Discuss the implications of providing a “lifetime voucher” that distributes a one-time savings amount to all citizens of the United States. This healthcare resource distribution system allocates the same amount of money to all citizens, allowing them the autonomy to use this money however they choose over a lifetime. Discuss the moral, ethical, and legal implications of using a “lifetime voucher” system. Discuss the implications of this arrangement from the perspective of distributive, compensatory, and social justice reasoning. What is an appropriate age for this “lifetime voucher” allocation to occur?  

1. Group 2 : 40-year-old black recent immigrant from Africa without health insurance

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

With the information presented in Chapter 1 of Ball et al. in mind, consider the following:

• By Day 1 of this week, you will be assigned a new patient profile by your Instructor for this Discussion. Note: Please see the “Course Announcements” section of the classroom for your new patient profile assignment.
• How would your communication and interview techniques for building a health history differ with each patient?
• How might you target your questions for building a health history based on the patient’s social determinants of health?
• What risk assessment instruments would be appropriate to use with each patient, or what questions would you ask each patient to assess his or her health risks?
• Identify any potential health-related risks based upon the patient’s age, gender, ethnicity, or environmental setting that should be taken into consideration.
• Select one of the risk assessment instruments presented in Chapter 1 or Chapter 5 of the Seidel’s Guide to Physical Examination text, or another tool with which you are familiar, related to your selected patient.
• Develop at least five targeted questions you would ask your selected patient to assess his or her health risks and begin building a health history.

By Day 3 of Week 1

Post a summary of the interview and a description of the communication techniques you would use with your assigned patient. Explain why you would use these techniques. Identify the risk assessment instrument you selected, and justify why it would be applicable to the selected patient. Provide at least five targeted questions you would ask the patient.

 Local Practice Problem Exploration: Cancer.

As we have chosen the same practice problem, to explore, I am curious how your facility (north shore medical center, Miami, Florida) has planned to (or currently has implemented) becoming an Age-Friendly institution?  Many of the interventions you described echo the “4 M” is of the Age-Friendly Institution: Mentation, Mobility, Medications, and What Matters Most.  How have you seen institutions adapting to this framework in anticipation of the needs of cancer patients and survivors? 

– How cancer impacts nurses, healthcare organizations, nursing care, and general health care quality?

– what is the real impact on your community? What is the cost to your local community (Miami, Florida)? 

Just as you sought out stakeholders when considering practice problems at the national level, an ongoing dialogue with stakeholders at your local level is equally important. Get to know your formal and informal leaders. Networking with stakeholders sets into motion a collaborative relationship that is needed to focus on a practice problem with the intention of translating the best available evidence. 

 – Key stakeholders affected by the problem and ones involved in the resolution. In your current practice, what contributes to the alarming rates across the known practice problems? During your journey this week, you’ll also examine the role of stakeholders in change and the role of translation science in influencing patient outcomes across known practice problems. During your readings, you probably noted that there are challenges and barriers to changing practice.    

Instructions:

Use an APA style and a minimum of 200 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. 

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website, or blogs should not be used. 

*Recommended resources:

The U.S. Burden of Disease Collaborators. (2018). The State of U.S. health, 1990-2016 burden of diseases, injuries, and risk factors among U.S. states. JAMA, 319(14), 1444-1472. https://doi.org/10.1001/jama.2018.0158

White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2016). Translation of evidence into nursing and health care (2nd ed.). Springer Publishing Company.

https://www.medicare.gov/hospitalcompare/cancer-measures.html

Assignment: Assessing a Healthcare Program/Policy Evaluation

Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.

Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy.

To Prepare:

• Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
• Select an existing healthcare program or policy evaluation or choose one of interest to you.
• Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.

The Assignment: (2–3 pages)

Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:

• Describe the healthcare program or policy outcomes.
• How was the success of the program or policy measured?
• How many people were reached by the program or policy selected?
• How much of an impact was realized with the program or policy selected?
• At what point in program implementation was the program or policy evaluation conducted?
• What data was used to conduct the program or policy evaluation?
• What specific information on unintended consequences was identified?
• What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.
• Did the program or policy meet the original intent and objectives? Why or why not?
• Would you recommend implementing this program or policy in your place of work? Why or why not?
• Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.

 I need a response to this assignment

3 references

zero plagiarism

The psychotherapy I selected is cognitive behavioral therapy (CBT) which focuses on changing dysfunctional emotions, behaviors and thoughts by stopping the negative thought cycle. CBT is considered a solution-oriented form of therapy due to the idea of thoughts and perceptions having a big influence on how an individual behaves (Psychology Today, 2020). I selected CBT because it is appropriate for use in all age groups and it can be used to address many conditions with research showing that it is most effective in treating anxiety and depression. Although CBT might not be helpful in treating everyone, as not one type of therapy is effective for every individual, my preceptor and I have had the opportunity to use this form of therapy with many clients and it seems to show great results. The biggest goal of CBT is to change the way individuals think and behave, knowing that this will not take away their problems, but rather change the way they look at them and help manage in a more positive way (Your.MD, 2020). On the other hand, existential-humanistic therapy has a foundation on the emphasis of holism, self-actualization, enhanced communication, and the overall therapeutic relationship between the therapist and client. The focus is on understanding human experience and focusing on the client instead of focusing on their symptoms, with interventions focused on increasing self-awareness and making authentic decisions (American Psychiatric Association, 2013). Existential-humanistic approaches focus on the idea that people have the ability to make their own choices and have self-awareness while doing so as part of human experience, focusing on the here and now but with the understanding that reality is influenced by past experiences, current perceptions and future expectations (Center for Substance Abuse Treatment, 1999). The strengths of CBT include the way it is structured, that it can be helpful in a short period of time, it has a focus on thought retraining in order to refrain from past behaviors and make changes to current behaviors, as well as providing clients with useful skills that can be used in everyday life in order to cope with stress and difficult situations even when therapy has completed (The CBT Clinic, n.d.). On the contrary, some challenges of CBT might be as simple as this just might not all together be the right fit for everyone as each client has special and focused needs and concerns. In order for individuals to benefit from CBT they have to be committed and willing to work for change to happen, however this form of therapy might not be so suitable for individuals that have complex mental health needs or learning difficulties (Your.MD, 2020). Another disadvantage to using CBT might be the focus of the current problem instead of addressing underlying past experiences which could contribute to the current problem. Inversely, existential-humanistic therapy has its own pros and cons with its focus on establishing rapport and establishing meaningful engagement with the client in all aspects of the treatment process (Center for Substance Abuse Treatment, 1999). The humanistic approach views individuals as being good with a potential to maintain healthy relationships and make good choices that will benefit themselves and others, whereas the existentialist approach focuses on guiding the individual to find meaning while they face their problems in the way of making choice the act of importance and responsibility (CCPE, 2020). However, some people might not be okay with the idea of making their own decisions without feeling like they have any guidance, therefore this form of therapy might not be suitable for everyone as well. Nonetheless, a main goal of this therapy is to increase self-awareness, self-esteem and promote individuals to get in touch with their own thought process (Chopra, 2020). A fictional client that could be suitable for CBT would be a 15-year-old female with a history of depression and recurrent suicidal ideation, self-harm behavior who recently lost her brother by overdose. Client blames herself and thinks that she should have done better to help her brother with his addiction. Client reports having coping mechanisms to help with her self-injurious behaviors but could use some help when the urge comes on. This patient would benefit from CBT by working out her guilt as well as helping develop new coping skills. A fictional client that would be suitable for existential-humanistic therapy would be a 16-year-old female with a history of depression and eating disorder who has the tendency to self-harm when feeling low. Since the main goal of this therapy is to increase self-esteem and self-awareness, this would be a good form of therapy for this client by allowing the client view her choices and decisions in a more positive way. 

References 

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

CCPE. (2020). Humanistic-existential approach. Retrieved from:

https://www.ccpeweb.ca/en/services/psychotherapy/humanistic-existential-approach/

Center for Substance Abuse Treatment. (1999). Brief Humanistic and Existential

Therapies. Brief Interventions and Brief Therapies for Substance Abuse. Retrieved from: https://www.ncbi.nlm.nih.gov/books/NBK64939/

Chopra, P. K. (2020). Existential-Humanistic Psychology, Mindfulness and Global Change.

Retrieved from: http://www.human-studies.com/articles/existential-humanistic-psychology-mindfulness.php

Psychology Today. (2020). Cognitive Behavioral Therapy. Retrieved from:

https://www.psychologytoday.com/us/basics/cognitive-behavioral-therapy

The CBT Clinic. (n.d.). Pros & Cons of CBT Therapy. Retrieved from:

http://www.thecbtclinic.com/pros-cons-of-cbt-therapy

Your.MD. (2020). Cognitive Behavioural Therapy (CBT). Retrieved from:

 800 words Health informatics due 11/5/2020 

Social Media in Education and Healthcare case study 

Grace Speak is a fourth-year student at Best University. She and her fellow classmates are

working hard in their final courses and preparing for exams. Inspired by the teamwork that the

healthcare profession espouses, Grace gets an idea for a study group. She thinks it will really help

share case experiences, course notes, and study tips. Unfortunately, several members of her peer

group live out of town, which makes it difficult for them to participate fully. Grace is torn, as she

does not want to exclude them from the study group. When she voices her concerns to a classmate,

her friend suggests using social media tools as the primary medium for sharing information.

Discussion Questions

1. 200 words–What types of social media tools could Grace’s study group use?

2. 200 words–How would those tools facilitate the objectives of the study group?

3. 200 words–What are some of the risks associated with using social media for such purposes?

4. 200 words–What might Grace need to do from the outset when she forms the study group?

Use the attached textbook and 4 other resource to respond to the case study in APA 7th essay format. 

 Course reflection assignment is part of the portfolio that students must complete during last class of the program. This assignment is due on week #15. Course reflection assignment has a value of 100 points. It accounts for 20% of the final grade. 

 Submit Section III of the case study, in which you will address the chosen organization’s financial incentives and quality improvement processes.

 Specifically, you will critique the organization’s population-health oriented policies, the organization’s approach to care and the extent to which it is patient-centered, and any strategies the organization uses in its population-health approach. 

Reference these resources to complete your milestone assignments: 

Montefiore Medical Center Case Study

 Interpreting Services Program

 Specifically the following critical elements must be addressed: 

III. Financial incentives and quality improvement processes 

a) Analyze population health-oriented policies (such as non-discrimination in hiring, care and treatment, Patient Bill of Rights, financial assistance, etc.) that the organization may have implemented for reducing costs and improving overall quality. Be sure to provide evidence to support your claims.

 b) To what extent is the organization’s approach to care considered patient-centered? Be sure to cite specific examples to substantiate your claims. 

c) What specific strategies(such as eliminating unnecessary procedures and providing only essential treatments or interventions) does the organization employ in its population health approach to reduce costs and improve overall quality?

 d) Describe gaps or deficiencies that may exist in the organization’s use of the population health approach in reducing costs and improving quality of care, and provide evidence to support your claims. If you feel there are none, be sure to explain your reasoning. 

Less than 10 % similarity

References APA

This is another student post to which i have to react adding some extra information related this post. 

short answers.

   Health care in the US has been a significant contention source, especially after the passing of the Affordable Care Act. The new health legislation was a significant move for the US towards providing universal, affordable care to its citizens. However, some associated issues have plagued the healthcare system, causing the need for healthcare reforms. According to Doyle et al. (2017), people agree that the healthcare system wastes the country’s GDP as much as 5%. The main reason why there is a need for healthcare reforms is that healthcare costs have skyrocketed. For instance, an average family consisting of four family members increased their average costs by little over 7%. US healthcare is in dire need of improvement. The US is among the most developed countries in healthcare, but its healthcare spending is at an all-time high, with poor patient outcomes. The third reason for healthcare reforms is to curb the economic ramifications of healthcare fraud. The US loses between just over 50 billion to nearly 200 billion every year to fraud. The government could direct the money to offset the cost of Medicare.

2-     The Benefits

According to the Centers for Medicare and Medicaid Services (2016), there are ten crucial benefits. They include ambulatory patient services, hospitalization, mental health, substance abuse disorders, habilitative and rehabilitative devices and services, preventive and wellness services, and chronic disease management. The other five are emergency services, maternity, and newborn care, prescription drugs, laboratory services, and finally, pediatric services, which also include vision and oral care.

3- The Successes of ACA

For instance, ACA has allowed young people to remain under the coverageof their parents’ medical plans until they reach 26. In the past, insurancecompanies disallowed coverage once the children attained the age of 19. Byallowing cover for children, it increased the rates of young people withinsurance coverage. ACA also insured the preexisting conditions of thepopulations. In the past, insurance companies denied coverage to people withpreexisting conditions. These conditions also include injuries and medical illnessesthat people have before the commencement of their health plans. It alsoprovided cheap and affordable insurance premiums, providing insurance to alarge number of American citizens. The law also required employers who had morethan 50 employees to cater to their workforce’s health insurance, ensuring thatemployees had access to medical cover. Failure to comply with this resulted inemployers paying a fine.

4-The Failures of ACA

Unfortunately, the law has also had some failures in the course of its existence. For instance, the healthcare costs have continued to rise despite claims made by proponents. Another failure is that since its inception, the law had massive public opposition. Polls taken after its enactment showed this, and proponents claimed that it would rise in popularity over time. That has not been the case, with many people wanting the law repealed. The law was especially unkind to businesses with large numbers of employees as they had to cater to the health insurance requirements of their employees. Businesses had to drop many of their employees to a part-time status not to face the wrong side of the law. Another failure is that the government runs the program. Many conservatists believe that market-based solutions to healthcare are better than the government. Their thoughts are that providers are likely to offer better services when consumers make choices at a much lower cost.

References

Centers for Medicare and Medicaid Services. (2016). Information on essential health benefits (EHB)

benchmark plans. The Center for Consumer Information & Insurance Oversight. //www. cms.

gov/cciio/resources/dataresources/ehb. html (Accessed Nov 22, 2016).

Doyle Jr, J. J., Graves, J. A., & Gruber, J. (2017). Uncovering waste in US healthcare: Evidence from

ambulance referral patterns. Journal of health economics, 54, 25-39.

Edited by JENNY TASE on Oct 6, 2020, 10:38:30 PM 

You will interview a non-family member, geriatric patient age 65 years or older. You can interview a clinical patient, a neighbor, someone from church, the local nursing home, or an Assisted Living facility.

You will need to:

• Obtain verbal permission from your interviewee
• Complete the interview packet
• Write a reflective paper about your interview and experience less than 3 pages.
• Perform a minimum of 2 geriatric assessment tools during your interview and include the results in your paper.

Patient Interview Project [Document]

Interview Worksheet [Document]