What level of impact do you think the Affordable Care Act (ACA) will have on our current health care system in 2018 and beyond?

What level of impact do you think the Affordable Care Act (ACA) will have on our current health care system in 2018 and beyond? What are the pros/cons of the ACA (from a personal and business perspective)? How do you think the ACA will affect the future of health care delivery in the United States?

Which characteristics can change, and which cannot?

Topic 1 DQ 1

“Variant characteristics of culture” include nationality, race, age, color, religious affiliation, educational status, socioeconomic status, occupation, military experience, political beliefs, urban versus rural residence, enclave identity, marital status, parental status, sexual orientation, gender issues, physical characteristics, immigration status, and length of time away from the country of origin.

Which characteristics can change, and which cannot? Discuss how these, whether changing or stable, can influence one’s worldview.

Topic 1 DQ 2

How does cultural competency occur? What can one do to become culturally aware? Describe an effective approach to using The Purnell Model when working with subcultures (immigration status, gender, political beliefs, socioeconomic status, sexual orientation, educational status, etc.).

Topic 2 DQ 1

From your readings, which cultural difference would be most challenging for you to understand? Why? How would you prepare to work with individuals from this culture in order to respect their culture?

Topic 2 DQ 2

If health care practitioners cannot communicate to the patients in their language, how important is it to find a translator? Whose problem is it, the health care provider’s or the patient’s? Why?

Paper on Diabetes that describes a new diagnostic tool or intervention for the treatment of diabetes in adults or children, complete the following components of this assignment

Based on the summary of research findings identified from the Evidence-Based Project—Paper on Diabetes that describes a new diagnostic tool or intervention for the treatment of diabetes in adults or children, complete the following components of this assignment:

Develop a PowerPoint presentation (a title slide, 6-12 slides, and a reference slide; no larger than 2 MB) that includes the following:

1. A brief summary of the research conducted in the Evidence-Based Project – Paper on Diabetes.

2. A descriptive and reflective discussion of how the new tool or intervention may be integrated into practice that is supported by sound research.

While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center. Please include citations and references for factual information presented.

Compare the physical assessments among school-aged children.

The needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following:

  1. AsthmaStudyFormatDescribe how you would modify assessment techniques to match the age and developmental stage of the child.
  2. Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age.
  3. Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Soap Note 2 Chronic Conditions

Soap Note 2 Chronic Conditions

Chronic Conditions (15 Points)

Pick any Chronic Disease from Weeks 6-10

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)  Follow the MRU Soap Note Rubric as a guide

Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement

SOAP NOTE SAMPLE FORMAT FOR MRC

Name:  LP

Date:

Time: 1315

Age: 30

Sex: F

SUBJECTIVE

CC:  

“I am having vaginal itching and pain in   my lower abdomen.”

HPI:  

Pt is a   30y/o AA female, who is a new patient that has recently moved to Miami. She seeks treatment today after   unsuccessful self-treatment of vaginal itching, burning upon urination, and   lower abdominal pain. She is concerned   for the presence of a vaginal or bladder infection, or an STD. Pt denies fever. She reports the itching and burning with   urination has been present for 3 weeks, and the abdominal pain has been   intermittent since months ago. Pt has   tried OTC products for the itching, including Monistat and Vagisil. She denies any other urinary symptoms,   including urgency or frequency. She   describes the abdominal pain as either sharp or dull. The pain level goes as high as 8 out of 10   at times. 200mg of PO Advil PRN   reduces the pain to a 7/10. Pt denies   any aggravating factors for the pain. Pt reports that she did start her menstrual cycle this morning, but   denies any other discharge other that light bleeding beginning today. Pt denies douching or the use of any   vaginal irritants. She reports that   she is in a stable sexual relationship, and denies any new sexual partners in   the last 90 days. She denies any   recent or historic known exposure to STDs. She reports the use of condoms with every coital experience, as well   as this being her only form of contraceptive. She reports normal monthly menstrual cycles that last 3-4 days. She reports dysmenorrhea, which she also   takes Advil for. She reports her last   PAP smear was in 7/2016, was normal, and reports never having an abnormal PAP   smear result. Pt denies any hx of   pregnancies. Other medical hx includes   GERD. She reports that she has an Rx   for Protonix, but she does not take it every day. Her family hx includes the presence of DM   and HTN.

Current Medications: 

Protonix   40mg PO Daily for GERD

MTV OTC   PO Daily

Advil   200mg OTC PO PRN for pain

PMHx:

Allergies: 

NKA & NKDA

Medication Intolerances: 

Denies

Chronic Illnesses/Major traumas

GERD

Hospitalizations/Surgeries

Denies

Family History

Father-   DM & HTN; Mother- HTN; Older sister- DM & HTN; Maternal and paternal   grandparents without known medical issues; 1 brother and 3 other sisters   without known medical issues; No children.

Social History

Lives   alone. Currently in a stable sexual   relationship with one man. Works for   DEFACS. Reports occasional alcohol   use, but denies tobacco or illicit drug use.

ROS

General 

Denies   weight change, fatigue, fever, night sweats

Cardiovascular

Denies   chest pain and edema. Reports rare palpitations that are relieved by drinking   water

Skin

Denies   any wounds, rashes, bruising, bleeding or skin discolorations, any changes in   lesions

Respiratory

Denies   cough. Reports dyspnea that accompanies the rare palpitations and is also   relieved by drinking water

Eyes

Denies corrective   lenses, blurring, visual changes of any kind

Gastrointestinal

Abdominal   pain (see HPI) and Hx of GERD. Denies   N/V/D, constipation, appetite changes

Ears

Denies   Ear pain, hearing loss, ringing in ears

Genitourinary/Gynecological

Reports   burning with urination, but denies frequency or urgency. Contraceptive and STD prevention includes   condoms with every coital event. Current stable sexual relationship with one man. Denies known historic or recent STD   exposure. Last PAP was 7/2016 and normal. Regular monthly menstrual cycle   lasting 3-4 days.

Nose/Mouth/Throat

Denies   sinus problems, dysphagia, nose bleeds or discharge

Musculoskeletal

Denies   back pain, joint swelling, stiffness or pain

Breast

Denies   SBE

Neurological

Denies   syncope, seizures, paralysis, weakness

Heme/Lymph/Endo

Denies   bruising, night sweats, swollen glands

Psychiatric

Denies   depression, anxiety, sleeping difficulties

OBJECTIVE

Weight   140lb

Temp -97.7

BP 123/82

Height 5’4”

Pulse 74

Respiration 18

General Appearance

Healthy   appearing adult female in no acute distress. Alert and oriented; answers   questions appropriately.

Skin

Skin is   normal color for ethnicity, warm, dry, clean and intact. No rashes or lesions   noted.

HEENT

Head is   norm cephalic, hair evenly distributed. Neck: Supple. Full ROM. Teeth are in   good repair.

Cardiovascular

S1, S2   with regular rate and rhythm. No extra heart sounds.

Respiratory

Symmetric   chest walls. Respirations regular and easy; lungs clear to auscultation   bilaterally.

Gastrointestinal

Abdomen   flat; BS active in all 4 quadrants. Abdomen soft, suprapubic   tender. No hepatosplenomegaly.

Genitourinary

Suprapubic   tenderness noted. Skin color normal   for ethnicity. Irritation noted at   labia majora, minora, and perineum. No ulcerated lesions noted. Lymph nodes   not palpable. Vagina pink and moist   without lesions. Discharge minimal,   thick, dark red, no odor. Cervix pink   without lesions. No CMT. Uterus normal size, shape, and consistency.

Musculoskeletal

Full   ROM seen in all 4 extremities as patient moved about the exam room.

Neurological 

Speech   clear. Good tone. Posture erect. Balance stable; gait normal.

Psychiatric

Alert   and oriented. Dressed in clean clothes. Maintains eye contact. Answers   questions appropriately.

Lab Tests

Urinalysis   – blood noted (pt. on menstrual period), but results negative for infection

Urine   culture testing unavailable

Wet   prep – inconclusive

STD   testing pending for gonorrhea, chlamydia, syphilis, HIV, HSV 1 & 2, Hep B   & C

Special Tests- No ordered at this   time.

Diagnosis 

Differential Diagnoses

  • 1-Bacterial Vaginosis (N76.0)
  • 2- Malignant neoplasm of female genital organ,         unspecified. (C57.9)
  • 3-Gonococcal infection, unspecified. (A54.9)

Diagnosis

o Urinary   tract infection, site not specified. (N39.0) Candidiasis of vulva and vagina.   (B37.3) secondary to presenting symptoms (Colgan & Williams, 2011) &   (Hainer & Gibson, 2011).

Plan/Therapeutics

  • Plan:
    • Medication –

§ Terconazole cream 1 vaginal application QHS for 7 days for   Vulvovaginal Candidiasis;

§ Sulfamethoxazole/TMP DS 1 tablet PO twice daily for 3 days   for UTI (Woo & Wynne, 2012)

  • Education –

§ Medications prescribed.

§ UTI and Candidiasis symptoms, causes, risks, treatment,   prevention. Reasons to seek emergent care, including N/V, fever, or back   pain.

§ STD risks and preventions.

§ Ulcer prevention, including taking Protonix as prescribed,   not exceeding the recommended dose limit of NSAIDs, and not taking NSAIDs on   an empty stomach.

  • Follow-up         

§ Pt will be contacted with results of STD studies.

§ Return to clinic when finished the period for perform   pap-smear or if symptoms do not resolve with prescribed TX.

References

Colgan, R. & Williams, M. (2011). Diagnosis and Treatment of Acute Uncomplicated Cystitis. American Family Physician, 84(7), 771-776.

Hainer, B. & Gibson, M. (2011). Vaginitis: Diagnosis and Treatment. American Family Physician, 83(7), 807-815.

Woo, T. M., & Wynne, A. L. (2012). Pharmacotherapeutics for Nurse Practitioner Prescribers (3rd ed.). Philadelphia, PA: F.A. Davis Company.

Analyze why legislative attempts to address only one of the trio of rising costs, lack of universal access, or variable quality of health care only worsens the remaining two.

Assignment:

Professional Development Assignments:

  1. Public health efforts and those of private medicine complement each other and together serve the spectrum of health service needs of American society. Why, then, has their relationship been so contentious?
  2. The Institute of Medicine report of 1999 cites two major studies that establish medical errors as one of the leading causes of death and disability in the United States. Should the federal government take the necessary steps to monitor the status of this high-risk situation, as it does with other epidemics, or should the government continue to trust the providers of health care to deal forthrightly with the problem?
  3. Analyze why legislative attempts to address only one of the trio of rising costs, lack of universal access, or variable quality of health care only worsens the remaining two.

Please submit one APA formatted paper between 1000 – 1500 words, not including the title and reference page. The assignment should have a minimum of two scholarly sources, in addition to the textbook.

The final discussion is a concluding argument revealing a “defensible solution” to the healthcare topic, supported by the “evidence”

introduction and discussion/conclusion.

The final discussion is a concluding argument revealing a “defensible solution” to the healthcare topic, supported by the “evidence” .introduction and discussion/conclusion.

  • Scientific, mathematical/analtycal, ethical, cultural perspective of the neurological disorder relating to spinal cancers and tumor.  placing the perspectives in a strategic arrangement that supports the final paper, your argument for a “defensible solution” to the health care issue you have studied, researched, and written about. As a result, this final paper will be comprehensive and summative.
  • Important: this final paper should include a newly composed introductory section, and a final conclusion section which presents your discussion of (and argument for) the solution. Your argument for the defensible solution that you propose should be the focus of this paper.

Your paper must:

  • Be 15–20 pages in length
    • Title page (1 page)
    • Introduction (1–2 pages)
    • Reworked informative papers (10-15 pages)
    • Conclusion (1–2 pages)
    • References page (1–2 pages)
  • Reference 12–15 scholarly, peer-reviewed resources (compiled by combining all of the references from your Perspective of Inquiry papers and any additional resources you use in this final paper.)
  • Follow all APA formatting guidelines for this paper, with each of your previous four papers being presented as “sections” of this fifth paper, using Level 1 headings.
  • Use the provided template.

Refer to the rubric for evaluation details and to assist in preparing the paper.

Due: Submit by 11:59 pm (Pacific time) the evening before the Week 8 onsite classPoints: 150

Team Meeting Notes:

  • In your team meetings this week (both in-class and online) focus on sharing your solutions as you develop them.
  • Pay attention to (and learn from) the unique aspects of each team member’s solutions, but do not reference them in your final paper. (You will reference one another’s solutions in your final presentation assignment.)

Other Important Notes:

  • Use the Learning Resources that address introductions and conclusions to help understand best practices and procedures for argumentative paper
  • That being said, realize that this paper is unique, as it is a culmination of Informative Papers (rather than a traditional argumentative essay). Use the aforementioned Learning Modules as guidelines for best practices, not as procedural requirements.
  • It is highly recommended that you compose the conclusion section of your paper (your solution) first, then move backward into the introduction, and finally the abstract.
  • Use the final paper template provided, adapting the titles of each of your four short papers as headings in this final paper, and following instructions and examples provided in our in-class meeting.
  • Make sure to review the SafeAssign report generated when you submit your paper, and address and revise any portions of your work which might be plagiarized.

Write an email to your employer explaining why you are unable to work on the day specified.

Instructions

For this assignment, you will write emails explaining a situation to both an employer and a friend.

Your employer has asked you to work on a day that you have already requested off for personal reasons. You are unable to change your plans and must therefore explain why you are unable to work (a family wedding or similar event is a possible choice for this). Your friend has asked you to assist him or her with moving on the same day. Again, you are unable to help because of the same prior engagement.

  1. Write an email to your employer explaining why you are unable to work on the day specified.
  2. Write an email to your friend explaining why you are unavailable to help with his or her move.
  3. In a short, 1-page reflection, explain the differences between how you have communicated in the two emails. Familiarity with the other person, formality, type of language used, and other factors you may wish to include.
  4. Keep in mind the audiences to whom you are writing. Ideas of grammar, formality, and word choice may be very different depending on your audience, but in both cases, clarity and succinctness are important.

What is the relationship between personality (psychological) factors and health? Select one health issue to illustrate this relationship?

What is the relationship between personality (psychological) factors and health?  Select one health issue to illustrate this relationship?

2.  According to gerontological research, what is the relationship between alcohol consumption and age? Does problem drinking or alcohol abuse differ by age? age and gender? age and ethnicity? age and sexual orientation? What are the health consequences?

3. What are the sources of stress for older adults in later life?  How do they cope with stress? Are these methods effective? Does coping mechanism vary by gender, sexual orientation, ethnicity, race, and social class?

Interview a family member, and an individual from another culture with which you are unfamiliar.

It is important to identify and understand your own family culture in order to be able to understand and respect other cultures. Interview a family member, and an individual from another culture with which you are unfamiliar. Some examples of an individual from another culture to consider for the assignment include a neighbor, coworker, patient, or friend. Please inform the individuals of the purpose of this assignment and make sure you receive their consent.

Interviews:

Review the “Family Interview” template prior to the interview. Additional space is designated on the template for you to create three additional questions to ask both interviewees (family member and person from another culture). Additional questions should be relevant to the readings or discussion and should provide value to the interview by helping to understand culture.

Some of the questions may include:

  1. Family beliefs: Have they changed over generations?
  2. Educational and occupational status in the culture and in the family
  3. Communication methods: verbal and nonverbal
  4. Current family goals/priorities
  5. Family member roles and organizational systems
  6. Spiritual beliefs: current practice and death and dying
  7. Alternative lifestyles
  8. Work attitudes and structure

Written Paper:

Using the “Family Interview” template, interview your designated family member and the person from another culture. Be sure to write your responses in a way that will assist you in writing your paper. After the interview is completed, write a paper of 750-1,000 words that includes the following:

  1. An introductory paragraph with the reasons for selecting the interviewees.
  2. A summary of the responses from the interview template gathered from the interviewees.
  3. A comparison and contrast of your findings between the two interviewees.
  4. A reflective concluding paragraph on how family roles affect the cultural domains and relationships for each individual.

General Requirements:

Submit both the completed “Family Interview” template and the written paper” to the instructor.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Attachments

College of Nursing and Health Care Professions

When conducting the “Family Interview,” please make sure that you inform the individual you choose to interview that you will be using their responses in a compare and contrast cultural paper for HLT-324V. It is important that people give you approval to use their personal stories prior to doing so. Please use this template and the following questions below when conducting your interviews. In addition to these questions, you are required to ask another three questions, which you are to include on this template.  Please submit this template with your paper by the end of Module 2.

1. What are your family roles/gender roles? How are they the same as or different from those traditionally practiced by your culture (who is the head of the household, who makes decisions, how are decisions made, etc.)?

2. What does your culture and family see as primary family goals (education, marriage, etc.)?

3. What is your culture’s view on alternative lifestyles (living together prior to marriage, domestic partnerships, single parenting, etc.)?

4. What are your family’s religious beliefs, and have they changed over generations?

5. What are your family’s spiritual beliefs around death and dying?

6. What are your culture’s education and occupational status within the family unit?

7. What are your culture’s preferred communication methods (verbal and nonverbal)?

8. Additional question:

9. Additional question:

10. Additional question: