Watch the TedTalk, “What the US health care system assumes about you”.
Please answer the following questions:
What were your thoughts regarding the TedTalk?
What are some ‘assumptions’ that were mentioned in the video?
What are examples of barriers that individuals may face when it comes to accessing healthcare?
In your opinion, what are some strategies that can be implemented within the healthcare system in order to better meet the needs of low-income patients?
Category: Health Care
Access to Healthcare as an Individual’s Right
Introduction
There are 4 different “moral arguments” that help to explain views on healthcare provision. Below is a brief definition of each.
Utilitarian moral argument: to maximize the good and minimize the bad.
Egalitarian moral argument: to act on the principle that all people are created equal.
Contractarian moral argument: to act on the value of fairness (without bias).
Libertarian moral argument: to act on the value of freedom.
Your Tasks
Task 1- Original Post
Please respond to the following questions:
How would you explain access to healthcare and healthcare coverage as an individual’s right?
You will need specify at least one of the above moral arguments in answering this question. (10 points, 3 for specifying and explaining at least one moral argument)
In what ways is healthcare a privilege (whether actual or perceived)?
Building a Health History with Cultural and Diversity Awareness
Case Study
SD is a 37 y/o healthy Hispanic female seen in the Emergency Department with bruises and an
arm laceration after a fall. Her husband is at the bedside. This is her second time in the last 6
months coming to the Emergency Department for care. She is undocumented and waiting for
residency to come through after marrying her current husband.
Assignment: Building a Health History With Cultural and Diversity Awareness
Include the following:
• Explain the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Be specific.
• Explain the issues that you would need to be sensitive to when interacting with the patient, and why.
• Describe the communication techniques you would use with this patient. Include strategies to demonstrate sensitivity with this patient. Be specific and explain why you would use these techniques.
• Summarize the health history interview you would conduct with this patient. Provide at least five (5) targeted questions you would ask the patient to build their health history and to assess their health risks. Explain your reasoning for each question and how you frame each for this specific patient.
• Identify the risk assessment instrument you selected, and then justify why it would be applicable to your assigned patient. Be specific.
Impact of Lifestyle on Young Adult Mortality: A Focus on Heart Disease and Unintentional Injuries
You may recall learning earlier in the course that the 10 leading causes of death in the United States have changed considerably since the 20th century. Many of the risk factors associated with the leading causes of morbidity and mortality in adults in the U. S. currently are associated with health behavior and lifestyle choices. Community health workers must understand the health profile and common lifestyle and behavioral patterns of specific age groups in order to develop and offer effective primary, secondary and tertiary intervention programs and strategies. However, getting people to change their behavior can be a “hard sell’
1. Choose a specific age group as identified in this week’s readings – Adolescent, young adult, or adult
2. Go to this website to view the current facts on the 10 Leading Causes of Death in the U. S. http://www.cdc.govinchs/fastats/leading-causes-of-death.htm (opens in new tab)
3. Choose 2 causes from the Leading Causes of Death list that can be considered diseases of lifestyle
4. In a paper of 500-600 words, discuss the lifestyle factors in your chosen age group that may be associated with the two causes of death you chose.
5. In your summary/closing of the paper, comment on why you think diseases of lifestyle are so difficult to prevent. In other words, why do the causes of death associated with diseases of lifestyle persistently rank so highly in the U. S.?
Optimizing Evidence-Based Practice (EBP) in Healthcare through Leadership and Economic Models
How leadership and economic models of health care can be used to optimize EBP to improve patient outcomes.
Describe how leadership and economic models of healthcare can be used to optimize EBP and improve patient outcomes. I
Case Study Analysis of J.C. with Pancreatic Adenocarcinoma
J.C is an 82-year-old white man who was evaluated by GI specialist due to abdominal discomfort, loss of appetite, weight lost, weakness and occasional nausea.
Past Medical History (PMH):
Patient is Diabetic, controlled with Metformin 500 mg by mouth twice a day, Lantus 15 units SC bedtime. Hypertensive, controlled with Olmesartan 20 mg by mouth once a day. Atrial Fibrillation, controlled with Rivaroxaban 15 mg by mouth once a day and bisoprolol 10 mg by mouth once a day.
Labs:
Hb 12.7 g/dl; Hct 38.8% WBC 8.2; Glycemia 74mg/dl; Creatinine 0.8 mg/dl; BUN 9.8 mg/dl; AST 21 U/L ALT 17 U/L; Bil T 1.90 mg/dl; Ind 0.69 mg/dl; Dir 1.21 mg/dl.
Diagnostic test:
Endoscopic Ultrasound of the Pancreas. Solid mass in the head of pancreas 4 cms, infiltrating Wirsung duct. The solid mass impress to infiltrate the superior mesenteric vein. Perilesional node is detected, 1.5 cms, metastatic aspect. Fine needle aspiration (FNA) biopsy: Ductal adenocarcinoma.
Case study questions:
Please name the potential most common sites for metastasis on J.C and why?
What are tumor cell markers and why tumor cell markers are ordered for a patient with pancreatic cancer?
Based on the case study described, proceed to classify the tumor based on the TNM Stage classification. Why this classification important?
Discussed characteristic of malignant tumors regarding it cells, growth and ability to spread.
Describe the carcinogenesis phase when a tumor metastasizes.
Choose the tissue level that is affected on the patient discussed above: Epithelial, Connective, Muscle or Neural. Support your answer.
Necessity of Adaptability in Health Care Business Strategy
In the Topic 5 assignment, you discussed barriers that could cause a need to change your plan. Discuss why a change such as this could be essential to the success of your business plan. What would happen if you do not alter your plan when a barrier is presented? Is it possible to still be successful?
Managing Health Care Business Strategy
Moseley, G. B. (2017). Managing health care business strategy (2nd ed.). Jones & Bartlett. ISBN-13: 9781284081107
Enhancing Patient-Centered Care: The Role of Mindfulness in Nursing Practice
Professional nurses rely on research findings to inform practice decisions; they use critical thinking to apply research directly to specific patient care situations.
Think about an independent nursing practice problem you care passionately about and would be interested in searching for evidence.
The problems below should not be used:
*medical/doctor/physician problems such as medications, or medications administration or effects, diagnostics such as EKGs, labs, cardiac catherizations.
*staffing, nurse-to-patient ratios, workforce issues are organizational/system /political/administrative/multi-stakeholder problems which nursing cannot solve independently.
Review the Week 3 PPE Worksheet assignment and choose a topic area, as the Check-In instructor feedback is to be used to assist you in your PICOT development and thinking in Week 3.
Choose a significant nursing clinical issue, topic of interest, or practice problem that is important to you.
Develop your clinical question in the PICO(T) format for your nursing practice problem.
*To develop your clinical question in the PICO(T) format, use the NR439_Guide for writing PICOT Questions and Examples found in your Week 2 Lesson or access the following link: NR439_Guide for writing PICOT Questions and ExamplesLinks to an external site.
The Media Landscape: Biased Reporting and the Rise of Social Networks
Many experts see the media as biased and more like infotainment. In fact, many people have turned to social networks as an outlet for news instead of CBS, NBC, FOX, CNN and other news stations. Do you see this as an issue? Do you see the news as biased or unbiased? Should there be more restrictions on the news stations?
Be sure to make connections between your ideas and conclusions and the research, concepts, terms, and theory we are discussing this week.
Gun Control Laws in California and Their Impact on Healthcare
Briefly discuss your states laws regarding gun control and its impact on healthcare.