Reply to my peers

Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.

Peer 1

Once an elderly individual becomes abused, they end up in a pattern of abuse. According to Levin et al., (2020), an elderly individual is mostly likely subject to abuse from a family member, and the abuse also comes from a caregiver or trusted individual. The abuse can be psychological, financial, physical, sexual, exploitation, neglect and self-neglect. Because these elderly individuals that require assistance due to physical or cognitive issues, they often with a family member, this makes it difficult for the elderly abused to get out of the situation. This abuse can be considered intentional, unintentional, or related to lack of knowledge. Miller (2018, p. 166) also indicated that the caregiver can become overwhelmed, or suffer from their own cognitive and physical issues making the neglect or abuse complicated. Elderly abuse is also perceived by differently cultures differently, for example the Chinese culture can consider raising your voice, or being disrespectful as abuse. Physical abuse to this vulnerable population is preventable and needs to be rectified. The second is emotional or psychological. This form of abuse can be hidden easier, but it causes the individua to become isolated leading to depression. According to the National Council on Aging, 5 million elderly are abused each year with only 1 in 14 cases being reported.  

There are ways to limit elderly abuse. Families that are taking care of an elderly person should seek outside time, or time for themselves, this helps prevent caregiver strain and fatigue. Elderly individuals can also be educated at checkup appointments about abuse and the many forms it can entail. As practitioner’s we should evaluate our patients regularly, even asking he caregiver to step outof the room to discuss their emotional state and identify any signs of possible abuse. We should also empower healthcare givers to attend group meetings to form relationships with other caregivers. 

Jaimee 

Levin, M. K., Reingold, D., & Solomon, J. (2020). Elder Abuse Shelter Programs: From Model to Movement. Generations, 44(1), 74–80. 

Miller, C. A. (2018). Nursing for Wellness in Older Adults. [South University]. Retrieved from https://digitalbookshelf.southuniversity.edu/#/books/9781975100735/ 

Peer 2

Elder abuse has been shined a spotlight on and has become more evident to the public. Two types of elder abuse that are very crucial to discuss are chemically subduing the elderly patients and physically abusing the elderly patients with assault and battery. Even though the light is on this topic, it may be difficult to intervene even though it may be easily spotted. if the elderly patient is being chemically subdued in the nursing home, it can become difficult to notice the signs since the elderly patient may be sleeping when the family members arrive, or may be afraid to say something because the patient believes they will receive some sort of punishment. When physically abusing the patient, the signs are easy to identify however the employee may say the patient just fell and hurt themselves. It is easily believable especially if the older patient suffers from dementia and has become restless and anxious.

These two are the most crucial because these two are mentally, physically, and emotionally exhausting to the patients that must endure it. These patients may become depressed, scared, traumatized, and have a hard time trusting anyone else. As nurses, it goes against our code when purposely inflicting damage to someone that is under our care. It is our responsibility to go beyond and provide the utmost care possible to everyone. The most important is prevention however we cannot prevent another employee causing harm however what we may do is be able to detect and know the early signs. Some signs are oversleeping, unexplained bruises, scarring, burns, sprains, so many signs so it is our duty to stay educated on this topic to help all our patients (Team, 2020).

Team, T. N. H. A. C. (2020, January 8). Physical Elder Abuse – Signs of Physical Elderly Abuse. Nursing Home Abuse Center. https://www.nursinghomeabusecenter.com/elder-abuse/types/physical-abuse/

2 theories

 The two theories that i have selected are :  Roy Adaption Model of Nursing and Interpersonal relations in Nursing 

 This week, reflect up your personal nursing philosophy as it has evolved over the course of your RN-BSN program at WCU. Identify specific theorists you feel you most identify with. How does your personal nursing philosophy, and the work you completed in your program support evidence of meeting the following?

Essential IX: Baccalaureate Generalist Nursing Practice

· Outcome #18: Develop an awareness of patients as well as healthcare professionals’ spiritual beliefs and values and how those beliefs and values impact health care.

Review your past academic work, evaluate your effectiveness at meeting this program essential, and ponder the impact that this proficiency will have on your future.

Identify how you met the essential by referring to the assignment(s) specifically in your response. Additionally, reflect upon and make connections between your academic experience and real-world applications. 

Recommended: Refer back to work you completed for NURS 500 Theoretical Foundations of Nursing Practice and LDR 432 Principles of Leadership for Healthcare Organizations, as well as other courses to gather academic examples and evidence of having met this essential.

Your reflection should be 1-1 1/2 page and in APA Style. Include at least 1 Reference 

Policy Brief – 3 pages

Research public health issues on the “Climate Change” or “Topics and Issues” pages of the American Public Health Association (APHA) website. Investigate a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population.

Write a 750-1,000-word policy brief that summarizes the issue, explains the effect on the population, and proposes a solution to the issue.

Follow this outline when writing the policy brief:

  1. Describe the policy health issue. Include the following information: (a) what population is affected, (b) at what level does it occur (local, state, or national), and (c) evidence about the issues supported by resources.
  2. Create a problem statement.
  3. Provide suggestions for addressing the health issue caused by the current policy. Describe what steps are required to initiate policy change. Include necessary stakeholders (government officials, administrator) and budget or funding considerations, if applicable.
  4. Discuss the impact on the health care delivery system.

Include three peer-reviewed sources and two other sources to support the policy brief.

APA Format

No copying

No plagiarism

Pediatrics

 

Please respond to these discussion points using appropriate grammar and punctuation.

#1) Name two expected outcomes to promote optimal infant growth and developmental needs.  

#2) Pick two typical developmental milestones in the toddler and discuss them.

#3)What are a couple of ways that the nurse can promote the health of the preschooler and family?

#4)  Make a list of nursing diagnoses and expected outcomes for the following clients:

  • A mother brings her son to a clinic for a checkup. She tells the nurse that she is concerned because her 4-year-old son is having trouble with his speech and is repeating words and syllables in his sentences.
  • Parents of a 3-year-old girl bring her to their pediatrician for a visit. They tell the nurse that they are concerned because their daughter will only allow her father to take care of her and wants to be near him all the time.

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APA Format

Change Implementation and Management Plan

 It is one of the most clichés of clichés, but it nevertheless rings true: The only constant changes. As a nursing professional, you are no doubt aware that success in the healthcare field requires the ability to adapt to change, as the pace of change in healthcare may be without rival.

As a professional, you will be called upon to share expertise, inform, educate, and advocate. Your efforts in these areas can help lead others through change. In this Assignment, you will propose a change within your organization and present a comprehensive plan to implement the change you propose.

To Prepare:

  • Review the Resources and identify one change that you believe is called for in your organization/workplace.
    • This may be a change necessary to effectively address one or more of the issues you addressed in the Workplace Environment Assessment you submitted in Module 4. It may also be a change in response to something not addressed in your previous efforts. It may be beneficial to discuss your ideas with your organizational leadership and/or colleagues to help identify and vet these ideas.
  • Reflect on how you might implement this change and how you might communicate this change to organizational leadership.

The Assignment (5-6-minute narrated PowerPoint presentation):

Change Implementation and Management Plan

Create a narrated PowerPoint presentation of 5 or 6 slides with a video that presents a comprehensive plan to implement the change you propose.

Your narrated presentation should be 5–6 minutes in length.

Your Change Implementation and Management Plan should include the following:

  • An executive summary of the issues that are currently affecting your organization/workplace (This can include the work you completed in your Workplace Environment Assessment previously submitted, if relevant.)
  • A description of the change being proposed
  • Justifications for the change, including why addressing it will have a positive impact on your organization/workplace
  • Details about the type and scope of the proposed change
  • Identification of the stakeholders impacted by the change
  • Identification of a change management team (by title/role)
  • A plan for communicating the change you propose
  • A description of risk mitigation plans you would recommend addressing the risks anticipated by the change you propose.

 Create a narrated PowerPoint presentation of 5 or 6 slides with a video that presents a comprehensive plan to implement the change you propose. 

  • Your presentation should be 5–6 minutes in length
  • Be creative and include a video of you giving the presentation with the slides.

Resources:

 Tistad, M., Palmcrantz, S., Wallin, L., Ehrenberg, A., Olsson, C. B., Tomson, G., …Eldh, A. C. (2016). Developing leadership in managers to facilitate the implementation of national guideline recommendations: A process evaluation of feasibility and usefulness. International Journal of Health Policy and Management, 5(8), 477–486. doi:10.15171/ijhpm.2016.35. Retrieved from http://www.ijhpm.com/article_3183_5015382bcf9183a74ef7e79b0a941f65.pdf

 

Cullen, L., & Adams, S. L. (2012). Planning for implementation of evidence-based practice. Journal of Nursing Administration, 42(4), 222–230. Retrieved from https://medcom.uiowa.edu/annsblog/wp-content/uploads/2012/10/JONA-FINAL-Cullen-2012.pdf

 

TEDx. (2013, January). Six keys to leading positive change: Rosabeth Moss Kanter at TEDxBeaconStreet [Video file]. Retrieved from https://www.youtube.com/watch?v=owU5aTNPJbs

Advance health assessment

To prepare:

  • Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments.
  • By Day 1 of this week, you will be assigned a case study by your Instructor. Note: Please see the “Course Announcements” section of the classroom for your case study assignment.
  • Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient assigned to you.
  • Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
  • Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information?
By Day 3 of Week 2

EB is a 68-year-old black female who comes in for follow-up of hypertension. She has glaucoma and her vision has been worsening during the past few years. She lives alone and is prescribed four hypertension medications (Hydralazine 50 mg PO Q8H, Metoprolol XL 200 mg PO Q12H, Lisinopril 40 mg PO daily, and HCTZ 25mg PO daily ). She brings in her medication bottles and she has some medication bottles from the previous year full of medications. She is missing one medication she had been prescribed and says she may have forgotten it at home. Her BP in clinic today is 182/99 with HR of 84.


Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.

week4 disc 1 6053

Discussion 1: Leadership Theories in Practice

A walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership. Formal research literature is also teeming with volumes on the subject.

However, your own observation and experiences may suggest these theories are not always so easily found in practice. Not that the potential isn’t there; current evidence suggests that leadership factors such as emotional intelligence and transformational leadership behaviors, for example, can be highly effective for leading nurses and organizations.

Yet, how well are these theories put to practice? In this Discussion, you will examine formal leadership theories. You will compare these theories to behaviors you have observed firsthand and discuss their effectiveness in impacting your organization.

To Prepare:

  • Review the Resources and examine the leadership theories and behaviors introduced.
  • Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.
  • Reflect on the leadership behaviors presented in the three resources that you selected for review.

By Day 3 of Week 4

Post two key insights you had from the scholarly resources you selected. Describe a leader whom you have seen use such behaviors and skills, or a situation where you have seen these behaviors and skills used in practice. Be specific and provide examples. Then, explain to what extent these skills were effective and how their practice impacted the workplace.

Learning Resources

Required Readings

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.
Chapter 1, “Expert Clinician to Transformational Leader in a Complex Health Care Organization: Foundations” (pp. 7–20 ONLY)
Chapter 6, “Frameworks for Becoming a Transformational Leader” (pp. 145–170)
Chapter 7, “Becoming a Leader: It’s All About You” (pp. 171–194)

Duggan, K., Aisaka, K., Tabak, R. G., Smith, C., Erwin, P., & Brownson, R. C. (2015). Implementing administrative evidence-based practices: Lessons from the field in six local health departments across the United States. BMC Health Services Research, 15(1). doi:10.1186/s12913-015-0891-3. Retrieved from https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-015-0891-3

Resources for the StrengthsFinder Assessment Tool

Rath, T. (2007). Strengths Finder 2.0 – with Access Code.
Purchase the access code from the Walden bookstore. Then follow the instructions in the document “How to Access the Strengths Finder 2.0.
 

Document: How to Access Strengths Finder 2.0 (PDF)

 

Required Media

Laureate Education (Producer). (2014). Leadership [Video file]. Baltimore, MD: Author.
Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript

Moore Foundation. (n.d.). Nurses share lessons in leadership. Retrieved from https://www.youtube.com/playlist?list=PLopRJPO6GaifsYPGP_jcWXZzU10H3AaX7

3sources for this discussion