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Peer 1 

 

The state where I plan to practice as a nurse practitioner is Florida. In terms of contraceptives under the Comprehensive Family Planning Act, statue 381.0051, states that their “access to service prohibitions except as otherwise provided that no medical agency or institution of this state or unit of local government shall interfere with the right of any patient or physician to use medically acceptable contraceptive” (Daley, 2016, p. 34). Furthermore, the act further claims that there are also allowances made and highlighted inside the statue that enables to treat medical complications apart from pregnancy that may be attributed toward to using contraceptive methods (Daley, 2016). 

      The laws and regulations that govern abortion in Florida tend to be more severe and restrictive compared to other states. “In 2013 Governor Ron Scott signed legislation requiring that doctors performing an abortion offer emergency health care when the baby is in some way born alive. This law is really a first degree misdemeanor that’s punishable with a year in prison along with a fine of $1000” (Sharma, Frederiksen, Malcolm, Rollison & Carter, 2018). Health care professionals and employees must highlight and report all instances towards the department of health. This can be a prime illustration of the significance and the seriousness of the laws and regulations that govern abortion in Florida. These laws and regulations broadly cover patients with and without use of insurance. The condition of Florida comes with an infant and mortality rate of 6 for each 1000 live births as stated by the connected press.  The bond between contraceptive access and also the infant mortality rate appear to become congruent.  But, there’s no definitive conclusion the two are associated.          

           Poverty is linked to the maternal and infant mortality, and issues such as diabetes, obesity, asthma and depression. The rates in Florida were 6.0 in 2016 for infant mortality compared to 7.2 as the national rate.                                                        

Peer 2 

After having conducted a detailed investigation regarding the selected case, it turned out that Florida experiences a high increase in the aspect of infant and maternal mortality rates. Without a doubt, this statistic cannot be underestimated under any pretext, as such situation remains rather alarming. Comparing this data with the general numbers received within other states, it is worth admitting that infant and maternal mortality rates in Florida are 1.5 times higher than in any other state or region of the U.S (March of Dimes Foundation, 2018). That is why there is a growing necessity in analyzing such state of things from different perspectives and providing a comprehensive understanding of such a dramatic situation. 

           According to the resented investigation, such medical program as Medicaid appears to regulate the nursing sphere and cover the healthcare expenditures of the low-income patients. It is worth remarking that around 65% of patients use this insurance, while around 30% of them are women (Hajizadeh, 2014). Relatively speaking, the program covers only 1/3 risks and dangers among the women related to the contraception and abortion (Hajizadeh, 2014, p. 301). Subsequently, the medical treatment of women with and without an appropriate insurance differs significantly on a daily basis.  

           As a result, the risks concerning the high mortality among infants have a tendency to augment. Conventionally, this state of things is interdependent with the number of regulating external factors, including healthcare environment, clinical setting and economic well-being of the patients (Hajizadeh, 2014, p. 280). Due to such a complicated situation, the local government is called to take into an accurate consideration the dependence of infant mortality rates on the inefficient healthcare system and on the lack of proper medical services.  

All in all, it can be stated that the external factors and a scarcity of financial funding provoke numerous difficulties not only in the context of preventive strategies related to contraception and abortion among the women but also aggravate the medical situation in this state in general. 

-I need a respond for these 2 classmates. Response posts must be minimum 150 words each. Double space. References must be cited in APA format (6th) 

This is the original activity if you needed 

Select the state where you plan to practice as a nurse practitioner and/or nurse leader and investigate the state’s policies on access to contraception and abortion for women with insurance and those without. What are the state’s infant and maternal mortality rates? Discuss the possible relationship between these factors. 

 

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 Provide peer response to the following discussion which requires  one reference from a peer-reviewed NURSING journal less than 5 y/o. Response has to be in APA format.

Discussion One:

According to de Chesnay and Anderson (2015), a vulnerable population is, generally speaking, a group of individuals who have an increased risk of developing physical, social, or psychological health problems (de Chesnay & Anderson, 2015, p. 3). This could be the case either due to genetic predispositions, life events, or any other circumstances that can influence a patient’s socioeconomic, physical, or psychological status.

De Chesnay and Anderson (2015) state that there are some major factors by which the vulnerable populations can be identified: ethnicity, immigration status, age, gender, and socioeconomic status, but there are many other factors that should be taken into consideration (de Chesnay & Anderson, 2015, p. 4). Based on these factors, high-risk population groups can be identified and assessed.

One of the vulnerable population groups are the elderly. As Oster and Oster (2015) mention cellular changes occur as part of the aging process, and therefore, the body fluids and bone mass decrease (Oster & Oster, 2015, p. 445). This puts the elderly at increased risk for injuries and prolongs or hinders the 

healing process after injuries or surgical interventions.

Other changes that contribute to an increased risk for physical, psychological, or social health problems are age-related confusion and depression. Oftentimes elderly people live alone after the loss of a spouse. They might not leave the house at all due to their depression and therefore, show signs of from malnutrition, a lack of hygiene, or medication non-compliance. Many times the psychological changes go hand in hand with the physiological ones.

 

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Using proper APA formatting, cite the peer-reviewed article you selected that pertains to your practice area and is of particular interest to you and identify the database that you used to search for the article. Explain any difficulties you experienced while searching for this article. Would this database be useful to your colleagues? Explain why or why not. Would you recommend this database? Explain why or why not

Support main post with 3 of more current, credible sources and cite source within content of posting and on a reference list in proper APA.

 

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