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2025 Instructions Find an article in your local newspaper I live in Miami about a local policy issue that affects
by adminCurrent Event. Local Issue 2025
Instructions Find an article in your local newspaper (I live in Miami) about a local policy issue that affects you. For example, an article concerning your county’s decision to privatize your trash collection service. Summarize the article and explain how this issue affects you. Is the article neutral? Why or why not? How might you influence this policy in the future? Be sure to include a scanned copy of the article in your submission in addition to citations. There are several free scannable apps on the market such as Scannable. If printing is an obstacle, you may include a hyperlink to the article. However, if the link breaks or can not be accessed the burden falls on you to produce that article or to risk losing points. Writing Requirements (APA format) Length: 3 full pages (not including title page or references page) 1-inch margins Double spaced 12-point Times New Roman font Title page References page
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2025 Assignment mod 3 Professional Development Assignment Description There are 4 parts to the
by adminAssignment mod #3 2025
Assignment mod 3 Professional Development Assignment Description: There are 4 parts to the assignment. Please place all four assignments into one paper. The different parts should be clearly marked so your professor knows which question you are addressing. Rewrite the following essays. Correct all errors in capitalization, spelling, and punctuation. Divide the passage into appropriate paragraphs. Essay #1: When my husband Joe had cancer surgery five years ago, each of his family members responded just as I knew they would. John, his father, decided to organize the family’s calls. Because, of course, everything would run so much more smoothly. Thus Jane, Matt, and Jim received detailed sheets of instructions in the mail. Telling them which days to telephone r.j. smith hospital to talk to Joe and what presents to send. Jane, enraged, promptly threw a tantrum. Calling Matt and me to complain about her father’s overbearing behavior. “I,” she yelled, “am a Psychiatrist who knows how to handle these situations, i am not still a child.” Matt also responded predictably. By avoiding the situation. He threw himself into his work. Normally a late sleeper, Matt took to leaving at 5:00 a.m., driving on the deserted expressway and arriving at work before six a.m. In addition, he didn’t return until 11:00 p.m. When he would fall into bed so exhausted that he couldn’t worry about Joe. Jim, too, responded predictably. He fumed inside for weeks, ignored John’s instructions, and sent cartons of books to Joe. So that he would never be bored. The books were funny. Because Jim had read Norman Cousins’ book about the healing power of laughter. Within a few months, Joe recovered from the surgery-in spite of his family Essay #2: Treatment of atrial septal defect depends upon the size and symptoms and therefore is individualized an atrial septal defect of less than 3mm usually closes spontaneously (The Merck Manual, 2006). When the defect is between 3mm and 8mm it closes spontaneously in eighty percent of cases by the age of eighteen months, however, atrial septal defects located in the anteroinferior aspect of the septum (ostium primum) or in the posterior aspect of the septum near the superior vena cava or inferior vena cava (sinus venosus) don’t close spontaneously. If the defect is very small does not close spontaneously and the patient is asymptomatic. The treatment may be simply too monitor via an annual echocardiogram. Of course their is a risk of patients’ becoming symptomatic. Moderate-sized atrial septal defects or larger or patients’ who are symptomatic require closure of the shunt this is usually done between the ages of 2 and 6 years. A catheter-delivered closure device, such as Amplatzer Septal Occluder or Cardio-Seal device. May be used for closure of atrial septal defects less than 13mm in size, except than primum or sinus venosus defects. If the defect is greater than thirteen milimeters or located near important structures. Surgical repair becomes necessary. If the atrial septal defect is repaired during childhood there mortality rates approach 0 and the patient’s life expectancy approaches that of the general population prior to surgical repair, patients may need to be treated with diuretics; digoxin; ACE inhibitor; or beta blockers to prevent congestive heart failure (Moser & Riegel, 2007). Following surgical repair patience will receive aspirin to prevent clots, and be monitored closely for dysrhythmias and pulmonary hypertension. Oxygen and nitric oxide therapy have proven to be beneficial in treating postoperative pulmonary hypertension. Also patients who have primum atrial septal defect will need endocarditis prophylaxis. Guided writing exercise: Think about a recent experience you have had that required you to use critical thinking skills. Set a timer for five minutes. Write about your experience. Do not worry about grammar, punctuation, or spelling. Just write, but stop at five minutes. Now go back and write your experience with correct grammar, punctuation, and spelling. Submit both written pieces. Add a concluding paragraph that answers the follows questions: How was the formal writing experience different from the timed writing experience? What did you do differently? Was there any difference in the time it took you? How did you ensure your spelling, grammar, and punctuation were correct? Describe when the following words would be used in a scholarly essay (define each word). Then, use those that are appropriate to a scholarly essay in a sentence. Their, there, they’re Affect, effect Its, it’s your, you’re then, than accept, except Describe the use of apostrophes in writing in general. When should apostrophes be used in formal writing? When should apostrophes be avoided in formal writing?
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2025 Melissa Hinkhouse Week 3 Original Post NURS 6050 Policy and Advocacy for Improving Population Health Walden University
by adminweek3 discuss 6050 2025
Melissa Hinkhouse Week 3-Original Post NURS 6050: Policy and Advocacy for Improving Population Health Walden University In 2010 The Affordable Care Act (ACA) was enacted; the hope was to expand access to medical care, make coverage more affordable, and decrease the number of people without medical insurance. The Affordable Care Act (ACA) expanded and improved health insurance coverage in two primary ways. First, the number of individuals receiving insurance coverage grown by increasing access to coverage through Medicaid expansion and providing subsidies to purchase private insurance on the health care exchanges. Second, the ACA upgraded the quality and scope of coverage by improving benefit design, including implementing the essential health benefits (Willison & Singer, 2017). People who did not have coverage through their employer or Medicaid were required to purchase insurance through the Marketplace. The Marketplace was created as a one-stop-shop for people to view multiple plans and purchase insurance. Just because you have access to health care insurance does not mean you are going to receive quality health care (Teitelbaum, 2018). Both parties have asked that the ACA be repealed or replaced for multiple reasons. Every Republican presidential candidate for 2016 has called for the repeal of the ACA. Some, but not all, Republican candidates have proposed health policies that they would like to put in place after repeal, but there is no broad agreement on a replacement for the ACA (Buettgens & Blumberg, 2016). The federal government would spend $90.9 billion less on health care for the nonelderly in 2021 if the ACA were repealed (Buettgens & Blumberg, 2016). State governments as a whole would spend $5.2 billion more on health care for the nonelderly in 2021 if the ACA were repealed (Buettgens & Blumberg, 2016). Healthcare is a priority to many Americans for obvious reasons; it was more costly for those with preexisting conditions before the ACA to obtain Medical Insurance. With the ACA the income guidelines for Medicaid where changed so additional people qualified that didn’t prior. As a Behavioral Health Nurse, I am a fan of anyone and everyone having access to Healthcare Services. I have seen to many times my patient not have the money for their medications because insurance was canceled so they go off their medications, they become unstable and ended up in the Emergency Department and admitted Inpatient, costing more money, hurting themselves and their loved ones. Politicians are aware that election time is the best time to play the tug of war game with the heavy ticket items to capture someone votes. Republicans ran hard on promises to get rid of the law in every election since it passed in 2010. But when the GOP finally got control of the House, the Senate and the White House in 2017, Republicans found they could not reach agreement on how to “repeal and replace” the law (Kaiser Health News, 2018). And political strategists say that, when the dust clears after voting, the numbers in the Senate may not be much different, so change could be hard there too. Republicans, even with a small majority last year, could not pass a repeal bill there (Kaiser Health News, 2018). When it comes to voting, it is hard for some to know the different facts from fiction, political talk, and actual context that can be followed through. It can be frustrating but needed to research why a candidate is saying something and if he has the means to make a change. It can be time consuming to research through the political propaganda, but worth it for the issues at hand. References Buettgens, M., Blumberg, L. J., Holahan, J., & Ndwandwe, S. (2016, June). The Cost of ACA Repeal . Urban Institute | Social and Economic Policy Research. https://www.urban.org/sites/default/files/publication/81296/2000806-The-Cost-of-the-ACA-Repeal.pdf Kaiser Health News. (2018, November 2). The election’s impact on health care: Some bellwether races to watch . Health Leaders. https://www.healthleadersmedia.com/elections-impact-health-care-some-bellwether-races-watch Laureate Education (Producer). (2018). Introduction to Health Policy and Law with Joel Teitelbaum [Video file]. Baltimore, MD: Author. Willison, C. E., & Singer, P. M. (2017, August). Repealing the Affordable Care Act essential health benefits: Threats and obstacles . PubMed Central (PMC). https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5508159/ Lilia Roy Discussion Week 3 Repeal or Replace the Affordable Care Act Affordable care has been a topic that has a long history of wishing that we can all have medical insurance and be able to have great doctors and excellent services for very little money. The cost of Medicaid in the United States continues to rise every day. Many people cannot afford not to have medical insurance, but many cannot afford medical insurance. The fact that there are so many people that live in poverty lines and must accommodate the use of medical insurance is either by state services such as Medicaid, which has been a good thing since 1960 (Milstead & Short, 2019). The Obama Administration has tried to implement a reform of insurance for the past eight years of his presidency. Still, many think it was just an expansion to Medicaid services, which many people did not like the idea that they lost their doctors that they wanted. He promised that people would keep the same plan and doctor, which he did not factor in that many doctors were not going to accept the proposal he offered. Many doctors left their private sectors due because of this. They were going to have to see more patients for less money. Another thing it put pressure on small businesses that they had to aid their employees to have medical insurance, which many can pick packages that were not good if they wanted the cost to below so they could stay in business. Providing this insurance for employees created an extra expense for small companies, and many had to reduce their personal. What studies saw it was that even people with insurance did not seek medical care which was not what they wanted to see Politics plays a huge role in selling a need and targets the idea for elections and for them to win. The Obama administration sold the plan of care for all with no evidence data, which millions of Americans enrolled for insurance for the first time in history. Obama stated that the republicans have not idea how to repeal the ACA with no plan to replace the health care issue (Obama, 2017). The Trump administration has good intentions, but no plan on how to implement the ideas due to the people that will benefit is business and the wealthy that will not have a problem with the yearly cost of health care. Trump wants to be able for people to choose their coverage, and some of the same things, such as preexisting medical care, will not be punished or pay more. His goal is to create a patient health care system that promotes choice and quality (Glied & Jackson, 2017). They also will keep kids covered until the age of 26, which they complete school. Most of the repeal is going to cost billions of dollars to replace. It is going to leave millions of people without insurance and health care. It’s going to increase the national debt, and we all still have no clue how to fix it. The idea of creating a socialist system of health care might work, but people that would lose their choice of care providers, doctors, hospitals, and patient care. We are going to see the care that will diminish due to no incentive if a doctor sees three patients or ten per day he or she will be earning the same amount of money. I see this in the Tricare system many providers do not perform the same volume of surgeries due to he is going to get the same amount of money he is not paid per case he is paid per salary. I have both care systems I have Tricare, and I purchase my health care. I have both many people tell me why, but I have to. My daughter has many needs that sometimes Tricare will not cover or will not have my choice of a doctor, so I prefer to have options for her due to she requires nothing but the best care for her Autism. I do not want her just to see someone once a month. She needs individual attention to weekly providers such as speech pathology and occupational therapy. I do not see anything resolved is such a huge debate of who is right and what is fair. References Glied, S., & Jackson, A. (2017). The future of the affordable care act and insurance coverage. American Journal of Public Health , 107 (4), 538–540. Retrieved June 15, 2020, from https://doi.org/10.2105/ajph.2017.303665 Milstead, J. A., & Short, N. M. (2019). Health Policy and Politics (6th ed.). Jones and Barlett Learning books. Obama, B. H. (2017). Repealing the ACA without a replacement—the risks to American health care. Obstetrical & Gynecological Survey , 72 (5), 263–264. Retrieved June 15, 2020, from https://doi.org/10.1097/ogx.0000000000000447
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2025 Discuss the access cost and quality of quality environments as well as recent quality
by adminaccess, cost, and quality of quality for APN (B) 2025
Discuss the access, cost, and quality of quality environments, as well as recent quality initiatives (See Chapter 24 and Table 24.1). Student is to reflect on the relationship between quality measures and evaluation and role development. In addition, describe this relationship and note how the role of the APN might change without effective quality measures. Expectations Joel, L. A. (2018). Measuring Advanced Practice Nurse Performance Outcome Indicators, Models of Evaluation, and the Issue of Value. In Advanced practice nursing: Essentials for role development (4th ed.). Length: 1500 words, double-spaced, excluding title and reference pages (required) Format: APA 6th Edition
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