Read the case study below. Answer and discuss the questions that follow.
ND is a 82-year-old female who lives in a skilled nursing facility. She suffers from rheumatoid arthritis, coronary artery disease, chronic bronchitis, and hypertension. She is wheelchair bound and tends to spend most of her days in bed. She smoked for 52 years but quit 14 years ago. She has lost 10 pounds in the last month and has had a productive cough for about 2 weeks that has copious amounts of white to yellow mucous. Over the last 3 days, she has refused to get out of bed and has been refusing to eat or drink. This morning she is confused, has a fever, and is coughing continuously. Her sputum now is rust-colored. Her lungs sounds are coarse rhonchi throughout with crackles and diminished lung sounds in her right middle lobe area. Her vital signs are BP 86/54, HR 98, RR 28, and temperature 102.4. She is being admitted to the hospital.
Pneumonia can be classified many different ways. Which classification of pneumonia best fits ND’s situation? Explain. What is the most probable cause of ND’s pneumonia? Which diagnostic tests would you expect to be done to diagnose ND’s pneumonia?
Obamacare, otherwise called the Patient Protection and Affordable Care Act (PPACA) yet regularly alluded to as the Affordable Care Act (ACA), was marked into law by President Obama on March 23, 2010. This demonstration has been a piece of the medicinal services framework for as far back as seven years. It has added to making the entrance for medical coverage to all Americans simpler than any time in recent memory. Trumpcare, otherwise called the American Health Care Act (AHCA), was passed by the House of Representatives on May fourth, 2017. Trumpcare is viewed as the new up and coming social insurance plan. This exploration paper will talk about the focal points, burdens, similitudes and contrasts of both Obamacare and Trump. This paper will likewise be talking about the effect Obamacare and Trumpcare has had or will have on society. Obamacare Obamacare isn't a medical coverage. The fundamental objective of Obamacare is to give improvement towards the entrance to medical coverage for United States natives and the nature of the human services framework and health care coverage industry. Obamacare likewise extends, improves and ensures the rights that has a place with patients. Under the steady gaze of this law was marked, almost fifty million individuals in America did not have medical coverage due to being not able pay the high costs that were required. When the law was marked, it was accounted for that the measure of individuals who did not have inclusion improved altogether. As per a Gallup review, it was accounted for that the uninsured rate in American had dropped to eleven percent as of the principal quarter of 2016, which is the most reduced it has ever been all through the most recent eight years (Health Network Group, 2016). This demonstration was known to have the greatest working class tax break for medicinal services in American history. Obamacare had the option to give inclusion and spare billions of dollars for the country's least fortunate, low-pay seniors, debilitated natives and independent ventures. Preferences and Disadvantages of Obamacare Obamacare actualizes advantages, rights and security for all Americans which improves the nature of medical coverage. In spite of the fact that it doesn't give free medical coverage, this demonstration had the option to give everybody a similar chance to buy medical coverage. People were charged similar rates for similar administrations which means there was no disparity dependent on sex, pay or wellbeing status. The costs being offered were with ease and reasonable rate notwithstanding for the individuals who are at present at or underneath the destitution line (Zurcher, 2017). This demonstration ensures that back up plans and organizations can't abuse their clients/laborers since they are qualified for having secured rights. Safety net providers have a point of confinement on the amount they are permitted to spend on authoritative overhead and patients would get a customized discount if the organization spends an unnecessary sum on official expense. They would be considered in charge of their activities and spending which gives patients more rights. Doctors are likewise being considered responsible for the nature of consideration that they provide for their patients which guarantees better and increasingly mindful consideration (Health Network Group, 2016). Every health care coverage plan that was offered must most likely cover ten fundamental advantages which incorporates mental human services, maternity care and professionally prescribed prescription. The expense for doctor prescribed medicine were diminished with the goal that individuals could manage the cost of the essential drug they required. Obamacare gives numerous advantages to a wide range of people. For instance, individuals with previous conditions couldn't be denied access to medical coverage inclusion. For whatever length of time that you are ensured under this demonstration, back up plans won't be permitted to drop you without notice or without reason (Moscovitz, 2017). Besides, grown-up youngsters are allowed to stay secured by their parent's approach until they arrive at the age of twenty-six and overrated human services data diminished in view of incorporated server farms. Insurance agencies can't deny somebody from inclusion once they become wiped out hence they should give inclusion to debilitated individuals. Lamentably, this outcomes in expanding the expense of everybody's protection (Kasier, H. 2017). Obamacare Saved My Life A republican malignancy survivor named Jeff Genes was totally restricted to Obamacare on the grounds that he was not able completely get it. At the age of forty-nine, he was given a month and a half to live with a treatable kind of malignant growth. He had previous conditions which made him depend on Obamacare so as to buy his own protection. The horrible experience of being placed in a circumstance among life and demise changed his point of view on Obamacare. He came to comprehend the significance and advantages from this demonstration once he had acknowledged he really required it. Jeff expressed that in the event that it were not for Obama and his Affordable Care Act, he would have been dead. There are numerous natives who can identify with Jeff Gene's story on the grounds that without this demonstration they would not have had the option to manage and conquer their medical issues (Ryan, 2017). Trumpcare Trumpcare can be characterized as a social insurance change under Donald Trump. Trumpcare will likely annulment and supplant parts of the Patient Protection and Affordable Care Act (PPACA). Trump and Republicans in Congress expressed that they would cancel Obamacare inside the initial hundred days that Trump is in office. The advancement being made inside the procedure of annulment shows activity behind their announcement (Alexander, 2017). The Patient Protection and Affordable Care Act still stays as the law until the American Health Care Act is passed by the Senate and gets marked by current President Donald Trump. In spite of the fact that Obamacare has not been totally revoked under TrumpCare, there are some eminent changes. Preferences and Disadvantages of Trumpcare Trumpcare will almost certainly decrease costs for the individuals who are not valued out of the market. This implies huge businesses and the individuals who don't depend on help could get less expensive plans. In spite of the fact that cash will be spared by cutting 800 and eighty billion from Medicaid and a considerable lot of Obamacare's duties, millions will lose their arrangements. On the off chance that and when a full annulment of Obamacare is passed, around twenty million or more individuals who are canvassed by Obamacare are in risk of losing their inclusion and cost help this year. Less Americans will approach medicinal services inclusion due to greater expense of medical coverage and never again having individual order. The destiny of the individuals who are secured by Obamacare will be resolved on the amount of Obamacare will be revoked and what will it be supplanted with. Under Trumpcare, youngsters between the ages of six and nineteen, in families who make between 100% to one-hundred and thirty-eight percent of destitution level, will have less access to wellbeing inclusion under Trumpcare than they as of now have under Obamacare (Wilts, 2017). Likenesses among Obamacare and Trumpcare There are a couple of likenesses among Obamacare and Trumpcare. The capacity of youthful grown-ups to stay underneath their parent's arrangements until they arrive at the age of twenty-six will even now stay in actuality. Insurance agencies still would not be permitted to charge ladies more than men for a similar wellbeing plan. Another likeness between the two is that individuals with recently analyzed ailments can't be denied protection inclusion. Under Obamacare, nobody with prior conditions can be denied inclusion or charged higher protection rates which additionally applies to Trumpcare. Be that as it may, there would be new prerequisites joined to this arrangement. Despite the fact that prior conditions would be secured, state-based waivers can be utilized to prohibit certain conditions from lifetime and yearly cutoff points. Consequently, Trumpcare does not totally dispose of the assurances on previous conditions however surely debilitates it (Alexander, 2017). Contrasts among Obamacare and Trumpcare There are a couple of contrasts among Obamacare and Trumpcare. Trumpcare needs to annul the orders which means there is no expense for not getting inclusion despite the fact that the arrangement includes another charge of 30%. This applies to the individuals who need to reemerge the marker after not having inclusion for more than sixty-three days. This new expense implies bosses will never again need to give inclusion to full-time representatives (Zurcher, 2017). Another distinction between the two is that rather than assessment credits being offered dependent on pay like Obamacare, they will be founded on age under Trumpcare. Trumpcare will likewise defund Planned Parenthood which keeps them from tolerating Medicaid and restriction ladies from utilizing government expense credits to purchase an arrangement that spreads premature birth. Obamacare restricted back up plans to charge more established Americans just multiple times the expense for more youthful Americans. Sadly, under Trumpcare back up plans would be permitted to charge more seasoned Americans five fold the amount of as more youthful Americans (Moscovitz, 2017). The sum would almost certainly shift from state to state. This implies seniors who are not secured by Medicaid but rather are needing help could be considered in charge of paying higher protection approaches. Moreover, Obamacare proceeds to attest Medicaid extension permitted more low-pay families who earned short of what one hundred and thirty-eight percent of as far as possible to get secured. Obamacare made both administrative and state commercial centers so as to make it simpler for residents to murmur up for government-financed plans. Be that as it may, Trumpcare needs to cancel the extension financing of Medicaid (Wilts, 2017). Under Trumpcare, states can subsidize their Medicaid programs in per-capita or square awards. Human services suppliers will likewise be in danger of losing numerous patients which could cause a medicinal services supplier emergency. End Obamacare has improved the reasonableness and nature of private and general medical coverage through new arrangements to secure shoppers, charges, necessities, endowments, and the sky is the limit from there. >GET ANSWER