Affordable Care Act Essay Assignment Paper
The Affordable Care Act was signed into law by President Barack Obama in March 2010. Many of the provisions of the law directly affect health care providers. Review the following topic materials:

  1. Key Features of the Affordable Care Act
  2. Health Care Transformation: the Affordable Care Act and More

What are the most important elements of the Affordable Care Act in relation to community and public health? What is the role of the nurse in implementing this law?

1-This is a tough topic.  Here you are, a working family, you are going to school to better yourself even further and you millions of others are still faced with these decisions about health care.  When you say you pray I know you mean that literally because our daughter is in the same boat.  My husband keeps talking about wanting to retire early but he just does not understand the cost of having good health care. Affordable Care Act Essay Assignment Paper.  I will probably be working until I am 90 because I will be afraid of Medicare and not being able to afford good care.  Wish we had better answers but we are not getting anywhere fast…that’s for sure. Affordable Care Act Essay Assignment Paper.
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2-The most important elements of the Affordable Care Act were to get more people insured, to keep costs down and to improve overall care and outcomes.  New laws were to make affordable health insurance available to more people.  The law would provide consumers with premium tax credits that will lower costs for households that qualify.  To qualify households must have incomes between 100% and 400% of the federal poverty level. Another component was to expand the Medicaid program.  This would now cover all adults with income below 138% of the federal poverty level.  In addition, the goal was to support medical care delivery methods designed to lower costs of health care overall.
As nurses, we need to continue to be innovators and continue our work in research.  We need to focus on continuing to improve on patient safety and improving quality of care.  Nurses need to continue to be lifelong learners and meet demands of a changing society.  We must also continue to raise the bar for education with advanced degrees.  We must continue to push for more diversity in our profession to keep up with our diverse society to make patients more comfortable.  We also need to continue to bring our ideas to the table and be leaders within our organizations.  As we foster interprofessional collaboration the patients will benefit from teams working more closely together to improve patient care.
3-The key elements of the Affordable Care Act are the following: providing national access to healthcare coverage for the entire population from birth through retirement, this will provide coverage for about 94 percent of the American people, to improve quality, affordability and fairness of health insurance coverage, to enhance healthcare efficiency, quality, diversity and values, to reduce wasteful spending, and to improve public health by expanding clinical preventive care and community investments. Affordable Care Act Essay Assignment Paper.
The Act focuses on improving public health by investing in primary health care, especially in medically underserved communities. It also increased insurance coverage for clinical preventive services and procedures. For instance, physical examination, annual wellness visits, well child visits, immunizations, screening exams, like colonoscopy, mammograms and cervical cancer, are all covered by insurance with no cost sharing. Affordable Care Act Essay Assignment Paper. In addition, the development of a national preventive plan and the establishment of a Prevention and Public Health Trust Fund, to fund investments in communities that will improve public health. Further investments are being made to in school-based health programs, preventive oral health care, tobacco cessation and adding prevention planning to Medicare.
Nurses are play a vital role and a an extremely important driving force in the implementation of this law. By developing innovative care models like transition of care, home care, care management, and nurse managed clinics, nurses will improve quality of care and lower health care cost.  Also, participating in research to aid in scientific evidence-based practices which improves quality, safety and patient outcome. Advanced practices nurses help increase the availability of primary care providers and provide cost effective care. Lastly, nursing leadership will be needed to implement better workflows to reduce medication errors, improve quality and care coordination, and increasing access to medical care. For these reasons and many others, nurses are of upmost importance in the implementation process of this Act. Affordable Care Act Essay Assignment Paper
1-You made some good points, but the U.S is not the only one struggling with the health care . I was reading different articles and realized there are so many countries going through the same things and maybe even worser. The Pakistan’s health profile portrays high maternal and child mortality, increase population growth rate, and the twofold burden of infectious and non-infectious diseases (WHO, 2007).Just 27% of the Pakistani people avail advantage from full coverage of health care that include armed force members, beneficiaries and government employees, whereas, the rest 73% of the population pay out of pocket (Settle, 2010).They are viewed as a country that is not really important and get overlooked and struggle with health care. People are still paying a crazy amount of money just to get the care they need to stay healthy. With everything going on it makes it hard and for people to reach out when they really need it and it progresses to where it can not be reversed and as a nurse it just sucks seeing people go through this and hope it gets better as the years pass. Affordable Care Act Essay Assignment Paper.

2-Many American families have a limited access to health and are uninsured. Our healthcare system focuses more on treatment and medical services than preventive care. Health care spending has been increasing over the years, yet there isn’t a significant improvement in health outcomes (Kaiser Family Foundation, 2017). In 2013, $2.9 trillion dollars was spent on the healthcare alone, which is about $9,255 per person (Levitt, Claxton, Cox, Gonzales & Kamal, 2014). For insured families, insurance premiums have risen about 11% and household earnings only 3% increase from 1996-2003. Soon, family premiums will cost more than the family income by 2025 if trends continue. All that money spent, yet there coverage in limited/inadequate. Over recent years, insurance premium cost increases have slowed, but this places more of the financial burden on the family (Devoe, 2008). Affordable Care Act Essay Assignment Paper.
In 2016, 27.6 million people are not insured. Many low income families cannot afford to pay for health insurance, so they gamble and delay any medical services in fear of how much it will cost them (Kaiser Family Foundation, 2017). Many fear that it could lead to financial ruin. Among families with health insurance, almost half of all personal bankruptcies were due to high medical costs (Devoe, 2008).
There is also the issue of people uninsured when they’re in between jobs or waiting for approval of Medicare/Medicaid. About 82 million Americans have these coverage gaps during a 2-year period (Devoe, 2008). Life is unpredictable, and something can during these gap periods. Affordable Care Act Essay Assignment Paper.
References
Devoe, J. (2008). The Unsustainable US Health Care System: A Blueprint for Change. The Annals of Family Medicine, 6(3), 263-266. doi:10.1370/afm.837
Levitt, L., Claxton, G., Cox, C., Gonzales, S., & Kamal, R. (2014). Assessing the performance of the U.S. health system. Retrieved May 24, 2018, from https://www.healthsystemtracker.org/brief/assessing-the-cost-and-performance-of-the-u-s-health-system/#item-start. Affordable Care Act Essay Assignment Paper.
Kaiser Family Foundation. (2017, December 07). Key Facts about the Uninsured Population. Retrieved May 23, 2018, from https://www.kff.org/uninsured/fact-sheet/key-facts-about-the-uninsured-population/
3-I have found that the health care system in the United States is expensive and not easily obtained. There is much room for improvement. The concern about quality arises more from fear and anecdote than from facts; there is little systematic evidence about quality of care in the United States. Affordable Care Act Essay Assignment Paper. We have no mandatory national system and few local systems to track the quality of care delivered to the American people. More information is available on the quality of airlines, restaurants, cars, and VCRs than on the quality of health care (Scuster, 2005).  The U.S. does not have a uniform health system, has no universal health care coverage, and only recently enacted legislation mandating health care coverage for almost everyone. This can be difficult for someone who is working minimum wage and has a job that does not require to give employees benefits such as health care insurance. One could argue that minimum wage is not meant to be a long term job for an adult. Though the theory of minimum wage jobs might have originally been meant for minors, the reality of our nation is that many adults living in poverty are employed at minimum wage paying jobs. It should be our duty to provide affordable health care for all members of our nation regardless of our own personal beliefs. Obama Care may not be a perfect system because even though it is said to be afforable health care, it has shown to still not be as affordable as one might need based on their income. However, I believe that this was a good start and can be improved to fit our nation and every individual in it as needed. Health care is only getting more and more expensive with the new medications and technology that we are developing as time goes by. Our nation leaders need to think of someway to have health care available for everyone. One option could be to provide health care for everyone like Canada has for their citizens. Affordable Care Act Essay Assignment Paper. Though this comes with problems of its own, I believe that it is a system that cares for all and would great individuals that cannot afford health care. Whatever the United States decides to do regarding the issue of so many Americans being uninsured, something needs to be done quick. With so many people being uninsured, many diseases go untreated or even diagnosed due to the financial fear individuals that are uninsured face. People would rather not see a doctor or a clinic because of the fear that they will bring financial burden to their family. As a nurse, this breaks my heart.
Schuster, M. A., McGlynn, E. A., & Brook, R. H. (2005). How Good Is the Quality of Health Care in the United States? The Milbank Quarterly83(4), 843–895. http://doi.org/10.1111/j.1468-0009.2005.00403.x. Affordable Care Act Essay Assignment Paper.

Fracture Risk Assessment Tool (FRAX) Research Paper
Discussion: Fall-Risk Assessment
Fall risks are very high for the geriatric population. According to the Centers for Disease Control and Prevention (2013), one out of every three adults aged 65 years and older falls each year. This can be attributed to factors such as changes in aging, other health issues, environment, and effects of prescribed drugs. When caring for geriatric patients, it is important to screen them for risks and perform fall-risk assessments. These assessment tools help to determine the level of risk for patients so that preventive measures can be taken. The implications of falls are very serious and range from fractures to mental health disorders and even death. In this Fracture Risk Assessment Tool (FRAX) Research Paper Discussion, you explore risk assessment tools for use with patients at your practicum site.
To prepare:
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Review the Kanis article in this week’s Learning Resources.
Consider a geriatric patient at your practicum site who is at risk for falls. Coordinate an opportunity to assess this patient with your Preceptor.
Note: When referring to your patient, make sure to use a pseudonym or other false form of identification. This is to ensure the privacy and protection of the patient. Fracture Risk Assessment Tool (FRAX) Research Paper.
In addition to the Fracture Risk Assessment Tool (FRAX), select one of the following tools to assess this patient for falls:
Tinetti Performance Oriented Mobility Assessment (POMA)
Systems Approach
Berg Balance Scale
Elderly Mobility Scale
Timed Unsupported Stead Stand (TUSS)
Six-Minute Walk Test (6MWT)
Hendrich II Fall Risk Model
Consider why you selected the assessment tool for this particular patient.
Assess the patient using the tool you selected under Preceptor guidance. Reflect on the assessment, including any issues with the patient and/or the effectiveness of the tool. Fracture Risk Assessment Tool (FRAX) Research Paper
Think about strategies and interventions to reduce the risk of falls for frail elders.
By Day 3
Post a case study description of a geriatric patient from your practicum site who is at risk for falls. Describe this patient’s FRAX assessment. Then, describe the other assessment tool you used in the fall-risk assessment and explain why you selected the tool for this particular patient. Explain the patient assessment, including any issues with the patient and/or the effectiveness of the tool. Finally, explain strategies to reduce the risk of falls for your patient. Fracture Risk Assessment Tool (FRAX) Research Paper

Bio human perspectives
In this Assignment, you will research an individual organ and its complexity. Your APA-formatted essay should include:

  • A general description of your assigned organ in the introduction. In the general description, you will include the following: a brief description of the primary functions of this organ, its general shape, and the location of this organ in the human body.
  • Describe in detail the importance of this organ to the function of the body as a whole. What are the functions of this organ and how is it critical for survival?
  • Identify and describe which of the four tissue types (epithelial, connective, muscle, and/or nervous tissues) are present in the organ.
  • Describe any organ-specific cell types that are present and if these cell types have any special structures (e.g., presence of microvilli and/or abundance of particular organelle such as mitochondria).
  • Discuss in detail how these different cell-types work together to provide the overall function of the organ.
  • Include a discussion of why each organ requires the different tissue types as well as unique cell types to function. Why can the organs not be comprised of just one cell type? What is the advantage of having so many different types of cells?

 

  • Essay should be APA formatted.
  • Should include a cover page, an introduction, and a conclusion.
  • The body of the essay should address the different topics and questions described above.
  • All statements of fact should be included in an APA reference list at the end of the essay.
  • The essay should be a minimum of 750 words in length not counting the cover page and reference list.

Week 4
This week discussion is about a 65-year-old male with chronic obstructive pulmonary disease. He is seen in a medical facility related to symptoms of fever and a cough lasting for 2 weeks. The patient denies chest pain and night sweats. With his age, I would ask the patient does he have any other chronic conditions. If so, what medications is he currently prescribed. With COPD, it is the third leading cause of death in the United States. Tobacco smoke is a key factor in the development and progression of COPD; with exposure to air pollutants in the home and workplace, genetic factors, and respiratory infections also play a major role (CDC, 2019).
The objective findings I would assess is the patient’s lungs sounds which would display wheezing, a productive cough and shortness of breath with movement. Some may experience fatigue, edema to bilateral lower extremities, chest tightening and loss of appetite due to inability to breath. Increased respiratory rate will be observed with a decreased oxygen saturation level.
The diagnostic test used to diagnose COPD is a Lung (pulmonary) function tests. These tests measure the amount of air you can inhale and exhale, and whether your lungs deliver enough oxygen to your blood. During the most common test, called spirometry, you blow into a large tube connected to a small machine to measure how much air your lungs can hold and how fast you can blow the air out of your lungs. Other tests include measurement of lung volumes and diffusing capacity, six-minute walk test, and pulse oximetry. A chest X-ray can show emphysema, one of the main causes of COPD.
An X-ray can also rule out other lung problems or heart failure. A CT scan of your lungs can help detect emphysema and help determine if you might benefit from surgery for COPD. CT scans can also be used to screen for lung cancer. Arterial blood gas analysis measures how well your lungs are bringing oxygen into your blood and removing carbon dioxide (CDC, 2019). There are many chronic conditions that can affect the airway that has similar symptoms such as Upper Respiratory infections.
URI is a common viral infection that affects the nose, throat, and airways. The symptoms may include fever, fatigue, cough, headache and difficulty breathing. Adult onset-Asthma is a condition in which your airways narrow and swell and may produce extra mucus. This can make breathing difficult and trigger coughing and Shortness of breath. This condition will not occur until you are an adult. Symptoms include Coughing, especially at night, during exercise or when laughing, Difficulty breathing, Chest tightness, Shortness of breath and Wheezing.
Moreover, another chronic condition that can have similar symptoms is pneumonia. Pneumonia is an infection that inflames the air sacs in one or both lungs.  The symptoms an individual may experience with pneumonia are fever, a dry cough, headache, muscle pain, and weakness. The symptoms typically get worse within one or 2 days, with increasing cough, shortness of breath and muscle pain (Jarvis, 2016). A chest X-ray will be used to diagnose this disorder and based on your lab test, antibiotic therapy will be initiated.
References:
Centers for Disease Control and Prevention. National Vital Statistics System detailed mortality data at Wonder Database website. http://wonder.cdc.gov. Accessed July 3, 2019.
Jarvis, C. (2016). Physical Examination & Health Assessment (7th ed.). St. Louis, Missouri: Elsevier. ISBN: 9781455728107

In this assignment, you will be completing a comprehensive health screening and history on a young adult. To complete this assignment, do the following:

Select an adolescent or young adult client on whom to perform a health screening and history. Students who do not work in an acute setting may “practice” these skills with a patient, community member, neighbor, friend, colleague, or loved one.

Complete the “Health History and Screening of an Adolescent or Young Adult Client” worksheet.

Complete the assignment as outlined on the worksheet, including:

Biographical data Past health history Family history: Obstetrics history (if applicable) and well young adult behavioral health history screening Review of systems All components of the health history Three nursing diagnoses for this client based on the health history and screening (one actual nursing diagnosis, one wellness nursing diagnosis, and one “risk for” nursing diagnosis) Rationale for the choice of each nursing diagnosis. A wellness plan for the adolescent/young adult client, using the three nursing diagnoses you have identified.

Format the write-up in a manner that is easily read, computer-generated, neat, and without spelling errors. Use correct acronyms or abbreviations when indicated.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to Turnitin.

NRS-434VN-R-HealthScreeningandHistoryAdolescentAssignment-Student.docx

 Psychology homework help
Discussion Questions III
All assignments MUST be typed and double-spaced, in APA style and must be written at graduate level English. The content, conciseness and clarity of your answers will be considered in the evaluation of your work. You must use and integrate the material presented in the course text and cite your work according to APA format. Use of outside resources can be used to enhance the text information, but cannot replace the text.
Respond to each question in 1- 1 ½ pages per question.
Total assignment should be 4-6 pages total plus a Title and Reference Page
Do not copy the questions in your responses. See APA style on how to create Topic Headings.  Suggested Topic Headings follow each question.  You may use them or create your own.Question One:  Skinner suggests that since environmental control is ever-present, we should learn to make maximum use of these environmental influences.  He also suggests that concern with internal variables, such as emotion and motivation, as explanations of behavior has led psychologists astray. Do you think this approach would lead to a more scientific psychology?  Or might it instead create a psychology that fails to develop a science of important aspects of human experience?
Suggested Topic Heading: Skinner and Environmental Influences
Question Two: In considering Kelly’s constructive alternativism, does it seem odd to read about a theorist who holds little stock in idea that there is an objective reality or absolute truth to discover?  Can we conduct a science of persons if there is no objective reality or truth to discover?  How might Kelly’s constructive alternativism foster an even more fruitful scientific investigation of persons than other theories?
Suggested Topic Heading: Kelly’s Constructive Alternativism
Question Three: B. F. Skinner questioned people’s capacity for free will and self-control. In what ways does social cognitive theory, and its associated programs of research, provide a counter-argument to Skinner’s position?. How does a focus on expectancies differentiate social-cognitive theory from behaviorism?  How does this shift enable social-cognitive theorists to explain why two people react differently to the same environment?
Suggested Topic Heading: Skinner vs Social Cognitive Theory
Question Four: People seem to differ in their “moods.” Some people are commonly “upbeat” and “lively.” Others seem lower in energy. Some people seem commonly to be depressed. How does social cognitive theory explain these individual differences? Or does it? Might this be a limitation to the social-cognitive approach? What are your thoughts about problem-focused and emotion-focused coping?
Suggested Topic Heading: Social Cognitive Theory, Problem-Focused and Emotion-Focused Coping
References:
Cervone, D. & Pervin, L.A.    (2016).   Personality theory and research.   (12th ed.).   New York , NY   Wiley, John & Sons, Inc.     ISBN 9781118976296

Child abuse and maltreatment is not limited to a particular age and can occur in the infant, toddler, preschool, and school-age years. Choose one of the four age groups (infant, toddler, preschool, or school age) and discuss the types of abuse that are most often seen in this age. Discuss warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse. Discuss cultural variations of health practices that can be misidentified as child abuse. Describe the reporting mechanism in your state and nurse responsibilities related to the reporting of suspected child abuse.

Rubric
Health Care Reform Project: Health Care Reform Analysis Paper RubricHealth Care Reform Project: Health Care Reform Analysis Paper RubricCriteriaRatingsPtsThis criterion is linked to a Learning OutcomePaper analyzes why is it important to understand how the U.S. health care system is evolving and how to forecast the short- and long-term effects of such changes.4.0 pts
This criterion is linked to a Learning OutcomePaper reflects at least 2 issues the student believes to be of significance importance to him or her.2.0 pts
This criterion is linked to a Learning OutcomePaper considers the medical and legal issues that may arise.2.0 pts
This criterion is linked to a Learning OutcomePaper provide an analysis of the pros and cons of the issue that the student chooses to address.2.0 pts
This criterion is linked to a Learning OutcomePaper cites evidence to support the student’s claims.2.0 pts
This criterion is linked to a Learning OutcomePaper is 4 to 6 pages, is formatted based on APA guidelines, and includes in-text citations and a reference page.2.0 pts
This criterion is linked to a Learning OutcomePaper meets basic writing standards including grammar, usage, spelling, punctuation, and organization.2.0 pts
Total Points: 16.0

1. Describe the dimensions of Patient-Centered Care and how do you apply PCC in your current practice.
2. Effective communications between health care providers and the patient is an essential component of PCC, why?
3. Describe an interprofessional healthcare team in your area of work. Do the members work collaboratively?
Do they improve patients’ outcomes, how?
4. Think about your experience as a nurse student, have you observed effective communication improve patients’ outcomes? Have you observed the impact of poor communication on patients’ outcomes?
 
INSTRUCTIONS
The paper must be typed in APA format (in-text citations and references).
a minimum of 1000 words (excluding first and references page)
a minimum of 4 evidence-based references using the required Arial 12 font.
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Write a proposal paper (1,250-1,500 words) for a major change project that you would like to lead.
Identify a health care issue that interests you and explain why.
Develop a rationale using evidence-based research, including:

The background
Statistical findings
Probable stakeholders
Logical conclusions

Design an implementation plan for the project, including:

A communications plan
Creation of a design and implementation team by roles

List the strategies you would use to lead the team to success and identify potential obstacles that may be faced, along with plans to deal with them.
While APA format is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Read chapter 9 in the Barnett et al. Textbook
 
1.What are your attitudes toward MFIPV perpetrators? Are your beliefs and attitudes similar to those held by the public at large?
2. Do you believe that batterers want to stop their battering? Explain your response and cite to the course materials.
3.Discuss your thoughts on why some couples can quarrel and resolve an issue while another couple can quarrel and it results in physical abuse.
4.What types of behaviors typify psychological/emotional MFIPV? Do you think it would harm you more to be slightly pushed a couple of times a week or to be humiliated or degraded once or twice a week?
 
You can also read Tutty, L. M., Bidgood, B.A., Rother, M.A., & Bidgood P. (2001). An evaluation of men’s batterer treatment groups. Research on SocialWork Practice, 11(6), 645-670.
You can read Buchbinder, E., Eisikovits, Z.(2008). Doing treatment: Batterers’ experience of intervention. Children and Youth Services Review, 30, 616-630.
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