Week 1 Focus Questions: Section 1: Foundations of Healthy Aging
a) Explain the importance of a comprehensive assessment in older adults.
b) Identify statistics related to aging in the United States.
c) Compare the facts and myths about aging.
d) Identify at least four priority nursing diagnoses in the care of older adults.
e) Identify treatment settings for the care of older adults
The homework is to answer the following question and also explain why I have selected that answer.Therefore the question is :
What is a major function of the limbic system? Explain your answer.
a. Overall control of fluid balance
b. Required for logical thinking, reason, and decision making
c. Determines emotional responses
d. Responsible for artistic and musical talents
( Note: here the correct answer is C )
Week 6 Case Study III
Patient With Fatigue
EM is a 74-year-old male with a history of rheumatoid arthritis (RA) who presents in the clinic with a complaint of fatigue. EM is ambulatory with a walker and recently has had intermittent flare-ups of his rheumatoid arthritis (RA) disease activity, with increasing pain and swelling in his affected joints. His energy has been declining over the past few months, so he thought it was a good time to come in for follow-up laboratory testing and reassessment of his medications. Most troublesome, he has fainted twice in the past 2 weeks, which resulted in falls onto his carpeted floor. He is afraid to go out into public and even more afraid to drive his car. He has also had some chest pains with exertion. He is eating and sleeping okay, although he does sleep better if his head is elevated on a few extra pillows. He lives alone and gets meals delivered by a local organization.
1.What is EM’s diagnosis?
2.What is the underlying pathophysiology of EM’s condition?
3.What is the best therapeutic approach to the treatment of EM’s condition?
Mental Health DSM5 Attached
The Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5 TR) is the standard classification of mental disorders used by mental health professionals in the United States. It is intended to be used by clinicians of different theoretical orientations in all clinical settings.
DSM-5 consists of three major components:
Diagnostic Classification
Diagnostic Criteria Sets
Descriptive Text Diagnostic Classification
The diagnostic classification is the official list of mental disorders recognized in the DSM. Each diagnosis includes a diagnostic code typically used by individual providers, institutions, and agencies for data collection and billing purposes.
These diagnostic codes are derived from the coding system used by all U.S. healthcare professionals, known as the International Classification of Diseases, Tenth Edition, Clinical Modification (ICD-10).
Diagnostic Criteria Sets For each disorder included in DSM-5 TR
a set of diagnostic criteria indicates symptoms that must be present (and for how long) and a list of other symptoms, disorders, and conditions that must first be ruled out to qualify for a particular diagnosis. While these criteria help increase diagnostic reliability (i.e., the likelihood that two doctors would come up with the same diagnosis when using the DSM-5 to assess a patient), it is important to remember that these criteria are meant to be used by trained professionals using clinical judgment; they are not meant to be used by the general public in a cookbook fashion.
Descriptive Text
The third area of DSM-5 is the descriptive text that accompanies each disorder. The text of DSM-5 provides information about each disorder under the following headings:
Diagnostic Features
Associated Features Supporting Diagnosis
Subtypes and/or Specifiers
Prevalence
Development and Course
Risk and Prognostic Factors
Diagnostic Measures
Functional Consequences
Culture-Related Diagnostic Issues
Gender-Related Diagnostic Issues
Differential Diagnosis
Recording Procedures
DSM-5 TR Assignment:
In order to complete the DSM-5 Assignment, the student is to conduct a clinical assessment of a client utilizing the criteria of the DSM-5.
Based on viewing the Johnson & Johnson video, what are your thoughts about health care inequalities and the need for continuing reform? (Share at least 2 points of view.)
Submission Instructions:
Why Racial Disparities in healthcare make COVID-19’s impact worse for minorities (1:58)
Johnson & Johnson. (2020, August 25). Why racial disparities in healthcare make COVID-19’s impact worse for minorities [Video]. YouTube. https://youtu.be/CXNkDDWxGxk
Why racial disparities in healthcare make COVID-19’s impact worse for minoritiesLinks to an external site.
Parts 2 and 3 have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.
Parts 4 and 5 have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.
APA format
1) Minimum 7 pages (No word count per page)- Follow the 3 x 3 rule: minimum of three paragraphs per page
You must strictly comply with the number of paragraphs requested per page.
The number of words in each paragraph should be similar
Part 1: minimum 3 pages (Due 18 hours)
Part 2: minimum 1 page (Due 20 hours)
Part 3: minimum 1 page (Due 20 hours)
Part 4: minimum 1 page (Due 90 hours)
Part 5: minimum 1 page (Due 40 hours)
Submit 1 document per part
2)¨******APA norms
The number of words in each paragraph should be similar
Must be written in the third person
All paragraphs must be narrative and cited in the text- each paragraph
The writing must be coherent, using connectors or conjunctive to extend, add information, or contrast information.
Bulleted responses are not accepted
Don’t write in the first person
Do not use subtitles or titles
Don’t copy and paste the questions.
Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph
Submit 1 document per part
3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)
********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)
4) Minimum 5 references (APA format) per part not older than 5 years (Journals, books) (No websites)
Parts 4 and 5: Minimum 3 references (APA format) per part not older than 5 years (Journals, books) (No websites)
All references must be consistent with the topic-purpose-focus of the parts. Different references are not allowed
5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next
Example:
Q 1. Nursing is XXXXX
Q 2. Health is XXXX
Q3. Research is…………………………………………………. (a) The relationship between……… (b) EBI has to
6) You must name the files according to the part you are answering:
Example:
Part 1.doc
Part 2.doc
__________________________________________________________________________________
Part 1: Professional Dynamics
Organization: American Association of Colleges of Nursing
1. Introduction to the pap3r (One paragraph)
2. Describe the organization (One paragraph)
a. Describe its significance to nurses in the specialty area.
3. Describe: (One paragraph)
a. Purpose
b. Mission
c. Vision.
4. Describe the overall benefits, or “perks,” of being a member. (One paragraph)
5. Explain why networking is important for a nurse in this specialty field. (One paragraph)
6. Discuss how this organization creates networking opportunities for members. (One paragraph)
7. Discuss how the organization keeps its members informed of health care changes and changes to practice that affect the specialty area. (One paragraph)
8. Discuss opportunities the organization provides for continuing education and professional development. (One paragraph)
9. Conclusion (One paragraph)
Parts 2 and 3 have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.
Part 2: Inclusive recreation service (Write in the first person)
Topic: Support Families
There is a balance you must find when you start incorporating families (parents, siblings, relatives) into your activities. On one side you have to pay particular attention to your ability to promote autonomy and self-determination among your participants with disabilities which can be difficult to do with family involvement because of overprotection, cultural differences, and fear of their family member with a disability failing or getting hurt. On the other side, involving your families in leisure and recreational activities helps to promote positive leisure experiences, healthy relationships, and new family bonding opportunities. Through leisure, families are also able to network and make new community connections and supports.
Some examples are of situations affecting families who support individuals with disabilities including their family needs, stresses, and community supports or lack of community supports. A lack of friendships and limited opportunities to engage in enjoyable and satisfying activities of interest. If we all take a step towards supporting families using the bulleted items above we can coordinate resources and develop community support systems that promote inclusion and meet not only individual needs but the assist the entire family.
1. Make a reflection on the value of inclusive leisure services for families (One paragraph)
2. Explain why it is important for us to create opportunities for family members to have a break from their daily challenges. (One paragraph)
Check
3. Summarize the main video point (One paragraph)
Part 3: Inclusive recreation service (Write in the first person)
Topic: Support Families
There is a balance you must find when you start incorporating families (parents, siblings, relatives) into your activities. On one side you have to pay particular attention to your ability to promote autonomy and self-determination among your participants with disabilities which can be difficult to do with family involvement because of overprotection, cultural differences, and fear of their family member with a disability failing or getting hurt. On the other side, involving your families in leisure and recreational activities helps to promote positive leisure experiences, healthy relationships, and new family bonding opportunities. Through leisure, families are also able to network and make new community connections and supports.
Some examples are of situations affecting families who support individuals with disabilities including their family needs, stresses, and community supports or lack of community supports. A lack of friendships and limited opportunities to engage in enjoyable and satisfying activities of interest. If we all take a step towards supporting families using the bulleted items above we can coordinate resources and develop community support systems that promote inclusion and meet not only individual needs but the assist the entire family.
1. Make a reflection on the value of inclusive leisure services for families (One paragraph)
2. Explain why it is important for us to create opportunities for family members to have a break from their daily challenges. (One paragraph)
Check
3. Summarize the main video point (One paragraph)
Parts 4 and 5 have the same questions. However, you must answer with references and different writing, always addressing them objectively, as if you were different students. Similar responses in wording or references will not be accepted.
Part 4: Inclusive recreation service (Write in the first person)
From the words presented, suppose you write a substitute word or phrase that communicates a more positive attitude toward people who have been oppressed.
Example:
1. A special kid (Negative attitude) = A kid with a disability (Positive attitude)
a special kid a kid with a disability
crippled
bum
the retarded
autistic people
the blind
AIDS victim
the deaf
a CP.
those MD’s
wheelchair-bound
dependent on crutches
suffers from MS
mental age of 3
confined to a wheelchair
stricken with epilepsy
borderline retarded
dummy
old fart
a nervous breakdown
a spinal-injured man
maniac
crazy
deaf
dumb
deaf-mute
handicapped person
normal
able-bodied
a paraplegic
drug abuser
senile
the amputee
psycho
lunatic
moron
deformed person
a spina bifida child
the schizophrenic
a neurotic person
1. In what situations are you not sure of how to refer to people who have been oppressed? Explain (One paragraph)
a. According to the listed words, Give one example
2. How might we encourage others to use sensitive terminology? (One paragraph)
a. According to the listed words, Give one example
3. What did you learn the most from this assignment (One paragraph)
Part 5: Inclusive recreation service (Write in the first person)
From the words presented, suppose you write a substitute word or phrase that communicates a more positive attitude toward people who have been oppressed.
Example:
1. A special kid (Negative attitude) = A kid with a disability (Positive attitude)
a special kid a kid with a disability
crippled
bum
the retarded
autistic people
the blind
AIDS victim
the deaf
a CP.
those MD’s
wheelchair-bound
dependent on crutches
suffers from MS
mental age of 3
confined to a wheelchair
stricken with epilepsy
borderline retarded
dummy
old fart
a nervous breakdown
a spinal-injured man
maniac
crazy
deaf
dumb
deaf-mute
handicapped person
normal
able-bodied
a paraplegic
drug abuser
senile
the amputee
psycho
lunatic
moron
deformed person
a spina bifida child
the schizophrenic
a neurotic person
1. In what situations are you not sure of how to refer to people who have been oppressed? Explain (One paragraph)
a. According to the listed words, Give one example
2. How might we encourage others to use sensitive terminology? (One paragraph)
a. According to the listed words, Give one example
3. What did you learn the most from this assignment (One paragraph)
For this week’s discussion, please list three things you have learned after exploring this week’s learning material. Please post 400 words in your initial post, References in APA format within the last 5 years published. No plagiarism, please.
This week we studied topics such as Heart Failure, infective endocarditis, peripheral vascular disease, chest pain, CAD
Purpose of the assignment: evaluate 2 professional and/or consumer health websites.
According to recent studies, due to its accessibility and “easiness” patients are using the Internet as the second source of health information after physicians, (HON, 2014). In light of this, it is important that nurses are able to identify reliable, accurate online sources for health teaching their clients or when referring clients to resources for further information.
The Health on the Net (HON) Foundation has developed a code of conduct to standardize the reliability of health information. The HON code defines a set of eight (8) principles to maintain basic ethical standards. These include: Authoritative, Complementarity, Privacy, Attribution, Justifiability, Transparency, Financial Disclosure and Advertising Policy. The definitions of these terms can be found in the course shell to apply to the assignment.
Students are required to choose a specific health related topic and then research it using two (2) websites of their choice.
Choose a topic that interests you from the following; Post Partum Depression, Thyroid Cancer, Meningitis, Depression, Congestive Heart Failure, Asthma, Diabetes
This assignment is worth 20% of the final course grade. Please review the rubric prior to beginning this assignment, as it will be graded according to this rubric.
Learning Outcomes: After completing this assignment the student will be able to:
Patient Decision
I work in the emergency room, and we have a variety of times when patients come in unconscious they do not have a say in their medical care. One example when a patient had a voice in their care is with a patient who had gone septic. This patient was accompanied by their daughter, and the patient’s blood pressure was rapidly dropping. We had this patient in the ER as an ICU hold because the ICU was full. The ICU doctor came to the bedside in the trauma room and discussed intubation with the patient and his family. The daughter and the patient were really against the idea of intubation. The patient was put under pressers, but the blood pressure was rapidly declining, and the patient started not to be able to compensate. Eventually, the patient had to be emergently intubated, and we had to call the house supervisor to get the patient to the ICU as fast as possible.
Consequences
They were considering the patient’s wishes and desires in this situation may have negatively impacted the patient’s outcomes. The patient was transferred to the ICU post-intubation, so I do not know what the result was. Had the patient been intubated earlier, they may have had a more positive outcome or extubated sooner than they were. It is impossible to know precisely what would have been different had he been intubated sooner than he was. It is vital to give the patient the right to make their own decisions, but it is the medical staff’s job to ensure the patient has all the needed information to make a decision (Olejarczyk & Young, 2022).
Aide
I would use the decision aid for this individual, specifically for the daughter. Since the patient is intubated in the ICU, there are a variety of decisions and questions that the family members will most likely have. The aide is titled “Understanding the Options: Planning Care for Critically Ill Patients in the intensive care Unit. This aide addresses treatment options in the ICU and discusses the need for family members to make decisions (Kryworuchko, 2015). In general, this aid is helpful because when a patient is in the ICU, it is complex for a family member to know their role (Alsharari, 2019). The family has much more say in the healthcare of an intubated patient due to the patient’s inability to make decisions (Kryworuchko, 2015).
Using this Model in Everyday Life
I will use this model in my work in the ER. We have many patients that end up getting intubated and go up to the ICU. It would be necessary to educate the patient and their family members about what is entailed in intubation and the ICU. Family members play a vital role in the treatment of an intubated patient, and this aide can educate the family on what that role is (Alsharari, 2019).
Resources
Alsharari A. F. (2019). The needs of family members of patients admitted to the intensive care unit. Patient preference and adherence, 13, 465–473. https://doi.org/10.2147/PPA.S197769
Kryworuchko, J. (2015). Ottawa Hospital Research Institute. Understanding the Options: Planning Care for Critically Ill Patients in intensive care Unit. Retrieved January 31, 2023, from https://decisionaid.ohri.ca/Azsumm.php?ID=1388
Olejarczyk, J. P., & Young, M. (2022, November 28). Patients’ Rights and Ethics. National Library of Medicine. Retrieved January 31, 2023, from https://www.ncbi.nlm.nih.gov/books/NBK538279/
