1) Medical Journalist, Shannon Brownlee, stated, “We

1) Medical Journalist, Shannon Brownlee, stated, “We have a disease-care system and it’s a very profitable disease care system. It doesn’t want you to die and it doesn’t want you to get well. It just wants you to keep coming back.” ï‚·Do you agree or disagree? Why or why not? 2) ESCAPE FIRE follows Yvonne Osborne, who has been in treatment for heart disease for over 15 years. ï‚·Describe Yvonne’s health journey. What mistakes are noted in her care along the way? ï‚·What have these mistakes cost in terms of money, risk, and the emotional distress? ï‚·What do you think about the role of the nurse/s in providing care to this patient? 3) The film states that the current system provides the wrong incentives for doctors and hospitals, sometimes forcing them to do what is not in their patients’ best interests. ï‚·How have you seen this in your own experience? ï‚·What can patients and healthcare professional do to change this? 4) Roy Litten is a patient in the ER who has had several heart attacks and a stent placed in his heart, but continues to eat eggs and bacon and to smoke. He has stopped taking his medicine because it is too expensive, and he doesn’t have his own doctor; when he started having chest pains he had to resort to going to the ER. ï‚·What are some of the issues with Roy’s health and disease management? ï‚·What could be done by each of the stakeholders in the healthcare system to help a person like Roy start on the road towards good health? ï‚·What are the challenges and obstacles in the way? 5) Do you have any recommendations for actions that we, as health care professionals, can take to advance change in our current health care system? 6) As a potential health care professional, what specific changes do you see as crucial to changing the health care system both at a patient level and a systems level? What are some of the barriers and facilitators to these changes? 7) Why is Dr. Ornish’s study about the relationship between lifestyle choices, heart disease, and prostate cancer so important? Is this replicable for the general population? 8) What do you think of workplace financial health incentive programs like Safeway’s? Describe the role of nurses in implementing these types of programs. 9) What has the military learned about the use of narcotics and other pharmaceuticals for managing chronic pain and PTSD? ï‚·What have they learned about the use of integrative medicine in the treatment of chronic pain and PTSD? 10) What can the civilian population learn from what the military is doing and can this knowledge be applied in civilian healthcare? 11) Why is healthcare such a politically charged issue? SCIENCE HEALTH SCIENCE NURSING NU 230

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