Question Description
Post a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.”
References:
- Response posts: Minimum of one (1) total reference: one (1) from peer-reviewed or course materials reference per response.
Words Limits
- Response posts: Minimum 100 words excluding references.
Peer discussion 1
This week’s assignment focuses on gerontological reminiscence. Included in the assigned readings and viewings is the film “Tuesdays with Morrie”. In this discussion post, I will discuss the modalities of reminiscence and life review and the significance of the life story of an elder. I will also discuss what I believe can be improved upon for effective communication, in addition to identifying the impact of culture and family values in care provided for the elderly.
“Tuesday’s with Morrie” involved a heavy amount of reminiscence from Morrie, as he discusses life lessons and how he personally learned them. Morrie makes it a point to tell his friend, Mitch, these life lessons that he learned, in an effort to help Mitch better his own life. By trying to help the younger generation understand that they could potentially die at any time, he urges Mitch to work to lead the life he wants to live, and try to avoid making some of the same mistakes that he did. Morrie feels that reminiscing validates his life, by remembering both the good times and the bad. He reminisces on his regrets of pride, vanity, and hardness of heart, and urges to forgive, so you can die surrounded by love and peace. Throughout the film, we see Morrie continually works to teach Mitch that shouldn’t be afraid to love, and don’t be afraid of giving himself to someone he may lose. Reminiscing about one’s life as an elder, especially those who are battling chronic diseases, can decrease depression (Syed Elias, Neville, Scott, 2015). Morrie is dying from ALS, and talks about how he lost the ability to use his legs first; this is something that haunts him, as he often reminisces about how much he loved to dance. Since many chronic and progressive diseases often come with the inability to do the things they love, it is important to allow the elderly to reminisce as part of a healthy coping process.
When it comes to improving communication strategies with the elderly, I feel that Morrie was trying to tell Mitch that it is important to listen to the lessons he was trying to teach. He strives to make Mitch understand that it is important not to pretend that the elderly don’t have feelings, and tells him that communication should be open and honest. It is silly to pretend that disease and death do not exist. He also discusses with Mitch the importance of touch…when we are infants, we yearn for it, yet we shun it as we age. Sometimes, as the elderly enter their final stages of life, they begin to yearn for touch again, even if it is as simple as holding their hand. This is something that I did when I sat by my grandmother’s hospice bed for a week, almost three years ago today as I write this post. I typed my papers for my very first nursing class of my BSN with one hand, while holding her hand with the other. Even though she wasn’t able to see me, I know on some level, she was comforted by my touch. We can even use music as a way to help communicate, and even help someone reminisce and cope with a disease process (Maruszewski, Bonk, Karcz, Retowski, 2017). Finally, Morrie tells Mitch not to be afraid of silence, as sometimes another’s presence alone is comforting enough. I feel that through active listening, touch, and presence, we can overcome many barriers to those with deficits during their final years.
In the film, Morrie has a funeral while he is still alive, so that he can see all of his family and close friends, and hear all of the nice things they have to say about him. Later on, he tells Mitch about his perfect day, which involves spending the day with those same close friends and family members. His day is nothing extravagant, simply walking in the park after a light lunch and then a big pasta dinner, followed by dancing. It is the simple things that meant the most to him, that he truly cherished, and wanted to do on his one perfect day. In the end of the film, he passes away at home (like he wanted), surrounded by his family and friends. When our loved one is dying, I believe it is imperative that we do the best we can to honor their wishes, and make their last bit of time as comfortable as possible.
In conclusion, I felt this film was a great window into essentially the dying process. Morrie discusses some of the most important moments in his life, while accomplishing his goal of teaching one more class to Mitch. He does all of this while reminiscing on his life, and teaching Mitch that “if you learn how to die, you will learn how to live” (Forte, Heyer, Ogden, Winfrey, 1999).
References
Forte, K. (Producer), Heyer, S. (Producer), Ogden, J. (Producer), Winfrey, O. (Producer), & Jackson, M. (Director). (1999). Tuesday’s with Morrie [Motion picture].United States of America: American Broadcasting Company.
Maruszewski, T., Bonk, E., Karcz, B., & Retowski, S. (2017 November). Elderly peoples preferences regarding reminiscence material. Educational Gerontology, 43(11): 531-539. Retrieved from: https://eds-b-ebscohost-com.proxy.library.ohio.edu…
Syed Elias, S. M., Neville, C., & Scott, T. (2015 September-October). The effectiveness of group reminiscence therapy for loneliness, anxiety, and depression in older adults in long-term care: a systematic review. Geriatric Nursing, 36(5): 372-380. doi: 10.1016/j.gerinurse.2015.05.004
Peer discussion 2
A person’s life story is important because it gives a history of a person’s past, providing insight into that person’s present circumstances. The purpose of this discussion post is to discuss how life review and reminiscence therapy facilitates and highlights an elderly person’s life story, improvements that can be made to effectively communicate with geriatric patients with sensory impairments, and identifying the impacts that cultural and family values have in providing quality care for older patients.
For elderly people especially struggling with depression and loneliness, reminiscence therapy is a non-pharmacological intervention aimed at increasing a person’s self-esteem by relieving feelings of depression, anxiety, and loneliness (Elias, Neville, & Scott, 2015). Likewise, life review is a form of reminiscence therapy (called spiritual reminiscence therapy) that involves the person finding meaning in their past and future life (Elias et al., 2015). This form of reminiscence therapy focuses on a person’s life, and a person can find meaning and have positive self-esteem as they recount their life story. Furthermore, when this therapy is conducted in a group setting, the elderly patient benefits by establishing social connections, new relationships, and enhanced communication skills, thereby increasing self-esteem and reducing loneliness and depression (Elias et al., 2015).
To improve effective communication strategies for older adults with speech, hearing, vision, language, and cognitive impairments, investing extra time alone into each elderly patient interaction can greatly improve communication. Elderly patients are typically slower to respond, need information repeated, may take longer to process information, and desire to be treated as a valued human, and allowing for extra time can augment these interactions. Also, respectfully addressing the patient by their name, utilizing large-font written instructions, pictures, or diagrams, and providing audio instructions for patients who have difficulty seeing or reading can decrease communication barriers. Additionally, ensuring the patient is wearing their hearing aid and it is on, speaking slowly, and facing the patient directly at eye level can reduce hearing barriers (“Understanding Older Patients,” n.d.). For me, the biggest inference I can gain from the videos and articles of this week’s module is to have patience and empathy for elderly patients while giving them extra time. I think this is the most effective method for improving communication. In my practice, when I have a geriatric patient, I have to remind myself to slow down in my interview process, listen closely to them, and answer their questions slowly while making eye contact. It is my goal to provide respectful and empathetic care.
Finally, family and cultural values impact a person’s principles, life, and preferences, and these factors need to be considered to provide quality, appropriate care. Being aware of a patient’s family and cultural differences can direct the nurse to have cultural humility, which is an open-minded acceptance of differences, and this attitude helps one to provide culturally competent care (Andrews & Boyle, 2016).
In summary, the importance that reminiscence and life review therapy has on geriatric patients’ depression, anxiety, and loneliness have been analyzed related to recounting one’s life story. Effective communication improvements for elderly patients with impairments have also been discussed, as well and how one’s family and cultural values influence their care and preferences.
References
Andrews, M. M., & Boyle, J. S. (2016). Transcultural concepts in nursing care (7th ed.). Philadelphia, PA: Wolters Kluwer.
Elias, S. M. S., Neville, C., & Scott, T. (2015). The effectiveness of group reminiscence therapy for loneliness, anxiety and depression in older adults in long-term care: A systematic review. Geriatric Nursing, 36(5), 372–380. https://doi.org/10.1016/j.gerinurse.2015.05.004
Understanding Older Patients. (n.d.). Retrieved October 16, 2018, from
conduct your own observation of communication behaviors.
Nursing HomeworksHuman communication, in essence, is about how humans interact and relay information to one another. It involves a wide variety of verbal and nonverbal methods and operates at the conscious and unconscious levels. The ways in which individuals communicate depend on many different variables, including age, social status, relationship (e.g., close friend versus new acquaintance), and culture. Psychological research on communication has also documented differences in communication based on gender.
These observed gender-based communication differences begin in childhood, with children often preferring same-sex play groups and demonstrating preferences for gender-typical styles of play. Differences continue through adulthood with variations in interaction style, language usage, leadership approaches, expression of emotion, and nonverbal behaviors (e.g., eye contact or touch). A great difficulty lies, however, in attempting to explain why gender-based communication differences exist. Is it possible to extricate sex and gender from the other aforementioned influences on communication? Research continues to search for trends in communication behavior to support theoretical explanations for gender differences.
For this Discussion, you will conduct your own observation of communication behaviors. You will analyze the behaviors for adherence to or difference from gender-typical behaviors in your culture and provide a theoretical argument for their potential causes.
To prepare
By Day 4
Post a summary of the gender typical and atypical behaviors you observed. What other factors (e.g., age differences, power differences, cultural context) might have influenced the individuals to display those behaviors? Provide a theoretical base to support your explanation of these behaviors.
Readings for this week:
ANALYZE WHAT YOU BELIEVE TO BE THE MOST SIGNIFICANT NEW TECHNOLOGY REQUIREMENTS FOR THE HEALTH CARE INDUSTRY.
UncategorizedWeek 3 Assignment 1 Submission If you are using the Blackboard Mobile Learn iOS App, please click “View in Browser” Click the link above to submit your assignment. Students, please view the “Submit a Clickable Rubric Assignment” video in the Student Center. Instructors, training on how to grade is within the Instructor Center. Assignment 1: Technology Assessment Due Week 3 and worth 240 points Using the Internet or Strayer University databases, research the regulatory requirements related to technology with the health care industry, and complete this assignment. Write a four to five (4-5) page paper in which you: Identify and analyze what you believe to be the most significant new technology requirements for the health care industry. Indicate how providers should approach the implementation of this new technology requirement that you have identified. Provide support for the response. Analyze the basic technology underlying health care information systems. Argue that the need for technological innovation and / or modification is most pressing. Support the argument with examples. Recommend an innovation / modification, and explain how the recommendation could improve the overall level of health care in your own community. Include specific example(s) using local hospitals or other health care providers to support the response. Suggest a key action that senior health care leadership could take in the community in which you live to push the boundaries of information technology management. Next, speculate on the effect to the community as a result of the improvement to the health care technology. Use at least three (3) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources. Your assignment must follow these formatting requirements: Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions. Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length. The specific course learning outcomes associated with this assignment are: Demonstrate an understanding of the basic technology underlying health care information systems. Apply senior management’s role in information technology management. Use technology and information resources to research issues in health information systems. Write clearly and concisely about health information systems using proper writing mechanics. Grading for this assignment will be based on answer quality, logic / organization of the paper, and language and writing skills, using the following rubric.
HOW HAS TECHNOLOGY IMPACTED COST, QUALITY, AND ACCESS TO HEALTH SERVICES?
Uncategorized*Health Finance (HCM565)
*Homework: critical thickening
*notes: please read the articles and look for the textbook recommended,
1- book: Gapenski, L. C., & Pink, G. H. (2015). Understanding healthcare financial management (7th ed.). Chicago: Association of University Programs in Health Administration and Health Administration Press. ISBN 9781567937060
2- articles :Islam, M. S. (2015). Introducing modern technology to promote transparency in health services. International Journal of Health Care Quality Assurance, 28(6), 611-620. Retrieved from https://csuglobal.idm.oclc.org/login?url=https://search-proquestcom.csuglobal.idm.oclc.org/docview/1694933814?accountid=38569 • Ivan, M., & Velicanu, M. (2015). Healthcare industry improvement with business intelligence. Informatica Economica, 19(2), 81-89. Retrieved from https://csuglobal.idm.oclc.org/login?url=https://search-proquestcom.csuglobal.idm.oclc.org/docview/1696718099?accountid=38569 • Poba-nzaou, P., Uwizeyemungu, S., Raymond, L., & Paré, G. (2014). Motivations underlying the adoption of ERP systems in healthcare organizations: Insights from online stories. Information Systems Frontiers, 16(4), 591-605. Retrieved from http://dx.doi.org.csuglobal.idm.oclc.org/10.1007/s10796-012-9361-1
3-Need the plagiarism below 18%
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Assignment :
Critical Thinking: Case Study Analysis (100 points)
For this assignment, after reading the course materials for the Module, conduct a thorough analysis of the healthcare system within Saudi Arabia. Specifically focus on the development and implementation of technology over the last several decades within the Kingdom.
• How has technology impacted cost, quality, and access to health services? • Does Vision 2030 rely heavily on technology?
Your final submission will be 2-3 pages in length, excluding the cover and reference pages. Be sure to include:
• Analysis of the specific healthcare system. • Technology impact on cost, quality, and access. • Predict the KSA vision 2030 impact on technology. • Summary of findings.
Your paper should meet the following structural requirements:
• The paper should be formatted according to APA and Saudi Electronic University writing standards. • Provide support for your statements with in-text citations from a minimum of 2 scholarly articles. • Two of these sources may be from the class readings, textbook, or lectures, but two must be external. • The Saudi Digital Library is a good place to find these references.
EVALUATING the usefulness of evidence
UncategorizedHLSC122: Inquiry in Health Care- Nursing Critique Paper Assignment
Task: EVALUATING the usefulness of evidence
Scenario
Mariana is a first year health sciences student at an Australian university. As a single mother with an 18 month old daughter, she is concerned she might find it difficult to mix with other students as her priorities will be different. She had a difficult childbirth and her daughter suffers from severe asthma. When Mariana is at university her daughter attends the local child care centre. Mariana herself suffers from diabetes and a rare blood disorder. Mariana has limited family support and lives in a small unit a bus ride away from the university.
You know that you must appraise the quality of each paper and you would like to know which of the two papers provided is most relevant to Mariana regarding stress reduction and mood improvement.
Step 1: actual patient daybudgeted patient daysdjusted/allowed nursing hoursCalculate the Adjusted/allowed Nursing Hours based on the actual patient days: adjusted/allowed nursing hours Step 2: allowed/adjusted numberCalculate the Productivity Measure: Productivity MeasurePlease round to nearest tens Step 3: varianceCalculate the Variance: Variance
Factors that impact health and health care delivery
UncategorizedDevelop a 6–8 page, APA-formatted article on a global health topic for publication. Describe the factors that impact health and health care delivery, and the interventions that have been implemented. Explain the influence of altruism on global health, and identify evidence-based interventions to address the global health topic.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Assessment Instructions
Preparation
Suppose you have been asked to submit an article for publication in your organization’s newsletter, about a global health topic and how policies and practices at the local level can affect global health. Choose one global health topic from the list (or use another of your choice):
Look in the Capella library and on the Internet for very recent peer-reviewed articles, statistics, and professional nursing information on the global health topic you selected.
Requirements
For this assessment, develop an APA-formatted research review article that covers one global health topic of your choice. In this assessment:
Additional Requirements
Complete your assessment using the following specifications:
Describe reasons for this concept being of interest to nursing and its body of knowledge.
UncategorizedPDR-247781 Concept Analysis Concept Analysis Paper Description In this paper you will demonstrate scholarly, graduate school level writing and critical analysis of existing nursing knowledge. Your final paper will be 7–10 pages (excluding title page and references), using APA format with at least 8–10 scholarly nursing sources of information. Directions:For your final submission, you will take a concept of interest to you and develop it into a final concept analysis paper. Select another single word (concept) that you have wondered about nursing.The Unit 9 Assignment will focus solely upon the discipline of nursing with the inclusion of nursing scholarly sources to substantiate the literature review. Locate evidenced-based articles (based on research studies in nursing) that use the concept or discuss the concept. For this paper you will: – Identify the concept and purpose for studying the concept. – Describe reasons for this concept being of interest to nursing and its body of knowledge. – Define the attributes of the concept and relevant uses. – Provide a summary of the concept as described in each article with examples of how the term was defined. – Provide the theoretical and operational definition of the concept based on the review of literature. (Theoretical is pure definition and operational is how it is used in practice.) – Apply the concept as it relates to your practice and how you will use this concept in the future. – Describe the value of these concept analyses to your understanding of nursing knowledge. Please make sure that the authors thats in the citation will also be found in reference page.Thank you.. This below is the format that the professor wants us to follow..and please don’t use the single word ethics because i used this word already..thank you.. http://jmp.sh/4H9vVtt 7 pages, 8 APA
Therapy / Assessing and Treating Clients With ADHD Discussion Assignment
Nursing HomeworksTherapy / Assessing and Treating Clients With ADHD Discussion Assignment
Week 9: Therapy for Clients with ADHD
Tyler, a 9-year-old third grader, had always been an energetic child with a short attention span. For years, his mother attributed his behaviors to him being “all boy” and assumed it would improve as he grew older. Instead, daily tasks like chores and homework became increasingly overwhelming for Tyler, resulting in disruptive behaviors at home and school. After being evaluated by his healthcare provider, Tyler was diagnosed with and treated for attention deficit hyperactivity disorder (ADHD).
ADHD is a prevalent disorder for clients across the lifespan, as more than 6 million children (CDC, 2016) and 8 million adults (ADAA, 2016) have been diagnosed with the disorder. Like Tyler, individuals of all ages find that symptoms of ADHD can make life challenging. However, when properly diagnosed and treated, clients often respond well to therapies and have positive health outcomes.
This week, as you study ADHD therapies, you examine the assessment and treatment of clients with ADHD. You also explore ethical and legal implications of these therapies.
Discussion: Presentations of ADHD
Although ADHD is often associated with children, this disorder is diagnosed in clients across the lifespan. While many individuals are properly diagnosed and treated during childhood, some individuals who have ADHD only present with subsyndromal evidence of the disorder. These individuals are often undiagnosed until they reach adulthood and struggle to cope with competing demands of running a household, caring for children, and maintaining employment. For this Discussion, you consider how you might assess and treat individuals presenting with ADHD.
Learning Objectives
Students will:
Learning Resources
Required Readings
Optional Resources
To prepare for this Discussion:
Case 1: Volume 1, Case #13: The 8-year-old girl who was naughty
Case 2: Volume 1, Case #14: The scatter-brained mother whose daughter has ADHD, like mother, like daughter
Case 3: Volume 2, Case #21: Hindsight is always 20/20, or attention deficit hyperactivity disorder
By Day 3
Post a response to the following:
Read a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues who were assigned to a different case than you. For example, if you were assigned to Case Study 1, respond to one colleague assigned to Case Study 2 and one colleague assigned to Case Study 3. Explain how you might apply knowledge gained from your colleagues’ case studies to you own practice in clinical settings.
Submission and Grading Information
Grading Criteria
Post by Day 3 and Respond by Day 6
Assignment: Assessing and Treating Clients With ADHD
Not only do children and adults have different presentations for ADHD, but males and females may also have vastly different clinical presentations. They may also respond to medication therapies differently. For example, some ADHD medications may cause children to experience stomach pain, while others can be highly addictive for adults. In your role, as a psychiatric mental health nurse practitioner, you must perform careful assessments and weigh the risks and benefits of medication therapies for clients across the lifespan. For this Assignment, you consider how you might assess and treat clients presenting with ADHD.
Learning Objectives
Students will:
Learning Resources
Required Readings
Required Media
To prepare for this Assignment:
The Assignment
Examine Case Study: A Young Caucasian Girl With ADHD You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.
At each decision point stop to complete the following:
Also include how ethical considerations might impact your treatment plan and communication with clients.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Grading Criteria
Check Your Assignment Draft for Authenticity
Submit Your Assignment by Day 7
Making Connections
Now that you have:
Next week, you will build on your assessment and treatment skills as you examine clients presenting for therapy for impulsivity, compulsivity, and addiction. Therapy / Assessing and Treating Clients With ADHD Discussion Assignment.
Baby Boomers in Middle Adulthood
Nursing HomeworksThe largest segment of the U.S. population, the “baby boomers,” are moving into middle adulthood and, in some cases, even becoming grandparents. The advertising and marketing industries study this age cohort, and it has been increasing in visibility in primetime television, print ads, and in digital advertising, pop-ups, and internet solicitation.
Find at least 4 images or video clips of advertising or other popular media that illustrate this point. Use a caption for each piece of media to explain the advertisements mirror the specific physical and cognitive changes in development referred to in our readings and resources this week. Your captions should combine for a total of no fewer than 500 words.
Use at least 2 resources (other than the images or clips) to support the claims you are making. Cite these using APA formatting. Your references need to relate to concepts learned about middle adulthood and must be scholarly/academic in nature. Use of .com websites is not appropriate.
Geratology discussion response
UncategorizedQuestion Description
Post a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.”
References:
Words Limits
Peer discussion 1
This week’s assignment focuses on gerontological reminiscence. Included in the assigned readings and viewings is the film “Tuesdays with Morrie”. In this discussion post, I will discuss the modalities of reminiscence and life review and the significance of the life story of an elder. I will also discuss what I believe can be improved upon for effective communication, in addition to identifying the impact of culture and family values in care provided for the elderly.
“Tuesday’s with Morrie” involved a heavy amount of reminiscence from Morrie, as he discusses life lessons and how he personally learned them. Morrie makes it a point to tell his friend, Mitch, these life lessons that he learned, in an effort to help Mitch better his own life. By trying to help the younger generation understand that they could potentially die at any time, he urges Mitch to work to lead the life he wants to live, and try to avoid making some of the same mistakes that he did. Morrie feels that reminiscing validates his life, by remembering both the good times and the bad. He reminisces on his regrets of pride, vanity, and hardness of heart, and urges to forgive, so you can die surrounded by love and peace. Throughout the film, we see Morrie continually works to teach Mitch that shouldn’t be afraid to love, and don’t be afraid of giving himself to someone he may lose. Reminiscing about one’s life as an elder, especially those who are battling chronic diseases, can decrease depression (Syed Elias, Neville, Scott, 2015). Morrie is dying from ALS, and talks about how he lost the ability to use his legs first; this is something that haunts him, as he often reminisces about how much he loved to dance. Since many chronic and progressive diseases often come with the inability to do the things they love, it is important to allow the elderly to reminisce as part of a healthy coping process.
When it comes to improving communication strategies with the elderly, I feel that Morrie was trying to tell Mitch that it is important to listen to the lessons he was trying to teach. He strives to make Mitch understand that it is important not to pretend that the elderly don’t have feelings, and tells him that communication should be open and honest. It is silly to pretend that disease and death do not exist. He also discusses with Mitch the importance of touch…when we are infants, we yearn for it, yet we shun it as we age. Sometimes, as the elderly enter their final stages of life, they begin to yearn for touch again, even if it is as simple as holding their hand. This is something that I did when I sat by my grandmother’s hospice bed for a week, almost three years ago today as I write this post. I typed my papers for my very first nursing class of my BSN with one hand, while holding her hand with the other. Even though she wasn’t able to see me, I know on some level, she was comforted by my touch. We can even use music as a way to help communicate, and even help someone reminisce and cope with a disease process (Maruszewski, Bonk, Karcz, Retowski, 2017). Finally, Morrie tells Mitch not to be afraid of silence, as sometimes another’s presence alone is comforting enough. I feel that through active listening, touch, and presence, we can overcome many barriers to those with deficits during their final years.
In the film, Morrie has a funeral while he is still alive, so that he can see all of his family and close friends, and hear all of the nice things they have to say about him. Later on, he tells Mitch about his perfect day, which involves spending the day with those same close friends and family members. His day is nothing extravagant, simply walking in the park after a light lunch and then a big pasta dinner, followed by dancing. It is the simple things that meant the most to him, that he truly cherished, and wanted to do on his one perfect day. In the end of the film, he passes away at home (like he wanted), surrounded by his family and friends. When our loved one is dying, I believe it is imperative that we do the best we can to honor their wishes, and make their last bit of time as comfortable as possible.
In conclusion, I felt this film was a great window into essentially the dying process. Morrie discusses some of the most important moments in his life, while accomplishing his goal of teaching one more class to Mitch. He does all of this while reminiscing on his life, and teaching Mitch that “if you learn how to die, you will learn how to live” (Forte, Heyer, Ogden, Winfrey, 1999).
References
Forte, K. (Producer), Heyer, S. (Producer), Ogden, J. (Producer), Winfrey, O. (Producer), & Jackson, M. (Director). (1999). Tuesday’s with Morrie [Motion picture].United States of America: American Broadcasting Company.
Maruszewski, T., Bonk, E., Karcz, B., & Retowski, S. (2017 November). Elderly peoples preferences regarding reminiscence material. Educational Gerontology, 43(11): 531-539. Retrieved from: https://eds-b-ebscohost-com.proxy.library.ohio.edu…
Syed Elias, S. M., Neville, C., & Scott, T. (2015 September-October). The effectiveness of group reminiscence therapy for loneliness, anxiety, and depression in older adults in long-term care: a systematic review. Geriatric Nursing, 36(5): 372-380. doi: 10.1016/j.gerinurse.2015.05.004
Peer discussion 2
A person’s life story is important because it gives a history of a person’s past, providing insight into that person’s present circumstances. The purpose of this discussion post is to discuss how life review and reminiscence therapy facilitates and highlights an elderly person’s life story, improvements that can be made to effectively communicate with geriatric patients with sensory impairments, and identifying the impacts that cultural and family values have in providing quality care for older patients.
For elderly people especially struggling with depression and loneliness, reminiscence therapy is a non-pharmacological intervention aimed at increasing a person’s self-esteem by relieving feelings of depression, anxiety, and loneliness (Elias, Neville, & Scott, 2015). Likewise, life review is a form of reminiscence therapy (called spiritual reminiscence therapy) that involves the person finding meaning in their past and future life (Elias et al., 2015). This form of reminiscence therapy focuses on a person’s life, and a person can find meaning and have positive self-esteem as they recount their life story. Furthermore, when this therapy is conducted in a group setting, the elderly patient benefits by establishing social connections, new relationships, and enhanced communication skills, thereby increasing self-esteem and reducing loneliness and depression (Elias et al., 2015).
To improve effective communication strategies for older adults with speech, hearing, vision, language, and cognitive impairments, investing extra time alone into each elderly patient interaction can greatly improve communication. Elderly patients are typically slower to respond, need information repeated, may take longer to process information, and desire to be treated as a valued human, and allowing for extra time can augment these interactions. Also, respectfully addressing the patient by their name, utilizing large-font written instructions, pictures, or diagrams, and providing audio instructions for patients who have difficulty seeing or reading can decrease communication barriers. Additionally, ensuring the patient is wearing their hearing aid and it is on, speaking slowly, and facing the patient directly at eye level can reduce hearing barriers (“Understanding Older Patients,” n.d.). For me, the biggest inference I can gain from the videos and articles of this week’s module is to have patience and empathy for elderly patients while giving them extra time. I think this is the most effective method for improving communication. In my practice, when I have a geriatric patient, I have to remind myself to slow down in my interview process, listen closely to them, and answer their questions slowly while making eye contact. It is my goal to provide respectful and empathetic care.
Finally, family and cultural values impact a person’s principles, life, and preferences, and these factors need to be considered to provide quality, appropriate care. Being aware of a patient’s family and cultural differences can direct the nurse to have cultural humility, which is an open-minded acceptance of differences, and this attitude helps one to provide culturally competent care (Andrews & Boyle, 2016).
In summary, the importance that reminiscence and life review therapy has on geriatric patients’ depression, anxiety, and loneliness have been analyzed related to recounting one’s life story. Effective communication improvements for elderly patients with impairments have also been discussed, as well and how one’s family and cultural values influence their care and preferences.
References
Andrews, M. M., & Boyle, J. S. (2016). Transcultural concepts in nursing care (7th ed.). Philadelphia, PA: Wolters Kluwer.
Elias, S. M. S., Neville, C., & Scott, T. (2015). The effectiveness of group reminiscence therapy for loneliness, anxiety and depression in older adults in long-term care: A systematic review. Geriatric Nursing, 36(5), 372–380. https://doi.org/10.1016/j.gerinurse.2015.05.004
Understanding Older Patients. (n.d.). Retrieved October 16, 2018, from
Compare the characteristics and appropriate uses of the different methods and explain if your research question
Nursing HomeworksTopic— Bullying Topic— Bullying
Prior to beginning work on this discussion, read Chapters 1 and 2 of the Hesse-Biber e-book, Mixed Methods Research: Merging Theory with Practice, and the two required articles for this week. Mixed methods is a current popular methodology. While this type of methodology is useful for some studies, because of its dual nature as both quantitative and qualitative, it is not effective or appropriate for all research.
For this discussion, you will consider the use of mixed methods for the topic, (BULLYING), you have chosen for your Research Proposal. In your initial post, apply the scientific method to your research topic by defining your research question and determining the method(s) necessary to answer that question. Compare the characteristics and appropriate uses of the different methods and explain if your research question could best be answered through qualitative or quantitative methods, or a mix of both. Identify the dominant method (quantitative or qualitative) for your proposed study. Explain whether or not a mixed methods approach is the best way to study the topic, demonstrating that the second method is not added as an afterthought or merely to impress journal editors who favor mixed methods. If you have decided not to use mixed methods, explain why the study is best completed with either a quantitative or qualitative focus. Justify your design choice and support your position with scholarly sources. Include a discussion explaining how you would apply ethical principles to your design to address concerns which may impact your research.
E-Book
Hesse-Biber, S. N. (2010). Mixed methods research: Merging theory with practice. New York, NY: Guilford Press.
Articles
Bryman, A. (2006). Integrating quantitative and qualitative research: How is it done? Qualitative Research, 6(1), 97-113. doi:10.1177/1468794106058877
Fetters, M. D., Curry, L. A., & Creswell, J. W. (2013). Achieving integration in mixed methods designs – principles and practices. Health Services Research, 48(6), 2134-2156. doi:10.1111/1475-6773.12117