Health Insurance

In a two to three page paper, explain the development of health insurance in the United States. Include a brief discussion as to the current state of both traditional health insurance and managed care. Is traditional health insurance still a viable product today or is managed care the norm?

Be sure to cite your references.

  

I need about 100 words for each question and each question with its own references. Please, no Plagiarized work

Topic 1: Genomics

DQ 1

Name three essential structural elements of a functional eukaryotic chromosome and describe their functions. Discuss the implications related to research, health, and life span in terms of one of the structural elements.

DQ 2

Describe the difference among replication, transcription, and translation for both DNA and RNA.

Topic 2: Genetics I

DQ 1

Describe at least four factors that can be associated in a complex inheritance health issue.

DQ 2

Compare two genomic tests used for screening, diagnosis, and management of a disease. Describe whether outcome data exists related to the utility of these tests and what the data shows, if available.

Topic 3: Genetics 2

DQ 1

Contrast two models used for multigenerational family health histories. Which do you prefer and why?

DQ 2

Describe the importance of a comprehensive health and physical assessment that includes information on environment, and genomic influences. Frame this answer through your current role, whether as an Advanced Registered Nurse Practitioner (ARNP) with a practice, or a nurse executive overseeing nursing practice in an organization.

Topic 4: Personalized Genetic Medicine

DQ 1

Genetics testing is viewed as either positive or negative. When used to detect the genes for breast cancer, health insurance companies deny care based on genetics. Why? Describe one genetic test and its impact on health, prevention, screening, diagnostics, treatment selection, and treatment effectiveness.

DQ 2

Evidence-based practice and standardized clinical guidelines have improved organizations and the ability of providers to provide the care with the highest level of evidence to each patient. Describe one pharmacological agent with a protocol/clinical guideline that is used. Discuss how this protocol may not take into consideration genetic variations. What can be done to tailor care to each patient while providing standardized treatments?

Topic 5: Nutrition

DQ 1

Describe one health issue and discuss how nutrition can impact this health issue positively and negatively.

DQ 2

Choose one disorder of malnutrition. Discuss the genetic and environmental influences on this disorder, including prevalence rates, testing, treatment, and prognosis.

Topic 6: Aging

DQ 1

Discuss how genetic and genomics can play a role in a demand for new health services and how it may impact health care expenditures in the aging population. Give one example.

DQ 2

Describe one method that includes using evidence-based data to support a new or innovative ways to care for the aging now or in the future. How will it impact care and what are the anticipated outcomes?

Topic 7: Chronic Disease

DQ 1

Discuss how genetic and genomics can play a role in a demand for new health services and how it may impact health care expenditures in the chronic disease population. Give one example.

DQ 2

Describe one method that includes using evidence-based data to support a new or innovative way to care for those with chronic disease now or in the future. How will it impact care and what are the anticipated outcomes?

Topic 8: Ethical and Legal Considerations

DQ 1

Choose one recent (within last 2 years) news story about genetic or genomic technology. Describe the issue presented. From the perspective as an RN or APRN, describe the ethical, cultural, religious, legal, fiscal, and societal implication.

 

Your assignment this week will be an APA paper to include title page, level headings, and a reference page.

Case study #1 

Mrs. Franklin-Jones was admitted from the Emergency Room to Cardiac Intensive Care one week ago with a diagnosis of acute myocardial infarction. She has recovered as expected and is moving to the cardiac step-down unit today. She is talking with Nurse Julie Hernandez, as she gets settled in her new room, “I was really surprised when I got that bad pain in my chest! I knew I had high pressure, but I just didn’t think it was that bad. I try to take my medicine as they told me to in the clinic, but sometimes I forget. I guess that I need to study those papers they gave me about what foods I should eat and not eat. I better take care of myself! Momma had bad pressure, and it killed her! Who knows—I may even have to learn to cook differently than I was taught in Jamaica! I may have to let Tomas do the cooking. He’s got more time at home now than I do since he lost his job. There isn’t too much time between my shifts at the school cafeteria and my new housecleaning job. You know my sister is coming up from Jamaica to see me. I think she is bringing me some bush tea. That’ll set me right!”

• Using Leininger’s Culture Care Model, what factors in the story shared by Mrs. Franklin-Jones should be considered by Nurse Hernandez when planning for the patient’s discharge?

Make sure you address each piece of the case study. What types of food consists of the Jamaican diet? How do Bush Tea effect diets and high blood pressure? Does she understand how working so hard can impact her health? These are just a few examples you must address.

• Why is the theory of Culture Care Diversity important in the delivery of nursing care for all patients?

This section should be 1-2 paragraphs and should have citations from the text.

• Using Leininger’s Theory of Culture Care Diversity and Universality, develop a plan of care for Mrs. Franklin-Jones.

This should be 2 paragraphs and should hit at least

• Discuss the strengths and limits of Leininger’s Theory.

Case Study #2

Claude Jean-Baptiste is recovering from post-hip replacement surgery and has been transferred to the Rehabilitation Institute adjacent to the hospital. When he enters the unit, he sees welcoming signs written in several languages, including his own, Creole. Since there are no nurses on that shift that speak Creole, they use a language line to ask for translation services. During this initial nursing assessment, the translator informs Mr. Jean-Baptiste that the nurses invite him to have a relative at his side so that they can be sure to understand and meet his needs. He is asked about Haitian customs and beliefs that they might honor. Mr. Jean-Baptiste is encouraged to bring food and spiritual care items and to share the warmth of his culture with the nursing staff.

• Discuss assumptions of the Transpersonal Caring relationship. What is the nurse’s role?

I would like to see one paragraph that introduces the theory and gives a quick explanation. You should have a level one header, Case Study 2, or Watson. You should have a level two heading Transpersonal caring, and the nurse’s role and should be at least 1-2 paragraphs.

• How is love, as defined by Watson, evident in this caring moment?

This section should have a level two header Caring moment or Love as defined by Watson. Please provide specific examples of how the nurse showed caring moments from the case study. What do you think it means to the patient?

• How can the nurse creatively use self to create a healing environment?

This section should be one paragraph with a level two heading.

• Discuss the strengths and limits of Watson’s Theory.

Again, this section should be one to two paragraphs. Make sure you have a conclusion paragraph with a level one header Conclusion. This paragraph should sum up all the content.

This paper should include 2 outside references and your book. The essay should be up to 1500 words.

You are the Wellness Director at the Rutledge Hill Community Center and you have been asked to develop a month long 4 session comprehensive program plan to launch for a yearlong program to encourage adult community members  to become more physically active. Develop a four session program plan (example: Tuesdays at 5:00; 1-hour sessions) that will motivate and equip community member to become more active. You may identify a ‘specific’ group of group as your ‘priority population’ (i.e. young mothers, elderly, working women, stay-at-home moms,  etc.) and you may plan for men AND women, or specifically for men OR women. Be sure to include ALL resources you would need to implement each of the 4 sessions. Your plan should include the following: (instructions and example attached…. example is to be a guide not copied thank you)

  

You should be using complete sentences to answer the questions. Ensure that you are using correct grammar. In addition, support your answers using your textbook, course materials, credible internet resources, and scholarly journals. SkyScape is a great suggestion for assistance in completion of this assignment. All citations must be in APA format.1 Point

1. Identify and Describe communication techniques that can be used to promote safety within the healthcare facility?2 Points

2. Describe how communication can assist in providing optimal patient care?2 Points