comment tania

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  I NEED A POSITIVE COMMENT BESED IN THIS ARGUMENT. PLEASE USE YOUR OWN WORDS TO DO THE COMMENTS. BETWEEN 150-200 WORDS.

 

Another important element is the state of the health care services that are provided; they need to be of high quality despite the wide coverage. This is done by excluding the pre-existing conditions of discrimination and prohibition of non-important elements. Through this, some of the provisions offered are not only enhanced, but also comprehensiveness is achieved. State flexibility is the other element, and hence some of the programs need to be established so as to ensure that the low income individuals are in a position to access the services.
 

 Still focusing on the elements, there is the aspect of public programs, which ensure that the roles are achieved. This mostly comes with the adjustment of some of the sub programs in order to ensure that there is improved access to proper health care. Additionally, new patient models need to be developed; this is based on the increased number of patients. Since the number of people is large, then it is important to ensure that the models available cater for the patients. From this, the medical terms are addressed, and therefore some of the limitations are avoided.
 

 As mentioned earlier, the healthcare affordable act ensures that services provided are more than efficient, and therefore this requires most efficient people to be present. This cuts across the health care providers, in this case, we shall focus on the nurses. To begin with, it is their role to ensure that tests are done in the right procedures, and hence better health care is fostered. This not only offers the faster recovery to the patients but also results in the success of the health facility at large.    Another role comes hand in hand with the treatment services, which are rendered in the facility. The nurses are influential and hence when it comes to the implementation law, they play the role of patient safety. The main aim of the health care models and programs is to improve the traditional system to ensure that patients receive the most affordable quality services.
 

 Another role is to ensure that there is coordination; this comes from the aspect of engaging with the other health care providers as well as ensuring that the patients are also involved. This means that without coordination nothing can be done and more so the health system could be subjected to failure. However, with the nurses, the transition is possible, and more so the services offered are not only relevant but also they offer assurance to the patients. More so, when it comes to the roles, the nurses bring out the aspect of responsibility and hence through the engaging done they are in a position to enhance effectiveness.
 

 Nurses play the role of a leader, and it is due this that they are able to improve some of the areas, which are not considered essential. Out of this, they not only discharge patients that are better in terms of the health status but also they are able to reform the society. To sum up, the key role of the nurses is to offer efficiency and engage in all efforts that are possible this is important since it ensures that the patients receive their rights as citizens.
 

 References

comment patricia

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 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT. BETWEEN 150-200 WORDS.

 

All populations have some risk, but risks for multiple illness conditions and premature death are much higher for specific populations. Community health nurses need to explore the multiple factors that contribute to health disparities among vulnerable portions of the population. Vulnerability is the predisposition or susceptibility to injury, illness, or premature death. To improve health status and reduce risk in high-risk populations, nurses must work with communities to identify and change, where possible, the factors that contribute to the populations’ vulnerability (Maurer & Smith 2013 paga 398).

The awareness of groups “at risk” for poor health differs from vulnerable populations. “A population at risk is a population with common identified risk factor exposure that poses a threat to health (Stanhope & Lancaster, 2014 pg 189). For instance, a population at risk for cardiovascular disease consists of all adults who are overweight and hypertensive. A population at risk is characterized by homogeneously high level of exposure to a single risk factor and all individuals in an “at risk” group can potentially develop an adverse health condition due to some risk factor. For example,  smoking, which places all smokers at risk for developing lung cancer.

 A vulnerable population is a “subgroup of the population that is more likely to develop health conditions for which they are at risk, which makes them more vulnerable” (Stanhope & Lancaster). For example, an individual with chronic condition such as cancer may already have difficulty managing his/her condition and have less physical ability to cope with stress than someone without such condition, thus putting them at risk for developing other comorbidities. Therefore, vulnerability results from the combined effects of limited resources, which create a more hazardous situation (Stanhope & Lancaster.

Living in a community with limited resources affects vulnerability in many ways. Those who are poor are faced with many risk factors that cause chronic stress. For Example, violence, barriers to health care and bills. Thus impacting their abilities to effectively respond to stressful situations.  Lack of knowledge, resources, skills and language barriers can further negatively impact the ability to overcome stress producing situations. The goal for nurse is to represent vulnerable population and help them solve problems and develop solutions for their situations. For example, elderly groups, they are vulnerable to emotional, physical health and socioeconomic problems. Those who are mentally and physically disable and do not speak English and are financially burden all need assistance to at take advantage of and utilize services and programs that may benefit them. In the role of advocacy, nurses should collaborate with the elderly and develop understanding of their values and perception and help the achieve independence through effective education and access to resources.

 

Maurer, F., Smith, C. (201). Community/Public Health Nursing Practice, 5th Edition. [VitalSource Bookshelf Online]. Retrieved from http://evolveebooks.elsevier.com/#/books/978-1-4557-0762-1/

Stanhope, M. & Lancaster, J. (2014). Public Health Nursing: Population-Centered care in the community (8th ed). Retrieved from http://books.google.com

comment melissa

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  I NEED A POSITIVE COMMENT BESED IN THIS ARGUMENT. PLEASE USE YOUR OWN WORDS TO DO THE COMMENTS. BETWEEN 150-200 WORDS

 

Recent studies show that health care spending growth has regularly outdone the economic growth of the United States (Levitt, 2014).  Also shows that health care spending is much higher than countries that are as wealthy as the United States (Levitt, 2014).  Even though the United States spends more on health care the result is not better health or living longer. 

The main reason we need reform healthcare is the cost.  People cannot afford health insurance and is the number one cause of someone filling bankruptcy. Even preventive care is unaffordable for hard working people.   Most people that are low income have to resort obtaining health care in the emergency room, thus increasing cost even more.  Data shows that the most of the cost is health care is accrued in the first ten days and last ten days of life (Amadeo, 2017).  The advance in medical technology is affecting the viability of premature babies and ways to extend elders lives, thus costing more money.  Another reason why healthcare cost is so expensive is the increased number of malpractice lawsuits thus requiring the physicians to order test that are not necessary just to protect them from getting sued. Also cost of health care is high due to less price competition, people usually do not pay cash for health care so they do not negotiate cost.   It is estimated that in the year of 2030, payroll taxes will be able to cover only 38% of Medicare costs, thus increasing the federal budget deficit (Amadeo, 2017).  With health care reform cost of insurance will be lessened and it will enhance the quality of care provided by developing wellness and disease prevention programs, and prevent healthcare fraud.  Data shows that between 3-10% ($60-$200 billion) is lost to fraud each year (Amadeo, 2017), thus increasing healthcare cost even more.

 

Amadeo, K. (2017). Why Reform Health Care. The Balance. Retrieved from https://www.thebalance.com/why-reform-health-care-3305749

 

Levitt, L., Claxton, G., Cox, C., Gonzales, S., Kamal, R. (2014).  Assessing the Performance of the U.S. Health System. Peterson-Kaiser Health System Tracker. Retrieved from http://www.healthsystemtracker.org/insight/assessing-the-cost-and-performance-of-the-u-s-health-system/

comment nelly

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  I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT. BETWEEN 150-200 WORDS

 

The ANHE (n.d) defines risk as the chance of harmful effects to human health or to the ecological system that result from exposure to an environmental hazardous. An environmental hazard is any physical, chemical, or biological entity that causes harm. According to AJMC (2016) vulnerable populations include economically disadvantages, racial & ethnic minorities, the uninsured, low income, the elderly, and the homeless. Risks as well as vulnerability effect individual’s health.

 

ANHE (n.d.) states that there are risks that can be changed as others that can’t. The factors that cannot be changed are gender, age, and ethnicity. The factors that can be changed are habits that predisposes one to harmful health effects. For example, a group at risk for poor health can be a group of individuals that choose to smoke regardless of the risks. This group is able to financially support their habit as well as pay for health coverage. They are enrolled in health coverage to take care of the illnesses that may arise from their smoking habits. AJMC (2016) reports that homeless individuals are vulnerable for poor health. Homeless individuals usually do not have insurance, cannot afford medical treatment, live in bad living conditions that predisposes them to health problems. Homeless individuals are usually combating some type of mental or drug problem. The majority of people discriminate against the homeless. This affects the help offered to this group of individuals. They usually give up in life and do not try to advocate for themselves. They believe they will always be discriminated and be belittled. This group of individuals should be respected and more resources should be offered. This could decrease their risk for health problems.

 

Although not all risk can be changed, there are ones that can. Changing behavioral habits can decrease one’s risk for poor health. On the other hand, being vulnerable to poor health is harder to combat. There has to be equally opportunities such as adequate housing, schooling, income, medical treatment, and equal treatment despite ethnicity.

 

References

AJMC. (2016). Retrieved from http://www.ajmc.com/journals/supplement/2006/2006-11-vol12-n13Suppl/Nov06-2390ps348-s352

ANHE. (n.d.). Retrieved from http://www.environ.org/pg/pages/view/1345/risk-and-vulnerability

Post@5

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  • Hello i need a good and positive comment related with this argument .A paragraph  with no more  90 words.

  • Karen Byfield 

    3 posts

    Re:Topic 3 DQ 1

    A person can be at risk for poor health but not considered vulnerable (Maurer, pg. 528). A person’s lifestyle, life choices, or disease processes that they are presented with can place them in the at-risk group for poor health. A middle aged employed male patient who is obese, has hypertension, and a smoker is at risk for poor health due to the fact that there are life choices and medical treatments available.  A vulnerable group is one that is more apt to develop and health problem, but have a difficulty accessing health care and the outcome is a shorter life span (Maurer, pg. 528). A group that is part of the vulnerable population is the poor, homeless, disabled, mentally ill, very young, and very old (Maurer, pg. 528). A single mom with a new baby who is homeless would be a part of the vulnerable population.

    The vulnerable population group can create a spiral affect within itself. If a family becomes poor; they can become homeless. If they have a young child or an elderly parent within the family dynamics, then the situation becomes that much worse. If one of the individuals within the household has a mental illness or is disabled, then the effects are even more increased. This group has a hard time obtaining basics and thus may need to choose between seeking medical care and these basic necessities (Maurer, pg. 530).  If there is a way to help break this cycle, then that would be beneficial to humanity as a whole and worth advocating for these vulnerable population groups. There is a need for a way that this group doesn’t need to choose between food and medical care. The system that is in place is broken. There has to be a better solution to help this vulnerable population

MATH222 WK5

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  1. Relations and Functions
     
    In this discussion, you will be assigned two equations with which you will then do a variety of math work having to do with mathematical functions. Read the following instructions in order and view the     example to complete this discussion. Please find the two equations assigned to you in the table below:
     

If the last letter of your last name is

On pages 708 – 711, solve the following problems

A or B

22 and 30

C or D

24 and 32

E or F

26 and 34

G or H

28 and 36

I or J

12 and 46

K or L

14 and 48

M or N

16 and 50

O or P

18 and 52

Q or R

20 and 54

S or T

2 and 56

U or V

4 and 58

W or X

6 and 60

Y or Z

8 and 64
  1.  
    • First, graph your functions so you can clearly describe the graphs in your discussion. Your graph itself is not required in your post, although the discussion of the graph is required. Make sure you have at least five points for each equation to graph. Show all math work for finding the points.
    • Mention any key points on the graphs, including intercepts, vertex, or start/end points.  (Points with decimal values need not be listed, as they might be found in a square root function. Stick to integer value points.)
    • Discuss the general shape and location of each of your graphs.
    • State the domain and range for each of your equations. Write them in interval notation.
    • State whether each of the equations is a function or not giving your reasons for the answer.
    • Select one of your graphs and assume it has been shifted three units upward and four units to the left. Discuss how this transformation affects the equation by rewriting the equation to incorporate those numbers.
    • Incorporate the following five math vocabulary words into your discussion. Use bold font to emphasize the words in your writing (Do not write definitions for the words; use them appropriately in sentences describing the thought behind your math work.):
       
      • Function
      • Relation
      • Vertical Line test
      • Transformation
  2. Your initial post should be at least 250 words in length. Support your claims with examples from required material(s) and/or other scholarly resources, and properly cite any references. Respond to at least two of your classmates’ posts by Day 7. 

comment nelly

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  I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT..BETWEEN 150-200 WORDS

 

It’s been 17 years since Haiti was hit with a 7.0 magnitude earthquake. This earthquake took the life’s of more than 220,000 people and injured approximately 330,000 others. Many individuals lost their life, loved ones, limbs, job, home, and tranquility. Haiti being one of the poorest and undeveloped countries predisposed its occupants to a great risk. Many individuals believe that the many catastrophic effects could have been lessened or prevented.

 

To start off, primary prevention measures should have been taken. This consist of earthquake awareness and preparedness. According to Jones, (2010) Haiti did not have a seismologist. A seismologist is one that studies the seismic waves, energy waves caused by rocks suddenly breaking apart within the earth or the slipping of tectonic plates. Seismologist use graphs and computers equipment to collect and analyze data on seismic events. They predict earthquakes and tsunamis. It was after the earthquake that they incorporated the use of seismologists, improvements of seismic hazard maps were done, and earthquake awareness campaign took place.

 

Secondary prevention could consist of emergency equipment on hand. Emergency equipment can be the use of bottled water, antibiotics, first aid equipment, and tetanus immunizations. This could help prevent the outbreak of cholera and tetanus. Due to the large amount of injuries caused by debris and unsanitary conditions, individuals are prone to developing tetanus and other illnesses.

 

Tertiary prevention can be the use of medical counselors/therapists to help individuals cope with the aftermath of these disasters. Experiencing a catastrophic event can lead to much pain, suffering, anxiety, insomnia, and many other problems. Individuals need to be able to be heard, express their feelings and concerns. Receiving therapy can help alleviate these symptoms and help individuals cope with their losses.

 

I believe that all these interventions can be proposed during the primary prevention phase. There has to be a plan ahead of time that will incorporate all important things needed. Looking out for individuals as a whole is very important and beneficial to their wellbeing. One can discuss these things with organizations as the Red Cross, CDC, and UNICEF. These organizations offer much help in disasters and prevention of illnesses.

 

References

Jones, N. 2010. Haiti to improve quake preparedness. Retrieved from http://www.nature.com/news/2010/101213/full/news-2010.670.html

 

 

Post@6

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  • Hello i need a good and positive comment related with this argument .A paragraph  with no more  90 words.

  •  Deactivated

    Tammy Wagner 

    2 posts

    Re:Topic 3 DQ 2
    The community health nurse needs to be open to different cultures.  We have all heard this statement, “They are in the U.S. and so they should learn to conform”.  In our interactions with people, their health is of upmost importance.  To be able to provide care, the nurse must be able to provide culturally consistent, suitable, and meaningful nursing and health care.  This will help to eliminate misunderstandings and miscommunications (Maurer & Smith, 2013, p. 268).  We will not know everything about all cultures, however, over time we will add more and more to our cultural competence suitcase.

     

    Cultural preservation maintains the importance of the specific culture.  In the Native American culture, the placenta is often saved and used in ritual planting of a tree.  In looking at the placenta, you can see the symbolic tree of life in the veins and arteries of the placenta.  By asking about this preservation ritual before throwing the placenta away, you show a cultural competence and respect for the patient’s culture.  

    Cultural accommodation is including aspects of culture into western practice if it is not harmful.  In the Gypsy culture, childbirth is viewed as unclean.  Many of their women will receive prenatal care through their midwives in their village and only go to the hospital for the birth so as not to make their home unclean.  They believe in the support of the village.  When we had a patient come in to give birth, she arrived with no less than 15 people to attend the birth.  The OB was not happy with this and tried to empty the room until the nurse took charge.  The number of people was reduced but the majority remained with an understanding that if an emergency came up they would need to exit the room.  Once the OB understood the cultural relevance, he could take a step back and allow for this ritual. 

    Cultural repatterning is changing a harmful health practice while still respecting the culture.  In L&D, we see the practice of female genital cutting.  This is practiced in 28 African countries as well as other areas.  Genital cutting is the excision of part or all the female external genitalia for non-medical reasons.  This takes place around the age of 14.  The negative outcomes are many.  Women’s groups and human rights activist have placed this as a high priority to stop this harmful practice.  Community education is key to increase public awareness.  Harmful traditions seem impossible to change.  Through policy makers, community leaders, and education the message will get out there (Hersh, 1998).

    Cultural brokering is the intervening for the patient, providing the appropriate care.  An example of this would be the young Hispanic girl that comes to the hospital to have a baby, her family refuses to sign for the epidural.  They believe that the epidural could have negative long lasting effects on her back.  They also believed that this young girl needed to be taught a lesson, through the pain, maybe she would not have sex again before marriage.  This type of withholding medication is not allowed, the patient could sign for her own epidural even though she was a minor.   We could provide the best care for her.  The barrier is the families wishes were not observed. 

comment patricia

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  I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT. BETWEEN 150-200 WORDS

 

A geopolitical community is defined by Maurer & Smith
(2013, pg 396)  as “a spatial
designation, a geographical or geopolitical area or place. It can either be
formed by manmade boundaries such as a street, bridges, highway, or by natural
boundaries like mountains.

 

I live in Philadelphia, PA and my boundaries are set by the
Bensalem area. Phenomenological community is where I liv. I live in a middle
class working neighborhood with stores and  twin houses. The families have children
ranging from newborns to teenagers. 
Neighbors are to themselves, quiet suburban area.. My neighborhood is a
bit diverse with plenty whites, Asians, Indians, blacks and hispanics. A
phenomenological community exists because the people in it have a common
interest. All of us live in a geopolitical community and many of us are part of
a phenomenological community (Maurer & Smith, 2013). For instance, my job
is where I work, I have friends as well as coworkers there and we all have one
common goal, to take care of our patients.

 

Challenges for nurses may arise when dealing with a
community that has a high crime rate, cultural differences, language barrier
and other issues as opposed to another community. The nurse need to gather data
and use theory such as community as Partner model and energy model.  Which is used to conduct community
assessment. Both views see the community as a network (Maurer & Smith
2013).  If the nurse utilize these
models, it will address certain issues and concerns in the community. Looking
at the community with these models are able to determine where the needs are.
It’s important to understand customs, beliefs and use community strength when
planning an intervention for community.

 

Reference:

 

Maurer & Smith (2013). Community/Public Health Nursing
Practice, 5th Edition. Pg 396- 399.Retrieved from
https://online.vitalsource.com/#/books/978-1-4557-0762-1/content/element/32167?locs[]=316-7&locs[]=324-11&q=spatial+designation+

COMMENT ALISSA

/in /by

 

 I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT. BETWEEN 150-200 WORDS

 

The comprehensive health assessment of a geriatric patient should be a clear, organized, and understandable document covering physical assessment findings, the client’s health history, and the client’s family background (Grand Canyon University [GCU], 2012). 

While assessing geriatric patients, nurses should pay attention to hearing and vision loss, as these are two things expected to diminish as clients age (GCU, 2012).  Sometimes loss of hearing or vision may be misinterpreted as loss of cognition, so it is important to be able to tell the difference.  Loss of cognition is not a normal part of the aging process; if it is noted during the assessment, this may be an indication of delirium, dementia, or depression (GCU, 2012). 

Physical changes that may be noted when assessing geriatric patients are: decrease of subcutaneous fat and muscle tone, altered gait, decreased height, and decreased mobility (GCU, 2012).  All of these may also indicate lack of proper nutrition, and since elderly clients are at higher risk for inadequate nutrition it is important to assess the client’s intake.  Caloric needs decrease as clients age, but it is an important assessment finding and nurses should do their best to ensure elderly clients are eating enough.

Skin should be assessed for breakdown, changes in texture, color, rashes, itching, and lesions, bruising, moles, and birthmarks.  Skin diseases are common in geriatric patients (GCU, 2012).  Remember to use the ABCD acronym when assessing moles (Asymmetry, Border, Color, Diameter) as these can be the first indication of skin cancers (GCU, 2012).  While skin loses its elasticity, it may become wrinkled and a little saggy.  Check mucous membranes for signs of dehydration. 

It is normal for hair to be thin and gray or white in color.  Nails should be flat or slightly curved; clubbed nails may indicate heart or pulmonary disease (GCU, 2012). 

Another important aspect of the geriatric assessment is to look at all the patient’s medications.  This is something that may be difficult for many older clients.  It is very important to review their medications with them and be sure they know how and when to take each one.  Many older patients are on several medications, and when seeing more than one provider ptients can easily be prescribed similar medications at once, or be prescribed medications that may interact with each other.  Patients should bring all of their medications to their appointments and go over each one with their provider.

Reference

Grand Canyon University. (2012). Health assessment of the older adult. Retrieved from https://lcugrad1.gcu.edu/learningPlatform/user/users.html?operation=loggedIn#/learningPlatform/loudBooks/loudbooks.html?viewPage=current&operation=innerPage¤tTopicname=Health Assessment of the Older Adult&topicMaterialId=11e92c9f-854b-4580-aecb-831f4476212b&contentId=d43a7a2f-d11b-46c1-a5a1-55d7459eaa28&