Adulthood Discussion (Discussion 5)
The subjects of retirement and health insurance are much in the news these days. Discuss your plans for retirement with a special emphasis on income after retirement and health insurance. After a lifetime of paying Social Security and Medicare taxes in every payroll check, your grandparents and parents are counting on having Social Security and Medicare to help with the inevitable loss of income occuring at retirement.
Things may be different for your generation. Many are discussing privatizing Social Security and doing away with Medicare. Even Republican voters in the State of Florida are opposed to this plan. Read the report on a survey of Republican Primary Voters who objected 2:1 to plans to change these benefits (among Hispanic voters, opposition was even stronger with 4:1 voters opposing changes). Given what you know of the volatilty of the stock markets that are up one day and down drastically another, would you risk your retirement to the stock market? Would you risk your health on having the ability to pay for private health insurance when you retire?
Despite what you’ve heard, Social Security and Medicare can be saved. The generation entering the workforce today (The Millenials) are an even larger generation than the retiring Baby Boomer generation. As long as as many or more are paying into the system than those who are retiring, the programs can and should be saved. You never know how your life will turn out and it is essential to have a basic retirement cushion to live on. Moreover, it is your money after all. You have paid into both Social Security and Medicare with every paycheck since you started working.
What can you do now to help save Social Security and Medicare? Some believe it is essential to send politicians to Washington and Tallahassee who will protect those benefits. But it is not enough to save these benefits. What can you do to guarantee a comfortable retirement and good medical care in your old age?
Remember the criteria for the discussions:

150-200 word original post
Covers every detail in the discussion description
Submitted on time

Question Description

Cancer, Genetics, and Genomics

Discussion Questiion

Rachel comes from a family with a history of breast cancer on her mother’s side. Rachel’s mother died of breast cancer when she was very young. Rachel has two sisters, Lisa and Kristin. Rachel has remained close to Lisa, but she no longer has a relationship with Kristin. At a routine checkup, Rachel is told about the availability of genetic testing for identifying a predisposition to breast cancer. Her doctor recommends the test to Rachel given her family history. Rachel has the genetic testing done and finds that she has a mutated breast cancer 1, early onset (BRCA1) gene. Her doctor tells her she is at high risk for developing breast and ovarian cancer. Rachel’s doctor suggests she ask her sisters to be tested also, so they can take the proper preventative measures. Rachel feels comfortable sharing this information with Lisa, but she has not spoken to Kristin in many years. Rachel tells her doctor that she is not in contact with Kristin and will not make an effort to tell her about BRCA1 and genetic testing. Rachel’s doctor feels confident that she can locate Kristin but worries about breaching patient confidentiality if she goes against Rachel’s wishes.

If you were Rachel’s healthcare provider, what would you do? Provide a rationale for your response. Include the pathological processes associated with breast cancer. What role does the BRCA1 gene contribute to managing the patient’s care? Describe and explain the role of the BRCA1 and breast cancer 2, early onset (BRCA2) gene in contribution as a risk factor for breast cancer. Analyze the risk factors for breast cancer and possible interventions to preventive health management for women and men.

Needs to be in APA format

Respond on two different days who selected different alterations and factors than you, in one or more of the following ways:

Share insights on how the factor you selected impacts the cardiovascular alteration your colleague selected.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.

Validate an idea with your own experience and additional research.

                                                                   Main Post

  Congestive heart failure (CHF)  is the inability of the heart to generate adequate cardiac output, resulting in the build-up of fluid throughout various parts of the body.  CHF increases the heart’s workload and can lead to an enlarged heart over time.  CHF affects nearly 10% of individuals aged 65 or older and is a common cause of hospital admission (Huether & McCance, 2017).

Hypertension Link to CHF

     Hypertension can lead to narrowing of the arteries causing them to lose elasticity.  The shrinkage and loss of elasticity decrease blood flow and cause your heart to work harder.  Over time the heart can become more extensive and thicker, which again increases demand and prompts the heart to work harder to meet the requirements of the body for nutrients and oxygen (American Heart Association). 

Hyperlipidemia Link to CHF

     One of the common causes of CHF is coronary artery disease (CAD), which occurs as a result of hyperlipidemia.  Hyperlipidemia is the result of fatty deposits in the arteries, also known as plaques, that lead to narrowing and decreased blood blow (American Heart Association, 2019). Some studies have suggested that specifically lowering the LDL-C benefits lowering blood pressure and some cholesterol-lowering drugs can positively affect blood pressure (Dalal et al., 2012).

The Female Link Related to Cardiovascular Disease

     The leading cause of death for women in the United States is heart disease, affecting approximately 1 in every 5. It is the leading cause of death among white and African-American women.  Risk factors include obesity, diabetes, diet, exercise, and alcohol abuse.  Useful ways to reduce risks are; have a good baseline of blood pressure and updated lab values, quit smoking, proper diet, limit alcohol and manage stress levels (Centers for Disease Control and Prevention, 2019).

References

American Heart Association, (2019). How High Blood Pressure Can Lead to Heart Failure.  Retrieved from https://www.heart.org/en/health-topics/high-blood-pressure/health-threats-from-high-blood-pressure/how-high-blood-pressure-can-lead-to-heart-failure

Centers for Disease Control and Prevention. (2019). Women and Heart Disease.  Retrieved from https://www.cdc.gov/heartdisease/women.htm

Dalal, J. J., Padmanabhan, T. N., Jain, P., Patil, S., Vasnawala, H., & Gulati, A. (2012). LIPITENSION: Interplay between dyslipidemia and hypertension. Indian journal of endocrinology and metabolism, 16(2), 240–245. doi:10.4103/2230-8210.93742

Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

Need a 4 page paper and a reference page. .

Imagine that you are a health policy analyst for a state that has not elected to expand Medicaid as part of the Affordable Care Act (ACA). You have just been notified that the state leaders have agreed to reconsider their decision during an upcoming session. Go to the Kaiser Family Foundation Website, atwww.kff.org, and The Commonwealth Fund website, athttp://www.commonwealthfund.org/publications/‌blog/2014/mar/medicaid-expansion-alternative-state-approaches, for additional information on

Write a three to four (3-4) page paper in which you:

1. Identify a state that has not elected to participate in the Medicaid expansion initiative under the Affordable Care Act. Critically analyze the implications of the state’s decision to opt out of Medicaid expansion on the citizens of the state.
2. Compare the potential opportunities and challenges of a state’s decision to opt into the Medicaid expansion.
3. Explore two (2) alternate approaches to expanding access to care that have been implemented or considered by states opting out of Medicaid expansion. Compare and contrast the two (2) alternate approaches to the Medicaid expansion initiative.

1. Provide a recommendation to the state legislature on whether or not the state should opt in to the Medicaid expansion. Provide a rationale for your recommendation.
2. Use at least three (3) recent (within the last five [5] years), quality academic resources in this assignment. Note: Wikipedia and other Websites do not qualify as academic resources.

Your assignment must follow these formatting requirements:

• Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
• Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

• Develop policies that ensure compliance of healthcare delivery systems with current legislation.
• Apply decision-making models to address difficult management situations.
• Use technology and information resources to research issues in Health Care Operations Management.

• Write clearly and concisely about Health Care Operations Management using proper writing mechanics.