Case
Long-Term Care for All
The newly elected governor of a small state in which the elderly comprise 26% of the total population—twice the national average—is eager to fulfill his campaign promise. He had run for office on the slogan “long-term care for all.” The elderly in the state had overwhelmingly voted for him. Now in office about 9 months, his advisors tell him that providing long-term care services for all citizens in the state will be next to impossible because of high demand for the services. The governor, however, remains undeterred. The cornerstone of his proposed policy includes three things: (1) Develop a state-sponsored long-term care insurance plan. The insurance premiums will be income based, and will cost at least 15% less than a midlevel private long-term insurance plan being sold in the state. (2) Make it mandatory for all citizens, old and young, to purchase LTC insurance, either from the state or from a private insurance company. (3) Place restrictions on the use of nursing home and assisted living services in favor of community-based services.
Questions
1. Give specific reasons why the governor’s policy may not work, pointing out specific problems that would likely arise.
2. Will the policy work in a large state, everything else being equal? Give reasons.
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Discussion 250 Words Min Apa Similarities Less 10 19430347
/in Uncategorized /by developerDescribe the key concepts underlying community activism and give examples of how each of these concepts applies to a specific context. Examine how advanced practice nurses can engage in community activism to limit further negative health impacts from Big Tobacco in their respective health communities.
Attached below is an additional resource, an article, that details various ways by which nursing professionals can engage in community activism.
Patient Advocacy and in the Community and Legislative Arena: http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No1-Jan-2012/Advocacy-in-Community-and-Legislative-Arena.html?css=print
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Discussion 250 Words Min Apa Similarities Less 10
/in Uncategorized /by developerDescribe the key concepts underlying community activism and give examples of how each of these concepts applies to a specific context. Examine how advanced practice nurses can engage in community activism to limit further negative health impacts from Big Tobacco in their respective health communities.
Attached below is an additional resource, an article, that details various ways by which nursing professionals can engage in community activism.
Patient Advocacy and in the Community and Legislative Arena: http://nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-17-2012/No1-Jan-2012/Advocacy-in-Community-and-Legislative-Arena.html?css=print
3
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Discussion 250 Words Similarities Less 10 2 References Apa
/in Uncategorized /by developerWEEK 11
Describe three political actions nurses could take to strengthen their role in policymaking as it relates to advocacy for improving LGBTQ health. Correlate your discussion to the AACN MSN Essentials, identify one that most pertains to this topic and elaborate on your selection.
Attached below is additional information regarding providing adequate care for the LGBTQ community as outlined by Joint Commission and the CDC:
Joint Commission & LGBTQ Community.pdf
Lesbian, Gay, Bisexual and Transgender Health: https://www.cdc.gov/lgbthealth/
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Discussion 250 Words Two References
/in Uncategorized /by developerSimilarities less Than 10%
Reflect on the current roles of advanced practice nurses in healthcare as the care providers at the front line of disease management and health promotion in primary care and many other specialty settings. What do you think are some effective tactics for APN strategic positioning regarding pay equality? Should APNs position themselves as lower-cost providers who provide better care or push for comparable worth, same service and same pay?
Below is an article that provides great practical information that highlights how provider productivity is calculated in the clinical setting, which is important to know as future nurse practitioners.
Calculating Your Worth: Understanding Productivity and Value- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4093517/
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Discussion 280 300 Apa
/in Uncategorized /by developerUsing personal experiences or based on talking with others in the profession, discuss an accreditation experience that you had. What was your involvement? Were you and the facility prepared? How did the visit turn out – did you gain/keep the accreditation? What could management have done differently to make the process go more smoothly?
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Discussion 280 300 Words Apa
/in Uncategorized /by developerReflect back over the term. What one thing did you learn in the course that you were able to apply in your work during the term? What one thing are you most looking forward to applying to your career in the future. What future trends may influence how nurses use evidence to improve the quality of patient care?
Ethical principles guiding research
Full disclosureInformed consent
Institutional Review Board (IRB)
Risk/benefit assessment
Vulnerable groups.
Theory
Grand Theories
Middle range theories
Concepts
Framework
Transformational learning models
Iowa ModelJohns Hopkins Model
THIS IS WHAT THE RESEARCH CLASS ENTAILED.
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Discussion 3 18870427
/in Uncategorized /by developerMuch of the ongoing debate over scope-of-practice (SoP) laws that govern the practice of nurse practitioners (NPs) across the country focuses on the cost of and access to health care and on whether these laws legitimately promote patient safety or are simply anticompetitive restrictions on NPs’ ability to compete with physicians. After completing the following CE activity at Medscape https://www.medscape.org/viewarticle/506277_1 ( sign for the free account), please answer the following questions:
Should an NP who is educationally prepared as an acute care NP work in an adult primary care setting?
Is it within the scope for an FNP to diagnose and treat uncomplicated mental health conditions like depression, anxiety, and ADHD?
Are there any restrictions for the FNP to treat patients with mood disorders and to prescribe them antipsychotics or SSRIs ?
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Discussion 3 18903999
/in Uncategorized /by developerJust as contention among provider groups can be unproductive, so can lack of cooperation between those providers and consumer advocacy organizations. It would be naive to think that there will be no competition. However, little good is done by allowing that competition to reach levels of excess. Nor would it be fair to indicate that there is no ongoing cooperation among provider entities at the present. There is. However, if the continuum of care is to even approach a state of seamlessness, there must be less bickering among provider groups and more collaborative effort.
Reference
Pratt, J. R. (2010). Long-term care: managing across the continuum (3rd ed.). Sudbury, MA: Jones and Bartlett
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Discussion 3 18914627
/in Uncategorized /by developerCase
Long-Term Care for All
The newly elected governor of a small state in which the elderly comprise 26% of the total population—twice the national average—is eager to fulfill his campaign promise. He had run for office on the slogan “long-term care for all.” The elderly in the state had overwhelmingly voted for him. Now in office about 9 months, his advisors tell him that providing long-term care services for all citizens in the state will be next to impossible because of high demand for the services. The governor, however, remains undeterred. The cornerstone of his proposed policy includes three things: (1) Develop a state-sponsored long-term care insurance plan. The insurance premiums will be income based, and will cost at least 15% less than a midlevel private long-term insurance plan being sold in the state. (2) Make it mandatory for all citizens, old and young, to purchase LTC insurance, either from the state or from a private insurance company. (3) Place restrictions on the use of nursing home and assisted living services in favor of community-based services.
Questions
1. Give specific reasons why the governor’s policy may not work, pointing out specific problems that would likely arise.
2. Will the policy work in a large state, everything else being equal? Give reasons.
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Discussion 3 18987397
/in Uncategorized /by developerFor your assigned topic(s), you are to discuss the incidence and prevalence of the disorder, pathophysiology from an advanced practice perspective, physical assessment and examination, evidence-based treatment plan and patient education, as well as follow up and evaluation to assess the efficacy and outcomes of the evidence-based treatment plan for management of an episodic, acute, and chronic case involving the pathology(s) you are sharing. The entry should be posted in the Discussion space; do not post the Discussion as an attachment.
Respiratory
Cardiovascular
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