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Assignment:

Complete ALL of the bullet points below:

Compare and contrast each of the three questions related to Managed Care Organizations, Medicare, and Medicaid with one another and explain how they were similar and different to each other.

• Managed care organizations emphasize physicians’ responsibilities      to control patient access to expensive hospitalization and specialty care,      a principle dubbed “gatekeeping.” Some argue that      “gatekeeping” is unethical because it introduces financial      factors into treatment decisions. Others say it improves quality by      promoting the use of the most appropriate levels of care.
• Medicare is an area that often gets overlooked and is      seen as a burden financially. Discuss alternatives to ease the drain on      Medicare resources.
• Medicaid is shouldering an ever-increasing burden of      cost for long-term care for the elderly, with enormous impacts on state      budgets throughout the nation. Discuss alternatives to ease this drain on      Medicaid resources.

Please submit one APA formatted table, (minimum 750 words) that highlights the above content make sure to include a title and reference page. The assignment should have a minimum of two (2) scholarly sources, in addition to the textbook.

An understanding of cells and cell behavior is a critically important component of disease diagnosis and treatment. But some diseases can be complex in nature, with a variety of factors and circumstances impacting their emergence and severity.

Effective disease analysis often requires an understanding that goes beyond isolated cell behavior. Genes, the environments in which cell processes operate, the impact of patient characteristics, and racial and ethnic variables all can have an important impact.

   An understanding of the signals and symptoms of alterations in cellular processes is a critical step in the diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.
 

In this Assignment, you examine a case study and analyze the symptoms presented. You identify cell, gene, and/or process elements that may be factors in the diagnosis, and you explain the mplications to patient health.

To prepare:

By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.

The Assignment (1- to 2-page case study analysis)

Develop a 1- to 2-page case study analysis in which you:

• Explain why you think the patient presented the symptoms described.
• Identify the genes that may be associated with the development of the disease.
• Explain the process of immunosuppression and the effect it has on body systems.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates). All papers submitted must use this formatting.

 Complete the two financial health activities (The True Cost of a New Car and  The True Cost of Credit Card Use) presented in Unit 7 Topic “Financial Health” related to spending money you do not have.

• Share your experience with “The True Cost of a New Car” activity with your peers
  • Change the size of the loan, years to pay it back, and the interest rate three (3) to four (4) times.
    • Start with the lowest loan amount you might need for your new care and increase by $5000 to $10000 each turn.
    • Start with a 3% loan (entered as .03) and increase by one (1) or two (2) percent each turn.
    • In each case choose between 5 and 7 years to pay it back.
  • Describe one of the monthly payments you would have to make based on your selections.
    • Loan amount?
    • Interest rate?
    • Years to pay it back?
    • Monthly payment?
    • Total car cost?
  • Discuss the potential impact a car payment of that size might have on your monthly budget.
    • Describe the other monthly expenses you would have to remove or reduce to make your payments.
    • Why Is or isn’t the car worth the sacrifices you might have to make given the size of the monthly payments?
  • What other options do you have to avoid taking out a car loan?
• Share your experience with ” The True Cost of Credit Card Use” activity with your peers
  • Consider the following scenario:
    • You spend an extra $50 a month using a credit card for the first year after graduation to make ends meet.
    • The interest rate charged by the credit card company is 18%.
    • The minimum payment you are required to send each month is $20.
  • Now consider the real cost of that $50 dollars a month by the end of that first year provided to you in the exercise.
    • How might the continued use of a credit card to fund an extra $50 of spending per month affect your long-term financial health?
    • Describe two ways you could avoid the long-term consequences of spending more than you have on a regular basis.

Please be sure to validate your opinions and ideas with citations and references in APA format.

In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed.

To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course. 
• Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
• Review the results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research.
• Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected.

Part 1: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following:

• The full citation of each peer-reviewed article in APA format.
• A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest.
• A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.
• A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.
• A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

Part I: Confidentiality and Patient’s Rights

In your opinion. 

• Why do you think that confidentiality is such an important part of patient rights? Give an example, either professional or personal, which illustrates why this right is so important to protect. 

 Part II: Using Ethical Frameworks to Make Decisions

Apply what you know.

The readings provide an overview of two ethical frameworks to use in decision-making in the healthcare setting. Let’s unpack the ethical dilemma(s) presented in the emerging genre of real-time hospital dramas. In one of the first episodes of a real-time hospital drama, a wife allegedly initially found out about her husband’s death when she watched an episode of a real-time hospital drama in which his death was televised. Although his face was blurred out, his wife was able to recognize him in the episode.

Let’s look at an episode of a real-time hospital drama. You can choose any episode that you wish, below is just a sample of one. Episodes can be found in many areas including Hulu and Amazon Prime.

• Television Series: Boston Med. (2010). Season 1 Episode 08. (Summary) (Links to an external site.) (Transcripts) (Links to an external site.)

I’ll guide us through our questions. We will discuss the questions as a group, starting with the first question:

1. Decide with your classmates what are the ethical dilemmas presented in this type of series? Consider in your answer the initial episode where the man’s death was allegedly televised. 
2. Discuss who are the stakeholders? Remember to consider individuals, families, communities, and organizations in your answer. 
3. Come to a consensus on what your recommendations would be to address the ethical dilemmas that you, as a class, have identified. Consider and include each applicable component below in your response: 
   • Ethical principles
   • Ethical theories
   • PYTHON principle
   • Six step process (Doherty & Purtilo) for ethical decision-making
   • Laws pertaining to confidentiality and/or patient rights

Incorporate health outcomes of the health promotion, detection of disease and disease prevention.  Organize an interdisciplinary plan of care for your client and the delivery of safe and effective care. Choose a patient, a gender, a medical condition and a situation of patient condition and their disease process and apply standards that are evidenced based which help support for the protection of your client.  

Incorporate concepts from Care of the Aging weekly powerpoints and the book-Gerontological Nursing and Healthy Aging (Toughy & Jett, 2018).

Paper should be 3 pages not including title and reference page.  

Paper should follow APA guidelines with a minimum of 5 references within 5 year span.sic

Part I: Write your Philosophy of Health

This week’s discussion board assignment requires you to write and share your personal philosophy of health. Your philosophy needs to be at least 250words long. Since this is a personal statement, it is appropriate to write in first person tense (I, you, me etc.). If you use any sources, such as an inspiriting quotation, be sure to use APA format to document the quotation and cite it in a reference list at the end of your statement. Quotes do not count in the 250-word minimum.  Be creative, succinct, and clear. I would like to read your unique thoughts. 

As a future health professional, it’s important to explore your own views about health. There is no doubt that as you go along in your academic major, and have experiences in the field, that your philosophy will change. However, as you begin your journey into health education, you should summarize your views thus far as a starting point. You can use this written health philosophy for your professional portfolio and expand and change your health philosophy as you learn and experience more.

  Please reply to this student post by adding something else relate to this post

Please APA style and less than 10 % similarity. 

Discuss interventions to improve/reduce risks of adverse effects. 

The aging process is a continuing natural process and succession of changes that start with birth and ends with death. Even though the natural process of gradual degeneration of the body is unavoidable, there are several interventions for the delay and prevention of the early appearance of them. Physical changes such as loss of muscle tone and the appearance of skin wrinkles appear to be one of the most important natural changes of concern within the population. Some of the intervention that help to reduce this process are a regular practice of sports. In fact, working out every day helps to maintain the tone of the muscles, the correct functioning of the bones and stress release from the brain. In addition, hydration also plays an important role in the delay of wrinkles appearance by delivering nutrients, elasticity and moistness to the skin cells. Also, sleeping a good number of hours and participating in social activities increases the healthiness of the mind and promotes the reduction of stress which also affects the aging of the skin cells. A healthy diet provides nutrients and essential vitamins to preserve a healthy body and skin.  

 References

Berger, K. S. (2017). Developing person through the life span. Worth Publishers. 

   Therapeutic drug monitoring is a frequent practice in health care. How does age affect drug absorption, metabolization and excretion?

· The use of salt substitutes can cause hyperkalemia in older adults when use in conjunction with what types of drugs?

· Describe how you would prevent and evaluate risk factors for medication nonadherence in older adults?

Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 

1) Minimum 2 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              Part 1: Minimum 1 page

              Part 2: minimum 1 page

Submit 1 document per part

2)¨******APA norms

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________ 

Part 1:  Physical Assessment 1

See PPT Ch07

The nurse is completing a cardiovascular assessment on a patient diagnosed with orthostatic hypotension. 

1. Identify what can result in a false high or false low blood pressure reading.

Based on specific medical conditions, the nurse may assess variations in vital signs. 

2. Discuss medical conditions that are associated with variations in a person’s vital signs.

Part 2:  Physical Assessment 2

 See PPT Ch09

The nurse is caring for a 60-year-old patient diagnosed with a cervical spinal cord injury in the ICU.

1. Discuss potential risk factors for pressure ulcers in this patient population and others.

Search http://annals.org/article.aspx?articleid=2173506 for the 2015 recommendations for treatment of pressure ulcers. 

2. Discuss the findings in relation to what is the current practice in your hospital facility.