Reaction paper about Provisions of the Healthcare Reform and Healthcare Inequalities and Health Inequities

When enacting the strategy of ______ nurses are able to have input into the decision-making process like equals, but in a way that doctors are unaware of their contributions, thus maintaining the perception of the nurse’s role as subordinates.

1. A concern on social media is

   	A.	access.
   	B.	privacy.
   	C.	the EHR.
   	D.	the proliferation of apps.

6.25 points   

QUESTION 15

1. Social networking may be used by

   	A.	families.
   	B.	all of the answers are correct
   	C.	nurses.
   	D.	patients.

6.25 points   

QUESTION 16

1. ______ are defined as unexpected occurrences involving death or serious physical or psychological injury, or the risk thereof.

   	A.	Medical errors
   	B.	Socializations
   	C.	Power conflicts
   	D.	Memorable messages

6.25 points   

QUESTION 17

1. Which of the following is not an approach to conflict resolution?

   	A.	Avoidance
   	B.	Collaboration
   	C.	Authority
   	D.	Competition

6.25 points   

QUESTION 18

1. The _____ involves the contradiction of attempting to be regarded as a competent peer of physicians, while at the same time conforming to the traditional hierarchical structure that relegates nurses to an inferior status position within the physician-nurse relationship.

   	A.	detached-attached role dialectic
   	B.	denying the hierarchy
   	C.	equal-subordinate dialectic
   	D.	superior–equal role dialect

6.25 points   

QUESTION 19

1. _____ is crucial to contribute to the effective functioning of nursing organizations and consequently, to the excellence of nursing care.

   	A.	Evaluation
   	B.	Managing Conflict
   	C.	Background
   	D.	Dominance

Reaction about The Ethics of Epidemics and the current global pandemic

Reaction about The Ethics of Disaster and Domestic Violence

Mr. Franklin is a 60-year-old patient with a history of a thrombotic cerebrovascular accident two years ago. After the stroke he started with seizure attacks. He has been suffering from hypertension for the last ten years and ulcerative colitis since last year. He currently takes lisinopril, hydrochlorothiazide, aspirin, carbamazepine, and a low dose of prednisone.

Mr. Franklin has been suffering from epigastric pain, sensation of fullness, and occasional nausea for the last six months. This time, he was brought to the ER because, while he was talking to his son, he had a dizzy spell and fell to the floor. He is conscious and is complaining of severe epigastric pain. He began with mild abdominal pain two days after he started taking a new cycle of prednisone for his colitis, around seven days ago. The pain increases when he eats or drinks something. He is also complaining of suffering from pyrosis, malaise, and dizziness, and he has noticed that his feces are dark.

The patient was a heavy alcohol drinker until he had the stroke. He is a cigarette smoker since he was 20 years old. His mother suffered from Alzheimer's disease and died of colon cancer, and his father died of cirrhosis of the liver.

• Abdomen: Pain on palpation on epigastric region
• SOMA: Right hemiplegia and hyperreflexia
• Integumentary system: Pallor, diaphoresis, coldness
• Cardiovascular system: Tachycardia. Blood pressure 70/50 mmHg. Radial pulse 110.
• Digestive system: Tenderness of epigastric region. Rectal exam showed melena.
• Neurologic system: The patient is conscious and well oriented to time, place, and person. Right hemiplegia and hyperreflexia

Respond to the following?

1. According to the patient's previous medical history, it is possible that he has cirrhosis of the liver? Why? Can cirrhosis of the liver be a cause of upper digestive bleeding? What is the prognosis? Explain.
2. Are there any specific risk factors of diseases of the gallbladder or pancreas? If so, why, and what is the prognosis?
3. What specific sign on the physicals is characteristic of upper digestive system bleeding?

A. Case-Study. Present and discuss a case-study illustrating an ethical dilemma in healthcare that you have encountered in your own experience or one of current relevance—one that you have not discussed in the Midterm. What are the ethical theories best suited to address the case. How would you solve it? Explain. 3 pages plz. Thanks.

IN YOUR OWN WORDS-PEASE DO NOT COPY AND PASTE ) PLEASE READ-->DO NOT ANSWER QUESTIONS__> Please determine in each questions wether it is biased and which is unbiased for both A & B. How their examples do or do not create a bias. 1) A) Do you think obesity is the cause of cardiovascular diseases (CVD)? B) Why people don’t lose weight to decrease risk factors for cardiovascular diseases (CVD)? 2 A) Do you think High Blood Pressure is caused by stress? B) Why should people exercise to decrease blood pressure?

"London Cholera outbreak"

Draw conclusions about "London Cholera outbreak" and formulate practical applications.

• What can be done to prevent similar outbreaks in the future?

Succinctly summarize the current state of the U.S. federal Affordable Care Act following recent Congressional legislative chances and court challenges.

Visit one pharmacy site and answering the 3 questions that outlined below:

1) What were your expectations prior to going to the pharmacy site?

2) Was it a positive or negative experience, and WHY?

3) If you could change anything about the website, what would it be and why?

Relate Sister Callista Roy's Adaptation model to the attitudes of nurses towards abortion

1. What responsibility do you think schools have in addressing the childhood obesity epidemic and why?
2. The predisposition for childhood obesity can be genetic, socioeconomic, lifestyle and/or cultural and can result in multiple co-morbidities. What are two health promotion strategies/interventions aimed at changing lifestyle behaviors you can use in addressing this epidemic?

Mr. Tom Costa, age 71, had a stroke last year that made his right upper and lower extremities quite weak. He has smoked for 55 years and is obese. He was diagnosed with atrial fibrillation, high blood pressure, and type 2 diabetes mellitus while he was hospitalized with his stroke. His father died of a heart attack at age 50; his paternal grandfather had a stroke and died a year later after a second stroke. His mother and both of her parents had type 2 diabetes mellitus. Questions: 1. What technical term should be used to describe Mr. Costa’s weak right upper and lower extremities? 2. The lesion that caused his motor dysfunction is located on which side of his brain? 3. Given his history, is it more likely that Mr. Costa had an ischemic or a hemorrhagic stroke? 4. What is a potential relationship between Mr. Costa’s atrial fibrillation and his stroke? 5. What is a potential relationship between Mr. Costa’s other risk factors and his stroke? Mention at least two other risk factors and describe the reason for these factors to increase the risk of stroke.

A Case Study on the Muscular System The Overzealous Gardener On Monday, Carmen, a 35-year-old woman, complains to her physician of chest and arm pain. The pain started after Carmen worked hard in the backyard the previous Saturday, lifting and carrying plants, fertilizer, and concrete blocks. She says that had continued working despite arm pain that developed about midday. Carmen has no problem breathing, but she cannot raise her arms above her shoulders, and her shoulder and chest muscles are sore to the touch. On questioning, Carmen reports that her hands are not numb and her urine is not dark. On physical examination, muscles around the elbows, arms, shoulders, and anterior chest are swollen and tender. Carmen can move her fingers and wrists normally, but she has some pain in the proximal forearm muscles. The ranges of motion at the elbow and shoulder joints are reduced. No bruises are evident, and Carmen has normal sensation in her fingertips. On inspection, her urine is cloudy and light brown; on dipstick testing, it tests positive for protein and hemoglobin (or myoglobin). Microscopically, there are no RBCs in the urine. Blood tests are ordered to check for CPK (creatine phosphokinase) and LDH (lactate dehydrogenase). Kidney function tests are also done to check for the levels of BUN (Blood Urea Nitrogen) and creatinine. Treatment initially consists of pain medication, ice applied to the sore muscles, and a high fluid intake; at least 4 quarts every 24 hours. Carmen is asked to call the physician if her urine remains cloudy, if the volume decreases, or if her hands or forearms feel worse. Carmen returns the next day to have her urine rechecked and to get the results of her lab tests. Her arms and chest are still sore and swollen, her hands still have normal sensation, and her urine is clear and dilute, but tests still show traces of protein and hemoglobin. Her lab tests from the previous day show CPK and LDH levels 10 times normal values, but kidney tests are normal. Questions: 1. On the basis of the case description which starts with chest pain, try to determine the possible causes of these symptoms. Please consider several body systems to build your hypothesis and try to rank those causes from high probability to low probability. 2. Why was Carmen asked about her hands and her urine? 3. What might the observations such as tenderness, range of motion, sensation and lack of bruising, indicate? 4. Why are these blood and urine tests selected? 5. Would you be able to form a diagnosis for Carmen? 6. What problems might be present if Carmen’s urine remains cloudy or declines in volume or if her peripheral sensation changes?