Health care delivery system Essay

Health care delivery system

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Use your critical thinking skills to write a paper that responds to the question, Is the PPACA legislation an improvement or a liability to our health care delivery system? Use examples to illustrate your points and include pros and cons of the changes. What Awaits you: On-time delivery guarantee Masters and PhD-level writers Automatic plagiarism check 100% Privacy and Confidentiality High Quality custom-written papers

Family nurse practitioner Advanced Health.

List two lifestyle or behavioral choices that can be modified to reduce a patients risk of colon cancer. How would you suggest the patient implement these changes and why? Colorectal Cancer (CRC) is a leading cause of cancer-related death in the western world. Strategies to improve survival and reduce mortality from this disease focus on prevention and early detection. CRC is preventable in up to 80-90% of the cases (Boursi & Arber, 2007). Life style modifications are particularly important as they can prevent other diseases as well. The most significant life style habits are regular physical activity, abstinence from smoking and a healthy diet. The second preventive measure is surveillance for early detection and removal of colorectal adenomas in the average risk population (Boursi & Arber, 2007). Dietary factors have a major etiologic role both as preventive and as causative agents of CRC. Epidemiological studies have shown that a diet that is low in calories, high in fruit and vegetables, low in red meat and animal (saturated) fat, and rich in several micronutrients has a protective effect against CRC (Boursi & Arber, 2007). People with an active lifestyle, particularly those with a daily or weekly regimen of exercise who maintain a healthy body weight, are less likely to develop CRC. Sedentary people are at increased risk of developing CRC. Leisure activity of 30 to 45 minutes 3 to 4 times a week is recommended, although the higher the level of physical activity can reduce CRC incidence by 50 percent. Physical activity is a protective factor independent from other life style habits that may be related to CRC risk (Boursi & Arber, 2007). Life style changes include elimination of unhealthy habits. Tobacco appears to be related to both rectal as well as colonic cancer and adenoma. Various population studies estimate that approximately 20% (7,000 to 9,000) of deaths from CRC per year in the United States are directly attributable to smoking (Boursi & Arber, 2007). Prospective and case control studies clearly indicate that a high intake of alcohol increases the risk of adenoma and CRC as well (Boursi & Arber, 2007). Early detection plays a pivotal role in improving outcomes and preventing CRC. Several diagnostic tools that can be used to assess an individuals risk include: fecal occult blood sampling, flexible sigmoidoscopy, colonoscopy, virtual colonoscopy, double contrast barium enema, and stool genetic testing (Boursi & Arber, 2007). What Awaits you: On-time delivery guarantee Masters and PhD-level writers Automatic plagiarism check 100% Privacy and Confidentiality High Quality custom-written papers

The role of assessment in Public Health

1. Define public/community health. How does this differ from personal health? 2. What are the benefits of public health assessments? What are the disadvantages, if any? Give an example of a potential conflict within the community that could arise as a result of public health assessments. How can public health advocates and policy makers prevent and/or manage such a conflict? 3. How can public health assessments be used to form public policy? 4. Choose one health concern and cite legislation that has been passed to address this concern. Discuss how this legislation has affected or could affect your community. You may choose one of the following or one of your own choosing: ? Smoking in public places ? Accessibility for physically handicapped populations ? Legalization of marijuana for medicinal purposes ? Youth violence ? Domestic violence ? Child abuse ? Elder abuse What Awaits you: On-time delivery guarantee Masters and PhD-level writers Automatic plagiarism check 100% Privacy and Confidentiality High Quality custom-written papers

Primary Care Healthcare

Discuss how primary care healthcare system can legally market their services and products (e.g., federal requirements, state mandates, etc.) Defend three (3) marketing principles and/or theories that you believe are most promising for your healthcare system Research a real-life healthcare system that matches the primary health care system and synthesize the success of its marketing efforts. What Awaits you: On-time delivery guarantee Masters and PhD-level writers Automatic plagiarism check 100% Privacy and Confidentiality High Quality custom-written papers

Evaluation of Educational Outcomes in Nursing

Describe at least two ways in which you can measure the reliability of the test items that you devised. These should be appropriate to the test items that you have written based on your test blueprint. In order to administer the tests that I have developed for the nursing curriculum, it is essential that the test items are reliable. According to Measured Progress (2013), the reliability of a test is its ability to produce authentic results. When tests are deemed reliable, it means that the quality of test is superior and it is also consistent throughout the test. Different measuring methods are used for different tests. For example, multiple-choice questions and essay questions can both have different measurement methods as it was discovered that, to measure the reliability of essay questions, it requires more time and more determination. Therefore, to measure the reliability of multiple-choice questions, it is advised to use the Kuder-Richardson, the split-half, or the alpha coefficient. The Kuder-Richardson formula calculates a reliability coefficient based on the number of test items, the proportion of the responses to an item that are correct, the proportion of responses that are incorrect, and the variance (Retrieved from http://chemed.chem.purdue.edu/chemed/stats.html). As for the split-half method, it assesses the internal consistency of a test and questionnaires by measuring the extent to which all parts of the test contribute equally to what is being measured (Retrieved from www.simplypsychology.org/reliability.html). Lastly, the alpha coefficient is a test reliability that is commonly used for tests on which scores are developed by adding the scores of several test items (Miller, 1995). With the availability of different reliability measurements available, ensuring that the multiple-choice section of the test items are reliable is crucial and inevitable. Additionally, an analytic rubric is suggested to be used when it comes to measuring the reliability of essay questions by comparing the questions to the rubric, allowing to ensure that the required information are present and mentioned (Measured Progress, 2013). Analyze two measures that can be used to estimate the validity of your test items based on your test blueprint. There are several measurements that are used to evaluate test validity and a couple that can be used for the blueprint test are the content validity and criterion validity. In more details, the content validity is used to show the close relation between the test items and the lessons taught in class. The content validity allows for the educator to show that the standards being taught in class are being retained by the students and they do understand what is being taught. As for criterion validity, it is used to show the close relations between the exam scores and the standard itself (South University, 2015). It is important for the test items to reflect what the standards are requiring for that class or that period of that class. Those two validity measurements are important to the test items of the blueprint as it important for the items to be valid. The test items validity will show that the curriculum is being followed and the educators are teaching the content successfully. Examine at least four threats to reliability and validity specific to your test items based on your test blueprint. Some factors can be considered as threats to reliability and validity to my test items based on my test blueprint. Those factors are the number of students who actually take the test compared to those who are attending the classes, the level of difficulty of each test item, and the time permitted to take the test. Additionally, one factor that is important and crucial and may be considered as a threat as well is the test homogeneity of the students being tested as the nursing. What Awaits you: On-time delivery guarantee Masters and PhD-level writers Automatic plagiarism check 100% Privacy and Confidentiality High Quality custom-written papers

NURSING HEALTH INTERVENTIONS FOR HEALTH PROMOTION

For this discussion, choose a nursing intervention strategy that you can use to promote health for a specific family. Select one of the nursing intervention strategies found: Self-Care Contract: Involvement of all family members Family Empowerment and Family Strengths-Based Nursing Care Anticipatory Guidance and Offering Information Use of Rituals/Routines and Family Time Family Meal and Healthy Eating Describe the major points of the strategy you select. Then, identify and describe a family you know who might benefit from the selected strategy. Identify why the family needs to develop this health promotion practice. Explain specifically how you would go about intervening with this family to help them with health promotion activities. What Awaits you: On-time delivery guarantee Masters and PhD-level writers Automatic plagiarism check 100% Privacy and Confidentiality High Quality custom-written papers

Importance of nursing theory

What is the importance of nursing theory? In this paper , the introduction contains a few statements about nursing theory in general, identification of one nursing theory to be used in this paper, and the sections of the paper. The selected nursing theory is the grand theory (e.g., Roy adaptation model). 1. The first section of the paper is a description of the importance of nursing theory, in general. 2. Key points and inter-relationships of those points of the selected theory are summarized. Biographical or historical information about the selected nursing theory or the nurse theorist is not included. 3. The selected nursing theorys views or ideas about nursing leadership, nursing education, health policy, or nursing informatics (only one of these specializations) are discussed briefly, using two examples from real life to illustrate the views. Real-life examples come from a students own practice or from the scholarly literature. What Awaits you: On-time delivery guarantee Masters and PhD-level writers Automatic plagiarism check 100% Privacy and Confidentiality High Quality custom-written papers