What are some prevalent medical conditions that can also be accompanied by psychiatric symptoms or complications?

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In completing the case study, students will be addressing the following learning objectives:
Identify common medical conditions that can have accompanying psychiatric complications or symptoms. Describe general nursing implications for clients experiencing psychiatric disorders that are intertwined with other nonpsychiatric illnesses.
1. Carla, a 27-year-old white single mother of two preschool-age children, is in the psychiatric hospital for treatment of anxiety and depression. Carla has a cardiac condition that requires surgery. Carla is concerned over the financial cost of the surgery and caretakers for her children while she is in the hospital and undergoing rehabilitation. Carla is also worried that she may be unable to continue in her present employment as a salesperson due to the physical demands of this position. Carla’s case is representative of many patients with medical conditions who develop psychiatric symptoms.
(Learning Objectives: 1, 2)
a. What are some prevalent medical conditions that can also be accompanied by psychiatric symptoms or complications?
b.What are some nursing implications for Carla that address both the psychiatric and nonpsychiatric illnesses?

What do we mean when we say that the long-term care system is reimbursement-driven?

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DISCUSSION QUESTIONS AND ANSWERS
The following are the Discussion Questions found at the end of this chapter along with answers to those questions.
1. What do we mean when we say that the long-term care system is reimbursement-driven?
2. Who is covered by Medicare? Medicaid?
• Medicare:
• Medicaid:
3. What long-term care services does Medicare cover? What restrictions are placed on them?
• Skilled nursing care in nursing facilities and subacute care
• Home health care
• Hospice care
4. What long-term care services does Medicaid cover? What restrictions are placed on them?
5. What is the “spend down” provision of Medicaid, and why is it controversial?
6. What is the purpose of waiver programs?
7. What are public–private partnerships?
8. Why has managed care taken hold more slowly in long-term care than in other segments of health care?
9. What are the most common forms of managed care organizations?
10. What is the managed care bill of rights and why is it needed?

What comparisons can be found between the university Mission and Domains/CON Mission and Program Competencies

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What comparisons can be found between the university Mission and Domains/CON Mission and Program Competencies (for your selected specialty track, links located in the Course Materials) with the AACN’s Essentials for Master’s Education for Advanced Practice Nursing (link located in the Week 1 Topic Materials)? Explain your rational.

Describe one situation you have encountered where your actions were guided by the Nursing Code of Ethics.

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Describe one situation you have encountered where your actions were guided by the Nursing Code of Ethics. If you have never encountered such a situation, imagine a possible situation you could face in the future. Link this experience to one of the elements in the code of ethics found at http://www.nursingworld.org/codeofethics.