Analysis of an Age Related Topic

Nursing homework help

Instructions

Analysis of an Age Related Topic

By the due date assigned, submit your assignment to the Submissions Area.

Conduct in-depth analysis of a pertinent topic related to aging. Define the problem, specific population affected, cultural implications, and financial/legal/ethical implications. What interventions can be used to improve the problem? What resources are available? What are the associated costs? Is this idea sustainable?

Submit your paper in a 6–7-page Microsoft Word document.

Support your responses with examples.

On a separate references page, cite all sources using APA format.

  • Use this APA Citation Helper as a convenient reference for properly citing resources.
  • This handout will provide you the details of formatting your essay using APA style.
  • You may create your essay in this APA-formatted template.

References must be within 3 years.

Neural Function and Disorders

Nursing homework help

Case Study Assignment for Unit VI: Neural Function and Disorders

Purpose: The purpose of this assignment is to encourage you to analyze pathophysiological processes and mechanisms of human disease, identify clinical signs and symptoms and diagnostic data consistent with the pathology of common health problems and determine appropriate medical treatment and nursing care based on best practices found in the literature. This assignment emphasizes critical thinking and problem-solving through the correlation of cellular and multi-system pathology with related assessment and diagnostic data, medical treatment and nursing management.

The answers to the questions should be complete and include professional literature to support each answer. You should include at least 3 current references (< 5 years old) of which 2 must be journal articles. References should include current nursing journals and other professional health related literature. The assignment should be uploaded electronically into blackboard under the appropriate assignment link.

The paper should be typed using APA format. APA format requires that you use correct grammar and spelling and double-space your entire paper. Use the questions as your headers. Please include the following rubric at the end of your paper.

The assignment will be graded using the following criteria:

Patient Case Analysis Assignment

Grading Criteria

Possible Score Earned Score
Answers to Questions

1. Demonstrates comprehensive critical analysis of pathology, assessment and diagnostic data, medical and nursing management (points accrued in case study)

30
Format

1. Answers are supported by references

1. Follows APA format

5

3

2

Total Score 35

Alzheimer’s Disease Case Study

Patient Profile and Background Information

RM is a 85-year-old woman who presents to the clinic with her two daughters for a routine exam. RM was diagnosed with Alzheimer’s disease nine years ago when she started to display short term memory loss. She was misplacing her glasses, keys, and placed some household items in illogical places. For example: she placed the coffee pot in the refrigerator. She also had taken some walks around her neighborhood where she has resided for over 45 years and had gotten lost on more than one occasion.

Her neighbors and family had also noticed that RM was becoming more quiet and passive. She was not as interested in participating in family outings or working in her garden, a past time she had enjoyed most of her adult life.

Physical Assessment and Diagnostic Data

A thorough workup with neuroimaging studies revealed no significant findings. However, she scored 25 out of a possible 30 points on the Mini-Mental Status exam. She was started on Aricept (donepezil) which helped with both her memory and mood for several years.

Four years ago, family members noticed another significant change in RM. Not only had previous manifestations become more severe, but she also began having difficulty with numbers, could no longer balance her check book. She could no longer play bridge and she showed signs of poor judgment by leaving her house without a coat in the middle of winter and going to the store in her nightgown. There was a small kitchen fire that occurred when she forgot to turn off the stove after cooking. Because of these new symptoms, RM was retested for new systemic disease processes but no significant abnormalities were detected other than a mild case of iron deficiency anemia. A CT scan of the brain revealed moderate to severe cerebral atrophy in the temporal and parietal lobes bilaterally. Her Mini Mental Status Examination (MMSE) score decreased to 18/30.

Question 1: What is the pathophysiology of Alzheimer’s Disease (AD)? (3 points)

Question 2: What risk factors does RM possess for developing AD? (2 points)

Question 3: Describe the MMSE, the categories and how each are tested. What does the score of 18 / 30 indicate? (4 points)

The daughters made the decision that RM could no longer live by herself and moved her into the oldest daughter’s home to live with her family. The two oldest daughters shared care giving responsibilities. Within the past six weeks, RM has begun to display multiple, sudden outbursts of anger. While shopping for groceries with her second daughter, she became separated and lost from her daughter and began throwing tomatoes at the store manager who was trying to help her. It took 15 minutes to calm her down. She also began having occasional urinary accidents. The daughters’ state that caring for their mother in now becoming unmanageable and are considering seeking a long-term care facility for her.

RM’s PMH consists of long standing hypertension for 30 years. Hypercholesterolemia for 25 years.

Family history: both parents deceased. Father died at 70 from a CVA. Mother died from AD at the age of 80. One brother died at the age of 65 from an MI. She has a sister who died of AD five years ago at the age of 76.

Social History: Widowed for 14 years after 55 years of marriage. Does not smoke or drink alcohol. Her regular medications include:

Aricept (donepezil)

Avapro (irbesartan)

Crestor (rosuvastatin)

One baby aspirin daily

Question 4: Describe the mechanism of action of each of the above medications, and why RM is taking them. (4 points)

Question 5: What diagnostics tests would you anticipate being ordered to evaluate RM’s health status and why? (3 points)

Question 6: Vascular dementia must be considered as a possible cause of RM’s increasing cognitive dysfunction. Explain the pathophysiology of vascular dementia and the risk factors associated with it. (4 points)

Question 7: Depression in an elderly patient is often mistaken for AD. What are several ways to distinguish depression from dementia? (2 points)

Question 8: Discuss the 3 stages of AD with the common symptoms associated with each stage. (6 points)

Question 9: What needs do you anticipate for the family? What are some key teaching points for the family regarding RM’s care? (2 points).

.Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability.

Nursing homework help

PLEASE FOLLOW EXACT DIRECTIONS

TEXTBOOK READING ATTACHED. PLEASE READ & CHOOSE NURSING CARE MODEL FROM PROVIDED READING.

This assignment is worth 200 points.

Directions

1.Read your text, Finkelman (2016), pp- 111-116.

2.Observe staff in delivery of nursing care provided. Practice settings may vary depending on availability.

3.Identify the model of nursing care that you observed. Be specific about what you observed, who was doing what, when, how and what led you to identify the particular model.

4.Write a 5-7 page paper.

5.You are required to complete the assignment using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.)Links to an external site.. Click on the envelope at the top of the page.

6.Review and summarize two scholarly resources (not including your text) related to the nursing care model you observed in the practice setting.

7.Review and summarize two scholarly resources (not including your text) related to a nursing care model that is different from the one you observed in the practice setting.

8.Discuss your observations about how the current nursing care model is being implemented. Be specific.

9.Recommend a different nursing care model that could be implemented to improve quality of nursing care, safety and staff satisfaction. Be specific.

10.Provide a summary/conclusion about this experience/assignment and what you learned about nursing care models.

11.Write your paper using APA format using Microsoft Office 2010 or later.

12.Submit your paper no later than 11:59 p.m. MT on Sunday by the end of Week 5.

Stress and Conflict Management

Nursing homework help

Stress and Conflict Management

Conflict may occur in any work environment, whether it is in the clinical setting, another department, or another organization. It is important to understand how conflict arises and how conflict is managed through effective communication.

The behavior of a leader has a direct impact on the motivation of his or her team. It is crucial for a leader to understand how his or her behavior and conflict-handling ability impact the care of patients.Here is a scenario of a leader who is willing to handle conflicts in his or her workplace.

You are promoted to a management position in a small organization. There are four full-time members and three part-time members. You have a department manager currently overseeing the operations. You are excited to begin with your new assignment and have completed orientation. You heard some rumblings from the staff development team, “You have your work cut out for you in this department!” It does not sound promising, yet you are filled with energy, a positive

attitude but a bit concerned as you do not want to appear bossy. You lack a bit of confidence since they are seasoned team members and you are new to the organization.

Once you begin your first day, you decide to meet with everyone as a group and individually over the next few days. What you are uncovering is disturbing and you quickly realize that the team members have lots of conflicts within the department. In a nutshell, this is what you have discovered:

The department manager thinks she is in charge since clients, customers, or patients have specialized needs. She is stern faced and does not seem to smile, yet she does not admit it is her or her department’s fault if there is an error. She seems to enjoy the increasing conflict among the unit as it takes any “pressure” off her and she can continue to “tell people what to do.”

Two full -time administrative staff members do not like each other and refuse to work together. One feels the other cooks “strange food” and cannot understand her when she speaks, and she is too quiet. The other staff member feels the first one is too outspoken and not gracious and hurries through her assignments. They share a small office and their work is critical to the success of the organization as they oversee all billing, accounts payable and receivable, and schedule the large projects and services to other organizations. The rest of the staff members avoid going to this office as the tension is clearly increased in this room.

The part-time staff feel they are not being offered any extra shifts and sometimes they are asked not to come to work if the day is slow. They feel they are not valued and are demotivated by less pay. This is a critical time for them due to the economy crisis. When they are at work, they often bring their home problems with them and seem stressed when they have to work with the other team members.

 

Please read the Stress and Conflict Scenario. Based on this scenario, please answer the following questions:

  • How will you address each area and improve understanding, collaboration, motivation, and positive attitude?
  • How does emotional intelligence play a role in encouraging the staff to cooperate and to be willing to make behavior changes?
  • What behavior theory will you research to develop your thoughts when you speak to each staff member?
  • How important is decreasing overall conflict in the workplace?
  • How can you develop a win-win approach?

Perform a health history on an older adult.

In this assignment, you will be completing a health assessment on an older adult. To complete this assignment, do the following:
  1. Perform a health history on an older adult. Students who do not work in an acute setting may “practice” these skills with a patient, community member, neighbor, friend, colleague, or loved one. (If an older individual is not available, you may choose a younger individual).
  2. Complete a physical examination of the client using the “Health History and Examination” assignment resource. Use the “Functional Health Pattern Assessment” resource as a guideline to assist you in completing the template.
  3. Document findings of complete physical examination in Situation-Background-Assessment-Recommendation (SBAR) format. Refer to the sample SBAR Template located on the National Nurse Leadership Council website at https://www.ihs.gov/nnlc/includes/themes/newihstheme/display_objects/documents/resources/SBARTEMPLATE.pdf as a guide.
  4. Document the findings of the physical examination in the assessment worksheet.
  5. Using the “Health History and Examination” assignment resource, provide the physical examination findings summary with planned interventions for the client. Include any community services in the interventions.

APA format is not required

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

NRS-434VN-R-Functional-Health-Pattern-Assessment-Student.docx NRS-434VN-R-IndividualHealthHistoryandExaminationAssignment-Student.docx

Explain why this is considered to be a case-control study?

Nursing homework help

  1. Explain why this is considered to be a case-control study? Include in your answer, who were the cases, and how many were used for the study? Who were the controls, why were they used, and how many were in the study? (3 pts)
  2. What were the steps they used to explore the problem? In your assessment, what could some of the potential bias issues be, and how might they control for these? (3 pts)
  3. If you discuss the association between exposure and disease for this situation, what conclusions did the investigators draw, and why? Use depth and specificity in your response. (2 pts)
  4. What measure do investigators use to determine association for case-control studies? Explain what it may tell you? (2 pts)
  5. Did their conclusions change when the researchers investigated the problem in various countries of the Caribbean? (2 pts)
  6. What are some policy implications or benefits for having a Survelliance System in place? What are some pertinent qualifications of an effective Survellience System? (3 pts)

Read each article carefully. Re-read your chosen set and ask, “How are these articles similar?”

Nursing homework help

Read each article carefully. Re-read your chosen set and ask, “How are these articles similar?” “What do they have in common?” “How are they different?” “How are they not alike?”  Make some written notes about each article in your chosen set.  Compose a basic outline for your paper, including paragraphs for  Introduction (ending in a thesis statement, one sentence that lays out what your paper will do), Background, Multiple body paragraphs containing the bulk of your information, Conclusion.

In writing your paper, follow these guidelines. 1) Begin your paper by introducing the problem being investigated. 2) Give a detailed description of the study (why it was done, who conducted it, who the subjects were, what the results showed, and what the authors concluded from the results). 3) After describing the article, you must use critical thinking to analyze it. Critical thinking about epidemiological studies involves determining whether the evidence gathered and described by the authors is appropriate to answer the questions they are trying to answer and whether this evidence supports the conclusions eventually drawn by the authors. This is where you compare and contrast one study to the other study of the set you have chosen. 4) The last portion of the paper should state your conclusions regarding your analysis.

You must include  at least   two  references showing where you derived your information and those references should be cited with-in the text of your paper.  You will also probably want to cite some information from your textbook.

After putting your paper together, you will want to condense/summarize the most important information into an abstract, which is a brief/short summary of the paper.

Your completed paper should be 5-7 double-spaced pages in length (including title page, abstract, and reference page) and  conform to the APA standard format. 

Both Articles links 

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4097106/

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5063816/

Code of ethics and standards of practice for healthcare professionals

Nursing homework help

Required Reading

ACHE. (2016). ACHE code of ethics. Retrieved from https://ache.org/abt_ache/code.cfm

Flite, C. A., & Harman, L. B. (2013). Code of ethics: Principles for ethical leadership. Perspectives in Health Information Management / AHIMA, American Health Information Management Association, 10(Winter), 1d. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3544144/

NAHQ. (2011). NAHQ Code of ethics and standards of practice for healthcare professionals. Retrieved from http://nahq.org/about/code-of-ethics

Airth-Kindree, N., & Kirkhorn, L. C. (2016). Ethical grand rounds: Teaching ethics at the point of care. Nursing Education Perspectives, 37(1), 48-50. doi:http://dx.doi.org/10.5480/13-1128

Benson, Michael D,M.D., F.A.C.O.G., Benson, Jordan B,C.P.A., J.D., & Stein, Mark S,J.D., PhD. (2016). Hospital quality improvement: Are peer review immunity, privilege, and confidentiality in the public interest? Northwestern Journal of Law and Social Policy, 11(1), 1-27.

Brothers, K. B., & Rothstein, M. A. (2015). Ethical, legal and social implications of incorporating personalized medicine into healthcare. Personalized Medicine, 12(1), 43-51. doi:http://dx.doi.org/10.2217/pme.14.65

Denecke, K., Bamidis, P., Bond, C., Gabarron, E., Househ, M., Lau, A. Y. S., … Hansen, M. (2015). Ethical Issues of Social Media Usage in Healthcare. Yearbook of Medical Informatics, 10(1), 137–147. Available in the Trident Online Library.

Fiscella, K., Tobin, J. N., Carroll, J. K., He, H., & Ogedegbe, G. (2015). Ethical oversight in quality improvement and quality improvement research: New approaches to promote a learning health care system. BMC Medical Ethics, 16(63). doi: 10.1186/s12910-015-0056-2. Accessed from http://bmcmedethics.biomedcentral.com/articles/10.1186/s12910-015-0056-2

Ghosh, K. (2015). Benevolent leadership in not-for-profit organizations. Leadership & Organization Development Journal, 36(5), 592-611.

Gillon, R. (2015). Defending the four principles approach as a good basis for good medical practice and therefore for good medical ethics. Journal of medical ethics41(1), 111-116.

Healthcare Financial Management Association [HFMA]. (2016). HFMA’s code of ethics. Accessed from https://www.hfma.org/code/

Kostkova, Patty P. (2016). Who owns the fata? Open fata for healthcare. Frontiers in Public Health, 4(4), 7. doi: 10.3389/fpubh.2016.00007

Kulshreshtha, P. (2015). Ethical leadership and contemporary organizational ethics: Principles and cases. Journal of Leadership, Accountability and Ethics, 12(1), 94-97.
Mascone, C. F. (2015). Navigating ethical dilemmas. Chemical Engineering Progress, 111(2), 3.

McLean, S. A. M. & Campbell, T.D. (Ed.). (2006). Applied legal philosophy: First do no harm: Law, ethics and healthcare. Abingdon, GB: Routledge.

Assignment Overview

There have been many cases of violations of ethical principles in medical and public health history. It is important to study these and understand not only what went wrong, but the implications of a failure to follow ethical principles, to ensure that these things do not happen again.

**Case Assignment

For this assignment, you will be creating a PowerPoint presentation. Three cases are listed below. For each case, you will provide a background and then apply at least the 4 basic ethical principles reviewed thus far in the course; you may research and apply additional ones. For each principle, explain why it was violated in this case. If you do not believe that the principle was violated, explain why. This should not be opinion, but should be your analysis of the cases and the principles; do not use first person.

*Your slides should be in presentation format and your text should be in your speaker’s notes. You must include speaker’s notes. Remember to cite your sources.

*You will need to research the cases below. Be sure that you are using reliable sources for your information; peer-reviewed articles, academic books, government web pages and documents. You may use newspaper articles, but these should not be your principle and only source to discuss an individual case.

  • The Tuskegee Experiment
  • Henrietta Lacks and the development of the HeLa cell line
  • Nazi Medical Experiments

Assignment Expectations

  1. Conduct additional research to gather sufficient information to support your analysis.
  2. Your presentation should have at least 6 slides, as well as a cover slide and reference slide.
  3. Support your presentation with peer-reviewed articles, and use at least 6 references. For additional information on how to recognize peer-reviewed journals, see http://www.angelo.edu/services/library/handouts/peerrev.php
  4. You may use the following source to assist in your formatting your assignment: https://owl.english.purdue.edu/owl/resource/560/01/

What ethical ramifications should be considered in regard to future healthcare reform?

Nursing homework help

According to the American College of Emergency Physicians. (ACEP) (n.d.), “the enacted Affordable Care Act (PPACA) of 2010 has fueled ethical debate of several important controversial topics. Ethical issues of health care reform include moral foundations, cost containment, public health, access to care, ED crowding, and end-of-life issues.”

Review the following article:

ACEP. (n.d). The Ethics of Health Care Reform: Issues in Emergency – Medicine – An Information Paper. Retrieved from https://www.acep.org/Physician-Resources/Practice-Resources/Professionalism/Ethics/The-Ethics-of-Health-Care-Reform–Issues-in-Emergency—Medicine—An-Information-Paper/#sm.0000th8vp0ftfdf8vvz2euup84hoy

  • From a healthcare administrator perspective, discuss the ethical and moral issues presented in this article. Do you agree or disagree? Explain your rationale in detail.
  • What ethical ramifications should be considered in regard to future healthcare reform?

Describe the pathogenesis, clinical manifestations, evaluation and management of common diseases and disorders

Nursing homework help

Chamberlain College of Nursing NR 283 Pathophysiology

Concept Map Guidelines

PURPOSE

This assignment assists students in understanding the relationship between the pathophysiology of a disease process and its clinical presentation and treatment. The concept map allows students to indicate related pathophysiology and disease treatment.

COURSE OUTCOMES

This assignment enables the student to meet the following course outcomes:

CO1: Describe the pathogenesis, clinical manifestations, evaluation and management of common diseases and disorders. (PO1, 2)

CO2: Relate factors that influence the pathogenesis and clinical manifestation of diseases and disorders including lifespan, ethnicity, culture, environment, and socioeconomic status. (PO1, 2)

CO3: Explain the nurse’s role in the evaluation and management of selected diseases and disorders. (PO6, 7)

DUE DATE: See course calendar for exact dates.

POINTS POSSIBLE ON THE ASSIGNMENT: 100 pts REQUIREMENTS

1. Your Instructor will provide you with two disease pathologies covered in this course. Research the two disease processes using a minimum of 2 professional journal articles in addition to your textbook.

2. Create a concept map for each of the two disease pathologies provided by your instructor. Using Word or PowerPoint. If you wish to use another format, be sure you get it approved by your instructor PRIOR to creating it. Use position, color, arrows and other connectors to show relationships between the required elements in the Grading Criteria. Because this is a concept map and not text-based paper, APA style cannot apply so citations are not required. However, include APA style to reference page on the last slide of the PowerPoint Presentation.

3. Compare and Contrast the two disease pathologies covered in this course being sure to include the evaluation criteria described below. Save and upload your assignment on time.

4. Prepare a three to five minute presentation using PowerPoint to present your concept maps to be presented to your peers in class (see course calendar). Other methods of presentation may be acceptable; get prior approval from your instructor.

5. Focus your presentation on the relationships between the elements and not just “reading the map”.

6. You score for this assignment will be a total of the points earned on the concept map and the presentation.

NR 283 Concept Map Guidelines.pdf Revised 04/14/2018 1

Chamberlain College of Nursing NR 283 Pathophysiology