Health & Medical

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!

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.

WEEK 6•    How does technology and health IT contribute to data monitoring, predictive analytics, and performance improvement (decreased errors, better clinical and organizational outcomes, and better information quality)?Week 7•    How does the health care administrator plan ahead to ensure that a facility or department maintains effective operation during a system’s implementation/update?•    Support your responses with reputable sources.Week 8•    What is the role of EHRs in supporting population health? Do they enhance patient engagement/outreach, care coordination/management, and health information exchange?

Identify a program in your local community that is addressing healthy living at the individual level. Examples include, but are not limited to YMCAprograms, worksite wellness, local hospital or clinic wellness programs, etc.Provide a brief description of the program and how it contributes to healthy living on both physical and mental health levels.Discuss how this program contributes to the health of the overall community.How can they partner with other programs in the community to provide more comprehensive interdisciplinary services?

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.

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!)

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.

Thyroid hormones exert their effects on cells in a manner similar to steroid hormones; describe the mechanism of action of thyroid hormones.Why wouldan imbalance in thyroid hormones have such widespread effects on the body?Why was goiter observed in George’s case?Why would calcium homeostasis be impaired in response to removal of the thyroid gland?What could be used to specifically destroy the thyroid gland and have minimal effects on other cells and tissues in the bodyCase Study:George is a thirty five year old hardware clerk. During his routine physical he casually mentions to his physician that he seems to be sweating more profusely than normal and most rooms that once were comfortable are now too “hot”. At home a room that his wife and children find to be comfortable causes him to sweat profusely. George also reports that he seems to be losing weight even though his appetite has increased. He also complains that he has a shortened attention span and that he always wants to be moving around. Despite the fact that he feels fatigued, George claims to have difficulty sleeping and seems to have more frequent bowel movements, occasionally accompanied by diarrhea. The physician discovers George has lost 15 pounds since his last physical. In checking his chart, the physician finds that George has a negative history for chronic illnesses, does not smoke, and has a low risk for cardiovascular disease. He does however have a positive family history for autoimmune diseases. His father suffers from idiopathic thrombocytopenia, his mother has been diagnosed with rheumatoid arthritis and his oldest sister was recently diagnosed with systemic lupus erythematosus.Results of George’s physical examination were within normal ranges with the exception of the following: he demonstrated tachycardia, loud heart sounds, and apparent cardiac arrhythmias accompanied by slight hypertension. These arrhythmias were confirmed by electrocardiogram to be supraventricular in origin. George’s eyeballs appeared large and protruding and his hair was fine and soft. He was also beginning to demonstrate some degree of alopecia. George was also observed to have palmar erythema. palpation of the neck revealed the presence of goiter. Results of blood tests indicated elevated concentrations of thyroid hormones (thyroxin and triiodothyronine), hypercalcemia, and decreased circulating concentrations of lipids. Based on the physical characteristics and the results of the blood tests, George’s physician suspected that George was suffering from some form of hyperthyroidism and sent him to an endocrinologist to confirm the initial diagnosis.ollowing the initial consultation and examination, the endocrinologist ordered tests to determine whether George was indeed hyperthyroid. The test results indicated an elevation in the concentration of thyroid hormones in the blood and the presence of thyroid-stimulating antibodies. These antibodies specifically stimulate the thyroid gland by binding with the thyroid stimulating hormone receptor located on the plasma membrane of the follicular cells of the thyroid gland. Based on these results, the endocrinologist concluded that George had Grave’s disease, a form of hyperthyroidism believed to be autoimmune in nature. George was presented with a number of possible treatment options. These included treatment with chemicals (propylthiouracil and methimazole) that decrease the production of thyroid hormones by the thyroid gland, radioisotopic destruction of the thyroid gland by the use of 131I, and surgical removal of the thyroid gland. After considering all the options, especially the possible effects of radiation on gamete development, George chose surgery. Following successful surgery, George was prescribed synthetic thyroid hormone to ensure that his body was receiving adequate thyroid hormone and told to return within 2 months for a follow-up evaluation of circulating thyroid hormone concentrations. He was also cautioned to carefully monitor his calcium intake.

Describe the effect of extremely low birth weight babies on the family and community. Consider short-term and long-term impacts, socioeconomic implications, the need for ongoing care, and comorbidities associated with prematurity. Explain how disparities relative to ethnic and cultural groups may contribute to low birth weight babies. Identify one support service within your community to assist with preterm infants and their families and explain how the service adequately addresses the needs of the community, or a population in your community. Provide the link to the resource in your post.

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?