Contraception / IVF

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After studying the course materials located on Module 3: Lecture Materials & Resources page, answer the following:

  1. Name and explain the levels of human sexual intercourse.
  2. Difference between reproduction and procreation.
  3. What are the two dimensions of intimacy?
  4. Contraception:
    • What is it?
    • What is the intention of contraception?
    • Describe the three types of artificial contraception.
    • Risks / Side effects
    • Bioethical analysis and unfair dynamics of artificial contraception.
  5. Non-Therapeutic sterilization; bioethical analysis
  6. Principle of double effect; explain
  7. Bioethical analysis of:
    • Ectopic pregnancy
    • Cancerous reproductive system with pregnancy
  8. In Vitro Fertilization(IVF):
    • Process
    • Bioethical analysis of IVF
  9. Bioethical analysis of “to have a child”
  10. Read and summarize ERD paragraphs #: 40, 41, 42, 48, 52, 53.

Submission Instructions:

  •  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 styl

EVIDENCE BASE IN DESIGN

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Maria Hernandez

Main Post:

H.R. 977- Patient Access to Higher Quality Health Care Act of 2023.

 

Description: When a patient has health insurance, depending on which premium, they are made to use providers or hospitals that are “in-network” to avoid higher costs of services. This can often be an issue for patients because some providers are not in network with their health insurance, specifically Medicare recipients. The Patient Access to Higher Quality Health Care Act would “repeal changes made by health care reform laws to the Medicare exception to the prohibition on certain physician referrals for hospitals” (Congress.gov, 2023).

Background: According to the American Hospital Association, “For decades, the Ethics in Patient Referrals Act (“Stark Law”) has protected the Medicare program from the inherent conflict of interest created when physicians self-refer their patients to facilities and services in which they have a financial stake” (AHA, n.d.). At one point, physicians were allowed to make referrals to hospitals with ownership within the entire facility; this gap was closed in 2010 when the Affordable Care Act was passed.  

Social Determinant: One social determinant is access to health care and quality care. Patients, regardless of their socioeconomic status, should receive high-quality care. The American Hospital Association states, “The Government Accountability Office (GAO), the Centers for Medicare & Medicaid Services and MedPAC all found that physician-owned hospitals’ patients tend to be healthier than patients with the same diagnoses at general hospitals” (AHA, n.d.). This would lead those with serious illnesses to rely on general hospitals for healthcare services.

Evidence: The growth of Physician-owned hospitals was prohibited in 2010 after the passing of the Affordable Care Act. According to Ehrenfeld, “a systematic review of 30 years of research demonstrating that physician-owned specialty hospitals or so-called “focused factories” offer higher-quality care at comparable or lower cost, while physician-owned community hospitals are no worse than their counterparts” (Ehrenfeld, 2023). If H.R. 977 is passed into law, it would allow physicians of physician-owned hospitals to extend their services to the community by opening new hospitals that would provide high-quality, efficient care and be affordable to patients. This would place competition against general hospitals at risk of losing market share, leading them to reform their services to stay in competition. This would benefit patients in being able to seek assistance in a variety of hospital or hospital-owned facilities. 

 

References:

American Hospital Association. (n.d.). Fact sheet: Physician self-referral to physician-owned hospitals. https://www.aha.org/fact-sheets/2023-02-27-fact-sheet-physician-self-referral-physician-owned-hospitals

Congress.gov. (n.d.). H.R.977 – 118th Congress (2023-2024): Patient Access to Higher Quality Health Care Act of 2023. https://www.congress.gov/bill/118th-congress/house-bill/977?q=%7B%22search%22%3A%5B%22HR+977%22%5D%7D&s=1&r=1

Ehrenfeld, J. M. (2023, August 10). End restrictions on physician-owned hospitals to expand Quality Care. American Medical Association. https://www.ama-assn.org/about/leadership/end-restrictions-physician-owned-hospitals-expand-quality-care

Nursing homework

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Can you help me with my assignement.

Nursing

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Instructions:

1. APA-7 Format

2. MUST utilize credible data sources such as CINAHL, MEDLINE, Embase, ClinicalKey, The Cochrane Library.

3. Research paper must be 500 – 650 words.

4. Must present your writing double-spaced, in Times New Roman or Arial,with a font size 12.

5. Pay attention to grammar rules (spelling and syntax)

6. 3 or more scholarly sources must be utilized

7. Sources must be within the last 5 years

8. Must have a minimum of 3 Sources

9. All article sources must be cited by including them in the reference sheet (separate).

Topic:

1. Weight Loss Outcomes Associated With Ozempic Treatment for Patients With Overweight or Obesity

Professional Ethics

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Today’s health care environment gives nurses many reasons to be conflicted. Genetic testing, abortion, and end of life care are just some of the areas in which nurses may face ethical dilemmas. Consider how you feel about the following issues:

  • Respecting the wishes of a suffering client that he is permitted to die with dignity,
  • Respecting the health surrogate’s wishes regarding termination of life support,
  • Or even observing another nurse take two tablets of oxycodone as ordered but keeping one for herself.

Then give an example of an ethical dilemma you may have confronted in your own clinical experience or workplace. How did you come to the decision you made? What feelings did you experience while coming to that choice? (If you have not yet faced an ethical dilemma, research one and comment on it, answering the same questions.)

Assigment .Apa seven . All instructions attached.

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Research paper 1

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Exercise Content

1.

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COT / Research Assignment # 1

Purpose

The student will share their PICOT question and further explore and explain its key components, as well as examine its feasibility as a hypothetical project.

General directions

1. You will submit one (1) paper as part of this assignment; inclusive of:

2. PICOT (written/narrative)

3. Your scholarly paper must follow APA format. Include a cover page and headings per 6th edition APA guidelines.

PICOT (written/narrative):

4. The PICOT (written/narrative) component of the assignment should be no more than 4-7 pages (not including the title or references pages).

5. Include the following components in the PICOT part of your scholarly paper:

6. Title Page

7. Introduction

8. Problem Statement

9. PICOT Question explanation of each component

10. Population of Interest

11. Intervention of Interest

12. Comparison of Interest

13. Outcome of Interest

14. Timeframe

15. Conclusion

16. References Page

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pn 2 m7 written

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 Fill out the Table below comparing the Acute Complications of Diabetes. 

DISCUSSION REPLIES

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Respond to the four colleagues in the attachment file by offering additional ideas to overcome the barriers to strategies suggested by your colleagues and/or by offering additional ideas to facilitate dissemination. Please include AT LEAST 2 REFERENCES EACH

Assigment .Apa seven . All instructions attached.

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Discussion Topic

I live in Miami FloridaTop of Form

QUESTION 1

Step 1: The three “Principles of Action” outlined in the 

final report to the Commission on Social Determinants of Health
 


https://apps.who.int/iris/bitstream/handle/10665/43943/9789241563703_eng.pdf

are essential to achieving health equity. These actions contain a host of SDH such as access to decent employment, and gender equity. Read the “Executive Summary” (pages 1-23) (provided above) paying special attention to the different social determinants of health the Commission addresses. 

Step 2: Find one recent news article (published within the past month), in a newspaper or on a news website, that features a health issue in your particular country or community. Alternatively, you can find one new story of interest on CDC Global Health Newsroom 

https://www.cdc.gov/globalhealth/newsroom/
 (Choose one story from the list of news stories).

Step 3: Write an 300-350 word essay that includes the following information and answers to the following questions:

1. Briefly summarize the main features of the health issue you selected, and how it is affecting the country or community where it exists.

2. What are the main 

risk factors
 for this health issue?

3. Outline three social determinants of health that could influence those who are most at risk for this health issue. Describe how these social determinants are linked and relevant to this health issue. (Note: it may help to go through the determinants described by the Commission and try to visualize how each may be linked to the health issue you selected. For example, how might income, employment, gender, structural racism, global warming, physical environments, access to health services, etc. influence those who are at risk?)

4. Briefly describe 3 actions you recommend that could improve health equity related to this health issue. (These recommendations can be community actions, government actions, or international actions but they must address all three of the social determinants you described in question 3).

QUESTION 2

After reviewing the Case Study 'John's Journey' 

(provided in Week 1 Folder)
 Describe 2 things that the Case Study helped you to understand about the link between community and client health and the impact of the SDOH. Specifically link your observations to John and his family demonstrating understanding and review of the Case Study provided. 

Please be sure to adhere to the following when posting your weekly discussions:

1. Students are to write their name and the appropriate discussion number/discussion title in the title bar for each discussion. For example 
Discussion 1: Micheal Cabrera or Discussion 3: Sheila 

Smith. This is important in identifying that students are submitting original posts as well as response posts as required.

2. Students are to submit their discussions 
directly onto Blackboard Discussion Board.

Attachments submitted as discussion board posts will not be graded.

3.  As a reminder, 
all discussion posts must be minimum 350-550 words, references 
must be cited in 
APA format 7th Edition, and 
must include minimum of 3 scholarly resources published within the past

5-7 
years (not part of the classroom coursework).  

DISCUSSION POSTS WILL BE DUE NO LATER THAN SUNDAY, Since there was a delay to Week 1&2, this post has been extended to Week 3 and is due by Sunday, 9/17/23 by 11:59 pm EST

Since there is only two students who is registered for this section of the course there will not be any peer responses therefore discussions/Cases will only have the original response and my feedback and the rationale for the length as normally the original discussions are 250 words and 2 peer responses are 150 (300 words). I have therefore increased the length of this original post for this reason. 

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PICO Discussion

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Please see the attachment. Answer using PICO format.