Please use apa format
Question:
Medicare or Medicaid – which has greater impact in your state?
Websites that you can research:
Reimbursement
https://www.aanp.org/practice/business-practice-management/reimbursement/68-articles/325-medicare-reimbursement
https://www.aanp.org/practice/business-practice-management/reimbursement/68-articles/326-medicare-update
1. Focused Reflection (30 points)
Objective: To reflect on the interprofessional roles (MD, SW, OT, PT, RT, RD, PharmD) you saw on the unit and describe communication between them and the nurse.
· List all of the different providers that were involved in your patient’s care. What was the focus of each of these providers in the patient’s care? What was your nursing focus in the patient’s care? Be specific and give examples.
· How did you or the nurse communicate with each different provider? How did each provider communicate with the nurse? Be specific and give examples.
· What did you see done well and what would you improve? What would you specifically do to improve it?
The reflection should be 2-3 pages, but not longer than 3 pages. Use Times New Roman 12 point font, 1 inch margins, and double spacing to format your paper. The reflection does not need a title page or references. See syllabus for late assignment point deductions.
Focused Reflection rubric
0
3
Length and Mechanics
Does not meet page requirement.
One formatting error. Multiple spelling/grammar errors. Point is not understandable.
3 pages typed.
Double spaced.
TNR 12 pt font.
1 inch margins.
Minor spelling/ grammar errors, but point is understandable
0
3
5
7
9
Listed providers and their focus vs. nursing focus. Was specific and gave examples.
Does not address.
Needs improvement.
Mostly complete.
Above average.
Completely addresses.
0
3
5
7
9
Described nurse to provider and provider to nurse communication. Was specific and gave examples.
Does not address.
Needs improvement.
Mostly complete.
Above average.
Completely addresses.
Described what was done well and what to improve. Gave specific suggestions on their improvements.
Does not address.
Needs improvement.
Mostly complete.
Above average.
Completely addresses.
Clinical Check-Offs
1. Medication Administration Check-off
STUDENTS CAN ONLY ADMINISTER MEDICATIONS WITH THE CLINICAL INSTRUCTOR. This includes the administration of any kind of medication by any route. Medications cannot be administered with a staff nurse. Failure to follow this rule will result in failure of the check-off, immediate dismissal from the clinical site and inability to pass NM 322.
The clinical instructor will give medications with two students per day. Students must pass the medication check-off by the end of the semester.
2. Clinical Performance Evaluation
The Clinical Performance Evaluation will be reviewed with the student as needed, at mid-semester and at the end of the semester. Failure to satisfactorily meet core competencies on the Clinical Performance Evaluation can result in being sent home from the clinical site, an academic alert, a corrective action plan and/or dismissal from the nursing program.
Please review the Student Laboratory and Clinical Handbook, especially the sections entitled “Standards for Student Behavior in the Laboratory and Clinical Setting” and “Clinical Attendance Policy.”
Other Clinical Expectations
1. Timeliness
Students are expected to be in the assigned room ready to go for pre-clinical at 2:00 pm. Time will be determined via the instructor’s cell phone.
Students arriving after 2:00 pm will be given the opportunity to prepare for patient care. Failure to complete the Pre-Clinical Patient Care Form completely by the end of pre-clinical will result in the student being sent home from the clinical shift and losing all points associated with the clinical day.
Students who are able to complete the Pre-Clinical Patient Care Form will be allowed to stay for clinical, but will lose all points associated with the clinical day. All assignments must still be completed for the clinical day.
Failure to arrive on time will be reflected on your Clinical Performance Evaluation. Failure to meet core competencies on the Clinical Performance Evaluation can result in being sent home from the clinical site, an academic alert, a corrective action plan and/or dismissal from the nursing program.
Any student who is not at pre-clinical at 2:00 pm needs to have notified their clinical instructor. See the first page for how to notify instructor.
2. What You Can Do as a Student Nurse
Provide the best possible care for your patient that day. This includes assessing the patient, documenting your assessment and providing personal cares. Learn as much as you possibly can from this experience. Attend therapy or tests/procedures with your patient. Please notify the patient’s nurse, so they know where you and the patient are at all times.
Students should answer call lights when they are not providing care for their patient. The student should then check with the patient’s nurse regarding the patient’s request before carrying it out. For example, a patient may ask for water and be NPO. The student would not know this without checking with the nurse. A patient may say they can walk to the bathroom, but really need assistance with transferring.
3. What You Can’t Do as a Student Nurse (Per BSN Clinical Instructor handbook)
1. Administer Blood
2. Program a PCA pump
3. Manage Epidural Infusion, Tubing or Pump Settings
4. Do EKG or Fetal Monitoring Interpretation (it is crucial that students not document in a fashion that would suggest they have done any monitoring interpretation)
5. Take Verbal or Telephone Orders
6. Verify Informed Consent
7. Advance the plan of care (must be licensed professional)
8. Blood Glucose Monitoring
9. Blood draws from any line
10. Discontinue a central line
11. Administer IV push medications, including IV flushes
12. Start IVs
13. Administer chemotherapy
14. Insert a urinary catheter (Regions new policy)
4. What You Can Do as a Student Nurse, But Only with the Instructor Present
a. Administer medications by any route
b. Anything IV or tube feeding related (hanging a new bag, programming the pump, etc.)
c. For anything other than a patient assessment or personal cares, the student must connect with the clinical instructor. The clinical instructor will then determine if the student can perform the skill with the patient’s nurse or the instructor. Students can always observe a nurse doing anything for a patient, if it is okay with the patient.
Failure to follow the rules regarding what a student can/can’t do will be reflected on your Clinical Performance Evaluation. Failure to meet core competencies on the Clinical Performance Evaluation can result in being sent home from the clinical site, an academic alert, a corrective action plan and/or dismissal from the nursing program.
Last Day of Clinical
We will show our appreciation for all of the unit staff for their help on every clinical day. All interactions with staff should be respectful and include a thank you for their help. In addition to our daily thanks, we will sign a card and bring treats for the staff on our last
Comment 1
The role of health care reform in shifting the focus from a disease-orientated health care system toward one of wellness and prevention is to avert disease in the public. One of the ideal choices is to promote and encourage good health within groups of people across ages, gender, ethnicity, race, and social economic status. Health care reform, in this context, can strive to help people change the social behavior. Help care reform can enhance people’s ability to care for their health. They can lessen health disparities within the population. In the meantime, help care reform targets non-help care policy that impact people good health. That is, decisions related to social, economic, housing, nutrition, and environment might have a direct effect on wellness and prevention.
In terms of prevention, health care reform can converge health care practitioners’ attentions and the public’s focus on screenings, immunizations, counseling, and disease management to avert complications. This will encourage health care professional to always encourage patients and their loved ones to take preventive measures and steps to avert unhealthy circumstances in their lives.
The profession of nursing has the obligation to educate nursing students and current nursing practitioners to understand the benefits of wellness and prevention in the practice of nursing. Nurse spend most of their working times with patients than any other health care professional. They are the first who witness patients’ calamities. This makes them more apt to embrace this shift because integrating prevention in their practices can avert acute and chronic diseases, and other non-desirable health conditions. Nurse can participate in consumer education or awareness campaigns for the good of society.
Comment 2
n 2010, the Affordable Care Act became law, and the law aims to improve the health care system of the U.S. by widening the health coverage to more Americans and by protecting existing health insurance policyholders (Nordqvist, 2016). Cherry & Jacob (2016) state that the ACA is expected to provide insurance coverage for 32 million previously uninsured Americans. America faces the increased medical expenditures which can be the burden of the American economy. Moreover, the shortage of health care providers and facilities, as well as the rise in health awareness also alter the care from the treatment of disease to health promotion and disease prevention. As a result, health care reform plays an important role to lead the way in determining the type of providers needed to care for patients (Cherry & Jacob, 2016).
The shift from disease-oriented healthcare towards wellness and prevention provides a health resource to assist in creating a balance to promote health and cure disease. “Health care is a human right and that all persons are entitled to ready access affordable, high-quality health care service” (ANA, 2008). Restructuring the health care system will reinforce and ensure universal access to health care. The primary focus points are affordability, availability, acceptability, and quality of care. Access to care alone is not enough if the quality of care and safety is not satisfactory. A restructured health care system must provide dependable, high-quality care across the country.
There are six specific aims described to raise the quality of care that includes: Safe health care, Effective health care, Patient-Centered Health Care, Timely Health Care, Efficient Health Care, and Equitable Health Care. These aims of health care are essential to the nursing staff because many outcomes are associated with the care provided by the nursing staff. It is our job as nurses to positively embrace the change in health care reform and implement the changes with the highest standards. The agenda for the shift in health care reform can be considered a new step in health care and requires all associated with health care to participate.
Comment 3
Two-thirds of American adults are overweight or obese. Americans get less exercise, spending work and leisure time in from of screens. Diabetes and other chronic diseases are on the rise, a leading driver of escalating medical care costs. More and better medical care will not fix this countries declining health status or slow the rising costs of health care. History and science show that a multifaceted public health effort, including delivery of clinical preventative services, to protect the nations health. America must invest in the policies, programs, community environments and preventative care that are known to protect and restore health. By doing so, this can lower the disease and disability resulting in a decrease in the cost of expensive medical treatment in the future.
Three major reforms re required to make prevention and wellness the cornerstone of national policy.
1. Provide consistent policy leadership that advocates for and funds mutifaceted approaches to prevention and wellness.
2. Strengthen the ability of the public health system to facilitate and provide community-based prevention, health promotion, and early detection of disease.
3. Assure that all Americans have access to recommended clinical preventitive serices.
Nurses are on the frontline for providing valuable education to patients, the public and communities relating to nutrition, exercise and disease prevention. Health promotion should be done everywhere, at every level of our health care system. Nurses are innovative and know how to expand car and improve quality at a lower cost. Emphasizing the use of master-prepared nurses to oversee care from the hospital to within the home reduces hospitalizations.
Hello,
This is a short 3 page paper (including the intro page, body, and reference page) reviewing “Prevent errors in Your Child’s Care” brochures noted on Under “Topics” and then “Speak Up” on jointcommission.org . I provided the rubric below. This paper is due tomorrow (December 7th) by 8pm.
Thank you in advance! 🙂
please check the attachment and write a reflection easy about the information was giving. please make sure about grammar, capitalization, and use APA format.
thank you.
Instructions
Delta Pacific Case Study
As the change leader for Delta Pacific Company (DPC), you know you need to determine potential organizational barriers to change for the company’s goal of changing the culture from the more traditional manufacturing environment to one of a contemporary consulting environment. Now it’s time to create your strategy to combat barriers to change: Assess the potential barriers to changing an organizational culture Analyze change strategies appropriate for this type of change Determine potential employee resistance behaviors Determine the best way to influence employees in the right direction
Since you are the change leader, it is your responsibility to consider that there will be organizational and human barriers to change. As part of your role, you should take proactive measures and design a change strategy to address potential barriers and resistance.
Conduct academic research and create a plan to present to the CEO and board in which you complete the following change strategy for barriers and resistance: Explanation of potential organizational barriers that are most likely to occur for this type of change. Description of the employee resistance behaviors. Explanation of your strategy to overcome the barriers and resistance. Discussion of your strategy recommendations to overcome barriers and influence employees in the right direction. Remember that this is a proposal. Make sure to format your paper properly for your proposal. A proposal is a persuasive document, so make sure to use proper language and tone. Remember, you are the change leader, and you are writing to the CEO. So use a tone in your proposal that is specific to your audience (the CEO).
Include your APA-formatted reference page with at least two credible sources.
Pick a sport you would like to coach, a sport you would like to train athletes for, or a sport you would like to work in from a rehabilitation/injury prevention position. Please create a new message in which you can post your initial post thread. Describe a common injury found in that sport (do NOT pick an injury that someone else has already chosen–sports may be repeated with different injuries. INJURIES MAY NOT BE REPEATED.) Put the sport name and injury in the title of your post so your classmates do not repeat it. In the text box, describe the coaches role in addressing first aid for the injury. Next, describe the roles of two different sports medicine team professionals who have a responsibility in diagnosing, treating, or preventing the injury. Your initial post must be a minimum of 250 words long. Due 11/6.
I am choosing Baseball – Rotator Cuff Tear
Conduct a windshield survey to identify a population and its primary health concern. Develop a 3–5-page report that explains demographic changes for a population and describes the health disparities and social determinants of health that can affect the population.
**Central Florida United States community**
Requirements Conduct the windshield survey, using the template attached. Use the template as a guide to write a report for your team. If possible, look at other written documents used within your organization. How are they formatted? Follow that format as closely as possible, making sure you still use APA guidelines for your in-text references, citations, and reference page.
Based on your observations and notes from your survey experience, write a report that includes the following: Describe, briefly, the neighborhood or community you observed (overall condition, types of spaces and businesses, evidence of services, and so forth). Describe a vulnerable or diverse population you observed living within the neighborhood or community.
Now you will need to do some research on the population you described: Explain how the demographics for the population have changed over the past 5–10 years. Note: This information should be readily available through the United States Census Bureau, similar state Web sites, the Bureau of Labor Statistics, or other professional sites. Be sure your information is current. Describe the most prevalent health risks for the population. For example, if your population is senior citizens, then the health risks might be diabetes and loss of mobility. Include statistics on the health risks, such as frequency of occurrence in the population and number of deaths per year in the population. Identify the health disparities and social determinants of health that can affect the population. In other words, what will you need to overcome to develop a successful health promotion and disease prevention program for the population?
Your completed assessment should be 3–5 pages in length, not including the title page and reference page. Support your information with references to at least three professional, scholarly, or government resources, and follow current APA guidelines for your in-text citations and references. Additional Requirements Include a title page and reference page. The completed assessment should be 3–5 pages in length, not including the title page and reference page. Reference at least three current scholarly, professional, or government resources. Use current APA format for citations and references. Use Times New Roman font, 12 point. Double spaced
Attached is an example of a well graded paper as well as an example of a windshield survey to use as a reference.
Describe each client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
Using the DSM-5, explain and justify your diagnosis for each client.
Explain whether solution-focused or cognitive behavioral therapy would be more effective with this family. Include expected outcomes based on these therapeutic approaches.
Explain any legal and/or ethical implications related to counseling each client.
Support your approach with evidence-based literature.
Discussion Forum 2
After completing the module please consider the following questions.
forum 1.1
What are the major challenges to the health of Aboriginal peoples? Choose one of the challenges you provided and suggest a solution to the challenge. Then comment on the solution provided by another student. Do you agree or disagree with their solution? Why?
forum 2.1
2. How does income affect the health of the individual? Please discuss with at least one other student.
I want with the reference as well.
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