discussion post

Resources: Flaherty, E., & Resnick, B. (Eds.). (2014). Geriatric nursing review syllabus: A core curriculum in advanced practice geriatric nursing (4th ed.). New York, NY: American Geriatrics Society.

Geriatric patients have many nutritional and hydration concerns that impact their health and ability to acquire sufficient nutrients. Advanced practice nurses evaluating these patients must be able to account for all barriers that prevent elders from obtaining adequate nutrition, including medical conditions, transportation, finances, physiologic changes, and functional abilities. When evaluating patients, it is important to consider how they eat, what their diet consists of, and whether they have any special dietary needs that are not being met. Assessment tools, such as the Lawton Instrumental Activities of Daily Living (IADL) Scale, are an integral part of this evaluation process as they help providers identify potential obstacles for patients. In this Discussion, you assess a patient at your current practicum site and consider strategies for improving any nutrition or hydration issues.

To prepare:

• Review this week’s media presentation, as well as Chapters 28 and 29 of the Flaherty and Resnick text.
• Assess a patient using tools for inpatient and long-term patient care, such as the Lawton IADL Scale.

Note: You should coordinate this opportunity with the Preceptor at your practicum site.

• Consider whether nutrition and/or hydration might be impacted by the patient’s functional abilities. Reflect on whether the patient is able to go out and get food to eat, cook meals, safely use the stove, etc.
• Consider the patient’s diet and whether they have any special dietary needs due to medical conditions, such as congestive heart failure, end-stage kidney disease, diabetes, oral health issues, etc. Reflect on whether or not the patient is attempting to compensate for a medical issue and thus creating a deficiency or excess in his or her diet.
• Based on your patient assessment, think about strategies for improving any nutrition issues that might have presented (e.g., nutritional supplements, community resources such as Meals on Wheels, referral to a nutritionist or dietician, etc.).

By Day 3

Post a description of the patient assessment you performed using a tool for inpatient and long-term patient care, such as the Lawton IADL Scale. Explain whether nutrition and/or hydration might be impacted by the patient’s functional abilities. Then, describe the patient’s diet and whether he or she has any special dietary needs due to medical conditions. Address whether or not the patient is attempting to compensate for a medical issue and thus creating a deficiency or excess in his or her diet. Finally, explain strategies for improving any nutrition issues that might present during the patient assessment.

**Please use at least to references and site within the paper in apa format

Literature Review Draft

LITERATURE REVIEW DRAFT

Details:

Empirical research is the foundation to scholarly research and scholarly writing. An empirical article is defined as one that reports actual results of a research study. An empirical article includes a description of the study, an introduction, a research question, an explanation of the study’s methodology, a presentation of the results of the study, and a conclusion that discusses the results and suggests topics for further study.

As you search the library for scholarly nursing research, you should limit your search to identify empirical articles. Upon finding an empirical study, you begin to assess the validity of the conclusion by determining if the conclusion answers the proposed research question and if the methodology is appropriate.

As you move forward in your academic journey, you will read research papers that will require you to assess the validity of the studies in question. To accomplish this, qualitative assessments about the research must be made by comparing, contrasting, and synthesizing what the research says.

In this assignment, you will continue to develop the skill of writing your Project’s Chapter 2 Literature Review, begun in your Topic 7 assignment in course 815, by comparing three research studies associated with your chosen topic. You may be able to expand on your work in this assignment when you begin your project paper. Minimal two scholarly nursing journals must be utilized.

General Requirements:

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

⢠APA style for writing assignments. The APA Style Guide is located in the Student Success Center.

â¢You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Directions:

Using the information from the completed “Expanded Comparison Matrix,” (this is used as a guideline for this assignment to help find empirical articles. I have attached an old assignment below with this matrix to help with this assignment) write a 1,000 word paper comparing the three studies. The paper should include the following sections:

1.Introduction

2.A comparison of the research questions posed for the studies

3.A comparison of the sample populations used

4.A comparison of the limitations of the study

5.A conclusion and recommendations for further research

Note

I have attached two document to help with this assignment. The first is a comparison matrix to help find empirical articles. Second is my topic for the past course. You need to know what the literature assignment was for the last class as this assignment goes off of that topic.

NURS 6053 Week 10 Assign Taking a Stand

Assignment: Application: Taking a Stand

Effective leaders have a high degree of self-awareness and know how to leverage their strengths in the workplace. Assessments are a valuable tool that professionals can use to learn more about themselves and consider how their temperament and preferences influence their interactions with others.

As you engage in this learning process, it is important to remember that everyone—regardless of temperament type or related preferences—experiences some challenges with regard to leadership. The key to success is being able to recognize and leverage your own strengths while honoring differences among your colleagues.

At some point in your leadership career, you will encounter an ethical or moral dilemma that requires you to take a stand and defend your position.

For this Assignment, you evaluate an issue and consider how you could act as a moral agent or advocate, facilitating the resolution of the issue for a positive outcome.

To prepare:

• Consider the examples of leadership demonstrated in this week’s media presentation and the other Learning Resources.
• To further your self-knowledge, you are required to complete the Kiersey Temperament as indicated in this week’s Learning Resources. Consider your leadership style, including your strengths for leading others and include your results from Kiersey Temperament Sorter to describe potential challenges related to your leadership style.
• Mentally survey your work environment, or one with which you are familiar, and identify a timely issue/dilemma that requires you to perform the leadership role of moral agent or advocate to improve a situation (e.g., speaking or acting on behalf of a vulnerable patient, the need for appropriate staffing, a colleague being treated unfairly).
• What ethical, moral, or legal skills, dispositions, and/or strategies would help you resolve this dilemma? Define the differences between ethical, moral, and legal leadership.
• Finally, consider the values and principles that guide the nursing profession; the organization’s mission, vision, and values; the leadership and management competencies addressed in this course; and your own values and reasons for entering the profession. What motivation do you see for taking a stand on an important issue even when it is difficult to do so?

To complete:

By Day 7

Write a 4 to 5 page paper (page count does not include title and reference page) that addresses the following:

• Introduce the conceptual frameworks of the ethical constructs of ethics, moral, or legal standards and the purpose of the paper.
• Consider  an ethical, moral, or legal dilemma that you have encountered in your work environment and describe it.
• Analyze the moral, ethical, and legal implications utilized in this situation. Describe your role as a moral agent or advocate for this specific issue.
• Consider your leadership styles identified by your self-assessment and determine if they act as a barrier or facilitation during this dilemma. 

The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. .

The patient is a 58-year woman diagnosed with Stage IIIB breast cancer which required a mastectomy, chemotherapy and radiation treatments. She has a variety of chronic illnesses, including hypertensio

The patient is a 58-year woman diagnosed with Stage IIIB breast cancer which required a mastectomy, chemotherapy and radiation treatments. She has a variety of chronic illnesses, including hypertension, diabetes and asthma. She is knowledgeable about her health and sees the doctor regularly to stay healthy.

She is very devout Catholic and grew up in a strongly devout family. Her church family is very important to her. Her mother and siblings live out of state. All of her family prays regularly for her along with their church and friends.

The patient was very sick as a child requiring frequent hospitalizations. Although her parents were repeatedly told that the patient would soon die from pneumonia, she always pulled through. This caused her family to note her strong-willed nature as a child. Her family nick name was “the happy child” because she was known for her cheerful, optimistic nature despite her frequent illnesses.

She has been married for 36 years. Her husband is very supportive. She has 2 grown sons who live about 4 hours away. Neither son is married.  Her best friend is a local nursing instructor. The friend has taken her back and forth for most of her treatments because her husband cannot get time off. Her co-workers are very supportive and assisted with money and food during chemotherapy. She has been a teacher in the community for 20 years. Her former students created a face book page to keep up with her progress and regularly send her encouragement.

1. Describe the patient’s world view. 

2. Explain the concept of affiliated-individuation. 

3. Explain the concepts of self-care, self-care knowledge, self-care resources, and self-care action. 

a, self-care-

b. self-care knowledge –

c. self-care resources –

d. self-care action –

4. What is APAM in MRM theory? 

a. What does it mean? 

b. Describe her adaptation potential. .

c. What was the stressor?

d. What was the arousal response?

e. What happened with the arousal? 

5. Identify one way the nurse can role-model for this patient. 

6. Using the patient in the scenario, discuss at least one nursing intervention for each of the MRM Five Aims of Interventions.  

a. Build trust

b. Promote Positive Orientation

c. Promote Perceived Control

d. Affirm and Promote Positive Strengths

e. Set Mutual Health Promotion Goals

Respond in a positive way(positive comment),  to the post bellow, using one or more of the following approaches:Ask a probing question, substantiated with additional background information, and evid

Respond in a positive way(positive comment),  to the post bellow, using one or more of the following approaches:

Ask a probing question, substantiated with additional background information, and evidence.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from  the classroom or from your own review of the literature in the Walden  Library.

Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.

                                           Initial Post

The  research study’s focus was on the interventions to improve medication  adherence in people with multiple chronic conditions.  The population of  the study consisted of people over 70 years of age and having 3-4  chronic conditions.  A well-defined PICOT question helps to identify the  best available evidence to influence treatment (Echevarria, 2014).  The  PICOT question (P) The research study addressed medication adherence of  individual over the age of 70, (I) research involving eight studies  related to medication nonadherence, (C) Identified effective  interventions to improve medication adherence, and (O) evidence-based  treatment that assists in medication adherence would delay disease  progression.  

Design

             The design was a systematic review model by Cochrane Collaboration to  search, retrieve and appraise the quality and synthesis of the finding  of the RCT’s.  Out of the 248 abstracts only 97 were selected to be used  in full test and after an independent review by two separate reviewers,  only eight were chosen.  According to Polit, The Consort Checklist was  used to obtain the highest scores that could be used to generalize  results to similar groups.  “Consolidated Standards of Reporting Trials)  for reporting information for a randomized controlled trial, including a  checklist and flowchart for tracking participants through the trial,  from recruitment through data analysis.” (p. 723). The researchers used  the Intervention Group, Control Group, and Randomized Control Trials to  come up with the results.  

Results

             The researchers came to their conclusion after conducting a quality  assessment of the randomized, control trials examining medication  adherence using the CONSORT Group.  The research study did identify  weaknesses in the study. Several RTC’s had methodological problems, did  not identify all medical conditions, explanation of interventions used  (William, 2008).  

Alternate Conclusion

             There was a wealth of data in this research study that could be used to  explore several different issues related to medication adherence.   Researchers could have drawn a conclusion based on the data they  identified, what chronic conditions are individual most like or less  likely to be compliant with their medications.  They did find that  further research is needed on this subject.

References

Echevarria, I. &. (2014, February). To make your case, start with a PICOT question.  Retrieved from OVID:  https://ovidsp-tx-ovid-com.ezp.waldenulibrary.org/sp-3.33.0b/ovidweb.cgi?WebLinkFrameset=1&S=NAAIFPMHKIDDHDBONCDKIAJCHHLHAA00&returnUrl=ovidweb.cgi%3f%26Titles%3dS.sh.22%257c1%257c10%26FORMAT%3dtitle%26FIELDS%3dTITLES%26S%3dNAAIFPMHKIDDHDBONCDKIAJCHHLHAA0

Polit, D. F. (2017). Nursing Research: Generating and Assessing Evidence for Nursing Practice. Philadelphia: Wolters Kluwer Health.

William, A. M. (2008, July 4). Intervention to improve medication adherence in people with multiple chronic conditions: a systematic review.  Retrieved from Wiley Library Online: Retrieved From:  https://onlinelibrary-wiley-com.ezp.waldenulibrary.org/doi/full/10.1111/j.1365-2648.2008.04656.x