Health Reform Paper Grading Guideline

Final Paper Health Reform Paper Grading Guideline

HPRS 3301 – Health Care Reform Paper (Possible Points – 100)

 

Assignment: Respond to the Readings and develop an approximately 5 page response to Health Care Reform comparing and contrasting the World Prosperity Org. viewpoint with Institute of Medicine viewpoint. Utilize appropriate APA Format, grammar, and spelling.  Click the link to view the grading rubric.

 

The following is a guideline for your use to write your paper.

I. CONTENT (60 points)

A. Synopsis of the two viewpoints (30 points)

1. Brief summary of the 2020 Global Healthcare Outlook

https://www2.deloitte.com/global/en/pages/life-sciences-and-healthcare/articles/global-health-care-sector-outlook.html

2. Brief summary of Institute Of Medicine’s Viewpoint on Healthcare Reform (Found in Chapters 2 & 9 of Crossing the Quality Chasm:  (http://www.nap.edu/catalog/10027.html/>/> )

B. Analysis (30 points)

1. Comparisons- list and describe the similarities you find in the two views.

2. Contrasts – list and describe how the two views are different

II. YOUR OPINION / REACTION(S)  (20 points)

A.  Give a short comment on your view point (opinion) to Health Care Reform

1. Express your personal reaction, personal experiences, your thoughts and ideas you had while reading the two view points.

2. Give reasons for your comments; be persuasive with your argument(s) to backup your reactions.

3. You may bring in other references that you have read during this course work to backup your opinion(s).

III. ORGANIZATION (10 points)

A. Content is clearly stated and well organized to the above requirements. B. Grammar and spelling are correct.

C. Well developed draft submitted to Safe Assign; % matching revised/edited/cited.

IV. Written in APA Format (10 points)

A. References (last page) are in correct APA style with APA heading B. Citations within the body of the paper are correct to APA style at less than 20% matching in Safe Assign.  Less is better. C. Paper length – 5  written pages of content (Title page and Reference page are not included in this page restriction). D. Double spaced with each page numbered, Times New Roman 12 point font, other per APA guidelines.

RUA: Health history and physical examination on an individual.

Ebook: Jarvis, C., Eckhardt, A., & Thomas, P. (2020). Physical examination & health assessment (8th ed.). Saunders.

The purpose of the assignment is two-fold:

• To recognize the interrelationships of subjective data (physiological, psychosocial, cultural/spiritual values, and developmental) and objective data (physical examination findings) in planning and implementing nursing care.
• To reflect on the interactive process that takes place between the nurse and an individual while conducting a health assessment and a physical examination.

Review and download the NR304 RUA Health History and Physical Examination Guidelines (Links to an external site.) for the assignment to assure you have addressed all required elements prior to submitting.

Response #1 Post a response to one peer in your discussion group. In the post identify the organ damage that can occur as a result of Hypertension. Describe the pathophysiologic process of the organ damage.

Peer discussion

 

Hypertension is a chronic of blood pressure that, in a long-term causes end-organ damage. And results in increased morbidity and mortality. It follows that patient with arterial hypertension may have an increase in cardiac output, an increase in systemic vascular resistance. Or both. Three pathophysiologic mechanisms of primary hypertension.

Renin-angiotensin system: The protease renin cleaves angiotensin to yield their inactive peptide angiotensin I. The latter is converted into an active octapeptide, angiotensin II by the angiotension-conversting enzyme (ACE).  Though the renin-angiotensin system is widespread in the body. The main source of the renin is the juxtaglomerular apparatus of the kidney. The apparatus senses the renal perfusion pressure and the sodium concentration in the distal tubular fluid. In addition, renin release is stimulated by beta and decreased by alpha adrenoceptor stimulation. Angiotensin II concentration suppress renin secretion via a negative feedbacks loop. Angiotensin II acts on specific angiotensin and receptors causing muscles contraction and the release of aldosterone. The renin-angiotensin-aldosterone system plays an important role in the control arterial pressure including the sodium balance.

Atrial Natriuretic Peptide: is the released from arterial granules. It produces natriuresis, diuresis and a modest decrease in blood pressure, while decreasing plasma renin and aldosterone. Natriuretic peptides also alter synaptic transmission from the osmoreceptors’ is released as a result of the stimulation of atrial stretch receptors. ANP concentration are increased by raised filling pressure and in patients with arterial hypertension and left ventricular hypertrophy as the wall of the left ventricle participates in the secretion of ANP.

Natriuretic peptides

Natriuretic peptides play a role in the control of vascular tone and interact with renin-angiotensin-aldosterone system. By inhibiting their degradation, peptidase inhibitors make these naturally occurring peptides more effective, thereby reducing vascular resistance. However, there are only small-scale trials of their efficacy. Overall. recent studies have failed to demonstrate the superiority of modern agents over the more traditional drugs, except in special circumstances. In many patients, effective treatment is achieved by the association of two or more agents with gain in efficacy and reduction of side-effects.

Reference

McCane, K., & Huether, S.(2018). Pathophysiology: The biological basis for disease in adults and children, (8th ed.) St. Louis, MO: Elsevier.

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Substance abuse

Part I: The American Addiction Centers has released the most recent substance use disorder outcomes.  Unfortunately, the long-term success of traditional rehabilitation programs is not at the level where it needs to be.  For this posting I encourage you to review the various articles as well as different rehabilitation strategies, such as inpatient, outpatient, family interventions, sober living environments, case management integration to name a few.  Think about what you know about substance use disorders from a professional and personal standpoint.  If you could implement one strategy/technique/intervention into all substance use disorder treatment programs what would this be?  Why did you choose this?  What literature support do you have for this?  You may want to consider comparing and contrasting to a current strategy/technique/intervention that you would replace.  For this posting you can think “big” or dramatic and what you would do in a perfect world where anything is possible.

https://americanaddictioncenters.org/outcomes-study

 

Articles for review:

Substance Abuse and Case Management

Substance Abuse Interventions

Psychosocial Interventions

Write a brief three  paper answering the questions below (plus a title and reference)

1.  In the state  you were born (Florida)/ what are the immunization requirements? (15 points)

2. What exemptions does this state have for medical, philosophical, and religious beliefs? (15 points)

3.  Discuss your view on your states (Florida)immunization requirements and exceptions (include three research articles supporting your view). (Articles within 5 years)(30 points)

4. Design a policy you would like to purpose that would improve immunization requirements and protect the health of vulnerable populations while respecting personal exemptions. (20 points)

5. Should the Covid vaccine be mandatory? (NO)  What are the legal and ethical issues that surround this dilemma? (20 points)