Health & Medical

The Affordable Care Act has significantly impacted many different areas of our healthcare system. Select and discuss three (3) provisions from the ACA, summarizing the details of each provision and elaborating on the impact each provision has had on our healthcare system.

Case description: You are a public health practitioner working in Australia or Overseas. The Communicable Diseases Department of your State ( or Local) Government are asking for expressions of interest from public health practitioners such as yourself for initiatives aimed at controlling the spread of STIs in a local community. The funding for these initiatives is very broad and can cover clinical services, health education, public health campaigns, health promotion, legislative initiatives or social policy changes. The funding offered is significant and would be enough to establish an impressive health initiative. Many different initiatives are likely to be considered in a broad-based approach to the control of STIs.     Instructions: 1. Title of Project 2. Context, setting and role of stakeholders: explain why you selected this community eg Melbourne ie urban metropolitan ethnically diverse young community or rural African community in Tanzania (literally a few sentences). Who are the stakeholders, describe their involvement and role. 3. Aims and Objectives of your Project 4. Background to your type of project with reference to STI control theory and why the  approach you have taken is likely to be successful (eg clinical services and why this may be helpful or public health awareness campaign and why this will work ). Discuss any local or national policies that may be related. 5. Justification and evidence for your project ie evidence that it is likely to be effective in achieving its objectives (eg use other similar, ideally published, studies or interventions that have been evaluated as examples) 6. Methodology of initiative (ie how are you going to do it, including evidence or efficacy if not already discussed above). Highlight any relevant difficulties there may be with implementation. Discuss how you could address these. 7. Brief plan of how the project will be evaluated

Importantly, I am not merely looking for a “right answer” in this Discussion. Rather, it is the intention of this Discussion to lead you to a clear understanding of these concepts through an ongoing asynchronous dialogue with your peers. Toward this end, you are more than welcome to contribute with specific questions, examples, analogies, etc. During the first week of the module your task will be preparing the answers using reading relevant materials. You may discuss the questions with peers (post your questions). During the second week of the module you will write and post your answers to the questions based on the group discussion. Be sure that your posts are thoughtful, professional, and respectful. What does Odds Ratio mean? The odds ratio is equal to exp(B), or sometimes written eB. If we say Odds Ratio=1, what does it mean? If Odds Ratio=.5, what does it mean? What is the main difference between both methods (multiple regression and logistics regression)? If the dependent variable is ordinal data, which method will you use for data analysis? Why? LOGISTIC REGRESSION Explain about the logistic regression Princeton University (N/A). Logit Models for Binary Data. Retrieved May 2016 from Terms and concepts in logistic regression Sperandei, S. (2014). Understanding logistic regression analysis. Retrieved June 2018 from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3936971/pdf/biochem-24-1-12-4.pdf Park, H. (2013). An Introduction to Logistic Regression. From Basic Concepts to Interpretation with Particular Attention to the Nursing Domain. Retrieved June 2018 from

Assignment #3: DISABILITY AS A MEANS OF INNOVATION 15 points   For this assignment, investigate the following topic:  Covid-19 and Disability   Background: There is great discussion and distress around the subject of societal responses to Covid-19 as it relates to people with disabilities. Whether it be people with medical disabilities/pre-existing conditions, or people with a mental health, developmental, intellectual, or sensory disabilities, the experience of quarantine, social distancing, and the question of receiving medical or other assistance, are daunting for many people with disabilities and their loved-ones. However, most nondisabled people remain unaware of how the Coronavirus is threatening the lives and life quality of people in the disability community. Your task is to learn about how Covid-19 is affecting people with disabilities and then write a thoughtful summary response using the criteria below.   Required Format ?      Microsoft Word ONLY ?      Responses must be in paragraph format underneath respective questions or sections. ?      1” margins ?      12-point font ?      Double-spaced ?      2-page minimum   Required Content ?      Introduction – 2 points A paragraph giving an overview of what you have researched and plan on presenting in your paper. ?      3 References & Summaries – 6 points Write a paragraph summarizing each online or hard copy reference (3 paragraphs total) and the main points or perspectives made with that reference. Within each paragraph, include the website link to the readings, blogs, and/or online videos you utilized in your inquiry.   ?      Class Connections – 2 points In 1-2 paragraphs, make the connection between 2 of the following fundamental areas and how they relate to this topic:   ?      Ableism ?      Social Model of Disability ?      Accessibility ?      Accommodations ?      Assistive technology ?      Disability rights ?      Respectful language ?      Eugenics     ?      Reflection – 2 points In 1-2 paragraphs reflect on the following prompts: ?      I used to think that… ?      Why did you think that?   ?      Now I think that… ?      Why do you think that now?  ?      What changed in your thinking?     ?     Closing – 2 points In 1 paragraph, explain how disability is a tool or a means of innovation? How has the Covid-19 discussion evolved toward new possibilities as a result of disability representation? Or how has it not evolved toward new possibilities? Explain.   ?     Language – 1 point Throughout your paper, use of person-first language is required (unless you are a person with a disability who prefers identity-first language and informs us of your preference within your paper). Respectful language is required. Inspiration porn is unacceptable. Proper disability-related language etiquette is required.  For help with this, please refer to the” Disability-Related Language in Written Assignments” document in Blackboard.

Using the literature you have gathered, present an argument where you defend your position on what you see as the greatest contributor to the stigmatization of people with mental illness.   This will be your thesis statement for this paper. Support your opinion using all three sources.  This paper requires a title page, an introduction, body paragraphs, and a conclusion.  You must have a reference page for the 3 articles provided.

A vertical standard is one that applies to a specific industry such as construction and shipyard standards. Do you think Occupational Safety and Health Administration (OSHA) should have more vertical/industry-specific standards, or should there just be one set of horizontal standards that apply to all industries? Discuss a few horizontal and vertical standards that are applicable to your current or future job. Your journal entry must be at least 200 words in length. No references or citations are necessary.

4 pages on how the legalization of weed would benefit society. Basically why our nation is split on the legalization of this plant. why some states legalize and some don’t.  Include both sides of the argument. I have attached a rubric.

The Role of Medical Billing Modifiers in Healthcare

The outline of a good assignment will look something like this: Mary is a 17-year-old Jehovah’s Witness. Mary’s family is also Jehovah’s Witness and they are very active in their church. Mary appears to be devout in her belief and claims that her faith is extremely important to her. Mary has even created a local mentoring group for younger Jehovah Witness girls. Recently, Mary was diagnosed with aplastic anemia, a life-threatening illness in which a person’s immune system attacks the person’s bone marrow. In a meeting wit Mary and her parents, you relay the information that Mary will die without blood transfusions. Mary and her parents refused to consent to the life-saving blood transfusions. As a physician, you are aware that you are able to override parent’s wishes about blood transfusions in pediatric patients, but are concerned that Mary is mature enough and may be capable of making an informed choice. You are torn between viewing Mary as a child who you have to protect, and Mary as a young adult who is capable of making choices about her care.  As Mary’s physician, what do you do?   Overall Feedback I think these articles look great. Very well rounded! I think one interesting question to ask about this case is this: is it reasonable to refuse blood transfusions?  In other words, although Mary’s faith says she should not receive transfusions, we might wonder whether that is a rationally defensible claim.  Maybe it is, but it’s a question worth asking.   Second, I think we should ask about the hierarchy of patient priorities. Maybe she understands that she might die, but it’s more important to be faithful to God. Third, I think you might incorporate some discussion of the distinction between respecting a patient’s right to refuse treatment, and, on the other hand, whether we must treat a patient’s request as a command to do something. So it’s one thing to say, “Ok we won’t treat Mary if she doesn’t want it.” But it would be something entirely different if she said, “My faith dictates that you MUST do X,Y, and Z for me.” For instance, female genital mutilation might be an example. Sometimes that practice is connected with religious beliefs.  I wonder if there is a difference when the patient is asking the provider to do something rather than when the patient is refusing treatment.  Does that make sense? Finally, I’ll say that I think given Mary’s situation, she will need regular transfusions, not just a single set.  Likely she will need to come in monthly or more often.  So proposing that she be compelled to do the transfusions is likely not just a one-time thing, but makes her adopt a whole lifestyle. Good work so far!     Assignment Description The purpose of the Position Paper assignment is to give students an opportunity to demonstrate their ability to 1) apply ethical principles and theories to a specific case, 2) analyze the dilemma using an ethical decision-making framework, and 3) articulate a fully justified position about the case.  The final paper should be between 6-8 pages in length, excluding the cover page and references list (using a minimum of 5 academic sources). The paper must address each of the following elements, and each element should be noted in the narrative with proper APA section headers.  Case and Topic Introduction (1 page) This section of the paper must include the case being explored, and clearly identify the ethical dilemma in the and provide enough background information, including definitions, to allow the reader to understand the issues. When constructing the topic introduction, you should assume the reader is not familiar with the topic. All statements of fact (i.e. statements from other authors or empirical evidence) should be clearly supported with relevant information from the scholarly literature. For example, if you state that the use of a particular technology is increasing, you must have a scholarly source supporting that statement. This is also true for statistics, definitions, or other pertinent informati`      on used. Problem Statement and “Road Map”  (1 paragraph) This section forms the basis for the problem statement. Although more than one problem may be identifiable in a given topic, students are encouraged to narrow the problem statement to ONE main dilemma in order to make the analysis manageable within the confines of the assignment. Be sure to identify which of the questions is the primary ethical question. In other words, which question reflects the most significant issue that must be dealt with in order to form an opinion about the dilemma? For example, a main ethical dilemma in a given case could be stated like this: “The main ethical dilemma in this case is whether or not Mrs. Sanders artificial feeding should be continued.” Once the main ethical dilemma is stated, I want each student to include a thesis statement, or a “road map,” of exactly what they plan to argue and on what ground they will argue it on. For example, using the dilemma above, a student could state “In this paper, I will argue that it is unethical to remove artificial nutrition from Mrs. Sanders based on Mrs. Sanders autonomy, her past wishes, and the notion that her surrogates are not adhering to the guidelines of oral advanced directives.” Argument (2-3 pages) This section of the paper will be used to create cogent arguments about the selected topic in direct response to the problem statement identified in the topic introduction.  Essentially, your argument should reflect how particular ethical principles, theories, obligations or duties can be applied to the argument. It is also important to include relevant information from the literature in support of each argument. For example, from the dilemma above, you would want to break down concepts like autonomy and substituted judgment in order to justify your position regarding Mrs. Sanders. This section should be where the majority of your sources are used. Hint: Be sure you are actually arguing for your position instead of simply assuming that it is correct (don’t beg the question). Counter-Arguments (1-2 pages) Counter-arguments are those statements directly challenging the initial argument. Here, it is important to point out the weaknesses of initial arguments and/ or consider the circumstances under which one might abandon or otherwise alter the initial position. All counter-arguments should reflect how a particular theory or principle can be applied to refute original arguments. The use of information from the literature will also serve to strengthen the quality of the counter-arguments, and will help to ensure that a variety of contrasting viewpoints are represented. Counter-arguments in this section should be equally compelling to the initial arguments. This allows a greater degree of certainty that the analysis is unbiased, objective, and fair to a variety of viewpoints. So, for example, a counter argument for the case above could begin with a statement like this: “Critics of this position would likely claim that we ought to discontinue Mrs. Sanders artificial nutrition based on the notion that her care is futile since she will likely never leave the hospital.” Response to Counter-Argument and Conclusion (1-2 pages) This section should communicate a direct response to the counter argument, and prove why the counter claims are insufficient or inappropriate.  It should indicating your initial position is more compelling and why. For example, a student might state “While critics might argue that Mrs. Sanders case futile, based on Trotter’s conception of futility it can be seen that they are mistaken, since artificial nutrition is accomplishing Mrs. Sanders pre-stated goals.” Expectations and Evaluation* Recognizing that ethical narrative reflects a degree of subjectivity and creativity on the part of the writer, written assignments in this course will not be evaluated on individual thoughts or positions. Rather, work will be evaluated on the depth and clarity of thoughts and ideas; presence of all required assignment elements; accurate understanding, interpretation, and application of ethical theories and principles; and narrative organization and writing mechanics. Close attention to details in the following categories will help to ensure successful completion of written assignments in HCE 430: Applied Ethics in Health Care. General Writing Expectations Writing Mechanics: Papers must meet acceptable writing standards for undergraduate-level work, including paragraph construction and sentence structure. For guidance on academic writing, visit the  Learning Commons. Papers must be carefully proof-read prior to submission so as to capture misspellings, grammatical errors, and problems with sentence or paragraph structure. It is often helpful for students to read their own writing out loud in order to capture some of the more obvious errors. It is also often helpful to see the help of a friend or family member who can serve as editor. The Regis University Writing Center includes free services to help students with the writing process. You can make an online appointment with a writing tutor for assistance. General Requirements All courses in the RHCHP School of Nursing require adherence to standards set forth by the Publication Manual of the American Psychological Association, 6th edition, published in 2010. This is an important element of academic writing and students are required to carefully follow APA standards. The APA publi and most other book retailers. Additionally, writing resources including APA style sheets and information about academic writing are linked through the Course Syllabus. Papers that do not substantively comply with APA standards may be returned unread. Assignment Layout and Adherence to APA Standards ·         Papers must not significantly fall below or exceed guidelines for length as outlined in the assignment descriptions. ·         Papers must be formatted in accordance with standards set forth by the APA manual as described above. ·         Assignment submissions should include a cover sheet as well as running headers and paper numbers (placed electronically within the body of the paper), ·         All written work must be free of plagiarism, either intended or unintended. ·         Sources must be properly captured with in-text citations, and each in-text citation must include a corresponding and properly formatted entry in the reference list. ·         As recognized by APA standards, papers are to be constructed using the 12 point Times New Roman font. * Adapted from: Rhodes, T. L. & Finley, A. (2013). Using the VALUE rubrics for improvement of learning and authentic assessment. Washington, DC: Association of American Colleges and Universities.   Revised: Fall 2016 A.E. Hine

It should be typed in a Word document and turned into the appropriate dropbox by the assigned due date. This essay should be written in APA format, to include a cover page and reference page. The essay will need to be between 3- 5 pages long not including the cover page and reference pages. It is required to utilize a minimum of 4 evidence-based sources to support your responses. I suggest using the objectives from the rubric as your first level headings in the paper.Choose three of the prompts below and respond to them. 1. JW, a 65-year-old marathon runner, has suffered a fractured hip in a fall. Postoperatively, Mr. Whitlow sustains complications, including myocardial infarction and a pulmonary embolus. He is on bedrest currently. What is the recommended approach to this patient’s care? What should be included? Describe affects all systems of the body affected by the current diagnosis. 2. A 78-year-old African American woman is brought to the emergency department by ambulance. She was found on the floor of her bedroom by her daughter in a confused state, and she could not move her left leg. Diagnosis of a cerebrovascular accident is suspected. When taking the nursing history, for what risk factors would you assess? How is the diagnosis of ischemic stroke is confirmed? What orders would the nurse expect to receive from the physician for acute ischemic stroke and what nursing interventions would accompany? 3. There are several types of depression. Each is categorized by its manifestations and symptoms. What are the types of depression? Describe the pathophysiology of the related clinical manifestations. 4. Discuss Schizophrenia, Bipolar, and Post-Traumatic Stress Disorder. Identify treatment and support resources for the mentally ill and their families in your community and describe 2 controversies related to management of mental illness. 5. A 4-year-old male is brought to the clinic because his parents are concerned, he doesn’t speak much and doesn’t show affection. On physical exam, the physician suspects autism. What confirmatory tests would the nurse expect to be performed? What treatment options are available for this patient? How will this disorder affect growth and development? What will the nurse include in patient/family teaching for this client?