2025 Directions For this Assignment you will distinguish between Medicare and Medicaid Your assignment

Unit 4 Assignment 2025

Directions For this Assignment, you will distinguish between Medicare and Medicaid. Your assignment must include the following topics: Provide a brief history of both Medicare and Medicaid. Define the populations that they are intended to serve. Determine whether your state has expanded Medicaid. Articulate the reasons that states choose not to participate in Medicaid expansion. Analyze your role in your specialized area of nursing practice when interfacing with Medicare and/or Medicaid recipients. The word count, excluding the title page and references page, will be 800–1200 words. You must include a minimum of (5) different scholarly references.

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2025 Mr Sweet 38 years old is brought to the Emergency Department unresponsive He has a history

Bio 2025

Mr. Sweet, 38 years old, is brought to the Emergency Department unresponsive. He has a history of Type 1 diabetes and has been sick for the last 3 days. On admission his Blood sugar is 532, Potassium is 7.2 and ABG results include pH 7.08, Bicarb 12, and CO2 28. His VS are HR 116, BP 107/64, RR 36 Deep and rapid, and Temp 101.5. Answer the following questions What interventions do expect to be ordered for Mr. Sweet? Why? What type of acid-base disturbance does he have? What do you think is Mr. Sweet’s Medical Diagnosis? Emergency Contraception: A16 year old reports to the local Family Planning clinic with concerns regarding pregnancy. She relates she had unprotected intercourse 2 nights ago and believes she may be ‘fertile’. She wants to learn more about the ‘morning after pill’ What additional information should you obtain from her? What do you know about emergency contraception and the side effects? What educational points should you provide to her?

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2025 Scenario As a manager on a medical surgical unit part of the job responsibility includes chart audits A trend noted

Nur 2025

Scenario As a manager on a medical surgical unit, part of the job responsibility includes chart audits. A trend noted during the most recent audit was the overuse of the term “dementia.” The nurse manager notes that there may be a lack of understanding between the types dementia as related to neurological diseases. The nurse manager developed a survey to evaluate the staff’s understanding of the different types of dementia. As a result of the survey, you have been asked to create a PowerPoint presentation to increase the nurse’s awareness of the types of dementia a presentation was created. Instructions Choose one of the following topics for a focused presentation: Alzheimer’s Parkinson’s Vascular Dementia The presentation should include the following: Pathophysiology Etiology & incidence Health promotion and maintenance History/Risk factors Physical signs and symptoms Changes in cognition Changes in behavior & personality Changes in self-management skills Diagnostics: laboratory and imaging assessment Planning and implementation Interprofessional Collaborative Care Psychosocial integrity Medications Safety considerations Using Ignatavicius and one additional resource, develop a presentation to enhance the nurses’ knowledge of the differences between types of dementia and delirium. Be sure to document your source(s) in your presentation.

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2025 Scenario As a manager on a medical surgical unit part of the job responsibility

Nur 2025

Scenario As a manager on a medical surgical unit, part of the job responsibility includes chart audits. A trend noted during the most recent audit was the overuse of the term “dementia.” The nurse manager notes that there may be a lack of understanding between the types dementia as related to neurological diseases. The nurse manager developed a survey to evaluate the staff’s understanding of the different types of dementia. As a result of the survey, you have been asked to create a PowerPoint presentation to increase the nurse’s awareness of the types of dementia a presentation was created. Instructions Choose one of the following topics for a focused presentation: Alzheimer’s Parkinson’s Vascular Dementia The presentation should include the following: Pathophysiology Etiology & incidence Health promotion and maintenance History/Risk factors Physical signs and symptoms Changes in cognition Changes in behavior & personality Changes in self-management skills Diagnostics: laboratory and imaging assessment Planning and implementation Interprofessional Collaborative Care Psychosocial integrity Medications Safety considerations Using Ignatavicius and one additional resource, develop a presentation to enhance the nurses’ knowledge of the differences between types of dementia and delirium. Be sure to document your source(s) in your presentation.

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2025 For this assignment please refer back to the Managing the Patient Experience

Managing The Patient Experience 2025

For this assignment please refer back to the Managing the Patient Experience case found on pp. 420-422 in your text. In 1 to 1 and 1/2 pages please answer fully the following question Identify at least three coordination methods discussed in this weeks readings and explain hoe each be used to coordinate patient experience work at the Academic Medical Center. Your submission should be completed as a WORD document using double spacing and 12-point typeface. The assignment is due Saturday by 11:59 pm.

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2025 Reply 1 Jean Watson s Theory of Caring focuses on the promotion of health prevention

Reply 1 And 2 ,150 Words Each By 10/8/2021 At 6:00 Pm 2025

Reply 1 Jean Watson’s Theory of Caring, focuses on the promotion of health, prevention of disease, taking care of patients, and getting them back to their baseline (No author, 2020). To accomplish this, Watson believed in the importance of holistic caring, where the focus is on the whole of the patient. There are seven assumptions that the theory of caring focuses on; Caring is done through interpersonal relationships. Caring is meeting the needs of the patients. Caring helps enhance the health of the patient and their family members. Caring is looking at who the patient is and who the patient is to be. Caring involves an environment where the patient can thrive and make choices for themselves. Caring goes hand in hand with curing the patient. Caring is the focus of the field of nursing (PSYCH-MENTAL HEALTH NP, 2020). This theory allows the nurses to create and work within an environment focused on the patient. By allowing this to take place, patients begin to trust the provider and become more accepting of the care provided to them. This trust leads to the healing of the patient in a physical, mental, emotional, and spiritual context. References: No author. (2020, July 21). Watson’s philosophy and science of caring . Nursing Theory. Retrieved from https://nursing-theory.org/theories-and-models/watson-philosophy-and-science-of-caring.php. PSYCH-MENTAL HEALTH NP. (2020, July 21). Watson’s philosophy and science of caring . Nursing Theory. Retrieved from https://nursing-theory.org/theories-and-models/watson-philosophy-and-science-of-caring.php . Reply 2 By definition, a middle-range theory of nursing is more specific than Grand Nursing Theories and is often used to expose the more abstract grand nursing theories. Because it is more easily tested. It is often used to explain and predict particular phenomenon in clinical practice. Peterson defined a phenomenon as a reality designation (Peterson & Bredow, 2017, pg 1). One theory that I believe is particularly applicable to research is Katherine Kolcaba’s theory of comfort. Peterson defined comfort as the experience of gaining strength through having one physical, psychospiritual, sociocultural, and environmental needs met through relief, ease, and transcendence (Peterson & Bredow, 2017, pg 196). Kolcaba explained that ease is a state of calm or contentment; relief as the meeting of specific comfort needs; and transcendence as when one rises above problems or pain (Peterson & Bredow, 2017, pg 197). Coelho, Parola, Escobar-Bravo, and Apóstolo (2016) used Kolcaba’s theory of comfort to analyze the impact of comfort in palliative care. First, the authors looked at the factors that affect a patient’s comfort experience, which included physical and psychological comfort. It was explained in the article that the psychological aspects of comfort are often overlooked and not fully delivered to patients. Next, the authors analyzed how patients experienced comfort in a palliative setting from the patient’s perspective. The study intended to understand what prevents the patients from receiving comfort to create and execute comfort interventions. Reference Coelho, A., Parola, V., Escobar-Bravo, M., & Apóstolo, J. (2016). Comfort experience in palliative care: a phenomenological study. BMC palliative care, 15, 71. https://doi.org/10.1186/s12904-016-0145-0 Peterson, S. J., & Bredow, T.S. (2017). Middle range theories: Application to nursing research (4th ed.). Wolters Kluwer

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2025 Required Resources Read review the following resources for this activity Textbook Chapter 12 Lesson 1 2 Link library article The

Comperative Reasoning 2025

Required Resources Read/review the following resources for this activity: Textbook: Chapter 12 Lesson 1, 2 Link (library article): The Doctors’ Choice is America’s Choice”: The Physician in US Cigarette Advertisements, 1930-1953 (Links to an external site.) Link (article): The Opioid Epidemic: It’s Time to Place Blame Where It Belongs (Links to an external site.) Minimum of 1 scholarly source (in addition to the textbook and noted readings) Introduction The medical profession has a muddled and contradictory association with its approach toward the tobacco industry. While the profession now firmly opposes to smoking and vigorously publicizes the serious, even fatal, health hazards associated with smoking, this was not always so. Advertisements for tobacco products, including cigarettes “… became a ready source of income for numerous medical organizations and journals, including the New England Journal of Medicine and the Journal of the American Medical Association (JAMA), as well as many branches and bulletins of local medical associations” (Wolinsky & Brune, 1994). Physicians and reference to doctors and smoking were once common in tobacco industry advertisements. The story of physicians and promotion of smoking can be found in “The Doctors’ Choice Is America’s Choice” (Gardner & Brandt, 2006). The role of physicians in the current opioid crisis is now under scrutiny on television (Farmer, 2019) by trade publications (King, 2018), peer-reviewed journals (deShazo, et al, 2018), and by physicians themselves (Hirsch, 2019). Initial Post Instructions For the initial post, research the history of the association of doctors with tobacco companies and tobacco advertising. Read about the association of doctors with the opioid crisis. Then, address the following: In what way are the two situations comparable? In what way are they different? Apply the concept of moral equivalence. Is the conduct of doctors in relation to smoking and the tobacco industry morally equivalent to the conduct of doctors in the opioid crisis? Explain your position and be very specific.

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2025 Yirlem QD1 The development of a study utilizing qualitative research design requires the choice of

Reply Discussion 2025

Yirlem: QD1. The development of a study utilizing qualitative research design requires the choice of a specific type of research and methods of collecting data and selecting the sample. I would like to investigate a social phenomenon. Thus, the type of this study will be phenomenological research. I will research the social phenomenon from the perspective of those who have experienced it. Thus, there is a need to choose a particular population that is affected by the chosen issue. The information from participants must be collected in an effective manner as well(Crossman, 2020). In terms of sampling, I would like to use the strategy of purposive sampling. Qualitative research focuses on attributes and relationships in a population. The selected sample has to help in discovering the meanings and multiple realities (Polit, 2017). The authors of the study have to establish the eligibility criteria for their work. Yirlen: QD2. Alcohol abuse may have severe consequences for the patient’s health, leading to life-threatening conditions. Patients often dismiss the reinforcing effects of their addiction, resulting in their emergent hospitalization. Frank is one of the patients who require immediate medical intervention as his alcohol abuse caused an inflammatory process in his stomach. If I were an ICU nurse, I would primarily pay attention to his epigastric pain that radiates to his back and severe abdominal pain. These symptoms indicate the presence of acute pancreatitis that may have even more severe symptoms. The patient’s bowel sounds are hypoactive, and it also accentuates the possibility of pancreatitis as the intestinal activity is disrupted. Moreover, I would consider such conditions as hypertension, respiratory viral infection, diaphoresis, and fever may all indicate alcoholic pneumonia Regarding treatment modalities, I would expect Frank to go through cognitive behavior therapy as alcohol addiction requires changes of his lifestyle to eliminate the inclination to alcohol abuse. Such an approach is beneficial for addictive behavior as it involves direct communication and self-analysis through it (Norris, 2021). Patients learn to analyze their thoughts and to differentiate between the positive and negative ones.

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2025 Initial Post Discuss pharmacological versus non pharmacological nursing interventions used for pain management

Pharmacological Vs. Non-Pharmacological Intervention 2025

Initial Post Discuss pharmacological versus non-pharmacological nursing interventions used for pain management during labor and birth. List two different classifications of drugs used for pain relief during labor and birth, and include potential side effects of the drugs on the fetus. Also, describe two nursing interventions by the nurse to provide comfort during labor and birth that could be considered as non-pharmacological and the expected outcomes.

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2025 Nursing has over 200 professional organizations special interest groups and coalitions dedicated to

Professional Advocacy Through Nursing Organizations 2025

Nursing has over 200 professional organizations, special interest groups, and coalitions dedicated to the interest of nursing. For this discussion: Examine a nursing organization to determine the political function of the organization. As we reflect on the state of nursing in our local, state, and national communities, we are able to identify a nursing shortage with the likelihood of continued deficit. Oftentimes, health policy is created and approved without input from nursing, which is one reason nursing organizations, nurse leaders, and nurse educators must work alongside each other to move forward with a deliberate strategic vision (Turale, 2019). I reviewed the Ohio Association of Advanced Practice Nurses (OAAPN) for this assignment. The political goal of the OAAPN is to support APRNs in their quest to provide the best possible care to the patients we serve. As a member, I receive updates on any changes or trends at the state and national level, as well as updates to the legislative activity the organization is working on. Discuss three legislative initiatives supported by the organization. The initiative getting the most attention in our state is House Bill 221, The Enact Better Access, Better Care Act. This is not the first go-round with this bill that looks to expand access to healthcare services by getting rid of Ohio’s Standard Care Arrangement (SCA The Coronavirus Aid, Relief, and Economic Security (CARES) Act is another legislative initiative that the OAAPN supports. This act increases access to care by reducing barriers, allowing APRNs to certify and recertify home health care services for Medicare patients, and expanded covered home care services such as skilled care, respiratory therapy, occupational therapy, and speech therapy. Another initiative we are discussing in our Advanced Practice Provider (APP) council is House Bill 191 which clarifies the scope of practice of Certified Registered Nurse Anesthetists (CRNA) to write orders and moves their practice forward. 3. Define your position on each of the initiatives and whether you agreed with the organization’s position and advocacy platform. HB 221- In Ohio, we practice independently, but still must have a collaboration agreement on file with the Ohio Board of Nursing (OBN) to practice. I am in complete support of the removal of the SCA. APRNs provide competent, compassionate, cost-efficient care, and removing the requirement to have an SCA with a physician will update the law and positively impact health policy. In rural areas of Ohio, often the only available provider is an APRN, and it is often difficult, and costly to find a physician willing to enter an SCA with them. That provides a significant challenge for patients when seeking care. (Peterson, 2017). CARES Act- I am in complete support of this initiative and recognize how impactful it has been in my quest as an APRN seeking home services for my patients. Prior to the CARES act, I would have to rely on my collaborating physician to sign off any home care orders that I placed. This often created a barrier to the timely implementation of needed services. This is one of many factors that negatively impact an APRN’s ability to successfully care for patients on their own panels. HB 191- Nationwide, there has been a growing initiative to allow all APPs to practice at the fullest extent of their license, and Ohio is no different (Poghosyan, 2017). I support this initiative and my APP colleagues in advancing the scope of their practice. The passage of this bill will allow efficient and cost-effective anesthesia care to all individuals, allowing CRNAs to practice in alignment with their education, experience, and APP peers Compose a Tweet that reflects your position on the legislative initiative, remembering the 140-character limit. Be concise. Share your Tweet in the discussion. Join #OhioAPRNs in promoting affordable, accessible quality #healthcare for all Ohioans. Learn more at #OAAPN Please let the house know #NPsRock REFERENCES Peterson M. (2017). Barriers to practice and the impact on health care: A nurse practitioner focus. Journal of the Advanced Practitioner in Oncology , 8 (1), 74–81. Poghosyan, L., Liu, J., & Norful, A. (2017). Nurse practitioners as primary care providers with their own patient panels and organizational structures: A cross-sectional study. International Journal of Nursing Studies , 74 , 1–7. https://doi.org/10.1016/j.ijnurstu.2017.05.004 (Links to an external site.) Turale, S. (2019). The contribution of nurses to health policy and advocacy requires leaders to provide training and mentorship. International Nursing Review , 66 (3), 302–304. https://doi.org/10.1111/inr.12550 I NEED A COMMENT FOR THIS DISCUSSION BOARD WITH AT LEAST 2 PARAGRAPHS AND 3 SOURCES NO LATER THAN 5 YEARS.

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