Rationing of Health Care

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In Oregon, the Medicaid program was extended to thousands of Oregonians who had previously been uninsured. To help pay for this extension, the breadth of services available to Medicaid recipients was reduced such that recipients lost access to some care that might have been beneficial. You are the Governor of Oregon and you have to testify in a lawsuit alleging that the program is unfair because it deprives Medicaid recipients of certain services enjoyed by privately insured people. What is your response?

Case Study: Identify a patient with multiple and complex chronic health care needs (Patient should have a minimum of three chronic health conditions)

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Description Please, follow assignment instructions. 1- Assessment 2 & Criteria Rubric: Follow instructions as mentioned. 2- Assessment Criteria Sheet: Write for band 7. 3- Other important points: You will find Nursing databases for articles. 4- References: You can use only the one, which highlighted in yellow color. 5- References: Use 30 References (Peer-reviewed articles within 5 years). 6- Please look for the link: https://www.youtube.com/watch?v=_uYY2nd-d_k

Putting it All Together

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You currently work for the development department of Sunny Manor Nursing and Rehab Center. Sunny Manor was once a privately owned small skilled nursing home in Sunny Beach, Florida until it was sold 6 years ago to a larger group of investors known for buying older nursing homes and developing them into larger more modern skilled nursing and rehab centers. Sunny Beach itself is a small retirement community close to larger beach towns. Most of the residents are 55 years or older, and there is a growing population of 70+ retired adults. However, the city is known for being technologically advanced for a retirement community. In fact, the city has a popular social media page followed by many residents and a very popular online newsletter that can be accessed through most social media programs. Also, 5 years ago, a brand new hospital opened just outside of Sunny Beach. This brought some the top physicians and surgeons in the state to the area. Sunny Manor recently finished a major renovation, updating the previous long-term-care wings and adding a new wing with 20 new rooms. The new wing is solely dedicated to sub-acute rehab services, and the facility also added a new updated therapy room with an expanded therapy staff and modern high-tech equipment. After working in care coordination and admissions for the past several years, you have been promoted to the development department and tasked with marketing the new facility. The goal is to build a stronger relationship with the discharge staff and physicians at the new hospital and expand a broader reach to the community. The first step is for you to analyze and research the changing community and develop a marketing proposal for your boss, the director of development, on how to best connect with the community of Sunny Beach and increase referrals from the new hospital. For this task, develop a summary marketing proposal on the above scenario that includes the following elements: Evaluate the potential impact of the updated facility and new therapy services on potential improvements in patient satisfaction and developing new marketing share. Assess possible methods to build rapport within Sunny Beach and surrounding communities. Develop a plan for communicating with the community better through social media by connecting Sunny Manor to the residents of Sunny Beach through digital marketing. Provide details on how ongoing research into the community will help Sunny Manor stay ahead of the competition and well connected with community. Consider concepts in monitoring the changing demographics of the community and growing health care sector. Propose a research design model including all the key elements of the research design. Apply an assessment tool and implementation plan such as the Model for Improvement (Plan-Do-Study-Act [PDSA]). Conclude with recommending models and/or tools that will be used to evaluate the effectiveness of the development teams’ efforts on an ongoing basis . The body of the resultant report should be 6-7 pages and include at least 7 relevant peer-reviewed academic or professional references published within the past 5years.

Community health/Teaching

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The benchmark assesses the following competencies: 3.3 Provide individualized education to diverse patient populations in a variety of health care settings. The RN to BSN program at Universities meet the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities. Based on the feedback offered by the provider, identify the best approach for teaching. Prepare a presentation based on the Teaching Work Plan and present the information to your community. Options for Delivery Select one of the following options for delivery and prepare the applicable presentation: PowerPoint presentation – no more than 30 minutes Pamphlet presentation – 1 to 2 pages Poster presentation Selection of Community Setting These are considered appropriate community settings. Choose one of the following: Public health clinic Community health center Long-term care facility Transitional care facility Home health center University/School health center Church community Adult/Child care center Community Teaching Experience Approval Form Before presenting information to the community, seek approval from an agency administrator or representative using the “Community Teaching Experience Approval Form.” Submit this form as directed in the Community Teaching Experience Approval assignment drop box. General Requirements While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. ATTENTION: Please pick long -term care facility option as the preferred community setting.

The Role of Economic Principles in Healthcare Decision Making

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In your readings this week, you explored the basic economic principles of trade, choice, opportunity costs, and scarcity, along with the law of demand. What are the potential positive and negative impacts of applying these principles to the healthcare industry? How do you think a healthcare organization should balance the economic principles described with issues of health, life, and death in terms of its policy decisions and strategic planning? Can you put monetary value on a life?

The critical health care issue in my community public healthissue is sudden infant death syndrome SIDS

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Suppose your organization is concerned about a number of health issues that have either affected an increased number of the residents in the community or show the probability of affecting a larger number of people in the population. Your organizational leaders have asked different health care professionals within the organization, including you, to examine the issues from your perspective, and to submit a report that includes evidence-based ways to address the issues. The critical health care issue in my community public healthissue, is sudden infant death syndrome (SIDS). Then, look in the Internet for statistics and peer-reviewed or professional resources to use in preparing your report. Format this assessment as a professional report. It may help to look at reports or other documents used within your organization and to follow that formatting. You must still follow APA guidelines for in-text citations and references, and include a title page and reference page. Within the report: • Describe one critical health issue in your community or state that has grown larger or has the potential to become larger. Be sure to include any statistics available on the health issue. Tip: check your county and/or state health department Web site. • Explain the factors that contribute to this health issue. Consider things such as access to health care services, economics, culture, attitude, education, health care policies, and so on. • Describe any interventions your community or state has put in place to address the health care issue. Include information on how long the interventions have been in place, how the community was made aware of the interventions, and so on. • Describe the scope and role of nursing and public health nursing in the interventions to reduce the health issue. • Recommend evidence-based ways the scope of the interventions could be expanded to increase positive health outcomes. Think in terms of cost, efficiency and access, effectiveness, and the use of both conventional and unconventional interventions. • Title page and reference page • At least 3 current scholarly or professional resources. • Times New Roman font, 12-point, double-spaced. Prepare a 4 page report on a critical health issue in a community or state. Describe the factors that contribute to the health issue and interventions that have been implemented. Explain the scope and role of nursing in the interventions, and recommend ways the scope of the interventions might be expanded. • Competency 1: Explain the factors that affect the health of communities. o Explain the factors that contribute to a critical health care issue within a specific community. • Competency 2: Apply evidence-based interventions to promote health and disease prevention and respond to community health issues. o Describe current interventions to target a critical health care issue within a specific community. o Describe the scope and role of nursing in current interventions that target a critical health care issue. o Recommend evidence-based ways to expand the scope of interventions to target a critical health care issue. o Describe a critical health care issue within a specific community. Community/public health nursing is nursing care that is population-focused and occurs in non-hospital settings. Numerous nursing theories can provide the structure for community/public health nursing; however, nursing theories that incorporate components of the general systems theory frequently provide the framework for the practice of community/public health nursing. Historically, nurses have made significant contributions to the field of public health. From providing maternal-child care to poor women in the late 1800s, to promoting hygiene among school aged children in the early 1900s, to providing environmental and safety care to industrial workers during World War I, nurses have been instrumental in shaping health policies (Maurer & Smith, 2013). Today, community/public health nurses have a key role in identifying and developing plans of care to address local, national, and international health issues.

Case Study: Identify a patient with multiple and complex chronic health care needs (Patient should have a minimum of three chronic health conditions

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Please, follow assignment instructions. 1- Assessment 2 & Criteria Rubric: Follow instructions as mentioned. 2- Assessment Criteria Sheet: Write for band 7. 3- Other important points: You will find Nursing databases for articles. 4- References: You can use only the one, which highlighted in yellow color. 5- References: Use 30 References (Peer-reviewed articles within 5 years). 6- Please look for the link: https://www.youtube.com/watch?v=_uYY2nd-d_k

Public health specialist

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Imagine you are a public health specialist and have recently been hired by the local school system. After an initial assessment within this school system, it has been shown that there has been a significant increase in reports of bullying (both physical and cyber) in grades 7 through 12. There appears to be no real differences in reported cases across gender or ethnicity, but students in grades 7 and 9 combined make up 50% of all cases. Using the information above, create an initial post in which you address the benefits of applying a logic model. Be sure to analyze the potential impact the community intervention could have, to include an example of a logic model that you think would be appropriate for this situation, and to describe a potential evidence-based solution for this situation.

Hypertension

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Hypertension

What are you discussing – define the disease I. Give a brief description of the disease. For example if you are discussing hypertension- then define hypertension for the reader. II. Etiology (Cause) List the cause or causes- you can provide a brief description of the cause(s) if it is not self explanatory. Do not forget about your page limitation. III. Incidence (new cases) and Prevalence (if applicable) Look up what these two terms mean. Dr. Makukutu uses the terms considerably in his microbiology courses. These terms are important in epidemiology(?). IV. Pathophysiology Remember physiology is discussion of the process(es) of normal actions of the body- how does the cell, tissue, organ, system, organism work-normally. Pathophysiology is a an explanation of how abnormal (disease) processes occur- like, for example, how does cancer of the liver work. V. Diagnosis (give different methods if possible) List the methods of diagnoses- you can provide a brief description of the method(s) if it is not self explanatory. Think of History, Physical Examination, Laboratory, Radiology, Nuclear Medicine, EKG, Special Tests, etc. Of course, the types of diagnostic tools that can be used depend on the particular disease. VI. Treatment(s) List the possible treatments- you can provide a brief description of the treatment(s) if it is not self explanatory. VIII. Prognosis What are the expected outcomes from the various treatments? IX. New methods of diagnosis, new treatments (if applicable). Did you find anything new on the topic that is not the currently acceptable to the medical world? IX. References – simply list your reference sources.

Physician Assisted Death

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Description

Write a three to four-page debate paper (Times New Roman, 12-font, double spaced, 1-inch margins, page number and running head in header, headings) arguing your position either for or against physician assisted dying (PAD). Title your paper “Should nurses and physicians assist patients who want to end their lives?” Present information and background on PAD, including existing protocols and a list of the current jurisdictions in the US where PAD is legal. Explore where New York state is on this issue. Discuss the ethical arguments using ethical principles for and against PAD and then present your position and include a conclusion