important elements of the Affordable Care Act in relation to communication and public health? What is the role of the nurse in implementing this law?…

/in /by

Question Answered step-by-step -What are the most important elements of the Affordable CareAct in relation to communication and public health? What is the role of the nurse in implementing this law? -Please, show the reference with scholar or peer review articles.Thanks Health Science Science Nursing 428 NRS-VN Share QuestionEmailCopy link Comments (0)

You might also like
Airbnb in 2020 This case will introduce you to the sharing economy....  Airbnb in 2020This
Question Answered step-by-step ANSWER THE QUESTIONS BASED ON THE CASE STUDY. DO NIT PLAGIARIZED.ELABORATE YOUR ANSWERS. THANK YOU. In one of the rural areas in Batangas, Jill a 20-year-old mother of two is complaining if vaginal bleeding, their house is situated in a far-flung place in the area, there is no available transport except a public jeepney and habal-habal (a tricycle accompanied by pieces of wood to make extra seats for the passenger) that can accommodate at least 8 passengers. The road is still not properly constructed. That day Jill wants to go to the nearest clinic, and there is no habal-habal yet, so she needs to walk 7 kilometers to her local clinic to be evaluated for vaginal bleeding. Her last menstrual period was 14 weeks ago, and she has felt the familiar signs of nausea and breast tenderness of early pregnancy.Her husband works as a laborer but due to the pandemic, he lost his job so there are not enough financial resources for the family, that's why Jill doesn't want another pregnancy. A friend of her gives her a tablet and is advised to insert some tablets into her vagina that can cause abdominal cramps and possible bleeding if she is pregnant thereby inducing an abortion. The friend who gave her the tablets told her they would make it seem like she was having a period, so her family would never know about the pregnancy.Her friend accompanied her to the clinic, the family doesn't know anything about their plans. She was examined by a nurse at the clinic, review her OB history, recorded the V/S, and lastly performs a vaginal examination. The nurse was surprised when she found a remnant of tablets in the vagina, the nurse suspected that what she saw during vaginal examination is a retained product of conception lying within an open cervical os.The nurse records Jill's OB history and physical examination and told Jill that she needs to see a doctor located in the city. There is no available transport at that time and the ambulance just left to bring another patient to the city. Jill was in pain and bleeding evident, she asks the nurse if she can contact an ambulance to transport her to the hospital, but the nurse said "you're at fault and no right to demand, just wait outside and I would call you if the ambulance arrived. After approximately 3 hours, the ambulance arrives to take Jill to the district hospital 300 kilometers away. Upon the patient's arrival, the doctor reviews the nurse's notes, examines the container of tablets, and asks her many questions about why she killed her unborn baby. He sent Jill to another hospital and adds a note to her records: "Incomplete abortion, suspected use of misoprostol." Despite her profuse vaginal bleeding and rapid pulse, the doctor calls for an ambulance to take her to another hospital, which is 2 hours away. Jill continues to bleed throughout the long journey by ambulance and is pronounced dead on arrival at the provincial hospital.Questions for discussion1. Discuss what is Incomplete abortion.2. Do you think there is a negligent act on the part of the healthcare provider? If No/Yes, support your answer.3. What are the appropriate nursing care is to do at this time?4. What are the health risks of delayed treatment of continued heavy bleeding after an incomplete abortion?5. Based on the case scenario are there any violations of the patient's rights?6. Conclude your answer. Health Science Science Nursing NURSING MCN2 Share QuestionEmailCopy link Comments (0)
1. The "Introduction for Students" in Reading the American Past...
Un ejemplo del uso de SubRedes (SubNets) es: Para reducir el nmero...
Identify two evidence-based strategies nurse leaders use to...
METHODS
QUESTION 8 Which of the following are negative clinical manifestations of schizophrenia?
Question Answered step-by-step Patient profile Rebecca Bathchild is a 59 year old women who has... Patient profile Rebecca Bathchild is a 59 year old women who has been admitted to the gastrointestinal ward with increasing abdominal pain, nausea and vomiting, and anorexia over the past 4 days. Her brother has reported that her alcohol use had been substantial (he had counted 30 bottles of wine in the bin) over the past week. She has a known medical history of pancreatitis, alcohol induced liver disease and ethanol misuse. An abdominal CT scan was performed yesterday and confirmed a suspected diagnosis of necrotising pancreatitis. The nursing notes from the night shift report the following: 22/10/2021 at 06:10 hours - Patient slept well overnight. Diazepam 5mg administered at 23:30 hours for an alcohol withdrawal scale (AWS) of 10, and subcutaneous morphine at 03:00 hours for increased abdominal pain 7/10. Reviewed overnight by the night registrar at 05:00 due to the patient experiencing malena, full blood count taken, with Hb reported at 05:30hours of 88g/L (reduced from 101g/L 21/10/21 at 07:00 hours). Vital signs as documented. Night registrar to follow-up with treating team regarding malena, advised to monitor for further instances, and report if patient heart rate exceeds 100 beats/minute and if blood pressure decreases below 110mmHg systolic. Time Respiratory rate (breaths/min) Oxygenation (%) Temperature (degrees Celsius) Heart rate (beats/minute) Blood pressure(mmHg) Comments 23:30 24 96% on 2L via NP 36.2 97 156/86 Diazepam 5mg oral administered as per AWS 03:00 22 95% on 2L via NP 37.4 101 162/74 Abdominal pain 7/10 administered morphine 5mg S/C 05:00 20 92% on 2L via NP 37.2 105 122/56 Doctor notified - malena, FBC taken, Hb 88g/L, group and hold, and cross match taken. 06:00 21 93 on 2L via NP 36.6 92 118/62 Subjective data: At 08:05 hours Rebecca has pressed the nurse buzzer. She has vomited a large amount (estimated to be 200ml) of dark brown coffee ground like fluid. She appears distressed and is reporting increased abdominal pain. Physical assessment Neurological - orientated to person, place and time. Appears anxious, mildly diaphoretic Cardiovascular - pale, cool clammy skin to touch, blue tinge noted to fingernails, CRT approximately 3 seconds, pulse rapid and weak , HR 118 beats/minute and regular, Blood pressure 104/78mmHg, temperature 36.4 degrees Celsius. IV cannula insitu left cubital fossa - patent. Respiratory - siting up in bed, increased work of breathing, respiratory rate 26 breaths/min, SpO2 89% on 2L via NP. Gastrointestinal - sharp abdominal pain 7/10, decreased bowel sounds, BGL 4.1mmol, no further malena. Renal - last voided 04:00 hours and pass urine in the toilet. You have notified the team leader of your assessment findings and she/he is calling the treating to team to review. 1. What are the signs and symptoms?2. What is the priority problem?3. What is the intervention for this priority problem? Thank you. Health Science Science Nursing NURSING NSB236 Share QuestionEmailCopy link Comments (0)