part 1

Advance Care Planning and Analysis

Democrats’ Plans for Healthcare

I totally agree with Sarah Palin’s sentiments on the Democrats plan for healthcare. I think what the Democrats are pushing for claiming to reduce healthcare is downright discriminatory and it will do more harm than good in the long run. The truth of the matter is, some people need more care than others. For a fact, such a system will not favor vulnerable populations like those with chronic illness, the elderly and the disabled. There are currently more than half a million people in America living with various forms of disabilities. Such people continue to remain in waiting lists to receive services due to the fact that Obamacare urges states to expand Medicaid coverage to able-bodied adults instead of prioritizing the services to those who need them the most (Hilberg, 2015).

My judgment is informed by a commitment to advance care of planning. For instance, recent estimates from the Urban Institute suggest that a big percentage of the individuals eligible to Obamacare Medicaid expansion are adults without children in their prime working years. This means that Obamacare does not provide medical services to the most vulnerable. Another report published by the Foundation for Government Accountability showcases how Medicaid rolls have erupted under Obamacare and also how individuals with disabilities have suffered owing to this.

The Role of Nurses in this Plight

It is important to note that nurses are always in the frontline in boardrooms and in leading healthcare organizations. Given their high level of education and their experience, they have the intelligence to observe, validate and the network to transmit messages that advocate for healthcare reform values. Taking this into consideration, it is not right for them to endorse a legislation even when it is not perfect. If they leverage their numbers and use their influence efficiently, they will be able to support only the legislative changes that strengthen the system instead of those that weaken it (Béland, Rocco & Waddan, 2016).

The above also applies to the recently failed American Care Act. They must rigorously oppose legislation that could undermine or compromise the goals of the healthcare system. Nurses must, therefore, make an extra effort to communicate, listen and collaborate with the new congressional leaders. I believe that by putting their voices together, they can become part of the solution when it comes to directing policy through political goodwill (Béland, Rocco & Waddan, 2016).

part 2

You posed valid considerations.  What is moral agency and how does it correlate with Sara Palin’s comments?

Discussion: Cardiovascular Disorders

Veins and arteries are vital elements of the cardiovascular system. They carry the blood supply through the body and are essential for proper function. Sometimes veins and arteries malfunction, resulting in cardiovascular disorders. Malfunctions of arteries and veins are similar to malfunctions of a water hose. Consider the structure and function of a hose. A tap releases water, which then travels through the hose and comes out the other end. If the hose has been dormant for several months, dirt and rusty particles might build up inside, resulting in a restricted flow of water. Similarly, buildup of plaque inside the coronary arteries restricts blood flow and leads to disorders such as coronary heart disease. This disease is one of the most common cardiovascular disorders, and according to the National Heart, Lung and Blood Institute (2011), is the leading cause of death for men and women in the United States. In this Discussion, you examine the pathophysiology of cardiovascular disorders such as coronary heart disease.

To Prepare

• Review this week’s media presentation on alterations of cardiovascular functions, as well as Chapter 24 in the Huether and McCance text. Identify the pathophysiology of cardiovascular disorders.
• Select one patient factor: genetics, gender, ethnicity, age, or behavior. Consider how the factor you selected might impact the pathophysiology of cardiovascular disorders.
• Select one of the following alterations of cardiovascular disorders: peripheral arterial disease, myocardial infarction, coronary artery disease, congestive heart failure, or dysrhythmia. Think about how hypertension or dyslipidemia can lead to the alteration you selected.

Post a description of the pathophysiology of cardiovascular disorders, including how the factor you selected might impact the pathophysiology. Then, explain how hypertension or dyslipidemia can lead to the alteration you selected for patients with the factor you identified.

Pick any that you want.

All written assignments submitted via TurnitIn should have limited similarity indexes. Similarity index of greater than 20% is not acceptable and is viewed as an indication of high plagiarism content

1) Labor and Birth Processes, Maximizing Comfort for the Laboring Woman, Fetal Assessment During Labor

I NEED MINIMUM OF 17 SLIDES W/PICTURES, BULLET POINTS AND REFERENCES NO OLDER THAN 5 YEARS.

You can use this pages for resources

1. Agency for Health Care Research and Quality (October, 2017). Put prevention into practice. A step-by-step guide to delivering clinical preventive services: A systems approach. Available at http://www.ahrq.gov/clinic/ppipix.htm

2. Clinical Evidence, BMJ Publishing Group web site. Available at http://www.clinicalevidence.org

3. Cochrane Library evidence-based web site. Available at http://www.cochrane.org/

4. Fronske Web Portal Page. Available at http://www.myhq.com/public/f/l/flagstaff/ There is a wealth of access to various sites that can be found here, including evidence-based links and patient education links.

5. University of California, San Diego: A Practical Guide to Clinical Medicine At https://meded.ucsd.edu/clinicalmed/

6. Journal of Family Practice POEMs web site. Available at http://www.essentialevidenceplus.com/

7. U.S. Preventive Services Task Force (USPSTF). Available at http://www.preventiveservices.ahrq.gov

8. University of Iowa Hospital and Clinics. Virtual Hospital. Available at https://uihc.org/health-library

9. National Center for Complementary and Alternative Medicine. Available at http://www.nccam.nih.gov/

10. American Academy of Pediatrics. http://www.aap.org/

11. American College of Obstetrics and Gynecology. http://www.acog.org/

12. Morbidity and Mortality Weekly Report. http://www.cdc.gov/mmwr/

13. NIMH, http://www.nimh.nih.gov/

14. Safe Kids. http://www.usa.safekids.org/

15. US Centers for Disease Control. http://www.cdc.gov