As a health policy analyst for the governor of one of the states that did not expand Medicaid under the Affordable Care Act (ACA), you have been tasked with exploring whether now is a good time for your state to make a policy change. The governor has heard about the impact the Medicaid expansion has had in other states. Many of the uninsured in those states have been brought into coverage. Since the federal government is bearing the majority of the cost of the expansion, this change seems like a no-brainer. In fact, your boss read an article about a candidate for governor in Georgia who asked an audience on the campaign trail “Raise your hand if you would say no to someone who said, ‘Give me a dollar and I’ll give you $9 back’” (Goodnough, 2018, para. 3). Further, this is estimated to be costing states between $6 and $8 million per year. Your boss finds these arguments compelling, needs you to investigate the expansion option further, and has requested input before she makes her decision and a possible recommendation to the legislature. Do some research on the states that have not expanded Medicaid. Pick one to focus on and prepare a proposal for the governor that addresses the following questions:

1. What does the ACA say about the Medicaid expansion in states and how it needs to work? Who and what will the expansion cover?
2. From the experience of states that have expanded, what are the pros and cons of expansion? What are the relevant political, social, and economic concerns?
3. What’s the situation in the state you picked? Why has it not already expanded?
4. What are the political, social, and economic issues for your state that the governor needs to consider? Who will be covered? How much will it cost? Is the legislature likely to go along?
5. What is your recommendation to the governor? Is expansion in your selected state feasible or not?

Cody Roberts: DOB 2/1/80, Male, 6’0”, 190 lbs, BMI 25.8, Active, Non-Smoker, Non-Vegetarian

Food Journal

• Milk, Low Fat, 1%, 8 fl. oz
• Soymilk (All Flavors), Non Fat, with Added Calcium, Vitamins A and D, 8 oz
• Sardines, Atlantic, with Bones, Canned in Oil, 5 items
• Oil, Cod Liver, 1 tbsp
• Egg, Yolk, Raw, 1 item
• GENERAL MILLS TOTAL Raisin Bran Cereal, 1 cup
• TROPICANA PURE PREMIUM 100%Juice, Orange w/ Calcium & Vitamin D, 8 fl oz

iProfile Report(s) Used

• Single Nutrient: Vitamin D (mcg)

Question

• What is the biggest contributor of vitamin D for most humans?
• Look over your Single Nutrient report and share which food contains the most Vitamin D, how much it contains, and whether it is a naturally occurring or fortified source of the vitamin.
• Why do you think vitamin D deficiency in children and the risk of rickets may be on the rise? Explain your answer referencing what you learned from the Single Nutrient report as well as other ways children could get vitamin D.

At 80, Meena had been in a nursing home for 2 years after a stroke, when her health declined, and she was no longer able to communicate her wishes. Meena's physician, Dr. Torres, told her family she was dying. She said that medical tests, physical therapy, and intravenous treatments were no longer really needed and should be stopped because they might be causing Meena discomfort.
Dr. Torres also said that checking vital signs (pulse, blood pressure, temperature, and breathing rate) was interrupting her rest and would no longer be done regularly.

1. From the above situation, develop a nursing care plan (NCP) designed to maintain the patient’s dignity
and achieve a peaceful death.

Then, Meena developed pneumonia. Her family asked about moving her to the hospital. Dr. Torres explained that Meena could get the same care in the familiar surroundings of her nursing home. Besides, the doctor said, a move could disturb and confuse her. The family agreed to leave Meena in the nursing home, and she died 2 days later surrounded by those close to her.

1,Identify nursing priorities/standards of care for these interventions

Central Line/Dressing Standards of Care:

Nursing Standards of Care:         

Rationale:

2, Identify nursing priorities/standards of care for these interventions

Insert Urinary Catheter/Standards of Care:

Nursing Standards of Care:         

Rationale

1. Develop a concept map that highlights concepts of the age-related changes of the organ systems.

2. Identify age-related changes that you see in an individual (family member or client/patient) and describe the impact these changes have had on the individual.

3. Develop a teaching module on health promotion through the life span in order to encourage healthy aging.

4. Discuss the various physiological changes of aging to which smoking contributes.

Choose a research article from a nursing/nutritional journal that explores the issue of strategies to improve health related outcomes regarding obesity/malnutrition in our society today. Below are a few suggestions you might consider.

This can include:

1. What are barriers to a healthy nutritional status?

2. Rates of obesity/malnutrition in Virginia.

3. Why do people have difficulty in maintaining a healthy lifestyle?

4. What impact can nurses have effecting changes in the health care system?

5. Does preventive care make a difference?

.

Induction of Labor Secondary to Postdates

WHAT ARE THE:

Alterations in Health (Diagnosis):

Pathophysiology Related to Client Problem:

Health Promotion and Disease Prevention:

Risk Factors:

Expected Findings:

Laboratory Tests:

Diagnostic Procedures:

Nursing Care:

Therapeutic Procedures:

Medications:

Client Education:

Interprofessional Care:

Safety Considerations:

Complications:

Continuous quality improvement in healthcare timeline Date/event and significance

1,What is the worst possible/most likely complication(s) to Impaired gas exchange related to Covid-19

List 3 on each

Nursing Interventions to PREVENT this Complication:

Assessments to Identify Problem EARLY:

Nursing Interventions to Rescue:

what is the non-pharmacological option you could offer a patient with acute gastroenteritis as the Registered Nurse?

Patient infomation: Gastroenteritis secondary to likely campylobacter bacterial infection.

Priscilla Preshus is 28 years old veterinary nurse graduate who has just completed a 5 day placement in Indonesia. During her stay, she mostly worked in the city area, however Priscilla spent the last two days at a pet shelter (for abandoned kittens) in a remote part of the town. She tells you that she was “really careful” with eating and avoided seafood vigilantly choosing to eat chicken mostly, “to be safe”. Since returning 2 days ago, Priscilla has had significant amounts of watery diarrhoea. She has been managing to eat very small meals and tolerate small sips of water, however, has not been able to control the diarrhoea. Priscilla advises she was initially able to keep some fluids down, but since last night has been unable to due to nausea and now vomiting. When Priscilla presents in the afternoon, she is pale and guarding her abdomen. She states that she is feeling nauseous, dizzy when she stands up, has a cramping ache in her stomach and has been having “chills” at night. She is very anxious (and teary) today after noticing blood in the toilet after her last couple of bowel movements.

HR 121 beats per minute BP 92/78 O2 Sats. 98% RA RR 24 Temp 38.1o C BGL 5.9mmol/L Pain 7/10 Dry mucosa Mild abdominal distention Abdominal area tender to touch on palpation Hyperactive bowel sounds (Borborygmus+ on auscultation) States has been feeling fatigued, weak, describes myalgia, for last 2 days Dark cloudy urine. Specific Gravity 1.030, pH 5.0, protein++ A stool sample sent away for testing (noted haematochezia) Medical History: Type 2 Diabetes Mellitus (diet controlled), mild hypertension Medications: Oral Contraceptive Pill, Olmesartan

write down about the current trails to develop a vaccine(s) against COVID 19.

3. What self-imposed and environmentally imposed risks to younger adults can contribute to the development of respiratory conditions in later life?

write down about. Etanercept and Darbepoetin alfa.

explain in details the causes, signs and symptoms, pathophysiology , diagnosis process and different treatment strategies of leukaemia?

GENITOURINARY SYSTEM AND SEX AMONG ELDERLY

1. What are the components of a basic evaluation for urinary incontinence?

2. Factors that may lead to urinary incontinence.

3. Explain different forms of urinary incontinence.

4. What are the different strategies/ interventions of care with urinary incontinence?