This week’s readings and videos offered information related to health policy relation to diversity, economics and ethics. In this discussion board you will present information related to current health care reform and civil rights.Topics to include:What is a health care policy related to access, equity, quality, and cost?If you do not feel there is a current health care policy related to access, equity, quality and cost, why not?What does health care reform mean to the uninsured, and underinsured?What is the implication of limited access to vulnerable populations?What can nursing do to help increase awareness of civil rights in health care Must contain minimum of two references (include doi), one reference being from the book. No direct quotes are allowed in the discussion board posts. Include introduction and conclusion.Read Chapters 15, 17, 22, 25, 32, 34, 36, 37, 44, 54file:///C:/Users/Lois%20A/Downloads/473531788-Policy-Politics-in-Nursing-and-Health-Care.pdfhttps://www.americanrhetoric.com/speeches/huberthu... This link will take you to a web page with a link to an audio version of Senator Hubert Humphrey’s 1948 speech on Civil Rights. A transcript of the speech is also provided.

Purpose of AssignmentThis assignment will help to identify the normal growth and development by topic for each age group. In the final column of the assignment you need to observe a child and apply the information you gathered and document your findings in comparison by the particular age of that child.CompetencyApply the foundations of pediatric nursing when caring for clients with health alterations.ScenarioYou are working in a large urban pediatric clinic after-hours.A mother brings her 6-month-old daughter, Vivi Mitchell, to the clinic for rhinorrhea, congestion, fever, and cough. Upon assessment, you identify the child has wheezing upon auscultation and on inspection, you identify retractions.The child is in less than 10th percentile of weight and has a cardiac history of Patent Ductus Arteriosus (PDA).Born at 36 weeks gestation.Mother states this child doesn’t go to day care but her two other children ages 2 and 3 do attend daycare.T- 102.1 HR 140 RR 40 BP 83/58 Pulse ox 96%A swab for respiratory syncytial virus (RSV) is positive.Doctor orders - Nasal bulb suction and saline drops PRN, Tylenol 15mg/kg Q4 PRN for fever, Albuterol nebulizer in office and push po fluids as tolerated.After the albuterol neb treatment, respirations are 36 and oxygen saturation is 100%. Wheezing has diminished. Mom is an ER nurse and the doctor feels comfortable that she has a nebulizer at home and can return to pediatric afterhours or ER if needed.Client is discharged with these orders:methylprednisolone 0.4 mg/kg oral BID for 3Albuterol Q4 hours for 24 hours, then Q 6 hours for 24 hours, and Q6 as needed.Call if needed prior to the Q4 dose.Manage fever with Tylenol and continue hydration and nasal bulb suction Q6 while awake.Return for re-evaluation in 3 daysInstructionsIn a two to three-page APA formatted paper, provide reponses for these questions and requests for information:Criteria:Describe the pathophysiology of bronchiolitis and identify the most common organism causing this infection. What laboratory testing can confirm your suspicion?Describe the pathophysiology of PDA and why the history of PDA is significant in this scenario.What risk factors place Vivi Mitchell at a greater risk for the development of bronchiolitis?What are the characteristic signs/symptoms of bronchiolitis?Vivi Mitchell been prescribed the following medications; acetaminophen, albuterol nebulizer, corticosteroids. Provide the rationale for why each medication has been included as part of her medical management and explain any potential contraindications related to these medications.You are designing Vivi Mitchell’s plan of care. Identify two priority nursing diagnoses to include in your plan. For each nursing diagnosis, identify two SMART goals, and two interventions for each goal.What short and long-term possible complications should the nurse anticipate?What client education is appropriate for Vivi Mitchell as she is discharged from the after-care clinic?

Case Study 1:   is a 50-year-old male with nasal congestion, sneezing, rhinorrhea, and postnasal drainage. Richard has struggled with an itchy nose, eyes, palate, and ears for 5 days. As you check his ears and throat for redness and inflammation, you notice him touch his fingers to the bridge of his nose to press and rub there. He says he's taken Mucinex OTC the past 2 nights to help him breathe while he sleeps. When you ask if the Mucinex has helped at all, he sneers slightly and gestures that the improvement is only minimal. Richard is alert and oriented. He has pale, boggy nasal mucosa with clear thin secretions and enlarged nasal turbinates, which obstruct airway flow but his lungs are clear. His tonsils are not enlarged but his throat is mildly erythematous