Study Document
… APN profession was the Affordable Care Act (ACA). This act, at its core, was to provide healthcare to the marginalized, to those with chronic sicknesses, and at the same time, more healthcare from the hospital in favor of outpatient.
Because of the nature of the ACA, the … the healthcare system was expanded to cover more, there was an increment in the emergency room visits. ACA provided care to persons with chronic disease, and thus, APNs have to offer more emergency room treatment. Lastly, healthcare delivery shifted from the hospital. ACA sought to reduce the costs ……
References
Choi, P. P. (2015). Patient advocacy: the role of the nurse. Nursing Standard (2014+), 29(41), 52.
Flemming, P. L. (2017). Building a Climate of Change with a link through Transformational Leadership and Corporate Culture: A Management key to a Global Environment. International Journal of Business and Social Research, 7(1), 44-55.
Gerber, L. (2018). Understanding the nurse\\\\\\\\\\\\'s role as a patient advocate. Nursing2019, 48(4), 55-58.
Lathrop, B., & Hodnicki, D. R. (2014). The Affordable Care Act: Primary care and the doctor of nursing practice nurse. Online Journal of Issues in Nursing, 19(2).
Metz, S., Piro, J. S., Nitowski, H., & Cosentino, P. (2019). Transformational Leadership: Perceptions of Building-Level Leaders. Journal of School Leadership, 29(5), 389-408.
Taft, S. H., & Nanna, K. M. (2008). What are the sources of health policy that influence nursing practice?. Policy, Politics, & Nursing Practice, 9(4), 274-287.
Study Document
… recent economic crisis, which has forced the government to cut the public health budget continually. Along with budget cuts come new and deadly disease (COVID-19, for example) that put pressure on public health care and push its administration towards failure. Finally, unprecedented changes in the political and ……
References
Johnson, T. D. (2009). Public health benefiting from private-sector partnerships: Health departments reaping results. The Nation\\\\\\\\\\\\'s Health.
Majestic, E. (2009). Public health\\\\\\\\\\\\'s inconvenient truth: the need to create partnerships with the business sector. Preventing chronic disease, 6(2), A39.
Study Document
… the words of Churgay and Aftab (2012), “acute gastroenteritis in children is often defined as the onset of diarrhea in the absence of chronic disease, with or without abdominal pain, fever, nausea, or vomiting” (1060). The child’s symptoms mimic the symptoms highlighted above. It should, however, be noted ……
References
Churgay, C.A. & Aftab, Z. (2012). Gastroenteritis in Children: Part I. Diagnosis. Am Fam Physician, 85(11), 1059-1062.
Hartman, S., Brown, E., Loomis, E., & Russell, H. (2019). Gastroenteritis in Children. Am Fam Physician, 99(3), 159-165.
Study Document
...Chronic disease Gong et al. (2018) states that depressive symptoms and empty phenomenon of elderly people in rural areas is one of the major public health issues in China, which has one of the largest elderly population in the world. It is estimated that elderly people aged 60 years and more account for 15.5% of the Chinese population. In addition, empty-nest elderly families make up nearly 25% of older households in the country, which is projected to reach 90% by 2030. This implies that the country has entered a period of rapid aging, which has significantly increased in the 21st Century (Zhou et al., 2019). As the aging population increases, China continues to witness an increase in empty-net families due to the shrinking average family size (Zhang et al., 2019). Empty-nest elderly people are individuals aged 60 years and more who do not live with their children though they may live with……
References
Gong, F., Zhao, D., Zhao, Y., Lu, S., Qian, Z. & Sun, Y. (2018). The Factors Associated With Geriatric Depression in Rural China: Stratified by Household Structure. Psychology, Health & Medicine, 23(5), 593-603.
Liang, Y. & Wu, W. (2014). Exploratory Analysis of Health-related Quality of Life Among the Empty-nest Elderly in Rural China: An Empirical Study in Three Economically Developed Cities in Eastern China. Health and Quality of Life Outcomes, 12(59). doi:10.1186/1477-7525-12-59
Lu, J., Zhang, C., Xue, Y., Mao, D., Zheng, X., Wu, S. & Wang, X. (2019). Moderating Effect of Social Support on Depression and Health Promoting Lifestyle for Chinese Empty Nesters: A Cross-sectional Study. Journal of Affective Disorders, 256, 495-508.
Wang, L., Liu, W., Liang, Y. & Wei, Y. (2019). Mental Health and Depressive Feeling of Empty-Nest Elderly People in China. American Journal of Health Behavior, 43(6), 1171-1185.
Xie, L., Zhang, J., Peng, F. & Jiao, N. (2010). Prevalence and Related Influencing Factors of Depressive Symptoms for Empty-nest Elderly Living in the Rural Area of YongZhou, China. Archives of Gerontology and Geriatrics, 50, 24-29.
Zhai, Y., Yi, H., Shen, W., Xiao, Y., Fan, H., He, F., Li, F., Wang, X., Shang, X. & Lin, J. (2015). Association of Empty Nest with Depressive Symptom in a Chinese Elderly Population: A Cross-sectional Study. Journal of Affective Disorders, 187, 218-223.
Zhang, C., Xue, Y., Zhao, H., Zheng, X., Zhu, R., Du, Y., Zheng, J. & Yang, T. (2019). Prevalence and Related Influencing Factors of Depressive Symptoms Among Empty-nest Elderly in Shanxi, China. Journal of Affective Disorders, 245, 750-756.
Zhou, J., Xiao, L., Zhou, Y., Rui, G. & Ni, X. (2019). The Depression Status of Empty Nesters in Eastern Rural China. Social Behavior and Personality: An International Journal, 47(2), 1-9.
Study Document
...Chronic disease The Seventh Day Adventist Church is a Protestant Christian denomination that observes the Sabbath (a holy day of rest) on Saturdays (like Jews) rather than on Sundays (like most other Christians). The group focuses especially on the Second Coming of Christ, which they believed would be imminent and would result in the faithful being taken to the Promised Land. Like other Protestant groups, they hold firm to the idea that Scripture is infallible, that there are Three Divine Persons in the Holy Trinity, and that there will be a resurrection. This paper will discuss the beliefs, hopes, traditions, etc. of the Seventh Day Adventists.
The Church was formed in Maryland in 1800s but it has since become international with over 20 million members worldwide. They have 28 Fundamental Beliefs, which are similar to Trinitarian Protestantism and include belief in justification by faith alone, baptism by immersion, and a literal interpretation……
References
Buettner, D. (2005). The Secrets of Long Life. National Geographic, 208(5), 2–27.
Fraser, G. E. (2003). Diet, life expectancy, and chronic disease: studies of Seventh-Day Adventists and other vegetarians. Oxford University Press.
Leininger, M. (2008). Transcultural nursing: Its importance in nursing practice. Journal of cultural diversity, 15(1), 37-43.
Phillips, R. L. (1975). Role of life-style and dietary habits in risk of cancer among Seventh-Day Adventists. Cancer Research, 35(11 Part 2), 3513-3522.
Study Document
… medication/management strategies, however, there are varying aspects in the details of each research question. In Costa et al. (2015), the study focused on chronic disease in general, and not specifically on T2D. In Whitehead et al. (2017), the intervention is not led by nurses and it not only ……
References
Balducci, S., D’Errico, V., Haxhi, J., Sacchetti, M., Orlando, G., Cardelli, P., ... & Lucisano, G. (2019). Effect of a Behavioral Intervention Strategy on Sustained Change in Physical Activity and Sedentary Behavior in Patients With Type 2 Diabetes: The IDES_2 Randomized Clinical Trial. Jama, 321(9), 880-890.
Costa, E., Giardini, A., Savin, M., Menditto, E., Lehane, E., Laosa, O., ... & Marengoni, A. (2015). Interventional tools to improve medication adherence: review of literature. Patient preference and adherence, 9, 1303.
Guo, Z., Liu, J., Zeng, H., He, G., Ren, X., & Guo, J. (2019). Feasibility and efficacy of nurse-led team management intervention for improving the self-management of type 2 diabetes patients in a Chinese community: a randomized controlled trial. Patient preference and adherence, 13, 1353.
Johansen, M. Y., MacDonald, C. S., Hansen, K. B., Karstoft, K., Christensen, R., Pedersen, M., ... & Iepsen, U. W. (2017). Effect of an intensive lifestyle intervention on glycemic control in patients with type 2 diabetes: a randomized clinical trial. Jama, 318(7), 637-646.
Mohd, M. M. A. H., Phung, H., Sun, J., & Morisky, D. E. (2016). Improving adherence to medication in adults with diabetes in the United Arab Emirates. BMC public health, 16(1), 857.
Sapkota, S., Brien, J. A., Greenfield, J., & Aslani, P. (2015). A systematic review of interventions addressing adherence to anti-diabetic medications in patients with type 2 diabetes—impact on adherence. PloS one, 10(2), e0118296.
Supachaipanichpong, P., Vatanasomboon, P., Tansakul, S., & Chumchuen, P. (2018). An Education Intervention for Medication Adherence in Uncontrolled Diabetes in Thailand. Pacific Rim International Journal of Nursing Research, 22(2), 144-155.
Whitehead, L. C., Crowe, M. T., Carter, J. D., Maskill, V. R., Carlyle, D., Bugge, C., & Frampton, C. M. (2017). A nurse?led education and cognitive behaviour therapy?based intervention among adults with uncontrolled type 2 diabetes: A randomised controlled trial. Journal of evaluation in clinical practice, 23(4), 821-829.
Study Document
… of providers in healthcare has dominated the healthcare industry over the past decade. This problem is attributable to various factors including increases in chronic disease, increase in the health needs of the aging population, and inadequacy of education programs. Additionally, the increased recruitment of primary care physicians and ……
References
Antonelli, A.F. (2019, May 14). Does America Have a Physician Shortage – or Are Our Doctors ‘Just Bad at Managing Time’? Retrieved August 5, 2019, https://www.advisory.com/daily-briefing/2019/05/14/physician-shortage
Daly, R. (2018, May 22). Healthcare Workforce Shortage Worsening: Senators. Retrieved August 5, 2019, from https://www.hfma.org/topics/news/2018/05/60811.html
Desmon, S. (2019, March 1). Doctors in Short Supply in Rural Maryland. Baltimore Sun. Retrieved August 5, 2019, from https://www.baltimoresun.com/bal-id.rural01mar01-story.html
Heath, S. (2019, July 11). What Clinician Recruitment Tactics Say About the Physician Shortage. Retrieved August 5, 2019, from https://patientengagementhit.com/news/what-clinician-recruitment-tactics-say-about-the-physician-shortage
Merritt Hawkins. (2019). 2019 Review of Physician and Advanced Practitioner Recruiting Incentives. Retrieved August 5, 2019, from https://www.merritthawkins.com/uploadedFiles/merritthawkins_2019_incentivereview.pdf
Western Maryland Health System and Allegany County Health Department. (2011, November). Allegany County Community Health Needs Assessment. Retrieved August 5, 2019, from http://www.alleganyhealthplanningcoalition.com/pdf/ACHD%20Community%20Health%20Needs%20Assessment.pdf
Wolford, H.B. (2018, May 28). Allegany County Sees Shortage of Health Care Workers. Time News. Retrieved August 5, 2019, from https://www.times-news.com/news/local_news/allegany-county-sees-shortage-of-health-care-workers/article_28b1030d-4403-5d84-aa26-fe17d61b8561.html
Study Document
… be a way of improving the service and quality delivered without cost implications. More attention will be given to the patients suffering from chronic disease. The various healthcare providers will be integrated better. One aspect of improving the healthcare provision is boosting the benefits that come with it. ……
Bibliography
Barrett, S., & Hammond, J. (2009, September 20). Key Elements of Healthcare Reform. Retrieved from Insurance Reform Watch: https://www.insurancereformwatch.org/basic/key.shtml
Nikolai. (2019, November 20). Healthcare Reform: What It Is and Why We Need It. Retrieved from National Institute of Health Policy: https://www.nihp.org/healthcare-reform-what-it-is-and-why-we-need-it/
Study Document
Healthcare professionals usually encounter challenges to address the health conditions facing female patients. In light of the changing nature of today’s society, chronic and acute illnesses among women have become more prevalent. The prevalence of such illnesses is attributable to the unique health issues and conditions … life. While some of these health conditions affect men too, they are more severe among women. Given the unique health conditions, women experience chronic and acute illnesses that affect their overall health and wellbeing. Some of the chronic and acute health conditions affecting women include urinary tract infections and osteoporosis. This paper examines the management of these two conditions through comparison … strength and mass. In most cases, this condition progresses without pain or any symptoms. As a result, this condition is considered a silent disease that contributes to mortality and morbidity across the globe. According to Carbone et al. (2015), osteoporosis is……
References
Baars et al. (2019, February 3). The Contribution of Complementary and Alternative Medicine to Reduce Antibiotic Use: A Narrative Review of Health Concepts, Prevention, and Treatment Strategies. Evidence-based Complementary and Alternative Medicine, 1-29. doi: 10.1155/2019/5365608
Carbone et al. (2015, November). Urinary Tract Stones and Osteoporosis: Findings From the Women’s Health Initiative. Journal of Bone and Mineral Research, 30(11), 2096-2102.
Eells, S.J., Bharadwa, K., McKinnell, J.A. & Miller, L.G. (2014, January 15). Recurrent Urinary Tract Infections Among Women: Comparative Effectiveness of 5 Prevention and Management Strategies Using a Markov Chain Monte Carlo Model. Clinical Infectious Diseases, 58(2), 147-160.
Harvard Health Publishing. (2017, May). Urinary Tract Infection in Women. Retrieved from Harvard Medical School website: https://www.health.harvard.edu/a_to_z/urinary-tract-infection-in-women-a-to-z
Khadilkar, A. & Mandlik, R.M. (2015). Epidemiology and Treatment of Osteoporosis in Women: An Indian Perspective. International Journal of Women’s Health, 7, 841-850.
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Study Document
… has experienced these symptoms. I would also inquire about the patient’s recent travels because it is possible the symptoms point to an infectious disease or a food-borne illness. Whatever the situation, the patient must first replenish the depleted fluids and electrolytes immediately during the administration of diagnostic … had triggered the condition, then the patient should recover within a few days. If symptoms continue, though, the patient may indeed have a chronic condition. Diagnosing the patient’s condition will be challenging due to the great array of causes for bloody diarrhea especially during the acute stage … be challenging due to the great array of causes for bloody diarrhea especially during the acute stage (Holtz, Neill…[break]…like colitis or inflammatory bowel disease could indicate the possibility for these conditions. Causes could be numerous including exposure to pathogens. Therefore, the patient is recommended a clean diet … results of the blood and……
References
Holtz, L.R., Neill, M.A. & Tarr, P.I. (2009). Acute bloody diarrhea. Gastroenterology 2009(136). Retrieved from: https://www.gastrojournal.org/article/S0016-5085(09)00344-8/pdf
LaRocque, R. & Harris, J.B. (2019). Patient education: acute diarrhea in adults. Up To Date. Retrieved from: https://www.uptodate.com/contents/acute-diarrhea-in-adults-beyond-the-basics
Larsen, C.M., Nakamura, K.M. & Bhagra, A. (2012). 34-year old woman with abdonaml pain and blood-streaked diarrhea. Mayo Clinic Proceedings 87(9): 905-908.
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