Challenges in today’s U.S. Healthcare System and how nurses can create a positive impact.

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Define challenges in today’s U.S. Healthcare System and how nurses can create a positive impact.

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The U.S. healthcare system is facing a multitude of challenges due to rising costs, lack of access to care, and an aging population (Ruzek et al., 2020). Nurses are essential members of the healthcare team who can make significant contributions in creating a positive impact on patient care.

One major challenge for nurses and other healthcare workers is the rising cost of medical services. The high costs associated with treatment can prevent people from seeking necessary medical care, leading to poor health outcomes (Beltran & Watson, 2018). To address this issue, nurses must be mindful about offering patients resources that will help reduce their financial burden such as discounts or referrals for free or low-cost services (Chu et al., 2019). In addition, they should work with the health administration team to provide evidence-based cost containment measures such as utilizing generic drugs whenever possible and implementing preventive practices which can reduce chronic disease management expenses over time (APNA, 2017).

A second major challenge in today’s American healthcare system is limited access to care. According to Jackson et al. (2018), nearly 28 million Americans remain uninsured despite recent improvements in coverage through the Affordable Care Act. Low income communities often lack basic primary care services due to limited provider availability or transportation issues which lead them to seek emergency room treatments even if it’s not appropriate for their condition (APNA, 2017). Nurses have a responsibility in creating opportunities for vulnerable populations by advocating for better public policies that increase funding for community health centers and provide more affordable insurance options (Beltran & Watson 2018). They may also suggest alternative forms of payment plans including sliding fee scales and discounted fees based on family size which can greatly improve accessibility of services while still providing quality patient-centered care (Jackson et al., 2018; Ruzek et al., 2020).

Finally, an increasing number of older adults requiring long term chronic care is another pressing concern facing our current healthcare system according tot Beltran & Watson(2018). Older patients often have multiple comorbidities resulting in complicated treatments that require highly specialized nursing interventions such as medication management or physical therapy regimens. It is critical that nurses stay up-to-date on new research related to gerontological best practices so they are able to provide appropriate guidance and support throughout all stages of life. Establishing strong relationships with elderly clients by actively engaging them during visits helps ensure continuity between providers and allows nurses identify any clinical changes quickly before leading conditions become too severe (APNA 2017; Chu et al., 2019).

In conclusion, nurses play a vital role in improving overall patient outcomes throughout various points within today’s U.S Healthcare System . With their knowledge base , collaborative skills ,and innovative approaches ,they are well positioned advocate active participation within policy change while ensuring delivery safe quality effective holistic patient centeredcare . By addressing these challenges head -on nurse create positive impacts upon individuals communities nations worldwide .

is leads to question of what qualifies to be a combatant, and whether it is lawful to kill each other as combatants. Combatants are people who are involved directly or indirectly with the war and it is lawful to kill ‘to shelter the innocent from harm…punish evildoers (Begby et al (2006b), Page 290).However, as mentioned above civilian cannot be harmed, showing combatants as the only legitimate targets, another condition of jus in bello, as ‘we may not use the sword against those who have not harmed us (Begby et al (2006b), Page 314).’ In addition, Frowe suggested combatants must be identified as combatants, to avoid the presence of guerrilla warfare which can end up in a higher death count, for example, the Vietnam War. Moreover, he argued they must be part of the army, bear arms and apply to the rules of jus in bello. (Frowe (2011), Page 101-3). This suggests Frowe seeks a fair, just war between two participants avoiding non-combatant deaths, but wouldn’t this lead to higher death rate for combatants, as both sides have relatively equal chance to win since both use similar tactics? Nevertheless, arguably Frowe will argue that combatant can lawfully kill each other, showing this is just, which is also supported by Vittola, who states: ‘it is lawful to draw the sword and use it against malefactors (Begby et al (2006b), Page 309).’
In addition, Vittola expresses the extent of military tactics used, but never reaches a conclusion whether it’s lawful or not to proceed these actions, as he constantly found a middle ground, where it can be lawful to do such things but never always (Begby et al (2006b), Page 326-31). This is supported by Frowe, who measures the legitimate tactics according to proportionality and military necessity. It depends on the magnitude of how much damage done to one another, in order to judge the actions after a war. For example, one cannot simply nuke the terrorist groups throughout the middle-east, because it is not only proportional, it will damage the whole population, an unintended consequence. More importantly, the soldiers must have the right intention in what they are going to achieve, sacrificing the costs to their actions. For example: if soldiers want to execute all prisoners of war, they must do it for the right intention and for a just cause, proportional to the harm done to them. This is supported by Vittola: ‘not always lawful to execute all combatants…we must take account… scale of the injury inflicted by the enemy.’ This is further supported by Frowe approach, which

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