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Provide examples and specific cases in your examination. Include ways that you have seen this effect in your own life or community.

Write a 1,400- to 1,750-word paper in which you explain the role of governmental regulatory agencies and its effect on the health care industry. Provide at least two examples of laws and regulations currently faced by the health care industry. Examples of such laws may include access to care, discrimination, health care privacy and security, employment, and so on. Include your analysis of the effect of these laws on the provider, hospital or clinic, or insurer that you select. Provide examples and specific cases in your examination. Include ways that you have seen this effect in your own life or community.


 


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Analyze how this organization has changed since the 1980s as a result of economic and political forces

Part 1 Choose a specific health care organization that has been in existence since the 1980s (e.g., a for-profit hospital by name; nonprofit hospital by name; governmental clinic; military or VA health care facility by name; private health care clinic by name; ambulatory surgery center by name; diagnostic imaging center by name; nursing home by name; assisted living facility by name). Describe the organization and the basic health care services it provides. Part 2 Analyze how this organization has changed since the 1980s as a result of economic and political forces (i.e., ethical and legal). You should identify a minimum of 3 significant changes from the 1980s to today that should include considerations for technology, personnel and professionals involved, patient demographics, supply and demand imbalance, and so on. Part 3 In summary, evaluate how these changes have impacted the organization’s efficacy (negatively and positively) from the administrator’s viewpoint. Then, proffer the influence of these changes on the U.S. health system overall (negative and positive). Your paper should be 3 to 4 pages excluding the cover page, abstract page, and reference page (common assessment).


 


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Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. (The textbook describes each element of the epidemiologic triangle)

NRS-427V Week 2 Epidemiology Paper
Concepts in Community and Public Health – Epidemiology and Communicable Diseases

In a written paper of 1,200-1,500 words, apply the concepts of epidemiology and nursing research to a communicable disease.

Communicable Disease Selection

Choose one communicable disease from the following list:

1. Chickenpox

2. Tuberculosis

3. Influenza

4. Mononucleosis

5. Hepatitis B

6. HIV

Epidemiology Paper Requirements

Include the following in your assignment:

1. Description of the communicable disease (causes, symptoms, mode of transmission, complications, treatment) and the demographic of interest (mortality, morbidity, incidence, and prevalence).

2. Describe the determinants of health and explain how those factors contribute to the development of this disease.

3. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. (The textbook describes each element of the epidemiologic triangle).

4. Explain the role of the community health nurse (case finding, reporting, data collecting, data analysis, and follow-up).

5. Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organization(s) contributes to resolving or reducing the impact of disease.

A minimum of three references is required.

Refer to Communicable Disease Chain.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required


 


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• Explain, as a nurse, what advice would you give to Frank and Sarah. Support your responses with examples

Read the following case study and submit a 1- to 2-page essay in a Microsoft Word document using APA 6th edition in response to the questions.
Case Study:
Ann is a seventy-seven-year-old grandmother. She has one daughter and three grandchildren. Two years ago, she was diagnosed with moderately advanced Alzheimer’s disease, which causes her to have periods of confusion, frustration, anger, and obsessive thinking. When speaking, she is uncertain and her speech patterns are choppy. Before her mental deterioration, Ann was a woman of love, intelligence, and patience. Realizing they were getting older, she and her husband, Frank, discussed their wishes should anything happen to them. She told Frank that if there was no chance of survival, she would not want to be hooked to a breathing machine. They never got around to filling any papers.
Frank is a sweet and sensitive man. His wife’s state frightens him. Ann’s love for him has been the focus of his life for sixty years. His urgent desire for the best care for Ann shows his devotion and love. Their daughter, Sarah, is a businesswoman. She is a hard worker and a good mother. She is forty-five, successful, and intelligent. Although she loves her parents dearly, she lives ten hours away. She regrets not seeing much of them, especially recently. Frank feels his role is to take care of Ann. He has spent the past year with her, watching after her, cooking for her, cleaning the home, and witnessing her deterioration. Finally, Ann is unable to walk alone safely and he finds he must have her admitted to a long-term care facility. He calls Sarah to come and help with the arrangements. After having Ann admitted to a local nursing home, both Frank and Sarah remember the pleading look in Ann’s eyes as they walk away.
After three weeks in the nursing home, Ann starts to cough and run a fever. She is seen by doctors and diagnosed as having pneumonia. She is transferred to a local hospital, where she is given intravenous antibiotics. Although the progress of her pneumonia is halted by the antibiotics, she stops talking and refuses to eat. The physician calls Frank to insert a feeding tube. Frank calls Sarah to ask what to do. They wonder, Is a feeding tube equivalent to a breathing machine? Would it be possible to allow Ann to lie there and die of starvation? Is that murder? What would she want? What is the right thing to do? (Burkhardt & Nathaniel, 2008).
Respond to the following:
• Discuss the ethical decisions you would make.
• Discuss the legal decisions you would make.
• Explain, as a nurse, what advice would you give to Frank and Sarah. Support your responses with examples


 


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