HOW DOES A UNIVERSAL HEALTH CARE SYSTEM COMPARE TO THE SYSTEM CURRENTLY IN PLACE IN THE U.S.?

Access to quality healthcare is a major social issue in the United States and around the world.  In fact, healthcare reform and access to affordable health insurance is a hotly debated political issue.  Many advocates of healthcare reform point to the high level of spending on healthcare in the United Sates and the relatively poor health outcomes in the U.S. as compared to other countries.  In 2010, the Patient Protection and Affordable Care Act (PPACA) passed, and was later upheld by the Supreme Court. While this controversial policy greatly decreased the number of U.S. citizens without health insurance, the United States still stands more or less alone among wealthy industrialized democracies in this approach to healthcare.  For this discussion, you will take an in-depth look at access to healthcare as a social problem by comparing the U.S. healthcare system to another country of your choice.  
 
For this discussion review each of the following resources:
 

Poor and Uninsured  (Links to an external site.)Links to an external site.
Key Facts about the Uninsured  (Links to an external site.)Links to an external site.
Mirror, Mirror on the Wall: How the Performance of the U.S. Health Care System Compares Internationally  (Links to an external site.)Links to an external site.
Here’s a Map of the Countries that Provide Universal Health Care  (Links to an external site.)Links to an external site.
Recommended: U.S. Health Care from a Global Perspective: Spending, Use of Services, Prices, and Health in 13 Countries  (Links to an external site.)Links to an external site.

Based on these resources, please address each of the following:
 

In general, who comprises the uninsured population in the United States?  Since the passage of the 2010 Affordable Care Act, what are the most common reasons that people still lack health insurance?  
Describe how healthcare spending in the U.S. compares to other countries.  Describe how healthcare outcomes in the U.S. compare to other countries.  Based on the resources you reviewed, are healthcare spending and health outcomes related to one another?  In other words, does spending more on health care lead to better health outcomes (i.e. a healthier population) and vice versa?
What is universal health care?  Describe the healthcare system in at least one country that guarantees universal health coverage to all of its citizens (you can find a list of such countries in the resources provided). 
How does a universal health care system compare to the system currently in place in the U.S.?  In your informed opinion, why is the U.S. one of the only wealthy industrialized democracies that does not have university healthcare coverage?
According to the Commonwealth Fund reports, how is the performance of the United States’ healthcare system related to equity?  Which social groups have the least access to quality healthcare?  Why?

Your initial post should be at least 500 words i

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Health Assessment & Nursing Care Plan- Kevin Jones Case Study- Paralysis

NURBN 2009: Health Assessment & Nursing Care Plan- Kevin Jones Case Study- Paralysis- Nursing Assignment Help

Task:

You are required to complete a comprehensive health assessment and nursing care plan on information given to you in the case study- Mr. Kevin Jones.

To demonstrate your developing skills required to produce a comprehensive nursing health assessment by the clinical decision making process, identification /assessment of nursing problems (nursing diagnosis), planning and implementation of nursing care, documentation of nursing data and evaluation of nursing care.Students are required to discuss in 2000 words the physical and mental health components for the assessment case study.

1. This needs to be written according to academic standards and conventions.
2. Students will be required toidentify4 major issuesof the case study and write a summary of your overall assessment of this person.
3. Ensure that ‘objective’ language is used. This would be similar to what is written in nursing notes as an admission history.
4. Using the Nursing diagnosis section of the Adult health assessment booklet, identify and list as many nursing diagnosis as may relate to the Case study and provide the evidence from assessment that supports this.
5. Now prioritise the3 most important nursing problems (diagnoses)to formulate a nursing care plan. As the overall goal is discharge planning, consider this in formulating the nursing care plan and related interventions.
6. Develop a nursing care plan with rationale and related interventions that could be implemented for Kevin (Case Study) .
7. Be sure to identify ways that you could measure success in relation to each of these Interventions – complete the evaluation sections of the care plan.
8. This assessment requires you to develop a critical assessment of the relevant information surrounding the case study.

Case Study – Mr Kevin Jones

Mr Kevin Jones is a 75 year old gentleman who is under your care. He has been widowed for 13 yearsand has recently suffered a stroke. He lives alone in a rural location and was a farmer during hisworking life.

Kevin has 3 grown up children, two of whom live outside of Victoria and his middle son livesnearby but leads a busy working and family life. He does not get along too well with his daughter in law. Kevinis fiercely independent and during hishospitalisation has verbalised his wish to return to his home and manage on his own, against the wishes ofhis family.

Finances are limited. He lives in anold farm house which hasn’t seen renovations for 30 years. He has a wood fire and stove and noshower (just a bath).

Past history: Prostate Enlargement, Hypertension, Alcoholism, Depression and Anxiety

Currently Kevin has right side paralysis due to his CVA (stroke). Kevin does not appear to notice that he leans to one sideand forgets where his right hand may be. His speech is slurred and he has trouble saying some words. This causeshim some frustration and he has emotional outbursts at times.He has just started to mobilisewith a three pronged stick and he is anxious about his balance.

Kevin is anxious about returning home and seems to be fretting about his home, land and animals (currently being taken care of by one of his sons). Some days, Kevin barely talks to the staff and will often get agitated and irritable with the nurses, physiotherapists, cleaners etc. He appears to be ruminiating about his past and his wife.

Kevin has been complaining of a chronic cough with a small amount of discoloured greenish yellow sputum, fever,flushed skin, chills, loss of appetite, taking little fluids, malaise and body aches over the past few days. Temp 38.3, BP – 90/60, Resp rate – 24/ min, P 90 , O2 sats – 93%. Crackles & wheezes on auscultation, diminished breath sounds.

Chest X-Ray revealed (R) lower lobe pnuemonia.

Kevin also has someswallowing difficulties and some vision problems with neglect. When he does eat, he prefers puree and soft style deserts e.g. custard. He is not drinking much. Kevin appears to have lost weight. His skin turgor is dry, mucous membranes dry, urine specific gravity is 1.025, decreased urinary output, increased urine concentration and he has an elevated blood urea nitrogen.

He is finding that he is more likely todribble following passing urine and sometimes he is incontinent of urine. His bowels are a little erraticand his stool has been hard and dry lately. Lately, this is causing him considerable distress.

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What is meant by a continuum of care? What are some levels of care along the continuum, and what are some of the services provided within those levels?

HCS 437 Week 1 Complete Discussion 1. What is meant by a continuum of care? What are some levels of care along the continuum, and what are some of the services provided within those levels? (Example: Extended Care (nursing home), Acute Care (hospital), Ambulatory Care (adult day care), etc…) Discussion 2. What are the goals of long-term care? (Key talking points should include independence, safety, and care coordination.) Individual Assignment – Concept of LongTerm Care Paper Resource: Concept of Long-Term Care Paper Grading Criteria located on your student website Write a 1200- to 1,450-word paper about your concept of long-term care and the population it serves. Address the following in your paper: · Did this week- readings change your concept of long-term care? If so, how has it changed? · Provide two examples of current events related to long-term care. How might these examples increase awareness of long-term care? · What are three long-term care populations evident in your local community? Were you aware of these? Provide at least 3 peer-reviewed scholarly references. Format your paper consistent with APA guidelines.

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Assignment: Regulation for Nursing Practice Staff Development

Assignment: Regulation for Nursing Practice Staff Development Meeting Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout th

Assignment: Regulation for Nursing Practice Staff Development Meeting

Nursing is a very highly regulated profession. There are over 100 boards of nursing and national nursing associations throughout the United States and its territories. Their existence helps regulate, inform, and promote the nursing profession. With such numbers, it can be difficult to distinguish between BONs and nursing associations, and overwhelming to consider various benefits and options offered by each.

Both boards of nursing and national nursing associations have significant impacts on the nurse practitioner profession and scope of practice. Understanding these differences helps lend credence to your expertise as a professional. In this Assignment, you will practice the application of such expertise by communicating a comparison of boards of nursing and professional nurse associations. You will also share an analysis of your state board of nursing.

To Prepare:

  • Assume that you are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.
  • Review the NCSBN and ANA websites to prepare for your presentation.

The Assignment: (9- to 10-slide PowerPoint presentation)

Develop a 9- to 10-slide Voice-Over PowerPoint Presentation that addresses the following:

  • Describe the differences between a board of nursing and a professional nurse association.
  • Describe the geographic distribution, academic credentials, practice positions, and licensure status of members of the board for your specific region/area.
    • Who is on the board?
    • How does one become a member of the board?
  • Describe at least one federal regulation for healthcare.
    • How does this regulation influence delivery, cost, and access to healthcare (e.g., CMS, OSHA, and EPA)?
    • Has there been any change to the regulation within the past 5 years? Explain.
  • Describe at least one state regulation related to general nurse scope of practice.
    • How does this regulation influence the nurse’s role?
    • How does this regulation influence delivery, cost, and access to healthcare?
  • Describe at least one state regulation related to Advanced Practice Registered Nurses (APRNs).
    • How does this regulation influence the nurse’s role?
    • How does this regulation influence delivery, cost, and access to healthcare?
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EVALUATION AS A KEY TOOL IN HEALTH AND HUMAN SERVICES.

Program Evaluation as a Key Tool in Health and Human Services 

Evidence-based practice utilizes a variety of research methods  to gather evidence as to the efficacy of a program’s effectiveness, or  cost effectiveness. According to your text, “Sound research and its  applications, although not guarantees of perfect policies and programs,  are extremely useful tools in developing sound social policies and  programs” (p. 281). Additionally, we read that evaluation research is  different from “basic” research in that evaluation research is based on  reality factors in the field and can answer the question: Is this  program achieving its goals within the cost estimates?

In  this assignment, you will create a fictional “how to” guide in  which you will analyze the steps pertinent to effective program  assessment. Specifically, you will:

Explain the parts of the program evaluation, and how one would carry out a program evaluation.
Explain the steps of the program evaluation and what the program evaluator would want to measure / evaluate.

Your fictional “how to” guide is intended to provide a  step-by-step explanation of the components related to evaluating  programs; you will not be conducting an assessment as part of the  assignment. An example of a program evaluation and the research format  is given in the Evaluation Strategies for Human Service Programs (Links to an external site.)Links to an external site..   Your example can be any of the typical health and services areas  including: hospitals, nursing homes, clinic for substance abuse,  counseling clinics, Salvation Army, Red Cross, homes for the homeless,  special school programs, crisis centers and social support. Program  evaluation can include a variety of different research approaches and  may also include acquiring a great deal of data.  As you read the  article Introduction to Program Evaluation for Public Health Programs: A Self-Study Guide (Links to an external site.)Links to an external site.,  keep in mind the information requirements to carry out a program  evaluation. Certainly the connections among program outcomes, the  activities of the program, and consequential outcomes constitute the key  model of any program evaluation. Access the  Introduction to Program Evaluation for Public Health Programs: A Self-Study Guide  (Links to an external site.)Links to an external site. for more information for this assignment.

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A home healthcare and dialysis nurse visited one of her home health patients and found him in a weakened state. Concerned, she took the patient to a hospital emergency room, and after several hours, the patient was admitted to the hospital.

Actions for Discussion 3.4: Home Healthcare Locked after Monday,
April 24, 2017 12:00 AM MDT. Must post first. Chapter 9. Scenario
(based on a real Florida case): A home healthcare and dialysis
nurse visited one of her home health patients and found him in a
weakened state. Concerned, she took the patient to a hospital
emergency room, and after several hours, the patient was admitted
to the hospital. In an effort to help and show concern for the
patient, the nurse followed the emergency room technician to assist
in transferring the patient. The technician’s duties included
transferring patients from gurneys to beds. The first step in a
transfer is to lock the two beds together. If there is no one
aiding in the patient transfer, the bed railing on the opposite
side must be in the upright position to prevent the patient from
rolling off the bed during the transfer. In this case, the
technician positioned the gurney next to the hospital bed to
facilitate a rolling transfer, but did not place the bed railing on
the opposite side in the upright position. The nurse stood at the
foot of the gurney while the patient was asked to roll from the
gurney onto the hospital bed. The nurse thought the patient was
about to roll off the far side of the bed, and she jumped across
the bed to grab him. When the nurse grabbed the patient, she felt a
sharp pain across her lower back, and severe pain radiating into
her left leg. Due to this injury, the nurse filed suit against the
hospital alleging negligence and medical negligence. Given these
facts, does the nurse have a legitimate basis for a negligence or
medical negligence claim? Why or why not? What duty did the
hospital owe to the nurse? Did the technician do anything wrong
given that the nurse was present? Did the nurse contribute to her
own injury? How? If you were the jury, how would you rule and
why?

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1. What are water soluble vitamins

1.     What are water soluble vitamins

2.     What do water soluble vitamins do

3.     Therapeutic use of water soluble vitamins

4.     What is vitamin C

5.     Food sources of Vitamin C – Insert pictures as well

6.     Vitamin C deficiency – Insert picture of person with scurvy

7.     Vitamin C toxicity

8.     What is B12

9.     Food sources of B12 – Insert photos

10.B12 deficiency – Insert photo

11.B12 toxicity

BE SURE TO USE INTEXT CITATION AND SPEAKER NOTES.  USE THE FOLLOWING TEXT BOOK AS REFERENCE 

Williams’ Basic Nutrition and Diet Therapy, 15th Edition and one outside source – APA FORMAT IS A MUST

Slides can be broken up in any particular format as long as topics are in order and organized and speak notes support topic.

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Case Study

Jessica is a 32 y/old math teacher who presents to the ER with a friend for evaluation of sudden decrease of vision in the left eye. She denies any trauma or injury. It started this morning when she woke up and has progressively worsened over the past few hours. She had some blurring of her vision 1 month ago and thinks that may have been related to getting overheated, since it improved when she was able to get in a cool, air-conditioned environment. She has some pain if she tries to move her eye, but none when she just rests. She is also unable to determine colors. She denies tearing or redness or exposure to any chemicals. Nothing has made it better or worse.

She is normally healthy. She had chickenpox at age 10 and a tonsillectomy/adenoidectomy at age 11. She has no medical problems. She has never been hospitalized. She has four children, all spontaneous vaginal deliveries.  She completed a bachelor’s degree in mathematics and a master’s degree in education. She quit smoking 10 years ago (two packs daily for 5 years); she drinks an occasional wine cooler, and she denies illicit drug use. Her father has a coronary artery disease (he had a stent placed at age 67) and a mother with hypertension.

She denies fever, chills, night sweats, weight loss, fatigue, headache, changes in hearing, sore throat, nasal or sinus congestion, neck pain or stiffness, chest pain or palpitations, shortness of breath or cough, abdominal pain, diarrhea, constipation, dysuria, vaginal discharge, swelling in the legs, polyuria, polydipsia, and polyphagia.

Patient is alert; she appears anxious. BP 135/85 mm Hg; HR 64bpm and regular, RR 16 per minute, T: 98.5F. Visual acuity 20/200 in the left eye and 20/30 in the right eye. Sclera white, conjunctivae clear. Unable to assess visual fields in the left side; visual fields on the right eye are intact. Pupil response to light is diminished in the left eye and brisk in the right eye. The optic disc is swollen. Full range of motions; no swelling or deformity. Mental status: Oriented x 3. Cranial nerves: I-XII intact; horizontal nystagmus is present. Muscles with normal bulk and tone; Normal finger to nose, negative Romberg. Intact to temperature, vibration, and two-point discrimination in upper and lower extremities. Reflexes: 2+ and symmetric in biceps, triceps, brachioradialis, patellar, and Achiles tendons; no Babinski.

Instructions:

Make a whole history and physical examination in a comprehensive manner with all its elements included: CC, HPI, PMH, FH, SH, MEDICATIONS, ALLERGIES, ROS PER APPARATUS OR SYSTEMNS, HEAD TO TOE PHYSIACL EXAMINATION PER SYSTEMS ( write your presentation in H&P format no paragraph format).

          Based on this information, what is your presumptive nursing diagnosis? All nursing diagnosis that apply to the case written in NANDA format related to … and evidence by…., NO MEDICAL DIAGNOSIS.

  Teaching plan and nursing care plan per each nursing diagnosis on this case.

       Requirements.

    1- All written assignment and documentations must be  in APA 6th edition format.

    2- Double spaces, minimum 4 pages long , minimum 3 up to date bibliography. (UP to date means last 3 years.), Note: you can use your test book as bibliography too, bibliography have to be written in APA format.

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How do the law and the medical profession’s code of ethics impact those individuals who seek care from emergency departments for reasons other than those that are truly emergencies?

Healthcare Ethics and Morals

Consider the scenarios given below and answer the questions listed after each scenario. Justify your answers with appropriate research and reasoning.
Scenario 1
The rising number of uninsured patients has led to an increased reliance on the hospital emergency room for routine nonemergency care. EMTALA ensures patients’ access to the emergency room of any hospital, regardless of patients’ insurance status or their ability to pay. Using the Internet, read about EMTALA. You can search for this act by using the keyword, “EMTALA” and respond to the following question:
•How do the law and the medical profession’s code of ethics impact those individuals who seek care from emergency departments for reasons other than those that are truly emergencies?
Scenario 2
Autonomy is one of the most important ethical principles discussed in long-term care. Often, autonomy is in danger of being sacrificed when a patient is in need of a higher level of care. Imagine you are part of the staff at the local nursing home. The administrator has asked you and a group of other employees to discuss the principle of autonomy and how it can be applied to the nursing home setting. As a staff member, answer the following questions:
•How would you decide the best way to honor a patient’s autonomy in a nursing home and what will you decide?
•How would you handle differences of opinion in the group as you try to come to a consensus on the best way to preserve autonomy?

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Relationship to ANA Scope and Standards of Practice.

Create a PowerPoint presentation of 12slides in which you compare the pros and cons of continuing nursing education related to the following:

  1. Impact on competency. (2 SLIDES)
  2. Impact on knowledge and attitudes (4 SLIDES)
  3. Relationship to professional  certification. (2 SLIDES)
  4. Relationship to ANA Scope and Standards of Practice. (2 SLIDES)
  5. Relationship to ANA Code of  Ethics. (2 SLIDES)

Should continuing nursing education be mandatory for all nurses? Support your position with rationale.

A minimum of three scholarly sources are required for this assignment.

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.

NO PLAGIARISM PLEASE

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