Health Care - Page #79

The ACA was meant to provide quality health care coverage for all yet a coverage gap for some populations especially in states that oppose Medicaid expansion. Based on what you have learned so far in this course, create a PowerPoint presentation that addr

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Healthcare Coverage Gap

The ACA was meant to provide quality health care coverage for all yet a coverage gap for some populations especially in states that oppose Medicaid expansion. Based on what you have learned so far in this course, create a PowerPoint presentation that addresses the coverage gap problem, who is impacted by the coverage gap, the role the ACA plays in the coverage gap, why the coverage gap should be closed, and solutions/ recommendations for closing the gap. Address the following in your PowerPoint:

Select one state opposed to Medicaid expansion and describe why. Then, consider your own state. What are the benefits and drawbacks to Medicaid expansion in your state?
Define what the coverage gap is (problem/issue)
Discuss how the coverage gap impact low income healthcare consumers population.
What role does the ACA have in widening or closing the coverage gap?
Why is it important to close the gap (implications for positive social change)?
What are some solutions to closing the coverage gap and how can healthcare equity help close the gap? Include recommendations and/or solutions.
Your PowerPoint presentation should include/address:

Title Slide (1 slide)
Objectives Slide (1 slide)
Medicaid expansion (1-2 slides)
Coverage gap - define/problem/issue (1-2 slides)
Coverage gap impact on low income healthcare consumers (2-3 slides)
Role ACA has in widening or closing the coverage gap (1-2 slides)
Close the gap (1-2 slides)
Solutions to closing the coverage gap and how can healthcare equity help close the gap? (2-3 slides)
Reference slide (1-2 slides). (A minimum of three (3) scholarly sources are required for this assignment)

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Describe in at least 300 words what you learned about the complexity of working with clients in post-disaster recovery situations and some of the issues that they may experience as they move through the recovery process. Consider the role of government a

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Describe in at least 300 words what you learned about the complexity of working with clients in post-disaster recovery situations and some of the issues that they may experience as they move through the recovery process. Consider the role of government agencies, environmental engineers, and non-government agencies in the resources and help that they may provide. Use at least three professional or official agency sources in addition to your textbook to support your work.

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investigate the role of the nurse specifically as it relates to transitions of care and coordination of care.

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Complete sentences, well organized, grammatically correct and free of spelling errors (have used spell check to help ensure this)
initial posting thoroughly addresses all parts of the discussion, is clearly and concisely stated, and demonstrates that the content was appropriately reviewed, understood, and synthesized. At least two references are
In replies to peer’s postings, offered a critical analysis of an existing posted idea or introduced a different interpretation to an existing idea. Critical analysis must be substantial, including support by a valid resource/reference, and may include a story about a related experience, a probing question, or point(s).
Provides evidence-based, scholarly resources to support one’s position on the posed topic or idea; References for initial posting are correctly & accurately presented in APA format — uses in-text referencing within the posting.
Please response to the post

Abdullahi posted Jul 6, 2020 5:20 PMLast edited: Monday, July 6, 2020 5:21 PM CDT
Q#4 Investigate the role of the nurse specifically as it relates to transitions of care and coordination of care.

Transition of care involves in patient’s movement from one setting to another, such as moving to rehabilitation centers, discharge back to home or being transferred within the hospital units. Transitional care is essential for patient outcome, if not managed correctly, it may have negative consequence on patient’s recovery process. Nurses play vital role in preventing these negative consequences, they provide direct care to the patients, hence recognize settle changes in patient status and they are more aware of patients overall functional capabilities. For a transitional care to be successful nurses need to communicate effectively when giving patient reports. When discharging a patient home discharge instruction should simple and clear to follow, and also provide a copy of any resources available to patient.

As front-line practitioners, nurses are highly attuned to the fact that patients’ needs can be very different depending on their setting of care. Promoting safe and effective care across the many settings where patients receive care is a complex challenge—one that can be addressed only with the input and leadership of nurses. Working together with nurses and other front-line clinicians, AHRQ will continue to develop tools and resources to ensure that all patients receive the safest care possible, no matter where it is delivered. (ahrq.gov)

Nurses as patient care coordinators, they organize patient’s care, monitor and coordinate treatment plans, communicate with other providers and follow patient’s health progress. Nurses coordinate with patient’s family, help patients set up medical appointments and also educate patients about their condition. The goal of care coordination is to eliminate medical errors, and an unnecessary test and reduce healthcare costs.

Quality improvement and cost control rely on effective coordination of patient care. Registered nurses (RNs) across the continuum of care play an essential role in care coordination. Greater health care efficiencies can be realized through coordination of care centered on the needs and preferences of patients and their families. Professional nursing links these approaches, promoting quality, safety, and efficiency in care, resulting in improved health care outcomes that are consistent with nursing's holistic, patient-centered framework of care. (nursingworld.org)

Question

What are some barriers related to care transitions? and what can nurses do to prevent them?

Reference

Jeffrey Brady M.D. Making Care Transitions Safer: The Pivotal Role of Nurses. https://www.ahrq.gov/news/blog/ahrqviews/pivotal-role-nurses.html.

Care Coordination and the Essential Role of Nurses: American Nurses Association (ANA). ANA. https://www.nursingworld.org/practice-policy/health-policy/care-coordination/.

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Overview of Risk Adjustment and Outcome Measures for Home Health Agency OBQI Reports: Highlights of Current Approaches and Outline of Planned Enhancements

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Overview of Risk Adjustment and Outcome Measures for Home Health Agency OBQI Reports: Highlights of Current Approaches and Outline of Planned Enhancements

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Novartis Settles Off-Label Marketing Case Over 6 Drugs for $422.5 Million

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Novartis Settles Off-Label Marketing Case Over 6 Drugs for $422.5 Million

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Quality of Life Before and After Intensive Care

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Quality of Life Before and After Intensive Care

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Advanced Health Assessment: Focused abdominal SOAP note Case Study Analysis

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Review the Episodic note case study your instructor provides you for this week’s Assignment.
With regard to the Episodic note case study provided:
Review this week’s Learning Resources, and consider the insights they provide about the case study.
Consider what history would be necessary to collect from the patient in the case study.
Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

CASE STUDY SOAP NOTE:

ABDOMINAL ASSESSMENT
Subjective:
• CC: “My stomach hurts, I have diarrhea and nothing seems to help.”
• HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started 3 days ago. He has not taken any medications because he did not know what to take. He states the pain is a 5/10 today but has been as much as 9/10 when it first started. He has been able to eat, with some nausea afterwards.
• PMH: HTN, Diabetes, hx of GI bleed 4 years ago
• Medications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10 units qhs
• Allergies: NKDA
• FH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN, Hyperlipidemia, GERD
• Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)
Objective:
• VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbs
• Heart: RRR, no murmurs
• Lungs: CTA, chest wall symmetrical
• Skin: Intact without lesions, no urticaria
• Abd: soft, hyperactive bowel sounds, pos pain in the LLQ
• Diagnostics: None
Assessment:
• Left lower quadrant pain
• Gastroenteritis
PLAN: This section is not required for the assignments in this course but will be required for future courses.

Please Follow Rubric attached to completely address the following to the assignment:

1. Analyze the subjective portion of the note. List additional information that should be included in the documentation.

2.Analyze the objective portion of the note. List additional information that should be included in the documentation.

3.Is the assessment supported by the subjective and objective information? Why or why not?

4.What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?

5.Would you reject or accept the current diagnosis? Why or why not? Identify THREE possible conditions that may be considered as a differential diagnosis for this patient.

6.Explain your reasoning using at least three different references from current evidence-based literature.

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Apply the skills and tools necessary to deal with behavior and change in a healthcare organization.

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Apply the skills and tools necessary to deal with behavior and change in a healthcare organization.

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Should Government Officials Be Held Responsible For Failing To Protect Health?

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Read this HEALTH AFFAIRS blog post by noted public health law professor Wendy Parmet, "Should Government Officials Be Held Responsible For Failing To Protect Health?"

https://www.healthaffairs.org/do/10.1377/hblog20170222.058894/full/

and then answer this question: Which one (1) of the 6 public health core ethical values (Section 2 of the Public Health Code of Ethics, 2019) is the MOST important for Flint water crisis?

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