• What is the premise of healthcare policies? (consider the following: past/current policies that impact provider-insurer shift)
• Is healthcare access a “human right” or a “privilege”? Provide a rationale.
• Who are the major players in health policies?
• How does health policy impact society?

Health policies must undergo policy processes of analysis prior to implementation. Pre-process, intra-process, and post-process all have major impacts on healthcare organizations and consumers. Based on the policy many people may face economical or social change, which could either be just/unjust. In a minimum of 250 words, discuss the following: Evaluate the ACA’s impact on healthcare quality and cost. How does the ACA impact society as a whole? Highlight the relevance of the Federal Medicaid Assistance Percentage (FMAP), as it relates to the ACA.

Question set #1:

You are interested in the extent to which clients’ rights to privacy are respected and protected in a community health care agency and the extent to which the agency complies with the requirements of HIPAA. What questions should you ask? What makes those questions essential in your practice?

Example (question): To what extent are the written and electronic communications of the agency protected from people who have no authority to access that information?

Improvement requires change, but not every change is an improvement. The approach used by
most organizations is to adopt a strategy for managing change and train their staff to facilitate the
improvement process. How would you engage front line staff in QI programs when the day-to-day functions alone can be so consuming?

Your response must be at least one complete paragraph.

Regarding Atherosclerosis and Peripheral Arterial Disease list 5 modifiable risk factors and explain how each contributes to the development of the condition

After the readings please think about reasons we need Scope and Practice Manuals and how you can relate transpersonal care to your clinical experiences.

Discussion questions:

• Explain your understanding of the Holistic Nursing Scope and Standards of Practice.

• Discuss your understanding of transpersonal human caring standards. How can you practice transpersonal nursing in clinical settings?

Book : Holistic Nursing ,

chapter 2 Holistic Nursing : Scope and Standards of Practice

chapter 4 Transpersonal Human Caring and Healing

Author : Barbara Dossey & Lynn Keegan

APA format needed.

what other information needed ?

Explain the main arguments for and against legalizing drugs. With which side do you stand?

Mr. Green is 75 years old and in the doctor's office for his first checkup after being prescribed digoxin (Lanoxin) once daily and chlorothiazide (Diuril) two times a day (BID) for congestive heart failure. He still has some signs of heart failure and has admitted that he sometimes forgets to take his pills. He also has trouble reading the labels and isn't sure which pill he is supposed to take again at night.

1. What instructions would provide that might help Mr. Green become more compliant?

You will develop a nursing care plan for a person with a nutritional concern. choose a patient condition type

Care plan for person with kidney disease

nursing diagnose

medical diagnose

Pt. INICIAL

Write up One priority nursing diagnosis.

Subjective data:  

Objective data:  

Measurable Goal:  

nursing interventions

Evaluation:  

#of intervention

Rationale

citation

As a team investigate 5 new careers in health sciences that you did not know before.

You will need to find out:

1. Name of the career
2. What they do (role and responsibilities)
3. What the educational requirements are
4. What certification, additional training, and/or experience are required
5. Some interesting facts about the career

Cristina is a 28 year old woman who identifies herself as Latina, of Puerto Rican descent, raised on the West Side and currently lives with her grandmother at Elliot House in Chelsea. At intake she reveals that she is transgender and has been living as female since she graduated from high school but her parents could not accept her gender transition so she left home and has been living with her grandmother ever since. She works full time as a clerk at a local dollar store but the pay is very minimal and she tells you she needs money to complete her transition so she started doing sex work. She came in today because when she went to a free mobile clinic in the Bronx , where she often sees her clients, to get condoms and a rapid HIV test, she did a screening for blood pressure and diabetes and her blood pressure was 160/90 and she was told she was pre-diabetic. She is very anxious about her health but has never had a regular PCP because she was afraid of insensitivity to her gender status. She is also anxious taking medications that might interfere with her transition or impact upon her appearance. She reveals that she is often depressed, when she worries about her future and now even more so now that she might have diabetes and because of her past experiences, she sometimes has nightmares. She came to your health center because some friends told her it was a good place for the LGBT community.

How do you handle her concerns about treatment?

What potential referrals might you make and where?

A 77-year-old man is admitted to the intensive care unit (ICU) of a university hospital from the operating room. Earlier the same day, he had presented to the emergency department with abdominal pain. His medical history included treated hypertension and hypercholesterolemia, previous heavy alcohol intake, and mild cognitive impairment. In the emergency department, he was drowsy and confused when roused and was peripherally cold with cyanosis. The systemic arterial blood pressure was 75/50 mm Hg, and the heart rate was 125 beats per minute. The abdomen was tense and distended. After the administration of 1 liter of intravenous crystalloid to restore the blood pressure, a computed tomographic scan of the abdomen showed extraluminal gas and suspected extraluminal feces consistent with a perforated sigmoid colon. He was treated with intravenous antibiotics and taken to the operating room for laparotomy. During this procedure, gross fecal peritonitis from a perforated sigmoid colon was confirmed; resection of the sigmoid colon with the closure of the rectal stump and creation of an end colostomy (Hartmann’s procedure) was performed with extensive peritoneal toilet and washout. On arrival in the ICU, he is still anesthetized and remains intubated. the arterial blood pressure is supported with a norepinephrine infusion. When the patient was in the operating room, he received a total of 4 liters of crystalloid. On his arrival in the ICU, the vital signs are a blood pressure of 88/52 mm Hg, heart rate of 120 beats per minute in sinus rhythm, central venous pressure of 6 mm Hg, and temperature of 35.6°C. An analysis of arterial blood shows a pH of 7.32, the partial pressure of carbon dioxide of 28 mm Hg, partial pressure of oxygen of 85 mm Hg, and a lactate level of 3.0 mmol per liter. Please use the following questions to help you formulate a response to this case study:

1. What is your suspected diagnosis of the patient (other than the listed surgical diagnosis)

2. What are the treatment options for this diagnosis?

3. What are the risks to the patient?

4. What nursing interventions and orders would you expect to be a part of this patient's care?

Nursing 113 quiz # 4
Dorsey Wayne campus

The nurse is caring for a minority client. When assessing for social inequities, which social determinants would be most appropriate for the nurse to consider? Select all that apply.

1. Age

2. Gender

3. Living condition

4. Work condition

5. Access to health care