Medicaid and the Middle Class

Description

Part I: Medicaid is not just for low-income people. The American middle class benefits significantly from the Medicaid program. In a 4 page synopsis, analyze a specific Medicaid program that seeks to benefit the middle class in the state in which you reside (Illinois). Please keep in mind the position and facility you selected. Make sure to include the following:

a. Discuss the purpose of the program.

b. Describe whether the program is effective and offer evidence to support your rationale.

c. Discuss other viewpoints or opposing viewpoints to the program.

d. This portion of your assignment will require you to research and examine information from various sources. Use a minimum of five credible sources for your paper, with three being an academic source from the Rasmussen College Online Library (don’t forget to include in-text citations throughout your paper with paraphrasing or quoting)

e. Make sure to include your APA formatted reference page. 

Part II: It’s tough for healthcare professionals to keep up with all the programs offered through the government. Based on the position and facility you selected, create a one-page information sheet for our staff that they can use to answer questions. SkillSurfer in the online tutoring platform offers beginner, intermediate, and advanced tutorials on Microsoft Office products. 

a. The information sheet should give your staff enough information to have an educated conversation with a patient about their healthcare coverage options through Medicaid.

b. Make sure to use audience specific language and tone in your information sheet. Remember, you are writing this information sheet for your staff.

c. Be creative and make your information sheet fun and organized.

 

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After reading about effective communication techniques in the resources this module, whether they be verbal or non-verbal, discuss the age-related barriers to communication with the older person. Give 3 examples of barriers you may face with an older person and discuss at least 2-3 ways you would use therapeutic communication techniques to overcome these barriers.

Please make an initial post by midweek, and respond to at least two other student’s posts with substantial details that demonstrate an understanding of the concepts, and critical thinking. Remember that your posts must exhibit appropriate writing mechanics including using proper language, cordiality, and proper grammar and punctuation. If you refer to any outside sources or reference materials be sure to provide proper attribution and/or citation.

 

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 Part 2: Objective information:
Fetal heart tones are 130, with minimal variability
Vaginal exam is 4 cm/90%effaced/ -1 station
She is complaining of pain – 8/10 on a numerical scale.
An IV has been started with an 18 gauge catheter with 1 liter of Lactated Ringers at 150 ml per hr in left forearm. 

 How can you provide non pharmacological comfort to this patient?
What are the pharmacological methods to use?
Without prenatal records or history GBS is unknown. What must you provide?
Contractions are 5 minutes apart and you receive an order to augment labor – what non pharmacological methods can you employ (or ask the MD to provide?)
Pitocin is ordered, please include at what rate you will start Pitocin, and how often you titrate. What equipment is needed to hang and run Pitocin IV? 

 

Part 1: 25 y/o presents to Labor and Delivery with complaints of uterine cramping and lower back pain. Denies any vaginal bleeding at this time. Has related history of a preterm birth at 32 weeks gestation with her last pregnancy. The baby is 3 years old now and has no developmental issues.
Her current gestational age is 30 weeks.
She is O+ and all other lab values are normal. No noted STI’s.

1. Group Beta Strep is missing from the labs – most often is obtained at 35 – 37 weeks gestation.
2. Without this information it is often determined to treat the patient anyway – presumptively to protect a premature baby from the risk.
3. What other information would you like to ask her?
4. What nursing intervention will you provide?
5. What screening tests are often obtained to help determine her risk for preterm labor.
6. And if it is determined she is in preterm labor what medications may you want to use with a doctors order?
7. Please also give dose, side effects and possible result of the medication.

ANSWER ALL QUESTION, INCLUDE IN TEXT CITATION, AND 3-4 REFERENCES

 

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 Consider how the work of Erickson and Piaget influence nursing care. How will you apply the principles of growth and development in your focused assessment and care of the child in the healthcare setting? 

 

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