Health & Medical

Reading: https://www.kff.org/medicare/issue-brief/the-facts-on-medicare-spending-and-financing/Based on the article:In your own words what are 2-3 factors resulting in the growth rate of Medicare per capita spending shrinking from 2010-2018 vs. 2000-2010?Evaluate the Figure 4 & Figure 5 graphs: ‘Actual and Projected Annual Growth Rates in Medicare and Private Health Insurance Spending, 1990-2028 and Actual and Projected Average Annual Growth in Medicare Beneficiary Costs for Part A, Part B and Part D, 1990-2028’. Based on the graphs, bullet out what you think are the 2-3 key takeawaysWhen the article states for example that 72% of Medical Part B is financed through ‘general revenue’ — what is meant by ‘general revenue’?What is the Medicare Hospital Insurance Trust Fund? Briefly summarize why the actuaries have projected that the Part A Trust Fund will be depleted by 2026

Mr. and Mrs. R. are the parents of two sons, Terence and Jason. Terence is a 28-year-old man who is married, works for a railroad company, and attends college part-time. Terence suffers from chronic glomerulus nephritis, a fatal kidney disease. He is now being kept alive by frequent dialysis treatments, a procedure that cannot be continued much longer.Jason is 27 years old, and has been living in a state institution for many years. He has an I.Q. of around 35, approximately corresponding to the mental age of a very young child. He is further handicapped by a speech defect, which makes it difficult for him to communicate with those who are not well acquainted with him.Doctors determined that Terence would have to have a kidney transplant in order to survive. The new kidney could come either from a cadaver, if and when one became available, or from a live donor if a compatible donor could be found. Terence’s entire family was tested, including his mother, his father, and a number of other relatives. None of these family members were medically acceptable as live donors due to incompatible blood type or tissue type. As a last resort, Jason was tested and found to be highly compatible.A psychiatrist who examined Jason stated that he believed Terence’s death would have an extremely traumatic effect upon Jason. Terence is Jason’s role model and is vital to Jason’s continued improvement at the hospital and in school.Should Jason be allowed to donate a kidney to his brother Terence, to save his brother’s life?Questions to help guide your analysis:How should the issue of autonomy/informed consent (for Jason) be handled in this case?What are the risks/benefits of the kidney transplant to Jason and to Terence?If Jason does not donate a kidney to Terence, what other organ-donor options are available to Terence ?How does the “doctrine of double effect” apply to this situation?The bioethical dilemmaAn argumentative thesis (your chosen position)Give three reasons supporting your argument, applying philosophical paradigms (e.g. deontology, utilitarianism, virtue ethics, etc.) and bioethical principles (autonomy,nonmalefience, beneficence, and justice).Offer one counterargument to your chosen position, citing support. A counterargument is an opposing position.Give your rebuttal to the counterargument, with support. A rebuttal is a response to the opposing position.

Objectives:The writing of this two-page (500 word) written assignment will:Facilitate the RN to BSN nursing student’s understanding of the professional role in deciding and determining whether healthcare information on a self-identified medical or health website is written on best practice, current evidence and is reliable and credible.Support the professional nurse’s use of Health on the Net (HON) Foundation’s Code of Conduct Medical and Health Website Evaluation form in the decision-making process in order to:Evaluate and analyze the information found within the medical and health websitesDetermine whether the medical and health information is based on evidence, is accurate and valid Health on the Net Foundation’s Code of Conduct Medical and Health Website Evaluation Form can be found at Health on the Net Foundation for Medical Professionals  (https://www.hon.ch/med.html) and the Health on the Net  (https://www.hon.ch/en/) also provides health information regarding HONcode certification. Locate and utilize the evaluation form within the HONtools section. The Health on the NetAssignment overviewTechnology is constantly changing whereby the access and use of web-based healthcare information by patients, family members, and the general public as well as healthcare providers is on the rise. Healthcare information is readily available at the press of a button. However, the credibility and reliability of the information are not always known. To support and facilitate appropriate decisions, use of best evidence practice as well as to enhance patient-centered care, professional nurses need to be able to evaluate, analyze and validate the reliability and credibility of healthcare information found within websites and the internet.Step 1 IntroductionChoose a website, HON criterion and Decision-Making SkillsIdentify and briefly describe a medical or health website of your choosing which addresses a specific disease or health condition seen in a current area of practiceDiscuss the purpose of the HON Foundation’s Code of Conduct Medical or Health Website Evaluation formStep 2 Website, HON Criterion, Evidence and Safety Concerns, Recommendation(s)The writing section will address the following information:Outline and discuss the website which addresses a specific disease or health condition seen in a current area of practiceBased on each HON criterion categories discuss, determine, and analyze whether the information provided on the website is based on evidence, is reliable,is credible, and is accurate and validIdentify, describe and discuss the evidence which supports the meeting of the HON evaluation criterion categoriesAddress and discuss areas of the website that do not meet the HON evaluation criterion categoriesDescribe any safety concerns patients and or their families need to be made aware of regarding the information within the self-identified website. Provide appropriate (2-3 Scholarly peer reviewed and published within 5 years) evidence and support for answer(s)Based on the HON evaluation criteria, discuss whether or not you, as a professional nurse would recommend this website to your patient and or families, provide appropriate evidence to support your decisionStep 3 Reflection and SummaryReflect on the process of evaluating the information found within the medical or health website, your role as a professional nurse in evaluating information on the Internet, and lessons learnedBriefly summarize how professional nurses might incorporate the HON website evaluation form criterion to assist and support their decision-making skills and current nursing practice.

Using the topic you selected and the outline you followed in week 3 assignment. Please see the attached week 3 assignment and add more to it, please write a 7-10 page research paper using APA Format.  Your research paper must include an extensive explanation and have a thesis statement.  A thesis statement is a strong statement that you can support with evidence.  The research paper should have a abstract, literature review and discussion (body of the paper addressing the issues listed below), recommendation, a well-defined conclusion, and reference pages.  You must use at least 5 resources.Please see the attached template for more information.In your paper, you must address the following:An overview of the issueWhy is this issue a concern from a health care economics perspective?Who are the major parties involved in this issue?Which market forces have an impact on this issue?How is demand illustrated in this issue?How is supply illustrated in this issue?How has the affordable care act impacted this issue?How are health disparities demonstrated in this issue?How has this issue been improved in other global markets?What is your recommendation for making improvements based on economic principles.

As a practice scholar, the interdisciplinary team you are leading develops the below two practice questions in PICOT format to drive practice change.Practice Question 1: Does motivational interviewing during a regularly scheduled well-child visit for children between 5-19 years with a BMI of 30 and above as compared to practice as usual, influence BMI, BP, quality of life, and daily physical activity over 8-10 weeks?•    Identify the PICOT elements.•    What are key search terms identified in the practice question?Conduct a library search using these search terms to locate a research studyaddressing this practice problem and consider the following.•    What is the research-evidence based intervention addressed in the study?•    What is the quantifiable outcome(s)? How will the outcome(s) be measured? What potential reliable and valid measurements/tools may be used to measure this quantifiable data?•    Is this practice question answerable within 8-10 weeks? Why or why not?Practice Question 2: In the adult critical care population, does a research-based skin care integrity bundle, compared to standard care, influence the incidence of hospital-acquired pressure injuries over an 8-10 week time period?•    Identify the PICOT elements.•    What are key search terms identified in the practice question?Conduct a library search using these search terms to locate a research study addressing this practice problem and consider the following.•    What is the research-evidence based intervention in the study?•    What is the quantifiable outcome(s)? How will the outcome(s) be measured? What potential reliable and valid measurements/tools may be used to measure this quantifiable data?•    Is this practice question answerable within 8-10 weeks? Why or why not?

Discussion Post: Growth in Outpatient Care: The Role of Quality and Value Incentives.  Options Menu:As we wrap up the portion of the course on the transition from inpatient to outpatient care, read the following article and provide insight to the questions below and/or other thoughts on this topic.What are the key drivers resulting in a shift from inpatient to outpatient care?Was the relationship between growth in outpatient services and presence of incentives more pronounced in certain therapeutic areas?What are some strategic and operational challenges you could foresee for a hospital that is shifting care from inpatient to outpatient environment?Article: https://www2.deloitte.com/us/en/insights/industry/health-care/outpatient-hospital-services-medicare-incentives-value-quality.html?id=us:2el:3dp:mdrnhlth:awa:lshc:091518(My semester just started so right now there are few discussion posts, but I have some large paper coming up next few weeks and hope you can help me then!)

Describe Medicare’s End Stage Renal Disease (ESRD) entitlement for those who otherwise do not qualify for Medicare (i.e., who has the right to get what). Discuss the consequences of a potential policy to eliminate the entitlement by explaining its resulting impact on the price of private insurance and access to care for those with ESRD.Your essay should be no more than 250 words. Please do not repeat the question in your essay. Remember, you will be graded based on both content and writing. As always, properly cite any material or ideas from others.  Your references will not be included in the word count.I have uploaded the slides and readings for this week. Please read them carefully to write this essay as my instructor for this class is a harsh grader:(I’ll add one extra order just for compensation (no writing) if you write this well!

Reflection and Self-Care Log (and Plan)Describe individual goals and develop a plan for self-care. Set measurable goals and reflect progress each week. Entries need to show reflection that includes a discussion of current learning, including meeting specific course objectives.  Some specific entries required as per course schedule.

Instructions:Step 1: Go to the link below to watch a video that reviews the current (as of 2019) scientific perspective on antioxidantsStep 2: Research the topic below.Topic: Macronutrients and AntioxidantsStep 3: For your paper, include the following information:Among the information sources that you choose, include at least two Primary or Secondary research articles or research reviews on the topic published within the past five (5) years.Provide in-text and end-of-text citations in a standard format (APA citation style).Summarize what you learned from your reading and research.a well-integrated summary that draws from all the sources you used for your research.A well-integrated summary interleaves information from all sources,rather than providing separate summaries for each cited source.Discuss how the information in your research compares with the content in the video.Discuss consistencies and inconsistencies between your research findings and information in the video.Based on your research findings, provide at least two distinct key takeaway lessons about free-radicals or antioxidants that could be helpful for readers to know.Word Limit: 500 words or less, single-spaced, excluding end-of-text citationsStep 4: Cite the full citation of your information sources. Include URLs when you cite a resource from the internet. Cite your sources using the APA 7th Edition.Use only credible sources including course materials.

After studying Module 6: Lecture Materials & Resources, discuss the following:Hyde Pfiefer, a retired 70-year-old German American, has lived in the United States for the last 50 years. A widower of 5 years, Mr. Pfiefer prepares his own meals following his wife’s recipes from the old country. Nine months ago, Mr. Pfiefer was told that his cholesterol is elevated, and he was instructed about a low-fat diet. His most recent test results show his values to be unchanged.Discuss the meaning of food in the German culture.Using the predominant health beliefs of people of German ancestry, how might you help Mr. Pfiefer reduce his cholesterol level?Submission Instructions:formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)All replies must be constructive and use literature where possible.