Please answer to this discussion post with a minimum of 200 words, APA Style, and no plagiarism. 

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Access to healthcare is a primal right of each citizen. The government has adopted various strategies to help make healthcare more affordable to citizens across all walks of life. Medicare and Medicaid are those strategies which the state has used in order to make sure that healthcare is accessible to all.

Medicare is a health program funded by the United States government which is available for its citizens, legal residents who have lived in the US for at least 5 years or persons that are above the age of 65 (Klosko, 2017). Medicare has been in existence for more than 50 years and has acted as a bedrock of health security to most Americans by providing essential health benefits that a majority of the patients need but cannot afford. Before it was launched, very few Americans could afford insurance in order to help pay their health bills. Insurance was not as accessible as it is today as it involved very high premiums (Biles, Guterman, and Casillas, 2016). In some cases, individuals were denied insurance due to age or a preexisting health condition.

One of the major reasons why Medicare is preferred to Medicaid is because it is structured to help the low income households who may be in dire need of health services but cannot afford. Medicare is categorized into two, that is Medicare A and Medicare B. Medicare is hospital insurance which covers inpatient services which is basically healthcare received in a health institution or nursing facility. Medicare Part B is medical insurance which covers outpatient services, laboratory visits and preventive care. Medicare is structured this way so that the beneficiaries can select their most convenient option (Klosko, 2017).

Other benefits of Medicare include low monthly premiums which are quite affordable. Another advantage is that it is broadly accepted in hospitals. In addition, it is also flexible when choosing a preferred healthcare provider (Biles, Guterman, and Casillas, 2016). As a result, I feel that Medicare has had a great impact to the people of Florida.

References

Biles, B. B., Guterman, S. G., & Casillas, G. C. (2016). Are Medicare Advantage Plans Lower-Cost Than Traditional Medicare? doi:10.15868/socialsector.25061

Klosko, G. (2017). Medicare and Medicaid. Oxford Scholarship Online. doi:10.1093/acprof:oso/9780199973415.003.0008

Chapter 16 – Yoga.

Chapter 17 – Meditation.  

Question(s):  What is meditation? Discuss the benefits of meditation? (mention at least 3). Is there any research study that support the benefits discussed? Have you ever practiced meditation? Discuss your experience? 

Guidelines: The answer should be based on the knowledge obtained from reading the book (only the last part of the question is your opinion/ experience). You must answer all the questions. Your grade will be an average of all parts of the question. 

Grading Criteria: Discuss what is meditation? (25%). Discuss the benefits of meditation? (mention at least 3) (30% – 10 points each). Is there any research study that supports the benefits discussed? (30%). Have you ever practiced meditation? Discuss your experience? (15%).

Case Study 1: Revitalizing a Brand

Read the case study titled “Revitalizing a Brand”, located in the online course shell. Use the Internet or Strayer databases to research the branding and communication strategies of one (1) health services organization that is similar to the health services organizations mentioned in the case study.

Write a four to six (4-6) page paper in which you:

1. Describe the current marketing communication, identity, and brand position of Plaza Home Health Services.
2. Conduct a Strengths Weaknesses Opportunities Threats (SWOT) analysis associated with the current marketing communication, identity, and brand position of Plaza Home Health Services.
3. Assess the importance of benchmarking in Plaza Home Health Services’ development and implementation of an effective brand strategy (marketing communication, identity, and brand position).
4. Compare branding and communication strategies of a similar health services organization with that of Plaza Home Health Services. Determine whether or not Plaza Home Health Services should apply additional best practices into its current branding and communication strategies. Provide a rationale and support for your response.
5. Use at least five (5) quality academic resources. Note: Wikipedia and other Websites do not qualify as academic resources. 

Your assignment must follow these formatting requirements:

• Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
• Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

• Examine the marketing research process and market segmentation strategies in the health care industry.
• Analyze business planning based on an analysis of domestic and global operating environments, market dynamics (supply and demand), commercialization, and product-market expansion.
• Explain how branding strategies apply to the health care market for existing and new products.
• Determine the marketing communications strategy used in health care services.
• Use technology and information resources to research issues in health services strategic marketing.
• Write clearly and concisely about health services strategic marketing using proper writing mechanics.

“Development of U.S. Health Care in Hospitals Based on the Foundation of U.S. Law”  Please respond to the following:

• * From the scenario, relate the basic steps in the development of U.S. health law, leading up to the present, to you or an employer’s need for health insurance coverage in light of the provisions that the Affordable Health Care Act sets forth. Rationalize the fundamental way in which these laws play a pivotal part in understanding the roles that today’s health care administrators play.
• Analyze the transition of health care from the 18th Century leading up to the 21st Century. Evaluate the degree and quality of care established within 18th Century U.S. hospitals, as compared to the level of care seen in today’s hospitals. Examine the primary roles of progressive health care law in shaping the current modern environments.

Chief complaint: “I’m here for a medication refill because I ran out of my medicines”.

HPI:  Mrs. Allen is a 68-year-old African American who presents to the clinic for prescription refills. The patient indicates that she has noticed shortness of breath which started about 3 months ago. The SOB gets worse with exertion, especially when she is walking fast, and it is resolved when she is resting. She reports that she is also bothered by shortness of breath that wakes her up intermittently during her sleep. Her symptoms of shortness of breath resolve after sitting upright on 3 pillows. She also has lower leg edema pitting 1+ which started 2 weeks ago. She indicates that she often feels light headed at times with intermittent syncope episodes while going up a flight of stairs, but it resolves after sitting down to rest. She has not tried any over the counter medications at home.

She started taking her medications, but failed to refill the prescriptions because she cannot afford the medications as she only works part-time and lives alone. In addition, she reports that she does not think taking all these medications would help her condition anyway.

PMH: Primary Hypertension, Previous history of MI 1 year ago

Surgeries:

1 year ago-Left Anterior Descending (LAD) cardiac stent placement

Allergies: Penicillin

Vaccination History:  Up-to-date

Social history:

High school graduate married and no children. Drinks one 4-ounce glass of red wine daily. She is a former smoker and stopped 5 years ago.

Family history:

Both parents are alive. Father has history of MI and valvular heart disease; mother alive and cardiac history is unknown. He has one brother who is alive and has history of MI 5 years ago at age 52.

ROS:

Constitutional: Lightheaded and faint with exertion. Respiratory: Shortness of breath with exertion. + Orthopnea. Cardiovascular: + 2 pitting leg edema for 3 weeks.

Psychiatric: Non-contributory.

Physical examination:

Vital Signs: Height: 5 feet 1 inches Weight: 175 pounds BMI: 32, Obese, BP 160/92, T 98.0, P 111,  R 22 and non-labored

HEENT: Normocephalic/Atraumatic, Bilateral cataracts; PERRLA, EOMI; Teeth intact. Negative for gum disease. NECK: Neck supple, no palpable masses, no lymphadenopathy, no thyroid enlargement. LUNGS: + Mild Crackles on inspiratory phase not clearing with cough. Equal breath sounds. Symmetrical respiration. No respiratory distress. HEART: Normal S1 with S2 during expiration. An S4 is noted at the apex; + systolic murmur noted at the right upper sternal border without radiation to the carotids. Pulses are 2+ in upper extremities and 2+ in pedal pulses bilaterally. 2+ pitting edema to her knees noted bilaterally. ABDOMEN: No abdominal distention. Nontender. Bowel sounds + x 4 quadrants. No organomegaly. Normal contour; No palpable masses. GENITOURINARY: No CVA tenderness bilaterally. GU exam deferred. MUSCULOSKELETAL: + Heberden’s nodes at the DIP joints, hands. + Crepitus, bilateral knees. Slow gait but steady. No Kyphosis. PSYCH: Normal affect. Cooperative. SKIN: No rashes. Positive for dry skin.

Labs: Hgb 13.2, Hct 38%, K+ 4.0, Na+137, Cholesterol 228, Triglycerides 187, HDL 37, LDL 190, TSH 3.7, glucose 98.

A:

Primary Diagnosis: Congestive Heart Failure (CHF)

Secondary Diagnoses: Primary Hypertension, Obesity, Osteoarthritis (OA)

Differential Diagnosis: Peripheral Vascular Disease (PVD)

Plan:

Medications: Tylenol 650 mg PO Q4 hours as needed for arthritis pain

Labs: UA; Brain natriuretic peptide (BNP); LFTs and TSH; 12-lead EKG, Chest X-ray; Initial 2D echo with Doppler; Ankle-brachial index.

Additional lab results: Echo results 1 week ago: Left ventricular EJ Fraction decreased to 35 %

BNP – not available.

As a future FNP, you need to determine the medications for CHF/ASCVD. (Arteriosclerotic Cardiovascular Disease).

Questions:

1.     According to the ACC/AHA guidelines, what medications should this patient be prescribed?

2.     Does he need medication(s) given his history of MI?