1. what are the primary differences between patients that are…

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Question Answered step-by-step 1. what are the primary differences between patients that are… 1. what are the primary differences between patients that are enrolled in hospice care and palliative care? 2. considering the cost surrounding the care of the patient receiving ongoing services, explain how the Hospital at Home Model could potentially decrease these costs and what barriers are associated with this program (the content on the AHRQ Webpage related to “In Home Hospitals”)https://psnet.ahrq.gov/innovation/hospital-homesm-care-reduces-costs-readmissions-and-complications-and-enhanceshttps://www.nhpco.org/3. Medical Futility has been a controversial subject for many decades. Review the materials in the link below related to Medical Futility.https://ncd.gov/sites/default/files/NCD_Medical_Futility_Report_508.pdfHaving clear guidelines and policies is essential in planning care for patients with chronic disease and for patients with devastating injury. What are the implications on provider and caretaker satisfaction, patient satisfaction and healthcare costs pertaining to medical futility? Use evidence from the document to support your discussion. Paraphrase any from the document to support your discussion! Health Science Science Nursing NURSING 437 Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step Case Study:A 58 year-old male with a 10-year history of hypertension presents to the ER with dyspnea and dry cough that has been progressively worsening over the last 6 months. Initially he experienced dyspnea only after a brisk 1-mile walk. He now has dyspnea climbing up the flight of stairs to his bedroom. Lying down worsens symptoms, and he often needs three or four pillows to fall asleep.On exam, he is afebrile, BP is 170/100 mmHg, respiratory rate is 20 breaths per minute and pulse is 80 beats per minute and regular. Auscultation of the heart reveals an S3, S4 and a 1/6 blowing holosystolic murmur heard best at the apex that radiates to the axilla. Point of maximal impulse is displaced to the left. There are scattered rales and wheezes on lung exam. There is 9cm of JVD. The liver edge is tender and 4cm below the costal margin. He has marked peripheral edema. What is the relevant objective and subjective assessment data from the case study?What does this data indicate? What conclusions can you make? What is your preliminary diagnosis(es)?What is the underlying pathophysiology that produce the clinical manifestations in this case study? Based on the pathophysiology, what clinical course and complications could you anticipate?What patient education and follow up is required for the case study patient?Please provide references with answer.  Health Science Science Nursing NURS 521 Share QuestionEmailCopy link Comments (0)
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