Is health care a right or a privilege?

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Question description

As stated in the course text, Health Care Delivery in the United States, “the health care enterprise is one of the most important parts of the U.S. social system and of our economic system as well” (Kovner and Knickman, 2011, p. 4); however, with millions of citizens uninsured, rising costs, massive health disparities, and the need to improve quality and access, many view health care as a broken system. As such, it continues to be a significant political issue in the United States. Most agree that something needs to be done to fix the health care system, but the methods and solutions for addressing problems vary greatly, particularly with respect to the role government should play. Proponents of varying approaches often have strong, emotional opinions, making compromise difficult.

In this Discussion, you will consider the role of government in health care, and you will examine the impact of a social, economic, technological, ethical, or legal issue on health care delivery.

To prepare:

  • With this week’s Learning Resources in mind, consider this question: Is health care a right or a privilege?
  • Review the media presentation for this week, focusing on the role of the government in health care including the Affordable Care Act.
  • Pinpoint a social, economic, technological, ethical, or legal issue that could, or has, affected health care delivery in the United States.
  • Locate a current article from the popular press (within the past 6 months) related to the health care issue you identified. How does this article inform your understanding of the influence of your selected issue in the health care debate?

Post your position on whether health care in the United States is a right or a privilege, and explain what you believe to be the proper role of government in health care. Justify your position. Explain how the social, economic, technological, ethical, or legal issue you selected is impacting health care delivery and whether this issue should be addressed by the government or by private entities. Identify the article you selected, and explain how this article informs your stance.

Explain the health care policies that can affect emergency care

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Question description

OVERVIEW

Create a 15-minute oral presentation (3–4 pages) that examines the moral and ethical issues related to triaging patients in an emergency room.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes.
    • Explain the health care policies that can affect emergency care.
    • Recommend evidence-based decision-making strategies nurses can use during triage.
  • Competency 3: Apply professional nursing ethical standards and principles to the decision-making process.
    • Describe the moral and ethical challenges nurses can face when following hospital policies and protocols.
    • Explain how health care disparities impact treatment decisions.
  • Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals.
    • Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
    • Correctly format citations and references using APA style.

    CONTEXT

    Working in an emergency room gives rise to ethical dilemmas. Due to time restraints and the patient’s cognitive impairment and lack of medical history, complications can and do occur. The nurse has very little time to get detailed patient information. He or she must make a quick assessment and take action based on hospital protocol. The organized chaos of the emergency room presents unique ethical challenge, which is why nurses are required to have knowledge of ethical concepts and principles.

  • SUGGESTED RESOURCES

  • Internet Resources

    Access the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have been either granted or deemed appropriate for educational use at the time of course publication.

    • American Nurses Association. (2015). Code of ethics for nurses. Retrieved from http://www.nursingworld.org/codeofethics
    • American Nurses Association. (n.d.). ANA position statements on ethics and human rights. Retrieved from https://www.nursingworld.org/~4adf1c/globalassets/…
    • Vigil, J. M., Alcock, J., Coulombe, P., McPherson, L., Parshall, M., Murata, A., & Brislen, H. (2015). Ethnic disparities in emergency severity index scores among U.S. veteran’s affairs emergency department patients. PLoS One, 10(5). Retrieved from http://www.ncbi.nlm.nih.gov/pubmed/26024515

    ASSESSMENT INSTRUCTIONS

    Your supervisor has asked you to do a 15-minute oral presentation at a staff meeting about a recent issue that occurred at another hospital in town. Following an industrial accident, two patients arrived at the emergency room of that hospital at the same time, presenting with very similar inhalation injuries. The hospital received a great deal of negative press due to how the patients were triaged in the ER. Your supervisor would like you to use the specifics of this case to review triage procedures and best practices at your facility. Here are the details:

    • One is a 32-year-old firefighter, Frank Jeffers, who is presenting with respiratory difficulties that he obtained while evacuating victims of an industrial accident. He is a married homeowner and father of two young boys. He has lived in the community all his life. He has full and comprehensive health insurance through his employer.
    • The other is Brent Damascus, a 58-year-old man. Brent is presenting with respiratory difficulties with the same intensity as Mr. Jeffers above. He is well known at the hospital emergency room, as he is a frequent visitor with various complaints, including asthma, headaches, and tremors. He is homeless, unemployed, and uninsured. He stays many nights at the YMCA and eats lunch at the soup kitchen. He has lived in the community for over 10 years and has been arrested several times for petty theft.

    PREPARATION

    Search the Capella library and the Internet for scholarly and professional peer-reviewed articles on best practices in triage nursing. You will need at least three articles to use as support for your work on this assessment.

    DIRECTIONS

    Create a 15-minute presentation (3–4 pages) that examines the moral and ethical issues that occurred when triaging these two patients and the best practices for managing this in the future.Divide your draft into a number of talking points that you can summarize neatly. Keep in mind that an oral presentation requires slightly different language than an essay. The aim is to communicate your message so keep sentences simple and focus on the key points you want to deliver. Address the following in your presentation:

    • Explain the health care policies and protocols that are in place that direct triage care in an emergency situation.
    • Explain how health care disparities impact treatment decisions.
    • Identify the health care policies that are in place that direct care for uninsured individuals. Is there a difference in how these individuals are triaged?
    • Describe the moral and ethical challenges nurses can face when following hospital policies and protocols. Is there a conflict when a severely injured person is also uninsured?
    • Recommend evidence-based strategies that should be applied for managing the care of uninsured and indigent population.

    ADDITIONAL REQUIREMENTS

    Your presentation should meet the following requirements:

    • Written communication: Written communication should be free of errors that detract from the overall message.
    • References: Include a reference section with a minimum of three references; a majority of these should be peer-reviewed sources. All resources should have been published within the last 5 years.
    • APA format: Resources and citations should be formatted according to current APA style and formatting.
    • Length: 3–4 typed, double-spaced pages, excluding title page and reference page. Use Microsoft Word to complete the assessment.
    • Font and font size: Times New Roman, 12-point.

    Moral Dilemmas and Ethical Decisions Scoring Guide

    CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
    Explain the health care policies that can affect emergency care. Does not explain the health care policies that can affect emergency care. Identifies but does not explain the health care policies that can affect emergency care. Explains the health care policies that can affect emergency care. Explains the health care policies that can affect emergency care and considers the effect on patient experience.
    Recommend evidence-based decision-making strategies nurses can use during triage. Does not recommend evidence-based decision-making strategies nurses can use during triage. Identifies but does not recommend evidence-based decision-making strategies nurses can use during triage. Recommends evidence-based decision-making strategies nurses can use during triage. Recommends evidence-based decision-making strategies nurses can use during triage, and explains how these recommendations will result in positive patient outcomes.
    Describe the moral and ethical challenges nurses can face when following hospital policies and protocols. Does not describe the moral and ethical challenges nurses can face when following hospital policies and protocols. Identifies but does not describe the moral and ethical challenges nurses can face when following hospital policies and protocols. Describes the moral and ethical challenges nurses can face when following hospital policies and protocols. Describes the moral and ethical challenges nurses can face when following hospital policies and protocols, and provides current and relevant examples.
    Explain how health care disparities impact treatment decisions. Does not explain how health care disparities can impact treatment decisions. Identifies but does not explain how health care disparities can impact treatment decisions. Explains how health care disparities can impact treatment decisions. Explains how health care disparities can impact treatment decisions and illustrates with real-world examples.
    Write content clearly and logically, with correct use of grammar, punctuation, and mechanics. Does not write content clearly, logically, or with correct use of grammar, punctuation, and mechanics. Writes with errors in clarity, logic, grammar, punctuation, or mechanics. Writes content clearly and logically, with correct use of grammar, punctuation, and mechanics. Writes clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics, and uses relevant evidence to support a central idea.
    Correctly format citations and references using APA style. Does not format citations and references using APA style. Formats citations and references with errors. Correctly formats citations and references using APA style. Citations contain a few errors. Correctly formats citations and references using APA style. Citations are free from all errors.

Describe strategies or techniques to promote health care prevention and disease maintenance

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Question description

identify a health issue and a specific population with a high prevalence to this health issue within your community. For example, you may choose heart disease and identify the elderly population. Identify strategies for improvement regarding this health concern with this identified population.

In addition to using academic sources to help create a health action plan, consult with at least one professional in your community. The person you consult with could be a nurse or someone working within the health care field. You can do this via phone, in person, or through the Internet.

Think about what questions would be good to ask:

  • What are some current outreach strategies used with this population?
  • Are there local community resources that work with this population?
  • Are there other community resources that might help increase health awareness for this health issue?
  • What are the biggest challenges for health providers to address this community health issue?

Then, use this information to act as a nurse leader to develop a plan to deal with this issue.

This action plan should include the following details:

  • Outreach.
  • Describe strategies or techniques to promote health care prevention and disease maintenance within your identified population.
  • Explain the cultural considerations that health care providers need to be aware of when working with this population and health care concern.
  • Treatment or clinical setting.
  • Describe the techniques and strategies that health care providers need to have in place when working with the identified population.
  • What types of policies need to be implemented to enhance quality patient outcomes with this particular population and health concern?
  • Communication.
  • Describe collaborative communication techniques or policies that need be implemented when working with other health care teams to improve the identified health concern with the specified population.
  • Describe types of communication techniques that could be implemented to reduce patient barriers to health care prevention or disease maintenance.
  • Identify communication technologies that could be utilized to contribute to effective communication.

Submission Requirements

  • Sources: At least three scholarly or professional resources (one which is from an interview either in person, on phone, or via e-mail).
  • APA formatting: Format resources and citations according to current APA style and formatting guidelines.
  • Font and font size: Times New Roman, 12 point.

Length: 4 yped, double-spaced pages, excluding the title page and references page

Discuss how they experience the healthcare system in America

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Question description

Choose a specific culture or ethnicity of an immigrant or refugee population.

  • Analyze their cultural and social norms.
  • Discuss how they experience the healthcare system in America.
  • Include an evaluation of how both the community and market-oriented approaches to health care, as highlighted in Chapter 10 of your text, can assist your chosen culture in getting the care they need.  Provide an analysis of a multidisciplinary approach that can be used to deliver the best care to your population.
  • Discuss a program in your community, or the nearest large community, that serves immigrants and refugees.  Are the services truly accessible to a wide population of immigrants and refugees?  Identify one approach which could improve accessibility, cost, or the quality of care for the population.

Your initial contribution should be 250 to 300 words in length. Your research and claims must be supported by your course text and at least one other scholarly source. Use proper APA formatting for in-text citations and references as outlined in the Ashford Writing Center.