Analyzing Traumatic Impact Responses

Analyzing Traumatic Impact Responses

(Analyzing Traumatic Impact Responses)

The Assignment: (2–3 pages). Please note the longer Assignment length than previous weeks.

Analyze the traumatic impact (e.g., affective, behavioral, cognitive, and ecological) of two different acts of terrorism and/or genocide from this week’s readings.

Explain how you might respond to each account of terrorism and/or genocide. In your explanation, be sure to include brief descriptions of the crisis intervention strategies and/or skills you might use to respond to survivors and explain why you chose them.

To prepare for this Assignment:

Identify two accounts of terrorism and/or genocide from this week’s readings and consider the affective, behavioral, cognitive, and ecological impact of each.

Review the assigned readings and consider strategies and/or skills you might use to respond to survivors of the accounts of terrorism and/or genocide that you identified.

In the aftermath of terrorist attacks or genocide, there are often more survivors than fatalities. Survivors may experience a variety of trauma symptoms, including intense fear, crippling grief, guilt, disorientation, and rage. In addition, survivors may be at risk for developing psychological disorders, such as depression and PTSD. There is often a marked variation in the way in which survivors react to terrorism and genocide, depending on factors such as proximity to the traumatic event, intensity of trauma symptoms following the event, and personal coping strategies previously employed by the survivors. The variation of survivors’ reactions demands that crisis workers be flexible in how they choose and apply crisis intervention strategies. In order to choose an appropriate crisis intervention strategy, crisis workers first must assess and evaluate the affective, behavioral, and cognitive impact to survivors and the larger ecological impact to communities. Then, based on the assessment, an appropriate intervention strategy can be chosen.

THE READINGS

  • Bleich, A., Gelkopf, M., & Solomon, Z. (2003). Exposure to terrorism, stress-related mental health symptoms, and coping behaviors among a nationally representative sample in Israel. Journal of AmericanMedical Association, 290(5), 612–620. Retrieved from the Walden Library databases.
  • Ciampi, D., (2012). Anticipated attitudes for providing psychological services to survivors of major terrorist incidents. Psychological Trauma: Theory, Research, Practice, and Policy, 4(2), 237–243.
    Retrieved from the Walden Library databases.
  • Collins, B. G., & Collins, T. M. (2005). Assessment: A developmental-ecological perspective. In Crisis and trauma: Developmental-ecological intervention (1st ed., pp. 19–43). Boston: Lahaska Press/Houghton Mifflin.
    Crisis and trauma: Developmental-ecological intervention, Edition 1 by Collins, B. G., & Collins, T. M. Copyright 2005 by South-Western College Publishing, A Division of Cengage Learning. Reprinted by permission of South-Western College Publishing, A Division of Cengage Learning via the Copyright Clearance Center
 
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End Of Life Issues

Week 8- HPRS 1303 (End Of Life Issues) Class

(End Of Life Issues)

Hello there is actually two assignments. one is journal entry and two is discussion post. this is due March 11, 2018 before 11:59 pm central time

1.  Journal entry #5

One requirement for HPRS 1303:  End of Life Issues class is  that students keep a reflective journal summarizing what they have  learned from each assignment and subsequent discussion. Students must  complete 11 journal entires in total, each of which is worth up to 50  points.

The Journal Entries provide a way for students to make personal  connections to the material and to apply the concepts they have  learned.  Journal entries should be written in a well-developed  paragraph rather than just a phrase.  Investing some effort in each  journal entry will not only help you make the most of this course, but  should help prepare you for the assignment in Week 15.

This is the rubric that I will be using to grade all journal entries (assignments) throughout the semester: Also please list the sources and no plagiarism please

APA Journal Entries (Assignments) Rubric(End Of Life Issues)

Score _____/50

____ (5) In-text citations include necessary info in parentheses after borrowed material

____ (5) References per APA

____ (5) Grammar and spelling

____ (35) Application of three or more concepts from the learned material

please watch this video link first before doing the assignments

  2.   Physical Aspects of Dying Discussion post

What  did you learn from this video?  What are your thoughts?  Support your  answer through the use of peer reviewed scholarly sources from MedLine,  Ebsco, Proquest, and/or Google Scholar.  You must provide at least three  additional sources to the video.

Please write a 300 to 500 word essay adhering to APA 6th Edition formatting guidelines.  Please list the sources and no plagiarism

 
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Nuclear Waste Disposal

Nuclear Waste Disposal

(Nuclear Waste Disposal)
Question description

MY PRICE FOR THIS $2.00

Term Paper

My topic: Nuclear Waste Disposal

Proposed Title: The impact of environment chemical on thyroid function

Proposed thesis statement: A small change in thyroid function can widely affect human health. Therefore, it is important to clarify whether the environment chemicals can affect the thyroid function in humans.

PLEASE USE THE SOURCES BELLOW AND ADD ONE BOOK TO THEM, YOU CAN ALSO USE SOME OTHE SOURCES

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2935336/

http://www.psr.org/assets/pdfs/edc-webinar.pdf

http://www.atsdr.cdc.gov/hec/csem/iodine/docs/iodine131.pdf

http://www.sciencedirect.com/science/article/pii/S0161813X11002051

PLEASE READ THE ASSIGNMENT INSTRUCTION BELOW

Term Papers must include at least 5 academic, news or critical resources, including one book. Wikipedia may not be used. Please pay special attention to bias and opinion pieces, as these can be made a part of your analysis but should not be the foundation of your research. Term papers are an integral part of upper-level course work and can often be used as a writing sample for graduate school admissions or job application. Some term papers can be utilized as a foundation for future thesis work or in-depth research projects. This term paper combines research with critical analysis and synthesis.

The term paper must be 10 pages long (double-spaced) in 12pt font with normal margins. Two of these pages should be the cover page and the reference page.

Each paper must be organized into clear sections, with section headers. These sections MUST include the following:

Introduction

Background

Health Implications

Methodology

First supporting case/example

Second supporting case/example

Analysis

Solutions

Conclusion

Each paper must use a consistent APA format.

Each paper should also include photographs, illustrations, graphics or data. These may be included as appendices or within the body of the paper as Figures or Tables, but do not include them as part of your written page count. Creating extra large graphs or “page fillers” is discouraged and may result in a lower grade.

A complete paper will meet all organizing standards and include a cover sheet, an introduction, the body of the paper with methodology or measurement of the issue, two specific related examples or case studies, an analysis, conclusion, citations/references. The paper will demonstrate a clear understanding of the topic and will be written in good grammar with correct spelling. A complete paper will also include properly cited and relevant graphs, photos, pie charts, additional data or additional examples/case studies

 
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diversity policies and practices.

diversity policies and practices.

(diversity policies and practices.)

Question description

OVERVIEW

Write a 3–5 page executive summary that examines an organization’s diversity policies and practices.

Becoming a nursing leader requires a good deal of thought, consideration, and evaluation of the qualities you believe are essential for a nurse to effectively lead in the delivery of health care.

Competency 3: Analyze the role of multiculturalism and diversity in organizational and systems structure and leadership.By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

    • Analyze the impact of a diverse nursing workforce on patient outcomes.
    • Analyze how the health care system integrates diversity and multiculturalism into its practices.
    • Analyze current recruitment and retention policies to identify gaps between best practices and current policies.
  • Competency 4: Evaluate how power relates to health care organizational structure, behavior, and leadership.
    • Assess the level of integration and importance of multiculturalism and diversity in a health care organization.
    • Recommend evidence-based changes to the organizational structure and systems leadership that empower a diverse workforce.
  • Competency 5: Communicate in a manner that is consistent with the expectations of a nursing professional.
    • Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.
    • Correctly format citations and references using current APA style.
    CONTEXT

    MULTICULTURALISM AND DIVERSITYMulticulturalism and diversity are significant factors in U.S. society, impacting all organizations; but in health care, the impact has significant consequences that can be seen in quality of care and patient outcomes. Due to constantly changing demographics, nursing leaders must remain vigilant when monitoring the impact of multiculturalism and diversity within their organizations and the communities served by the organizations. The multiple stakeholders affected by a multicultural and diverse workforce include patients, families, communities, system partnerships, et cetera. Nursing leaders must incorporate approaches that are inclusive and respectful of all stakeholders in the health care workforce, patient population, and the larger community that is served by the organization.

SUGGESTED RESOURCES(diversity policies and practices.)

The following optional resources are provided to support you in completing the assessment or to provide a helpful context. For additional resources, refer to the Research Resources and Supplemental Resources in the left navigation menu of your courseroom.

Capella Multimedia

Click the link provided below to view the following multimedia piece:

RIVERBEND CITY: CULTURAL COMPENTENCE MISSION

INTRODUCTION: WELCOME TO RIVERBEND CITY

Expository Text:
Riverbend City Medical Center has a reputation for being one of the top medical facilities in the region. One persistent area of weakness is the ability to provide culturally competent care. Cultural competence goes beyond simply providing interpreter services or educational materials in a language other than English. Culturally competent care means that health care providers work to understand the different attitudes, values, and expectations their patients have when seeking health care.

Instructional Text:
This mission asks you to consider the ramifications of misunderstandings that arise when culturally competent care is lacking. Observe the actions of the medical staff throughout this mission and consider how nurse leaders could communicate with patients and staff to avoid conflict, misunderstandings, and barriers to quality health care.

Characters in this Mission:

  • Chandra Capshaw – Hospital Social Worker
  • Christina Cha – ER Receptionist
  • Wade Field – EMT
  • Candace Hong – Pediatric Nurse
  • Mary Jackson – School Nurse
  • Jessica Jameson – Novice Nurse
  • Carl Lauderback – ER Nurse Supervisor
  • Stewart Mason – EMT
  • Farouk Massoud – EMT
  • Christine Sassman – Pediatric Intensive Care Specialist
  • Bo Vang – Resident
  • Jason Vang – Resident
  • Kaying Vang – Resident

SCENE 1: WASHINGTON ALLSTON ELEMENTARY SCHOOL, SCHOOL YARD(diversity policies and practices.)

Expository Text:
At the elementary school, several children and some teachers have been exposed to a chemical cloud that emanated from the derailed freight train. The school nurse has performed initial triage and called 911 to request assistance. An ambulance was dispatched and has now arrived on the scene.

Instructional Prompt:
Click on highlighted characters to hear how they are responding to the incident.

DIALOGUE 01: STEWART REPORTS THE SITUATION TO HIS DISPATCHER.

STEWART:
Dispatch, this is Unit 9 reporting from the Washington Allston School.

WADE (On the Radio):
Go ahead, Unit 9.

STEWART:
Yeah… there’s kids here exposed to some sort of chemical cloud… chlorine is my guess, but something else, too. Do you have any information on this?

WADE (On the Radio):
Yes, Unit 9. There’s been a train derailment just past the Clellen Bridge. Initial reports are that several cars have been breached, including at least one carrying chlorine. The HAZMAT teams are en route to the derailment. You say that the cloud is over the school, though?

STEWART:
That’s affirmative. We’re getting the injured kids and getting out of here. There’s no way to know the concentration, but we’re seeing skin and eye irritation and respiratory problems. We’re definitely in a contaminated area.

WADE (On the Radio):
Okay, Unit 9, get the exposed kids and get out of there. I’ll contact the onsite commander and find out if they’ve started plume analysis. My guess is that they’ll want the school to shelter in place for anyone not already exposed.

What have you got in terms of injuries?

STEWART:(diversity policies and practices.)
Three or four kids with severe respiratory distress. Several with irritation and burns to their skin and eyes. One girl with a head injury from falling. One… I don’t know the full extent of his injuries – he apparently doesn’t speak any English and he’s hysterical and uncooperative.

WADE (On the Radio):
What language does he speak? I could get you someone who speaks Spanish if you need?

STEWART:
I wish… I speak enough Spanish to get the job done usually. No… this kid is Hmong.

WADE (On the Radio):
Sorry… can’t offer any help, except to let RCMC know that they should have their interpreter ready.

STEWART:
Okay… I’m going to get Farouk and get out of here. Unit 9 out.

DIALOGUE 02: MARY PROVIDES AN UPDATE ON WHAT SHE AND HER COLLEAGUES AT THE SCHOOL HAVE DONE FOR THE INJURED CHILDREN.

MARY:
Okay… Joanne and Scott and I have moved the kids who weren’t badly injured into our cars and we’re ready to follow you to RCMC. I need to give our principal the update on what’s happened, but I’ll be right behind you.

STEWART:
Okay, we need to move everyone out of here. This is a HAZMAT situation and we need to get out of here.

MARY:
What about the kids in the school?

STEWART:
The school has an emergency preparedness plan-follow the protocol for a hazardous chemical spill.

Something else, though… that Hmong kid. Do you have anyone in the school who speaks Hmong?

MARY:
Normally we do, but she’s out sick today. Can you communicate with him at all?

STEWART:
Not really… I went to school for emergency medicine, not poli-sci and languages definitely aren’t my thing.

MARY:
It’s not like Hmong people are never seen in Riverbend City. Shouldn’t you have a plan for when you encounter someone who doesn’t speak English?

STEWART:
We have lots of plans… including not driving straight into a HAZMAT scenario. The plans are one thing; the job is something else altogether.

MARY:
I know, I know… I’m not meaning to criticize. Lue is new to this country – he’s only been here about four months. His cousin often comes in with him when there is something the family wants communicated. He’s a student at the high school.

STEWART:
Well, we’re going to need this kid’s parents. Not that they’re likely to be able to provide any useful information, but they’ve got to be in the loop.

MARY:
Of course. I’ll grab my laptop on my way back out. I can access student records through it and should be able to get contact information.

STEWART:
Good.

DIALOGUE 03: FAROUK TRIES TO HELP STEWART UNDERSTAND HOW CULTURAL COMPETENCE AFFECTS THEIR RESPONSE TO THEIR PATIENTS.(diversity policies and practices.)

FAROUK:
Stewart – I’ve got that one boy stabilized, but we need to get him to RCMC stat. His vitals are really unstable. I am worried about possible respiratory arrest.

STEWART:
Right… okay. The Hmong kid… I haven’t been able to do a very thorough assessment – he’s totally hysterical. I can’t get him to calm down enough to get a handle on how badly injured he may be.

FAROUK:
Maybe something about the train and chemicals has triggered an emotional response. Refugees have often been through a lot.

STEWART:
For crying out loud… the kid is what, seven or eight? What kind of emotional baggage can a kid that young have picked up?

MARY:
You’d be surprised.

STEWART:
I know that he’s hurt and he’s scared, but let’s not make more out of this than there already is. The problem is that he doesn’t speak English and I can’t do my job if I can’t communicate with the patient.

FAROUK:
I understand that. Communication is more than just language, though. That’s all I’m saying. Let’s get these kids out of here, though. That’s our main problem.

SCENE 2: RCMC, AMBULANCE BAY(diversity policies and practices.)

Expository Text:
Having received notification that EMTs are en route with two children who were exposed to the chemical cloud, RCMC emergency department personnel wait in the ambulance bay.

Instructional Prompt:
Click on all highlighted characters to learn the status of the incoming patients.

DIALOGUE 04: STEWART GIVES CARL THE REPORT ON HIS PATIENT, LUE VANG, AN ELEMENTARY SCHOOL CHILD WHO WAS EXPOSED TO THE CHEMICAL CLOUD.(diversity policies and practices.)

STEWART:
Carl… over here!

CARL:
What have you got for us, Stewart?

STEWART:
Approximately 8- or 9-year-old boy exposed to chemicals released by the train derailment. Some chemical burns on his skin and apparent respiratory involvement. It’s hard to tell for sure because he is hysterical and speaks virtually no English.

JESSICA:
Did someone contact his parents?

STEWART:
I’m not sure. The school nurse is coming in behind us with more kids… less injured. She should have that information.

CARL:
Do you know what language he speaks?

STEWART:
I am pretty sure the nurse said he’s Hmong.

CARL:
Okay… Jessica, go with Stewart and put the boy in an ER bed, then page Christina Chang to whatever room you’re in. Start your assessment and the intake paperwork… can you handle that?

JESSICA:
You bet. Let’s go, Stewart.

DIALOGUE 05: CARL PROBES FOR MORE INFORMATION ABOUT THE INCOMING PATIENTS.(diversity policies and practices.)

CARL:
How did these kids get exposed to chemicals?

STEWART:
It’s from the train derailment. We got a call to the school… the school nurse called 911 because a cloud of chemicals came up from the derailment site. They aren’t sure of all the chemicals involved, but definitely chlorine and anhydrous ammonia.

CARL:
Got it. Have the parents for these two been notified?

STEWART:
Not by us. The nurse though… she’s on her way in with more children… not so badly exposed. She can give you more information.

CARL:
I hope so. We’re going to need all the information we can get. This kind of thing can turn into a circus.

[present EMS_Vang.pdf]

SCENE 3: RCMC, EMERGENCY ROOM WAITING AREA

Expository Text:
In the emergency department waiting room, members of Lue Vang’s family have arrived and are trying to get information about his condition. The family wants Jason Vang, Lue’s 17-year-old cousin to represent them, but the hospital workers consider him a minor and want to deal with an adult.

Instructional Prompt:
Click highlighted characters to hear their concerns.

DIALOGUE 06: CARL ATTEMPTS TO DEFUSE THE DETERIORATING SITUATION.(diversity policies and practices.)

CARL:
Hey Chandra, how you doing?

CHANDRA:
Hey Carl, I’m fine. This is the family of one of the children who came in earlier from the Washington Allston school.

CARL:
The Vang boy, yes. He was my patient when he was here in the ER. I think there may have been some misunderstandings about his condition.

CHANDRA:
What do you mean?

CARL:
One of our nurses mistook the marks on Lue’s back for signs of abuse and called CPS. By the time I found out, the boy had already been moved up to the PICU.

CHANDRA:
I am totally confused.

CHRISTINA:
The marks were probably from coining. It’s a folk treatment that lots of Hmong people use.

CHANDRA:
Can you ask the family?

CHRISTINA:
Sure.

DIALOGUE 07: CHRISTINA TRIES TO EXPLAIN THE MISUNDERSTANDING ABOUT THE MARKS ON LUE’S BACK TO HIS FAMILY.(diversity policies and practices.)

CHRISTINA:
Mrs. Vang, My name is Christina Chang. I’ve been asked to help interpret for Lue’s mother.

BO (to Kaying in Hmong):
They want to have this woman talk to you about Lue. She is Hmong and can interpret.

KAYING (to Bo in Hmong):
Why should we do that? Can’t Jason talk for us?

BO (to Christina):
Lue’s mother wants Jason to interpret for us.

CHANDRA:
We prefer to not use minors for interpreting.

JASON:
Well, we prefer not to have to deal with ignorant jerks, but we didn’t get our choice now, did we?

CARL:
Take it easy, son.

JASON:
I’m not your son, dude.

BO:
Jason, this isn’t helping.

JASON:
I don’t care. I am sick of these people. I just want to get Lue and get him out of here before they kill him like they did that other kid.

CHRISTINA (in Hmong):
There is a problem. The nurses saw marks on Lue’s back and they reported them to Child Protective Services. You need to explain what caused the marks and that no-one is hurting Lue.

SCENE 4: RCMC, PEDIATRIC ICU

Expository Text:
Once the Vang family is reunited with Lue, Carl Lauderback, the ER nurse manager and Christine Sassman, the PICU nurse manager, take a moment to talk to Jessica about the incident.

Instructional Prompt:
Click on highlighted characters to hear their thoughts.

Optional Content – Hospital Computer:(diversity policies and practices.)
Information about RCMC policies can be found in the folders and emails on the computer.

Email 01:
From: Shannon Moe, Nurse Training Manager
To: Linda Paulus
Subject: Upcoming Continuing Ed Opportunities
We have two seminars coming up – register early because space is limited!
Simulated Bedside Emergencies: For the New Nurse
Medical Arts Building Ste 419 July. 20 – 7:00am – 2:30pm
Cultural Competence and Your Nursing Practice
RCMC Ingham Auditorium Aug. 13 – 7:30 pm – 9:30pm

Email 02:
From: Shannon Moe, Nurse Training Manager
To: Linda Paulus
Subject: Online CLAS Refresher Training
The online CLAS refresher training will be available next week. All nursing personnel are required to complete the training by the 31st of this month. For a self-paced tutorial on this subject, go to the Training folder on the RCMC website and open the document named CLAS_training.pdf.

Policies Folder:

Training Folder:

DIALOGUE 08: CARL CHECKS IN WITH CHRISTINE.(diversity policies and practices.)

CARL:
Chris, I don’t have much time – we’re getting slammed down in the ER – but I wanted to touch base and make sure the Vang boy and his family are okay.

CHRISTINE:
We’re getting there. Apparently he’s had an upper respiratory infection for the last several days, so his lungs and bronchia were already inflamed when he was exposed to the chlorine.

It helps that we’re all communicating, now.

JESSICA:
I apologize again for my role in this. I honestly thought I was helping my patient.

CHRISTINE:
I understand and I’ll be the first to admit that I hate seeing a kid come in with those marks all over his back. In the long run, though, the more trust we can establish with our Hmong patients, the more likely they are to come to us instead of turning to folk remedies like that.

DIALOGUE 09: JESSICA EXPRESSES THE DOUBTS AND CONCERNS SHE IS FEELING.

JESSICA:
Don’t you ever feel like this all goes too far?

CHRISTINE:
In what way?

JESSICA:
Well… like we’re so focused on not offending anyone that we don’t want to say a practice is bad or dangerous?

CARL:
I can see how you might feel that way, but maybe if you looked at it from another perspective, it might make more sense. What do we gain by telling the Vangs that this coining is bad and potentially dangerous? They feel like we don’t know what we’re talking about – it’s pretty rare for someone to be injured by this, though not unheard of – so they feel like we don’t know anything about the way they do things. And if they tell us about what folk medicines or remedies they’ve tried, we’re going to disapprove. So… they don’t tell us. They don’t necessarily stop using these things; they just stop telling us about them.

JESSICA:
That makes sense, but I still feel like we’re giving tacit approval to all this stuff-like we’re putting it on the same level as science-based medicine.

I do get the need for communication, though. I just wonder how far is too far when it comes to trying to be politically correct.

Is it okay if I head back to the ER, Carl?

CARL:
Sure… I’ll see you there.

DIALOGUE 10: CHRISTINE EXPRESSES HER OBSERVATIONS ABOUT JESSICA TO CARL.

CHRISTINE:
That was… interesting.

CARL:
Yeah. I worry about her. She has the potential to be a good nurse, but there are definitely areas she needs to work on and this is one of them.

CHRISTINE:
I guess she’s just got to work through some of this on her own.

CANDACE:
Christine… excuse me, but I noticed you talking to that nurse from the ER.

CHRISTINE:
Yes?

CANDACE:
Well… I don’t want to be a tattle tale, but she was talking to me and Jill earlier about the Vang boy she brought up. I understand that we all have our own beliefs, but… well, from some of the things she was saying, I almost feel like she’s so against anything that isn’t mainstream medicine that she can’t help seeing the world in terms of absolutes. It’s either right or wrong. I’m just concerned that her attitudes are going to get in the way of actually hearing what her patients’ needs and concerns are.

CARL:
Interesting. Thanks for sharing that.

CHRISTINE:
I get the impression that she doesn’t see a difference between understanding and respecting differences and endorsing them.

MISSION SUMMARY

Congratulations! You have successfully completed the Cultural Competence Mission.

Health care providers in all settings deal with the challenge of caring for patients who have different cultural backgrounds. Understanding the role of culture in a person’s health beliefs and behavior helps the health care professional provide the most comprehensive plan of care for the patient. In this mission, culture was a factor not only because of the cao gia (coining) that had been done, but also because the Vang family had expected Jason, a responsible teenager, to be able to represent them. Health care providers at all levels need to consider how their attitudes and understanding affect a patient’s outcome.

SUMMARY DOCUMENT CONTENT

MISSION TITLE
Cultural Competence Mission

LOCATIONS:
In this mission, you were able to observe the effect of culture, cultural competence, and the lack of cultural competence on health care workers’ ability to provide the best possible care. From the elementary school yard to the emergency room and on to the pediatric ICU, you were able to watch health-care providers respond to language barriers and cultural practices that were not always familiar.

THEMES:
In this mission, the impact of cultural competence on a specific individual was illustrated. Significant differences in understanding caused by cultural expectations caused misunderstandings, confusion, and ill-will. The scenes that you viewed demonstrated how something as simple as the concept of adulthood can vary from one culture to another and can affect the quality of care provided by medical personnel. Additionally, the use of folk remedies and other CAM was addressed. These scenes, while focused on a specific event, should help you articulate broader issues related to cultural competence.

RESOURCES:

For this mission, you were able to download the EMT report for Lue Vang. You were also able to access e-mails and other documents related to policy and training from the perspective of cultural competence.

  • Library Resources

The following e-books or articles from the Capella University Library are linked directly in this course:

Course Library Guide(diversity policies and practices.)

A Capella University library guide has been created specifically for your use in this course. You are encouraged to refer to the resources in the BSN-FP4008 – Organizational and Systems Management for Quality Outcomes Library Guide to help direct your research.

Internet Resources

Access the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have been either granted or deemed appropriate for educational use at the time of course publication.

Bookstore Resources

The resources listed below are relevant to the topics and assessments in this course and are not required. Unless noted otherwise, these materials are available for purchase from the Capella University Bookstore. When searching the bookstore, be sure to look for the Course ID with the specific –FP(FlexPath) course designation.

  • Huber, D. L. (2014). Leadership and nursing care management (5th ed.). Maryland Heights, MO: W. B. Saunders.
    • Chapter 5.
    • Chapter 12.
    • Chapter 27.
    • Chapter 28.
    • Chapter 33.
    • Chapter 37.
    • Chapter 38.

ASSESSMENT INSTRUCTIONS

PREPARATION

To prepare for this assessment, use the Capella library and the Internet to study the impact of health system’s power structure on nursing, leadership, diversity related to empowerment in nursing and patient outcomes, and recruitment of a diverse workforce. You may also wish to look for examples of an executive summary on the Internet.

  • Identify a type of health care facility and examine the Web site and available public information to review the organization of the nursing department, nursing recruitment, and any information about the diversity of the system’s workforce and leadership.
    • You may use the health care setting in which you currently work or have worked in the past.
    • Describe the type of organization and region. Example: a major Midwestern teaching hospital or a rehabilitation hospital on the East Coast.
      • Do not report the name of the facility.

DELIVERABLE: EXECUTIVE SUMMARY OF ORGANIZATIONAL DIVERSITY

Read the following scenario:(diversity policies and practices.)

Scenario:
The city in which you work has undergone a significant population shift within the last 10 years, due to increased employment, education opportunities, and an influx of immigrants and refugees. To put the population shift in perspective, the local school district enrollment report states that nearly 100 languages are spoken in the schools, up from 32 languages in the last census. Senior leadership has asked you to examine all types of multiculturalism and diversity within your health care organization.
To do this, you will need to use a systems perspective to examine the relationship between a diverse workforce and patient outcomes; identify gaps between best practices and the organization’s diversity policies, and make a recommendation for organizational change.

In the executive summary:

  • Analyze the impact of a diverse workforce on patient outcomes.
    • In what ways or situations might multiculturalism and diversity impact health care delivery or patient outcomes?
    • How is diversity defined in the organization?
  • Analyze how the health care system integrates diversity and multiculturalism into its practices.
    • Is the makeup of the organization’s leadership representative of the patient and employee populations? Is this important? What would you change?
    • Explain how multiculturalism and diversity can impact health care delivery or patient outcomes.
  • Analyze current recruitment and retention policies to identify gaps between best practices and current policies.
  • Assess the level of integration and importance of multiculturalism and diversity in a health care organization.
    • Are all types of diversity recognized and included?
    • Provide support for your position by including 2 or 3 examples of the integration of multiculturalism and diversity into the organization.
  • Recommend evidence-based changes to the organizational structure and systems leadership that empower a diverse workforce.
    • What changes would you champion as a health care leader to make the system more responsive to patients and the organization’s workforce?

Make your document easy to scan for readers by:

  • Using subheadings to organize content.
  • Using bullet points and phrases for main points, in addition to short, succinct paragraphs.
  • Including a visual, such as a graph, table, or chart.

ADDITIONAL REQUIREMENTS

  • Written communication: Written communication should be free of errors that distract from the overall message.
  • APA formatting: Resources and in-text citations should be formatted according to current APA style and formatting.
  • Font and font size: Times New Roman, 12 point, double-spaced.
  • Length: Summary report should be 3–5 pages.

Executive Summary of Organizational Diversity Scoring Guide(diversity policies and practices.)

CRITERIA NON-PERFORMANCE BASIC PROFICIENT DISTINGUISHED
Analyze the impact of a diverse nursing workforce on patient outcomes. Does not analyze the impact of a diverse nursing workforce on patient outcomes. Explains the impact of a diverse nursing workforce on the staff, but not on patient outcomes. Analyzes the impact of a diverse nursing workforce on patient outcomes. Analyzes the impact of a diverse nursing workforce on patient outcomes, and identifies specific patient outcomes that would be impacted.
Analyze how the health care system integrates diversity and multiculturalism into its practices. Does not analyze how the health care system integrates diversity and multiculturalism into its practices. Identifies diversity and multiculturalism within the health care system, but does not evaluate how the system integrates it into its practices. Analyzes how the health care system integrates diversity and multiculturalism into its practices. Evaluates how the health care system integrates diversity and multiculturalism into its practices, and identifies changes in practices.
Analyze current recruitment and retention policies to identify gaps between best practices and current policies. Does not analyze current recruitment and retention policies in comparison to best practices. Cites but does not analyze current recruitment and retention policies or may not compare them to best practices. Analyzes current recruitment and retention policies to identify gaps between best practices and current policies. Analyzes current recruitment and retention policies to identify gaps between best practices and current policies, and analyzes the changes in practice.
Assess the level of integration and importance of multiculturalism and diversity in a health care organization. Does not assess the level of integration and importance of multiculturalism and diversity in a health care organization. Defines multiculturalism and diversity, but does not determine the degree of multiculturalism and diversity within a health care organization by examining the system structure and leadership. Assesses the level of integration and importance of multiculturalism and diversity in a health care organization. Assesses the level of integration and importance of multiculturalism and diversity in a health care organization, and illustrates with an example from experience.
Recommend evidence-based changes to the organizational structure and systems leadership that empower a diverse workforce. Does not recommend evidence-based changes to the organizational structure and systems leadership that empower a diverse workforce. Identifies evidence-based organizational reforms to make the system or organization more responsive to patient and employee needs, but does not recommend specific reforms for the organization. Recommends evidence-based changes to the organizational structure and systems leadership that empower a diverse workforce. Recommends evidence-based changes to the organizational structure and systems leadership that empower a diverse workforce, and provides an example of how the reforms would increase system responsiveness.
Write content clearly and logically, with correct use of grammar, punctuation, and mechanics. Does not write content clearly and logically, and there are errors in grammar, punctuation, and mechanics. Writes with errors in clarity, logic, grammar, punctuation, or mechanics. Writes content clearly and logically, with correct use of grammar, punctuation, and mechanics. Writes clearly and logically, with correct use spelling, grammar, punctuation, and mechanics, and uses relevant evidence to support a central idea.
Correctly format citations and references using current APA style. Does not correctly format citations and references using current APA style. Uses current APA to format citations and references but with numerous errors. Correctly formats citations and references using current APA style with a few errors. Correctly formats citations and references with no errors.
 
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Foundations Of Mental Health Counseling2

Foundations Of Mental Health Counseling2 – Client And Counselor Wellness

(Foundations Of Mental Health Counseling2)

I need this back by Friday, February 9th 10am with TWO (2) CITATIONS 

Historically, the counseling field has placed emphasis on promoting wellness in clients and counselors.  The ACA stresses the promotion of wellness as the foundation of the counseling process(Tanigoshi, Kontos, & Remley, 2008) as cited in Newsome & Gladding (2014).   Myers, Sweeney & Witmer (2000) emphasized that wellness involves many aspects of life including the physical,intellectual, social, psychological, emotional, spiritual, and environmental. They stressed that helping clients move toward optimal wellness potentially involves many approaches. In this discussion assignment, you will explore strategies for promoting client wellness and your own personal wellness.

Tasks:

In a minimum of 200 words, post to the Discussion Area your response to the following:

A. Describe how you may incorporate/explore positive wellness approaches in the counseling process with clients.
B.  How do you plan to enhance your personal wellness as you move through the Clinical Mental Health Program? Review the Wheel of Wellness and the Indivisible Self models of wellness in the text book (pages 163-165).  After reviewing the models, discuss your personal wellness plan. In what areas of your life can you improve your wellness? In what ways are you already doing a good job of attending to wellness?  How will you know when you need to attend to your own self care? Please provide at least 3 examples and provide a potential time line(i.e. balancing family, work and school, preparing for comprehensive exams, and  transitioning into practicum and internship).

I need more sleep but I have so much I have to do daily. When I become stressed I know I have to attend to self care I also pray and meditate daily to calm my spirit. Sometimes I feel overwhelmed but when I pray I’m reminded to trust GOD. I enjoy drinking blueberry tea and listening to books on Audible. I love making my house feel like a spa with the smell of oils, candles, and soft lightening (lamps). I spend most of my time in the home with complete silence when I’m alone and this allows me to think. When I listen to music it helps change my vibes. I like blues and country music to laugh and allow my imagination to wonder.  I like classical and jazz music to relax. I listen to neo soul and gospel music to feel empowered.  I enjoy old school hip hop and a few of the new school hip hop to laugh, smile and sometimes hype myself. I listen to classic rock, r & b, and pop to reminisce on good times.  Once a year I enjoy renting a jeep and driving to the beach.

C. Refer to the ACA code of ethics and identify two standards that address the topic of self-care for professional counselors.

Your discussion should clearly reflect your thoughtful and logical analysis of the information.

Support your rationale and analysis by using at least two resources from professional literature in your response. Professional literature may include peer-reviewed journal articles you can access through the Argosy University online library resources; relevant textbooks; and websites created by professional organizations, agencies, or institutions (websites ending in .edu or .gov).

Be sure to read all of your classmates’ original posts and respond to more than two of your classmates’ posts. Your responses should be substantive, meaning they should encourage further dialogue and discussion, encourage your classmates to think about other aspects of the topic, compare your response to your classmates’ responses, or ask a relevant question, to better assist you with your understanding. Responses such as “I like/I agree” or “I don’t like/I don’t agree” are not complete enough.

Your discussion posts and all written assignments should reflect graduate-level writing skills and appropriate use of APA style, including in-text citations and references.

Submission Details:

· By the due date assigned, post your responses to the Discussion Area.

· Through the end of the module, respond to more than two of your classmates’ posts. While responding, comment on the similarities and differences between what you and the two classmates identified as challenges. Offer an additional suggestion, maybe even from your own post, on how your classmates might overcome a challenge noted in their posts.

Grading Criteria

Maximum   Points

Quality of initial posting,   including fulfillment of assignment instructions

8Quality of responses to classmates

6Frequency of responses to   classmates

2Reference to supporting readings   and other materials

2Language and grammar

 
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Conflicting Viewpoints EssayPart II

Phi210 Conflicting Viewpoints EssayPart II

(Conflicting Viewpoints EssayPart II)

When looking for information about a particular issue, how often do you try to resist biases toward your own point of view? This assignment asks you to engage in this aspect of critical thinking.

The assignment is divided into two (2) parts.
For Part I of the assignment (due Week 2), you read a book excerpt about critical thinking processes, reviewed the Procon.org Website in order to gather information, and engaged in prewriting to examine your thoughts.
* Remember that in the Week 2 Discussion, you examined the biases discussed in Chapter 2 of the webtext.

In Part II of the assignment (due Week 4), you will write a paper to synthesize your ideas.
Part II – Writing
Write at three to four (3-4) page paper in which you:
1. State your position on the topic you selected for Assignment 1.1.
2. Identify (3) three premises (reasons) from the Procon.org website that support your position    and explain why you selected these specific reasons.
3. Explain your answers to the “believing” questions about the three (3) premises opposing your position from the Procon.org website.
4. Examine at least two (2) types of biases that you likely experienced as you evaluated the premises for and against your position.
5. Discuss the effects of your own enculturation or group identification that may have influenced your biases.
6. Discuss whether or not your thinking about the topic has changed after playing the “Believing Game,” even if your position on the issue has stayed the same.

The paper should follow guidelines for clear and organized writing:

  • Include an introductory paragraph and concluding paragraph.
  • Address main ideas in body paragraphs with a topic sentence and supporting sentences.
  • Adhere to standard rules of English grammar, punctuation, mechanics, and spelling.

Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA Style format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

  • Identify the informal fallacies, assumptions, and biases involved in manipulative appeals and abuses of language.
  • Create written work utilizing the concepts of critical thinking.
  • Use technology and information resources to research issues in critical thinking skills and informal logic.
 
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cost & access and quality

cost & access and quality

(cost & access and quality)

Question description

Final Project In this assignment you will finalize your plan for the proposed healthcare facility by incorporating your work from Weeks 1 through 4 along with new content as described below. The assignment has two parts:

•Plan for your proposed healthcare facility

•Reflection on what you have accomplished in completing your course of student by your work in this capstone course and what skills you will continue to develop and improve on as you begin or advance in your career in healthcare management.

Part 1:(cost & access and quality)

Plan for proposed healthcare facility You have been asked to present your plan for the proposed health care facility to the Board of Directors. Based on your previous assignments, you are to develop a proposal as a written paper that includes the following:

•The type of health care facility (Week 1)

◦Discuss the type of facility that you are recommending and the rationale behind your recommendation. For example, if you chose an ambulatory care facility, explain the reasons why this type of facility would be recommended over another type.

◦Discuss the type of health care delivery and services that are provided at the facility.

◦Discuss the type of staff that will work in the facility. Specify the position categories and/or titles for these positions and include what are the credentials or licensures required by these positions in the state in which you live where you proposed facility would be located.

•Financing the organization (Week 2)

◦Discuss the method(s) of reimbursement that you believe will work best for the health care facility that you have proposed to be developed, and explain why you chose that method.

◦Discuss the pros and cons of the reimbursement method(s) you chose.

◦Discuss the impact that the method(s) may have on the financial operations of the facility that you chose.

•Medical technology (Week 3) ◦Discuss the financial and health benefits that can be realized by implementing an electronic health record (EHR).

◦Discuss the estimated cost of implementing an EHR and the estimated cost of managing an EHR over the long run.

◦Discuss current security concerns surrounding health information technology (HIT) and the EHR.

◦Discuss how electronic health records can be used for decision-making and problem-solving.

◦Choose 1 piece of federal legislation, e.g., HIPAA, HITECH Act, Meaningful Use), and discuss the requirements that legislation imposes on the use of HIT and the EHR.

•Ethical and legal considerations (Week 4)

◦Discuss an accrediting body that will provide accreditation to the facility you are proposing.

◦Discuss the ethical or legal requirements and responsibilities that a health care organization has in ensuring that its facility is licensed, certified, and accredited. When discussing licensure requirements, ensure that you research requirements based on the state in which you reside.

◦When discussing licensure requirements, ensure that you research requirements based on the state in which you reside.

•Quality measures (Week 5) (This will be a new section as part of your project)

◦Research and describe at least 3 measures that you plan to use in your facility that are currently used to gauge quality in health care.

◦Identify how data for these measures will be collected and analyzed. ◦Set realistic benchmarks for each proposed measurement, and explain the rationale behind the benchmarks that you set. Note: You should include a minimum of 3 references with the new content for Week 5.

•All sources should be cited using APA format.

•Grammar, spelling, punctuation, and format should be correct and professional.

Part 2:(cost & access and quality)

Reflection on what you have learned and what you will work on to continue to develop as a healthcare management professional

•As you complete the course and your degree program and look forward to advancing your career in healthcare management, what are the skills and competencies that you feel you have developed and what are the ones that you will need to continue to work on? How do you plan to improve upon your skills and continue to develop competencies in healthcare management? The American College of Healthcare Management provides resources related to the competencies that healthcare management professionals should possess. Refer to this document for a list of healthcare management competencies.

Reference:

International Hospital Federation. (2015). Leadership competencies for healthcare services managers.

Retrieved from https://www.ache.org/newclub/resource/Leadership_Competencies_Healthcare_Services_Managers.pdf Healthcare leadership competencies. (2016). American College of Healthcare Executives. Retrieved from https://www.ache.org/newclub/resource/competencies.cfm Please submit both parts of your assignment. For assistance with your assignment, please use your text, Web resources, and all course materials.

 
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LEADING AS GENERAL MANAGER

LEADING AS GENERAL MANAGER

(LEADING AS GENERAL MANAGER)

UNIT 4

Topic: Strategic Planning

Strategic Planning: SWOT Analysis and Goals

Details:
Strategic planning within organizations provides a plethora of benefits to the organization including meeting goals specified in the plan and contributing to the long-term success of an organization. Refer to Exhibit 8.3: The Strategic Management Process, located in Chapter 8 of the Management textbook.

For this assignment, select either your own organization or one you know enough about to complete a series of assignments related to strategic planning for a proposal you would like to implement. The same organization will be used in the following assignments:

1. Strategic Planning: Strategy Map (Topic 4)

2. Strategic Planning: Action Plan (Topic 5)

3. Strategic Planning: Communication Plan (Topic 7)

4. Strategic Planning: Evaluation (Topic 8)

5. Strategic Planning: Presentation (Topic 8)

Once you have selected the organization, identify a strategic goal through preforming a SWOT analysis within your sphere of influence. For example, if you are not currently in a management or leadership position, it is acceptable to focus on a more focused area of your organization you are currently in a position to impact. If you are a classroom teacher, perhaps you see opportunities for improving access to technology in your district. If you are a nurse, perhaps you see opportunities to improve communication processes in your department, etc.

A SWOT analysis is part of strategy formulation that leads to goal setting and then progresses to the development of a strategic plan. Be sure to follow the criteria for effective goals as illustrated to Exhibit 7.5, located in Chapter 7 of the Management textbook.

Complete a SWOT analysis using the “SWOT Analysis” template. Consider the following guiding questions as you complete the SWOT Analysis:

1. What are the recognized strengths of your identified area?

2. What does your identified area do better than other companies?

3. What unique capabilities or resources does you identified area possess?

4. What do other companies consider to be your strength?

5. What are the recognized weaknesses of your identified area?

6. What do competitors do better than your identified area?

7. What areas can be improved at your current position?

8. What do other companies consider to be your weakness?

9. What trends or conditions impact the company in a positive way?

10. What opportunities exist for the identified area?

11. What trends or conditions impact the identified area in a negative way?

12. What is the competition doing that may have an impact on your identified area?

13. Does your identified area have solid financial support?

14. What impact does your weakness have on the threats your identified area faces?

These questions are samples of what you may need to address in your SWOT Analysis. Using the SWOT analysis results, develop at least one strategic goal. Submit both the completed SWOT analysis document and the strategic goal.

APA format is not required, but solid academic writing is expected.

RESOURCES

Textbook

1. Management

Read Chapters 7 and 8 in Management. 

http://gcumedia.com/digital-resources/cengage/2013/management_ebook_11e.php

2. Southwest Airlines: In a Different World

Read Harvard Business School (HBS) case reprint, Southwest Airlines: In a Different World (2013).

http://gcumedia.com/digital-resources/harvard-business-school-press/2010/southwest-airlines_in-a-different-world_ebook_1e.php

Electronic Resource

1. Overview of the Strategic Planning Process

Watch “Overview of the Strategic Planning Process,” by Virtual Strategist (2012), located on the YouTube website.

https://www.youtube.com/watch?v=sU3FLxnDv_A

2. Strategic and Operational Planning

Read “Strategic and Operational Planning,” located on the Taugher Change Catalyst Consulting website.

http://www.taugher.com/strategic-planning.htm

e-Library Resource

1. Management Use of Strategic Tools for Innovating During Turbulent Times

Read “Management Use of Strategic Tools for Innovating During Turbulent Times,” by Tassabehji, from Strategic Change (2014).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=inh&AN=14829855&site=eds-live&scope=site

2. Strategic Intent 

Read “Strategic Intent,” by Hamel and Prahalad, from Harvard Business Review (2005).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=bth&AN=17602384&site=ehost-live&scope=site

3. Strategy Execution A Four Step Process

Read “Strategy Execution: A Four Step Process,” by Morgan, from MWorld (2010).

https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com.lopes.idm.oclc.org/login.aspx?direct=true&db=bth&AN=55728021&site=ehost-live&scope=site

Other

1. SWOT Analysis 

Review the “SWOT Analysis” template in preparation for the Strategic Planning: SWOT Analysis assignment.

LDR-620-R-SWOTAnalysis.docx

 
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Critical Analysis and Reflection

Evaluating Empirical Research: Critical Analysis and Reflection

(Critical Analysis and Reflection)

analyze an empirical article, practicing the skills you will need to evaluate research.

Instructions

This week, you will analyze an empirical article, practicing the skills you will need to evaluate research. This assignment was adapted from materials developed at the Center for Teaching and Learning at UIS.

For this assignment, your will write an essay analyzing an empirical study. Be sure to provide the APA citation and a link to the article in the reference list within your document. As you complete your essay, reflect on what issues are important to the field vs. the general public, and how you and other health psychologists can communicate research clearly.

To choose a study, use the Library’s Find a Resource tool to search for Health Psychology, a peer-reviewed journal published by Division 38 of the American Psychological Association. Browse the current and previous issues (if available, look for a list of their most highly cited, most-read, or most recent publications). Select any one empirical study that investigates nutrition, the brain, and behavior or mental health. Once you have chosen a study, use Google Scholar or another Library database like Web of Knowledge to determine the study’s “cited by” count. For further guidance see the Library’s Google Scholar Cited By quick tutorial video. Or refer to the Library’s Citing Articles help guide. This number can be one indication of a study’s influence in the larger academic community. Your own analysis of the article is another.

Your assignment should include the following review of the study in about one page:>

State the problem or the topic discussed in the article

Summarize the authors’ purpose, hypothesis, methods, and major conclusions

Next, analyze the study, thinking about your responses to the following questions as a guide:

Is the title of the article appropriate? Is it clear? Suggest an alternative title.

(Critical Analysis and Reflection)

Does the literature review justify the study? (Hint: to answer this, examine whether the information covered in the literature review directly maps on to the study being reported. The literature review should summarize all relevant scientific knowledge on the topic. Then, it should clearly outline something that we still do not know, and state how the study tries to address this gap. Consider whether there are irrelevant references, or whether some aspect of the study is not foreshadowed in the literature review).

Do the authors seem to misrepresent or misinterpret others’ work? (Scan their sources to see if what the authors report aligns).

Does the hypothesis or research question seem sensible? Do you believe that the study is important, based on the case the authors presented in the literature review? Is the purpose or hypothesis clear?

Are the methods/protocol described clearly enough that you think you could replicate them (if you had the right laboratory, equipment or other resources)?

Are the methods used reasonable ways to answer the research question(s)? No study is perfect, so describe one other way the authors might have tested their hypothesis or investigated their research question. Be creative!

Does the analysis/discussion section over- or under-emphasize any aspect of the results?

Do you trust the analysis and discussion? Why or why not? Point to specific evidence in the article that helps build your trust in the results (or not).

Is any of the content duplicated? (For example, tables and figures should be summarized/interpreted in the text, not just repeated. Similarly, the discussion should connect the findings to the larger literature, not just re-state the results).

Is the discussion section relevant to the topic? Do the authors make conclusions that are supported by their findings, or do they overreach? >

What are the major implications of this study for consumers and researchers?

What are the major limitations of this study? How could they be addressed?

Across the article, are any statements or claims vague or ambiguous? How could they be clarified?

Length: 7-10 pages

References: You should cite your specific study, and all others that you use in your analysis.

Your completed assignment should demonstrate thoughtful consideration of the ideas and concepts presented in the course and provide new thoughts and insights relating directly to this topic. Your response should reflect scholarly writing and current APA standards. Be sure to adhere to University’s Academic Integrity Policy.

 
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Case Study – The Elderly

Case Study – The Elderly

(Case Study – The Elderly)

The elderly population faces a myriad of challenges, including declining physical health, cognitive impairment, and social isolation. Physically, they may contend with chronic illnesses, mobility issues, and sensory impairments, impacting their independence and quality of life. Cognitive decline, such as dementia, poses significant challenges to daily functioning and decision-making abilities. Moreover, social isolation and loneliness are prevalent due to factors like loss of loved ones, retirement, and limited mobility, leading to mental health issues like depression and anxiety.

Addressing these challenges requires a holistic approach encompassing healthcare, social support, and community engagement. Healthcare interventions should focus on preventive care, managing chronic conditions, and providing accessible and affordable services. Social support networks, including family, caregivers, and community organizations, play a crucial role in alleviating isolation and providing emotional support. Additionally, initiatives promoting intergenerational connections and recreational activities can enhance the well-being and sense of belonging among the elderly. By recognizing and addressing the diverse needs of the elderly population, society can foster a more inclusive and supportive environment for aging individuals.

Scenario:

As a community health nurse, you are working in an outpatient clinic in a community that serves mainly elderly clients.

This year, you noted that 85 percent of the visits resulting in hospitalization resulted from bronchitis, asthma, pneumonia, and influenza as compared to last year. At that time; the visits weredue to colds, sore throats, influenza, bronchitis, and pneumonia, in order of frequency.

Maria Perez, a 73-year-old Cuban American woman has been referred for community health nursing services following her discharge from the hospital. She smokes two packs of cigarettes per day. She was recently hospitalized as a result of a severe shortness of breath due to an asthma attack. The primary care provider prescribed respiratory treatments using Albuterol via jet nebulizer every 4-6 hours as needed. Mrs. Perez lives alone and has three cats to take care of.

Instructions:

  1. Read the scenario above and answer the following questions:
    • What are the biophysical, psychological, physical environmental, sociocultural, behavioral, and health system factors influencing Mrs. Perez’s health?
    • Describe at least three primary, secondary, and tertiary prevention strategies that would be appropriate in resolving Mrs. Perez’s health problems. Why would they be appropriate?
    • What activities related to health promotion and disease prevention would you plan for the late fall?
    • How would you evaluate your nursing interventions? What criteria would you use to evaluate care?
 
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