Cost benefit Analysis Reply

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Expand on this explanation and provide an example that supports this explanation or respectfully challenging this explanation and providing an example. 

Cost Benefit Analysis and its Impact on Efforts to Repeal ACA

The Patient Protection and Affordable Care Act of 2010 was one of the policies in the Obama administration that caused diverse political reactions among the legislators and the public. This policy attempted to address the social injustices in America by prioritizing healthcare delivery, especially to low-income individuals (McIntyre & Song, 2019). Legislators had divided opinions on implementing these policies, as most of them conducted a cost-benefit analysis on its suitability in resolving healthcare issues. The first attempt to replace ACA was in 2017 with the passing of the American Health Care Act (AHCA). Implementing the latter policy would mean that approximately half of the beneficiaries of the ACA would lose access to affordable healthcare services (Issar & Dilling, 2021). The AHCA also proposed a tax credit based on age, an aspect that would increase the cost of healthcare services. Reelection affected the success and implementation of the AHCA to replace ACA. Most citizens supported the ACA, and legislators had no option but to keep it for their reelection, as legislators who opposed it risked losing their seats.

The voters’ views affect the legislators’ positions on the policy as the voters have the power to reelect them. Milstead and Short (2019) ascertain that voters influence important political aspects and determine their implementation or rejection. The best example of the influence of voters on policy issues was the replacement of ACA with AHCA. The voters supported ACA because it increased accessibility and availability of quality healthcare but repelled the AHCA due to the associated taxes and increased healthcare service costs (Wilensky, 2018; Issar & Dilling, 2021). The legislators in the House of Representatives and Senate need the votes to secure their positions, and disagreeing with the voters’ opinions would disadvantage their political careers (Congress.gov, n.d.; United States Senate, n.d.). Therefore, supporting the policy that the citizens support at higher levels increases the chances of legislators retaining their seats, even when they disagree with the policy’s mandates.

Resources to use:

What would you do?

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Betty, the chief nursing officer, had to make a decision about buying 120 new hospital beds for patient rooms. After she interviewed nurse mangers at the units where the beds were going to be placed, Betty compiled her findings and decided to contact a well-known equipment company to obtain prices and contracts. The equipment company’s executive salesperson, Jim, discussed options at length with her and invited her and her significant other to an upcoming all-expenses-paid lavish retreat at a five-star hotel in Hawaii to see demonstrations of the beds and to hear a comprehensive sales pitch. Betty thought to herself, “We badly need some relaxation and stress relief. Hawaii would be so much fun. Would it be wrong for us to go?”

  • If you were Betty, what would you do? Give your rationale. Justify your answer with an ethical framework—a theory, approach, or principle.
  • Do you consider this situation a conflict of interest? Why or why not? Give your rationale.
  • What policies, if any, should be in place regarding a scenario such as this one? Do you have any such policies in place at work for similar situations? Do such policies impact day-to-day activities in any way? Explain.

OFF-LABEL DRUG USE IN PEDIATRICS

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 This week we have an assignment regarding the neurologic and musculoskeletal system.  Please use the following interactive media case for your paper: 

https://cdn-media.waldenu.edu/2dett4d/Walden/NURS/6521/05/mm/decision_trees/week_10/index.html

 

DECISION TREE FOR NEUROLOGICAL AND MUSCULOSKELETAL DISORDERS

 For your Assignment, your Instructor will assign you one of the decision tree interactive media pieces provided in the Resources. As you examine the patient case studies in this module’s Resources, consider how you might assess and treat patients presenting symptoms of neurological and musculoskeletal disorders. 

To Prepare:

  • Review the interactive media piece assigned by your Instructor. 
  • Reflect on the patient’s symptoms and aspects of the disorder presented in the interactive media piece.
  • Consider how you might assess and treat patients presenting with the symptoms of the patient case study you were assigned.
  • You will be asked to make three decisions concerning the diagnosis and treatment for this patient. Reflect on potential co-morbid physical as well as patient factors that might impact the patient’s diagnosis and treatment.

 

Write a 1- to 2-page summary paper that addresses the following:

  • Briefly summarize the patient case study you were assigned, including each of the three decisions you took for the patient presented.
  • Based on the decisions you recommended for the patient case study, explain whether you believe the decisions provided were supported by the evidence-based literature. Be specific and provide examples. Be sure to support your response with evidence and references from outside resources.
  • What were you hoping to achieve with the decisions you recommended for the patient case study you were assigned? Support your response with evidence and references from outside resources.
  • Explain any difference between what you expected to achieve with each of the decisions and the results of the decision in the exercise. Describe whether they were different. Be specific and provide examples.

reply

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Thank you for your post! I want to clarify the interval and ratio level of measurements.

Feedback and Question: In statistics, measurements having starting points are classified as ratio levels of measurement.

Do you know if blood pressure readings are measured starting from zero and cannot go below zero, with zero being the baseline? I recommend watching this YouTube video to learn about the types of data and levels of measurement. I'd love to hear your thoughts after watching it. Thank you.

https://www.youtube.com/watch?v=LPHYPXBK_ks

informatics

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Identify at least 3 key concepts from the selected part of the textbook and provide clear and correct explanations. Writing shows a clear logical link between those concepts. Synthesize information from multiple sources (lectures, readings, activities) and derive a conclusion in your own words. The terminology used is clearly defined. Notes: – The reflection should be 500-600 words. – A part of points will be taken off for each criterion that was not met. – A late submission will be subjected to a point reduction each day after the deadline until it runs down to zero.

Anemia

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Create a discussion about anemia related to right sided colon cancer, What patient education would you provide for a patient recently diagnosed? what recommendations would you give him?  400 words and at least 2 scholarly references not older than 5 years. 

Reply

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Hello Professor and Class, 

In Eukaryotic cells are found in plants, animals, fungi, and protists. In the Eukaryotic cells the nucleus is what is found in them. The nucleus is a compact sphere that is the most prominent organelle in eukaryotic cells (Cowan 2020 pg. 115).  The nucleus is what is called a “control center” and it is what protects the DNA. 

The DNA in eukaryotes is stored within the nucleus, while DNA is stored in the cytoplasm of prokaryotes. Additionally, DNA in eukaryotic cells is stored in double-stranded chromosomes that are condensed by histones (Tarantino).  This would contain the cell’s genetic information and controls the cell’s growth and reproduction.

Cowan, M. K., & Smith, H. (2020). Microbiology: A Systems Approach (6th ed.). McGraw-Hill Higher Education (US). https://ambassadored.vitalsource.com/books/9781260451290Links to an external site.

Tarantino, C. (n.d.). Eukaryotic Cell:What Is It, Difference from Prokaryotic Cells, and More. Osmosis From Elsevier. https://www.osmosis.org/answers/eukaryotic-cellLinks to an external site.  

Reply

work 4

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Literature Review/Synthesis

Once you have thoroughly learned your studies (this is where the Table of Evidence you did previously will help you!), you need to communicate to your readers the level and quality of literature that was reviewed. The synthesis is a description of the entire body of literature that you have reviewed that supports your EBP project.  

 


Literature Synthesis = (100 points)

Purpose/Objective of this assignment is to:

1. Provide a 


synthesis and analysis

 of previously selected articles through a systematic review.

2. Evaluate the findings, identifying gaps in knowledge and implications for future research.

 

Assignment requirements: Students will utilize the articles selected to write a 

6 to 7 page
 review of the literature on the selected topic. Additional research articles may be included if necessary. (
Note that this is the first section of a two-section paper. (A 4 – 5-page paper discussing the clinical implications of the literature review findings on nursing practice will follow this literature review. See Assignment – Clinical Project: Clinical Implications Paper.) Include a background section.

1. Articles will be reviewed in an integrated manner. Summarize and provide a detailed synthesis of the information from all of your studies as it relates to the topic of interest.

2.

Must provide a synthesis and critical analysis of research designs, methodologies, sampling, independent and dependent variables, research findings, threats to reliability and validity. Discussion to include trends, areas of commonalities and differences in approaches.

3. Discuss outcomes and findings

4. All information must be cited and referenced appropriately.

5. Paper will utilize all appropriate APA 7th Ed guidelines for intro, conclusion, citations, references, document organization, formatting, academic language, and grammar. 
First person is not appropriate in this paper.

 

Topic: In mechanically ventilated patients in the ICU (P), does an oral care protocol using chlorhexidine mouthwash (I) compared to routine oral care (C) reduce the incidence of ventilator-associated pneumonia (O) over six months (T)?

Euthanasia & Physician Assisted Suicide (PAS)

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After studying the course materials located on Module 8: Lecture Materials & Resources page, answer the following:

  1. Euthanasia
    • Medical / Generic definition
    • Bioethical definition.
  2. Describe pain and suffering within context of faith
  3. Physician Assisted Suicide / Death ( PAS / PAD)
    • Definition
    • Is it ethical?
    • Should we have the right to end our lives? Why yes or why not?
  4. Better alternatives to PAS; compare and contrast each:
    • Hospice
    • Palliative care / Terminal sedation
  5. Case studies. Brief summary of:
    • Hemlock Society
    • Jacob Kevorkian
    • Britanny Maynard
  6. Read and summarize ERD paragraphs #:  59, 60, 61.

Submission Instructions:

  •  is to be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.
  • If references are used, please cite properly according to the current APA style