Should Medicare be expanded to include not just older Americans and those with certain disabilities, but other people as well? Discuss. Medicare, the Elderly and Reimbursement Issues

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Should Medicare be expanded to include not just older Americans and those with certain disabilities, but other people as well? Discuss.
Medicare, the Elderly and Reimbursement Issues

Medicare was designed to provide healthcare to a specific population at a time when many of the elderly seemed unable to afford healthcare.

Based on your understanding of the topic, answer the following:

Does the above statement remain true today, especially with many people staying in the workplace long after what was previously considered the retirement age? Why or why not?
Should Medicare be expanded to include not just older Americans and those with certain disabilities, but other people as well? Discuss.
Some contend the creation of Medicare was part of a long struggle toward nationalized healthcare insurance. Medicare is now such a large program and it has an immense impact on the rest of the industry.

Has the implementation of Medicare actually forwarded the cause for national health insurance or impeded its progress? Discuss.
Explain the political and administrative issues possibly playing a part in this respect?
Reimbursement of Medicare has had a dramatic effect on both the acute and long-term care of the healthcare industries.

How has the change to the PPS for hospitals in the early 1980s and the change to PPS in the late 1990s had such a dramatic effect on the healthcare industry?
Discuss issues of Medicare that are fraud and abuse. How has the government’s effort to curb abuse shaped the Medicare policies and regulations?

 

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Essay Topic : Registered nurses have to undertake at least 20 hours of Professional development (PD) each year to maintain their registration. Does this produce a better nurse?

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Nursing

Essay Topic : Registered nurses have to undertake at least 20 hours of Professional development (PD) each year to maintain their registration. Does this produce a better nurse?

 

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health care providers and the health care system (Grove, Gray, & Burns, 2015

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Question description
Please do a paragraph about this post with this instruction .
post most have  4 or more  sentences  you also have to have a high quality post from a content perspective. This means it also needs to do more than agree with or praise a class mate. If you agree with a classmate, explain why, give an example, share what you learned in the readings
  Evidence-based practice (EBP) can be defined as the integration of best research evidence with clinical expertise and patient needs and values aimed to promote quality, safe and cost-effective outcomes to patients, families, health care providers and the health care system (Grove, Gray, & Burns, 2015). EBP has an impact in the nursing field and promotes decision making.
  With working in the Birthing Center at Sutter Tracy Community Hospital, we use Evidence Based Practice in a number of procedures and Nursing care, the most importance in my opinion is handwashing. In the community hospital that I work, we are focusing on hand washing to prevent the spread of disease. According to the Centers for Disease Control (2016) health care providers practice hand hygiene less than half the times they should.  The education department developed a campaign to remind you to wash your hands.  The campaign consists of a person asking,”Have you seen Mr. Waters?” This is code for did you wash your hands? This statement has increased health care workers hand washing between patients by 50% according to our email report last month.

 
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Nurses Protecting Patient Info

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Nurses Protecting Patient Info

In the United States, there was a whopping 97% increase in the number of health records breached from 2010 to 2011… The number of patient records accessed in each breach has also increased substantially, from 26,968 (in 2010) to 49,394 (in 2011). Since August 2009, when the US government regulated that any breach affecting more than 500 patients be publicly disclosed, a total of 385 breaches, involving more than 19 million records, have been reported to the Department of Health and Human Services.

A large portion of those breaches, 39%, occurred because of a lost, stolen, or otherwise compromised portable electronic device—a problem that will likely only get worse as iPads, smartphones, and other gadgets become more common in hospitals. (CMAJ, 2012, p. E215).

Consider your own experiences. Does your organization use portable electronic devices? What safeguards are in place to ensure the security of data and patient information? For this Discussion you consider ethical and security issues surrounding the protection of digital health information.

To prepare

  • Review the Learning Resources dealing with the security of digital health care information. Reflect on your own organization or one with which you are familiar, and think about how health information stored electronically is protected.
  • Consider the nurse’s responsibility to ensure the protection of patient information. What strategies can you use?
  • Reflect on ethical issues that are likely to arise with the increased access to newer, smaller, and more powerful technology tools.
  • Consider strategies that can be implemented to ensure that the use of HIT contributes to an overall culture of safety.

Post an analysis of the nurse’s responsibility to protect patient information and the extent that HIT has made it easier or more difficult to protect patient privacy. Comment on any security or ethical issues related to the use of portable devices to store information. Assess the strategies your organization uses to safeguard patient information and how these promote a culture of safety. Describe an area where improvement is needed and one strategy that could address the situation.

 
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 Evaluate how you applied the principles of beneficence, non-maleficence, autonomy, and justice to the scenario.

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Task 2: Ethical Principle Application

Introduction:

The purpose of this task is to explore how nursing ethics, self-advocacy, and professional accountability can be applied in clinical practice. Using the provided case scenario, you will be required to think about how ethical concepts can be used to make clinical decisions and explore the differences in personal and professional beliefs. You will develop personalized stress management plans that rely on the use of adaptive coping strategies to ensure personal health and well-being.

Scenario:

You have been working as a nurse in the adult oncology unit for the past year. You have developed a close relationship with many of your patients, but Mr. Newcomb has a special place in your heart. He has been diagnosed with stage 4 pancreatic cancer and has undergone aggressive chemotherapy. Each day his wife has come to the unit to be with her husband. They have been married for over 40 years and share a deep love.

Mr. and Mrs. Newcomb have made the decision to no longer continue with treatment and have decided that hospice care is needed. Over the past few days, you have watched Mr. Newcomb’s health decline, and you can tell from your experience that he does not have much time left to live. Mr. Newcomb has been very open about discussing his death, and you have had the opportunity to learn about his life and the legacy he will leave behind.

 

While you are completing your rounds, you stop in Mr. Newcomb’s room to see how he is doing. You ask, “Is there anything else I can do for you?” Mr. Newcomb has rarely asked for anything, but today he has one request. Mr. Newcomb states, “Before I die, I would like to see my mistress one more time. Mrs. Newcomb is always here. Do you think you could tell her that I will be busy for a few hours tomorrow so I can make arrangements to see my mistress one more time?”

Reflect on the following questions before you begin working on this task:

●   What would you do in this scenario?

●   How can your knowledge of ethical principles be utilized to determine your response to Mr. Newcomb?

●   How would this affect you as a nurse and direct provider of care for Mr. Newcomb?

Requirements:

Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. Use the Turnitin Originality Report available in Taskstream as a guide for this measure of originality.

You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.

A.  Summarize how the principles of beneficence, non-maleficence, autonomy, and justice apply to the scenario by doing the following:

1.  Describe how you would respond to Mr. Newcomb’s request.

2.  Evaluate how you applied the principles of beneficence, non-maleficence, autonomy, and justice to the scenario.

3.  Examine how personal beliefs and values influenced your response to the scenario.

 

4.  Describe three strategies to promote self-care.

 

B.  Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.

 

C.  Demonstrate professional communication in the content and presentation of your submission.

 

 
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Dissecting the Declaration of Helsinki

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Dissecting the Declaration of Helsinki 

Discuss the following. What is the purpose of the Declaration of Helsinki? Discuss considerations when balancing risks, burdens, and benefits of medical research. What is a goal of informed consent?

2 . Plan-Do-Check-Act Process: Put Into Action (due tomorrow)

Assume that two nursing units are experiencing higher rates of patient falls than the other six nursing units in a rehabilitation hospital.  Create a theoretical reason this is occurring. Provide a brief synopsis of what is occurring and the reason you have established it is occurring. In addition, using the plan-do-check-act process, describe how the issue will be addressed.

 
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What are the challenges facing Bruce Reid in improving the quality of healthcare and recovering the financial health?

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What are the challenges facing Bruce Reid in improving the quality of healthcare and recovering the financial health?

What are the challenges facing Bruce Reid in improving the quality of healthcare and recovering the financial health? Bruce Reid is facing a challenging task of improving the quality of healthcare and recovering the financial health of Blake Memorial hospital. As the chief executive officer, Bruce came to the hospital because he needed a challenging situation to work on and achieve the best of results. He has the options of doing away with the six offsite clinics in order to avoid diverting the money used to maintain these clinics from the hospital’s in-house services. However, this would be against the initial intention of setting up the hospital which was tom serve the poor neighborhood of East Marksville because the clinics were set up as a way of taking healthcare services closer to the people. As it turns out, Blake memorial hospital services are of a poor quality. The hospital’s board was very sensitive to the slipping quality levels and would therefore appreciate any attempts by Bruce to improve the quality. Cutting on the number of staff and trying to maintain the same ratio of fulltime employees and the hospital beds as in the Bruce’s previous hospital would lower the quality.

 

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Compare clinical and statistical prediction of mental health decisions based on the work of Ægisdóttir, et al. (2006) and Grove & Lloyd (2006).

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Ethical and Professional Issues in Psychology Testing

Prior to beginning work on this assignment, please read the required textbook chapters and articles for this week.
Create a PowerPoint presentation with 16 to 20 slides (not including the title and reference slides) entitled Ethical and Professional Issues in Psychological Testing. Your presentation must provide 2 to 3 slides for each of the required topics and include appropriate citations of your referenced sources. Separate reference slides, which follow APA formatting guidelines for a References page, must be included at the end of the presentation. You must create your own template and organize your presentation in the sequence provided. Do not use a font smaller than 20 pt. You are encouraged to insert relevant figures and graphics. Make sure to appropriately cite any images you use. If you include a table or figure from a journal article, cite it according to APA guidelines. The notes section of each slide must include the text for oral comments you would make while presentating the materials to a live audience.
References must be cited according to APA guidelines as outlined in the Ashford Writing Center (Links to an external site.)Links to an external site.. For assistance with creating a visually engaging and readable presentation, you may review Garr Reynolds’s tips for creating presentations (Links to an external site.)Links to an external site..
The presentation must cover each of the following topics in the order presented below.
The Ethical and Social Implications of Testing

  • Provide an overview and brief evaluation of the ethical and social implications of psychological assessment.

Professional Responsibilities

  • Describe the responsibilities of both test publishers and test users.

Testing Individuals Representing Cultural and Linguistic Diversity

  • Analyze and describe issues related to the testing of cultural and linguistic minorities.

Reliability

  • Explain the common sources of measurement error and how measurement error can impact reliability.

Validity 

  • Create a diagram or figure to compare the types of validity discussed in the textbook.
  • Describe the extravalidity concerns related to testing.
  • Review the articles by Fergus (2013), Kosson, et al. (2013) and Mathieu, Hare, Jones, Babiak, & Neumann (2013). Analyze the information presented in these articles on factor analysis and describe how it is used to validate the constructs of the instruments.

Clinical Versus Statistical Prediction

  • Compare clinical and statistical prediction of mental health decisions based on the work of Ægisdóttir, et al. (2006) and Grove & Lloyd (2006).

Application One: An Ethical and Professional Quandry

  • Select one of the Ethical and Professional Quandries in Testing from Case Exhibit 1.2 in your textbook and describe the ethical issues specific to the scenario you selected. Include an analysis of the relevant principles from Standard 9 in the APA Ethical Principles of Psychologists and Code of Conduct (Links to an external site.)Links to an external site.
  • Taking on the role of the psychologist or counselor in the chosen scenario, describe how you might respond to the challenge you selected and provide a brief rationale for your decision.
 
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explain the ways in which the findings might be used in nursing practice, and address any ethical considerations associated with the conduct of the study.

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Question description

Select either the qualitative or quantitative study method for this assignment. The study method should connect to the practice problem of interest identified in Topic 1. This could be one of the previously selected articles from your literature review or a new peer-reviewed article.

In an essay of 1000-1,250 words, summarize the study, explain the ways in which the findings might be used in nursing practice, and address any ethical considerations associated with the conduct of the study.

Refer to the resource “Research Summary and Ethical Considerations Guidelines” for suggested headings for your paper.

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.

Research Summary and Ethical Considerations Guidelines

Introduction

Background of study:

  • Problem (why this issued is being studied)
  • Significance to nursing
  • Purpose
  • Objectives: research question and/or hypothesis
  • Concepts, phenomena

Methods of study:

  • Quantitative or qualitative
  • Research design
  • Sample
  • Procedures

Results of study:

  • What did they find?
  • Implications to nursing
  • Explain how the findings contribute to nursing knowledge/science. Would it impact practice, education, administration, or all areas of nursing?

Ethical Considerations

  • Was the study approved by an Institutional Review Board?
  • Was patient privacy protected?
  • Were there ethical considerations regarding the treatment or lack of?

Conclusion

 
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These are your results from the Holland Code (RIASEC) Test.

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These are your results from the Holland Code (RIASEC) Test.
The Holland Codes system breaks down occupations into six general categories, your affinity for each is below.
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A Holland Code summarizes your results with an acronym for the categories you score highest for, which makes you an SIA.
Careers for your Holland Code
The United States Department of Labor Employment and Training Administration maintains a database of occupations sorted by Holland Code. The list of occupations for the SIA can be found at http://www.onetonline.org/explore/interests/Social/Investigative/Artistic/
Assignment: Vocational/Career Self-Assessment
As you begin this course in vocational psychology and counseling, as with any endeavor where you will be working closely with clients and colleagues, e.g., during practicum and internship experiences, it is a good idea to enhance your own self-awareness in the area as well as expose yourself to some of the tools of the trade. Thus, you will take a personality self-assessment (Self-Directed Search) and receive a report that interprets the results. You will also be introduced to the Walden University Career Services Center, and conduct your own self-assessment of your strengths. You will reflect on insights you gained as a result of taking these self-assessments and learning about the Career Center.
To prepare for this assignment:
Think about what you might learn about yourself as a result of taking a self-assessment inventory in the area of vocational/career counseling/development at this stage of your life.
· There is a free version of the Self Directed Search online at: http://personality-testing.info/tests/RIASEC.php
· Take the survey.
· Review the report you get back. Do you think the interpretation is mostly accurate? In what ways? If not, why not? What insights did you have?
View the 15-minute Walden Career Services Video entitled “Self Knowledge Tools to Enhance Your Competitive Edge,” found at https://www.youtube.com/watch?v=glLe8qqoKBE&feature=youtu.be
Then complete at least one of the self-assessments of strengths mentioned in the video (SWOT is free; SkillScan and StrengthFinder have nominal fees associated with them).
Summarize your results, and consider what was most valuable about the self-assessment of strengths exercise.
Think about a client taking such inventories. What role do you think a counselor might play in terms of helping a client interpret and deal with the results of the inventories?
The assignment: (2–3 pages)
· Write a synthesis of the findings from the self-assessments that you took (both the SDS and the strengths self-assessments recommended by the Walden Career Center)
· Describe your reactions to each. If you were in a counseling setting, what kind of support or response might you want from your counselor given your reaction?
· Report on what you found to be most valuable about completing the self-assessments and being introduced to the Walden Career Center.
· Discuss how you might apply these tools with clients who are interested in launching a career search

 
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