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Patient Protection and Affordable Care Act (PPACA)

Ijeoma Igbokwe   3 posts  Re:Topic 2 DQ 1   The Patient Protection and Affordable Care Act (PPACA) was passed into legislation in March of 2010. Identify the impact of this legislation on your nursing practice by choosing two key nursing provisions outlined in the American Nurses Association “Key Provisions Related to Nursing” summary at http://www.rnaction.org/site/DocServer/KeyProvisions_Nursing-PublicLaw.pdf?docID=1241&verID=1.

Discuss how these two provisions have impacted, or will impact, your current practice of nursing. The Patient Protection and Affordable Care Act sometimes called “Affordable Care Act” or “Obamacare” is a law that provides numerous rights and protections making health coverages easier to understand and more accessible and affordable to people.

This law provides a wider Medicaid coverage to people with low income (Health care.gov, n.d) According to the summary, nurses hold vital roles in health care system, in other to transform the health care services, the issues facing nursing profession must be addressed. The two key provisions related to nursing outlined in American Nurses Association summary are “Nursing Workforce” and “Nurse Home Visitation Services” Nursing Workforce Nursing like any other professions needs financial support to improve nursing training, education, and practice. T

he Nursing Workforce Development program helps in recruiting new nurses, encouraging nurses hired to advance in education by providing financial assistance in scholarships and grants to nurses, for advanced nursing education (American Nurses Association), so that nurses are better prepared to deliver high quality care to patients and to serve the community better.

This program also helps to direct the registered nurses to areas of nursing needs to ensure nurses are adequately available to meet every need of the community members, whether in the hospitals, health centers, nursing homes or patients’ homes (American Nurses Association). This program will attract more people to nursing profession thereby solving the problem of nurses’ shortage and encourage nurses to go back to school for upgrade, without worrying about taking up more jobs to afford school fees, because they could qualify for grants or scholarships. Nurse Home Visitation Services.

This program authorizes the federal and the states to provide financial supports to fund nurse home visitation coverages for maternal, infant, and early childhood interventions (American Nurses Association). This program would ensure continuity of patient’s care, follow-up, and more importantly provides opportunity for patients’ nursing needs to be met in the comfort of patient’s homes which is a familiar environment, and less stressful for the family members, who would have to commute to and from the hospital. This program not only benefits the patients, but also benefits nurses who have options of working outside healthcare facilities, where scheduling is more flexible. With the flexible of the schedule, nurses balance family, work, and

education.

Reference

American Nurses Association. “Key Provisions Related to Nursing”. Retrieved from http://www.rnaction.org/site/Docserver/KeyProvisions_Nursing-PublicLaw.pdf?doclD=1241&verID=

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PATIENTS WITH CANCER

Why is understanding the health care system at the local level important to consider when planning an EBP implementation? Conduct research and solicit anecdotal evidence from your course mentor that you will take into consideration for your own change project. ( PATIENTS WITH CANCER)

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dissemination strategy

Create a 5-minute, 5- to 6-slide narrated PowerPoint presentation of your Evidence-Based Project.

  • Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.

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research literature

Discussion: Using the Walden Library Where can you find evidence to inform your thoughts and scholarly writing? Throughout your degree program, you will use research literature to explore ideas, guide your thinking, and gain new insights. As you search the research literature, it is important to use resources that are peer-reviewed and from scholarly journals. You may already have some favorite online resources and databases that you use or have found useful in the past. For this Discussion, you explore databases available through the Walden Library.  To Prepare: • Review the information presented in the Resources for using the Walden Library, searching the databases, and evaluating online resources.  • Begin searching for a peer-reviewed article that pertains to your practice area and is of particular interest to you.   Post the following: Using proper APA formatting, cite the peer-reviewed article you selected that pertains to your practice area and is of particular interest to you and identify the database that you used to search for the article. Explain any difficulties you experienced while searching for this article. Would this database be useful to your colleagues? Explain why or why not. Would you recommend this database? Explain why or why not Support main post with 3 of more current, credible sources and cite source within content of posting and on a reference list in proper APA.  My practice will be Mental Health nurse practitioner. Thanks

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Medigap Plans

Assignment: Medigap Plans

1. For this assignment, you will visit the Medigap Policy Search website. (Links to an external site.)Links to an external site. my area code is 78249

Review the plans offered in your area by entering your zip code, then list four plans offered in your area and document what their premiums are.
Review the cost for the plans when you answer that your are in good health, and then see what changes if you answer that you are in poor health.
Following your list, write a 300-word response as to whether you feel these premiums are reasonable, and whether you would recommend a Medigap policy to incoming seniors.
Name the file “Medigap Plans

Lab Assignment: Medicare Case Studies

2. Go to the CMS.gov website (Links to an external site.)Links to an external site. and read more about these eligibility requirements, then complete the Determining Medicare Coverage case studies. (<– download the document and answer the document)

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personal nursing mission statement

Develop and share your personal nursing mission statement. How will this guide and impact your nursing practice now and in the future?

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Professional Organization Membership

Module 4 Assignment

Professional Organization Membership

This is a multi-week assignment. Submit the completed assignment by end of day Sunday of Module 4 (Four). Also see Module 5 Discussion directions.

Professional Organization Membership-Power Point
Professional organization membership is just one way to support the mission of nursing. Remember that professional organizations offer support for nursing in many ways from creating practice standards to lobbying and supporting legislation favorable to nursing. In this multi-week assignment, you will create a PowerPoint presentation about a professional organization. Choose an organization that you are interested in learning about or joining

Overview

Professional organization membership is just one way to support the mission of nursing. Remember that professional organizations offer support for nursing in many ways from creating practice standards to lobbying and supporting legislation favorable to nursing. In this multi-week assignment, you will create a PowerPoint presentation about a professional organization. Choose an organization that you are interested in learning about or joining.

This assignment is worth 25 points.

Learning Objectives

· Distinguish the professional responsibilities that accompany the nursing profession.

Directions

In this assignment, you will create and post a PowerPoint presentation related to a professional organization that a nurse can join. Examples: any specialty organization such as American Association of Critical Care Nurses (AACN) is appropriate, as well as state organizations such as the Indiana State Nursing Association (ISNA) or Indiana Emergency Nurses Association (EANA). There are also broader associations such as American Lung Association, etc. Look around and see what interests you, but make sure if it is a broader organization and that it has a “professional” membership option. The following website has some other professional organizations listed:  https://secure.in.gov/pla/2328.htm

1. Find an appropriate organization that pertains to your area or your interest in nursing.

2. Develop a PowerPoint presentation that highlights the organization. The presentation should:

a. Be professional in appearance (color choice, layout, and graphics).

b. Be free of spelling and grammatical errors.

c. Be crafted so there is adequate “white space.”

3. Address the following in your presentation (one slide for each). Slide 1: Title Slide: Name of organization, your name, date due. Slide 2: Name of organization, website or location of organization

Slide 3: What is the purpose /aim/ mission of this organization?

Slide 4: Identify any ethical/moral positions that the organization has. This could be in the form of white papers, moral initiatives, community and/or global outreach programs. For example, does the organization lobby in Washington for nursing issues? Does the organization organize or support health and/or morally based initiatives? These can be listed as bullet points.

Slide 5: Select one bullet point on Slide four and explain its ethical importance in a brief statement and identify which provision(s) and section(s) of the ANA Code that supports it.

Slide 6: Would you consider joining this organization…why or why not?

NOTE: Submit the completed assignment by end of day SUNDAY of Module (FOUR).
You will also post a copy of your completed presentation to the Module 5 (FIVE) discussion board.

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Journal Entry

Journal Entry 2

This week, you complete and submit your second journal entry. Your journal draws from evidence, concepts, and/or theories you have examined in this program, especially those related to your specialization. What have you observed during your Practicum Experience that you would like to analyze through your journal writing?

To prepare:
  • Reflect on your Practicum Experiences in Weeks 4-7.
  • Think about the evidence, concepts, and/or theories (evidence) learned throughout this program and your specialization.
  • Analyze a problem, issue, or situation that you have observed during your Practicum Experience.
  • Using a minimum of three peer-reviewed sources of evidence, consider what you have observed within the context of your specialty using appropriate concepts, principles, and theories. Give special attention to observed events that vary from the scholarly literature.
  • Determine how the problem, situation, or issue was handled in a manner that is consistent and a manner that is inconsistent with the theory, concepts, and principles detailed in the evidence.
  • Given the various evidence-based approaches that can be used in handling the observed problem, situation, or issue, think about a plan for approaching the matter differently.

To complete the Practicum and Journal Entry 2:

In your saved version of the NURS 6600 Practicum Journal document, do the following:

  • Write a 250- to 300-word journal entry (identified as Journal Entry 2) in which you do the following:
    • Describe a problem, issue, or situation that you have observed during your Practicum Experience (no more than a half page).
    • Using no fewer than three peer-reviewed sources of evidence, analyze what you have observed within the context of your specialty using appropriate concepts, principles, and theories. Give special attention to observed events that vary from scholarly literature.
    • Explain how the problem, situation, or issue was handled in a manner that is consistent and a manner that is inconsistent with the theory, concepts, and principles detailed in the evidence.
    • Given the various evidence-based approaches that can be used in handling the problem, situation, or issue, formulate a plan for approaching the matter differently.
    • Include references immediately following the content.
    • Use APA style for your journal entry and references.

 

Required Readings

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus

Matthews, J. H. (2012). Role of professional organizations in advocating for the nursing profession. Online Journal of Issues in Nursing, 17(1), 1.
Note: Retrieved from the Walden Library databases.

The author addresses the importance of involvement in professional organizations for nursing professionals.

Shekleton, M. E., Preston, J. C., & Good, L. E. (2010). Growing leaders in a professional membership organization. Journal of Nursing Management, 18(6), 662–668.
Note: Retrieved from the Walden Library databases.

“In order to grow leaders an organization must make a commitment to develop and maintain an infrastructure that supports leadership development activities” (Shekleton, Preston, & Good, 2010, p. 667). The authors discuss findings from a leadership development program.

American Association of Critical Care Nurses. (n.d.). Certification for nurse managers and leaders. Retrieved May 20, 2013, from http://www.aacn.org/wd/certifications/content/cnmlhome.pcms?menu=certification

The American Association of Critical Care Nurses Certification Corporation, in collaboration with the AONE credentialing center, offers certification for the nurse leader-manager.

American Medical Informatics Association. (2011). Clinical informatics becomes a board-certified medical subspecialty following ABMS vote. Retrieved from http://www.amia.org/news-and-publications/press-release/ci-is-subspecialty

This article addresses the movement to recognize clinical informatics as a subspecialty.

American Nurses Association. (2013). Leadership. Retrieved from http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Leadership

The ANA offers a leadership institute for professional development.

American Nurses Credentialing Center. (2013). ANCC certification center. Retrieved from http://www.nursecredentialing.org/certification.aspx

The ANCC is the largest and most prestigious credentialing organization. View the certifications available by specialty area.

American Organization of Nurse Executives. (2012). AONE credentialing center. Retrieved from http://www.aone.org/resources/certification/about_certifications.shtml

The AONE credentialing center, in collaboration with American Association of Critical Care Nurses Certification Corporation, offers certification for the nurse leader-manager.

Healthcare Information and Management Systems. (2013). Health IT certifications. Retrieved from http://www.himss.org/health-it-certification?navItemNumber=13588

The Office of the National Coordinator for Health Information Technology has specified certification criteria for electronic health records.

NMA. (2012). Welcome to NMA! Retrieved from http://www.nma1.org/

This organization promotes the development of leadership competencies and interpersonal skills.

Project Management Institute. (2013). What are PMI certifications? Retrieved from http://www.pmi.org/Certification/What-are-PMI-Certifications.aspx

PMI recognizes that many professionals of varying skill and education levels are or will be involved with projects. The organization offers certification for professionals involved in project management.

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Health Policy

Using a Health Policy Model to Develop a Change in Policy to Improve the Public’s Health

This assignment focuses on the methods to develop a change in policy to improve the public’s health by using a health policy model.

Tasks:

Suppose you want to initiate a policy of taxing sugared sodas/pop/beverages in your community. Use the Longest’s policy cycle model to ponder the following questions:

  • What arguments would you use to make the case for the policy?
  • What argument(s) would your opponents make?
  • How would you go about getting buy-in for your proposed policy?
  • What stakeholder groups need to be involved in promoting your policy?

Submission Details:

  • Submit your response in a 2-page Microsoft Word document (500 words).
  • Name your document SU_NSG4068_W1_Project_LastName_FirstInitial.doc.
  • Cite sources in the APA format on a separate page.

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cardiovascular disorders

Despite the high mortality rates associated with cardiovascular disorders, improved treatment options do exist that can help address those risk factors that afflict the majority of the population today.

Photo Credit: Getty Images/Science Photo Library RF

As an advanced practice nurse, it is your responsibility to recommend appropriate treatment options for patients with cardiovascular disorders. To ensure the safety and effectiveness of drug therapy, advanced practice nurses must consider aspects that might influence pharmacokinetic and pharmacodynamic processes such as medical history, other drugs currently prescribed, and individual patient factors.

Reference: Murphy, S. L., Xu, J., Kochanek, K. D., & Arias, E. (2018). Mortality in the United States, 2017. Retrieved from https://www.cdc.gov/nchs/products/databriefs/db328.htm

To Prepare
  • Review the Resources for this module and consider the impact of potential pharmacotherapeutics for cardiovascular disorders introduced in the media piece.
  • Review the case study assigned by your Instructor for this Assignment.
  • Select one the following factors: genetics, gender, ethnicity, age, or behavior factors.
  • Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.
  • Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.
  • Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.
By Day 7 of Week 2

Write a 2- to 3-page paper that addresses the following:

  • Explain how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you were assigned.
  • Describe how changes in the processes might impact the patient’s recommended drug therapy. Be specific and provide examples.
  • Explain how you might improve the patient’s drug therapy plan and explain why you would make these recommended improvements.

 

CASE STUDY 2: Patient HM has a history of atrial fibrillation and a transient ischemic attack (TIA). The patient has been diagnosed with type 2 diabetes, hypertension, hyperlipidemia, and ischemic heart disease.

Drugs currently prescribed include the following:

• Warfarin 5 mg po daily MWF and 2.5 mg daily T, TH, Sat, Sun

• Aspirin 81 mg po daily

• Metformin 1000 mg po bid

• Glyburide 10 mg po bid

• Atenolol 100 mg po daily

• Motrin 200 mg 1–3 tablets every 6 hours as needed for pain

please pay attention to the my case study above

 

Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO: Elsevier.

  • Chapter 34, “Review of Hemodynamics” (pp. 335–340)
  • Chapter 35, “Diuretics” (pp. 341–349)
  • Chapter 36, “Drugs Acting on the Renin-Angiotensin-Aldosterone System” (pp. 351–362)
  • Chapter 37, “Calcium Channel Blockers” (pp. 363–369)
  • Chapter 38, “Vasodilators” (pp. 371–373)
  • Chapter 39, “Drugs for Hypertension” (pp. 375–388)
  • Chapter 40, “Drugs for Heart Failure” (pp. 389–402)
  • Chapter 41, “Antidysrhythmic Drugs” (pp. 403–418)
  • Chapter 42, “Prophylaxis of Atherosclerotic Cardiovascular Disease: Drugs That Help Normalize Cholesterol and Triglyceride Levels” (pp. 419–439)
  • Chapter 43, “Drugs for Angina Pectoris” (pp. 441–450)
  • Chapter 44, “Anticoagulant and Antiplatelet Drugs” (pp. 451–472)

4 references not more than 5years

zero plagiarism

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