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Topic 5 DQ 1

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Topic 5 DQ 1

Discuss how evidence-based practice is applied in your practice setting and describe the desired patient outcome achieved through this approach.

– answer question using from 100-150 words , 1-2 references.

Thank you.

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Topic 5 DQ 1

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Topic 5 DQ 1

Please write a paragraph with your opinion based on the text bellow. Please include citations and references in case you need to used for the question.

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The transition from being cared for to being a caregiver is never easy and most often this is done this as a last resort. Most families, even when they know it may be in the best interest of the parent, is done by the parent’s resistance changing roles. Some of it is done quickly if the parent was admitted to the hospital and is deemed not a safe discharge. Most often than not the conversation was not made prior to the parent is now having to care for the parent. The child often does not want to have that dialog because the thought of the parent no longer in that role can be painful and a grieving process may have to occur by the adult child. Unlike when the child leaves the nest in marriage the community celebrates, but when the parent has to be cared for by the adult child they sometimes become insolated by the community. Resources and information are not always readily available so the adult child can become overwhelmed with the transition. The added pressure of also having school-age children means the parents will have to divide their time between caring for their children and the adult parent. They must coordinate that both care for appropriately making sure the children do not resent the grandparent in the home. The spouse of the caregiver will also be impacted by the new family dynamics. The family should seek support in the family and community to ensure they preserve their health while coming for their parent and family. The children could also aid in caring for the grandparent if it small tasks as it will teach them cultural and family awareness on the aging process.

References

Administration of Community Living last modified on 11/06/17Agingingcarefl.org/stage-one-getting-started, copyright2013 AREA Agency on Aging of Pasco & Pinellas. Inc 2013 Area Agency on Aging of Pasco & Pinellas, Inc Rentfro, A. R. (2014). Health Promotion Throughout the Life Span(8th ed.). St. Louis, MO: Mosby

Tags: nursing topic

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Topic 5 DQ 1

/in /by

Topic 5 DQ 1

Please write a paragraph with your opinion based on the text bellow. Please include citations and references in case you need to used for the question.

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In the United States, giving care to an aged parent is the commonest type of informal caregiving arrangement. Available data shows that almost 24 million families are involved with this. (Views on Aging, n.d). Caring for an aged parent can be so challenging that if not handled appropriately, it may lead to serious psychiatric concerns like mental stress, depression or even suicide for the caregiver.(Kikuzawa, 2016). This student believes that caregiver burnout and stress may be triggered by factors ranging from assisting a chronically ill family member with Activities of Daily Living (ADL) to dealing with a drastic change in the day to day activities of the caregiver. In the case under review, Susie and her entire nuclear family are about to experience a big change occasioned by the enormous responsibility of caring for Mrs. Jones, her mother.

The nurse caring for Susie’s family must evaluate the attitude of the entire family to healthcare and the promotion of health. The nurse must also ensure that his or her life or way of rendering care would provide a practical example for the entire Susie family. The nurse must in conjunction with Susie’s family, seek to improve identified deficiencies in the healthcare practices of the family. The nurse must help the family to take healthcare decisions which protect the development and welfare of the patient. The nurse must when practicable, be a veritable part of the family decision-making process. The nurse should endeavor to provide feedback to the family in order to reinforce safe and positive healthcare decisions. The nurse should provide necessary resources including but not limited to materials on disease prevention to protect Mrs. Jones and other family members. Finally, the nurse should also act as an intercessor between Susie’s family and other healthcare professionals. (Edelman, Kudzma & Mandle, 2014)

Health education is the most important intervention which can enhance health promotion for Susie’s family. Health education in this instance should include the expected role reversal between Susie and Mrs. Jones and its ramifications for not just Susie and Mrs. Jones but other members of their family as well. The envisaged education in this instance will prepare Susie and other family members for the mental challenge of taking care of a sick and incapacitated family member. This will in turn, minimize caregiver stress and burnout. Incorporating other members of Susie’s family into the education process will also enable the nurse teach each family member ways in which the presence of Mrs. Jones in the family may affect such member. It will enable family members to voice and address any concerns. The nurse must teach Susie and other family members to as much as possible, involve Mrs. Jones in the decision-making process of her care. Mrs. Jones should be allowed as much independence as practicable in the circumstance. It has been suggested that involving the patient in decision making processes of such patient’s care and encouraging patient autonomy results in better outcomes for the patient. (Baas, 2012). Teaching Susie and other family members will enable them acquire skills like medication administration, repositioning Mrs. Jones to avoid pressure sores, giving Mrs. Jones bed baths when necessary and other nursing skills

The family structural theory is concerned with family composition and make up. It is also concerned with the relationship among the members of the family in contrast with the relationship with individuals outside the family. (Mantelo Cecilio, Sturião dos Santos & Silva Marcon, 2014.) The nurse can use the structural theory by seeking to involve family members who are closest to Mrs. Jones in her direct care. This is because it has been suggested that one of the ways of preserving an aged family member’s dignity and trust is by putting her direct care into the hands of family members with whom the patient shares the closest relationship.( (Mantelo Cecilio, Sturião dos Santos & Silva Marcon, 2014.)

On the other hand, the developmental theory focuses on the development through several stages by members of a family and the transition which occurs with such development. (Edelman, Kudzma & Mandle, 2014). Using this theory, the nurse may decide to apportion roles in the care of the patient based on the developmental stages of family members. Younger members of Susie’s family who have no stable means of income or jobs may get more roles in the care of Mrs. Jones. As they grow and transition into bigger responsibilities, the roles of such family members may mutate in accordance with their transition.

References

Baas, L. S. (2012). Patient- and family-centered care. Heart & Lung: The Journal of Acute and Critical Care, 41(6), 534-535.

Edelman, C., Kudzma, E., Mandle, C. (2014). Health promotion throughout the life span, 8th Edition. 174, retrieved from https://pageburstls.elsevier.com/#/books/978-0-323-09141-1/

Kikuzawa, S. (2016). Social Support and the Mental Health of Family Caregivers: Sons and Daughters Caring for Aging Parents in Japan. International Journal of Japanese Sociology, 25(1),

Mantelo Cecilio, H. P., Sturião dos Santos, K., & Silva Marcon, S. (2014). Calgary model of family assessment: Experience in a community service project. Cogitare Enfermagem, 19(3), 493-501

Views on Aging: How Caring for an Aging Parent Influences Adult Daughters’ Perspectives on Later Life. (n.d). Journal of Adult Development 20(1), 46-56.

Topic 5 DQ 1

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Topic 5 DQ 1

Please write a paragraph with your opinion based on the text bellow. Please include citations and references in case you need to used for the question.

ORDER A PLAGIARISM FREE PAPER NOW

In the United States, giving care to an aged parent is the commonest type of informal caregiving arrangement. Available data shows that almost 24 million families are involved with this. (Views on Aging, n.d). Caring for an aged parent can be so challenging that if not handled appropriately, it may lead to serious psychiatric concerns like mental stress, depression or even suicide for the caregiver.(Kikuzawa, 2016). This student believes that caregiver burnout and stress may be triggered by factors ranging from assisting a chronically ill family member with Activities of Daily Living (ADL) to dealing with a drastic change in the day to day activities of the caregiver. In the case under review, Susie and her entire nuclear family are about to experience a big change occasioned by the enormous responsibility of caring for Mrs. Jones, her mother.

The nurse caring for Susie’s family must evaluate the attitude of the entire family to healthcare and the promotion of health. The nurse must also ensure that his or her life or way of rendering care would provide a practical example for the entire Susie family. The nurse must in conjunction with Susie’s family, seek to improve identified deficiencies in the healthcare practices of the family. The nurse must help the family to take healthcare decisions which protect the development and welfare of the patient. The nurse must when practicable, be a veritable part of the family decision-making process. The nurse should endeavor to provide feedback to the family in order to reinforce safe and positive healthcare decisions. The nurse should provide necessary resources including but not limited to materials on disease prevention to protect Mrs. Jones and other family members. Finally, the nurse should also act as an intercessor between Susie’s family and other healthcare professionals. (Edelman, Kudzma & Mandle, 2014)

Health education is the most important intervention which can enhance health promotion for Susie’s family. Health education in this instance should include the expected role reversal between Susie and Mrs. Jones and its ramifications for not just Susie and Mrs. Jones but other members of their family as well. The envisaged education in this instance will prepare Susie and other family members for the mental challenge of taking care of a sick and incapacitated family member. This will in turn, minimize caregiver stress and burnout. Incorporating other members of Susie’s family into the education process will also enable the nurse teach each family member ways in which the presence of Mrs. Jones in the family may affect such member. It will enable family members to voice and address any concerns. The nurse must teach Susie and other family members to as much as possible, involve Mrs. Jones in the decision-making process of her care. Mrs. Jones should be allowed as much independence as practicable in the circumstance. It has been suggested that involving the patient in decision making processes of such patient’s care and encouraging patient autonomy results in better outcomes for the patient. (Baas, 2012). Teaching Susie and other family members will enable them acquire skills like medication administration, repositioning Mrs. Jones to avoid pressure sores, giving Mrs. Jones bed baths when necessary and other nursing skills

The family structural theory is concerned with family composition and make up. It is also concerned with the relationship among the members of the family in contrast with the relationship with individuals outside the family. (Mantelo Cecilio, Sturião dos Santos & Silva Marcon, 2014.) The nurse can use the structural theory by seeking to involve family members who are closest to Mrs. Jones in her direct care. This is because it has been suggested that one of the ways of preserving an aged family member’s dignity and trust is by putting her direct care into the hands of family members with whom the patient shares the closest relationship.( (Mantelo Cecilio, Sturião dos Santos & Silva Marcon, 2014.)

On the other hand, the developmental theory focuses on the development through several stages by members of a family and the transition which occurs with such development. (Edelman, Kudzma & Mandle, 2014). Using this theory, the nurse may decide to apportion roles in the care of the patient based on the developmental stages of family members. Younger members of Susie’s family who have no stable means of income or jobs may get more roles in the care of Mrs. Jones. As they grow and transition into bigger responsibilities, the roles of such family members may mutate in accordance with their transition.

References

Baas, L. S. (2012). Patient- and family-centered care. Heart & Lung: The Journal of Acute and Critical Care, 41(6), 534-535.

Edelman, C., Kudzma, E., Mandle, C. (2014). Health promotion throughout the life span, 8th Edition. 174, retrieved from https://pageburstls.elsevier.com/#/books/978-0-323-09141-1/

Kikuzawa, S. (2016). Social Support and the Mental Health of Family Caregivers: Sons and Daughters Caring for Aging Parents in Japan. International Journal of Japanese Sociology, 25(1),

Mantelo Cecilio, H. P., Sturião dos Santos, K., & Silva Marcon, S. (2014). Calgary model of family assessment: Experience in a community service project. Cogitare Enfermagem, 19(3), 493-501

Views on Aging: How Caring for an Aging Parent Influences Adult Daughters’ Perspectives on Later Life. (n.d). Journal of Adult Development 20(1), 46-56.

Tags: nursing topic

Topic 5 DQ 1

/in /by

Topic 5 DQ 1

Please write a paragraph with your opinion based on the text bellow. Please include citations and references in case you need to used for the question.

ORDER A PLAGIARISM FREE PAPER NOW

The transition from being cared for to being a caregiver is never easy and most often this is done this as a last resort. Most families, even when they know it may be in the best interest of the parent, is done by the parent’s resistance changing roles. Some of it is done quickly if the parent was admitted to the hospital and is deemed not a safe discharge. Most often than not the conversation was not made prior to the parent is now having to care for the parent. The child often does not want to have that dialog because the thought of the parent no longer in that role can be painful and a grieving process may have to occur by the adult child. Unlike when the child leaves the nest in marriage the community celebrates, but when the parent has to be cared for by the adult child they sometimes become insolated by the community. Resources and information are not always readily available so the adult child can become overwhelmed with the transition. The added pressure of also having school-age children means the parents will have to divide their time between caring for their children and the adult parent. They must coordinate that both care for appropriately making sure the children do not resent the grandparent in the home. The spouse of the caregiver will also be impacted by the new family dynamics. The family should seek support in the family and community to ensure they preserve their health while coming for their parent and family. The children could also aid in caring for the grandparent if it small tasks as it will teach them cultural and family awareness on the aging process.

References

Administration of Community Living last modified on 11/06/17Agingingcarefl.org/stage-one-getting-started, copyright2013 AREA Agency on Aging of Pasco & Pinellas. Inc 2013 Area Agency on Aging of Pasco & Pinellas, Inc Rentfro, A. R. (2014). Health Promotion Throughout the Life Span(8th ed.). St. Louis, MO: Mosby

Topic 5 DQ 1

/in /by

Topic 5 DQ 1

Please write a paragraph with your opinion based on the text bellow. Please include citations and references in case you need to used for the question.

ORDER A PLAGIARISM FREE PAPER NOW

In the United States, giving care to an aged parent is the commonest type of informal caregiving arrangement. Available data shows that almost 24 million families are involved with this. (Views on Aging, n.d). Caring for an aged parent can be so challenging that if not handled appropriately, it may lead to serious psychiatric concerns like mental stress, depression or even suicide for the caregiver.(Kikuzawa, 2016). This student believes that caregiver burnout and stress may be triggered by factors ranging from assisting a chronically ill family member with Activities of Daily Living (ADL) to dealing with a drastic change in the day to day activities of the caregiver. In the case under review, Susie and her entire nuclear family are about to experience a big change occasioned by the enormous responsibility of caring for Mrs. Jones, her mother.

The nurse caring for Susie’s family must evaluate the attitude of the entire family to healthcare and the promotion of health. The nurse must also ensure that his or her life or way of rendering care would provide a practical example for the entire Susie family. The nurse must in conjunction with Susie’s family, seek to improve identified deficiencies in the healthcare practices of the family. The nurse must help the family to take healthcare decisions which protect the development and welfare of the patient. The nurse must when practicable, be a veritable part of the family decision-making process. The nurse should endeavor to provide feedback to the family in order to reinforce safe and positive healthcare decisions. The nurse should provide necessary resources including but not limited to materials on disease prevention to protect Mrs. Jones and other family members. Finally, the nurse should also act as an intercessor between Susie’s family and other healthcare professionals. (Edelman, Kudzma & Mandle, 2014)

Health education is the most important intervention which can enhance health promotion for Susie’s family. Health education in this instance should include the expected role reversal between Susie and Mrs. Jones and its ramifications for not just Susie and Mrs. Jones but other members of their family as well. The envisaged education in this instance will prepare Susie and other family members for the mental challenge of taking care of a sick and incapacitated family member. This will in turn, minimize caregiver stress and burnout. Incorporating other members of Susie’s family into the education process will also enable the nurse teach each family member ways in which the presence of Mrs. Jones in the family may affect such member. It will enable family members to voice and address any concerns. The nurse must teach Susie and other family members to as much as possible, involve Mrs. Jones in the decision-making process of her care. Mrs. Jones should be allowed as much independence as practicable in the circumstance. It has been suggested that involving the patient in decision making processes of such patient’s care and encouraging patient autonomy results in better outcomes for the patient. (Baas, 2012). Teaching Susie and other family members will enable them acquire skills like medication administration, repositioning Mrs. Jones to avoid pressure sores, giving Mrs. Jones bed baths when necessary and other nursing skills

The family structural theory is concerned with family composition and make up. It is also concerned with the relationship among the members of the family in contrast with the relationship with individuals outside the family. (Mantelo Cecilio, Sturião dos Santos & Silva Marcon, 2014.) The nurse can use the structural theory by seeking to involve family members who are closest to Mrs. Jones in her direct care. This is because it has been suggested that one of the ways of preserving an aged family member’s dignity and trust is by putting her direct care into the hands of family members with whom the patient shares the closest relationship.( (Mantelo Cecilio, Sturião dos Santos & Silva Marcon, 2014.)

On the other hand, the developmental theory focuses on the development through several stages by members of a family and the transition which occurs with such development. (Edelman, Kudzma & Mandle, 2014). Using this theory, the nurse may decide to apportion roles in the care of the patient based on the developmental stages of family members. Younger members of Susie’s family who have no stable means of income or jobs may get more roles in the care of Mrs. Jones. As they grow and transition into bigger responsibilities, the roles of such family members may mutate in accordance with their transition.

References

Baas, L. S. (2012). Patient- and family-centered care. Heart & Lung: The Journal of Acute and Critical Care, 41(6), 534-535.

Edelman, C., Kudzma, E., Mandle, C. (2014). Health promotion throughout the life span, 8th Edition. 174, retrieved from https://pageburstls.elsevier.com/#/books/978-0-323-09141-1/

Kikuzawa, S. (2016). Social Support and the Mental Health of Family Caregivers: Sons and Daughters Caring for Aging Parents in Japan. International Journal of Japanese Sociology, 25(1),

Mantelo Cecilio, H. P., Sturião dos Santos, K., & Silva Marcon, S. (2014). Calgary model of family assessment: Experience in a community service project. Cogitare Enfermagem, 19(3), 493-501

Views on Aging: How Caring for an Aging Parent Influences Adult Daughters’ Perspectives on Later Life. (n.d). Journal of Adult Development 20(1), 46-56.

Tags: nursing topic

Topic 5 DQ 1

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Topic 5 DQ 1

Please write a paragraph with your opinion based on the text bellow. Please include citations and references in case you need to used for the question:

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Elements of a comprehensive health assessment of a geriatric patient described in Physical Examination and Health Assessment includes the incorporation of, “the physical examination and assessments of mental status, functional status, social and economic status, pain, and examination of the physical environment for safety concerns (Jarvis, 2016, p. 831). Special considerations that the nurse should keep in mind while performing this assessment is recognizing that the assessment may take longer to perform and that some areas of assessment should be performed during daily activities such as grooming, meal times, and toileting. It is important for the nurse to understand that an individual with multiple health issues may experiences increased fatigue and this could also be a result of some mediations. The nurse should ensure that the older adult is using glasses and hearing aids and can provide written instructions when necessary. The nurse should also face the patient, use a low tone of voice, and speak slowly and clearly. The older adult should be included in the decision-making process which boosts their self-esteem and establishes rapport. The nurse should have a large enough space to assess mobility with assistive devices and stand close to the patient to prevent falls. The nurse can be provided with detailed information on how the adult functions as well as areas of concern by completing a comprehensive health assessment and physical exam (Grand Canyon University, 2012).

References

Grand Canyon University. (2012). NRS-434 Lecture 5. Retrieved from https://lc-ugrad3.gcu.edu/learningPlatform/user/users.html? NSR-434VN Lecture 5

Jarvis, C. (2016). Functional Assessment of the Older Adult. In Physical Examination and Health Assessment (7 ed. (pp. 831-844). Retrieved from http://evolve.elsevier.com

Topic 5 DQ 1

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Topic 5 DQ 1

Please write a paragraph with your opinion based on the text bellow. Please include citations and references in case you need to used for the question:

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The comprehensive assessment of an older adult requires knowledge of not only normal aging changes but also the consequences of chronic diseases, genetic makeup, and lifestyle. A comprehensive geriatric assessment is multidimensional and incorporates the physical examination as well as assessments of mental status, functional status, social and economic status, pain, and examination of the physical environment for safety concerns (Jarvis, 2015). The nurse would assess if the patient was able to perform activities of daily living as well as a complete head to toe assessment. During the assessment the nurse would keep in mind the normal and expected changes that take place as people get older such as hearing and vision loss, change in skin elasticity, hair color changes, loss of subcutaneous fat and decreased height due to thinning of the bones. If the nurse notices hearing loss it would be important to speak clearly and slowly facing the patient during discussion and to not mistake difficulty hearing or loss of vision to mental status change. Skin and nail assessment can lead to knowledge about hydration, cardiac, and nutrition status.

When assessing the geriatric patient in the hospital it is wise to consider if the patient is mobile enough to get by at home. Can the patient go up and down stairs? Does the patient drive? Can the patient see the phone numbers on the phone to call for help? Does the patient have a support system? These are all questions that should be in the nurse’s mind during a comprehensive assessment.

Special consideration to emotional state should take place with the geriatric assessment. It is important to treat the patient with respect and dignity in this stage of life. Do not refer to patients as Honey, Grandma, Grandpa or Sweetheart, but rather Sir, Ma’am, Mr. or Mrs. Many families live across state borders and are not readily available to the geriatric patient who may need extra support. The nurse should be knowledgeable about resources in the surrounding community such as home care, transportation services, social groups, meals on wheels and other low cost organizations that may help to improve the quality of life of a geriatric patient.

Reference

Jarvis, C. (2015). Physical Examination and Health Assessment, 6th Edition. St. Louis, Missouri: Elsevier Saunders

Topic 5 DQ 1

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Topic 5 DQ 1

Please Respond to the following post with a paragraph, add citations and references.

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The main issue here is the “causal” statement that is made. The error is that correlation does not necessarily mean causation. In a correlation you cannot say variable A causes variable B. This only shows the correlation of heart rate and smoking. There might be a causal relationship, but you cannot say there is one with the evidence from a correlation. A correlation does not control for any of the other variables that might be driving the cause. For valid linear correlation between two variables required the mutual influence of each variable on other so that there can be a relationship between two variables of cause and effect. Like there is a correlation between demand and supply (Pagano, 1981). Where demand can cause to increase or decrease the supply as an effect. Looking at the example: “Cigarettes cause the pulse rate to increase” there are a number of other factors that could be the causing factor. It could be the replacement of air with smoke is why someone’s pulse rate gets higher as they prepare to smoke a cigarette, gender, age, type of cigarettes, as well as general health factors. For instance, a smoker of thirty years will see a more pronounced heart rate increase as opposed to someone of only a few months. Health factors such as tachycardia can affect the rate as well and that sort of variable, current health, is not accounted for. While the main component used here is a well-defined statistical and evidenced concept, there are no other variables considered here. Without these other variables this is only a correlation and not a definitive of causation unless the other correlating variables are present and accounted for and therefore cannot represent a conclusion. If this idea was tested in an experiment where the other variables are controlled, then the claim might be able to be made, but an experiment would be needed to do so.

References

Pagano, R. R. (1981). Understanding statistics in the behavioral sciences. St. Paul: West Pub Co.

Topic 5 DQ 1

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Topic 5 DQ 1

Please respond with a paragraph to the following post, add citations and references:

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Nurse managers are the agents of change for health care going into the future. Nurse managers are responsible for creating safe, working environments and advocating for patients, staff and the organization alike (Duquene University 2109). Nurse managers must have strong leadership and communication skills and have a responsibility for leading their staff in the rapidly changing environment of health care. Nurse leaders or managers have multiple responsibilities. The nurse leader is responsible to the staff to introduce legal and ethical change to staff when change is necessary (GCU 2013). They are responsible to the organization for budgeting, recruitment, supplies and to the patient for advocacy and education of health decisions.

As health care changes and reforms the nurse leaders must recognize the need for change in the way we provide care. Often time upper administration is either disconnected from the need for change or distracted by other priorities, at least until monthly financial come out. The nurse leader must bring to light concerns from the front line staff regarding failing processes and the need for change of those processes. The nurse manager must not only identify problems but must have suggestions for change of processes and ideas for implementing that change, along with a way to evaluate the effectiveness of the change. The nurse manager will have to balance administrative duties with patient care responsibilities. Nurse leaders will have to mentors for new nurses as the current work force ages and experienced nurses leave the field. Nurse leaders will need to mold new nurses to fit the mission and values of the organization in order to maintain engaged staff. With younger less experienced staff the nurse leader must understand the needs of this staff and not set expectations of them to point they can’t achieve, while at the same time challenging them, coaching them and mentoring them. The nurse leader is essentially the eyes and ears of upper administration and the liaison if you will to the front line staff who are doing all of the work. Health care will continue to change and re engineering of the change will be a challenge. As my facility adopted Total Patient Revenue (TPR) several years ago we have had to change the way we deliver our care to be more cost efficient.In just three short years we are once again adapting to a Total Cost of Quality (TCOC) model. Medicaid waivers may change or go away and reimbursement will become the topic for survival. The nurse leader is always on the front line of change and must be an excellent communicator to both staff and upper administration. Its my opinion that health care will continue to change as fast as technology that we use to deliver it and as fast as the political atmosphere changes as well.

Reference

Duquene University School Of Nursing. 2019. The Roles fo a Nurse Manager: Leading the nursing profession into the future. Retrieved from: https://onlinenursing.duq.edu/blog/roles-nurse-man…