With minimum of 300 words and 2 references each:

1) Research the delivery, finance, management, and sustainability methods of the U.S. health care system. Evaluate the effectiveness of one or more of these areas on quality patient care and health outcomes. Propose a potential health care reform solution to improve effectiveness in the area you evaluated and predict the expected effect. Describe the effect of health care reform on the U.S. health care system and its respective stakeholders. Support your post with a peer-reviewed journal article.

2) The Affordable Care Act was signed into law by President Barack Obama in March 2010. Many of the provisions of the law directly affect health care providers. Review the following topic materials:

1. “About the Affordable Care Act”
2. “Health Care Transformation: The Affordable Care Act and More”

What are the most important elements of the Affordable Care Act in relation to community and public health? What is the role of the nurse in implementing this law?

You are working with Dr. Lorenzen, who asks you to start interviewing Susan Johnston, a patient she knows well who is here to discuss recent symptoms of chest pain.

Before seeing the patient, Dr. Lorenzen asks you to review the differential diagnosis for chest pain. She reminds you, “There are many causes of chest pain including cardiac, gastrointestinal, pulmonary, musculoskeletal, and psychogenic causes.”

1. List below three potential causes of chest pain in each of the categories mentioned.

2. Discuss the history of present illness that you would take on this patient in preparation for the clinic visit. Include questions regarding Onset, Location, Duration, Characteristics, Aggravating Factors, Relieving Factors, Treatment, Severity (OLDCARTS).

3. Describe the physical assessment and diagnostic tools to be used for Ms. Johnston. Are there any additional you would have liked to be included that were not? 

4. What plan of care will Ms. Johnston be given at this visit; what is the patient education and follow-up?

please use apa style with references

https://www.ncbi.nlm.nih.gov/books/NBK222271/

After reading the Quality Chasm Summary from the link provided list two or three areas that the report suggests will involve information technologies. Relate these areas to the ways in which health care informatics education will need to change to prepare informaticians. Minimum 300 word count. No APA format required. 

Module 09 Content

1. Assignment Scenario

   After graduating from nursing school and passing your boards, you accepted a position as an RN in the emergency center at Rasmussen General Hospital (RGH). In the weeks ahead, your emergency center plans to implement a new initiative where clients diagnosed with low-risk deep vein thrombosis (DVT) will be sent home on 3 months of oral anticoagulation therapy with rivaroxaban.

   Historically, clients diagnosed with DVTs in the emergency center were admitted to the hospital’s observation unit. However, when surveyed about their experiences, many clients reported that this was costly, time-consuming, and inconvenient. Under RGH’s new program, emergency center nurses will be responsible for educating clients about their new medication and administering the first dose to the client before discharge.

   As part of this new initiative, all emergency center nurses at RGH must be trained to properly educate these clients on all aspects of their new medication regimen. Because you have demonstrated a keen interest in pharmacology, your manager has asked you to develop the educational tools that will be used to train the nurses at RGH.

   It’s worth noting that the standard dosing for all low-risk DVTs is as follows:

   • 15 mg BID, 12 hours apart, for 21 days
   • After 21 days, use 20 mg once per day
   • After 90 days, the client will follow up in the thrombosis clinic to evaluate if they meet the criteria for discontinuing the medication
   • Assignment Instructions

     Your manager explained that all of the emergency center nurses at RGH will be educated in small groups through a short, in-service training session. You have been asked to develop a professional-looking PowerPoint presentation that the trainers will use to guide the in-service sessions. Your PowerPoint will need to:

   1. Be professional-looking, have a title slide, and 10-15 content slides.
   2. Use the Speaker Notes feature in PowerPoint to reduce the amount of text that appears on the content slides.
   3. The Speaker Notes for each slide will contain the text that will guide what the trainer will say while presenting the slides during the in-service.
   4. The content slides themselves should be clear and easy to understand; they serve as an outline so the audience can follow along with what is being presented.
   5. Be written using proper spelling/grammar and at a level that would be appropriate for the audience.
   6. Remember the purpose of the training is to help nurses learn to educate their clients about the use of medication. With that in mind, it may be helpful to provide examples of how to explain the information to a client in an easy-to-understand way without complicated, technical terms.
   7. Include APA formatted in-text citations for at least 3 scholarly references and present the sources in APA format on a References slide.
   8. Contain content addressing the items below.
   9. Pharmacotheraputics
   10. State the drug name and its therapeutic category
   11. Pharmacodynamics (how does this drug work to achieve its intended response)
   12. Pharmacokinetics (how is this drug absorbed, distributed, metabolized, and excreted).
   13. Discuss dosage, scheduling, route, and length of therapy.
   14. Describe what clients can expect regarding their therapeutic response and when it should develop
   15. Introduce nondrug measures that clients can do to enhance their therapeutic response (e.g., specific diet to follow, exercise requirements, substances to avoid, special precautions to take, etc.)
   16. Side Effects, Adverse Effects, and Interactions
   17. Explain the symptoms of common side effects, and what clients can do to minimize any discomfort
   18. Explain the symptoms of any major adverse effects, and what clients should do if they experience them
   19. List the major adverse drug-drug interactions and drug-food interactions that clients need to be made aware of
   20. Follow-up Care
   21. Provide information regarding when clients should call their doctor for advice (e.g., questions, non-urgent symptoms, unpleasant side effects, etc.)
   22. Emphasize any symptoms for which clients should seek immediate care (e.g., when to go to the emergency center or call 911)
   23. Note: When developing a professional-looking presentation, it’s important to be mindful of how you layout your content. The slides should present key points, arranged in a logical manner, without extraneous information contributing to a cluttered look. Using the Speaker Notes feature in PowerPoint is a great way to include relevant details without overloading the slides.

Directions:

Disorders of the endocrine system affect many individuals. Providing multidimensional patient care can be challenging for patients experiencing these disorders. Ensuring the plan of care meets the patient and family needs is important in order to increase adherence to proper medical treatment following discharge.

What does it mean to provide a multidimensional approach? Provide at least three examples of how the care team can meet the patient and the family’s needs? List at least three care team members and how are they involved in providing multidimensional care?