Respond using at least two scholarly references/ APA format

 

Current National Healthcare Issue and its Impact on the Work Setting

            One of the most significant healthcare issues to date is the lack of insurance coverage for patients and the continued high costs of healthcare.  As a whole society needs healthcare, but fewer can afford it even with working full-time jobs. Here in the U.S., our method for paying for healthcare is where patients pay a fee for the services provided. When doing this, it devalues the primary care aspect of healthcare and supports a more volumed-based system so that the providers can increase the monetary gain for a payment model system (Park et al., 2018). There is no consistent way to make things perfect across the board, but there are ways to help such as bundling care and treatments and implementing monthly payments (Park et al., 2018). The social determinant that most affects this issue is the ability to have access to quality healthcare. Multiple inequalities affect patients in healthcare such as ethnic groups, social status, and economic (Broome, M., & Marshall, E. S.,2021). In 2020, the United States healthcare costs reached 4.1 trillion dollars (AAMC, 2023). “Nearly one in five Americans has medical debt, and affordability is still an issue for a large proportion of the population, whether uninsured or insured, which suggests that policymakers should focus on patients’ costs.” (Association of American Medical Colleagues, 2023). With that number of Americans being in debt due to healthcare, we need to focus on how to change the way we are billing our services as providers, offering insurance to the public as a country, and a way to offer more affordable services.

How the National Healthcare Issue Affects the Work Setting

In the clinic where I work our patients often must reschedule the procedures that they are scheduled for their pain management treatments due to insurance denying them. They will either pay out of pocket or reschedule. This impacts the practice as a whole: the nursing staff must rearrange the whole schedule, and change the documentation, and the patients will miss their much-needed treatments. Our case manager then works closely with the insurance companies to see what we can do to get the patient’s procedures approved. It has often taken up to 6 months to get just one injection approved. This process often makes the patient feel depressed and angered and leaves the staff feeling hopeless.

 

1. What is the research question?
2. What research method is being used?
3. How are the subjects chosen (explain the parameters & how many)
4. What are the results of the study?
5. What are the recommendations?
6. What is your opinion? 

Case Study:Dr. Emily Clark, a seasoned cardiologist at Mercy General Hospital, is presented with a challenging case involving Mr. Rajan Patel, a 58-year-old man who recently immigrated from India. Mr. Patel has been diagnosed with a significant heart condition that requires a surgical procedure. While the surgery has a high success rate, like all medical procedures, it comes with its own set of risks and benefits. Mr. Patel, whose primary language is Gujarati, has limited proficiency in English. He nods and smiles politely during consultations, giving Dr. Clark the impression that he understands. However, when asked to explain the procedure back to her, it becomes evident that he does not fully grasp the intricacies of the surgery or its potential complications. Dr. Clark recognizes the importance of informed consent and wants to ensure that Mr. Patel truly understands the procedure, its risks, and its benefits. She believes in the ethical principle of autonomy, which dictates that every patient has the right to make decisions about their own body and health. However, she also acknowledges the principle of beneficence, which compels her to act in the best interest of her patient.  

Instructions

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. For this assessment, develop a solution to a specific ethical dilemma faced by a health care professional. In your assessment:1. briefly summarize the facts surrounding the case study. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge.

• Identify who is involved or affected by the ethical problem or issue.
• Access and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues.
  • Apply the three components outlined in the Ethical Decision-Making Model media.
• Analyze the factors that contributed to the ethical problem or issue identified in the case study.
  • Describe the factors that contributed to the problem or issue and explain how they contributed.

1. Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
   • In addition to the readings provided, use the Capella library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation. The NHS-FPX4000: Developing a Health Care Perspective Library Guide will help you locate appropriate references.
     • Cite and apply key principles from the journal article as evidence to support your critical thinking and analysis of the ethical problem or issue.
     • Review the Think Critically About Source Quality resource.
       • Assess the credibility of the information source.
       • Assess the relevance of the information source.
2. Discuss the effectiveness of the communication approaches present in a case study.
   • Describe how the health care professional in the case study communicated with others.
   • Assess instances where the professional communicated effectively or ineffectively.
   • Explain which communication approaches should be used and which ones should be avoided.
   • Describe the consequences of using effective and non-effective communication approaches.
3. Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.
   • Describe the actions taken in response to the ethical dilemma or issue presented in the case study.
   • Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.
   • Discuss the key lessons this case provides for health care professionals.
4. Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.
   • Describe the proposed solution.
   • Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.
   • Discuss how likely it is the proposed solution will foster professional collaboration.
5. Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
   • Apply the principles of effective composition.
   • Determine the proper application of the rules of grammar and mechanics.
6. Write using APA style for in-text citations, quotes, and references.
   • Determine the proper application of APA formatting requirements and scholarly writing standards.
   • Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.

 

Soap Note 1 “ADULT”(patient over 50 years old)  Wellness check up 

Follow the MRU Soap Note Rubric as a guide:

Use APA format and must include mia minimum of 2 Scholarly Citations.

Turn it in’ s Score must be less than 25% or will not be accepted for credit; it must be your own work and in your own words. Copy-paste from websites or textbooks will not be accepted or tolerated and will receive a grade of 0 (zero) with no resubmissions allowed.

Must use the sample templates for your soap note.
Attached you can find the rubric , template  and an example to following in this assigment. 

 

Analyze the potential effectiveness resulting from professional or nurse-provided social support versus enhancement of social support provided by personal relationship and social networks for parents of children with chronic mental illness.

Please include at lest 400 words and 2 referent