In this written assignment, you have the opportunity to share your thoughts about how to deliver client-centered culturally competent care and work collaboratively with others.

 

The Case of Mrs. G.

 

Mrs. G. is a 75 year old Hispanic woman who has been relatively well all of her life. She had been married for 50 years and had five children. Her children are grown with families of their own. All but one of her children live in other states. Mrs. G.’s husband passed away last year, which was devastating for her. She had been very close to him and relied upon him for everything. He was “the life of the party” she always said and was a loving and caring man. Since his passing, Mrs. G. has continued to live in the house they shared for 35 years. In the last month, Mrs. G. has fallen twice sustaining injuries, though minimal. Her home health nurse comes weekly to check in on her. Mrs. G. likes her very much and wishes she could come more often. Mrs. G.’s daughter who lives in the next town over, has been worried and decided with the urging of her siblings and the doctor to start looking for an assisted living facility for her mother. She found one last week and talked with the Director who said she would be happy to help in whatever way was best. The daughter decided to tell her mother that it was time for her to move, so she can be cared for and be safe. When she told her mother, Mrs. G. cried and said, “This will not happen ever. I plan to stay in this house of loving memories for the remainder of my life.” Nursing homework help

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In 3 – 4 pages answer the following questions:

 

1. How would you best describe Mrs. G.’s feelings about her life, her family, her traditions, and her future?
2. Did Mrs. G.’s response to her daughter surprise you? Please explain your answer.
3. In what way do you believe her culture might be influencing her decision?
4. If you were Mrs. G.’s daughter what would you say to her that shows you are caring and have compassion for her situation? What nonverbal communication would support that level of communication?
5. Suppose Mrs. G. stands firm about not leaving her house. What resources and collaborations might be available and helpful so the daughter and other healthcare providers can keep her mother safe and make the most effective decision?

 

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates. Nursing homework help

 

Module 08 Written Assignment – Asthma Case Study

Purpose of Assignment:

This assignment will help the student evaluate of a respiratory disorder, which, if untreated, can be a serious condition. Students need to understand respiratory complications and how it can impact ventilation and respiration is important to the study for maintaining homeostasis in the body.

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Course Competency(s):

• Evaluate pathophysiologic alterations that affect the neurologic and respiratory systems. Module 08 Written Assignment – Asthma Case Study

Content:

J.S. is a 42-year-old man who lives in the Midwest and is highly allergic to dust and pollen and has a history of mild asthma. J.S’s wife drove him to the emergency room when his wheezing was unresponsive to his fluticasone/salmeterol (Advair) inhaler. J.S. was unable to lie down, and began to use accessory muscles to breathe. J.S. is immediately started on 4 L oxygen by nasal cannula and intravenous (IV) D5W at 75 mL/hr. A set of arterial blood gases is sent to the laboratory. J.S. appears anxious and says that he is short of breath.

Vital signs

BP = 152/84                        HR = 124 bpm                    RR = 42                 Temp = 100.4⁰F

ABGs

pH = 7.31                             PaCO₂ = 48                          HCO₃ = 26            PaO₂ = 55

Instructions:

Investigate the pathophysiology of asthma and the clinical manifestations of the disease. Analyze the case study provided and determine what symptoms support the diagnosis of asthma. Identify the treatment provided in the emergency department and determine what additional therapies are needed to mitigate the asthma symptoms and return the client to wellness.

1. Do you have any concerns with the numbers above?
2. Identify what may be causing (etiology) J.S. to have an exacerbation of asthma.

 

Prepare a 3-5 page paper outlining the causes of asthma, the symptoms that the client presents and the management of the disorder. Use at least one scholarly source to support your findings. Examples of scholarly sources include academic journals, textbooks, reference texts, and CINAHL nursing guides.  Be sure to cite your sources in-text and on a References page using APA format.

You can find useful reference materials for this assignment in the School of Nursing guide: https://guides.rasmussen.edu/nursing/referenceebooks

Have questions about APA? Visit the online APA guide: https://guides.rasmussen.edu/apa Module 08 Written Assignment – Asthma Case Study

Healthcare Payment System

Mental Health Clinical Assignment

Homework: Observation of a Virtual OPEN AA/NA or any support group meeting, due Monday at 1700

Use the following link to find a virtual AA meeting that fits your schedule. Remember to only attend an OPEN meeting that is not for members only. You can also google search any other support group that interests you.

https://aa-intergroup.org/oiaa/meetings/?types=Open

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Support Group Reflection Journal: Answer the following questions in a Word Document

• What type of meeting did you attend? Which day and time?
• What did you discover that you did not know about the support group?
• What did you learn about the group you attended and how do you feel about it?
• How is this experience helping you learn about nursing care of people with mental health challenges?
• Describe something you saw that troubled you and how do you think it could have been handled?
• Was there something you noticed that will impact on your nursing career? Describe.

NOTE PLEASE:  Please attend 2 additional virtual or in-person support group meetings to  get more observational clinical hours for mental health. You attended  an AA meeting already, but if you would like to attend another AA  meeting or perhaps a NA, narcotics anonymous meeting this time this is  fine. There are other community support groups too that you could  attend, such as gambler’s anonymous, over-eaters anonymous. You can  decide, but please observe 2 support groups before week 10 and write a reflective journal on your observations and what you learned about the two experiences.  Mental Health Clinical Assignment

NSG 505 Assignment 2

Policy Brief and Advocacy Letter Assignment

Building on the topic the student used for the first assignment, this assignment will require the student to write a one-page policy brief and advocacy letter to be sent to their legislator. This assignment will be worth 40% of the cumulative grade.

A policy brief is used to convince the target audience of the urgency of the current problem or policy concern and present the need to adopt the preferred alternative or course of action outlined. It is commonly produced in response to a request directly from a decision-maker (legislator) or within an organization that intends to advocate for the position detailed in the brief.

Efficient policy briefs include several common features. Those features include:

• The brief is focused. All aspects discussed are focused on achieving the intended audience to take the requested action.
• The brief is professional and not academic. The usual audience is not interested in research or analysis conducted to produce the evidence. Rather they are interested in knowing the writer’s perspective on the problem and potential solutions, based on NEW and convincing evidence.
• The brief should be evidence-based. The policy brief serves as a communication tool produced by someone with a vested interest in the policy (stakeholder), therefore the target audience will only be convinced by arguments that are supported by evidence. NSG 505 Assignment 2
• The brief should also be concise. One page documents are the ones most likely to be read by busy lawmakers and their legislative teams.
  The format of the brief should be written as a one-page single spaced document. It does not need to include a title page, running header, or abstract. However, all references in-text and the reference list MUST be in APA format.
  The policy brief should include the following components:
• An interesting title to attract the attention of the reader.
• A clear and concise statement of the problem or issue.
• A short overview of the root causes of the problem or issue.
• One to two recommendations with a least two rationales with
  supporting evidence to validate the recommendations made. Evidence should come from scholarly journals, not textbooks or

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NSG505AdvLetter.PolicyBrief

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organization web sites. Three scholarly journal articles are required

to be used.
• Finally, the conclusion with a summary of the action the brief is

requesting.

An advocacy letter is a way to influence the ideas and views of legislators or decision makers within an organization. It allows the writer to maintain contact with the legislator or decision maker, to keep the issue high on the priority list when the writer cannot meet with them personally.

The format of the advocacy letter should be written in a standard letter format. Proper title and language should be used. It should not be more than two pages long, as to increase the chances that the letter will be read by the legislator, his or her staff or decision maker. Letters maybe mailed or sent electronically.

The advocacy letter should contain the following components:

• Addressing the Letter – If the letter is concerning a Federal or State Bill or issue, it should be addressed to the Member of Congress or State Legislator who represents the student or if the issue is more local, it should be addressed to the decision makers who would be most concerned with the issue. Use the correct salutation.
• Introduction – Introduce yourself and offer a concise statement about the reason for the advocacy letter. If discussing a specific legislative bill, include the bill number. NSG 505 Assignment 2
• Health Policy Issue – In one to two paragraphs, accurately describe the issues raised, provide a clear position in favor of or opposed to, and offer specific examples of your concerns. Personal stories work well here.
• Legislative or Advocacy Recommendations – Directly ask for the action you are requesting. State why your position is important to that person and the constituents he or she is associated with.
• Closing – Develop a closing statement and provide your contact information for any follow-up questions or to act as a resource for further information.
  You can find examples of each of these in your book. Once your advocacy letter and policy brief has been reviewed by the faculty member, we encourage you to send it to the person whom your letter is addressed.

NSG505AdvLetter.PolicyBrief

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Components of the Policy Brief
Title and Statement of the Problem – The policy brief has an interesting title and the statement of the problem is clear and concise.
Root Causes – The root causes of the issue are addressed.
Recommendations – 1-2 recommendations for action are provided with solid supporting evidence.
Conclusion – Brief summary of the action the policy brief is asking for.

Components of the Advocacy Letter
Addressing the letter – The letter should be addressed to the appropriate person, who can best address the advocacy issue. Use the correct salutation.
Introduction – Introduce yourself; offer a concise statement about the reason for the letter. Include bill number if addressing a specific legislative issue.

Legislative or Advocacy Recommendations – Directly ask for the action you are requesting. Give examples of why is should be important to this person.
Closing – Develop a closing statement and provide your contact information for follow-up contact or request for further information.

References – One a separate page, in APA format, list the scholarly references used.

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Health Policy Issue – Accurately and concisely describes the issue raised and provides a clear position (in favor or opposed) and offers a personal story or example concerning the issue. NSG 505 Assignment 2