Healthcare

The Patient Protection and Affordable Care Act: How it Affects Health Care Decisions and Outcomes.Locate a recent peer-reviewed article from a health care journal that reports on how well the Patient Protection and Affordable Care Act (PPACA) is working. You can use the CTU online library and course reading materials to locate sources of articles about the PPACA. Provide an analysis of whether or not you agree with the author of this article, and assess what can be learned from past health reform efforts that can help improve the U.S health system in the future.

Many people throughout the United States face significant barriers to health care access. As policy makers and other stakeholders consider ways to address challenges related to access to care, one key area of focus involves those who lack insurance or have inadequate coverage through insurance. Submit a PowerPoint presentation of 8-10 slides including 100-200 word speaker notes in which you address the following: Consider the different stakeholders and perspectives impacted by health policy. How does access to insurance differ from access to care? Provide 1 specific example from your personal or professional life or from current events to support your response, and explain why this distinction is important. How did the Patient Protection and Affordable Care Act (PPACA) of 2010 address access to insurance? How does current enacted legislation impact access to care? What do you see as the ultimate goal of expanding insurance coverage? If access to insurance coverage and medical care are increased through health care reform, what unanticipated consequences might arise? List the consequences associated with health stakeholders and perspectives. Note: Your presentation must be formatted in APA style with 4 quality references, 2 of which are peer-reviewed sources from health care journals. References should be placed on the Reference slide at the end of the presentation.

Write a 2-page essay addressing the discussion questions. Be sure to clearly identify the news clipping you selected.Assignment Discussion Questions1. Discuss the pressure, if any, placed on the patient to responding to the suggestion of prayer prior to surgery.2. Describe how you, as the surgeon, or nurse, would address a patient’s religious or spiritual needs if the risks of a complex surgical procedure appear to be threatening.3. Why did you choose to respond to this story?4. How is religion or faith displayed in your clinical setting?

This week you are beginning the process of developing your capstone project. The first step in the capstone research process is to define your health care management topic. Requirements for this project include a current health care topic that can be supported by scholarly resources and will incorporate the Health Care Management program objectives.Discuss some of your ideas for your capstone project.Include in your discussion why you selected this Health Care Management topic.What challenges do you think you will encounter with the selection of your topic?What kinds of resources do you think are available for you in regard to your topic?How do you think you will use this topic to cover the Health Care Management program objectives?Please answer the questions and support your answers with information from the readings (and your own personal experience as appropriate).Initial posting should be 150 words.Please be sure to validate your opinions and ideas with citations and references in APA format.

In this assignment, you will develop two separate infographics (informative posters) to discuss two separate health issues relevant to the LGBT communities. In each infographic you will discuss:What is the health problemWhich group(s) are most likely to be at riskWhat social/behavioral/health system determinants affect thisIdentify at least two potential interventions/activities the community, community health agency, community health nurse could offer to prevent and or support this health issueWhat resistance might be met in implementing the intervention/activitView these links on how to create infographics:https://www.visme.co/make-infographics/http://blog.hubspot.com/blog/tabid/6307/bid/34223/5-Infographics-to-Teach-You-How-to-Easily-Create-Infographics-in-PowerPoint-TEMPLATES.aspxhttp://blog.hubspot.com/marketing/free-ppt-infographic-templates-designs-htYou should submit two infographics and one reference list containing at least three scholarly sources. These can be submitted as three separate files.

In your initial response, address some of the following questions. Explain your answers. Did you find it easy to make confident and decisive decisions with several strongly agree or strongly disagree answers, or did you select mostly moderate responses? Did any subject areas trigger personal emotions or issues? If so, do you feel you were able to remain objective? Were any of the decisions especially difficult to make? Did you employ any critical thinking or resolution strategies to determine a response? Did you rely on policy or legal parameters to make your decisions? Would you be comfortable making your answers to the survey public, or do you prefer anonymity? Have you dealt with similar situations and could you perceive similar situations occurring in your clinical practice? How might a moral inventory such as this survey impact your clinical practice? 1-2 pagesPlease share additional thoughts as well.Discussion Prompt #2 Identify examples of active and latent errors. Provide examples from your clinical experience, if possible. How can such errors be avoided to support better patient care?1 page

Vaccinations seem to be an ongoing controversy in pediatric family nursing. In health care, is important as a nurse to give families autonomy regarding their child’s health.1. In 200 words explain why it is important to give parents the autonomy to vaccinate their children from a religious, health and cultural perspective?2. In 200 words explain what impact a parent’s decision to not vaccinate their children would have on the population?3. In 200 words explain how the nurse should handle a family that has an opposing point of view regarding vaccination?4. In 200 words do you think it is ethical if a physician would turn down taking a new patient into their practice or dismiss a family from their practice if the family chose not to vaccinate? Why or why not?5. In 200 words explain ways the nurse can help to optimize the health of pediatric patients, whether they are vaccinated or unvaccinated?6. In 200 What steps can nurses take to educate and persuade clients to vaccinate their children? What is the public health impact?Use at least 3 reference to support your statement.

Determine what policy you may want to be involved in changing by creating an objective policy brief. A policy brief is a concise summary of a particular issue, the policy options to deal with it, and some recommendations on the best option. This assignment will be two parts.Part One:Write a policy brief regarding an issue relevant to health policy of 700-900 words. Include the following:Executive summaryIntroductionApproaches and resultsConclusionImplications and recommendationsGraphics and tables may be included as appropriatePart Two:Locate the contact information for a state, local, or federal official for your area.Locate information regarding the official’s stance on the issue you discuss in your policy brief.Send the official a letter or e-mail that explains your position and offers suggestions on how the official should move forward with the agenda from your policy brief. Include the brief as an attachment.

Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.Develop a PICO(T) question to address the clinical issue of interest you identified in Module 2 for the Assignment. This PICOT question will remain the same for the entire course.Use the key words from the PICO(T) question you developed and search at least four different databases in the Walden Library. Identify at least four relevant systematic reviews or other filtered high-level evidence, which includes meta-analyses, critically-appraised topics (evidence syntheses), critically-appraised individual articles (article synopses). The evidence will not necessarily address all the elements of your PICO(T) question, so select the most important concepts to search and find the best evidence available.Reflect on the process of creating a PICO(T) question and searching for peer-reviewed research.The Assignment (Evidence-Based Project)Part 3: Advanced Levels of Clinical Inquiry and Systematic ReviewsCreate a 6- to 7-slide PowerPoint presentation in which you do the following:Identify and briefly describe your chosen clinical issue of interest.Describe how you developed a PICO(T) question focused on your chosen clinical issue of interest.Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.Provide APA citations of the four relevant peer-reviewed articles at the systematic-reviews level related to your research question. If there are no systematic review level articles or meta-analysis on your topic, then use the highest level of evidence peer reviewed article.Describe the levels of evidence in each of the four peer-reviewed articles you selected, including an explanation of the strengths of using systematic reviews for clinical research. Be specific and provide examples.Job burnout is a state of physical or emotional exhaustion that also involves a sense of reduced accomplishment and loss of personal identity (Mayo Clinic Staff, 2018). Nursing burnout/turnover is negatively impacting healthcare at a national level. With recent reports of pervasive “burnout” and depression among healthcare professionals and the pressure that many influential healthcare organizations exert on clinicians to deliver high-quality, safe care under increasingly heavy patient loads, the use and teaching of EBP may be key not only to providing outstanding care to patients and saving healthcare dollars, but also to reducing the escalating turnover rate in certain healthcare professions (Melnyk & Fineout-Overholt, 2018). This is devastating, yet important, due to the impact this has on patient care and safety. This being said, my topic of nurse burnout/turnover formed into a PICO(T) question is:P: Registered Nurse’s in the EDI: Nurse burnout and turnover rateC: Other areas of nursingO: Patient safety and satisfactionQuestion: Does Registered Nurse burnout/turnover in the ED impact patient safety and satisfaction?Databases and ResultsWhen searching for this topic the databases used were MEDLINE, PubMed, and EBSCO through the Walden Library. The search terms used for MEDLINE and PubMed were nurse burnout narrowing the search to 5 years, humans, journal article, English, and full text. That generated approximately 813 articles. After incorporating the Boolean terms AND nurse turnover, it then narrowed the search articles to 402. Through the Walden Library, the search terms nurse burnout in the ED were used, narrowing to peer-reviewed only and full text. This generated 8 articles. To improve these results strategies such as incorporating more Boolean terms, using more specific search terms, and trialing more databases could benefit in a more efficient and effective search.ConclusionClinicians with burnout may have impaired attention, memory, and executive function that decrease their recall and attention to detail placing them and their patients at higher risk for errors and safety (Heath, 2018). Happy and healthy employees promote happy and healthy patients. This topic is in need of clinical inquiry at a national level, but also where this nurse is employed. The turnover rate has been significantly increased where this nurse is employed, leading to short staffing, thus increased workload and unhappy patients. This kind of work environment is unsafe and warrants change not only for the healthcare professionals sake, but more importantly the patients sake.ReferencesHeath,S. (2018, September 5). How does provider burnout impact patient care quality, care access? Retrieved from https://patientengagementhit.com/news/how-does-provider-burnout-impact-patient-care-quality-care-accessMayo Clinic Staff. (2018, November 21). Know the signs of job burnout. Retrieved from https://www.mayoclinic.org/healthy-lifestyle/adult-health/in-depth/burnout/art-20046642Melnyk,B., & Fineout-Overholt,E. (2018). Evidence-based practice in nursing & healthcare (4thed.). Philadelphia, PA: Wolters Kluwer.

Please choose only ONE of the following topics and respond to the thread corresponding to the question you select.1. Dementia in the elderly. Discuss ways in which the cost associated with dementia can be curtailed along with maintaining the individual’s quality of life. Dementia is not only Alzheimer’s disease, so please consider multiple types of dementia within your answers (types of dementia include: Alzheimer’s disease, vascular dementia, dementia with Lewy bodies [DLB], mixed dementia, Parkinson’s disease, frontotemporal dementia, Creutzfeldt-Jakob disease, and normal pressure hydrocephalus).2. Elder abuse. Include physical, emotional, sexual, etc. How, as an APRN, can you screen for and address elder abuse? What types of health promotion concepts can be used to help advocate for the personal safety of our elders? Are there screening tools available? In what unconventional locations within your community might an elder screening be performed?3. Fall prevention. What are specific geriatric risk factors that create an increase in fall risks? What can be done from a health promotion standpoint to decrease falls in the elderly? Define fall risk and what types of assessments are available in the outpatient and inpatient settings.4. Financials, levels of neglect in the elders. Consider financial risk, scams, family, and other pitfalls the elderly may find themselves in relating to their finances. Provide examples and ways to advocate for our patients and our communities as an advanced practice nurse.5. Components of a well elder evaluation. Define a well elder evaluation. Make sure you address components that pertain to the home environment and the communities in which they live. How can an APRN assist in these evaluations and promote different aspects within your community.6. Functional status. Consider ADLs and IADLs. What is the difference? What types of assessment can be done and by whom to determine if an elder is capable of caring for themself at home. In addition, what types of services are available to help promote overall elder health not only in their homes but when living with family or in assisted living and nursing homes? What types of supportive services are available to assist the elderly in staying in their own homes?7. Cognition. Describe how cognitive functioning may change as we age. What are neuropsychological examinations, and when should these be requested? Describe what this type of testing can accomplish and how, as a provider, you would use these results. Discuss ways in which we can improve and maintain our cognitive health (for example, diet, exercise). Provide specifics.8. Polypharmacy. Consider medication compliance, risk of adverse effects, creatinine clearance9. Pain assessment and treatment. Discuss specifics regarding pain within the elder population: perception of pain, pain assessment scales, etc. In addition, provide evidence-based cited information relating to the opioid epidemic within your state and what percentage of addicted individuals are elderly. What type of resources are available in your community to help those with substance abuse problems? Are there any services specific to the elderly?- Please include at least 3 scholarly sources within your initial post.- APA style.- Minimun 400 – 450 words.- Turnitin Assignment (No plagiarism)Note My background for you to have as a reference: I am currently enrolled in the Psych Mental Health Nurse Practitioner Program, I am a Registered Nurse. I work at a Psychiatric Hospital.