Client Questions

APA format. 3 paragraphs (360 ) words. This does not include references page. Use on scholar authors and article should be less than 5 years old. This is your population and topic: Primary prevention frame is to prevent hypertension among low socioeconomic status adults in the community.    Practicum Discussion: This week your assignment is to collect and then refine health data about the issue that affects your population group. You will use scholarly professional literature to support your ideas about the population at risk. If data is not available for your population on a local level, then use county or state data. Some examples of health data that you might consider gathering are epidemiologic information related to health conditions, reproductive outcomes, causes of death, vital statistics, socioeconomic data including poverty and/or educational levels, quality of life issues, and/or lack of access to health care due to lack of health insurance or access to providers. You will want to compare local data with state and national trends to fully understand the extent of the selected problem in your community. Please address the following points in your Practicum Discussion: Describe the specific health problem and population you have selected. What data did you find to support your decision? Help each other further refine and clarify the problem and population. What useful health data and public health websites did you locate to support your position? What other evidence did you find? You can include scholarly articles in this discussion

Compare and contrast two nursing theories. How do they differ based on their intent, scope, and goals? Which one might be more relevant to your future role, and why? 300 words

Reflective essay Word limit: 1500 words +/- 10% Using an essay format: (introduction, body and conclusion + reference list) For the purpose of this assessment you are required to review the Statement of the Heart document  included via the link below. From this you are to write a critically reflective piece (inclusive of support from academic literature) focusing on what the content of the statement means to you as an emerging midwife. You are also required to reflect on how the Statement of the Heart aligns (or not) with the Closing the Gap document in relation to yourself and Indigenous Communities within our current health care context.   https://www.referendumcouncil.org.au/sites/default/files/2017-05/Uluru_Statement_From_The_Heart_0.PDF (Links to an external site.)  You are required to utilise APA 7th edition, a minimum of 10 references will be required to support your discussion. The reflective essay will show evidence of: Associated marks The professional understanding of the Statement of the Heart has been well discussed and supported with appropriate references. 10 Critical reflection in relation to the Statement of the Hearts alignment/nonalignment with Closing the Gap in the current health care context has been discussed and it is evident via description, analysis and implications. 15 Personal accountability is evident in terms of learning and understanding as an emerging midwife. (“I” statements are appropriate in a reflective essay.) 10 Arguments, concepts and statements are supported by a wide range of published sources. 10 Demonstrates scholarship in the construction and presentation of the work.5

The healthcare industry is the Americans’ top concern, and priority as millions of Americans are dying because they can’t afford medical care, as the majority of the population delaying seeking medical help because of skyrocketing cost. Rep. Frank Pallone Jr, Democratic Representative of NJ, introduced the H.R.1884 last March 26, 2019. “Protecting Pre-Existing Conditions and Making Health Care More Affordable Act of 2019.” (Congress, 2020) cosponsor by 160 Democratic Representatives. The primary focus is to reverse the Trump administrations’ harmful sabotage to repeal the Affordable Care Act (ACA) or Obamacare, which strengthens the protection for people with pre-existing conditions by stopping the insurance junk that discriminates against consumers and extending waiver to the States. This bill will make health care affordable to all Americans by lowering its insurance premiums by expanding affordability assistance. “Specifically, the bill expands eligibility for premium tax credits beyond 400 percent of the federal poverty line and increases the size of tax credits for all income brackets.” (Pallone, 2019) The legislation offers to fund the states to establish their State- Base insurance marketplaces, which is usually lower compared to out of state insurance marketplaces. The opportunity to take advantage of the development of the national reinsurance program in helping to cover consumer high-cost medical conditions, thus making premium low and affordable to all the consumers. Thanks to Trump Administration by signing Section 1332: State Innovations Waivers, many States take the growing use to have the federal money fund their State reinsurance program. As an evidence-based practice, the following State, such as Alaska, Maine, Maryland, Minnesota, New Jersey, Oregon, and Wisconsin, had a lower insurance premium compared to the other State that did not utilize reinsurance programs. (Norris, 2020) As democrats taking this bold step and taking in all the credits while bashing the present administration. They need to realize with Trump ways of making changes in trying to mitigate Obamacare something good for the people came out of it, probably if both of our political parties and leaders will just do their job correctly in harmony and for the people. They will be able to deliver and fulfill their long promises to American people of great healthcare reform. References Congress. (2020). Retrieved from www.congress.gov: https://www.congress.gov/bill/116th-congress/house-bill/1884/text?q=%7B%22search%22%3A%5B%22HEALTH+POLICY+2020%22%5D%7D&r=46&s=3 Norris, L. &. (2020, March 24). What Is Reinsurance and Why Are States Pursuing It? very well health. Retrieved from https://www.verywellhealth.com/reinsurance-4174980 Pallone, F. (2019, March 26). House Democrats Unveil Legislation to Strengthens Protection for Pre-Existing Conditions and Lower Healthcare Cost. Retrieved from https://energycommerce.house.gov/newsroom/press-releases/house-democrats-unveil-legislation-to-strengthen-protections-for-pre

Question 1. Using the ICD-10-PCS index in Encoder Pro, code for cervical disc disorder with radiculopathy, mid-cervical region. M50.12 M50.11 M51.12 M52.111 Question 2. Using the ICD-10-PCS index in Encoder Pro, code for cervicalgia. M54.1 M54.2 M54.21 M54.11 Question 3. Using the ICD-10-PCS index in Encoder Pro, code for migraine without aura, intractable, with status migrainosus. G42.000 G42.109 G43.010 G43.011 Question 4. Using the ICD-10-PCS index in Encoder Pro, code for segmental and somatic dysfunction of cervical region. M99.10 M99.01 M99.03 M99.04 Question 5. Using the ICD-10-PCS index in Encoder Pro, code for migraine without aura, intractable, without status migrainosus. G43.019 G43.021 G43.011 G43.01 Question 6. There are new chiropractic procedures entering health care each year. What are the benefits to chiropractic procedures? How are these procedures helpful to patients?Your response must be a minimum of 75 words in length. Question 7. Explain the Other Procedures section of the ICD-10-PCS, and describe what can be found in this section. Please give the other procedures. Code for the procedure, and explain the procedure in detail. You can use a variety of options to explain such as the device being used and/or the method of approach. Your response must be a minimum of 200 words in length. Question 8. Define root operations for procedures in the Osteopathic, Other Procedures, and Chiropractic sections.Your response must be a minimum of 200 words in length.

250 words Present your definition of wellness. Based on the video that addresses wellness at a construction company, (Links to an external site.) how might you develop and implement a similar program at your workplace? How is wellness applicable in the C/PHN practice? Attached is the link of the video.

https://onlinelibrary.wiley.com/doi/epdf/10.1111/jonm.12332?purchase_referrer=login.openathens.net&tracking_action=preview_click&r3_referer=wol&show_checkout=1 http://search.ebscohost.com/login.aspx?direct=true&db=edsgih&AN=edsgcl.570477375&authtype=sso&custid=s2422349&site=eds-live&scope=site&authtype=uid&user=dm&password=dm13579

Before beginning please read over required reading. Required Reading: Brown, C. (2018). Recognition of family physicians as experts rather than gatekeepers requires “cultural shift”. Canadian Medical Association Journal, 190(17), E550-E551. Available in the Trident Online Library. Dumontet, M., Buchmueller, T., Dourgnon, P., Jusot, F., & Wittwer, J. (2017). Gatekeeping and the utilization of physician services in France: Evidence on the médecin traitant reform. Health Policy, 121(6), 675. doi:10.1016/j.healthpol.2017.04.006 HOMEWORK ASSIGNMENT: What was the intended purpose of the “gatekeeper” system? Based on what you’ve read, do you believe it has achieved its purpose? Why or why not? If not, what could be changed that would result in it meeting its intended goal? Be sure to read and comment upon a few of your fellow students’ remarks on this subject.

Chapter 3 – Biological Theories of Aging & Age Related Physical Changes.  Chapter 4 – Psychosocial, Spiritual, and Cognitive Aspects of Aging. Question(s): 1. Select at least 3 biological theories of aging from your textbook. 2. Explain / discuss each one (at least 3 biological theories) Guidelines:  The answer should be based on the knowledge obtained from reading the book, no just your opinion. All the theories (corresponding chapter in textbook) should be mentioned and explained (mention at least three). Your grade will be an average of all theories.

Euthanasia is also known as mercy killing. Euthanasia can be described as the act of putting a person to death painlessly. The practice mostly happens when an individual is suffering from a disease that is incurable and so painful, a physical disorder which is damaging, by withholding the treatments and also by removing the artificial measures put in place to support life.  The practice has been supported by various groups, while others have firmly stood against the practice. For instance, some religious groups believe that practicing euthanasia would kill the value as well as the respect that society has for human life (Bekos, 2019). There have been controversies on euthanasia between religion and morality. Some people are for the idea that euthanasia is the same as murder and is unacceptable. Other people believe that euthanasia should only be practiced when someone has the capability of making sound decisions. Religious groups and other groups that are against euthanasia believe that embracing the practice would vest a lot of power to the doctors, therefore, affecting the trust of the patients (Mintz, 2019). The team believes that there is appropriate palliative care, thus reducing the need to perform euthanasia. In some cases, the patients may be pressured by the friends, the doctors, or even the family members to request for the practice what might be against the wish. Others argue that embracing the practice would demoralize the teams committed to research and develop new treatments and cures for the diseases. Additionally, euthanasia would reduce the commitment of the nurses and doctors in saving lives. People supporting euthanasia believe that people should be given the right to make decisions on how to die and when to die. They believe that practicing euthanasia will help control the situations of people and allow them to have a dignified death. Additionally, the group argues that the state should not interfere with an individual decision concerning death since it is a separate issue. Euthanasia is also seen as a way of reducing the cost of treatment. The group believes that the cost of treating diseases that have no cure could be saved by the practice, thus diverting the resources to save more people who are suffering from curable diseases. In addition to this, the act would protect the friends and the families the pain of watching their dear ones suffer for a long time (Jones, Gastmans, & MacKellar, 2017). They, therefore, argue that the same ways the community allow animals to be put to death when they are sick as a way of showing kindness the same way human beings should be prevented from suffering. Until today, the ethicality of euthanasia has not come into a clear agreement, although some states have legalized the practice.  Ethical Egoist opinion. The issue of euthanasia requires examination of the practice to determine the total benefit of the action. Ethical egoism, may result in an individual decision to die after considering the personal benefits as well as self-interest, prefer to die. The patient may be going through a lot of pain, expenses, as well as improper functioning of the body, thus viewing the remaining part of his life as invalid. On the contrary, the patient may also choose to live with an option that innovation and developments will be made, which will improve his condition. Egoism has no specific stand on the issue of euthanasia, as the justification of the act highly depends on the consent of the family. At some point, the family is unable to support euthanasia because of the inner guilt that they caused the death of their loved one. Additionally, the family members may find peace in knowing that they tried their best to save a life rather than killing (Mintz, 2019). On the other hand, the family might choose euthanasia to keep them from intense financial and emotional trauma. The best interest would, therefore, be to prevent the continuation of medical treatment. There is a collision between individual loyalty and those of society. At some point, an individual may choose to die through euthanasia, while society feels that there is much to be done to save a life. On the other hand, the organization may have the feeling that their loved one has suffered for a long time, and there is no hope for recovery, thus decide to go for euthanasia while the patient may not be for the practice.  Social contract ethnicity. The social contract ethics believe that people are brought together as a community by the established agreements on social, political, and moral behaviors. The approach mostly explains the professionalism in the medical industry. The doctors are required to put the patient’s interests before they consider their interests while delivering services. In the social contract, the decision of a doctor to perform euthanasia is based on the social contract as well as ethics. In the case of a social contract, the doctor is faced with a dilemma (Mintz, 2019). Society, as well as the code of profession, believes that the doctors should be committed to saving lives and should not, at any point, take the breath away. They are obliged to preserve life regardless of the situation. Performing euthanasia is therefore viewed as damage to the professional image. The topic of euthanasia involves a collision between the national obligations and personal obligations. This is because the physician has national requirements to support life while else there is a personal obligation while dealing with families or patients who requires euthanasia. American Counseling Association has addressed the issue of euthanasia explicitly. In their professional code of ethics, the body believes that performing euthanasia would result in a lot of ethical questions (Finlay, 2019). American Medical Association does not advocate for euthanasia as they think that the physicians should be in the front line to support and preserve life but not to take it away. America Nursing Association also believes that the nurses should not take part in euthanasia but should instead provide compassionate and comprehensive care until life ends. The code of ethics for most medical practitioners is against the practice of euthanasia. This is conflicting as, at some point, the practitioners are required to act in the interest of their patients. References Bekos, I. (2019). Euthanasia and patristic tradition.  Finlay, L. (2019). Practical ethics in counselling and psychotherapy: A relational approach. SAGE Publications.  Jones, D. A., Gastmans, C., & MacKellar, C. (2017). Euthanasia and assisted suicide: Lessons from Belgium. Cambridge University Press.  Mintz, S. (2019). Beyond happiness and meaning: Transforming your life through ethical behavior. Ethics Sage LLC.    28?I}b Use the topic above to do this below; Minimum of 5 scholarly source (in addition to the textbook) Instructions First, return to your topic chosen in the week three assignment. Answer this question: What are the personal and/or communal ethical factors that may be involved in determining the moral position of either side in that debate? Next, articulate and then evaluate the ethical positions using Kantian ethics (that is, the categorical imperative) relative to the long standing debate (that is your topic chosen in the week three assignment). Finally, create a complete annotated bibliography for 5 academic scholarly sources. You will annotate each source. The sources should be relevant to your topic chosen in the week three assignment. Include the following: Publication details Annotation (a detailed reading of the source) Each annotation section should include the following: Summarize key points and identify key terms (using quotation marks, and citing a page in parentheses). Describe the controversies or “problems” raised by the articles. State whether you agree or disagree and give reasons. Locate one or two quotations to be used in the final research project. Evaluate the ways in which this article is important and has helped you focus your understanding. Use the following as a model: APA Reference Mezirow, J. (2003). Transformative learning as discourse. Journal of Transformative Education, 1(1), 58-63.