DNP 810 Topic 6 DQ 1 Discuss how genetic and genomics can play a role in a demand for new health services and how it may impact health care expenditures in the aging population

DNP 810 Topic 6 DQ 1 Discuss how genetic and genomics can play a role in a demand for new health services and how it may impact health care expenditures in the aging population

DNP 810 Topic 6 DQ 1 Discuss how genetic and genomics can play a role in a demand for new health services and how it may impact health care expenditures in the aging population

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DNP 810 Topic 6 DQ 1

Discuss how genetic and genomics can play a role in a demand for new health services and how it may impact health care expenditures in the aging population. Give one example.

Topic 6 DQ 1

What is the impact of the aging population on both increased health care expenditures and wasted
resources? Do genetics play a role? How can the doctoral-prepared nurse apply this information in
practice? Explain. Support your rationale with a minimum of two scholarly sources.

REPLY TO DISCUSSION

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CAT: Are there any questions from this week so far with the reading materials that have left you
unclear?

Replies to Amanda Clark
Population aging facilitates growing costs in healthcare services due to an increase in the
utilization of age-related procedures and treatments and other healthcare needs. According to the
Office of Disease Prevention and Health Promotion, the baby boomers generation will be
managing more than one chronic condition. These conditions may include hypertension, diabetes,
heart disease, cancer, and congestive heart failure (Marešová et al., 2015). Heart disease, stroke,
and cancer have been the leading chronic conditions that have significantly impacted the aging
population (Marešová et al., 2015). Managing these chronic conditions and a patient’s level of
disability will increase the financial demands on our health care system. The cost increases with
the number of chronic conditions being treated, considering the expected twice as many hospital

admissions and physician visits (Marešová et al., 2015). Previous studies revealed patients with
genetic diseases have more frequent and more prolonged hospitalizations and, therefore, higher
healthcare costs (Marešová et al., 2015). Because many individuals are diagnosed with genetic
chromosomal abnormalities disease at a young age, and most rare diseases are severe, rare
disease patients are likely to require more time in the hospital and incur more extraordinary
medical expenses over a lifetime than those without rare diseases.

DNP 810 Topic 6 DQ 1 Discuss how genetic and genomics can play a role in a demand for new health services and how it may impact health care expenditures in the aging population

The importance of DNP-prepared nurses addressing the increasing aging population, the health
care system must take on the challenges of resource needs that will continue to increase across
all healthcare settings. DNP-prepared nurses must prepare for the increasing incidences of
chronic conditions within the aging population and develop strategies to prevent falls (Suzman et
al., 2015). A significant challenge is implementing new health care delivery approaches to address
this aging population’s changing health status. With this population’s chronic conditions on the
rise, their health care becomes more complex. In addition, the health care system must implement
a multidisciplinary approach to ensure positive patient care outcomes when receiving management
(Suzman et al., 2015). Strategies may entail a more comprehensive care plan before discharge, a
system to help identify patients who require follow-up, and implementing a program to help monitor
patients (Suzman et al., 2015).

Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS: DNP 810 Topic 6 DQ 1 Discuss how genetic and genomics can play a role in a demand for new health services and how it may impact health care expenditures in the aging population

References
Marešová, P., Mohelská, H., & Kuča, K. (2015). Economics aspects of ageing
population. Procedia economics and finance, 23, 534-538.

Suzman, R., Beard, J. R., Boerma, T., & Chatterji, S. (2015). Health in an ageing world—what do
we know?. The Lancet, 385(9967), 484-486.

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Thanks for your interesting post.
I do home care and take care of patients with hypertension, diabetes type 2, heart disease,
cancer, osteoarthritis, disabling rheumatoid arthritis, and congestive heart failure. These
people are suffering and in so much pain. Unfortunately, most of them want everything done to
keep their loved ones alive.
Most problems I have with patients and caregivers are interpreting labs and imaging results.
Case scenario
The patient has past medical history of cardiac artery disease and is under the care of a
cardiologist. She has a greenfield vena cava filter and Eliquis 5mg PO BID. Recently, the
patient went to ER and had a Troponin level of 30 ng/l. A cardiologist was consulted and a
stress test was done which was negative. She was discharged from ER to follow up with her
primary care provider. I was scheduled to go and see the patient who is been cared for by the
husband. During my physical examination, the patient denies any chest pain, dizziness,
headaches, N/V/D/C and vital signs WNL. The husband has the critical lab result in his hand
and insisted that the patient should have been admitted to ICU for care.

In this case scenario, this patient is well taken care of to the maximum potential.

sometimes as healthcare providers, we have to look at all case scenarios such as our lab
results, the patient presentation, and treatment modalities to make judgments on the plan of
care.

For this patient, further testing and aggressive treatments are a waste of public funding and
available resources.

to make this story short, I ordered my office to make arrangements and admit this patient for
inpatient cardiac rehabilitation.
I always advise patients, caregivers, and family members, that chronic health conditions
cannot be cured, but we have to learn how to live with them and control them with medication,
and lifestyle changes.

Jul 19, 2022, 8:43 AM

Unread

Replies to Jennifer Murillo
Hello Jennifer. I agree that an increase in the aging population subsequently increases the
costs
of healthcare. However, this increase is not uniform across all countries and is factor-
dependent.
The most significant factors include; the level of aging, the extent to which medical technology
is utilized to manage older people, and the generosity of social insurance programs. In
general,
however, it is estimated that the increase in healthcare spending attributable to an aging
population will be relatively modest in most OECD countries. Furthermore, there is evidence
that, as people get older, they are more likely to use health services less frequently and to
receive
lower-quality care (Shakoor et al., 2021). As a result, the overall healthcare costs of an aging

population may be lower than those of a younger population, even if the costs of specific
treatments are higher.
Reference

Shakoor, U., Rashid, M., Baloch, A. A., & Saboor, A. (2021). How Aging Population
Affects
Health Care Expenditures in Pakistan? A Bayesian VAR Analysis. Social Indicators
Research, 153(2), 585-607.

Name:  Discussion Rubric

• Grid View
• List View

		Excellent 90–100	Good 80–89	Fair 70–79	Poor 0–69
Main Posting: Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.		40 (40%) – 44 (44%) Thoroughly responds to the Discussion question(s). Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. No less than 75% of post has exceptional depth and breadth. Supported by at least three current credible sources.	35 (35%) – 39 (39%) Responds to most of the Discussion question(s). Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module. 50% of the post has exceptional depth and breadth. Supported by at least three credible references.	31 (31%) – 34 (34%) Responds to some of the Discussion question(s). One to two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Cited with fewer than two credible references.	0 (0%) – 30 (30%) Does not respond to the Discussion question(s). Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible references.
Main Posting: Writing		6 (6%) – 6 (6%) Written clearly and concisely. Contains no grammatical or spelling errors. Adheres to current APA manual writing rules and style.	5 (5%) – 5 (5%) Written concisely. May contain one to two grammatical or spelling errors. Adheres to current APA manual writing rules and style.	4 (4%) – 4 (4%) Written somewhat concisely. May contain more than two spelling or grammatical errors. Contains some APA formatting errors.	0 (0%) – 3 (3%) Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style.
Main Posting: Timely and full participation		9 (9%) – 10 (10%) Meets requirements for timely, full, and active participation. Posts main Discussion by due date.	8 (8%) – 8 (8%) Meets requirements for full participation. Posts main Discussion by due date.	7 (7%) – 7 (7%) Posts main Discussion by due date.	0 (0%) – 6 (6%) Does not meet requirements for full participation. Does not post main Discussion by due date.
First Response: Post to colleague’s main post that is reflective and justified with credible sources.		9 (9%) – 9 (9%) Response exhibits critical thinking and application to practice settings. Responds to questions posed by faculty. The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.	8 (8%) – 8 (8%) Response has some depth and may exhibit critical thinking or application to practice setting.	7 (7%) – 7 (7%) Response is on topic and may have some depth.	0 (0%) – 6 (6%) Response may not be on topic and lacks depth.
First Response: Writing		6 (6%) – 6 (6%) Communication is professional and respectful to colleagues. Response to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English.	5 (5%) – 5 (5%) Communication is mostly professional and respectful to colleagues. Response to faculty questions are mostly answered, if posed. Provides opinions and ideas that are supported by few credible sources. Response is written in standard, edited English.	4 (4%) – 4 (4%) Response posed in the Discussion may lack effective professional communication. Response to faculty questions are somewhat answered, if posed. Few or no credible sources are cited.	0 (0%) – 3 (3%) Responses posted in the Discussion lack effective communication. Response to faculty questions are missing. No credible sources are cited.
First Response: Timely and full participation		5 (5%) – 5 (5%) Meets requirements for timely, full, and active participation. Posts by due date.	4 (4%) – 4 (4%) Meets requirements for full participation. Posts by due date.	3 (3%) – 3 (3%) Posts by due date.	0 (0%) – 2 (2%) Does not meet requirements for full participation. Does not post by due date.
Second Response: Post to colleague’s main post that is reflective and justified with credible sources.		9 (9%) – 9 (9%) Response exhibits critical thinking and application to practice settings. Responds to questions posed by faculty. The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.	8 (8%) – 8 (8%) Response has some depth and may exhibit critical thinking or application to practice setting.	7 (7%) – 7 (7%) Response is on topic and may have some depth.	0 (0%) – 6 (6%) Response may not be on topic and lacks depth.
Second Response: Writing		6 (6%) – 6 (6%) Communication is professional and respectful to colleagues. Response to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English.	5 (5%) – 5 (5%) Communication is mostly professional and respectful to colleagues. Response to faculty questions are mostly answered, if posed. Provides opinions and ideas that are supported by few credible sources. Response is written in standard, edited English.	4 (4%) – 4 (4%) Response posed in the Discussion may lack effective professional communication. Response to faculty questions are somewhat answered, if posed. Few or no credible sources are cited.	0 (0%) – 3 (3%) Responses posted in the Discussion lack effective communication. Response to faculty questions are missing. No credible sources are cited.
Second Response: Timely and full participation		5 (5%) – 5 (5%) Meets requirements for timely, full, and active participation. Posts by due date.	4 (4%) – 4 (4%) Meets requirements for full participation. Posts by due date.	3 (3%) – 3 (3%) Posts by due date.	0 (0%) – 2 (2%) Does not meet requirements for full participation. Does not post by due date.
Total Points: 100

Name:  Discussion Rubric

Population aging facilitates growing costs in healthcare services due to an increase in the utilization of age-related procedures and treatments and other healthcare needs. According to the Office of Disease Prevention and Health Promotion, the baby boomers generation will be managing more than one chronic condition. These conditions may include hypertension, diabetes, heart disease, cancer, and congestive heart failure (Marešová et al., 2015). Heart disease, stroke, and cancer have been the leading chronic conditions that have significantly impacted the aging population (Marešová et al., 2015). Managing these chronic conditions and a patient’s level of disability will increase the financial demands on our health care system. The cost increases with the number of chronic conditions being treated, considering the expected twice as many hospital admissions and physician visits (Marešová et al., 2015). Previous studies revealed patients with genetic diseases have more frequent and more prolonged hospitalizations and, therefore, higher healthcare costs (Marešová et al., 2015). Because many individuals are diagnosed with genetic chromosomal abnormalities disease at a young age, and most rare diseases are severe, rare disease patients are likely to require more time in the hospital and incur more extraordinary medical expenses over a lifetime than those without rare diseases.

The importance of DNP-prepared nurses addressing the increasing aging population, the health care system must take on the challenges of resource needs that will continue to increase across all healthcare settings. DNP-prepared nurses must prepare for the increasing incidences of chronic conditions within the aging population and develop strategies to prevent falls (Suzman et al., 2015). A significant challenge is implementing new health care delivery approaches to address this aging population’s changing health status. With this population’s chronic conditions on the rise, their health care becomes more complex. In addition, the health care system must implement a multidisciplinary approach to ensure positive patient care outcomes when receiving management (Suzman et al., 2015). Strategies may entail a more comprehensive care plan before discharge, a system to help identify patients who require follow-up, and implementing a program to help monitor patients (Suzman et al., 2015).

References

Marešová, P., Mohelská, H., & Kuča, K. (2015). Economics aspects of ageing population. Procedia economics and finance, 23, 534-538.

Suzman, R., Beard, J. R., Boerma, T., & Chatterji, S. (2015). Health in an ageing world—what do we know?. The Lancet, 385(9967), 484-486.

Thanks for your interesting post.

I do home care and take care of patients with hypertension, diabetes type 2, heart disease, cancer, osteoarthritis, disabling rheumatoid arthritis, and congestive heart failure. These people are suffering and in so much pain. Unfortunately, most of them want everything done to keep their loved ones alive.

Most problems I have with patients and caregivers are interpreting labs and imaging results.

Case scenario

The patient has past medical history of cardiac artery disease and is under the care of a cardiologist. She has a greenfield vena cava filter and Eliquis 5mg PO BID. Recently, the patient went to ER and had a Troponin level of 30 ng/l. A cardiologist was consulted and a stress test was done which was negative. She was discharged from ER to follow up with her primary care provider. I was scheduled to go and see the patient who is been cared for by the husband. During my physical examination, the patient denies any chest pain, dizziness, headaches, N/V/D/C and vital signs WNL. The husband has the critical lab result in his hand and insisted that the patient should have been admitted to ICU for care.

In this case scenario, this patient is well taken care of to the maximum potential.

sometimes as healthcare providers, we have to look at all case scenarios such as our lab results, the patient presentation, and treatment modalities to make judgments on the plan of care.

For this patient, further testing and aggressive treatments are a waste of public funding and available resources.

to make this story short, I ordered my office to make arrangements and admit this patient for inpatient cardiac rehabilitation.

I always advise patients, caregivers, and family members, that chronic health conditions cannot be cured, but we have to learn how to live with them and control them with medication, and lifestyle changes.

I agree that an increase in the aging population subsequently increases the costs

of healthcare. However, this increase is not uniform across all countries and is factor-dependent.

The most significant factors include; the level of aging, the extent to which medical technology

is utilized to manage older people, and the generosity of social insurance programs. In general,

however, it is estimated that the increase in healthcare spending attributable to an aging

population will be relatively modest in most OECD countries. Furthermore, there is evidence

that, as people get older, they are more likely to use health services less frequently and to receive

lower-quality care (Shakoor et al., 2021). As a result, the overall healthcare costs of an aging

population may be lower than those of a younger population, even if the costs of specific

treatments are higher.

Reference

Shakoor, U., Rashid, M., Baloch, A. A., & Saboor, A. (2021). How Aging Population Affects

Health Care Expenditures in Pakistan? A Bayesian VAR Analysis. Social Indicators

Research, 153(2), 585-607.

Impact of Aging Population on Health Care Expenditures

Population growth and aging raise health care costs annually. Using secondary data and models, the authors calculated the influence of demographic shifts on past and future expenses. Aging and population increase were anticipated to affect physician, nursing, hospital, and facility costs. They also calculated their impact on “other personal” spending on health care, such as dental treatment, other health professionals, medications, and vision goods. Their analysis found that aging and population expansion drove up health care expenses.

Various studies have found that an aging population increases wasted resources. US healthcare prices are substantially higher than other industrial nations with equivalent or better performance in the health system. The aging population contributes to wasteful expenditure, which may be reduced by reducing waste. Furthermore, they pointed out that medical insurance and health uncertainty promote inefficient and low-value care in an aging population (Shrank et al., 2019). Genetics contribute to the increased gaining population through the accumulation of genetic mutations that cannot be repaired, which in turn contribute to increased health costs and wasted resources.

Nursing science may help these professionals create scientific evidence for better clinical care and quality of life for our aging population (Howdon & Rice, 2018). Nurses with a DNP may offer acute care in hospitals, preventive care in primary care offices and the community, and long-term care in nursing homes and assisted living facilities. This can help offset excessive spending and waste. This group of nurses may serve as team leaders and active members of multidisciplinary and interprofessional teams to understand and successfully manage complicated elder care issues and deliver person-centered care.

References

Howdon, D., & Rice, N. (2018). Health care expenditures, age, proximity to death and morbidity: Implications for an aging population. Journal of health economics, 57, 60-74.

Shrank, W. H., Rogstad, T. L., & Parekh, N. (2019). Waste in the US health care system: estimated costs and potential for savings. Jama, 322(15), 1501-1509.

Topic 6 DQ 1

The impact of the aging population on both increased health care expenditures and wasted resources

Since the advent of the COVID-19 pandemic, the rate of catastrophic health care expenditure (CHE) is found to be higher in proportion, especially in households having elderly members, with the incidence of chronic health disease conditions (Loutfi, et al., 2018). Yamada & Priest., 2022 suggest that population aging has a direct impact on public expenditure through increased spending on pensions, health care, and services for the elderly; and an indirect impact through increasing levels of public indebtedness (Loutfi, et al., 2018). As a consequence, there is an increase in social and healthcare costs and a decrease in the quality of healthcare provided. This has a negative impact on the region’s competitiveness, employability, increase taxes, and reduction in productivity. Environmental factors and technology innovation may improve efficiencies, quality, accessibility, and cut health care costs. However, few best practices have been developed to increase private investment and partnership with the public sector to deliver a unique business model to better serve innovative start-ups through a set of defined tools and services (Loutfi, et al., 2018).

Do genetics play a role?

Genetics plays a role as the United States is experiencing rapid growth in terms of the digital high-growth health sector bringing together numerous specialized healthcare knowledge such as the use of PET scan technology as a gold standard in the diagnosis of cancer and immunotherapy in the treatment of different kinds of cancer (Loutfi, et al., 2018). CT scans and MRIs can detect changes later as diseases alter the structure of the organ or tissues. PET scan detects early changes in patient cells and genetics at a cellular level. This gives medical professionals the best view of complex systemic disease conditions. PET scans, CT scans, MRI imaging, and lab results are used in diagnosis or to rule out certain genetic disorders (Loutfi, et al., 2018). These test and imaging services are useful, but, have an impact on both increased health care expenditures and w