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Examine changes introduced to reform or restructure the U.S. health care delivery system.

Examine changes introduced to reform or restructure the U.S. health care delivery system. In a 1,000-1,250 word paper, discuss action taken for reform and restructuring and the role of the nurse within this changing environment.

Include the following:

  1. Outline a current or emerging health care law or federal regulation introduced to reform or restructure some aspect of the health care delivery system. Describe the effect of this on nursing practice and the nurse’s role and responsibility.
  2. Discuss how quality measures and pay for performance affect patient outcomes. Explain how these affect nursing practice and describe the expectations and responsibilities of the nursing role in these situations.
  3. Discuss professional nursing leadership and management roles that have arisen and how they are important in responding to emerging trends and in the promotion of patient safety and quality care in diverse health care settings.
  4. Research emerging trends. Predict two ways in which the practice of nursing and nursing roles will grow or transform within the next five years to respond to upcoming trends or predicted issues in health care.

What main components in cigarettes affect the respiratory system?

Cigarette smoking remains the leading preventable cause of death in the United States, causing an estimated 438,000 deaths—or about 1 out of every 5 smokers—each year (Woloshin, Schwartz, & Welch, 2008).

Mr. Amos is 57 years old and has been smoking for the past 30 years of his life. A recent doctor’s visit revealed that Mr. Amos has stage-3 lung cancer, characterized by his symptoms of nagging chest pain, fatigue, coughing up blood, substantial weight loss, and increased carbon dioxide levels in his blood. The doctor informed Mr. Amos that had he quit his smoking habit several years ago, he would have reduced his risk for developing lung cancer later in life. Mr. Amos immediately began treatment for the lung cancer that had metastasized to his lymph nodes.

Answer the following 3 questions regarding this case study:

  1. Briefly describe the respiratory system. What main components in cigarettes affect the respiratory system? Explain the effect of 2 compounds on specific organs, cells, and processes in the respiratory system.
  2. There are alternate mechanisms of transporting carbon dioxide (CO2) and oxygen (O2) in the blood. Explain how smoking might lead to increased levels of carbon dioxide in the blood.
  3. Can smoking affect other organ systems of the body? Give specific examples, and briefly explain your answer.

Discuss lack of health knowledge as a health-related need in the community?

Discuss lack of health knowledge as a health-related need in the community? What health improvement program or methodology would you use to solve this problem and what would be a reasonable timeline for implementation? Provide examples of measures that APNs might use when collaborating with direct care nurses to implement evidence-based changes based on community health improvement programs. Provide any relevant literature to support your response.

2. How is health literacy entwined with health promotion and disease prevention strategies, and how do these factors relate to general population health? As a DNP-educated nurse, what is your role in improving health literacy within the health care system? Provide examples and relevant literature to support your response.