Healthcare Delivery Discussions
Description
DISCUSSION 1:
Cost and Healthcare
In a recent election, on a national debate stage, a political candidate declared that “no American has ever died for lack of health care”. It is true that hospitals are required by the Emergency Medical Treatment and Labor Act (EMTALA), a federal law to stabilize and treat all patients, regardless of their insurance status or ability to pay. It is an unfunded mandate with hospital emergency rooms bearing the entire burden of the cost. Outside the boundaries of this act, un/underinsured patients surely do die for a lack of health care.
Have you or anyone you know been in this situation? How would someone feel if they were in a position where they could not afford treatment? In the movie, John Q, John Quincy Archibald’s son Michael collapses while playing baseball as a result of heart failure. John rushes Michael to a hospital emergency room where he is informed that Michael’s only hope is a transplant. Unfortunately, John’s insurance won’t cover his son’s transplant. Out of options, John Q. takes extreme measures to save his son. While a compelling film, it is certainly from one point of view and sensationalized. Health care professionals must always be tasked with seeing all points of view with objectivity.
Question the impact of being uninsured.
Include the following aspects in the discussion:
- Think of a time when you or someone you know did not seek medical care due to cost
- What was the result?
- Discuss if you would support paying more in taxes to have a national insurance program that covered every citizen
DISCUSSION 2:
Is the U.S. Population Unhealthy?
Health-related behavior represents a prime target for improving the nations health. Todays leading cases of disease and death are preventable chronic diseases (heart disease, cancer, diabetes, and asthma), and behavioral risk factors play a critical role in their development and management. Obesity is common, serious and costly problem in the U.S. Obesity affected about 93.3 million of US adults in 2015~2016. Fast food consumption has been linked to higher caloric intake and greater risk for obesity. As an increasing number of consumers are dining at fast food restaurants, policy makers are turning their attention to environmental and policy approaches that influence consumer choice, including mandated calorie menu labels in fast food restaurants. The 2010 Patient Protection and Affordable Care Act included a provision requiring restaurants with more than 20 locations nationwide to post calorie information at the point of purchase.
Watch the following video: Supersize me
Explore the effectiveness of healthy living education.
Include each of the following aspects in the discussion:
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- Do you think the posting of calorie counts will change behavior when ordering food?
- Has it changed your behavior?
- Suggest education that might influence diet and food choices
- Discuss if insurance premiums and health care charges should reflect a persons unhealthy life style
References:
Nursing Standards
Nursing and Midwifery Board of Australia. (2018). Code of conduct for midwives. https://www.nursingmidwiferyboard.gov.au/Codes-Guidelines-Statements/Professional-standards.aspx
Clinical Guidelines
Guideline Adaption Committee. (2016). Clinical practice guidelines and principles of care for people with dementia. NHMRC Partnership Centre for Dealing with Cognitive and Related Function Decline in Older People. https://cdpc.sydney.edu.au/wp-content/uploads/2019/06/CDPC-Dementia-Guidelines_WEB.pdf
Living Guideline
Stroke Foundation. (2022). Australian and New Zealand living clinical guidelines for stroke management – chapter 1 of 8: Pre-hospital care. https://app.magicapp.org/#/guideline/NnV76E
Evidence-based practice
BMJ Best Practice
Goldfarb, S., & Josephson, M. (2020). Cystic fibrosis. BMJ Best Practice. https://bestpractice.bmj.com/
Schub, T., & Cabrera, G. (2018). Bites: Head lice [Evidence-based care sheet]. Cinahl Information Systems. https://www.ebscohost.com
Beyea, S. C., & Slattery, M. J. (2006). Evidence-based practice in nursing: A guide to successful implementation. http://www.hcmarketplace.com/supplemental/3737_browse.pdf
JBI: Evidence summary
Swe, K. K. (2022). Blood glucose levels: Self-monitoring [Evidence summary]. JBI EBP Database. https://jbi.global
JBI: Best practice information sheet
Bellman, S. (2022). Experiences of living with juvenile idiopathic arthritis [Best practice information sheet]. JBI EBP Database, 24(1), 1-4.
Cochrane Database of Systematic Reviews
Srijithesh, P. R., Aghoram, R., Goel, A., & Dhanya, J. (2019). Positional therapy for obstructive sleep apnoea. Cochrane Database of Systematic Reviews. https://doi.org/10.1002/14651858.CD010990.pub2
Drug Information
Codeine. (2023, January). In Australian medicines handbook. Retrieved February 2, 2023, from https://amhonline.amh.net.au
Colorado State University. (2011). Why assign WID tasks? http://wac.colostate.edu/intro/com6a1.cfm
Dartmouth Writing Program. (2005). Writing in the social sciences. http://www.dartmouth.edu/~writing/materials/student/soc_sciences/write.shtml
Rutherford, M. (2008). Standardized nursing language: What does it mean for nursing practice? [Abstract]. Online Journal of Issues in Nursing, 13(1). http://ojin.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Health-IT/StandardizedNursingLanguage.html
Wagner, D. (n.d.). Why writing matters in nursing. https://www.svsu.edu/nursing/programs/bsn/programrequirements/whywritingmatters/
Writing in nursing: Examples. (n.d.). http://www.technorhetoric.net/7.2/sectionone/inman/examples.html
Perth Children’s Hospital. (2022, April). Appendicitis [Emergency Department Guidelines]. Child and Adolescent Health Service. https://www.pch.health.wa.gov.au/For-health-professionals/Emergency-Department-Guidelines/Appendicitis
Department of Health. (n.d.). Who is being active in Western Australia? https://ww2.health.wa.gov.au/Articles/U_Z/Who-is-being-active-in-Western-Australia
Donaldson, L. (Ed.). (2017, May 1). Healthier, fairer, safer: The global health journey 2007-2017. World Health Organisation. https://www.who.int/publications/i/item/9789241512367
NCBI Bookshelf
Rodriguez Ziccardi, M., Goyal, G., & Maani, C. V. (2020, August 10). Atrial flutter. In Statpearls. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK540985/
Royal Perth Hospital. (2016). Procedural management: Pre and post (24-48 hours) NPS. Canvas. https://courses.ecu.edu.au
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