The Affordable Care Act

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The Affordable Care Act

The Patient Protection and Affordable Care Act (ACA, also known as ObamaCare) became law on May 23, 2010. It strives to reform the health insurance and health care industries in an effort to cut health care costs and provide Americans with affordable health insurance. The ACA also strives to expand Medicare and Medicaid to assist those Americans who cannot currently afford health insurance. As a result of the reforms, there may be a significant influx of patients into the health care system. In addition, there will be a greater focus on integrating health care services, particularly for individuals with physical and mental health conditions. It is expected that under the ACA, social workers will take a more active role in the coordination of care for existing and new members of the health care system. Social workers will also provide additional direct, frontline services to patients. The Affordable Care Act

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To prepare for this Discussion, review this week’s resources. Consider the debate over the ACA and explore the reputable sources on the Internet for additional resources on the balanced debates over the ACA. Consider how the ACA might expand meaningful services to all Americans including children, young adults, uninsured minorities, and spouses of employed individuals. Consider one population.

Post a description of the findings of your research on the debate over ACA. Explain some of the misconceptions or misunderstandings the general population might have about the ACA. Explain how the ACA may or may not increase affordability, health insurance coverage, and access to health care services for the population you selected. Explain the potential or documented influence of the ACA on medical social work practice. Describe the medical social worker’s role in clarifying the ACA to patients and families. The Affordable Care Act

Be sure to support your postings and responses with specific references to the resources and the current literature using appropriate APA format and style

The Affordable Care Act

Assignment: Antipsychotic Medications and the Treatment of Psychotic Disorders

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Assignment: Antipsychotic Medications and the Treatment of Psychotic Disorders

Imagine that you have been seeing a client for a year. Initially, treatment was tailored to address a diagnosis of major depressive disorder. Over the course of your counseling sessions, your client has begun to develop psychotic symptoms. She becomes mildly psychotic during a session and explains that the voices are telling her that she is wasting her time and she will never be well. Your client is surprised to have heard these voices, but is cognizant of the fact that they are coming from within her, rather than some external, supranatural source. She understands that they are psychotic symptoms. Assignment: Antipsychotic Medications and the Treatment of Psychotic Disorders

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Often, counselors encounter ethical and clinical dilemmas in deciding the best course of treatment for their clients. Considering the possibility that a client might wish to avoid going on antipsychotic medication, could you support this choice? Does the client’s awareness and understanding of the voices mean no further action is required on the part of the counselor? Since there appears to be no immediate danger to herself or others, could the counselor disregard the symptoms?

The Application Assignment contains a creative component, in which you integrate DSM-5 sourced and other scholarly material to create a case presentation. As hallucinations and delusions can vary from those that were seemingly borne of logic to the truly bizarre, this is an opportunity to fully engage your most imaginative thoughts.

For this Assignment, review the Learning Resources. Reflect on the development of drugs to treat psychosis over time. Consider the side effects of antipsychotics and their interactions with neurotransmitter function. Explore the ethical concerns and challenges of treating psychotic disorders. Develop a presentation of a client who would benefit from antipsychotic medications.

By Day 7
In a 3- to 5-page, APA-formatted paper, include the following based on the concepts in the treatment of psychotic disorders:

An overview of the major developments in the treatment of psychosis including major drug classes
An explanation of three severe side effects of antipsychotic medications and potential alternative treatments Assignment: Antipsychotic Medications and the Treatment of Psychotic Disorders
An explanation of the neurotransmitters involved with and affected by these medications
An explanation of the ethical concerns related to the treatment of psychotic disorders and how you would address them
An explanation of the challenges mental health professionals face in treating psychotic disorders and how you would address them
Then, based on what you know about the treatment of psychotic disorders provide an original and hypothetical case study illustrating a client that would benefit from antipsychotic medications and a brief explanation of an appropriate treatment plan.

Assignment: Antipsychotic Medications and the Treatment of Psychotic Disorders

concepts of epidemiology and nursing research to a communicable disease

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concepts of epidemiology and nursing research to a communicable disease

Apply the concepts of epidemiology and nursing research to a communicable disease.

Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance when completing this assignment. concepts of epidemiology and nursing research to a communicable disease

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Communicable Disease Selection

  1. Chickenpox
  2. Tuberculosis
  3. Influenza
  4. Mononucleosis
  5. Hepatitis B
  6. HIV
  7. Ebola
  8. Measles
  9. Polio
  10. Influenza

Epidemiology Paper Requirements

  1. Describe the chosen communicable disease, including causes, symptoms, mode of transmission, complications, treatment, and the demographic of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.
  2. Describe the social determinants of health and explain how those factors contribute to the development of this disease.
  3. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. Are there any special considerations or notifications for the community, schools, or general population?
  4. Explain the role of the community health nurse (case finding, reporting, data collection, data analysis, and follow-up) and why demographic data are necessary to the health of the community.
  5. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organizations contribute to resolving or reducing the impact of disease.
  6. Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example. concepts of epidemiology and nursing research to a communicable disease

A minimum of three peer-reviewed or professional references is required.

Prepare this assignment according to the guidelines 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.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Course Resources if you need assistance.

concepts of epidemiology and nursing research to a communicable disease

Malingering and Addiction in the Treatment of Sleep Disorders

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Malingering and Addiction in the Treatment of Sleep Disorders

According to the National Sleep Foundation (2013), about 30–40% of the general population reports some level of insomnia during their lives, and 10–15% experience significant, chronic insomnia. For these individuals, medications to help induce and sustain sleep may be helpful. On the other hand, sleep aids pose potential concerns, namely abuse. Some people exceed recommended doses, and some continue taking medications even after symptoms are no longer present. Others obtain medications under false pretenses, which is one form of malingering. Malingering occurs when clients make up or exaggerate symptoms for some personal gain. Although mental health professionals may not be directly implicated in the client’s deceit, their unique position to receive more accurate and honest information than other medical professionals presents ethical concerns. What is the mental health professional’s role in these instances? In which instances would it be appropriate to break confidentiality due to a concern of malingering? How could the malingering potentiality be planned for and avoided? Malingering and Addiction in the Treatment of Sleep Disorders

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For this Assignment, conduct an Internet search or a Walden Library search for at least one peer-reviewed journal article that addresses a counseling issue related to malingering and addiction in treating sleep disorders.

In a 3- to 5-page, APA-formatted paper, include the following:

A description and explanation of the major types of drugs prescribed for sleep disorders
An explanation of the potential for addiction associated with these medicines
An explanation of the issues related to malingering in the treatment of sleep disorders
An explanation of the mental health professional’s role in mitigating the potentialities of malingering
Support your explanations with specific references to the Learning Resources and your peer-reviewed journal article.

Malingering and Addiction in the Treatment of Sleep Disorders

Addressing Ethical Implications in the Treatment of ADHD

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Addressing Ethical Implications in the Treatment of ADHD

Assignment: Addressing Ethical Implications in the Treatment of ADHD
Generally, mental health professionals attempt to empower clients to care for their own problems by supporting client agency. However, in some cases clients may be stifled in their efforts to self-advocate. In other instances, clients may make dangerous, potentially lethal decisions out of misinformation or attempts to get high. Mental health professionals should be prepared to identify warning signs that might indicate a need to protect a client beyond asking that she or he take the necessary steps. Addressing Ethical Implications in the Treatment of ADHD

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For this Assignment, review the ADHD case study of “Junior” in the Learning Resources. Consider the ethical implications of the client’s presentation as well as the role of the mental health professional in treating this client. Plan steps to begin treatment of this client’s condition.

In a 2 page, APA-formatted paper, include the following:

An explanation of what may be occurring in this case.
An explanation of the psychopharmacological interventions a mental health professional might recommend to treat this client and why these interventions might be necessary.
Address ethical implications that may be present in the client’s presentation
Address larger ethical implications of medical treatment of ADHD by the mental health professional
Support your explanations with scholarly evidence and information from the DSM-5.

Addressing Ethical Implications in the Treatment of ADHD

HIPAA and Electronic Medical Records

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HIPAA and Electronic Medical Records

Discussion 2: HIPAA and Electronic Medical Records
An electronic health or medical record (EMR) is a digital version of a paper medical chart that contains a patient’s medical history. EMRs offer clinicians and patients increased access to information and assist in the coordination of care. In hospitals, EMRs are particularly useful because each member of the health care team is able to monitor a patient’s progress across disciplines. A social worker, for example, is able to read, in real time, the note of every physician, nurse, or therapist who has seen a patient. To maintain HIPAA compliance, institutions have strict policies that restrict access to EMRs. These policies require computers and networks to be secure, ensuring that only authorized users can access protected health information. HIPAA and Electronic Medical Records

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To prepare for this Discussions, review this week’s resources including the article by Harman et al. Consider the complexities involving the emerging electronic health record system. Think about how the HIPAA Privacy and Security Rules apply to EMRs. HIPAA and Electronic Medical Records

By Day 4
Post an explanation of how the HIPAA Privacy and Security Rules apply to EMRs. Then, address the following questions and explain your reasoning:

Can a social worker access any patient’s electronic medical record?
Can a social worker access his or her own electronic medical record?
Can a social worker access the electronic medical record of his/her family members?
Finally, explain the positive and negative ramifications HIPAA might have on medical social work practice in clinical settings with regard to handling EMRs.

Be sure to support your postings and responses with specific references to the resources and the current literature using appropriate APA format and style.

HIPAA and Electronic Medical Records

 

Chronic Fatigue

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Chronic Fatigue

A 52-year-old male patient who is a house painter presents to the office reporting chronic fatigue and “mild” chest pain. When he is painting, chest pain is relieved after taking a break. He reports that the pain usually lasts 5 minutes or less and occasionally spreads to his left arm before subsiding. The patient was last seen 3 years ago by you, and you recommended diet changes to manage mild hyperlipidemia, but the patient has gained 30 pounds since that time. The patient’s medical history includes anxiety, vasectomy, cholecystectomy, and mild hyperlipidemia. The patient does not smoke or use other tobacco or nicotine products. The patient cares for his wife, who has multiple sclerosis and requires 24-hour care. His daughter and grandson also live with the patient. His daughter assists with the care of his wife, and his job is the major source of income for the family. The initial vital signs are: blood pressure 158/78, heart rate 87, respiratory rate 20, and body mass index 32. As part of the diagnostic work-up, an ECG, lipid levels, cardiac enzymes, and C-reactive protein (CRP) are ordered. The patient reports that he does not have time to “be sick” and says that he needs to take care of everything during this visit so he can return to work and care for his wife. Discuss the following: Chronic Fatigue

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What additional information should you obtain about the pain the patient is experiencing?

What additional physical assessment needs to be performed with this patient?

What considerations are important to remember if the patient’s CRP level is elevated?

What differential diagnoses should be considered for the patient?

What patient teaching will be incorporated into the visit to modify the patient’s risk factors?

How will you respond to the patient’s statement that he does not have time to “be sick” and needs to take care of everything during this visit?

Chronic Fatigue

Benchmark – Patient’s Spiritual Needs: Case Analysis

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Benchmark – Patient’s Spiritual Needs: Case Analysis

Assessment Description

In addition to the topic Resources, use the chart you completed and questions you answered in the Topic 3 about \”Case Study: Healing and Autonomy\” as the basis for your responses in this assignment. Benchmark – Patient’s Spiritual Needs: Case Analysis

Answer the following questions about a patient\’s spiritual needs in light of the Christian worldview.

  1. In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient\’s autonomy? Explain your rationale.

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  2. In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James\’s care?

  3. In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?

Remember to support your responses with the topic Resources.

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. Benchmark – Patient’s Spiritual Needs: Case Analysis

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

BS in Health Sciences 1.2; BS Nursing (RN to BSN ) 5.2

Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

Benchmark – Patient’s Spiritual Needs: Case Analysis

Case Study: Healing and Autonomy

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Case Study: Healing and Autonomy

In addition to the topic Resources, use the chart you completed and questions you answered in the Topic 3 about \”Case Study: Healing and Autonomy\” as the basis for your responses in this assignment.

Answer the following questions about a patient\’s spiritual needs in light of the Christian worldview.

In 200-250 words, respond to the following: Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James, or would that mean a disrespect of a patient\’s autonomy? Explain your rationale. Case Study: Healing and Autonomy

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In 400-500 words, respond to the following: How ought the Christian think about sickness and health? How should a Christian think about medical intervention? What should Mike as a Christian do? How should he reason about trusting God and treating James in relation to what is truly honoring the principles of beneficence and nonmaleficence in James\’s care?

In 200-250 words, respond to the following: How would a spiritual needs assessment help the physician assist Mike determine appropriate interventions for James and for his family or others involved in his care?

Remember to support your responses with the topic Resources.

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. Case Study: Healing and Autonomy

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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.

Benchmark Information

This benchmark assignment assesses the following programmatic competencies:

BS in Health Sciences 1.2; BS Nursing (RN to BSN ) 5.2

Assess for the spiritual needs and provide appropriate interventions for individuals, families, and groups.

Case Study: Healing and Autonomy

 

Effective Approaches in Leadership and Management

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Effective Approaches in Leadership and Management

Benchmark – Effective Approaches in Leadership and Management
Assessment Description
In this assignment, you will be writing a 1,000-1,250 word paper describing the differing approaches of nursing leaders and managers to issues in practice. To complete this assignment, do the following: Effective Approaches in Leadership and Management

Select an issue from the following list: bullying, unit closures and restructuring, floating, nurse turnover, nurse staffing ratios, use of contract employees (i.e., registry and travel nurses), or magnet designation.
Describe the selected issue. Discuss how it impacts quality of care and patient safety in the setting in which it occurs.

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Discuss how professional standards of practice should be demonstrated in this situation to help rectify the issue or maintain professional conduct.
Explain the differing roles of nursing leaders and nursing managers in this instance and discuss the different approaches they take to address the selected issue and promote patient safety and quality care. Support your rationale by using the theories, principles, skills, and roles of the leader versus manager described in your readings.
Discuss what additional aspects managers and leaders would need to initiate in order to ensure professionalism throughout diverse health care settings while addressing the selected issue.
Describe a leadership style that would best address the chosen issue. Explain why this style could be successful in this setting.
Use at least three peer-reviewed journal articles other than those presented in your text or provided in the course.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. Effective Approaches in Leadership and Management

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.

This benchmark assignment assesses the following programmatic competencies:

RN to BSN

1.1: Exemplify professionalism in diverse health care settings.

1.3: Exercise professional nursing leadership and management roles in the promotion of patient safety and quality care.

3.4: Demonstrate professional standards of practice.

Effective Approaches in Leadership and Management