Module 2 Discussion-

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The Affordability and Financial Sustainability of Medicare

After researching the affordability and financial sustainability of the Medicare program, discuss whether or not the Medicare program is reasonably affordable for its beneficiaries – why or why not? Is the program financially sustainable for future generations, given the retirement of the baby boomers and the shrinking of the active taxpaying workforce numbers? What changes could be proposed now/soon to save Medicare? Provide responses based on facts to each of these items (with credible/peer-reviewed citations) in a 200-word supported analysis. Remember to use in-text citations in your post.

week 4 reply classmate-

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Nicole Fox

The main goal of having an EHR is to improve the quality and safety of patient care (Hebda et al. 2018). More hospitals are turning to EHRs because it's a smoother flow of care and recording without compromising patient privacy. Other benefits include: “improving the accuracy and completeness of patient health information; increasing the speed at which care is provided; enhancing the coordination of care; and increasing transparency of health information for patients and their families, flag potentially dangerous drug interactions, verify medications, and reduce the needs for risky tests and procedures (Hebda et al. 2018).” In this scenario, the patient's PHR is limited because tests were outsourced versus being conducted all at the same facility. This can make patients question their diagnosis especially if they don't have all the information available to them. PHRs allow patients to be involved in the healthcare, however for some it may not be entirely user friendly which can hinder their understanding of the medical care. Additionally, not all patients have the level of technology available to them, whether it be a smartphone, laptop, or tablet, and therefore have limited access to their records. It has definitely been a major step forward in the medical field, and there is always room for improvements. Patients also need to understand the risks of safeguarding their personal information and how to protect their records from being accessed by non approved personnel. Both systems do provide results in real time and therefore both patient and provider can access and discuss already performed tests as well as prepare for future testing, thus ensuring they are both in line with the same goals. To ensure PHR protection, the user creates their own login and password. They are then responsible for keeping both of those safe. 

I am glad that patients have access to a PHR. I think it's helps provide understanding to their care and allows them to research and identify questions concerning their medical treatments. We oftentimes find that patients can be a little too research happy and find the 1% side affect that they are afraid might happen to them, and can cause a pause in their treatment. I do enjoy being able to discuss with my patients their results and answer questions on a nursing level, but most of the questions are referenced towards the provider. In this case, I feel like the patient could be frustrated because they don't have access to all the information, but that doesn't mean it's not attainable, just a little more difficult and a little more time consuming to put it all together. 

References:

Hebda, T., Hunter, K., & Czar, P. (2018). 
Handbook of Informatics for Nurses & Healthcare Professionals. (6th ed.). Pearson Learning Solutions

Kruse, C. S., Smith, B., Vanderlinden, H., & Nealand, A. (2017). Security Techniques for the Electronic Health Records. 
Journal of medical systems, 
41(8), 127. https://doi.org/10.1007/s10916-017-0778-4

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5522514/
Links to an external site.

APPLYING INTERDISCIPLINARY THEORIES TO NURSING PRACTICE

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To prepare: search the Walden University Library for at least two scholarly articles published within the previous 5 years on the assigned theory (health belief). Identify examples and insight for applying this theory to your practice issue. Consider how to explain your assigned theory and its applications to nursing practice and the specific issue you are addressing.

The assingment:

Post a brief description of your assigned theory (Health Belief)  and your nursing practice issue (im a psychiatric nurse so try to come up with a practice issue that happens in the psychiatric). Then, explain how you would apply your assigned theory to your practice issue and explain your reasoning. Be specific and provide examples. Cite your sources in your post. (at least 3 references)

Nursing 8-2

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 Prepare an evaluation (5-7 pages) of an existing QI initiative to determine if the initiative is effective. 

Nursing Assignment 5.2: Advocacy Action Plan Ignite Presentation: Part 1

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  • Title Slide: Name of Project, Student Name(s), Course Name/Number, Date [1 slide]
  • Roadmap (what will you cover in this presentation?) [ 1 slide]
  • Compelling introduction/question/quote that grabs the audience attention [1 slide]
  • What?: Introduce the public health issue and describe the issue that you are trying to change/impact [ 1- 2 slides]
  • So what?: Explain why you care about this issue and why the audience should care about the issue [ 1-2 slides]
  • Now what?: Present your advocacy initiative/idea and key elements of the action plan [3-6 slides]
  • Provide the call(s) to action [1-2 slides]

Slide 1: Title Slide

  • Title: “Addressing Childhood Obesity”
  • Student Name(s): [Your Name(s)]
  • Course Name/Number: [Course Name/Number]
  • Date: [Presentation Date]

Slide 2: Roadmap

  • Title: “Roadmap”
  • Briefly outline what you will cover in this presentation.

Slide 3: Compelling Introduction

  • Title: “Why Childhood Obesity Matters”
  • Use an attention-grabbing quote, question, or statistic to engage the audience. For example: “Did you know that nearly 340 million children and adolescents were overweight or obese in 2016? This alarming statistic is why we’re here today.”

Slide 4: What? – Introduction to Childhood Obesity

  • Title: “Understanding Childhood Obesity”
  • Describe childhood obesity as a public health issue.
  • Highlight the significance of the problem with statistics and facts.
  • Consider using visuals to illustrate the issue.

Slide 5: What? – Consequences of Childhood Obesity

  • Title: “The Consequences”
  • Explain the physical and long-term health consequences of childhood obesity.
  • Use images or graphics to visualize the impact.

Slide 6: So What? – Why You Care

  • Title: “Why I Care”
  • Share your personal motivation for addressing childhood obesity.
  • Describe your passion for this cause.

Slide 7: So What? – Why the Audience Should Care

  • Title: “Why You Should Care”
  • Convince the audience of the broader implications and importance of tackling childhood obesity.
  • Mention the potential societal and economic benefits.

Slide 8: Now What? – Advocacy Initiative Overview

  • Title: “Our Advocacy Initiative”
  • Provide an overview of your campaign or initiative to combat childhood obesity.
  • Highlight the goals and objectives.

Slide 9: Now What? – Key Elements of Action Plan

  • Title: “Action Plan Essentials”
  • Outline the key components of your action plan, such as education, awareness, and policy changes.
  • Use bullet points for clarity.

Slides 10-14 (or more): Now What? – Action Plan Details

  • Title each slide with specific action plan elements.
  • Delve deeper into the details of your action plan, explaining each step or component.
  • Include any research or data supporting your plan.

Slide 15: Call to Action

  • Title: “Join Our Movement”
  • Provide a clear and compelling call to action for the audience.
  • Explain how they can support your initiative, whether through volunteering, donations, or spreading awareness.

Slide 16: Conclusion

  • Title: “Together, We Can Make a Difference”
  • Summarize the key points of your presentation.
  • Reiterate the importance of addressing childhood obesity.

Slide 17: Questions

  • Title: “Questions?”
  • Open the floor for any questions or comments from the audience.

Ensure that your presentation is visually appealing, uses appropriate fonts and visuals, and keeps text concise for an engaging and impactful delivery. Feel free to add relevant images, graphs, and statistics where they enhance your message.

Nursing Discussion assignment

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Please see attachment.

discussion 2 60050N

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AGENDA COMPARISON GRID AND FACT SHEET

It may seem to you that healthcare has been a national topic of debate among political leaders for as long as you can remember.

Healthcare has been a policy item and a topic of debate not only in recent times but as far back as the administration of the second U.S. president, John Adams. In 1798, Adams signed legislation requiring that 20 cents per month of a sailor’s paycheck be set aside for covering their medical bills. This represented the first major piece of U.S. healthcare legislation, and the topic of healthcare has been woven into presidential agendas and political debate ever since.

As a healthcare professional, you may be called upon to provide expertise, guidance and/or opinions on healthcare matters as they are debated for inclusion into new policy. You may also be involved in planning new organizational policy and responses to changes in legislation. For all of these reasons you should be prepared to speak to national healthcare issues making the news.

In this Assignment, you will analyze recent presidential healthcare agendas. You also will prepare a fact sheet to communicate the importance of a healthcare issue and the impact on this issue of recent or proposed policy.

To Prepare:

· Review the agenda priorities of the current/sitting U.S. president and at least one previous presidential administration.

· Select an issue related to healthcare that was addressed by two U.S. presidential administrations (current and previous).

· Consider how you would communicate the importance of a healthcare issue to a legislator/policymaker or a member of their staff for inclusion on an agenda.

· Use your Week 1 Discussion post to help with this assignment.

The Assignment: (1- to 2-page Comparison Grid, 1-Page Analysis, and 1-page narrative) with a title page. This is an APA paper. Use 2-3 course resources and at least 2 outside resources.

Part 1: Agenda Comparison Grid

Use the Agenda Comparison Grid Template found in the Learning Resources and complete the Part 1: Agenda Comparison Grid based on the current/sitting U.S. president and the previous president, and their agendas related to the population health concern you selected. Be sure to address the following:

· Identify and provide a brief description of the population health concern you selected.

· Explain how each of the presidential administrations approached the issue.

· Identify the allocation of resources that the presidents dedicated to this issue.

Part 2: Agenda Comparison Grid Analysis

Using the information you recorded in Part 1: Agenda Comparison Grid on the template, complete the Part 2: Agenda Comparison Grid Analysis portion of the template, by addressing the following:

· Which administrative agency (like HHS, CDC, FDA, OHSA) would most likely be responsible for helping you address the healthcare issue you selected and why is this agency the most helpful for the issue?

· How do you think your selected healthcare issue might get on the presidential agenda? How does it stay there?

· An entrepreneur/champion/sponsor helps to move the issue forward. Who would you choose to be the entrepreneur/champion/sponsor (this can be a celebrity, a legislator, an agency director, or others) of the healthcare issue you selected and why would this person be a good entrepreneur/ champion/sponsor? An example is Michael J. Fox is champion for Parkinson’s disease.

Part 3: Fact Sheet

Using the information recorded on the template in Parts 1 and 2, develop a 1-page fact sheet that you could use to communicate with a policymaker/legislator or a member of their staff for this healthcare issue. Be sure to address the following:

· Summarize why this healthcare issue is important and should be included in the agenda for legislation.

· Justify the role of the nurse in agenda setting for healthcare issues.

BY DAY 7 OF WEEK 2

Submit your final version of Part 1: Agenda Comparison Grid, Part 2: Agenda Comparison Grid Analysis, and Part 3: Narrative.

SUBMISSION INFORMATION

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area. 

1. To submit your completed assignment, save your Assignment as WK2Assgn+LastName+Firstinitial

2. Then, click on Start Assignment near the top of the page.

3. Next, click on Upload File and select Submit Assignment for review.

The Affordable Care Act

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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 Resources:

  1. “About 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?

Case study MSN5550

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 Instructions: Read the following case study and answer the reflective questions. Please provide evidence-based rationales for your answers. APA, 7th ed. must be followed. 

 CASE STUDY: An Older Immigrant Couple: Mr. and Mrs. Arahan Mr. and Mrs. Arahan, an older couple in their seventies, have been living with their oldest daughter, her husband of 15 years, and their two children, ages 12 and 14. They all live in a middle-income neighborhood in a suburb of a metropolitan city. Mr. and Mrs. Arahan are both college educated and worked full-time while they were in their native country. In addition, Mr. Arahan, the only offspring of wealthy parents, inherited a substantial amount of money and real estate. Their daughter came to the United States as a registered nurse and met her husband, a drug company representative. The older couple moved to the United States when their daughter became a U.S. citizen and petitioned them as immigrants. Since the couple was facing retirement, they welcomed the opportunity to come to the United States. The Arahans found life in the United States different from that in their home country, but their adjustment was not as difficult because both were healthy and spoke English fluently. Most of their time was spent taking care of their two grandchildren and the house. As the grandchildren grew older, the older couple found that they had more spare time. The daughter and her husband advanced in their careers and spent a great deal more time at their jobs. There were few family dinners during the week. On weekends, the daughter, her husband, and their children socialized with their own friends. The couple began to feel isolated and longed for a more active life. Mr. and Mrs. Arahan began to think that perhaps they should return to the home country, where they still had relatives and friends. However, political and economic issues would have made it difficult for them to live there. Besides, they had become accustomed to the way of life in the United States with all the modern conveniences and abundance of goods that were difficult to obtain in their country. However, they also became concerned that they might not be able to tolerate the winter months and that minor health problems might worsen as they aged. They wondered who would take care of them if they became very frail and where they would live, knowing that their daughter had only saved money for their grandchildren’s college education. They expressed their sentiments to their daughter, who became very concerned about how her parents were feeling. This older couple had been attending church on a regular basis, but had never been active in other church-related activities. The church bulletin announced the establishment of parish nursing with two retired registered nurses as volunteers. The couple attended the first opening of the parish clinic. Here, they met one of the registered nurses, who had a short discussion with them about the services offered. The registered nurse had spent a great deal of her working years as a community health nurse. She informed Mr. and Mrs. Arahan of her availability to help them resolve any health-related issues. 

Reflective Questions

 1. What strategies could be suggested for this older adult couple to enhance their quality of life?

 2. What community resources can they utilize? 

3. What can the daughter and her family do to address the feelings of isolation of the older couple?

 4. What health promotion activities can ensure a healthy lifestyle for them?