NUR 445 Week 1 Discussion: Brainstorming Change Project

Step 1: Consider what change you would like to initiate that will benefit the healthcare community.

Discuss how you plan to facilitate making contact with a nurse leader and post a draft change project that willl impact quality improvement as  a narrative for students and faculty to review.

Care of the older person part 2

Copyright © 2022 The Open College (Version 10)

Module Title Care of the Older Person

Module Code 5N2706

Assessment Technique Skills Demonstration

Weighting 60%

Assessment Details:

In this assessment you are required to write 3 comprehensive reports on the below skills undertaken
within the care setting with a Client /Service User.

1. An outing or indoor activity {examples of outing: trip to cinema, garden centre, park,

examples of indoor: cookery, cards, storytelling, arts & craft etc.}

2. A Reminiscence Session {examples: looking at old film, photo album, talking about past events

in client’s life, school days etc.}

3. A Health Promotion Activity: {examples: Diet, Oral Hygiene, Exercise, hand hygiene, etc}

In the reports you are required to illustrate good client care practice that you will implement in future
practice. In each of the reports you need to illustrate understanding and knowledge of your role in
promoting safe practices, client independence, support, autonomy and dignity during the planning
and implementation of the activities.

Your reports will be assessed on the following:

• Thorough organisation and preparation of the task, including identification of clients’ needs.

(15 marks)

• Careful execution of the task. (15 marks)

• Effective communication throughout the task. (10 marks)

• Effective use of relevant safety and health practices. (10 marks)

• Comprehensive record of the task. (10 marks)

Copyright © 2022 The Open College (Version 10)

Instructions:

For each Skill Report you can:

1. Choose one of the case studies profiles below to complete the reports and follow the
guidelines provided to complete same. The below case studies are a brief overview of a client
and you are free to interpret and expand upon the client history, background if you wish.

OR

2. Complete the assessment on a service user you have cared for during work placement or
family member/relative you have cared for in the home, whereby you have been involved in
assisting them with a recreational / therapeutic activity.

Case Study One

James Brown is a 75-year-old male who was admitted into the nursing home in January 2020. Previous
to this Mr Brown was in St Vincent’s hospital following a stroke where he spent six months. Following
the stroke Mr Brown now uses a rollator. He has no difficulties transferring himself and needs no
assistance. He is partially paralysed on the left side of his body, and sometimes his speech is a little
slurred. Mr Browns wife and son visited every few days. Prior to his retirement Mr Brown worked in
Dublin Dockyards and had a keen interest in swimming, hill walking and crossword puzzles.

Case Study Two

Alice Jones is 81 years old and was admitted to the residential home in 2019 from her home where
she lived with her husband. Alice was diagnosed with dementia in 2016, she is forgetful and has a
history of wandering and this increases her vulnerability. Unfortunately, Alice’s care needs could not
be met at home due to her dementia. This cognitive decline also impacts on her physical and social
ability as she requires support to maintain her daily activities of living. This includes personal care,
nutrition, safety, mobility and guidance.

Case Study Three

Mary Walsh is 74 years of age, she is a widow of ten years, she has one daughter and one son, her son
resides in Australia. Mary is currently residing in a nursing home and she has been diagnosed with
dementia and is in the early stages. As an effect Mary suffers from short term memory loss. Mary also
has restricted mobility as a result of a fall two years ago and suffered a fractured hip. Mary’s physical
ability all though restricted is quite good. Mary uses a rollator for short to medium distance and a
wheelchair for long distance or when going out, she has full mobility with her upper body and regularly
attends physiotherapy.

Copyright © 2022 The Open College (Version 10)

Case Study Four

Annie Smith is an 84-year-old lady who still very much enjoys the activities of daily living. Annie has
cognitive impairment and mobilises with the aid of a rollator; she also has arthritis and wears a hearing
aid in her right ear. Annie has a regular diet and fluids and has a good appetite. Annie takes a lot of
pride in her appearance and likes to wear nice clothes and to have her hair done. Annie is a widow;
she has no children but has led a very full and active life and was very engaged in social activities
throughout her life. Annie lived on her own for a number of years upon the death of her husband and
attended a day centre which she enjoyed greatly. It was noticed by the staff in the day centre and her
home care team that Annie was becoming more forgetful and confused and was leaving her home
and forgetting how to return. The difficulty in maintaining her safety in the home was one of the main
reasons that Annie entered the nursing home.

Additional guidelines for Skills Demonstration

The below Structure must be followed for each Skills Demonstration report & specific points to be
addressed.

Title of Activity_______________

❖ Client Profile: {in this section provide details on the following: name, age, illness / disability,
level of independence}

❖ Rational for the chosen activity: {why did you choose this activity and how would you or did
you involve the client in the decision-making process}

❖ Preparation of the activity: {for example: materials, time, venue, transport etc. and discussion

with supervisor/person in charge}

❖ Communication: {what communication techniques are used to meet the needs of the client,

such as verbal, non-verbal skills and written}

❖ Health and Safety: {in this section address safety measures and infection control that must be

implemented and give rationale}

❖ Implementation of the Activity: {in this section outline from start to finish the activity itself,

you can do this in steps e.g., step 1, 2, 3 and so on. It is important to place emphasis on good

client care, support provided, promotion of independence and interaction, client feedback}

❖ Reflection: {in this section reflect on the benefits of activity for the client and outline future

recommendations to promote recreational activities}

Copyright © 2022 The Open College (Version 10)

Specific Guidelines & Important Information

1. Word Count: 500-600 words per Skills report (+/-10%).

2. Your skill reports must be written in first person only.

3. Write in past tense if based on past experiences from placement / working with family

member.

4. Write in future tense if based on the case study provided.

5. In your reports it is important to emphasize good client care, addressing how client’s privacy,

dignity, independence, empathy, respect and positive self-image of clients would be

promoted and maintained during the activity.

6. Ensure reports are structured using the headings above.

7. Reports do not require research information or supportive references.

For final presentation of your work please ensure:

• Accuracy of information supplied.

• Written in correct context and professional.

• Correct structure applied.

• Quality of Presentation

• Grammatical correctness and proper spelling

• Professional vocational language is used.

Your work must also protect the anonymity of the client and organisation, thus all names must be
changed. This must be stated clearly in your work.

Please note: if you do go over your word count deduction will be at tutor discretion, based on the
relevance of the information submitted.

Where applicable, in the skill report work can be supported with images of
activities/material/equipment/ environment BUT NO IMAGES OF CLIENT CAN BE SUBMITTED.

Please note failure to adhere to all of the above, may result in deduction of marks.

Any results issued are provisional and subject to confirmation from the QQI External Authenticator.

see below

see below

Module 1 week 2 scenario

 

Scenario: 

  • A 49-year-old patient with rheumatoid arthritis comes into the clinic with a chief complaint of a fever.
  • Patient’s current medications include atorvastatin 40 mg at night, methotrexate 10 mg po every Friday morning and prednisone 5 mg po qam.
  • He states that he has had a fever up to 101 degrees F for about a week and admits to chills and sweats.
  • He says he has had more fatigue than usual and reports some chest pain associated with coughing.
  • He admits to having occasional episodes of hemoptysis.
  • He works as a grain inspector at a large farm cooperative.
  • After extensive work-up, the patient was diagnosed with Invasive aspergillosis.

The Assignment

(1- to 2-page case study analysis-this does not include title page and reference page)

Develop a 1- to 2-page case study analysis in which you:

  • Explain why you think the patient presented the symptoms described. (Not a trick question but reflective of a patient on immunosuppressive drugs and a high-risk employment for exposure to Aspergillosis)
  • Identify the genes that may be associated with the development of the disease.
  • Explain the process of immunosuppression and the effect it has on body systems.

Developing answers to these 3 questions, each question 1-2 paragraphs will bring you to the 2-page expected limit. 3 pages will not lose points but learning to synthesize points, provide current references (submissions like this would earn 3 primary references) and citations will garner full credit.

Reminder: Include a title page, introduction, summary, and references, done in APA format. Keep references current, 5 yr. from publication please and from primary references (# references to support your points for full credit) like classroom textbook, peer-reviewed journals. 

Capstone PowerPoint Poster Presentation

– Present a revised Capstone from the one (ATTACHED).

-Use the template I have provided for you. ( ATTACHED)

– DUE DATE OCTOBER 16, 2023 NO LATER THIS IS THE LAST DAY OF THIS CLASS, CANT BE LATE

-NO PLAGIARISM MORE TAN 10 %

Assigment .Apa seven . All instructions attached.

Writing Essay Assignment Week 1

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Weekly Essay/Writing Assignment Content

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This week's writing assignment will consist of the following: Select a particular area of nursing that is of interest to you and write a 
short essay of at least 2 to 3 pages about the specifics of nursing research in relation to this area, what can be accomplished by it, and why you believe it to be valuable. Include an explanation of the following questions in your response. 

• What role does nursing research play in the development of applied medicine?

• What are the best methods for conducting such research? Include specific topics you will cover and how this relates to your literature review. You may need to use the Internet for help.

Please review the Assignment Rubric. All students are encouraged to visit the library as you must conduct research from EBP practice journals and research studies. 

 CRITERIA

 OUTSTANDING

 VERY GOOD

 GOOD

 UNACCEPTABLE

 Integration of Knowledge

 

 

25% of the total grade

 
100%

The paper demonstrates that the author understands and has applied concepts learned in the course. Concepts are integrated into the writer’s own insights. The writer provides concluding remarks that show analysis and synthesis of ideas.

Page requirements are met.

 
80%

The paper demonstrates that the author, mostly, understands and has applied concepts learned in the course. Some conclusions, however, are not supported in the body of the paper.

The page requirement is one page below the required amount.

 
60%

The paper demonstrates that the author, to a certain extent, understands and has applied concepts learned in the course.

The page requirement is two pages below the required amount.

 
40%

The paper does not demonstrate that the author has understood, and applied concepts learned in the course.

The page requirement is more than two pages below the required amount.

  
Topic Focus

 

25% of the total Grade

 
100%

The topic is focused narrowly enough for the scope of this assignment. A thesis statement provides direction for the paper, either by a statement of a position or hypothesis. The topic is consistently well thought out, thorough offers insight into the topic, and includes cited evidence to support the topic.

 

 
80%

The topic is focused but lacks direction. The paper is about a specific topic, but the writer has not established a position. The topic is somewhat well thought out, offers limited insight into the topic, but does not include cited evidence to support the topic.

 
60%

The topic is too broad for the scope of this assignment.

 
40%

The topic is unclear or unrelated to the discussion topic with little or no supporting evidence.

  
Depth of Discussion and Cohesiveness

25% of the total grade

 
100%

In-depth discussion and elaboration in all sections of the paper.

Ties together information from all sources. Paper flows from one issue to the next with no headings. The author’s writing demonstrates an understanding of the relationship among material obtained from all sources Mostly, it ties together information from all sources.

 80%

In-depth discussion and elaboration in most sections of the paper.

Mostly, it ties together information from all sources. Paper flows with only some disjointedness. The author’s writing demonstrates an understanding of the relationship among material obtained from all sources.

 60
%

The writer has omitted content. Quotations from others outweigh the writer’s own ideas excessively.

Sometimes ties together information from all sources. The paper does not flow. Disjointedness is apparent. The author’s writing does not demonstrate an understanding of the relationship between material obtained from all sources.

 
40%

Cursory discussion in all the sections of the paper or brief discussion in only a few sections

  It does not tie together information. Paper does not flow and appears to be created from disparate issues. Headings are necessary to link concepts. Writing does not demonstrate an understanding any relationship

  

  
Spelling and Grammar

12% of the total grade

 
100%

Fewer than 5 grammatical, spelling, capitalization, or punctuation errors

The required word count has been met.

 
80%

More than 5 but fewer than 10 grammatical, spelling, capitalization & punctuation errors

The required word count is 25 words below the minimum required count.

 
60%

More than 10 grammatical, spelling, capitalization & punctuation errors

The required word count is 50 words below the minimum required count.

 
40%

An unacceptable number of spelling and/or grammar mistakes.

The required word count is more than 50 words below the minimum required count.

  
Sources

7% of the total grade

 
100%

4 current sources, of which at least 3 are peer-reviewed journal articles or scholarly books. Sources include both general background sources and specialized sources. Special-interest sources and popular literature and acknowledged as such if they are cited. All websites utilized are authoritative.

 
80%

3 current sources, of which at least 2 are peer-review journal articles or scholarly books. All websites utilized are authoritative.

 
60%

Fewer than 3 current sources or fewer than 2 of 3 are peer-reviewed journal articles or scholarly books. All websites utilized are credible.

 
40%

Fewer than 3 current sources or fewer than 2 of 3 are peer-reviewed journal articles or scholarly books. Not all websites utilized are credible, and/or sources are not current.

  
Citations

6% of the total grade

 

 
100%

Fewer than 5 incomplete citations and/or quotations, and APA format errors

 
80%

More than 5 but fewer than 10 incomplete citations and/or quotations, and APA format errors.

 
60%

More than 10 incomplete citations and/or quotations, or APA format errors.

 
40%

The citation style is inconsistent or incorrect. It does not cite sources.

  

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Assigment .Apa seven . All instructions attached.

Learning Activity Content

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Talking With Patients About Quitting Smoking

Because of the serious detrimental effects of smoking, education about quitting smoking is a priority for nursing interventions when caring for patients who smoke. Major organizations that emphasize the role of nurses in helping patients quit smoking include the American Nurses Association, the U.S. Department of Health and Human Services, and The Joint Commission on Accreditation of Healthcare Organizations. 

You have been charged with developing a Quick Facts Information Sheet on the Risks of E-cigarettes for Kids, Teens, and Young Adults.

You start with the following information below: what else do you believe would be important to include in your one page FLYER.

What Are E-cigarettes?

· E-cigarettes are electronic devices that heat a liquid and produce an aerosol, or mix of small particles in the air.

· E-cigarettes come in many shapes and sizes. Most have a battery, a heating element, and a place to hold a liquid.

· Some e-cigarettes look like regular cigarettes, cigars, or pipes. Some look like USB flash drives, pens, and other everyday items. Larger devices such as tank systems, or “mods,” do not look like other tobacco products.

· E-cigarettes are known by many different names. They are sometimes called “e-cigs,” “e-hookahs,” “mods,” “vape pens,” “vapes,” “tank systems,” and “electronic nicotine delivery systems (ENDS).”

· Using an e-cigarette is sometimes called “vaping.”

Images of a E-pipe, E-cigar, large-size tank devices, medium-size tank devices, rechargeable e-cigarette, and a disposable e-cigarette.

 

Create a flyer to use in a community out reach clinic with your teens and young adults.

Sample below:

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Case study: Family member with alzheimer's disease

Mark and Jacqueline have been married for 30 years. They have grown children who live in another state. Jacqueline’s mother has moved in with the couple because she has Alzheimer’s disease. Jacqueline is an only child and always promised her mother that she would care for her in her old age. Her mother is unaware of her surroundings and often calls out for her daughter Jackie when Jacqueline is in the room. Jacqueline reassures her mother that she is there to help, but to no avail. 

Jacqueline is unable to visit her children on holidays because she must attend to her mother’s daily needs. She is reluctant to visit friends or even go out to a movie because of her mother’s care needs or because she is too tired. Even though she has eliminated most leisure activities with Mark, Jacqueline goes to bed at night with many of her caregiving tasks unfinished. She tries to visit with her mother during the day, but her mother rejects any contact with her daughter. Planning for the upcoming holidays seems impossible to Mark, because of his wife’s inability to focus on anything except her mother’s care. 

Jacqueline has difficulty sleeping at night and is unable to discuss plans even a few days in advance. She is unable to visit friends and is reluctant to have friends visit because of the unpredictable behavior of her mother and her need to attend to the daily care. 

Reflective Questions 

1. How do you think this situation reflects Jacqueline’s sense of role performance? 

2. How do you think that Jacqueline may be contributing to her own health?

Please provide rationales for your answers. Please provide a citation for your answers.

presentation

 Next week presentation is intended to cover major cardiovascular diseases (CD). The distribution of the topics for the presentation is as follow: 

 Coronary Heart Disease
Anginas 

** Classification (if there is any)
Pathophysiology
Screening
Prevention
 

mental health

Psychiatric Diagnosis and DSM 5 Diagnostic Criteria

History of Present Psychiatric Illness

(Presenting signs & symptoms/ Previous Psychiatric Admission / Outpatient Mental Health Services)

CON
CEPT MAP

Pathophysiology – (to the cellular level)

Medical Diagnosis

Clinical Manifestations (all data subjective and objective: labs, radiology, all diagnostic studies) (What symptoms does your client present with?)

Complications

Treatment (Medical, medications, intervention and supportive)

Risk Factors (chemical, environmental, psychological, physiological and genetic)

Nursing Diagnosis

Problem statement: (NANDA)

Related to: (What is happening in the body to cause the issue?)

Manifested by: (Specific symptoms)

General Appearance

Presenting Appearance (nutritional status, physical deformities, hearing impaired, glasses, injuries, cane)
Basic Grooming and Hygiene (clean, disheveled and whether it is appropriate attire for the weather)

Gait and Motor Coordination (awkward, staggering, shuffling, rigid, trembling with intentional movement or at rest),
posture (slouched, erect),
any noticeable mannerisms or gestures

Level of Participation in the Program/Activity (Group attendance and milieu participation, exercise)

Manner and Approach

Interpersonal Characteristics and Approach to Evaluation (oppositional/resistant, submissive, defensive, open and friendly, candid and cooperative, showed subdued mistrust and hostility, excessive shyness)

Behavioral Approach (distant, indifferent, unconcerned, evasive, negative, irritable, depressive, anxious, sullen, angry, assaultive, exhibitionistic, seductive, frightened, alert, agitated, lethargic, needed minor/considerable reinforcement and soothing).
Coping and stress tolerance.

Speech (normal rate and volume, pressured, slow, loud, quiet, impoverished)

Expressive Language (no problems expressing self, circumstantial and tangential responses, difficulties finding words, echolalia, mumbling)

Receptive Language (normal, able to comprehend questions,

Orientation, Alertness, and Thought Process

Recall and Memory (recalls recent and past events in their personal history).
Recalls three words (e.g., Cadillac, zebra, and purple)
Orientation (person, place, time, presidents, your name)

Alertness (sleepy, alert, dull and uninterested, highly distractible)
Coherence (responses were coherent and easy to understand, simplistic and concrete, lacking in necessary detail, overly detailed and difficult to follow)

Concentration and Attention (naming the days of the week or months of the year in reverse order, spelling the word “world”, their own last name, or the ABC's backwards)

Thought Processes (loose associations, confabulations, flight of ideas, ideas of reference, illogical thinking, grandiosity, magical thinking, obsessions, perseveration, delusions, reports of experiences of depersonalization).
Values and belief system

Hallucinations and Delusions (presence, absence, denied visual but admitted olfactory and auditory, denied but showed signs of them during testing, denied except for times associated with the use of substances, denied while taking medications)

Judgment and Insight (based on explanations of what they did, what happened, and if they expected the outcome, good, poor, fair, strong)

Mood and Affect

Mood or how they feel most days (happy, sad, despondent, melancholic, euphoric, elevated, depressed, irritable, anxious, angry).
Affect or how they felt at a given moment (comments can include range of emotions such as broad, restricted, blunted, flat, inappropriate, labile, consistent with the content of the conversation.

Rapport (easy to establish, initially difficult but easier over time, difficult to establish, tenuous, easily upset)
Facial and Emotional Expressions (relaxed, tense, smiled, laughed, became insulting, yelled, happy, sad, alert, day-dreamy, angry, smiling, distrustful/suspicious, tearful, pessimistic, optimistic)

Response to Failure on Test Items (unaware, frustrated, anxious, obsessed, unaffected)
Impulsivity (poor, effected by substance use)
Anxiety (note level of anxiety, any behaviors that indicated anxiety, ways they handled it)

Lab

Range

Value

Reason Obtained

Risk Assessment:

Suicidal and Homicidal Ideation

(ideation but no plan or intent, clear/unclear plan but no intent) Self-Injurious Behavior (cutting, burning) Hypersexual, Elopement, Non-adherence to treatment

Discharge Plans and Instruction: Placement, outpatient treatment, partial hospitalization, sober living, board and care, shelter, long term care facility, 12 step program

Teaching Assessment and Client / Family Education:

(Disease process, medication, coping, relaxation, diet, exercise, hygiene) Include barriers to learning and preferred learning styles