government in the U.S. Health Care System

    As stated in the course text, 
    Health Care Delivery in the United States
    , “the health care enterprise is one of the most important parts of the U.S. social system and of our economic system as well” (Kovner and Knickman, 2011, p. 4); however, with millions of citizens uninsured, rising costs, massive health disparities, and the need to improve quality and access, many view health care as a broken system. As such, it continues to be a significant political issue in the United States NURS 6050 Week 1 Discussion Role of Government in the U.S. Health Care System Essay Examples. Most agree that something needs to be done to fix the health care system, but the methods and solutions for addressing problems vary greatly, particularly with respect to the role government should play. Proponents of varying approaches often have strong, emotional opinions, making compromise difficult.

    In this Discussion, you will consider the role of government in health care, and you will examine the impact of a social, economic, technological, ethical, or legal issue on health care delivery.

    To prepare:

    With this week’s Learning Resources in mind, consider this question: Is health care a right or a privilege?

    Review the media presentation for this week, focusing on the role of the government in health care including Affordable Care Act.

    Pinpoint a social, economic, technological, ethical, or legal issue that could, or has, affected health care delivery in the United States. NURS 6050 Week 1 Discussion Role of Government in the U.S. Health Care System Essay Examples.

    Locate a current article from the popular press (within the past 6 months) related to the health care issue you identified. How does this article inform your understanding of the influence of your selected issue in the health care debate?

    By Day 3

    Post
     your position on whether health care in the United States is a right or a privilege, and explain what you believe to be the proper role of government in health care. Justify your position. Explain how the social, economic, technological, ethical, or legal issue you selected is impacting health care delivery and whether this issue should be addressed by the government or by private entities. Identify the article you selected, and explain how this article informs your stance.

    Read
     a selection of your colleagues’ responses. Focus particularly on those questions raised to which you can add comments based on shared experiences or situations. Consider how your colleagues’ postings reflect and/or differ from your own perceptions and opinions.

    By Day 6

    Respond
     to at least two of your colleagues 
    on two different days
     in one or more of the following ways:

    Ask a probing question, substantiated with additional background information, evidence, or research using an in-text citation in APA format.

    Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

    Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

    Validate an idea with your own experience and additional research NURS 6050 Week 1 Discussion Role of Government in the U.S. Health Care System Essay Examples.

    Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.

    Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

    Reference:

    Kovner, A. R., & Knickman, J. R. (Eds.). (2011). Health care delivery in the United States (10th ed.). New York, NY: Springer Publishing.

    Click on the 
    Reply
     button below to reveal the textbox for entering your message. Then click on the 
    Submit
     button to post your message.

    Healthcare, A Right Or A Privilege?

    In today’s world, we know that healthcare is both accessible and inaccessible, depending on many factors. I believe that every person should be provided, safe and efficient care. “The World Health Organization (1984) defines
    health
    as “a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity.”(Knickman and Kovner, 2015) NURS 6050 Week 1 Discussion Role of Government in the U.S. Health Care System Essay Examples. Everyone should be able to have access to services that would help to improve or sustain their health. It is hard as a nurse to know that patients will cancel their appointments or ultrasounds because the cost will be a financial burden for them. That is not making healthcare a privilege, it makes it inaccessible and untrustworthy. For example, I had lab work ordered from my physician, I had called my insurance company to check if the tests would be covered. The insurance company could not tell me how much the procedure would cost, or if I would get a bill, they could not even give me an estimate on the cost. I am stable enough that I had the test done, and was able to afford the bill, but what about the patients that are not. There is a way of making changes in healthcare and making it more accessible and affordable for patients.

    Whether healthcare is a privilege, or a right can easily relate into the role of the government in healthcare. The government should be able to provide affordable care, whether from private insurance companies or government agencies. “In comparison to England, Canada, France, and China, the United States pays significantly higher prices for medical care” (Knickman and Kovner, 2015) NURS 6050 Week 1 Discussion Role of Government in the U.S. Health Care System Essay Examples. Relatively speaking the US could negotiate prices of services before they have been provided, instead of after. Between local, state and federal government there are many hands in the pot of healthcare. To take better care of our population, insurance and accessibility of care need to be reviewed and revised by the government.

    Recently, I read an article about the presidential administration making it easier for consumers to buy temporary healthcare plans at a more affordable rate than previously available. In this article, Luhby states “The Trump administration estimates that 200,000 Obamacare enrollees will move to short-term plans next year. Also, 300,000 people who now buy individual market polices outside of the Obamacare exchanges will switch to short-term plans and another 100,000 uninsured folks will purchase them next year” (2018). This seems a good way to help those who may have a gap in their insurance or cannot afford a very high premium. It would surely make healthcare more accessible to those with some sort of financial woe NURS 6050 Week 1 Discussion Role of Government in the U.S. Health Care System Essay Examples.

    References

     
    Knickman, J. R., & Kovner, A. R. (Eds.) (2015). Health Care Delivery in the United States (11
    th
     ed.). New York, NY: Springer Publishing.

     
    Luhby, T. (2018, August 01). Trump administration makes it easier to buy alternative to Obamacare. Retrieved from https://www.cnn.com/2018/08/01/politics/obamacare-short-term-health/index.html NURS 6050 Week 1 Discussion Role of Government in the U.S. Health Care System Essay Examples

  • GCU NU646E week 3 SBAR Clinical Log Essay Assignment

    GCU NU646E week 3 SBAR Clinical Log Essay Assignment

    Assignment: SBAR Clinical Log

    Complete the “SBAR Clinical Log” to document your total clinical hours completed to date, a description of observations and tasking completed, and additional comments regarding your practicum Experience. You will also complete the “SBAR,” section of the form related to a patient you have assessed during your clinical experience thus far .GCU NU646E week 3 SBAR Clinical Log GCU NU646E week 3 SBAR Clinical Log Essay Assignment

    ORDER A PLAGIARISM-FREE PAPER HERE

    You 
    must
     proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. GCU NU646E week 3 SBAR Clinical Log Essay Assignment. Handwritten corrections are preferable to uncorrected mistakes.

    Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.  GCU NU646E week 3 SBAR Clinical Log Essay Assignment

    Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

    The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

  • NURS 6050 Agenda Comparison Grid and Fact Sheet Example

    NURS 6050 Agenda Comparison Grid and Fact Sheet Example

    Agenda Comparison Grid Template

    Agenda Comparison Grid
    and Fact Sheet or Talking Points Brief Assignment Template for Part 1 and Part 2

    BUY A PLAGIARISM-FREE PAPER HERE

    Part 1:
    Agenda Comparison Grid

     

    Use this
    Agenda Comparison Grid
    to document information about the population health/healthcare issue your selected and the presidential agendas. By completing this grid, you will develop a more in depth understanding of your selected issue and how you might position it politically based on the presidential agendas. NURS 6050 Agenda Comparison Grid and Fact Sheet Example

     

    You will use the information in the Part 1: Agenda Comparison Grid to complete the remaining Part 2 and Part 3 of your Assignment.

     

     

    Identify the Population Health concern you selected.

    Abortion

    Describe the Population Health concern you selected and the factors that contribute to it.

    Abortions has been a debate in healthcare for many year, but most recently, it has become a huge topic of discussion and debate in politics. Abortion laws affect many different populations and there are many factors that contribute to the debate. Factors that contribute to abortion are the effects abortion has on birthrates, the economic impact of abortion, changes of sexual behavior among teens. A recent study was performed to determine the factors affecting the mental well-being of a woman after abortion. Implications of the study included; Source of stress experienced by women after abortion and the effects abortion has in regards to religious beliefs (Annas, G. n.d.). According to a 2011 study of the British Journal of psychiatry 81 percent were likely to experience a mental health disorder such as anxiety disorder, depression, alcohol abuse, marijuana abuse, and suicide (Laguna Treatment Center, 2019). Other studies, found that women were more emotionally stressed if they were denied an abortion (Laguna Treatment Center, 2019). The reason for this was they were not prepared to have children, rape, the child had birth complications, and parents of the child were unable to care for the baby, or shame. NURS 6050 Agenda Comparison Grid and Fact Sheet Example

     

    Administration (President Name)

    (Current President)

    Donald Trump

    (Previous President)

    Barack Obama

    (Previous President)

    George W. Bush

    Describe the administrative agenda focus related to this issue for the current and two previous presidents.

    On January 19, 2018, while speaking to participants at the annual March for Life, a rally for activists who opposed abortion, President Donald Trump said that his administration “will always defend the very first right in the Declaration of Independence, and that is the right to life. We are protecting the sanctity of life and the family as the foundation of our society (whitehouse.gov, n.d.). President Trump is % against abortion. He has always maintained that is and will always be the case for him as long as he is president.

     

     

     

     

     

     

     

     

     

    Obama strongly supported a women’s right to choose to terminate her pregnancy for any reason through legal and safe abortion procedures as defined by Roe. Obama wound do just about anything and everything he could to preserve a women’s right to affordable and unfettered abortion on demand as promoted by tax subsidized abortion providers like Planned Parenthood. (
    www.nrlc.org
    , April, 201). He believed it was a moral issue and did not feel the government should be involved. Obama enacted the freedom of choice Act in 2008, which would codify the right to abortion by eliminating all federal and state-level restrictions on the procedure (The federalist, 2019 para.9).

    President Bush is likely the president that was the most sensitive on the subject than the other two presidents.

    Bush supported a constitutional amendment making the procedure illegal – except in cases of rape, incest and when the woman’s life was in jeopardy. But he also added that Americans didn’t support the measure, so there was no need to pursue it. He also added that he not require his Supreme Court nominees to pass an anti-abortion litmus test (Abortion without the rhetoric, 2012). He did not believe in intentional death of babies, but he  believed women should have some rights initially, but then he took away funding, and settled for Partial abortion.

    Identify the allocations of financial and other resources that the current and two previous presidents dedicated to this issue.

    Trump signed an executive order reinstating the ban known as the Mexico City Policy. This policy prohibits the U, S. giving federal family planning funding to international health groups that provide abortion care” (Freiburger, C., 2019).This would include organizations such as Planned Parenthood.

    Shortly afterwards, the President’s press secretary Sean Spicer made a bold statement that stated, “ Mr. Trump was/is standing up for all Americans – including the unborn” (Freiburger, C., 2019).

     

     

     

     

     

     

     

    The Obama administration finalized a rule to stop states from withdrawing federal money from Planned Parenthood and other health clinics that provide abortions.

    The protections were in effect two days before Donald Trump took office.

    Under the rule, states are legally required to distribute federal funds for services related to contraception, fertility, pregnancy, sexually transmitted infections and breast and cervical cancer screening, regardless of whether they also perform abortions (Annas, G. n.d.).

     

    NURS 6050 Agenda Comparison Grid and Fact Sheet Example Upon taking office, President Bush reinstated the “Mexico City Policy,” also known by critics as the “Global Gag Rule.” This rule required that all non-governmental organizations (NGOs) that receive federal funding must refrain from performing or promoting abortion services (prolifeprofiles.com, n.d.).

    Explain how each of the presidential administrations approached the issue.

    Trump’s major actions on abortion during his first two years in office were: Signing a resolution that allowed states to withhold federal funding for health care providers that perform abortions into law; Reinstating the Mexico City Policy, which prohibited foreign aid and federal funding for international NGOs that performed abortions or offered related services; and issuing a proposal to modify the Title X family planning program that proposed making family planning clinics that refer patients for abortions and share finances or facilities with abortion providers ineligible to receive funding from the program. Additionally, healthcare providers would not be required to provide abortion counseling if it violated their moral or religious beliefs (Israel, M., 2018).

     

     

     

     

     

     

     

     

    As president, Obama dedicated himself to promoting abortion, rather than reduce them as he promised. He has done this by; expanding abortions through Obamacare, appointing a bevy of pro-abortion judges and officials, moving to strip medical professionals of conscience rights, and forcing taxpayers to fund groups who provide abortions in other countries (Annas, G. (n.d.).

    NURS 6050 Agenda Comparison Grid and Fact Sheet Example

    On November 5, 2003, Bush signed into law the “Partial Birth Abortion Ban Act,” which prohibited a form of late term abortions dubbed “partial birth abortions” by pro-life groups and referred to in medical literature as “intact dilation and extraction.”  Under this law, “Any physician who, in or affecting interstate or foreign commerce, knowingly performs a partial-birth abortion and thereby kills a human fetus shall be fined under this title or imprisoned not more than 2 years, or both.” In 2007 its constitutionality was upheld by the U.S. Supreme Court, in the case of Gonzales v. Carhart; Bush supported the Texas Parental Notification Law which required doctors to notify a parent or guardian by phone or certified mail at least 48 hours before performing an abortion on a minor girl.  It also allowed a judicial bypass where extenuating circumstances existed, provided a $10,000 fine for failing to notify and waived notification in cases of medical emergency.

     

    In his own words he stated, “I will lead our nation toward a culture that values life — the life of the elderly and the sick, the life of the young, and the life of the unborn. I know good people disagree on this issue, but surely we can agree on ways to value life by promoting adoption and parental notification, and when Congress sends me a bill against partial-birth abortion, I will sign it into law”

    (On the issues.org, n.d.).

     

    Part 2: Agenda Comparison Grid Analysis

    Using the information you recorded in Part 1: Agenda Comparison Grid, complete the following to document information about the population health/healthcare issue your selected

     

    Administration (President Name)

    (Current President)

    (Previous President)

    (Previous President)

    Which administrative agency would most likely be responsible for helping you address the healthcare issue you selected?

     

    The Centers for Disease Control and Prevention (CDC), the government agency currently responsible for compiling U.S. abortion data.

     

    In 1996, as well, the Food and Drug Administration (FDA) took significant steps toward approving the use of medical (nonsurgical) abortion in the United States, essentially by “preapproving” the use of mifepristone, popularly known as RU 486, as an abortifacient.

     

    The Department of Health and Human Services play a huge role in addressing administrative policies for abortions.

     

     

     

    How do you think your selected healthcare issue might get on the agenda for the current and two previous presidents? How does it stay there?

    President Trump addressed abortion often in his run for president. He has already addressed the issue as the president. President Trump’s first day in the Oval Office on Monday, he signed a ban on federal money going to international groups that perform or provide information on abortions.

    During his first week in office, Obama made it clear that he would support abortion when he made it a priority to overturn the Mexico City Policy. Republican President Ronald Reagan first created the Mexico City Policy in 1984, stopping funding for international groups which perform or provide information on abortions. It was reinstated by George W. Bush and then it was overturned again by President Barack Obama in 2009 (Bilger, 2018).

    NURS 6050 Agenda Comparison Grid and Fact Sheet Example

    The Mexico City Policy created by President Reagan was reinstated when President George W Bush took over in 2001. Also in 2001, President Bush declared that federal funds could not be used for embryonic stem cell research, which requires the destruction of human embryos. Instead, Bush promoted adult stem cell research, which does not destroy embryos. In 2002, Bush signed the Born-Alive Infants Protection Act, which extends legal protection to infants who survive induced abortions by providing them with identical legal protections as babies who are born prematurely.

     

    In 2003, President Bush signed into law the Partial-Birth Abortion Ban Act, which prohibits late-term abortions.

     

    In 2004, Bush signed the Unborn Victims of Violence Act, which defines a child “in utero” at any stage of development as human, and accords the child the legal rights of the victim if subject to certain crimes that involve death or injury.

     

    In 2005 and 2006, Bush appointed two pro-life justices, Justice John Roberts and Justice Samuel Alito, respectively, to the U.S. Supreme Court.

     

    In 2007, both justices voted to uphold the federal Partial-Birth Abortion Ban Act of 2003, which was challenged in a lawsuit.

     

    In 2007, Bush also sent congressional Democratic leaders a letter threatening to veto any bill that weakened existing pro-life policy.

     

    In 2008, Health and Human Services Secretary Mike Leavitt issued a regulation to protect the rights of federally funded health care providers to decline to participate in services to which they morally object, including abortion.

    (Ryan, 2009).

    Who would you choose to be the entrepreneur/ champion/sponsor of the healthcare issue you selected for the current and two previous presidents?

    I personally would choose President George W. Bush. His stand on abortion laws were more from a sympathetic and personal approach. He was very much a Christian President and this played a big role into his views and his acts on the subject, while the others are very much opposite. President Trump does not seem to view the sides of abortion that in fact may warrant it, such as a rape victim. President Obama is very much an advocate for abortion and is adamant that abortions should be a choice for women regardless of the reason. He does not seem to have regard for anyone’s ethical or religious beliefs on the matter.

    References:

    Abortion without the rhetoric. (2012, April 04). Retrieved from https://abortion.info/politics/presidents-and-abortion/george-w-bush-2001-2009/

    Annas, G. (n.d.). Abortion Politics and Health Insurance Reform | NEJM. Retrieved from https://www.nejm.org/doi/full/10.1056/NEJMp0911513.

    Bilger, M. (2018, December 13). Barack Obama, The Abortion President, Receives Human Rights Award. Retrieved from

    Barack Obama, The Abortion President, Receives Human Rights Award

    Freiburger, C. (2019, February 22). Trump admin cuts $60 million from Planned Parenthood. Retrieved from
    https://www.ontheissues.org/Celeb/Donald_Trump_Abortion.htm

    George W. Bush Former President of the U.S. (R) Tier 4 – Personhood Never. (n.d.). Retrieved from http://prolifeprofiles.com/george-w-bush-abortion

    Ryan, J. (2009, January 16). Bush Had Best Pro-Life Record of Any President, Say Pro-Life Groups. Retrieved from
    https://www.cnsnews.com/news/article/bush-had-best-pro-life-record-any-president-say-pro-life-groups
    .

    The Federalist. (2019). How The Obama Presidency Normalized Abortion Extremism. Retrieved from https://thefederalist.com/2019/03/04/how-the-obama-presidency-normalized-abortion-extrimism/

     

     

    Note: Part 3: of the Module 1: Assignment: Agenda Comparison Grid and Fact Sheet or Talking Points Brief is a 1-page Fact Sheet or Talking Points Brief the you will create in a separate document. NURS 6050 Agenda Comparison Grid and Fact Sheet Example

  • NURS 6501 Pathophysiology Crohn’s Disease essay

    NURS 6501 Pathophysiology Crohn’s Disease essay

    Assignment: Pathophysiology Crohn’s Disease

    Write a 1500-2000 word APA formatted essay of the following topics: Explain the pathogenesis with common clinical presentation of celiac’s disease Analyze the pathophysiology Crohn’s disease and relate genetic issues Differentiate between hepatitis A, B, C, and viral hepatitis Elaborate on the pathogenesis and pathophysiology of pancreatic cancer Complete Case Study #26 (nausea and vomiting) in the Bruyere textbook

    ORDER A PLAGIARISM-FREE PAPER HERE

    You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

    Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages. NURS 6501 Pathophysiology Crohn’s Disease essay

    Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

    • The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument. NURS 6501 Pathophysiology Crohn’s Disease essay.

  • SOC 320: Public Policy & Social Services Essay

    SOC 320: Public Policy & Social Services Essay

    SOC 320: Public Policy & Social Services

    For your journal entry, you will explore aspects of your personal experience and beliefs regarding significant public policies and what you have learned in your readings.  For this journal assignment review the following resources:

    Rebecca Onie: What if our healthcare system kept us healthy?

    Health Reform Hits Main Street: The YouToons Explain the New Health Law.

    Illustrating Health Care Reform: How Health Insurance Coverage Will Work.

    As you reflect on these resources, please address the following questions:

    BUY A PLAGIARISM-FREE PAPER HERE

    What are the major current health care issues and policies in the United States today?

    In my opinion, the policies surrounding this health care issue and the people who make them, are not thinking twice about preventative care and are not concerned with preventing illness but seemingly are willing to promote the use of more medication instead of treating the real issues at hand. Medication is not always the correct answer, there are problems at home that cause the illness, but no one seems to care. If we chose to care, then we would realize that prescribing medicine isn’t the one and only answer. One of the interesting things about the policy treatment was when Rebecca Onie spoke to Dr. Geiger about how the Washington beaurocrats expressed to him how he was not allowed to prescribe food for patients, and Dr. Geiger explained to them that food is the prescription for malnutrition (Onie, 2012). SOC 320: Public Policy & Social Services Essay. I am not sure that everyone has the best intent in mind for the health of the nation. Everyone has this straight and narrow path they are supposed to follow, but no one ever bothers to take a turn and consider the other options. It always comes down to how much money matters, whatever is cheaper wins.

    What is the Patient Protection and Affordable Care Act – 2010?  How did this policy change the health care system in the United States?

    The Patient Protection and Affordable Care Acts are the actions of the government to help Americans become insured so that everyone has the chance to see a doctor and become a healthier person in the process. Before this, the government did not guarantee any access to healthcare and did not provide access for certain groups (Theodoulou & Kofonis, 2012). What this means, is that there were no legal protections or any way around to receiving healthcare for individuals with certain health conditions. If you did not have any way to pay for your healthcare, then you were not insured plain and simple. Insurance plans were able to discriminate against you based on your health condition or concerns. If you had something severely wrong with you, the health insurance companies were allowed to say no, simply because you were too much of a risk. Also, the access to care was a choice and not necessarily a right of a citizen (Theodoulou & Kofonis, 2012). This quote talks about the rights of doctors, hospitals, and other physicians to have the choice not to see neither accept an individual as a patient based upon current health status and any pre-existing condition which the patient may be dealing with. This system was based solely on one’s ability to pay for services and not for the medical need neither necessity of the service SOC 320: Public Policy & Social Services Essay.

    Describe one strength and one weakness of the Patient Protection and Affordable Care Act – 2010.

    Since the (ACA), Affordable health care is now guaranteed, the ability to put a decision back into the hands of the individuals and not of the hands of the physician, is the best modification. Also, the name of the Affordable Care Act can be somewhat of a misleading term. Personally, I thought that it meant that insurance would be affordable for everyone to get However, I have learned that affordability is not always what we believe. I’m glad that we now have somewhat of choice and that those who could previously not be covered can now have coverage. However, affordability has a lot to do with our health status as well! In this way, the naming of the ACA is somewhat of a misleading term. However, it is still a good plan that has been put in place so that people may have some way to guarantee they can receive insurance benefits. The requirements of the required health insurance is a weakness of the ACA. Some people cannot afford insurance and trying to base it on someone’s income with rising costs of living it is not so simple to say based on one’s income that someone should be able to afford a certain amount for insurance payments.

    How are you affected by healthcare policies in the United States? If you are not affected, why not?

    I do not believe that there is a single person that has not been affected by the healthcare policies in the United States. The policies do not deal with only one set of health insurance, but they are also involved in the stipulations for help with Medicare, Medicaid and other federally funded aid programs to cover healthcare. Personally, I do not have to pay for health care because my husband is in the military SOC 320: Public Policy & Social Services Essay. Lucky for me none of this is a concern but what about the individuals who are not military and do have to worry about this? Those people could die, God forbid, from complications with illnesses simply because they don’t have the money obtain medical insurance. Or, they don’t have money to purchase the food required to keep them healthy. The policies that are currently in place are better policies which have positively affected many people. However, those same policies also drive insurances out of the State exchange programs and into private sectors which lead to less competition within the exchanges and thereby driving the costs higher even for those who will get “extra help” to cover some of the costs of insurance. So, although tax credits are received with the ACA, those credits are not always enough to get someone over the hurdle of affordability (Kaiser Family Foundation, 2010).

    What were your thoughts on the healthcare system in the United States prior to this week’s readings? How has your perspective been either reinforced or changed now that you are more informed?

    My thoughts on the healthcare system have not changed before reading this week’s required readings, and will probably not change soon. The ACA is a game changer, and it is a good thing that it has been implemented. However, the costs that are associated with healthcare are not beneficial to individuals who are healthy. If it is mandatory that people purchase health insurance, there must be some added value to those purchases. Having to pay more than 4,000 dollars a year for heath insurance is a little outrageous. Realistically speaking, many young people are healthy and are being forced to pay for this health insurance that they can not afford. At the end of the day, I’m not sure how to change the healthcare system for the better but forcing someone who can not afford health care is not the road to go down. Although there were a few things I liked in the Paul Ryan’s replacement plan, it also still lacks the fundamentally of what we need as a country. SOC 320: Public Policy & Social Services Essay.

    The purpose of the journal activity is to allow you to thoroughly reflect upon what you have learned during this course, particularly this week, and to provide you with an opportunity to relate this what you have learned this week to your experiences. The reflective journal is not a formal written assignment. However, you are expected to adhere to conventional rules of grammar, sentence structure, spelling, and punctuation while focusing on clearly conveying your thoughts.

    References:

    Kaiser Family Foundation. (n.d.). Illustrating health care reform: How health insurance coverage will work [Interactive map]. Available from http://healthreform.kff.org/profiles.aspx

    Kaiser Family Foundation (Producer). (2010).
    Health reform hits Main Street: The YouToons explain the new health law
    [Video file]. Available from http://healthreform.kff.org/the-animation.aspx

    Onie, R. (2012).
    Rebecca Onie: What if our healthcare system kept us healthy?
    [Video file]. TEDMED. Available from http://www.ted.com/talks/rebecca_onie_what_if_our_healthcare_system_kept_us_healthy.html

    Theodoulou, S. Z. & Kofinis, C. (2012).
    The policy game: Understanding U.S. public policy making
    . San Diego, CA: Bridgepoint Education, Inc. SOC 320: Public Policy & Social Services Essay.

     

    Public policy is one way that society addresses social problems through the use of laws and regulations adopted by governments.  In this discussion, review the American Sociological Association article
    Sociology and Public Policy
    (Links to an external site.)Links to an external site.
    and address the following:

    1. Consider and explain the following statement, “Public policy is both what government does and what it does not do” (Theodoulou & Kofinis, 2012).

    2. What determines whether a policy is enacted or not?

    3. Who holds the power and authority to create, enact and/or change public policy?

    4. What is the difference between public versus private concerns in relation to policy making and the government’s role in this process?

    5. Describe two ways that social science research helps to design good public policies.  Why are social science research skills important for analyzing the impact of existing policies?

    Your initial post should be at least 300 words in length. Support your points with scholarly references, appropriate citations, and full references at the conclusion of your post. Cite your sources in APA format.

    http://www.asanet.org/sites/default/files/savvy/footnotes/apr09/asa-forum_0409.html

    https://content.ashford.edu/books/AUSOC320.13.1/sections/sec1.2 SOC 320: Public Policy & Social Services Essay

     

    SOC 320 Public Policy & Social Services

    Public Policy on Social Security

    Introduction

    Thesis Statement

    It is not difficult to understand why Social Security is our country’s most popular government program. The Social Security program began as a way to implement “social insurance” during the Great Depression when poverty rates exceeded more than 50 percent for senior citizens living in America when a great number of people were negatively affected by economic conditions. According to Theodoulou & Kofinis (2012) the Depression indicated that many were not saving sufficiently for retirement, much less an economic emergency. With that being said, Social Security has sparked a debate between public and private perspectives as funding for the program has become more an issue than ever before. Therefore, this paper will look at the issues and changes in Social Security and how it seems to teeter on promoting “equality” and efforts to provide “adequate” and affordable protection for the citizens of the United States.

    Body paragraph #1- Topic Sentence #1

    The original purpose of Social Security was to offer an insurance policy for retirees. This plan had an employee work force providing money for the Social Security fund in an effort to pay those in retirement. However, along the way the life expectancy of individuals increased and the ratio of those actively working and those in retirement started to drop (Anders & Hulse, 2006). This meant that the money that was coming in would not be enough to support the money that was going out. SOC 320: Public Policy & Social Services Essay.

    Supporting Evidence

    In 1983, a Social Security Trust Fund was created to use the excess funds from payroll tax revenue in an attempt to overcome the shortfall in future Social Security needs (Morse, 2011). These funds were to be invested so that the funds would grow and protect the system for years to come.

    Explanation

    The system that was created to grow and protect the funds, instead the funds were placed into non-negotiable treasure bonds, which would be just like having an “IOU” from the government.

    So What?

     
    References

    Anders, S. B., & Hulse, D. S. (2006). Social security: The past, the present, and options for reform.
    The CPA Journal, 76
    (5), 20-31. Retrieved from
    http://search.proquest.com/docview/212258051?accountid=32521

    Morse, D. E. (2011). Social security is in the red.
    Benefits Law Journal, 24
    (2), 1-3. Retrieved from
    http://search.proquest.com/docview/866765228?accountid=32521

    Theodoulou, S. Z. & Kofinis, C. (2012).
    The policy game: Understanding U.S. public policy making
    . San Diego, CA: Bridgepoint Education, Inc. SOC 320: Public Policy & Social Services Essay.