NR524: Health Policy, Advocacy And Economics In Healthcare

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NR524: Health Policy, Advocacy And Economics In Healthcare

Write 150 words each on the following 4 advanced practice nursing policy and describe how the policy improves or creates a barrier to healthcare access. Support the policy (with evidence) or describe what you would change (with evidence).

1. Support Bill Authorizing NP Patient Inclusion in Shared Savings ACOs. (150 Words).

2. HR. 6308 Bill to amend the Social Security act requirement related to primary care physician services. (150 Words).

3. HR Increasing Access to Quality Rehabilitation Care Act of 2021. (150 Words).

4. 2009 Oregon’s largest insurance companies decreased reimbursement rates for mental health services rendered by non-physician providers. (150 Words).

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References

Bodenheimer ,T. & Grumbach, K. (2016). Understanding health policy: A clinical approach (7th ed). McGraw Hill Medical.

Writing Guides used throughout the MSN program:

APA. (2019). Publication manual of the American Psychological Association (7th edition). American Psychological Association. NR524: Health Policy, Advocacy And Economics In Healthcare

Advocacy Through Legislation Essay

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Advocacy Through Legislation Essay

Nurses often become motivated to change aspects within the larger health care system based on their real-world experience. As such, many nurses take on an advocacy role to influence a change in regulations, policies, and laws that govern the larger health care system.

For this assignment, identify a problem or concern in your state, community, or organization that has the capacity for advocacy through legislation. Research the issue and use the “Advocacy Through Legislation” template to complete this assignment. You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice Advocacy Through Legislation Essay.

Advocacy Through Legislation

Identify a problem or concern in your state, community, or organization that has the capacity to be advocated through legislation. Research the issue and complete the sections below. For each topic that requires the listing of criteria, a minimum of two criteria should be identified and discussed. Add more rows as is appropriate for the topic/proposal.

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Problem

In no more than 250 words, describe the problem, who is affected, and the current ramifications. Explain the consequences if the issue continues.
 

 

 

 
Idea for Addressing Solution

In no more than 250 words, outline your idea for addressing the issue and explain why legislation is the best course for advocacy.
 

 

 

 
Research the Issue

Perform research and compile information for your idea. Present substantive evidence-based findings that support your idea for addressing the problem (studies, research, and reports). Include any similar legislation introduced or passed in other states Advocacy Through Legislation Essay.
Evidence 1  
Evidence 2  
   
Stakeholder Support

Discuss the stakeholders who would support the proposed idea and explain why they would be in support.
Stakeholder(s) Supporting 1  
Stakeholder(s) Supporting 2  
   
Stakeholder Opposition

Discuss the stakeholders who would oppose the proposed idea. Explain why they would be in opposition and how you would prepare to debate or converse about these considerations.
Stakeholder(s) Opposed 1  
Stakeholder(s) Opposed 2  
   
Financial Incentives/Costs

In no more than 250 words, summarize the financial impact for the issue and the idea (added costs, cost savings, increased revenue, etc.). Provided support.
 
Legislature: Information Needed and Process for Proposal

Discuss the how to advocate for your proposal using legislation. Include the following:
Provide the name and complete contact information for the legislator.  
Describe the steps for how you would present this to your legislator.  
Outline the process if your legislator chooses to introduce your idea as a bill to congress.  
Christian Principles and Nursing Advocacy

In no more than 250 words, discuss how principles of a Christian worldview lend support to legislative advocacy in health care without bias. Be specific as to how these principles help advocate for inclusiveness and positive health outcomes for all populations, including those more vulnerable, without regard to gender, sexual orientation, culture, race, religion/belief, etc.
 

Advocacy Through Legislation Essay

NUR4636 – Community Health Nursing Essay

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NUR4636 – Community Health Nursing Essay

NUR4636 – Community Health Nursing

Case Study

Chapter 4

Evidence-Based Practice and Ethics in Community Health

Nursing

The student nurse starts the day with the community health nurse with a discussion

about the implementation of evidence-based practice. The nurse reviews with the

student the importance of including appropriate research and evidence-based

practice principles each day during the daily visits. The community health nurse

emphasizes the importance of looking at one’s own values since the student nurse

will encounter various individuals in the community health setting. The community

health nurse asks the student nurse to review the key human values that influence

a client’s health.

1. The community health nurse asks the student nurse to explain what is

involved in evidence-based practice. What are the necessary steps in the

process of evidence-based practice that the nurse should include in the

discussion with the community health nurse? NUR4636 – Community Health Nursing Essay

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2. What does implementation of evidence-based practice enable the community

health nurse to do in the community?

3. Research has what significant impact on community health and nursing

practice?

4. Values and ethical principles strongly influence community health nursing

practice and ethical decision-making. What function do values hold in clinical

practice in the community health setting?

5. What three human values influence client health that the community health

nurse must consider? NUR4636 – Community Health Nursing Essay

Prescribing For Older Adults And Pregnant Women

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Prescribing For Older Adults And Pregnant Women

  • Choose one of the two following specific populations: either pregnant women or older adults. Then, select a specific disorder from the DSM-5 to use.
  • Research evidence-based treatments for your selected disorder in your selected population (either older adults or pregnant women). You will need to recommend one FDA-approved drug, one non-FDA-approved “off-label” drug, and one nonpharmacological intervention for treating the disorder in that population Prescribing For Older Adults And Pregnant Women.

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  • Recommend one FDA-approved drug, one off-label drug, and one nonpharmacological intervention for treating your chosen disorder in older adults or pregnant women.

  • Explain the risk assessment you would use to inform your treatment decision  making. What are the risks and benefits of the FDA-approved medicine? What are the risks and benefits of the off-label drug?
  • Explain whether clinical practice guidelines exist for this disorder, and if so, use them to justify your recommendations. If not, explain what information you would need to take into consideration.
  • Support your reasoning with at least three current, credible scholarly resources, one each on the FDA-approved drug, the off-label, and a nonpharmacological intervention for the disorder. Prescribing For Older Adults And Pregnant Women

Spiritual Care Paper Example

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Spiritual Care Paper Example

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.

  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.
  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? Spiritual Care Paper Example

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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.

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

Family Nurse Practitioner Program WEEK Reflection

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Family Nurse Practitioner Program WEEK Reflection

This reflection post provides a forum for you to reflect on meeting the program outcomes and competencies from your program of study.  Family nurse practitioner program

Week 3 Reflection Post Prompt:  Reflect and give at least two (2) examples on how you think you have met the program student learning outcome:

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Create comprehensive plans of action that address the health promotion and disease prevention needs of individual, family, and community populations. 

Post your reflection in 100 to 150 words. No references required. Family Nurse Practitioner Program WEEK Reflection

Family Nurse Practitioner Program Week 4 Reflection

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Family Nurse Practitioner Program Week 4 Reflection

This reflection post provides a forum for you to reflect on meeting the program outcomes and competencies from your program of study, Family Nurse Practitioner.

Week 4 Reflection Post Prompt:  Reflect and give at least two (2) examples on how you think you have met the program student learning outcome:

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Formulate a plan for ongoing contributions to improvement of healthcare delivery and development of health policy in a cost-effective manner. 

Post your reflection in 100 to 150 words. No references required. Family Nurse Practitioner Program Week 4 Reflection

Summarizing Nursing Scholarly Article

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Summarizing Nursing Scholarly Article

Find and read a nursing scholarly article that relates to your clinical practice and is found in a peer-reviewed journal. Follow the instructions for the format in course textbook and write a 1-page summary.

The weekly article summary assignment starts from Module 1 through Module 6. Each summary is due in the following module. For example, Article Summary 1 must be submitted by 11:59 PM ET Sunday in Module 2, and Article Summary 6 must be submitted by 11:59 PM ET Sunday in Module 7.

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Submission Instructions:

  • Must be a research article. Write a 1-page summary using an outline of the steps of the research process stated in the course textbook. Discuss the study type, purpose, and research question(s).
  • The summary is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
  • The summary should be formatted per current APA and 1 page in length, excluding the title page and references page. No abstract needed.
  • Incorporate a minimum of 2 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
  • Complete and submit the assignment by 11:59 PM ET Sunday.
  • Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor Summarizing Nursing Scholarly Article

Women’s And Men’s Health/Infections And Hematologic Systems.

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Women’s And Men’s Health/Infections And Hematologic Systems.

As an advanced practice nurse, you will likely experience patient encounters with complex comorbidities. For example, consider a female patient who is pregnant who also presents with hypertension, diabetes, and has a recent tuberculosis infection. How might the underlying pathophysiology of these conditions affect the pharmacotherapeutics you might recommend to help address your patient’s health needs? What education strategies might you recommend for ensuring positive patient health outcomes?

You will be assigned a patient case study and will consider how to address the patient’s current drug therapy plans. You will then suggest recommendations on how to revise these drug therapy plans to ensure effective, safe, and quality patient care for positive patient health outcomes Women’s And Men’s Health/Infections And Hematologic Systems..

THE CASE STUDY

A 46-year-old, 230lb woman with a family history of breast cancer. She is up to date on yearly mammograms. She has a history of hypertension (HTN). She complains of hot flushing, night sweats, and genitourinary symptoms. She had felt well until 1 month ago and she presented to her gynecologist for her annual gyn examination and to discuss her symptoms. She has a history of ASCUS about 5 years ago on her pap, other than that, Pap smears have been normal. Home medications are Norvasc 10mg qd and HCTZ 25mg qd. Her BP today is 150/90. She has regular monthly menstrual cycles. Her LMP was 1 month ago Women’s And Men’s Health/Infections And Hematologic Systems..

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THE QUESTION:

1:  Describe the patient’s health needs from the patient case study you assigned. Be specific.

2: Then, explain the type of treatment regimen you would recommend for treating the patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response.

3: Explain a patient education strategy you might recommend for assisting the patient with the management of their health needs. Be specific and provide examples Women’s And Men’s Health/Infections And Hematologic Systems.

Discussion Diversity and Health Assessments discussion essay examples

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NURS 6512: Advanced Health Assessment and Diagnostic Reasoning – Discussion Diversity and Health Assessments discussion essay examples 

Diversity and Health Assessments

Case #1: “I came for my annual physical exam, but do not want to be a burden to my daughter.” History of Present Illness (HPI): At-risk 86-year-old Asian male – who is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs. According to Dains, Baumann, and Scheibel (2016), an assessment begins with the patient stating their primary concern or reason for the visit. In the case of the 86-year-old Asian male, he is in for his annual physical exam but clearly states that he concerned about burdening his daughter. The patient requires a complete physical exam on this visit, but would also benefit from a comprehensive geriatric assessment (CGA) based on his age but also because of is comment. Functional and social vulnerabilities are challenges characteristic of older populations (Ramani, Furmedge, & Reddy, 2014). Discussion Diversity and Health Assessments discussion essay examples .

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The socioeconomic factor related to this patient is his dependency on his daughter for financial stability. The patient’s daughter is a single mother who does not have money to spend on her father’s health needs. The patient is 86 years old and physically dependent on his daughter, so is unable to contribute to the household both financially or physically. It is unclear if the daughter able to support for her father beyond his health needs. According to Yan, Chan, and Tiwari (2015), Asian cultures prescribe to adult children caring for their elderly parents providing financial support and showing them obedience Discussion Diversity and Health Assessments discussion essay examples . This is based on a Confucian teaching which, according to more recent studies, is being interpreted differently by younger generations who feel that it is dependent on their own circumstances (Yan, Chan, & Tiwari, 2015).

Subjective data obtained from the assessment identified a weight loss of 25 pounds over the past year, multiple bruises on the patient’s upper arms and back, and a history of two falls within the last 6 months. Objective data identified that the patient was hypertensive, even though taking medication for hypertension, and multiple bruises in different stages of healing on his upper arms and back. The patient also has arcus senilus bilaterally, which is common for this age population and does not require intervention. The bruises, weight loss, and hypertension need to be addressed. Discussion Diversity and Health Assessments discussion essay examples .

Sensitive Issues

The patient’s assessment is affected by cultural beliefs and behaviors and the relationship with the family should be explored (Ball, Dains, Flynn, Solomon, & Stewart, 2015). Ball et al. (2015) also indicate that older patients who are physically impaired are at higher risk for elder abuse. A conversation regarding the bruises is a sensitive subject particularly because Asian populations are hesitant to report elder abuse as it is considered a family matter (Yan, Chan, & Tiwari, 2015). According to Yan, Chan, and Tiwari (2015), discussing the potential elder abuse with a third party is considered shameful in Asian culture because the behavior may be seen as a reflection of poor parenting. Addressing the hypertension should include assessing if the patient is taking his medication, which may identify if the daughter is purchasing the medication or not Discussion Diversity and Health Assessments discussion essay examples . This is a sensitive issue because the patient does not want to burden his daughter and may not want to indicate that his daughter is neglecting his needs.

Older adults require health care that goes beyond medical management and includes evaluation of issues such as physical, financial, and environmental aspects that impact their health (Ramani, Furmedge, & Reddy, 2014). Identifying problems with the patient’s social support can aid in obtaining resources for the patient and choices can be made regarding outcomes most important to the patient and his daughter (Ramani, Furmedge, & Reddy, 2014). Lastly, the patient is functionally impaired and may qualify for state or local benefits depending on his income (Ramani, Furmedge, & Reddy, 2014) and since he is being supported by his daughter, this may alleviate the burden on her and improve his access to medications and care that he requires. Discussion Diversity and Health Assessments discussion essay examples .

Targeted Questions

  • How do you take your medications each day?
  • What do you normally eat and drink each day?
  • Are you able to get around okay at home?
  • Do you feel safe at home?
  • Would you like help with things at home such as bathing, dressing, and mobility?
  • Do you often feel sad or depressed?
  • Discussion Diversity and Health Assessments discussion essay examples

References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.

Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby.

Ramani, L., Furmedge, D. S., & Reddy, S. H. (2014). Comprehensive geriatric assessment. British Journal of Hospital Medicine (London, England: 2005), 75(8), C122-C125.

Yan, E., Chan, K., & Tiwari, A. (2015). A Systematic Review of Prevalence and Risk Factors for Elder Abuse in Asia. Trauma, Violence & Abuse, 16(2), 199-219 21p. doi:10.1177/152483801455503

 

 

NURS 6512: Advanced Health Assessment

Diversity and Health Assessment

     Cultural competence is the gradually developed capacity of nurses and healthcare providers to provide safe and quality healthcare to clients of different background (Duan-Ying, 2016). Cultural competence involves recognizing one’s own culture, values, and biases, and using effective patient-centered communication skills (Ball et al., 2015). To be culturally competent, the practitioner must be able to respond to the cultural diversity of her or his patients and adapt to the unique needs of patients from the cultural and spiritual background different from her or his own (Ball et al., 2015). For this forum, the cultural health assessment of MR, the 23-year-old Native American male will be discussed.

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Case 3: Culturally Competent Health Assessment of the 23-year-old Native American Male

MR, a 23-year-old Native American presents with complain of anxiety, history of smoking “pot,” alcoholism, a family history of diabetes, hypertension, and alcoholism. He is afraid of the adverse outcomes of his lifestyle choices. He is not currently on prescription medication and denies drug use. He needs some prescriptions to help him with his anxiety.

According to Espey at al. (2013), “American Indians in the United have long endured a legacy of injustice and discrimination with multiple negative manifestations, including alarming health disparities and inadequate healthcare.” Patterns of mortality among Native Americans are strongly influenced by the high incidence of diabetes, smoking prevalence, problem drinking, and social determinants (Epsey et al., 2013). For many young Native Indian Americans like MR, the problem of poor health, smoking, and alcohol abuse can be explained by poverty, unemployment, and lack of education. Sarche & Spicer (2008) state that more than one-quarter of American Indian and Alaskan Native is living in poverty, a rate that is more than double of that of the general population. The discrepancy in education and employment is also found and overall, there are fewer individuals within the American Indian and Alaska community who possess a high school diploma or GED (71% versus 80%) or a bachelor degree (11% versus 24.4%) (Sarche & Spicer, 2008). The social determinants of health including poor-socioeconomic status, poor education, low income as well as unhealthy lifestyle and poor access to healthcare services play a major role in MR’s anxiety, alcohol use, and “pot” smoking Discussion Diversity and Health Assessments discussion essay examples . MR health seeking behavior is related to his spiritual beliefs that he might not “get into heaven” if he continues to have an unhealthy lifestyle. This attitude is an excellent initiative towards a healthier lifestyle.

                           Addressing critical issues when interacting with the patient

According to scenario 3, MR has multiple health risks. He has a family history of hypertension, diabetes, and alcoholism. He is a current “pot” smoker, alcohol drinker, and a very anxious young man looking for prescriptions against anxiety. Anxiety is one the withdrawal symptoms and therefore, MR may have drug addiction issue. This patient may need a psychiatric consult for better assessment of his drug addiction status. He is also at risk for cardiovascular diseases and lung cancer related to “pot” smoking, hypertension and diabetes-related to family history and alcoholism. Discussion Diversity and Health Assessments discussion essay examples

Targeted Questions

1-    How are you doing today? How can I help you with your visit?

2-    You stated that you have been smoking “pot.” How long have you been smoking?

3-    What do you think is the cause of your anxiety?

4-    You stated that drinking alcohol can help cope with your anxiety. How many drinks do you have in one day?

5-    Have you ever felt you should cut down on your drinking? (CAGE questionnaire)

6-    Have people annoyed you by criticizing your drinking? (CAGE questionnaire) Discussion Diversity and Health Assessments discussion essay examples

7-    Have you felt bad or guilty about drinking?  (CAGE questionnaire) (Addiction & Recovery, 2018).

8-    Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hangover? (CAGE questionnaire)

9-    Do you have insurance coverage? Do you have concerns about how to cover your medical expenses?

10-    Before coming to this health center did you seek help from a family member, spiritual leader or a friend? Did they listen to you or provide any support?                                                                                                                                                                                                                                   Reference

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., Stewart, R. W. (2015). Seidel’s Guide to          

          Physical Examination. (8th E.). Elsevier, Mosby. St. Louis, Missouri.

Addiction and Recovery (2018). CAGE Questionnaire. Addiction Self-Assessment.

Retrieved from https://addictionsandrecovery.org/addiction-self-test.htm

Duan-Ying, C. (2016). A Concept Analysis of Cultural Competence. International Journal of

         Nursing Sciences. Volume 3, Isuue3, pages 268-273.

https://doi.org/101016/j.ijnss.2016.08.00 Retrieved from

https://www.sciencedirect.com/science/article/pii/S2352013216300795

Espey, D. K., Jim, M. A., Cobb, N., Bartholomew, M., Becker, T., Haverkamp, D.,

Plescia, M. (2014). Leading Causes of Death and All-Cause Mortality in American

Indians and Alaska Natives. American Public Health Association.

Doi: 10.2105/AJPH.2013.3017.98 Retrieved from

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4035872/ Discussion Diversity and Health Assessments discussion essay examples

 

Sarche, M., Spicer, P. (2008). Poverty and Health Disparities for American Indian and Alaska

Native Children: Current Knowledge and Future Prospect. American Indian and Alaska

            Native Programs. Doi: 10.1196/annals.1425.017. Retrieved from

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2567901/pdf/nihms58363.pdf Discussion Diversity and Health Assessments discussion essay examples