Obama Care Plan
Health care is undergoing a dramatic transformation and needless to say it is one of our largest industries that contribute handsomely to the Gross Domestic Product, greater demands are placed for the value of dollars that are being spent to provide for healthcare services to patients. Now-a-days, in this ever demanding environment marketing as a discipline is being practiced (Berkowitz, October 2010)

In early days it was a great debate that whether marketing should be practiced in a profession or not. Recent trends have shown that in order to provide for patients there needs to be an effective marketing team. In modern era, the consumers are not only able to access information but they are also able to communicate their experiences of healthcare services via comprehensive social networks i.e. with other people online on the internet or out on the streets. The eb provides a platform where information can…...

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Works Cited

Berkowitz, E.N. (October 2010). In E.N. Berkowitz, Essentials of health care marketing (pp. 10-11). Jones & Bartlett Publishers.

Blumberg, L.J., & Holahan, J. (2009). The individual mandate -- An affordable and fair approach to achieving universal coverage. New England Journal of Medicine, 6-7. doi:10.1056/NEJMp0904729

Bureau, U.S. (2012, April 16). State & County QuickFacts. Retrieved from http://quickfacts.census.gov/qfd/states/00000.html

Health Care Reform. (2012, August 12). Retrieved from The NewYork Times:  http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/health_insurance_and_managed_care/health_care_reform/index.html

Holistic Nursing Care Plan for Terminally Ill Patient
The objective of this study is to create a holistic nursing care plan for a terminally ill patient. This study will explain how perceptions about quality of life and health promotion might affect care for a dying patient with a lingering illness such as cancer and discuss strategies that could be used in the situation to improve the quality of life for the patient and her husband during this illness.

Holistic Nursing

It is important that the nursing care plan for the terminally ill includes the reassurance that the patient will not be abandoned and that the nurse assist the patient in discussing their care wishes and goals. To assist patients such as the patient in this scenario it is important to understand the concepts and elements of end-of-life care and that the nurse be a skilled practitioner of the nursing arts. The end-of-life care…...

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Bibliography

American Holistic Nurses Association, AHNA Standards of Holistic Nursing Practice. (2004) Flagstaff, AZ, AHNA.

Mariano, C. (2003) Advanced Practice in Holistic Nursing. In: Nurse Practitioners Evolution of Advanced Practice, ed M. Mezey, D. McGivern and E. Sullivan-Marx, 4th ed. (New York: Springer, 2003).

Mariano, C. (2007) Holistic Nursing: Scope and Standards of Practice. Chapter 2. Retrieved from:  http://samples.jbpub.com/9781449651756/45632_CH02_Pass1.pdf 

Norlander, L. (nd) To Comfort Always. A Nurses Guide to End-of-life Care. Sigma Theta Tau International. Honor Society of Nursing. Retrieved from:  https://www.google.com/url?sa=t&rct=j&q=&esrc=s&source=web&cd=6&cad=rja&ved=0CHYQFjAF&url=http%3A%2F%2Fwww.hpna.org%2FPicView.aspx%3FID%3D1043&ei=5YFQUYq2A8aIiAKAhoDgCQ&usg=AFQjCNGMzNYfjMoCV1vNYr4sEgsMkO5l2A&bvm=bv.44158598,d.cGE

Cooper Green
Delivering health care to a population is a task taken aboard by many developed countries all over the world. Even though as an altruistic act, the act of being responsible for the health of the entire community is not an easy job. Along with political and economical barriers, greater barrier comes when the people in the community are not that concerned about their health. In United States of America, there are a total of forty eight million Americans who are not insured. This is surely a shocking amount and it reveals that how reluctant people are when it comes to their health. People would rather have a better shelter over their head rather than have a better health.

The problems seen with delivering health care can arise in every setting where the government takes responsibility. The major concern all over the world includes the growing population and the restricted need…...

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References

Healthaffairs.org (2009). Health Policy Briefs. [online] Retrieved from:   [Accessed: 22 Jan 2013].http://www.healthaffairs.org/healthpolicybriefs/brief.php?brief_id=10 

Stanley, H. (1997). Health Care. THE JOURNAL RECORD, December 31.

Wright, B. (2012). Some surprised at Jefferson County panel's decision to close Cooper Green inpatient care. The Birmingham News, [online] August 7th. Retrieved from:   [Accessed: 22 January 2013].http://blog.al.com/spotnews/2012/08/decision_on_cooper_green_expec.html 

This huge amount of governmental expenses spread within a period of up to 10 years will result in a slower economic growth. The slow down in the economic growth of America's economy will also be due to the fact that the U.S. economy is currently heavily burdened.
Burden to Healthy People:

One of the major controversial portions of Obama's health care plan is the burden it places on healthy people since they have to take care of the health insurance costs of unhealthy people like the obese or those who smoke. Additionally, it's compulsory for Americans to get a health insurance or they will be subjected to a tax increase that will be used to fund the health insurance costs of others. Under Obama's health care plan, health insurers are banned from imposing different premium charges that are dependent on the customer's health. Moreover, the proposed health care reform plan will…...

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References:

"Barack Obama and Joe Biden's Plan to Lower Health Care Costs." (n.d.). Barackobama.com.

Retrieved October 22, 2010, from  http://www.barackobama.com/pdf/issues/HealthCareFullPlan.pdf 

Laszewski, R. (2008, March 21). A Detailed Analysis of Barack Obama's Health Care Reform

Plan. Retrieved October 22, 2010, from  http://www.thehealthcareblog.com/the_health_care_blog/2008/03/a-detailed-anal.html

Nursing Care Plan
Patient Assessment and Implementation of Nursing Model in Addressing Patient Care Goals

The patient being assessed is a 72-year-old female brought to the gynae ward for diarrhea and vomiting and generally unwell and weakness in addition to a non-productive cough. Medical history of this patient includes Alzheimer's, Left Nephrectomy, aortic repair, asthma, and mobility problems.

Problem Solving Approach: Patient/Client Problem

The two problems identified during the assessment are those of:

(1) Asthma; and (2) Alzheimer's.

Goal Statement

The goal of care is to instruct patient on coping with asthma and Alzheimer's through use of the Roper, Logan and Tierney model. This was the first model for nursing which had as its basis a model of living. The research arose from study of Nancy Roper in 1970 in which she "sought to identify the core of nursing activities across any field of nursing practice, which could then be supported by knowledge, skills and attitudes required…...

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Bibliography

Alzheimer's Association & National Alliance for Caregiving. (2004).Caring for persons with Alzheimer's: 2004 national survey. Chicago, IL: Alzheimer's Association.

Alzheimer's Association. (2007a). Consensus report. Review of scientific evidence addressing prevalence, documented needs, and interdisciplinary research: Persons in early stage Alzheimer's dementia. Chicago, IL: Author.

Alzheimer's Association. (2007b). Safety. Retrieved April 1, 2008, from  http://www.alz.org/national/documents/topicsheet_safety.pdf 

Alzheimer's Association. (2008). 2008 Alzheimer's disease facts and figures. Alzheimer's & Dementia, 4, 110-133.

Combined with the widespread entry of women into the labor force, an aging population, and minimal assistance for high quality long-term care at the end of life, these economic and social conditions raise a set of difficult policy questions for health services planning. Set in these broad contexts, this paper situates access to and experience of health services in the home, the hospital, and nursing facility, to demonstrate how economic changes have relocated and redefined health services in ways that distinctively impact how people experience the places where they receive care. This place switching of health services externalizes costs of subacute and "daily life care" (the so-called custodial care) to the sphere of the individual, their family, and communities. The theoretical analysis uses current geographical and philosophical approaches to place and space, and considers the tensions between institutionally managed health care space, and the patient's experience of receiving health…...

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Bibliography

Grimmer, Karen, et al. (2006) Incorporating Patient and Carer Concerns in Discharge Plans: The Development of a Practical Patient -Centered Checklist" Journal of Allied Health Services and Practice Vol. 3 No.1 ISSN 1540-580X.

Cartier, Carolyn (2002) From home to hospital and back again: economic restructuring, end of life, and the gendered problems of place-switching health service

Social Science & Medicine

Volume 56, Issue 11, June 2003, Pages 2289-2301

While people who work with these kinds of issues can present their best guesses, they cannot actually provide proof that the Obama Administration's health care plan is good or bad, or how much it will cost. The 'if only' propositions that are in much of the plan tend to make statisticians and fact-checkers nervous, simply because of the nature of these kinds of propositions -- they rely on the best-case scenario (D'Angelo & Winfree, 2008).
What would happen if the best-case scenario does not work out is something that cannot easily be answered, and that is what has people the most concerned. Everything is fine if things operate smoothly, but a simple problem could end up costing millions of dollars and/or leaving a lot of people without insurance (D'Angelo & Winfree, 2008). There is also the concern regarding government control, because many people are already voicing their concerns about the…...

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[22] See Joseph Antos, "Obama's $2,500 Promise: Unhealthy moves,' National Review Online, October 10, 2008, at http://article.nationalreview.com/?

q=Zjk5YWE5Y2I3YTZmODQxODIxNmFiYTFmMGNjZDA3MmU=#more (October 23, 2008).

[23] Stuart M. Butler, Ph.D., "Roll back the tax cuts': An exercise in shady financing,' Heritage Foundation Commentary, July 26, 2008, at  http://www.heritage.org/Press/Commentary/ed072608a.cfm .

Nursing Diagnosis Care Plan
Assessment Data Analysis

a) Patient is a 65-year-old male Mexican-born retired bus driver with a relevant past medical history of atrial fibrillation and deep vein thrombosis treated with Coumadin who presents with hematuria. Patient sought care after witnessing blood in his urine and feeling generally weak. In addition, the patient has history of hypertension, stroke, DVT, BPH, gout, depression, anxiety, chronic bronchitis and a remote history of chicken pox. He has no known allergies. Past surgical history is only remarkable for appendectomy. Patient drinks alcohol (1 beer/day), smokes (1/2 pack/day) and has never used illicit drugs. Patient reports a family history of hypertension, arthritis, asthma, colon cancer, diabetes and gastric ulcers. Prescription medications: Coumadin 3mg by mouth daily, Flomax (Tamsulosin) 0.4mg by moth daily, Senna 187mg PO daily, Metoprolol Tartrate 12.5mg by mouth daily, Lisinopril 2.5mg by mouth twice a day, Finasteride 5mg by mouth daily, Docusate sodiun…...

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References:

Ansell J, Hirsh J, Poller L, Bussey H, Jacobson A, Hylek E. 2004. "The pharmacology and management of the vitamin K antagonists: the Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy." Chest 126 (3 Suppl): 204S -- 233S.

Griffiths, J. And Hutchings, W. 1999. The wider implications of an audit of care plan documentation. Journal of Clinical Nursing. 8(1):57-65.

Fritsma, George A. 2002. "Evaluation of Hemostasis." Hematology: Clinical Principles and Applications . Ed. Bernadette Rodak. W.B. Saunders: Philadelphia. pp 719-53.

Holbrook AM, Pereira JA, Labiris R, et al. 2005. "Systematic overview of warfarin and its drug and food interactions." Arch. Intern. Med. 165 (10): 1095 -- 106.

President Obama's Health Care Plan
The objective of this study is to conduct an analysis of President Obama's proposed health care reform plan. Included in the analysis will be a description of the major features of the proposed health care reform plan and how the plan will be funded. Also included will be an objective analysis of the pros and cons of the proposed plan in relation to the factors as follows: (1) The degree to which the plan will increase access to health care for various segments of the population; (2) The extent to which the proposed plan will affect cost relative to the consumer, the taxpayer, the insurance companies, government, and other payers; (3) The impact of the plan on the quality of care delivered; and (4) Unintended consequences (e.g. health care rationing). Included in the analysis will be the potential response of the stakeholders including healthcare providers,…...

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Works Cited

Christensen, J (2013) Doctor Shortage, Increased Demand Could Crash Health Care System. 2 Oct 2013. Retrieved from:  http://www.cnn.com/2013/10/02/health/obamacare-doctor-shortage/index.html 

Dorfman, J.(2013)On October 1 Obamacare's Price Tag Will Surprise Americans. Forbes. 26 Sept 2013. Retrieved from:  http://www.forbes.com/sites/jeffreydorfman/2013/09/26/on-october-1-obamacares-price-tag-will-surprise-americans/ 

Mandatory Reforms in Health Care Laws (2013) Congressional Research Service and Congressional Budget Office. Retrieved from:  http://www.foxnews.com/topics/calculator/mandatory-funds-in-health-care-law.htm 

Ritger, C. (2013) Obama's Affordable Care Act Looking a Bit Unaffordable. National Journal. Retrieved from:  http://www.nationaljournal.com/domesticpolicy/obama-s-affordable-care-act-looking-a-bit-unaffordable-20130829

Nursing Case and Care Plan
William Smith is a 68-year-old man who was transferred to the Palliative Care ward from a surgical ward three days ago. The patient was admitted on January 26, 2013 for removal of a sacral abscess that had been a source of a lot of pain to him. Following his surgery, his future management was evaluated and it was decided that he would be transferred to the Palliative Care ward since he could not be discharged home. The palliative assessment of Smith would require the development of a suitable nursing care plan that would help deal with the condition. The nursing plan requires an understanding of the patient's social history, medical history, physical assessment upon admission, and palliative care unit admission assessment.

Nursing Case

Could Mr. Smith's culture influence his pain assessment? Why? What strategies could you employ to ensure that you are adequately addressing Mr. Smith's pain?

Mr. Smith…...

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References

Care Search (2009, December 14). Specific Complementary Therapies. Retrieved November 6,

2014, from  http://www.caresearch.com.au/caresearch/ClinicalPractice/PatientConsiderations/Complementary2/SpecificComplementaryTherapies/tabid/1260/Default.aspx#Pain_treatments__complementary_ 

Commonwealth of Australia (2005). Aboriginal and Torres Strait Islander: Social and Emotional Wellbeing. Retrieved November 6, 2014, from  http://www.responseability.org/__data/assets/pdf_file/0007/4795/Aboriginal-and-Torres-Strait-Islander-Social-and-Emotional-Wellbeing.pdf 

Crisp, J. & Taylor, C. (2009). Potter and Perry's Fundamentals of Nursing (3rd ed. pp.292-294).

Advanced Practice Nursing: Case Study Analysis and Care Plan Creation
Client Complaints:

This case study involves a patient with symptoms for the past 24 hours and the patient expresses pain as ten on a scale of one to ten in the past 24-hour however, it is presently stated at seven. This patient is being treated for hypercholesterolemia, hypertension and gout. The patient tested positive for H. pylori.

History of Present Illness:

The patient has had incidents of stomach problems in the past however, this incident appears to be more severe in nature and to have lasted longer than in the past.

Past Medical History:

The patient is Italian and this is important because of the choice of foods of this patient. In addition, the patient is found to be H. pylori positive. H. pylori is a spiral-shaped bacterium commonly found in the stomach with a shape and movement that enables them to penetrate the protective mucous…...

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References

6 Hypertensive Nursing Care Plans (2014) Nurseslabs. 14 July 2013. Retrieved from:  http://nurseslabs.com/6-hypertension-htn-nursing-care-plans/ 

Diet for high cholesterol, uric acid and high BP What should be the diet for patient suffering from combined diseases of High level of cholesterol, uric acid and high blood pressure? (2008) Diet Health Club. Retrieved from:  http://www.diethealthclub.com/askquestion/830/diet-for-high-cholesterol-uric-acid-and-high-bp-wh.html 

H. pylori (Helicobacter pylori) (2014) WebMD. Retrieved from:  http://www.webmd.com/digestive-disorders/h-pylori-helicobacter-pylori 

Hypercholesterolemia (nd) Peters Institute of Pharmaceutical Care. Retrieved from:  http://www.pharmacy.umn.edu/img/assets/10745/Hypercholesterolemia%20Care%20Plan.pdf

Healthcare System
My current healthcare plan is through Aetna via my husband's work. It is through a company, so the cost is drastically less than a private plan.

Husband's employer

Out of Pocket Costs:

In Network Co-Pay: $

In Network Deductible: $500

Out of Network Deductible: $1,000

Percentage of Coverage: 100% after deductible is met, some percentages do apply for out of network providers, but Aetna does not give a specific amount.

Aetna does have many limitations placed on members. For instance, out-of-network providers can be used, but the patient must handle all of the billing information themselves. Additionally, the deductible is twice as high for out-of-network coverage. Any out-of-network emergencies are still handled as in-network.

Another limitation is enrollment. Enrollment can only happen once a year. The only exception for this rule is with either a court order, adoption, or birth. In these circumstances, the person must be enrolled within 31 days.

The plan does not have any restrictions…...

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References

Benefit Plan. Aetna Choice POS II. 2012.

Medical Plan Details. Aetna. Web. Accessed 11 Mach 2012 at  https://member.aetna.com/memberSecure/featureRouter/balances?product=medical&typecode=M 

FAQ's For Employers About Cobra Continuation Health Coverage. United States Department of Labor. Web. Accessed 11 March 2012 at  http://www.dol.gov/ebsa/faqs/faq_compliance_cobra.html

Preliminary Care Coordination PlanAfrican Americans have long been underserved by the mental health care system in the United States. In recent years, there has been a growing recognition of the need for improved care coordination for this population, with a focus on addressing psychosocial needs. One model of care coordination that has shown promise is the wraparound model. This model takes a holistic approach to care, focusing on the individuals strengths and needs. It also emphasizes the importance of family and community support in the recovery process. The wraparound model has been successfully used with other populations and there is reason to believe it could be equally effective with African Americans. With its focus on strengths-based care and community support, the wraparound model has the potential to make a real difference in the lives of African Americans living with mental illness (Winters & Metz, 2009). Improving access to mental health…...

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ReferencesAvent, J. R., & Cashwell, C. S. (2015). The Black church: Theology and implications for counseling African Americans. The Professional Counselor, 5(1), 81.Kennedy, B. M., Ard, J. D., Harrison, L., Conish, B. K., Kennedy, E., Levy, E. J., & Brantley, P. J. (2007). Cultural characteristics of African Americans. Ethnicity & disease, 17(3), 548-554.Winters, N. C., & Metz, W. P. (2009). The wraparound approach in systems of care. Psychiatric Clinics of North America, 32(1), 135-151.

.. maybe finally it has come the time to be put into practice and not only be debated in Talk Shows and News Papers
One thing remains certain... The larger the number of citizens covered by the health care plan, better for the nation itself, for its tax payers and for the health of its present and future generations.

Annex 1

Source:

http://www.factcheck.org/elections-2008/theyve_got_you_covered.html, retrievedonline April 17, 2008.

ibliography

World Health Organization: Core Health Indicators, retrieved online April 17, 2008 at http://www.who.int/whosis/database/core/core_select_process.cfm?countries=all&indicators=nha

Centers for Medicare and Medicaid Services, National Health Expenditure Data: NHE Fact Sheet, 2005, retrieved online April 17, 2008 at http://www.cms.hhs.gov/NationalHealthExpendData/25_NHE_Fact_Sheet.asp#TopOfPage

World Health Organization: The World Health Report 2006 - Working together for health, 2007, retrieved online April 17, 2008 at http://www.who.int/whr/2006/whr06_en.pdf

Office of the Actuary in the Centers for Medicare & Medicaid Services: National Health Expenditures, Forecast summary and selected tables, 2008. retrieved online April 17, 2008 at http://www.cms.hhs.gov/NationalHealthExpendData/Downloads/proj2007.pdf

U.S. Census ureau (Carmen DeNavas-Walt, ernadette D. Proctor, Jessica…...

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Bibliography

World Health Organization: Core Health Indicators, retrieved online April 17, 2008 at  http://www.who.int/whosis/database/core/core_select_process.cfm?countries=all&indicators=nha 

Centers for Medicare and Medicaid Services, National Health Expenditure Data: NHE Fact Sheet, 2005, retrieved online April 17, 2008 at  http://www.cms.hhs.gov/NationalHealthExpendData/25_NHE_Fact_Sheet.asp#TopOfPage 

World Health Organization: The World Health Report 2006 - Working together for health, 2007, retrieved online April 17, 2008 at  http://www.who.int/whr/2006/whr06_en.pdf 

Office of the Actuary in the Centers for Medicare & Medicaid Services: National Health Expenditures, Forecast summary and selected tables, 2008. retrieved online April 17, 2008 at  http://www.cms.hhs.gov/NationalHealthExpendData/Downloads/proj2007.pdf

Heath Care
Health Care Plans

Health Care

Types of Health Insurance

Indemnity Insurance

This type of insurance is also known as a traditional or fee-for-service plan. The benefit of an indemnity plan is the flexibility; this plan allows members to choose any doctor or hospital. However, members must pay an annual deductible and then a percentage of each medical bill. Although these plans offer the greatest freedom to select any doctor, they are usually the most expensive option.

Typically, the member or the provider sends the bill to the insurance company. These plans usually have an annual deductible before the insurer starts paying. Once the deductible has been met most indemnity plans pay a percentage of what they consider the "Usual and Customary" charge for covered services. The insurer generally pays 80% of the Usual and Customary costs and the member is responsible the other 20%, known as coinsurance. If the provider charges more than the…...

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References

Rich, R.F. & Erb, C.T. (2005). The two faces of managed care regulations and policy-making. University of Illinois at Urbana-Champaign. Retrieved July 30, 2011, from  http://igpa.uillinois.edu/system/files/WP114.pdf 

"The Types of health insurance." (2011). Health insurance guide. Retrieved July 30, 2011, from http://www.healthinsuranceadvice.org/types.html

....

Healthcare reform is a hot topic because healthcare remains prohibitively expensive for so many people in Florida.  While the Affordable Care Act has expanded access to healthcare for many people, the reality is that healthcare remains prohibitively expensive for many people.  Between the cost of insurance premiums, deductibles, and out-of-pocket expenses, basic healthcare can cost people thousands and thousands of dollars a year, with much higher expenses if people experience healthcare challenges requiring care.

Florida benefitted substantially from some of the federal healthcare reform laws.  For example, Floridians cannot be denied healthcare coverage for a pre-existing....

These statements can serve as a foundation for essays that explore various dimensions of end-of-life care, including ethical considerations, the impact of technology, the importance of palliative care, and the role of family and caregivers. Each thesis sets the stage for a detailed discussion on its respective topic, allowing for a deep dive into the complexities and nuances involved in end-of-life care and decision-making.

"The implementation of advanced care planning significantly improves end-of-life care by ensuring that individuals' preferences and values are respected, highlighting the need for more widespread adoption of these practices in healthcare settings."

"While technological advancements in medicine have....

## Thesis Statement:

A comprehensive and multifaceted approach, including enhanced communication, patient-centered care, staff empowerment, and data-driven decision-making, is necessary to effectively improve patient satisfaction in nurse quality care.

### Introduction:

Patient satisfaction is a crucial indicator of the quality of healthcare services. Enhancing patient satisfaction leads to improved clinical outcomes, increased patient loyalty, and reduced healthcare costs. Nurses play a pivotal role in shaping patient experiences and influencing satisfaction levels. This thesis will explore the multifaceted strategies that can be implemented to improve patient satisfaction in nurse quality care.

### Body:

1. Enhanced Communication:

Establish clear channels of communication between nurses and patients, allowing....