Briefly define the qualifications for Medicare and Medicaid benefits. How can qualifications be modified to serve more people who are considered a vulnerable population?

This week reflect upon the Medicare and Medicaid programs to address the following:

Describe the Quality Improvement Organization (QIO) and explain how the QIO improves policies and healthcare for Medicare beneficiaries.
Briefly define the qualifications for Medicare and Medicaid benefits. How can qualifications be modified to serve more people who are considered a vulnerable population?
Discuss the impact (including at least two positive and two negative aspects) that the ACA has had on benefits and coverage for Medicare and Medicaid recipients.
Describe your role(s) as a healthcare leader as it applies to the practice of advocating for cost effective care for vulnerable populations.

Rewrite the following notes using the appropriate language for nursing documentation. Please Correct only where necessary.

a. D.K. is a 56 y/o African American male with a h/o HTN, high cholesterol, and arthritis; D.K is 5'10" and 300 pounds; pt. denies CP, SOB; pt. does not care about the risks of heart disease - he eats whatever he wants including fatty and salty foods; pt. told that he has to eat a low sodium low cholesterol diet if he doesn't want to die; pt. states that he has arthritic knee pain bilaterally - rates pain at 8/10; pt. looks like he is not in that much pain - given Tylenol for mild pain instead of 2 Percocet ordered for severe pain; patient told that obesity is causing knee pain.

b. J.B. is 40 y/o Caucasian male admitted for CP, r/o MI; pt. denies smoking but clothes and breath smelled like cigarette smoke so patient was obviously being dishonest; pt. also denies drug use but patient was lying about that too b/c he has signs of drug abuse - marks from heroin injections along both arms.; MD ordered morphine prn for chest pain due to low BP; pt. c/o CP at 0400 but not given prn morphine due to patient just seeking drugs; MD notified of patient lying about being in pain.

c. R.M. is a 95y/o admitted with pneumonia; h/o CVA - pt. is non-verbal; lives with granddaughter and her boyfriend; pt. has been physically abused - multiple bruises that definitely look like finger marks found on patient's arms bilaterally; RN asked granddaughter if her boyfriend is physically abusing pt. - she lied and said the patient fell and banged his arms on the kitchen table; RN notified social services that this is a clear case of elder abuse.

d. Mr. W. is a 76 y/o male admitted with COPD exacerbation; h/o anxiety and depression; pt. complaining that RN not answering call-light fast enough; pt. is being very unreasonable and impatient; pt. states that he is extremely anxious and needed his prn anti-anxiety med and says he is mad that the RN ignored the call light; pt. does not appear anxious - he is just complaining b/c he doesn't like to be alone for too long in his room; notified nurse manager that patient will likely write up a poor evaluation of the unit.

explain the importance of biostatistics and epidemiology in public health. (essay form)

Describe your role(s) as a healthcare leader as it applies to the practice of advocating for cost effective care for vulnerable populations.

You are working as travel health nurse in one of the clinic, a patient has approached you to have an   evaluation of his health before travel
- Specify why you are going to use that tool.

What is religious and spiritual beliefs?

(Word limit 170)

Location: Orthopedic unit 1555

SBAR report from day shift nurse:

Situation: Mrs. Jacobson is an 85-year-old white female who was admitted last evening after falling and fracturing her hip. X-rays have been taken and show left intertrochanteric hip fracture. Mrs. Jacobson is scheduled for surgery tomorrow.

Background: Mrs. Jacobson has a 10-year history of osteoporosis, and her daughter reports that recently Mrs. Jacobson has been having dizzy spells.

Assessment: Mrs. Jacobson's vital signs are stable. Her pain is under control with morphine every 4 hours, and I medicated her at 1400. Her pain level was 2 after the morphine. The skin is intact; color and sensation around the hip area are within normal limits. A Morse Fall Scale assessment was completed on admission, and her score was 45. Fall precautions were implemented.

Recommendation: You will need to reposition Mrs. Jacobson as she needs to be turned every 2 hours. You should perform a focused musculoskeletal assessment, reinforce safety, and provide patient education on fall risk. Assess her pain level and medicate for pain if needed.

1. Assessment - 2 subjective & 2 objective

2. Nursing diagnosis (1) using related to as evidence by

3. Goals - 2 long term & 2 short terms

4. Interventions - interventions w rationales (4)

5. Evaluation - 4 evaluations of interventions

1 List the 5 stages of stress and describe each stage. Provide an example of the behavior that may be demonstrated in each stage.

2 The textbook and PowerPoint list several tips for reducing stress. Which tips do you feel are most important? List 5 and explain why you feel they are most important.

Match the following types of stress, in order, leading to burnout. (Brownout Phase, Phoenix Phase, Awakening Phase, Honeymoon Phase, Full-Scale Burnout Phase)

write a research about abortion

What are specific names of benzodiazepines?

Which medication has the safest side effect profile as a sleeping pill for the elderly?

What is important patient teaching for a patient receiving Dilantin?

What are toxic effects of Dilantin?

Therapeutic range for Dilantin?

Anxiolytics...who are they? how do they act in the body? special implications?

How do SSRI antidepressants work?

Important assessments re. tricyclic antidepressants?

Characteristics of atypical antipsychotics?

What effects do antipsychotic medications exert on vital signs?

Anticholinergic side effects? What drugs cause these?

Extrapyramidal symptoms...what are they? who causes them? treatment?

Put in essay format using your own words.

1.       Describe placental and fetal development and the importance of critical periods.

2.       Explain the risk factors for the development of neural tube defects.

3.       Describe the expected weight gain during pregnancy and components of the gained weight.

4.       Discuss the prenatal requirements for kilocalories, proteins, vitamins and minerals and supplementation. What are the exercise recommendations for pregnant women?

5.       Describe the treatment for the common discomforts of pregnancy.

6.       Discuss the medical problems that can occur during pregnancies, including gestational diabetes, preeclampsia and lifestyle.

7. Describe the nutritional needs and habits that are incompatible with lactation.

8.       Identify nutritional and other health benefits of breast feeding. Discuss the factors used in the selection of an infant formula.

9. Discuss the effect of nutritional deficiency on behavior, and food allergies and intolerances.

10. Describe the incidence of childhood obesity and the role of heredity and environmental factors, the development of type-two diabetes and cardiovascular disease.

A 4.25 Query retention

Your organization is in the process of implementing a clinical documentation improvement (CDI) program. The newly appointed CDI director has made it clear that she is not interested in having input from the HIM department on the program's development. However, in your role as HIM director, someone has made you aware of a CDI policy stating that once a query is answered and the information passed on to the coder, the query form will not be retained.

Consider how to approach the CDI director with your differing opinion on this policy.

Be sure to justify the position that you take.

reflection about biostatistics and epidemiology in public health