Study Document
...Obamacare Lifelong Learning Plan
Mission
I have both personal and professional reasons for wanting to develop a lifelong learning plan. I am in Clarksville, TN, near the Army post at Fort Campbell, Kentucky and am currently a federal employee—but my goal is, upon completing my Master Degree in Health Care Administration, to work in the Army Substance Abuse program. This is my goal because in my childhood I saw my mother struggle with substance abuse and experienced what it is like to grow up in that kind of environment. While she struggled with addiction, my brothers and I bounced from post to post—there was a lot of instability and we all suffered as a result of it. I would like to run a facility where the children of such situations can reside with their sole custody parent. It would be a facility that holistically treats the addicted parent and helps with……
References
Freeman, E. (2001). Substance Abuse Intervention, Prevention, Rehabilitation, and Systems Change: Helping Individuals, Families, and Groups to Empower Themselves. Columbia University Press.
Maxwell, J. (1998). The 21 Irrefutable Laws of Leadership. Nashville, TN: Thomas Nelson Publishers.
Northouse, P. G. (2016). Leadership: Theory and practice (7th ed.). Thousand Oaks: CA: Sage Publications.
Stogdill, R. M. (1948). Personal factors associated with leadership: A survey of the literature. Journal of Psychology, 25, 35–71.
Study Document
...Obamacare Personal Changes
A major change among RNs that challenged them and was difficult for them to make focused on implementing a transcultural care model among the nurses that required the nurses to become more educated about different cultures and how to respond to patients of these various cultures. It required of the nurses the need to maintain two different perspectives and sets of beliefs in the minds at once—their own beliefs and an empathetic view of the beliefs of the patient of the different cultural background. As Kodama and Fukahori (2017) noted, the main challenge for RNs tasked with a change of this nature is to develop respect and empathy for others while holding a micro and macro perspective. This paper will describe the different perspective on change by those who like it and those who dread it, explain why readiness for change is so crucial to its success, show……
References
Doll, G. A., Cornelison, L. J., Rath, H., & Syme, M. L. (2017). Actualizing culture change: The Promoting Excellent Alternatives in Kansas Nursing Homes (PEAK 2.0) program. Psychological services, 14(3), 307.
Joshi.(2014). Change is Constant, but Improvement is Rapid. H and HN: Hospitals and Health Networks (2014).
Kodama, Y., & Fukahori, H. (2017). Nurse managers’ attributes to promote change in their wards: A qualitative study. Nursing open, 4(4), 209-217.
Kotter’s 8 Step Change Model. (2018). Retrieved from https://www.toolshero.com/change-management/8-step-change-model-kotter/
NHS. (2011). Overview – Change Management – the Systems and Tools for Managing Change. Retrieved from https://www.england.nhs.uk/improvement-hub/wp-content/uploads/sites/44/2017/11/Overview-Change-management.pdf
Tobias, R. M. (2015). Why do so many organizational change efforts fail?. Public Manager, 44(1), 35
Study Document
...Obamacare Reflex pathways
Introduction
Reflexes or reflex pathways are always most easily observed as well as analyzed specifically when the spinal cord directly receives a synchronous volley, particularly of afferent input. Due to such an occurrence, the afferent volley often has been provoked specifically by electrical stimulation associated with nerves, rather than particularly by the natural stimulation associated with peripheral receptors (Goldberger, 2019). The result in most cases is always that several reflex stimuli, especially in various animal experiments, become described specifically in terms of the specific intensity of the electrical stimulation associated with the nerve, rather than particularly in terms of which the sensory receptors have majorly been activated.
Fortunately, in the muscle nerves, there always exists a fairly close specific relationship between the particular electrical stimulation threshold associated with fiber together with the sensory receptor that it innervates (Horn, 2019). This paper aims to explore the reflex pathways by……
References
Goldberger, J. J., Arora, R., Buckley, U., & Shivkumar, K. (2019). Autonomic nervous system dysfunction: JACC focus seminar. Journal of the American College of Cardiology, 73(10), 1189-1206.
Horn, C. C., Ardell, J. L., & Fisher, L. E. (2019). Electroceutical targeting of the autonomic nervous system. Physiology, 34(2), 150-162.
Kenneth, S. S. (2017). Anatomy & Physiology: The unity of form and function. McGraw-Hill.
Marieb, E. & Hoehn, K. (2018). Human Anatomy & Physiology (11th ed). Boston, MA: Pearson. ISBN: 9780134756363
Steinman, K. J., Spence, S. J., Ramocki, M. B., Proud, M. B., Kessler, S. K., Marco, E. J., ... & Sherr, E. H. (2016). 16p11. 2 deletions and duplication: Characterizing neurologic phenotypes in a large clinically ascertained cohort. American journal of medical genetics Part A, 170(11), 2943-2955.
Study Document
...Obamacare Cleveland Clinic Case Study
Introduction
The Cleveland Clinic is a large health care provider based in Cleveland, but with some expansion under its belt already. The Clinic has in recent years been an innovator in a number of areas, and an early adopter in others such as the use of information technology. These approaches have set the Clinic up for success. Since 1999, operating revenue has increased consistently, each year, including the recession years of 2008 and 2009, going from around $2.3 billion in 1999 to nearly $7 billion in 2014. While the operating margin has fluctuated during that period, it has been above zero since 2002 and is on a two-year upward trend. Thus, there is significant success attached to recent endeavors. For the leadership of the Cleveland Clinic, there are a number of strategic and tactic options on the table, including those with respect to international expansion, operating……
Study Document
...Obamacare August 2020
By the end of the month, we hope to reopen:
i) Academic facilities for courses that begin earlier than October
ii) Admissions processing for October 2020
Already open:
i) Several laboratories and associated spaces (phased, where buildings are ready and on the basis of priority)
ii) College house for end-year examination processing (partially open with staff reporting in shifts)
iii) College health center
September 2020
By the end of the month, the school administration will hold a full scale review to determine what areas can be reopened safely
We hope to reopen;
i) The library (weekdays 9am to 6pm)
ii) More academic facilities and departments
iii) Any remaining cafes and shops
iv) Any remaining laboratories
October 2020
we will be reopening some office spaces on reduced capacity for staff and faculty who may wish to work on campus
We hope to begin welcoming some of our students back……
References
CDC (2019). Operating Schools during Covid-19: CDC’s Considerations. Center for Diseases Prevention and Control (CDC). Retrieved from https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/schools.html
DC Health (2020). Health Notice for district of Columbia Healthcare Providers . DC Health. Retrieved from https://dchealth.dc.gov/sites/default/files/dc/sites/doh/publication/attachments/COVID-19_HAN_20200305_Final_update.pdf
WHO (2020). Key Messages and Actions for Covid-19 Prevention and Control in Schools. World Health Organization. Retrieved from https://www.who.int/docs/default-source/coronaviruse/key-messages-and-actions-for-covid-19-prevention-and-control-in-schools-march-2020.pdf?sfvrsn=baf81d52_4
Study Document
...Obamacare Introduction
When a family has to decide how much is too much, as Plakovic (2016) puts it during end-of-life care, there is a clear ethical dilemma that crops up for family members and care providers. That dilemma is related to the issue of how to approach end-of-life treatment. For instance, some individual have strict preferences when it comes to whether or not they want to be resuscitated or kept alive by a machine. Others have no instructions set aside before hand for care providers and family to go by. The ethical dilemma is complicated by the fact that care providers have an oath to care for all life—but at the end-of-the-life, what is the line between postponing the inevitable inhumanely and giving as much humane care as is possible? That blurred line is a complicated one to walk. The two major points that this paper will address when it comes……
References
Bronzino, J. D., & Peterson, D. R. (2016). Bene?cence, Nonmale?cence, and Medical Technology. In Tissue Engineering and Artificial Organs (pp. 1259-1266). CRC Press.
Garrido, M. M., Balboni, T. A., Maciejewski, P. K., Bao, Y., & Prigerson, H. G. (2015). Quality of life and cost of care at the end of life: the role of advance directives. Journal of pain and symptom management, 49(5), 828-835.
Karnik, S., & Kanekar, A. (2016). Ethical issues surrounding end-of-life care: a narrative review. In Healthcare (Vol. 4, No. 2, p. 24). Multidisciplinary Digital Publishing Institute.
Marijic, P., Buss, A., & Strupeit, S. (2017). Autonomy and social participation of nursing home residents: nurses’perspectives. Innovation in Aging, 1(Suppl 1), 886.
Plakovic, K. (2016). Burdens Versus Benefits: When Family Has to Decide How Much Is Too Much. Journal of Hospice & Palliative Nursing, 18(5), 382-387.
Sen, A. (1983). Evaluator relativity and consequential evaluation. Philosophy & Public Affairs, 113-132.
Weissman, D. E. (1999). Do not resuscitate orders: a call for reform. Journal of Palliative Medicine, 2(2), 149-152.
Yuen, J. K., Reid, M. C., & Fetters, M. D. (2011). Hospital do-not-resuscitate orders: why they have failed and how to fix them. Journal of General Internal Medicine, 26(7), 791-797.
Study Document
...Obamacare Retirement Planning
1. Most Americans over the age of 65 have the ability to enroll in Medicare part A and Medicare part B. Medicare Part A is what is known as “hospital insurance”, and “helps pay for inpatient care in a hospital or limited time at a skilled nursing facility (following a hospital stay). Part A also pays for some health care and hospice care”, according to the Social Security Administration.
The Medicare website outlines some specific things within each of these broad categories. For example, under hospital care Medicare Part A covers semi-private rooms, meals, general nursing, drugs as part of your inpatient treatment, and other hospital services and supplies.
In a skilled nursing care unit, you are covered for meals, semi-private room, skilled nursing care, physical therapy, occupational therapy, speech-language pathology services, medications, medical social services, medical supplies and equipment used in the facility, ambulance transportation, dietary counseling,……
References
Medicare.gov (2020) Website, various pages. Medicare.gov. Retrieved April 10, 2020 from https://www.medicare.gov
Social Security Administration. (no date). Website, various pages. SSA.gov. Retrieved April 10, 2020 from https://www.ssa.gov
Study Document
...Obamacare Introduction
An electronic health record (EHR) is a person's authentic health record that is shared among various agencies and offices (Hasanain, 2014). The role of EHRs is getting to be expanding persuasive as progressively tolerant data winds up computerized and bigger quantities of customers express a need to have portable access to their health records. It is an electronic form of a patient's paper record. EHRs offer the upside of making data about patient consideration accessible, in a protected way, to numerous approved clients (Kierkegaard, 2019). In spite of the fact that EHRs change in content and usefulness, they are regularly intended to incorporate the therapeutic and treatment accounts of the patient, just as the patient's findings, meds, vaccination dates, radiology pictures, and lab and test results, among other data. EHRs can possibly coordinate data from various sources and give a progressively thorough perspective on patient consideration despite the fact……
References
Gagnon, D., Simonyan, E.K., Ghandour, G., Godin, M., Labrecque, M., Ouimet, M.R. (2016). Factors influencing electronic health record adoption by physicians: A multilevel analysis, Int J Inform Manage, 36, pp. 258-270.
Hasanain, H. (2014). Cooper Solutions to overcome technical and social barriers to electronic health records implementation in Saudi public and private hospitals, J Health Inform Dev Ctries, pp. 46-63.
Kierkegaard, P. (2019). Electronic health record: Wiring Europe\\\\'s healthcare: Computer Law & Security Review. 27 (5): 503–515.
Murphys, E.V., & Yale, J. (2014). Clinical decision support: effectiveness in improving quality processes and clinical outcomes and factors that may influence success. Biol Med; 87, pp. 187–97.
Study Document
...Obamacare Good Deeds
During times of crisis, we all have a responsibility to lend support to each other and to provide assistance to those who need it most. At a time when the country is confronting an invisible and unfamiliar foe, the best we can do is become each other’s brother’s keeper. On my part, I have been engaging in good deeds because I believe that this is the right thing to do. These will be highlighted below, under the following Hash Tags:
#Coronavirus #COVID19 #STU #STULeadersForLife #STUWeCare #LeadersForLife
Amongst the most affected by the current pandemic are the homeless. These people lack the social support necessary to secure their safety and wellbeing in periods such as these. Towards this end, I have engaged in the following activities;
· Provision of facemasks and hand sanitizers to the homeless
· Provision of foodstuffs and basic hygiene items to the homeless
· Provision……
Study Document
...Obamacare Health Disparities and Homeless Population
The causes of homelessness are complex but its tragic consequences are very clear. Homelessness is a huge problem in many rural areas, towns, and cities across the world. It is also a public health problem. The homeless are a vulnerable population. They not only live a poor quality of life on the streets but they also face hunger and are at a high risk of getting preventable diseases, getting co-occurring diseases, and dying premature deaths. In developed countries like the United States and United Kingdom, the phenomenon of homelessness is closely interlinked with that of poverty. Most of the time, the working poor have to work so hard or to work multiple jobs or they will become homeless. Sometimes just one missed pay check results people being evicted and sent to the streets. Other times illnesses, unexpected retrenchments, accidents, lead to lack of money at……
References
Andaya, A. (2016). Understanding the Causes Health Disparities among the Homeless. UC Merced Undergraduate Research Journal, 9(1).
Fajardo-Bullón, F., Esnaola, I., Anderson, I., & Benjaminsen, L. (2019). Homelessness and self-rated health: evidence from a national survey of homeless people in Spain. BMC public health, 19(1), 1081.
Koh, H. K., & O’Connell, J. J. (2016). Improving health care for homeless people. Jama, 316(24), 2586-2587.
Plumb J. D. (2000). Homelessness: reducing health disparities. CMAJ : Canadian Medical Association journal = journal de l\\\\\\'Association medicale canadienne, 163(2), 172–173.
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