Fra

  How do you judge Palin’s quote? [“And who will suffer the most when they ration care? The sick, the elderly, and the disabled, of course. The America I know, and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s death panel, so his bureaucrats can decide, based on a subjective judgment of their level of productivity in society, whether they are worthy of health care. Such a system is downright evil.] Effective strategy

to oppose Democrats’ plans for health care reform or unethical scaremongering?

       I think her strategy was both unethical and excessive, but it was effective.

 She used false, unsubstantiated statements to affect a key health issue that

would have benefited a lot of patients.  The bill would have allowed Medicare to pay for optional doctor’s visits to discuss living wills and end of life issues with their physicians (Mason, 2016).  As a member of Congress, she and her family are afforded a higher level of health insurance that is effective for life after serving 6 years.  Due to her statements all references to end of life planning were deleted from the bill.

Reflect on what informs your judgment: commitment to advance care planning, analysis of facts, and/or political party loyalties?

     I tend to be loyal to my political party but only if the facts support what I think is right.  I believe we should all be afforded the right to discuss end of life issues and living wills and have it covered by our insurance and not have our families burdened with these decisions on their own.

Is it right for nurses to endorse health reform legislation even if the legislation is not perfect? Does this apply to the recently failed American Health Care Act?

     There is no perfect legislation so there must be some compromise.  I think nurses should endorse legislation if it is for the improvement of health care and in the best interest of the patients and nursing practice.

 

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 Jes

• How do you judge Palin’s quote? [“And who will suffer the most when they ration care? Effective strategy to oppose Democrats’ plans for health care reform or unethical scaremongering?

Palin’s quote was not only inaccurate, it could be said it was a scare tactic.  For those relying on politicians to define changes, especially as they relate to a lengthy new health care act, I view it as a scare tactic to sway voters against the ACA.  Nowhere in the ACA or AHCA does it enforce a “death panel” (Mason et. al., 2016). This quote from a politician is why it is so important for nurses to understand politics in health care and provide accurate, unbiased, and honest information.

• Reflect on what informs your judgment: commitment to advance care planning, analysis of facts, and/or political party loyalties?

When it comes to my judgement, research and understanding of the facts are key.  Had I simply listened to Palin, I would not have understood the changes in health care the ACA implemented.  Although far from perfect, this act did increase the number of Americans with health coverage to 20 million people and seeks to provide better health promotion, allowing nurses to practice to the full extent of their education and licensure (Collins, 2018).

• Is it right for nurses to endorse health reform legislation even if the legislation is not perfect? Does this apply to the recently failed American Health Care Act?

Few things in life are truly perfect.  As a nurse, I have learned you simply cannot make everyone happy and that applies to healthcare.  Nurses should seek to endorse healthcare policies that allow them to practice as nurses; teaching patients to be as independently healthy as possible.  This certainly applies to the failed AHCA.  Again, the debate is not over universal health coverage, but as to who should pay for it.  Nurses have identified the need for access to health care since the beginning of time.  Advocating and endorsing legislative that is supportive of this idea should be the nurses priority.   

 

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RI..

The AHCA was written to solve a crisis that doesn’t exist and accordingly accepts sacrifices it doesn’t need to ( Q1,2018). It’s akin to a doctor who wants to amputate a patient’s leg, a reasonable solution if gangrene has set in, but disastrous in case of a botched diagnosis. Everyone will face the specter of getting priced of health insurance altogether if they lose coverage. For them this is functionally a mandate, except instead of a financial penalty the AHCA punishes them by withholding access to care. I think one of the somewhat surprising elements of the bill was the fact that they kept in the essential health benefits, the ten classes of benefits that need to be covered just because it’s covered doesn’t mean that you’re going to be able to afford them. For the people who have coverage, meaning they are in an insurance plan, what is the extent of the out of pocket exposure they have to get the care they need. As it turns out, studies showing better health outcomes for those with insurance looked at individuals having private insurance. On the other hand, multiple studies, assessing the effect of the Medicaid expansion, found no improvement in health outcomes for those on Medicaid.  In fact, other investigations have found worse outcomes for those with Medicaid as compared to those with no insurance at all.

 

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 Hello Class,
I obtained an associate’s degree in nursing from William Rainey Harper College (https://www.harpercollege.edu/Links to an external site.). It is a community college located in Palatine Illinois. In 1967, the doors opened at William Rainey Harper College and they began nursing classes that same year. The two-year program served as a bridge for those students who previously became a Licensed Practical Nurse. It provided me with a sound clinical foundation and laid the framework for my continuing education. Going forward I will be curious how they will maintain enrollment in the program because of the national strategy to have entry-level nurses obtain a bachelor’s degree.
I am looking forward to hearing about the nursing school you previously attended. How did it affect you and nursing in the present and future?
Roma 

 

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My Drug is penicillin    

Please do not copy charts/drug information directly from sources. Put them in your own format. I have included a sample chart that I used in the past.  Feel free to use or modify based on your learning needs. The left side of the chart includes what students need to know about the medication.  On the right side, place the information that you retrieve there. For any references that you use, make sure that they are evidence-based and current.  

Medication 

Put Medication Name Here—i.e.                      penicillin 

Classification

Mechanism of Action

Side Effects

Adverse/Life Threatening Side Effects

Are there any lab values to monitor with this medication? How often should the labs be monitored?

Drug-Drug Interactions (include herbal, over-the-counter, and prescription meds)

Patient Education 

Any additional information related to medication

 

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