Quest 19054939

 Nurses are the largest group (in numbers) in health care.  However, many of us are Baby-Boomers and are headed toward retirement.  How will this issue affect nursing in the future? 

 
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Quest 2

 

Professional Roles and Responsibilities”

Family nurse practitioners (FNPs) are graduate-educated, nationally-certified and state licensed advanced practice registered nurses (APRNs) who care for medically stable patients across the lifespan, from infants to geriatric patients.

Share your thoughts

  1. What are the educational requirements to practice as a FNP? 
  2. According to the American Association of Colleges of Nursing (AACN), what is the recommended terminal degree to prepare nurse practitioners.
  3. Who determines the scope of practice for FNPs?
  4. Who defines it? Who Credentials and what is the role of a Professional and Political Organization in defining the role?
 
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Quest 3

Part 1:   

* Explain what obligations the U.S. government has towards its citizens and how these obligations impact individual and group rights.

* Provide real-world examples to support your explanation, including one personal example from your own experiences.

* Using your personal example, explain the position of the Democratic, Republican and a third party, regarding the example you presented

Post must be at least 300 words. 

 
 

Part 2: 

· Thinking about the Affordable Care Act 2010; 

* how do the Democratic, Republican and a third party politics impact the Affordable Care Act 2010?

* What position do Republican, and Democrat and a third party take on your topic? Expand on this idea

 

Post must be at least 300 words.  

Due 5/15/19

11pm Eastern Time

 
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Quest 4

 

CS/SB 614 authorizes  an ARNP to prescribe, dispense, administer, or order any drug, which would include controlled substances.

ARNP disciplinary sanctions are added to the bill in s. 456.072, F.S., (Section 5) to mirror a physician’s sanctions for prescribing or dispensing a controlled substance other in the course of professional practice or failing to meet practice standards. Additional acts for which discipline may be taken against an ARNP relating to practicing with controlled substances that are added to the Nurse Practice Act (Section 10) include:

 Presigning blank prescription forms.

 Prescribing a Schedule II for office use.

 Prescribing, dispensing, or administering an amphetamine or sympathomimetic amine drug, except for specified conditions.

 Prescribing, dispensing, or administering certain hormones for muscle-building or athletic performance.

 Promoting or advertising a pharmacy on a prescription form unless the form also states that the prescription may be filled at the pharmacy of your choice.

 Prescribing, dispensing, or administering drugs, including controlled substances, other than in the course of his or her professional practice.

 Prescribing, dispensing, or administering a controlled substance to himself or herself.

 Prescribing, dispensing, or administering laetrile.

 Dispensing a controlled substance listed in Schedule II or Schedule III in violation of the requirements for dispensing practitioners in the Pharmacy Practice Act.

 Promoting or advertising controlled substances.

After reading the following news article http://c-hit.org/2015/04/06/high-prescribing-nurse-surrenders-drug-licenses/

Identify what issues may arise with prescriptive authority of controlled substances and how you may avoid these situations? 

 
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Quest Heath 19105067

                                                     Initial Post

The Code of Ethics for Nurses Act provides guidance to these professionals on how to conduct themselves and handle various topics in a professional manner when dealing with public matters (Notes, n.d.).  Some of these ethics may be conflicting as well as competing with those of their patients, place of work to their personal ethics. Milstead and Short (2017)  therefore deduce on the importance of nurses being knowledgeable on the area of clinical practice, institutional rules and procedures, the Nurses Code of Ethics and the field of ethics, as well as understanding their personal values. 

In our case, Lena is therefore a nurse who is bound by these regulations as a professional. However, there are various ways of reasoning through this ethical problem to find an ethical solution. The American Nursing Association, 2015 (ANA) endorses patient privacy and confidentiality protection for the purpose of upholding a trusting relationship between healthcare providers and patients (American Nursing Association, 2015). Confidentiality therefore means that the patient’s information and identity is kept private at all times, meaning that the patient retains the right to decide whom to share the information with. Lena’s sister’s boyfriend is therefore protected under this code. 

However, ANA 2015 annuls this protection and confidentiality code in the case that a person’s life is at risk or could endanger the public, meaning that Lena’s sister is protected here.  If I were Lena, I would inform my sister’s boyfriend of his rights as a patient and the importance of sharing the information with his girlfriend to avoid infecting her. . I would stay within my scope of practice and make sure that the patient reports the information to the required entities.

References

American Nursing Association. (June 2015). American Nursing Association Position Statement on Privacy and Confidentiality. Retrieved from https://www.nursingworld.org/~4ad4a8/globalassets/docs/ana/position-statement-privacy-and-confidentiality.pdf

Milstead, J. & Short, N. (2019). Health policy and politics : a nurse’s guide. Burlington, MA: Jones & Bartlett Learning.

Notes on Guide to the Code of Ethics for Nurses: Interpretation and Application

Based in this Post posted above,  answer the following question 

My state is : Florida

In researching for this discussion post, I ran across a law from the state of Maryland that reads, “It is the responsibility of the physician to ensure that partner notification occurs, either by the patient or by the physician.  Assistance can be requested from the health department.” (“Maryland Partner Notification,” n.d.).  The law does not state how and within what time period the partner should be notified.  Are there any laws such as this where you are from?  What regulating agencies certify that physicians are upheld to this standard for reporting?

References

HIV/AIDS reporting and partner notification. (n.d.). Retrieved from http://healthymaryland.org/wp-content/uploads/2013/03/10-HIVAIDS-Reporting-and-Partner-Notification.pdf

 
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Quest Heath

Yes!  I agree completely that the cost of drugs required to treat acute and chronic illness is a huge problem among health care facilities and patient quality of life!  I have known several people diagnosed with cancer and have great insurance in the beginning, only have to go on to stop working and lose insurance.  What happens next? They cannot afford the treatment due to the high prices for meds.  It’s really sad that that is the way it is.

One of the reasons that the cost of drug prices are higher in the United States, is that the U.S. allows drug companies to set their own price for medications.  In other countries, a delegated body negotiates the price, and it is loosely based upon the benefit of the drug to the patient (Kesselheim, Avorn, & Sarpatwari, 2016).

With the prevalence of chronic diseases, the Centers for Medicare and Medicaid Services (CMS) cite part of the reasoning for high drug prices is due partially to specialty drugs (Abramowitz & Cobaugh, 2016).  Do you feel that with the high number of baby boomers approaching the age of needing more medical needs, big pharma companies see a supply and demand-type situation to raise the cost of drugs?

References

Abramowitz, P. W., & Cobaugh, D. J. (2016). The costs of prescription drugs in the United States: the pharmacists’ voices must be heard. American Journal of Health-System Pharmacy. http://dx.doi.org/10.2146/ajhp160156

Kesselheim, A. S., Avorn, J., & Sarpatwari, A. (2016, August 30). The high cost of prescription drugs in the United States origins and prospects for reform. JAMA, 316(8), 858-871. http://dx.doi.org/10.1001/jama.2016.11237

 
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Quest Holl

How do you think you could lobby the pharmaceutical companies to participate in a comprehensive healthcare program that includes prescriptions, with or without a co-pay tier? . Currently, the pharmaceutical industry is largely based on volume, and pharmaceutical companies are incentivized to sell as many pills as possible, at the highest price.  This is primarily due to the cost associated with research and development.  Once a drug is FDA approved, the patent lasts for approximately 13 years.  This means the pharmaceutical company only has a short time to recover research and development expenses and turn a profit before anyone in the industry can manufacture the same drug in generic form. It just seems to me there is no incentive for the pharmaceutical industry to participate in any healthcare program that will have a negative fiscal impact on their bottom line.

References

Drug Patents and Generic Pharmaceutical Drugs. Retrieved from www.news-medical.net/health/Drug-Patents-and-Generics.aspx

 

Milstead,  J. A. & Short, N. M.  (2019). Health policy and politics: A nurse’s guide (6th ed.).  Burlington, MA: Jones and Bartlett Publishers.

 

Thorton, Grant. (2017). Health Care and Life Sciences; Affordable Care Act – Pharmaceuticals. Retrieved from /www.grantthornton.com/library/articles/health-care/2017/affordable-care-act-impact-pharmaceuticals.aspx

Please cite references in the answer of the question

 
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Quest Inst

Medications in all categories are overpriced!  If you were to present this issue to a group of health care providers using Kingdon’s Model, what points would you include?  

 
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Quest Instr

   BASED IN THE INITIAL POST, POSTED BELLOW, YOU SHOULD ANSWER THIS QUESTIO:

  Could it have been Lena’s sister who passed the virus to this individual?  We would all hope that this young man would contact Lena’s sister. Do you have many HIV positive patients that do not follow the law?  I look forward to your response!  .

                                            

                                               Initial Post

The Code of Ethics for Nurses Act provides guidance to these professionals on how to conduct themselves and handle various topics in a professional manner when dealing with public matters (Notes, n.d.).  Some of these ethics may be conflicting as well as competing with those of their patients, place of work to their personal ethics. Milstead and Short (2017)  therefore deduce on the importance of nurses being knowledgeable on the area of clinical practice, institutional rules and procedures, the Nurses Code of Ethics and the field of ethics, as well as understanding their personal values. 

In our case, Lena is therefore a nurse who is bound by these regulations as a professional. However, there are various ways of reasoning through this ethical problem to find an ethical solution. The American Nursing Association, 2015 (ANA) endorses patient privacy and confidentiality protection for the purpose of upholding a trusting relationship between healthcare providers and patients (American Nursing Association, 2015). Confidentiality therefore means that the patient’s information and identity is kept private at all times, meaning that the patient retains the right to decide whom to share the information with. Lena’s sister’s boyfriend is therefore protected under this code. 

However, ANA 2015 annuls this protection and confidentiality code in the case that a person’s life is at risk or could endanger the public, meaning that Lena’s sister is protected here.  If I were Lena, I would inform my sister’s boyfriend of his rights as a patient and the importance of sharing the information with his girlfriend to avoid infecting her. . I would stay within my scope of practice and make sure that the patient reports the information to the required entities.

References

American Nursing Association. (June 2015). American Nursing Association Position Statement on Privacy and Confidentiality. Retrieved from https://www.nursingworld.org/~4ad4a8/globalassets/docs/ana/position-statement-privacy-and-confidentiality.pdf

Milstead, J. & Short, N. (2019). Health policy and politics : a nurse’s guide. Burlington, MA: Jones & Bartlett Learning.

Notes on Guide to the Code of Ethics for Nurses: Interpretation and Application

 

 
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Quest Jani

I agree the growing aging population will significantly impact society as a whole. As noted by Mion (2003), with the already growing nursing workforce shortage, delivering quality health care to the elderly is more challenging in comparison to the younger population. Nonetheless, Young (2003), noted that through clinical practice, education, leadership, and research, nurses are capable of improving elder health care. Any suggestions on how we as nurses can combat the shortage of nurses to meet the elderly care?

Mion, L.C. (2003). Care Provision for Older Adults: Who Will Provide? OJIN: The Online Journal of Issues in Nursing, 8(2), Manuscript 3. Retrieved from https//www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume82003/No2May2003/CareProvisionforOlderAdults.aspx

Young, H.M. (2003). Challenges and Solutions for Care of Frail Older Adults. OJIN: The Online Journal of Issues in Nursing, 8(2), Manuscript 4. Retrieved from https//www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume82003/No2May2003/OlderAdultsCareSolutions.aspx

 
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