P10#1 And P10#2 Assignment | Homework Help Websites

21 hours ago

Save Time On Research and Writing
Hire a Pro to Write You a 100% Plagiarism-Free Paper.
Get My Paper

Desry Hyacinth 

RE: Discussion – Week 10

COLLAPSE

Top of Form

Save Time On Research and Writing
Hire a Pro to Write You a 100% Plagiarism-Free Paper.
Get My Paper

Week 10; Initial post.

Today, 45 million adults living in the United States—14% of the population—are 65 or older. By 2050, that number is expected to climb to about 80 million, or 20% of the population. This growth in the number and proportion of older adults is unprecedented. Americans are living longer than ever before. Chronic diseases—such as heart disease, cancer, and diabetes—account for most deaths in the United States, and Americans are at higher risk of these conditions as they age. In 2012, 63% of Medicare beneficiaries aged 65 to 74, 78% of those aged 75 to 84, and 83% of those aged 85 or older had multiple chronic conditions (Centers for Disease Control and Prevention 2015).

Chronic diseases have significant health and economic costs in the United States. Preventing chronic diseases, or managing symptoms when prevention is not possible, can reduce these costs. Nothing kills more Americans than heart disease and stroke. More than 810,000 Americans die of heart disease or stroke every year—that’s one-third of all deaths. These diseases take an economic toll, as well, costing our health care system $190 billion per year and causing $126 billion in lost productivity on the job (Centers for Disease Control and Prevention 2018).

The aging of the U.S. population will have broad economic consequences for the country, particularly for federal programs that support the elderly, and its long-term effects on all generations will be mediated by how — and how quickly — the nation responds, says a new congressionally mandated report from the National Research Council. “The bottom line is that the nation has many good options for responding to population aging,” said Roger Ferguson, CEO of TIAA-CREF and co-chair of the committee that wrote the report. “Nonetheless, there is little doubt that there will need to be major changes in the structure of federal programs, particularly those for health. The transition to sustainable policies will be smoother and less costly if steps are taken sooner rather than later.” Social Security, Medicare, and Medicaid are on unsustainable paths, and the failure to remedy the situation raises a number of economic risks, the report says. Together, the cost of the three programs currently amounts to roughly 40 percent of all federal spending and 10 percent of the nation’s gross domestic product. Because of overall longer life expectancy and lower birth rates, these programs will have more beneficiaries with relatively fewer workers contributing to support them in the coming decades. Combined with soaring health care costs, population aging will drive up public health care expenditures and demand an ever-larger fraction of national resources.

“The nation needs to rethink its outlook and policies on working and retirement,” said Ronald Lee, professor of demography and economics at the University of California, Berkeley, and committee co-chair. “Although 65 has conventionally been considered a normal retirement age, it is an increasingly obsolete threshold for defining old age and for setting benefits for the elderly.” The committee found that there is substantial potential for increased labor force participation at older ages, which would boost national output, slow the draw-down on retirement savings, and allow workers to save longer. The report adds that longer working lives would have little effect on employment opportunities for younger workers, productivity, or innovation. In addition, workers can better prepare for retirement by planning ahead and adapting their saving and spending habits, the report suggests. Improved financial literacy will be critical, since between one-fifth and two-thirds of today’s older population have not saved enough for retirement and therefore rely heavily on Social Security and Medicare (National Academy of Sciences 2015).

End-of-life care decision making carries paramount importance due to the advancements in medical sciences. Since medical science has evolved over the time and now has a potentiality to reshape the circumstances during death and in turn prolong lives, various ethical issues surround end-of-life care. All human-beings are mortals and hence death is an inevitable occurrence. Advancements in medical technology are changing the norms of natural death. These technologically advanced treatments have a capability to intervene at the time of death and prolong the lives of people. Even though we are discussing about patients right to autonomy we are talking about its limitations. To elaborate further, autonomy gives patients’ a right to control their treatment according to their preferences, though many a times their autonomy is not respected. They receive end-of-life care which is in-consistent with their end-of-life care preferences. This gives importance to the ethical issue of autonomy surrounding end-of-life care preferences (Karnik and Kanekar 2016).professional writing services near me

References:

Helping Older Americans Achieve Healthy and High-Quality Lives At A Glance. (2015). Retrieved from https://www.cdc.gov/chronicdisease/resources/publications/aag/healthy-aging.htm

Health and Economic Costs of Chronic Diseases. (2018). Retrieved from https://www.cdc.gov/chronicdisease/about/costs/index.htm

Population aging will have long-term implications for economy. (2012). Retrieved from https://www.sciencedaily.com/releases/2012/09/120925143920.htm

Ethical Issues Surrounding End-of-Life Care: A Narrative Review. (2016). Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4934577/

Bottom of Form

 

18 hours ago

Erica Jones 

RE: Discussion – Week 10

COLLAPSE

Top of Form

Desry,

Good post. You had mentioned the ethical issues that occur during end of life care. This hits close to home for me and my place of work. Currently working on a Med Surg floor I am surprised by how many cancer patients I care for.  Since we are a smaller hospital, most of our cancer patients are care for under one physician. Unfortunately this physician is notorious for promising false hope. When I first started I doubted this thinking this would go against not only ethical standards, but moral right as well. However, I have had multiple patients talk with me about this hope that has been promised to them and their families while the patient is clearly needing hospice or palliative care services.   “For the nearly 80 percent of those who live their final days in hospitals, nursing homes, and at home in hospice care, decisions continually need to be made about what treatment to administer, what treatment to cease or withhold, what treatment to continue, and what treatment to taper off,” (Cerminara & Meisel, N.D). It is troubling as a nurse to see my patient getting worse and trying to advocate for their care to in turn get scrutinized. I think that because some of this advancing technologies patients and families want everything done to slow the progression of an illness. Do not get me wrong, these advances in medicine have done wonders. A part of me just can not help but think it has also hindered views on a peaceful passing.Cerminara and Meisel wrote “only a small proportion of Americans have written advance directives, such as a living will, but their usefulness has long been questioned by the physicians who must draw guidance from them.” Perhaps this is a major reason for such prolonged intrusive care. There needs to be better education about advance directives and discussion on the importance of setting one up before our patients get sick. I think it would be a great advantage for primary care physicians and nurses to have this discussion. That way the patient has that trusting relationship with that nurse of doctor instead of learning about advance directives from a stranger they just met in a hospital.

I think another great way to help with end of life is to train and educate nurses and other health care team members how to approach the situation and communicate with patients and family. There have been times where patients request that their family is not told about their prognosis and this can cause challenges in care for the nurse or provider. Jocelyn (2017) writes about some challenges that educators are faced when implementing end of life education. Jocelyn (2017) writes  “Despite the shift in the approach to preparing nurses to care for dying patients, many challenges exist for nurse educators. One of the most significant is how to include end-of-life content in an overloaded curriculum. Another problem is the lack of consistency in how end-of-life content is taught.” As our population continues to age, end of life care needs to be taken into consideration and viewed just as important as preventive medicine.

References

Cerminara, K., & Meisel, A. (N.D.) End-of-life-care. The Hastings Center. Retrieved

from https://www.thehastingscenter.org/briefingbook/end-of-life-care/

Jocelyn, D. (2017). End-of-life nursing care and education:end-of-life nursing education past and

present. Journal of Christian Nursing. 34(1). Retrieved from

https://journals.lww.com/journalofchristiannursing/Fulltext/2017/01000/End_of_Life_Nursing_Care_and_Educatio n_.12.aspx

 

REPLY QUOTE EMAIL AUTHOR

Bottom of Form

 

Calculate the price
Make an order in advance and get the best price
Pages (550 words)
$0.00
*Price with a welcome 15% discount applied.
Pro tip: If you want to save more money and pay the lowest price, you need to set a more extended deadline.
We know how difficult it is to be a student these days. That's why our prices are one of the most affordable on the market, and there are no hidden fees.

Instead, we offer bonuses, discounts, and free services to make your experience outstanding.
How it works

Here is how simple it is to make use of our essay writing services

step 1

Submit a "write my essay for me" request

Fill out a quick order form and provide detailed requirements as to the paper, its format, etc. You can even attach screenshots or add additional instructions later. If something has to be clarified or added, the writer will contact you directly.
Pro service tips
How to get the most out of your experience with Homework Writing Services
One writer throughout the entire course
If you like the writer, you can hire them again. Just copy & paste their ID on the order form ("Preferred Writer's ID" field). This way, your vocabulary will be uniform, and the writer will be aware of your needs.
The same paper from different writers
You can order essay or any other work from two different writers to choose the best one or give another version to a friend. This can be done through the add-on "Same paper from another writer."
Copy of sources used by the writer
Our college essay writers work with ScienceDirect and other databases. They can send you articles or materials used in PDF or through screenshots. Just tick the "Copy of sources" field on the order form.
Testimonials
See why 20k+ students have chosen us as their sole writing assistance provider
Check out the latest reviews and opinions submitted by real customers worldwide and make an informed decision.
Business Studies
Very well done, thank you!
Customer 462533, February 6th, 2022
Marketing
Did an excellent job on the paper!
Customer 463095, June 22nd, 2022
Business and administrative studies
This was by far one of the best that I have received!
Customer 453375, April 22nd, 2022
Political science
Despite time constraints, the paper is well-structured and visually plenty as required.
Customer 453367, April 5th, 2022
Leadership Studies
excellent job
Customer 456821, July 30th, 2022
SEO
A job well done. The writer followed the instructions to detail.
Customer 463679, March 30th, 2023
Healthcare & Medical
Excellent work.
Customer 452441, May 16th, 2022
Other
Good follow-up task.
Customer 459155, April 7th, 2022
Nursing
nice work
Customer 453939, June 8th, 2020
Human Resources Management (HRM)
Excellent combination.
Customer 462485, April 3rd, 2022
Education
Excellent.
Customer 462865, April 18th, 2022
SEO
good work
Customer 463813, April 14th, 2023
11,595
Customer reviews in total
96%
Current satisfaction rate
3 pages
Average paper length
37%
Customers referred by a friend
OUR GIFT TO YOU
15% OFF your first order
Use a coupon FIRST15 and enjoy expert help with any task at the most affordable price.
Claim my 15% OFF Order in Chat