In this module, there are two related discussions about life expectancy and the need to think ahead and plan ahead. Average life expectancy in the US is approximately 78 years and it is continuing to rise.

In this module, there are two related discussions about life expectancy and the need to think ahead and plan ahead. Average life expectancy in the US is approximately 78 years and it is continuing to rise.

Many demographers anticipate that it will top out around 88 years for females and 82 years for males. Some researchers believe that the average life expectancy could reach 100 in the next few decades with 110 and 120 possible with revolutionary advances in health and medicine (Weiss & Lonnquist, 2012).As you work through this discussion, think about the aging population in aggregate form moving through this latter phase of life.Before you begin, be sure to complete the readings and all learning activities. Then, complete Discussion 1 first followed by Discussion 2. It is important to complete the activities in that order.Interview an individual over the age of 65. Follow the Life Expectancy and Social Planning Interview Script Be sure to stay ‘on-script’ so that responses are fairly standardized and able to be reviewed for patterns and trends. The best way to do this is to print out the script and explain that you will read the introduction and questions to be sure directions are clear and each health care area is addressed. After you complete the interview, be sure to summarize your interview and post it in M3D1.After you have conducted your interview, summarize you’re the answers you received to each of the interview questions.Then, read through the interview summaries that other students have posted and respond based on the following: the similarities and differences between the individual you interviewed and the individual interviewed by your classmate.The Script: Thank you for agreeing to talk to me today about aging over the years. To begin, I would like you to think about your life as it was twenty to twenty-five years ago and then compare it to your life today. I will ask you to share your personal experience and thoughts about changes in society related to health and health care. I may need to take a few notes while we talk. When we are finished, I will compile all information for a discussion we are having in our medical sociology class. The information will be shared as group data, only; I will not disclose your name or link any information to you, personally. If for any reason you prefer not to answer a question, it is quite fine. Do you have any questions or concerns before we start?The Questions:• How has your health changed over the last twenty to twenty-five years?• How has access to health care changed? By that, I mean, what were your healthcare needs twenty years ago and how did you meet them; and, what are your health care needs today and how do you meet them?• Who have you received healthcare from over the years—physicians, nurse practitioners, folk healers, others?• Do you have a Living Will, Advance Health Care Directive, or a Health Care Proxy? What factors or conditions contributed to the decision about having or not having this document?• What about medications? Have they changed over time?• Has your health insurance coverage changed? If so, in what way?• Is there anyone, family or friend who will provide care if you need it?• Do you have long-term health care insurance that covers home-care, assisted living, or skilled nursing care? If so, when did you get it? What factors or circumstances contributed to the decision to have or not have long-term care health insurance?• How about the disclosure of health information? By that I mean, what you have experienced about disclosing or not-disclosing medical information. Has it changed over the years? If so, how has it changed and what do you think is driving the change?• Are you using any resources within your community, such as a senior center? Why/why not? Do you think you will in the future?


 

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In the ischemic stroke patient what are the obstacles to dispensing thrombolytic therapy within the time frame of three hours of arrival to the emergency department ? To prepare:

In the ischemic stroke patient what are the obstacles to dispensing thrombolytic therapy within the time frame of three hours of arrival to the emergency department ?
To prepare:

locate 5 or more full-text research articles that are relevant to your PICOT question. Include at least 1 systematic review and 1 integrative review if possible.
Read through the articles carefully. Eliminate studies that are not appropriate and add others to your list as needed
Complete a literature review summary table using the Literature Review Summary Table Template
To complete:
Write a 4- to 5-page literature review that includes the following:


 

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Clearly prioritize the most significant changes in relation to maintaining independent self care living.

Clearly prioritize the most significant changes in relation to maintaining independent self care living.

Nursing (Aged Care)

• Report for a magazine
• Length: 2000

• NRS221 Assessment 1: Writing a report to promote the health, safety and independence of an older

person.
• Choose one of the following case studies to write a report for the Nursing Magazine which is

read by nursing students.
• The theme of this month’s magazine is The experience of ageing in community healthcare.
• The report you will write is to help the readers understand the most important

concepts/principles when nursing older people. The aim is to promoting the health, safety and

independence of older people who live in the community.
• You are required to analyse your chosen case study and apply theories and principles of

communication and ageing. You will provide coverage of relevant age related changes and the

relevant assessments a registered nurse would undertake to keep the older person as independent as

possible.
• To enable ease of reading for your magazine readers, it is suggested that you write the report

using the following subheadings:
• 1) Introduction (including a brief introduction to the case study you have selected however do

not include the entire case scenario as the magazine will include this on another page)
• 2) How the person’s experience of ageing relates to social and psychological theories of ageing
• 3) The communication theories that underpin the way you would interact with the person.
• 3) The age-related changes that relate to the person (dot points can be used in this section)
• 4) The assessments a community registered nurse would undertake to keep the person as

independent as possible and the rationale for these (a table format can be used for this section)
• 5) A review of their medication outlining the implications, possible adverse effects and

interactions. (a table format can be used for this section)
• 6) Nursing interventions and rationales (you can use a table format for this section that

identifies the issue, the corresponding intervention and its justification)
• 7) Conclusion where you summarise the main points of the report.
• 8) Reference list
• Choose one of the following case studies for your magazine report.
• Case Study 1: Merindah
Merindah is a 79 year old Indigenous woman who lives in Cootamundra in Wiradjuri country. She has

been a very active and involved member of the community. After retiring from her Registered Nurse

role at the local hospital, she spent many hours doing volunteer work with older Indigenous people

and was recognised in a Premier’s Award in 2012.
• Her once beautiful black hair is now dull, thinning and grey. Her skin is dry and wrinkled.

Merindah feels the cold more than she used to.
• Merindah had a hip replacement three months ago du


 

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Perform a rapid appraisal of each article by answering the following questions (one to two sentences are sufficient to answer each question): How does each article describe the nature of the problem, issue, or deficit you have identified?

Order Details/Description

Locate a minimum of 15 peer-reviewed articles that describe the problem or issue and that support the proposed solution. Eight of the 15 articles must be research-based (e.g., a study which is qualitative, quantitative, descriptive, or longitudinal).

Hint: Begin your search for literature by utilizing the databases with articles related to your PICO topic

Preview each of the 15 articles chosen by reading the article abstracts and summaries.

Hint: Article abstracts and summaries provide a concise description of the topic, research outcomes, and significance of findings.

Hint: Refer to “Topic 1: Checklist.”

Perform a rapid brief appraisal of each article by answering the following questions (one to two sentences are sufficient to answer each question):
1.How does each article describe the nature of the problem, issue, or deficit you have identified?
2.Does each article provide statistical information to demonstrate the gravity of the issue, problem, or deficit?
3.What are example(s) of morbidity, mortality, and rate of incidence or rate of occurrence in the general population?
4.Does each article support your proposed change?

Prepare this assignment according to the APA guidelines

Due Date: Jan 25, 2015 17:00 EST

Please remember to choose articles related to the PICO topic. I have include a attachment which identifies the PICO topic. These 15 articles will be used in future related assignments towards Nursing Capstone Project that I will order .

NRS-441V: Capstone Project

Developing a Question

Recall the components of PICOT from your research course:

(P) Population of Focus

(I) Intervention

(C) Comparison

(O) Outcome

(T) Time

Identify each of the components in relation to your topic.

In drug addicted patients how does non-pharmacological pain intervention compared with pain management with opioids affect relieving pain and preventing relapse?

“According to the recent Institute of Medicine Report on Pain, 100 million Americans suffer from pain” (American academy of pain medicine, 2013). Pain is the most sought out reason to see a physician and costs the united states more than half a trillion dollars a year, and it is still frequently treated incorrectly. In recent years healthcare professionals and lawmakers have been interested in developing better pain therapy to reduce drug diversion and addiction.

Then, develop a PICO question/statement.

P –In drug addicted patients

I –how does non-pharmacological pain intervention

C –compared with pain management with opioids

O –affect relieving pain and Preventing relapse?

Reference:

American academy of pain medicine. “Use of opioids for the treatment of chronic pain”. 2013. www.painmed.org

Topic 1: Checklist

Identifying a Problem, Developing a Question, and Selecting Sources of Literature

Instructions:

This checklist is designed to help students organize the weekly exercises/assignments to be completed as preparation for the final, capstone project proposal. This checklist will also serve as a communication tool between students and faculty. Comments, feedback and grading for modules 1-4 will be documented using this checklist.

Topic Task Completed Comments/Feedback Points
Identifying a
Problem

Explains setting and/or context in which nursing problem is observed.
_____ / 10

Detailed description of problem, issue, or educational deficit provided.
_____ / 10

Impact of problem on work environment and patient outcomes described.

_____ / 5

Significance to nursing profession discussed.
_____ / 5

Solution to the problem identified.

_____ / 10
Total _____ / 40
Developing a Question
Identified components of PICOT:
P – Population of Focus

I – Intervention

C – Comparison

O – Outcome

T-Time

_____ / 30

Developed PICO question/statement.
_____ / 10
Total _____ / 40
Selecting Sources of Literature
Rapid Appraisal Performed (see below) on a minimum of 15 peer-reviewed articles.
_____ / 100
Total _____ / 100

Rapid Appraisal

Perform a rapid appraisal of each article by answering the following questions (one to two sentences are sufficient to answer each question):

How does each article describe the nature of the problem, issue, or deficit you have identified?
Does each article provide statistical information to demonstrate the gravity of the issue, problem, or deficit?
Example(s): morbidity, mortality, rate of incidence or rate of occurrence in the general population.
Does each article support your proposed change?


 

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Examine how positivism and post-positivism have influenced approaches to nursing science (including research methods) and nursing practice.

Assignment: Philosophy of Nursing What is your philosophy when it comes to nursing? Which aspects of your philosophy do you think reflect the philosophical influences that have shaped the profession and are likely shared by other nurses? Which aspects of your philosophy reflect your personal values, beliefs, experiences, and unique perspective? How is your philosophy demonstrated through your practice? This Assignment provides an opportunity for you to examine your philosophy of nursing within the context of the information presented this week. To prepare: Review the information presented in the Learning Resources with your own philosophy of nursing in mind. Focus on any new insights you gained from the readings and how they influence your philosophy. Reflect on how philosophy influences scientific approaches or knowledge development in nursing. Examine how positivism and post-positivism have influenced approaches to nursing science (including research methods) and nursing practice. Conduct additional research as necessary using credible websites and the Walden library. Write a 6- to 7-page paper that: Articulates your philosophy of nursing identifying the philosophical influences and summarizing how this week’s readings influenced your views/beliefs. Explains how nursing’s philosophical foundations influence your nursing practice and provides at least two specific examples. Answers the question: What is the relationship between philosophy and knowledge development? How is this evidenced in your nursing philosophy or practice? Outlines how positivism and post-positivism influences approaches to nursing science (including research methods) and nursing practice as well as your own personal philosophy. VERY IMPORTANT INFORMATION : Your written assignments must follow APA guidelines. Be sure to support your work with specific citations from appropriate Learning Resources and additional scholarly sources as appropriate. Refer to the Publication Manual of the American Psychological Association to ensure that your in-text citations and reference list are correct. REFERENCES Chou, M., & Lee, L. (2007). Initial formation of nursing philosophies following fundamental clinical practice: the experience of male nursing students. Journal Of Nursing Research (Taiwan Nurses Association), 15(2), 127 – 137.


 

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Discuss whether or not the U.S. police and court systems would have handled the case differently and, if so, how would it have been handled.

Discuss whether or not the U.S. police and court systems would have handled the case differently and, if so, how would it have been handled.

Amanda Knox was an American student in her early 20’s studying abroad at a university in Perugia, Italy. In November 2007 she was arrested, later charged and in 2009 she was found guilty of the murder of her roommate Meredith Kercher. In 2011, an appellate court reviewed the matter and she was released from prison and allowed to return home to the United States.

This case received exclusive media attention all over the world. Much discussion has been had over the murder and the police and the forensic investigations, the statements and confessions of the parties involved, the trial and the appeal, prison conditions and also about the judicial pretrial publicity and the impact on the trial.

In a 3-5-page paper, and using APA style formatting, analyze this case in detail in terms of how it was handled in the Italian court system. Discuss in detail the appellate process that was employed. You must use outside and supporting sources and make sure to properly cite any outside sources that you use.

Discuss whether or not the U.S. police and court systems would have handled the case differently and, if so, how would it have been handled. Would the outcome have likely been different in the United States? Would the prison sentence have been different? What does this case say about prison conditions? What about the handling of the appeal within the two systems – how does that differ?

Finally, select one of the four major legal systems in the world: Civil law, socialist law, Islamic law, and common law. Suppose that you are advising an individual travelling to a county which follows each of these different systems – what advice would you give this individual in terms of how these systems differ and why? How does the system that you selected handle appeals?


 

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Watch the following video on Replacing Body Parts. Write a 3 paragraph (5 sentences each) summary of the video. What did you think of the windpipe transplant (5 sentences)? 1. Watch the following video on Replacing Body Parts (

Watch the following video on Replacing Body Parts. Write a 3 paragraph (5 sentences each) summary of the video. What did you think of the windpipe transplant (5 sentences)?
1. Watch the following video on Replacing Body Parts (

https://www.youtube.com/watch?v=jLs8DeHVkec) . Write a 3 paragraph (5 sentences each) summary of the video. What did you think of the windpipe transplant (5 sentences)? If it becomes possible to grow a new heart, do you think the average person will worry less or more about having a healthy diet and exercising (4 sentences)?

2. In the module section, chapter 10 (12.4), read the article Sitting is the New Smoking. Write a 6 sentence summary of the article. What do the letters NEAT stand for? What effect does Neat have on controlling weight (2 sentences)? Read the article Study offers clues to emotional eating in the module section, chapter 9 (11.3). Write a 2 paragraph (4 sentences each) summary of the article. Do you agree or disagree with this article and why (3 sentences)? Read the segments Is eating bread crust good for you? and the Science of making bread. Write a 2 paragraph (4 sentences each) for each segment.

#Sitting is the New Smoking

by Shape Up America! · July 1, 2015

Too much sitting is hazardous to your health, even if you exercise. Researchers from the University of Toronto reviewed 47 studies and found that people who sat too much had a higher risk of diabetes, heart disease, cancer and early death. The health risks were greater in adults who did little or no exercise, but even regular exercise didn’t erase the harm from sitting for up to half the day. The more you sit, the greater the risk of dying prematurely from heart disease. And the more difficult it is to manage your weight.

Daily physical activity is good for your health, but it’s not just what’s done in the 30 minutes or one hour of exercise that matters, it’s also the movement that’s done throughout the day, like carrying groceries or getting the mail. These everyday activities get you up and moving and can also benefit your weight.

The calorie-burning from everyday activities and movement is called NEAT or Non-Exercise Activity Thermogenesis. What counts as NEAT? The activities you do as part of your daily life like walking in your home or workplace, climbing stairs, fidgeting and standing are NEAT. But not intentional exercise like taking a brisk walk or working out in a gym.

In a 2006 study by the Mayo Clinic, researchers compared NEAT in inactive people who were at a healthy weight or obese. Those who were obese spent over 2½ more hours of their day sitting than the others who did more standing and moving. The researchers found that people with the most NEAT activity had the lowest amount of body fat, which can lead to better health. Based on this study, moving more as you go about your daily life can also help you manage your weight.

Shape Up America!® encourages plenty of exercise, especially for people who have lost weight and want to keep it off. If you are a healthy weight, sitting less can help prevent weight gain. But NEAT activities such as doing chores at home instead of sitting and watching TV, and getting up to speak to a coworker at the office burn more calories than calling, emailing or texting.

Bottom Line: For good health and weight control, sit less and move more. Some ideas for work and play:

Get up from your chair for a couple minutes every hour.
Have a “walk and talk” business meeting.
Consider a “standing desk” or a “treadmill desk” to sit less at work.
Stand up and stretch or walk around during TV commercials and while on the phone.
Move to the music on your smart phone or radio and dance away!
Wear a pedometer to count the steps you take each day.
#Study offers clues to emotional eating


 

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Describe the typical health effects a CAFO can have on a community.Public health professionals play various roles including being expert witnesses. This case study presents a situation where you are called upon to provide expertise.

Describe the typical health effects a CAFO can have on a community.Public health professionals play various roles including being expert witnesses. This case study presents a situation where you are called upon to provide expertise.

Potential Public Health Impacts
Public health professionals play various roles including being expert witnesses. This case study presents a situation where you are called upon to provide expertise.
Consider the following scenario:

A major agribusiness is interested in opening a beef confined animal feeding operation (CAFO) in your community. To ensure compliance to procedures, there will be public hearings on the proposal. The local government is very interested in seeing the operation established because it will generate employment and income for the community.

Using the readings for this module, Argosy University online library resources, and the Internet, explain the health impacts the CAFO can have on the community in a 6-page research paper. In your research paper, at a minimum, make sure you address the following:

Describe the typical health effects a CAFO can have on a community. Remember to:
Discuss both natural and man-made health issues that may arise from the CAFO.
Discuss both short- and long-term effects, individual and community effects, and environmental effects.
Explain the legal standards surrounding CAFO as they are in the United States, and explain how the local government agencies would respond to help alleviate or mitigate any health risks.
Propose specific efforts the community can make to provide risk reduction, risk control, and risk communication, helping to mitigate any negative effects of the CAFO in the community.
Your paper should be written in proper research paper format with full APA compliance, to include a title page, header, page numbers, abstract, use of Level I and II headings, in-text citations, and a properly formatted references page.

Assignment 2 Grading Criteria


 

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Australian ambulance services adult resuscitation clinical practice guidelines are created according to best practice using credible evidence”

Australian ambulance services adult resuscitation clinical practice guidelines are created according to best practice using credible evidence”

You should start by selecting an Australian ambulance service and examining the
adult resuscitation clinical practice guideline. You then need to select one element
of the resuscitation guideline, eg. compressions, defibrillation, ventilation,
medications etc. After introducing your topic and focus you can then begin to build
your essay.
The body of your essay should progress through a discussion of your chosen
element of resuscitation and its components as it relates to the guideline, eg.
compressions – rate, depth, ratios, interruptions, hand placement etc. These
should be evidenced by current research, from journal articles and medical
literature. Each component should be clearly set out in paragraphs and titled with
headings.
Finally, you should conclude your essay with a summary of your findings and
make a recommendation in relation to how well the CPG is backed with credible
evidence.
All referencing for this assignment will utilise the Author-Date (Harvard) System

no more than 1500 words.


 

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Create a plan using Lewin’s change model, documenting strategies needed to support follower ship and empowerment. Review the following nursing scenario from the Agency for Healthcare Research and Quality:

Create a plan using Lewin’s change model, documenting strategies needed to support follower ship and empowerment.
Review the following nursing scenario from the Agency for Healthcare Research and Quality:

A 60-year-old female is admitted to the ward with a 2-day history of severe left lower abdominal pain and leukocytosis. Her white count is 13,000, and she has WBCs in her urinalysis. Two hours after admission, she begins to experience an acute exacerbation of her abdominal pain and is believed to have a diverticular perforation and acute abdomen. At this point, her physician decides to send her to the OR. The unit clerk is aware of the plan, but the patient’s nurse is not. The patient is transported to the OR. Moments later, the OR calls to report that the patient has no permits signed, nor have any other pre-op protocols been completed.

Create a plan using Lewin’s change model, documenting strategies needed to support followership and empowerment.


 

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