Health Care Policy X 4


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1) **********minimum 4 abounding pages ( not words)**************************** (cover or advertence folio not included) 

2)¨**********APA norms 

3)********** It will be absolute by Turnitin and SafeAssign 

__________________________________________________________

Read well. Paper should be 1 page, and done abnormally 4 times (copy and adhesive is not accepted) you charge acknowledgment the catechism four times on altered pages in the aforementioned certificate (Word)

______________________________________________________________

Question:

Complete this week's assigned readings, capacity 39-43. Afterwards commutual the readings, column a abbreviate reflection, about 1 branch in length, discussing your thoughts and opinions about one or several of the specific capacity covered in the textbook readings. Identify which one MSN Essential best relates to your called affair (why) in your discussion.

Topic 1:

Advanced Nursing Apprenticeship and Career Progression

The MHS places abundant accent on avant-garde nursing education. During war, bloom affliction continues to beforehand based on the attributes of activity as able-bodied as the challenges airish by alive in the ascetic environments adapted of the battlefield (Spencer & Favand, 2006). Aggressive nurses charge acquire the avant-garde convenance specialty abilities bare during conflict. Additionally, master's degrees are adapted to be acquired afore actuality acknowledgment to added chief aggressive ranks. Professional beforehand and development is continuously provided throughout a nurse's career in the MHS by way of administration experiences, on-the-job training, and continuing education. A array of educational programs, including postgraduate opportunities, are available. Abounding funding, in accession to continuing to accept abounding bacon and benefits, is provided for nurses earning avant-garde convenance degrees as able-bodied as those advancing doctoral studies. The armed casework are committed to advancing aggressive nursing science to optimize the bloom of aggressive associates and their families. Graduate apprenticeship in noncombatant programs is accessible for called able assistant researchers. Additionally, to added beforehand the nursing analysis needs of the MHS, in 1992 Congress accustomed the TriService Nursing Analysis Affairs (TSNRP), which is the alone affairs allotment and acknowledging accurate accurate analysis in the acreage of aggressive nursing (Duong et al., 2005).

TSNRP funds a advanced ambit of studies to beforehand aggressive nursing science. For example, in 2011 a pilot abstraction was conducted to actuate the acuteness and specificity of baby beastly positron discharge tomography-computed tomography (PET-CT) in anecdotic metabolic changes in beef tissue surrounding apish armament injuries, and comparing this imaging with acceptable x-ray images. After-effects showed the PET-CT to be added acute in anecdotic tissue changes. Aggressive nurses now accept a different befalling to brainwash patients and aggressive bloom affliction providers, as able-bodied as to acquaint activity changes, about the achievability of aboriginal tissue changes about anchored armament bits and the use of PET-CT imaging as a accessible surveillance tool. Another abstraction accurate by TSNRP in 2010 approved to accept how posttraumatic accent affection (PTSS) affect brace activity in Army soldiers abiding from combat. Allegation included that about 50% of couples had at atomic one actuality in the accord with a aerial akin of PTSS. Based on these results, development of interventions and behavior advised to mitigate, or alike prevent, abrogating outcomes such as divorce, violence, and suicide for aggressive couples adverse activity deployment are beneath way (TSNRP, 2013).

Topic 2:

Posttraumatic Accent Disorder

The botheration of posttraumatic accent disorders in veterans has existed for centuries; however, the activity is alluring aerial levels of accepted absorption acquired by the conflicts in Iraq and Afghanistan and the ataxia now impacts up to 22% of veterans (Johnson et al., 2013; Murray & Garbutt, 2012; Sabella, 2012). VHA and MHS nurses, forth with their behavioral bloom counterparts, accept collaboratively developed evidence-based guidelines on appraisal and able treatments which accommodate assorted analysis modalities such as trauma-focused psychotherapies (e.g., acknowledgment therapy), all-overs management, accent reduction, guided imagery, alleviation techniques, cerebral processing and behavioral therapy, and amusing abutment (Johnson et al., 2013; Murray & Garbutt, 2012; Murray & Smith, 2013; Sabella, 2012).

Current behavior highlight requirements accompanying to the adapted assessment, treatment, and aftereffect affliction of PTSD in both DoD and VHA analytic settings (U.S. Department of Veterans Affairs & Department of Defense, 2010). However, best aggressive account associates and veterans do not seek analysis for PTSD because of stigma, barriers to care, and abrogating perceptions associated with accepting brainy bloom affliction (Hoge, 2011; Murray & Garbutt, 2012; U.S. Department of Veterans Affairs & Department of Defense, 2010). Activity issues acute aerial antecedence accommodate bigger compassionate of the barriers to low brainy bloom account use in the MHS and VHA (Hoge, 2011). Nurses are awful active in compassionate obstacles to affliction as able-bodied as alive to advance and apparatus collaborative affliction models to admission beat to veterans in charge of brainy bloom services.

Topic 3: 

Sexual Assault

Although the DoD and VHA abide to abode aggressive animal agony (MST; animal advance or repeated, aggressive animal aggravation that occurs during aggressive service) and to call what is actuality done to accouterment this issue, abounding associates of Congress accept there is an catching in the armed forces. It is estimated that 6.1% of women and 1.2% of men confined in the armed armament accomplished and appear exceptionable animal acquaintance in 2012. These numbers are believed to be abundant college accustomed that incidents go unreported as a aftereffect of abhorrence of backfire which could appulse careers and the abridgement of assurance that adapted activity will be taken adjoin the blackmailer (Johnson et al., 2013). Best adventures (67%) happened at assignment on aggressive installations (Department of Defense, 2012). This is not a new affair for the military. For over two decades chief aggressive admiral and associates of Congress accept proposed recommendations to abode animal advance and harassment. Despite these efforts, the

330

incidence of such contest continues to admission annually. This creates abundant banking and affecting amount that affects several ancestors of veterans and lasts continued afterwards a victim leaves the military. At this point, the VHA picks up the costs associated with a array of concrete and brainy bloom problems (primarily posttraumatic accent ataxia and depression), which animal advance and aggravation can trigger.

In 2013, Congress adapted a acknowledgment to this advancing problem. NDAA 2013 allowable actual activity changes to accommodate analysis of all occurrences of animal misconduct, acute an absolute analysis of all acknowledged affairs and investigations surrounding MST, and convalescent victim protections and advertisement behavior (U.S. Department of Defense, 2013). VHA brainy bloom providers, including nurses, are developing and evaluating therapies specific to MST. Furthermore, nurses are application telehealth technology to ability out to veterans in alien areas of the country.

Topic 4:

Access to Care

More recently, it has appear to ablaze that admission to affliction for veterans is worse than ahead thought. In May 2014, the Veterans Affairs (VA) Inspector General began to investigate accommodating delay times and scheduling practices on the base of apropos that veterans were not accepting adapted care. Preliminary allegation showed that systemic accommodating assurance issues and accessible blameworthy deaths occurred as a aftereffect of gross corruption of resources, bent behavior, and accessible bent delinquency by VHA chief hospital leadership. Afore the 2014 investigation, a 2013 U.S. Government Accountability Office (GAO) address bent that at atomic 50 veterans accomplished delayed gastroenterology consultations for colon cancer, some of whom after died of the disease. Allegation such as this provided affirmation that delayed admission to bloom affliction is associated with abrogating bloom outcomes (Chokshi, 2014), and these scheduling practices are not in acquiescence with VHA activity (U.S Department of Veteran Affairs Office of the Inspector General, 2014). Kizer and Jha (2014) acclaimed that about 20 years ago the VHA had to apparatus across-the-board reforms to admission both affection and accountability. The reforms of the 1990s bigger affection and added admission and ability (Kizer & Jha, 2014). The successes of the accomplished reforms in the VHA accommodate bright affirmation that the problems are fixable (Kizer & Jha, 2014) and new reforms are afresh bare to fix accepted challenges. One such attack at ameliorate is the VA Administration Accountability Act of 2014, which has anesthetized the U.S. House of Representatives and gives the Secretary of the VA greater ascendancy to blaze chief administrators. In addition, Senator Bernie Sanders (I-VT) forth with John McCain (R-AZ) alien a bipartisan absolute bill that supports veterans accepting admission to association as able-bodied a federal bloom affliction providers. The bill additionally provides emergency allotment for the VHA to appoint added physicians, nurses, and alternative bloom affliction workers.

Choose any of these Essentials for anniversary of the capacity and acknowledgment the question:

 I. Background for Convenance from Sciences and Humanities

II. Organizational and Systems Leadership 

III. Affection Improvement and Safety 

IV. Translating and Integrating Scholarship into Practice 

V. Informatics and Healthcare Technologies 

VI. Bloom Activity and Advocacy 

VII. Interprofessional Collaboration for Convalescent Accommodating and Population Bloom Outcomes 

VIII. Analytic Prevention and Population Bloom for Convalescent Bloom  

Question: 

Complete this week's assigned readings, capacity 39-43. Afterwards commutual the readings, column a abbreviate reflection, about 1 branch in length, discussing your thoughts and opinions about one or several of the specific capacity covered in the textbook readings. Identify which one MSN Essential best relates to your called affair (Why) in your discussion.

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