History Of Reimbursement Issues

History Of Reimbursement Issues

History of Reimbursement Issues

Purpose

The purpose of this discussion is to explore the DNP-prepared nurse’s role, as a member of the interprofessional team, to design systems that optimize reimbursement with a goal to improve the quality of patient care. We will examine the influence of healthcare reimbursement on nursing practice, clinical outcomes, and cost issues. History Of Reimbursement Issues

Instructions

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Reflect upon your readings and professional experience regarding reimbursement issues and address the following.

  1. Analyze how healthcare reimbursement influences your nursing practice.
  2. Examine how the value-based insurance design (VBID) influences clinical outcomes and cost issues.

FROM WEEKEND LECTURE:  With the Affordable Care Act, the reimbursement model is shifting to provide incentives for innovating value-based programs, such as the Medicare Value-Based Insurance Design (V-BID) and Bundled Payment programs. The Value-Based Insurance Design is an approach that drives patients and providers to high value services while discouraging low-value services when the benefits do not justify the cost. The goal of V-BID is to decrease the cost of healthcare while increasing the effectiveness of health services. The V-BID approach structures health insurance in a way that incentivizes and drives patients and providers toward the most valuable services—those most beneficial relative to costs. V-BID has the potential to improve service utilization, quality, and outcomes.  History Of Reimbursement Issues

*Know that All responses will be Turnitin checked.

Instructions:

Use an APA 7 style and a minimum of 350 words. Provide support from a minimum of at least (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. Include the Doi or URL link.

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website or blogs should not be use

Nursing homework help

Nursing homework help

Patient falls are a significant problem prevalent in healthcare organizations that negatively impacts patient’s quality of care. Studies show that almost a million ailing individuals fall while receiving medical care in healthcare facilities. The issue is worth investigating because it may precipitate negative outcomes such as internal bleeding and fractures that may increase the duration of patients’ stay in hospitals and inflate the cost of treatment (LeLaurin et al., 2018). Therefore, it is necessary to find evidence-based interventions that will enhance the safety of patients by preventing falls. The PICOT question that will aid in finding an effective intervention is: In geriatric Hispanic patients, how effective is screening patients for risk of falls compared to not screening them in reducing incidences of falls in a period of six months? Evidently, the PICOT question is a significant model that will help determine an evidence-based nursing intervention that will improve patient care and positively portray a healthcare agency and the nursing practice. Nursing homework help

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P: Hispanic population based on this organization’s demographic

I: Fall risk assessment using right tools and educate patients regarding fall risks

C: What is other organization’s policy regarding prevention of fall

O: Fall incidents less than 3

T: 6 months

Evidence-Based Solution

Members of the Hispanic population are vulnerable to chronic conditions such as high blood pressure and diabetes which may lead them highly likely to be hospitalized due to the conditions. Therefore, they are the population that is disproportionately impacted by falls in the healthcare setting and specifically to this organization. Studies show that screening patients for falls are an effective procedure that reduces falls in hospitalized patients (Guirguis-Blake et al., 2019). It helps identify the ailing individuals at a high risk of falling, such as those who has history of frequent falls, syncopal episodes, those with a poor posture, and those with a poor gait secondary to comorbidities. Adequate measures are then put in place to ensure that these vulnerable individuals do not fall, such as activate bed alarms, educate patients to use call lights, educate regarding fall risk and possible prolonged hospitalization secondary to fall.  Nursing homework help

Nursing Intervention

Nursing interventions such as screening patients for falls are effective models for preventing patient falls in the clinical setting. This is because nurses are the primary caregivers of patients; hence their role in ensuring their safety is fundamental (Guirguis-Blake et al., 2018). Therefore, instilling a measure that will place nurses at the forefront of preventing patient falls is guaranteed to elicit positive outcomes in the treatment process. It is important that a nurse utilizes the tool to assess patient’s mobility before ambulating a patient. A nurse can use a tool such as BMAT (Bedside Mobility Assessment Tool) to determine the appropriate patient handling and mobility equipment or device to safely move or mobilize the patient (Perez, n.d). It is also imperative to educate patients regarding fall risks to prevent further damage to patient and follow up with evaluation of education by instructing them to verbalize and demonstrate the teaching. Patients will also benefit from prevention of fall if a nurse orient a patient to the room when they first get admitted. A nurse can activate bed alarm, utilize care view monitor, instruct them on how to use a call light when need help, stay with a patient until their business is done, and be quick to answer call lights to further prevent falls.

Health Care Agency

Healthcare agencies are tasked with the critical role of caring for ailing individuals. They are required to ensure that patients elicit positive outcomes during treatment processes. However, aspects such as patient falls reduce the effectiveness of services provided by healthcare agencies. Therefore, it is necessary to use evidence-based protocols such as preventing patients’ falls through interventions such as screening them for susceptibility to falls to prevent the negative occurrences and increasing the quality of care they receive (LeLaurin et al., 2019). The PICOT question will help unveil the evidence that can be applied in the clinical setting.

Nursing Practice

Identifying a problem and implementing interventions to advocate for patients is one of the most important tasks in nursing practice. Using the PICOT question to obtain evidence that will be applied in preventing falls in the clinical setting is a significant aspect that will ensure that the nursing practice is identified as a dependable profession that ensures that ailing individuals are cared for well. It will show that the nurses are at the forefront of ensuring that the nation’s health goals are met by using effective nursing interventions to ensure that patients receive quality care that aligns with their dynamic needs (Guirguis-Blake et al., 2018).

 

 

References

Guirguis-Blake, J. M., Michael, Y. L., Perdue, L. A., Coppola, E. L., & Beil, T. L. (2018). Interventions to prevent falls in older adults: updated evidence report and systematic review for the US Preventive Services Task Force. Jama, 319(16), 1705-1716.

LeLaurin, J. H., & Shorr, R. I. (2019). Preventing falls in hospitalized patients: state of the science. Clinics in geriatric medicine, 35(2), 273-283.

Perez, A. (n.d.). BMAT- bedside mobility assessment tool – UCLA health. Retrieved March 13, 2022, from https://www.uclahealth.org/nursing/workfiles/ContinuingEducation2015/TeachBack/UmoveBMAT-TrainingPresentation.pdf

 

 

 

Theory Of Cultural Care Diversity And Universality

 

Read Chapter 22 in Alligood (2022).

Describe some difficulties you have experienced with patients you think are related to cultural differences.

What strategies can you use to support cultural sensitivity in your practice?

How has Leininger’s theoretical perspective influenced professional nursing practice?

Reference your posts in APA format and be sure to answer all questions posed in narrative form. Please use Rubic

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Reference

Alligood, M.R. (2022). Nursing theorists and their work (10th ed.).  Elsevier. Theory Of Cultural Care Diversity And Universality

 

 

NUR – 600Discussion Forum Rubric

Criteria Ratings
Quality of First Post 50 pts – Full Credit

Information clearly relates to the main topic and adds new concepts, information, it includes several supporting details and/or examples

25 pts – Partial Credit

Information relates to the main topic, but lacking detail, depth, and/or examples

0 pts – No Credit

Information has little or nothing to do with the main topic or simply restates the main concept without supporting details/examples

Professional Language and Writing 5 pts – Full Credit

Professional vocabulary, correct grammar, and correct spelling are consistently used throughout the discussion

2 pts – Partial Credit

Three or less errors in professional vocabulary, grammar and spelling are identified in the discussion post

0 pts – No Credit

Four of more errors in professional vocabulary, grammar and spelling are identified in the discussion post

APA Format 10 pts – Full Credit

Correct APA format consistently used throughout discussion posts

5 pts – Partial Credit

No more than two errors in APA format are identified in the discussion posts

0 pts – No Credit

Three or more errors in APA format are identified within the discussion posts or no reference list is provided

Quality of Second Post 30 pts – Full Credit

Information clearly relates to the main topic (original students post) and adds new concepts, information, and includes several supporting details and/or examples

15 pts – Partial Credit

Information relates to the main topic (original students post) but lacking detail, depth, and/or examples

0 pts – No Credit

Information has little or nothing to do with the main topic (original students post) or simply restates the main concept without supporting details/examples

Professional Language and Writing 5 pts – Full Credit

Professional vocabulary, correct grammar, and correct spelling are consistently used when commenting on another student’s response Theory Of Cultural Care Diversity And Universality

2 pts – Partial Credit

Professional vocabulary, correct grammar, and correct spelling are consistently used when commenting on another student’s response

0 pts – No Credit

Four or more errors in professional vocabulary, grammar and spelling are identified when commenting on another student’s response

Timeliness 0 pts – Full Credit 0 pts – Partial Credit 0 pts – No Credit
Total Points: 100

 

NRNP/PRAC 6635 Comprehensive Psychiatric EvaluationExemplar

NRNP/PRAC 6635 Comprehensive Psychiatric Evaluation Exemplar

INSTRUCTIONS ON HOW TO USE EXEMPLAR AND TEMPLATE—READ CAREFULLY

If you are struggling with the format or remembering what to include, follow the Comprehensive Psychiatric Evaluation Template AND the Rubric as your guide. It is also helpful to review the rubric in detail in order not to lose points unnecessarily because you missed something required. Below highlights by category are taken directly from the grading rubric for the assignment in Weeks 4–10. After reviewing the full details of the rubric, you can use it as a guide.

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In the Subjective section, provide:

  • Chief complaint
  • History of present illness (HPI)
  • Past psychiatric history
  • Medication trials and current medications
  • Psychotherapy or previous psychiatric diagnosis
  • Pertinent substance use, family psychiatric/substance use, social, and medical history
  • Allergies NRNP/PRAC 6635 Comprehensive Psychiatric EvaluationExemplar
  • ROS
  • Read rating descriptions to see the grading standards!

In the Objectivesection, provide:

  • Physical exam documentation of systems pertinent to the chief complaint, HPI, and history
  • Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses.
  • Read rating descriptions to see the grading standards!

In the Assessmentsection, provide:

  • Results of the mental status examination, presented in paragraph form.
  • At least three differentials with supporting evidence. List them from top priority to least priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
  • Read rating descriptions to see the grading standards!

Reflecton this case. Include: Discuss what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

(The comprehensive evaluation is typically the initial new patient evaluation. You will practice writing this type of note in this course. You will be ruling out other mental illnesses so often you will write up what symptoms are present and what symptoms are not present from illnesses to demonstrate you have indeed assessed for all illnesses which could be impacting your patient. For example, anxiety symptoms, depressive symptoms, bipolar symptoms, psychosis symptoms, substance use, etc.) NRNP/PRAC 6635 Comprehensive Psychiatric EvaluationExemplar

EXEMPLAR BEGINS HERE

CC (chief complaint):Abriefstatement identifying why the patient is here. This statement is verbatim of the patient’s own words about why presenting for assessment. For a patient with dementia or other cognitive deficits, this statement can be obtained from a family member.

HPI: Begin this section with patient’s initials, age, race, gender, purpose of evaluation, current medication and referral reason. For example:

N.M. is a 34-year-old Asian male presents for psychiatric evaluation for anxiety. He is currently prescribed sertraline which he finds ineffective. His PCP referred him for evaluation and treatment.

Or

P.H., a 16-year-old Hispanic female, presents for psychiatric evaluation for concentration difficulty. She is not currently prescribed psychotropic medications. She is referred by her therapist for medication evaluation and treatment.

Then, this section continues with the symptom analysis for your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis.

Paint a picture of what is wrong with the patient. First what is bringing the patient to your evaluation.  Then, include a PSYCHIATRIC REVIEW OF SYMPTOMS.  The symptoms onset, duration, frequency, severity, and impact. Your description here will guide your differential diagnoses. You are seeking symptoms that may align with many DSM-5 diagnoses, narrowing to what aligns with diagnostic criteria for mental health and substance use disorders.

Past Psychiatric History: This section documents the patient’s past treatments. Use the mnemonic Go Cha MP. 

General Statement: Typically, this is a statement of the patients first treatment experience. For example:The patient entered treatment at the age of 10 with counseling for depression during her parents’ divorce. OR The patient entered treatment for detox at age 26 after abusing alcohol since age 13.

Caregivers are listed if applicable.

Hospitalizations: How many hospitalizations? When and where was last hospitalization? How many detox? How many residential treatments? When and where was last detox/residential treatment? Any history of suicidal or homicidal behaviors? Any history of self-harm behaviors?

Medication trials: What are the previous psychotropic medications the patient has tried and what was their reaction? Effective, Not Effective, Adverse Reaction? Some examples: Haloperidol (dystonic reaction), risperidone (hyperprolactinemia), olanzapine (effective, insurance wouldn’t pay for it)

Psychotherapy or Previous Psychiatric Diagnosis: This section can be completed one of two ways depending on what you want to capture to support the evaluation. First,does the patient know what type? Did they find psychotherapy helpful or not? Why? Second, what are the previous diagnosis for the client noted from previous treatments and other providers. Thirdly, you could document both.

Substance Use History:This section contains any history or current use of caffeine, nicotine, illicit substance (including marijuana), and alcohol. Include the daily amount of use and last known use. Include type of use such as inhales, snorts, IV, etc. Include any histories of withdrawal complications from tremors, Delirium Tremens, or seizures.

Family Psychiatric/Substance Use History: This section contains any family history of psychiatric illness, substance use illnesses, and family suicides. You may choose to use a genogram to depict this information.Be sure to include a reader’s key to your genogram or write up in narrative form.

Social History: This section may be lengthy if completing an evaluation for psychotherapy or shorter if completing an evaluation for psychopharmacology.  However, at a minimum, please include:

Where patient was born, who raised the patient

Number of brothers/sisters (what order is the patient within siblings)

Who the patient currently lives with in a home? Are they single, married, divorced, widowed? How many children?

Educational Level

Hobbies:

Work History: currently working/profession, disabled, unemployed, retired?

Legal history: past hx, any current issues?

Trauma history: Any childhood or adult history of trauma?

Violence Hx:Concern or issues about safety (personal, home, community, sexual (current & historical)

Medical History: This section contains any illnesses, surgeries, include any hx of seizures, head injuries.

 

Current Medications: Include dosage, frequency, length of time used, and reason for use. Also include OTC or homeopathic products.

Allergies:Include medication, food, and environmental allergies separately.Provide a description of what the allergy is (e.g., angioedema, anaphylaxis). This will help determine a true reaction vs. intolerance.

Reproductive Hx:Menstrual history (date of LMP), Pregnant (yes or no), Nursing/lactating (yes or no), contraceptive use (method used), types of intercourse:  oral, anal, vaginal, other, any sexual concerns

ROS: Cover all body systems that may help you include or rule out a differential diagnosis.  Please note: THIS IS DIFFERENT from a physical examination!

You should list each system as follows: General:Head: EENT: etc. You should list these in bullet format and document the systems in order from head to toe.

Example of Complete ROS:

GENERAL: No weight loss, fever, chills, weakness, or fatigue.

HEENT: Eyes: No visual loss, blurred vision, double vision, or yellow sclerae. Ears, Nose, Throat: No hearing loss, sneezing, congestion, runny nose, or sore throat.

SKIN: No rash or itching.

CARDIOVASCULAR: No chest pain, chest pressure, or chest discomfort. No palpitations or edema.

RESPIRATORY: No shortness of breath, cough, or sputum.

GASTROINTESTINAL: No anorexia, nausea, vomiting, or diarrhea. No abdominal pain or blood.

GENITOURINARY: Burning on urination, urgency, hesitancy, odor, odd color

NEUROLOGICAL: No headache, dizziness, syncope, paralysis, ataxia, numbness, or tingling in the extremities. No change in bowel or bladder control.

MUSCULOSKELETAL: No muscle, back pain, joint pain, or stiffness.

HEMATOLOGIC: No anemia, bleeding, or bruising.

LYMPHATICS: No enlarged nodes. No history of splenectomy.

ENDOCRINOLOGIC: No reports of sweating, cold, or heat intolerance. No polyuria or polydipsia.

Physical exam (If applicable and if you have opportunity to perform—document if exam is completed by PCP): From headtotoe, include what you see, hear, and feel when doing your physical exam. You only need to examine the systems that are pertinent to the CC, HPI, and History. Do not use “WNL” or “normal.” You must describe what you see. Always document in head-to-toe format i.e., General: Head: EENT: etc.

Diagnostic results: Include any labs, X-rays, or other diagnostics that are needed to develop the differential diagnoses (support with evidenced and guidelines).

Assessment

Mental Status Examination: For the purposes of your courses, this section must be presented in paragraph form and not use of a checklist! This section you will describe the patient’s appearance, attitude, behavior, mood and affect, speech, thought processes, thought content, perceptions (hallucinations, pseudohallucinations, illusions, etc.)., cognition, insight, judgment, and SI/HI. See an example below. You will modify to include the specifics for your patient on the above elements—DO NOT just copy the example. You may use a preceptor’s way of organizing the information if the MSE is in paragraph form.

He is an 8-year-old African American male who looks his stated age. He is cooperative with examiner. He is neatly groomed and clean, dressed appropriately. There is no evidence of any abnormal motor activity. His speech is clear, coherent, normal in volume and tone. His thought process is goal directed and logical. There is no evidence of looseness of association or flight of ideas. His mood is euthymic, and his affect appropriate to his mood. He was smiling at times in an appropriate manner. He denies any auditory or visual hallucinations. There is no evidence of any delusional thinking.   He denies any current suicidal or homicidal ideation. Cognitively, he is alert and oriented. His recent and remote memory is intact. His concentration is good. His insight is good.

Differential Diagnoses:You must have at least three differentials with supporting evidence. Explain what rules each differential in or out and justify your primary diagnosis selection. You will use supporting evidence from the literature to support your rationale. Include pertinent positives and pertinent negatives for the specific patient case.

 

Also included in this section is the reflection. Reflect on this case and discuss whether or not you agree with your preceptor’s assessment and diagnostic impression of the patient and why or why not. What did you learn from this case? What would you do differently?

Also include in your reflection a discussion related to legal/ethical considerations (demonstrating critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

References (move to begin on next page)

You are required to include at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines which relate to this case to support your diagnostics and differentials diagnoses. Be sure to use correct APA 7th edition formatting.

 

 

Nursing homework help

Nursing homework help

Instructions (paper)

All resources use should be from Minneapolis Minnesota USA

  1. Paper format (20 points)
    • 3-5 pages (not including title and reference page) typed (12 Times Roman/Arial Font) in APA format
    • Title page and reference page
    • No spelling or grammatical errors
    • Paper outline similar to this:
      • Introduction
      • Community resources
      • Priority diagnoses, the goal and reason for the change
      • Realistic solution
      • Health education
      • Role of the nurse and community in the intervention
      • Conclusion
  1. Community resources (15 points)
    • Identified and analyzed
    • How will the resources support the intervention of your nursing diagnosis?
  2. Priority diagnosis, the goal for change, and rationale (15 points)
  3. Develop a realistic solution to your nursing diagnosis in a teaching manner (evidenced-based practice) (20 points)
  4. Describe the health education you will promote which follows from your nursing diagnosis (20 points)
  5. Describe the role of the nurse and other community members in the interventions (10 points Nursing homework help

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Instructions (PowerPoint)

All resources use should be from Minneapolis Minnesota

  1. Presentation (10 points)
    1. Colorful, clear and concise, free from errors
    2. Completely computer generated (with appropriate resources cited)
    3. Diagrams and other pertinent information that describes the health education you are promoting
  2. Description of the community (15 points)
  3. Community resources (10 points)
    • Identified and analyzed
    • How will the resources support the intervention of your nursing diagnosis?
  • Priority diagnosis, the goal for change, and rationale (15 points)
  • A realistic solution to your nursing diagnosis in a teaching manner (evidenced-based practice) (20 points)
  • Describe the health education you will promote which follows from your nursing diagnosis (20 points)
  • Describe the role of the nurse and other community members in the interventions (10 points

The assignment is research. You will use the windshield survey guideline attached for the assignment. Nursing homework help

 

Locate a community and identify the resource you think they are lacking and how the resource will benefit them. State the name of the community and the location.

 

Here are the rubrics:

 

1). The research should be 3-5 pages. 2). Type with 12 Times Roman/Arial Font. 3). Should be in APA 6th edition format. 4). Should have a title page, reference page, in-text citations, reference list. 5). No spelling or grammatical errors.

 

Here is the paper outline:

 

1). Introduction 2). Clearly identify and analyze the community resources. 3). Clearly identify the priority nursing diagnosis, the goal for the change, and the reason for the change. How will the resources support the intervention of your diagnosis. 4). Develop a realistic solution to your nursing diagnosis in a teaching manner (evidence-based practice). 5). Describe the health education you will promote which follows from your nursing diagnosis. 6). Describe the role of the nurse and other community members in the interventions. 7). Conclusion.

 

Please download the attachment, so that I can delete it.

 

 

Nursing homework help

Nursing homework help

DQ#1 Tatiana:Yoga is an ancient practice that has been passed down over many generations for over five centuries ago. The term yoga encompasses aspects such as ‘yuj,’ which means unite, to symbolize the union of a person’s soul with the universal soul, leading to a state of consciousness (Fontaine, 2019). Yoga is related to health and illness. For instance, the World Health Organization defines health as a state of complete, mental, physical, and social well-being and not merely the absence of disease or infirmity; hence, it is evident that health is a multidimensional state (Yoga, 2021). Hence, it can be achieved by using a holistic approach to meet the needs of each of the dimensions. Nursing homework help

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Yoga is an appropriate intervention that guarantees positive outcomes in each dimension. Besides, yoga is a union of yama, asana, niyama, pratyahara, pranayama, dharana, Samadhi and dhyana (Yoga, 2021). Intense practice of such dimensions leads to self-realization. In this manner, yoga is a holistic way of life that leads to a state of complete social, physical, spiritual, and mental wellbeing. Yoga is used as a therapeutic intervention for modern diseases such as obesity, stress, hypertension, diabetes, chronic obstructive pulmonary disease, and coronary heart disease; besides, Studies show the significant role of yoga as a non-pharmaceutical intervention is essential in the treatment of such conditions (Kumar Taneja, 2014). To alleviate sickness or symptoms, yoga helps decrease stress, anxiety and lower the levels of salivary cortisol, including rennin levels. It also keeps epinephrine and norepinephrine levels in balance. Hence, effectively managing sicknesses such as coronary heart diseases, hypertension, and diabetes. Nursing homework help

 

DQ#2: Christian:Several activities and actions are used as complementary medications and they have abilities to yield the best possible results. One of them is meditation, and it is defined as the process of taking the mind away from the stressful points of life to focus only on that, which is helpful. In the former years, meditation was used as a spiritual activity to help the mind understand the mysteries of spiritual and religious aspects. Today, meditation is one of the major recommendations given by healthcare providers as the primary process for relieving the body of stress and bringing mental and physical healing to the whole body.

Meditation can take place in different forms including guided meditation, yoga, prayers, mantra meditation, Qi gong, mindfulness meditation, and Tai Chi among others. All these forms of meditation must have specific elements that include focused breathing, relaxed breathing, a quiet setting, a comfortable position, and an open attitude. The meditations can also be done in different formats including breathing deeply, scanning the body, repeating a mantra, walking and meditating, reading and reflecting, and placing focus on love and gratitude (Farias et al., 2020). Practicing any of these elements for a continuous period helps the body to remain healthy and scholars have argued that it can bring healing to people suffering from conditions such as anxiety, cancer, asthma, depression, chronic pain, high blood pressure, heart disease, tension headaches, and sleep problems (Kreplin et a., 2018).

Meditation mainly works by improving the ability of the body to fight infections and diseases. A clouded mind cannot fight infections as it leads to a weaker immune system. However, a peaceful and calm mind leads to a strengthened body that can fight any condition developing from other parts of the body.

 

DQ#3: Lisdiana:  In this scenario, when there is widespread worry about who may have sprayed graffiti outside the school compound, I would first examine material from various groups that appear to have an understanding of what is going on (Braga & Weisburd, 2006). I’ll choose a few people, primarily student leaders, and ask them if they’ve detected any questionable behaviour from any individual or organization. Because the graffiti appears to be familiar to me, I would examine it and compare it to what I observed at the recent drive-in meeting. I’ll also quiz the librarian to learn more about the physical copy she chose.

The cases have now made their way to Hometown High School (Braga, 2006). After scanning the numerous pieces of information, I gathered and analyzed the data in an attempt to determine what may be the root cause of this graffiti appearing on various structures. I’ll look at the parallels between the physical copy labels and the material they appear to represent. The contents will take me to the computer screen’s owner.

The third stage is to decide how to respond to the information acquired. As my first suspect, I’ll send the student with the computer screen name to interview him. Then I’ll summon the new student who appears suspicious based on his attire. I’ll ask the two to tell me where they were at the time of the crime. I’ll question about their associates, and if any of them does not have an alibi, they’ll be among my suspects, who will be brought before the disciplinary committee and punished ( Braga, 2006).

When attempting to analyze the issue, consider if the reaction was successful in resolving the problem. Assume there is a need to implement more safeguards to prevent similar crimes from occurring in the future (Santos, 2014). I will advise the school to install new security lights in strategic locations across the school grounds. Installing surveillance cameras and increasing school security will also aid in the prevention of such crimes.

 

DQ#4: Yirlem:  The five stages of the Kübler-Ross model denote the gradual acceptance of the loss, and the transition between the featured patterns is necessary to cope with the emotional distress. The text states: “a series of five stages—denial, anger, bargaining, depression, and acceptance—that people go through as they come to grips with their own imminent death” (James & Gilliland, 2017, p.380). The first stage is denial, and the individual strives to reject his condition or fact of the loss with logical arguments. The second stage is anger, and the person starts blaming his life or specific circumstances (Kübler-Ross, (2015). The third stage involves the individual’s willingness to delay or postpone the situation. The fourth and final stages denote the depression that ends with the acceptance of reality, and it can be acceptance of the loss or inevitable fact, like a terminal stage of a disease that has no cure.

There are different types of loss, and they depend on the specific situation and people, and the death of family members is not the only cause of these affections. The reading argues: “People commonly associate certain losses with strong feelings of grief” (Crowell, 2022). In turn, it can be a loss of a friend, child, parents, partner and the death of friends or family members. It is necessary to admit that the loss of a job, position, things, home and abilities is also a common type of grief. People share unique experiences and relationships, and their ends can be the cause of these negative emotions. For instance, the death of a favorite pet is also a type of loss, though it does not share the standard concept of friendship or kinship.

 

 

 

 

DNP-810A EMERGING AREAS OF HUMAN HEALTH

Case Study: Part 3

You will be creating a case study in stages over four course topics. This assignment will add to your previous work in Topic 3. Use an example from your own personal practice, experience, or own personal/family (however, simulated cases are not acceptable for practice hours and therefore not acceptable for this assignment). Examples might include a patient with Duchesne’s muscular dystrophy, Huntington’s disease, Down’s syndrome, sickle-cell anemia, BRCA 1 or BRCA 2 mutations, or another genetic disorder that you or the organization you practice in may specialize in treating. DNP-810A EMERGING AREAS OF HUMAN HEALTH

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General Requirements:

Use the following information to ensure successful completion of the assignment:

  • Doctoral learners are required to use APA style for their writing assignments.
  • This assignment requires that at least two additional scholarly research sources related to this topic and at least one in-text citation for each source be included.
  • You are required to submit this assignment to LopesWrite for similarity score check.

Directions:

For this assignment (Part 3 of the Case Study), write in about (1,000-1,250 words) incorporating genetics information learned from assigned readings in Topics 1-5. Include the following: DNP-810A EMERGING AREAS OF HUMAN HEALTH

  1. Examine how genetics can influence policy issues.
  2. Discuss any nutritional influences for the cause of this disease.
  3. Discuss the process of nutritional assessment and counseling as it relates to health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of treatment      effectiveness.
  4. Discuss the prevalence rates, testing, treatment, and prognosis as they relate to human nutrition.

RESOURCES

Kiechl, S., Pechlaner, R., Willeit, P., Notdurfter, M., Paulweber, B., Willeit, K., Werner, P., Ruckenstuhl, C., Iglseder, B., Weger, S., Mairhofer, B., Gartner, M., Kedenko, L., Chmelikova, M., Stekovic, S., Stuppner, H., Oberhollenzer, F., Kroemer, G., Mayr, M., … Willeit, J. (2018). Higher spermidine intake is linked to lower mortality: A prospective population-based study. American Journal of Clinical Nutrition, 108(2), 371-380.

Brown, H. M., Rollo, M. E., De Vlieger, N. M., Collins, C. E., & Bucher, T. (2018). Influence of the nutrition and health information presented on food labels on portion size consumed: A systematic review. Nutrition Reviews, 76(9), 655-677.

Study findings on diet and nutrition are outlined in reports from Kennedy Krieger Institute (Environmental influences on health and development: nutrition, substance exposure, and adverse childhood experiences). (2019, February 8). Health and Medicine Week, 447.

DNP-810A EMERGING AREAS OF HUMAN HEALTH

DNP-810A EMERGING AREAS OF HUMAN HEALTH

Genetic Counseling

With the increase in knowledge around genetic issues, it is important that all health care providers are prepared to have thorough genetic-based discussions now with their patients. In this assignment, you will synthesize your knowledge into a client case with a real or potential genetic health-related illness. DNP-810A EMERGING AREAS OF HUMAN HEALTH

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General Guidelines:

Use the following information to ensure successful completion of the assignment:

  • Doctoral learners are required to use APA style for their writing assignments.
  • This assignment requires that at least three additional scholarly research sources related to this topic, and at least one in-text citation from each source be included.
  • You are required to submit this assignment to LopesWrite for similarity score & plagiarism check.

Directions:

Write about (1,000-1,250 words) addressing a client case that might benefit from the process of genetic counseling. Describe the reason for the genetic counseling based on the findings from your completion of the family health portrait. Discuss the possible reactions the patient may have to your counseling and how to avoid negative reactions. Imagine this assignment as if you are giving this counseling to a patient and be sure to discuss the following:

  1. Health
  2. Prevention
  3. Screening
  4. Diagnostics
  5. Prognostics
  6. Selection of treatment
  7. Monitoring of treatment effectiveness

RESOURCES

Centers for Disease Control and Prevention. (2020). My family health portrait: A tool from the Surgeon General. http://kahuna.clayton.edu/jqu/FHH/html/index.html

Docherty, A. R., Moscati, A., Dick, D., Savage, J. E., Salvatore, J. E., Cooke, M., Aliev, F., Moore, A. A., Riley, B. P., Admins, D. E., Peterson, R., Webb, B. T., Bacanu, S. A., & Kendler, K. S. (2018). Polygenic prediction of the phenome, across ancestry, in emerging adulthood. Psychological Medicine, 48(11), 1814-1823. https://doi.org/10.1017/S0033291717003312

Berberich, A. J., & Hegele, R. A. (2019). The complex molecular genetics of familial hypercholesterolaemia. Nature Reviews. Cardiology, 16(1), 9-20. https://doi.org/10.1038/s41569-018-0052-6

Salloum, R. G., George, T. J., Silver, N., Markham, M-J., Hall, J. M., Guo, Y., Bian, J., & Shenkman, E. A. (2018). Rural-urban and racial-ethnic differences in awareness of direct-to-consumer genetic testing. BMC Public Health, 18(1), 1-6. https://doi.org/10.1186/s12889-018-5190-6

Health Issues for the Aging

Health Issues for the Aging

DNP-810A EMERGING AREAS OF HUMAN HEALTH

Project Assignment

Topic: Health Issues for the Aging

As of 2017, health care expenditures in the United States are near 17.9% of our gross domestic product (GDP), with a major portion of Medicare funding going toward chronic illness and care at the last 6 months of life. The Patient Protection and Affordable Care Act (ACA) has made some initial legislative changes in the U.S. health system, but not sufficient enough to address growing expenditures and caring for the large aging population. In this assignment, learners will synthesize issues in aging with health policy solutions by writing a paper on one health issue for older individuals addressed in the topic and offering a policy solution. Example of issue: In 2014, more than 50% of the costs of institutional long-term care for older persons was paid for with public funds from Medicaid. Health Issues for the Aging

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General Guidelines:

Use the following information to ensure successful completion of the assignment:

  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
  • Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
  • This assignment requires that at least three additional scholarly research sources related to this topic and at least one in-text citation for each source be included.
  • You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. Health Issues for the Aging

Directions:

Write a paper (1,000-1,250 words) that addresses a health issue for older individuals. Include the following:

  1. Evaluate what the literature suggests as a resolution to your chosen issue.
  2. Discuss any attempts to incorporate the solution into public policy.
  3. Determine the barriers to implementation of the solution.
  4. Analyze the options being discussed for public or private funding.
  5. Propose your own recommendation.

RESOURCES

Howdon, D., & Rice, N. (2018). Health care expenditures, age, proximity to death and morbidity: Implications for an ageing population. Journal of Health Economics, 57, 60-74. https://doi.org/10.1016/j.jhealeco.2017.11.001

Von Wyl, V. (2019). Proximity to death and health care expenditure increase revisited: A 15-year panel analysis of elderly persons. Health Economics Review, 9(1), 1-16. https://doi.org/10.1186/s13561-019-0224-z

 

 

Nursing homework help

Nursing homework help

NURS 621

Guidelines -Culturally Sensitive Population Care Management Plan Paper

Overview of paper’s purpose:It is now time to bring the information together that you have learned over the semester and to develop a culturally sensitive population care management plan to address a specific mental health care disparity for the specific population that you select.

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In this paper, you will begin to bridge the gap between identifying a mental health care disparity and taking an action step forward to design a plan to correct it.  The purpose of this plan is to present to three (3) organizations or leaders for implementation.  In your written plan you will include three (3) possible funding organizations that you will seek to support your plan.  In the future,you will be able to present this plan to organizations and or leaders that you think would be interested in partnering with you to implement the plan and address the mental health care disparity. Nursing homework help

Helpful Tips: Below are some helpful tips and a template for you to use when you develop your paper.  It is very important that you use the template headings and address the specific information under each heading.

  • Make sure to set the paper up in APA format and provided a cover page with the title of your paper, your name, the course number, and your professor’s name
  • Make sure each page has a page number on it Nursing homework help
  • Make sure the reference page begins on a separate page and is double spaced
  • Check your paragraph structure and make sure you have at least 3 sentences in a paragraph and no more than 5-6 sentences

 

Template with section headings:

Assignment # 3: Culturally Sensitive Population Care Management Plan for an Underserved Community(10-12 pages excluding title page and references and appendix with list of organizations and links)

  1. Overview of population: includes RECENT demographic information on the estimated number of individuals in the community, the age range of this population, and a description of the environment they live in; provides 3 examples of cultural values and practices that impact the chosen population when a member seeks mental health care services and follows the health care providers’ instructions; includes 3 information examples on this population’s perceived value of health and access to mental health care; describe if members of this population arewilling to pay for mental health care services or mental health care insurance or if they believe it should be provided to them at no cost.
  2. Mental health disparity that needs to be addressed:describe, using RECENT (not older than 5 years) available peer-reviewed evidence, a specific mental health care disparity in this population; three (3) causes of the disparity, and what initiatives have taken place to address the disparity (including what has worked and what has not worked). Describe what needs to be done now and in the future to address this mental health disparity.
  3. Cultural competency model being applied and cultural considerations when planning care to address the mental health disparity: apply three (3) concepts from the chosen cultural competency model when conducting the assessment for mental health disparities in this patient population. Describe how you conducted the assessment of the cultural values and norms of this population using the cultural competency model.
  4. Strategies for eliminating mental health disparity: describe five (5) evidence-based strategies for eliminating the identified mental health disparity
  5. Proposed care management plan and implementation steps:describe the care management plan and at least six (6) specific steps that need to be taken to implement this plan. Include who will be carrying out the specific implementation steps and the timeline for completing the steps.
  6. Organizations to consider for grant funding:provide three (3) names of organizations that you can apply for grant funding to support implementing your Population Care Management Plan; include information on the title of the grant being applied for and a link to the grant guidelines from each of the organizations in the appendix.
  7. Measuring outcomes on mental health care disparity post implementation of care management plan:describe three (3) specific measurable outcomes to evaluate the plan’s success after implementation; describe who will collect, synthesize, create the outcomes report, and distribute the data. Determine and describe the specific tools that will be used to collect data, who will collect the data, and three (3) distribution channels that you will use to disseminate the findings
  8. Summary: 2-3 paragraphs summarizing each of the prior sections to use as an executive