NURS2024: Health of Older Adults-Nursing Case Study Assignment

Background: 
In order to plan and provide optimal patient-centered nursing care, Registered Nurses need to be able to interpret clinical information and draw upon their knowledge of pathophysiology and evidence-based clinical practice. Therefore, the purpose of this assessment is to support the development of the skills needed to evaluate evidence and to develop reflection and clinical reasoning skills.

Case Report: 
Based upon the Horizons Hospital & Health Service (HHHS) NURS 2024 Health of Older Adults clientMary Young, construct a case report. The case report will draw upon your knowledge of pathophysiology and relevant academic literature to support an evidence-based plan of care.

Question 1:Nursing assessment, nursing intervention, medication management

1.Discuss one (1) method of nursing assessment that would need to be performed related to the ongoingnursing management of this nursing problem. Provide a rationale for this type of assessment and briefly describe how this assessment would be conducted in this case.

2.Discuss one (1) nursing intervention that you would need to implement related to the ongoing nursing management of this nursing problem. Provide a rationale for the intervention.

3.Discuss the role of the RN in the medication management related to the ongoing nursing management of this nursing problem.

Question 2:Nursing assessment, nursing intervention,medication management

1.Discuss one (1) method of nursing assessment that would need to be performed related to this nursing problem. Provide a rationale for this type of assessment and briefly describe how this assessment would be conducted inthis case.

2.Discuss one (1) nursing intervention that you would need to implement related to the ongoing nursing management of this nursing problem. Provide a rationale for the intervention.Discuss the role of the RN in the medication management related to the ongoing nursing management of this nursing problem.

Question 3:Discharge planning

1.Identify five (5) issues/challenges that you may need to address for this client prior to discharge home. Discuss how you would facilitate discharge planning for this client, with consideration to two (2) of these concerns?

Speech Patterns

Speech Patterns

Objectives

• Demonstrate effective use of organizational patterns
• Describe standard practices and methods for creating engaging speech content

Assignment Overview

In this practice exercise, you will explore the importance of organizing the main ideas of a speech into a pattern.

Deliverables

A two-page (500-word) paper and answers to exercise questions (This is all you will submit, two pages, about 500 words. If it takes you slightly more pages, that is okay. No worries. But, you must have a minimum of 500 words.)

Step 1 Write definitions for patterns of organization.

In a two-page (500-word) paper, write a brief definition or description in your own words for each of the following patterns used to structure the flow of information in a speech: (This is for the first section of your paper that includes at least 500 words. Just write definitions for these patterns of organization. )

• Topical Pattern
• Chronological Pattern
• Spatial Pattern
• Causal Pattern
• Monroe’s Motivated Sequence

Step 2 Read the list below of statements about the topic of friendship.

Determine which of the patterns of organization might be useful to create a logical flow of information for the statements. Select one pattern of organization to use to organize the statements. It can be one of the six that you defined in Step 2 or another one from any of the lesson materials or another source.(Choose just one pattern of organization for the topic of friendship as shown next to Step 2 in the directions. If I were you, I would choose one that you defined in the first part of this assignment, but you can go to the remaining ones from any lesson materials. If you choose one different from the six you defined, then be sure to define it for us in the beginnning. This is provided for you to organize outside the assignment. If you see below, you will see that you will submit it eventually, but first, you need to organize it per your choice of style.)

Statements About Friendship*

• We develop an acquaintanceship.
• Friendship is an interpersonal relationship between two persons that is characterized by mutual positive regard.
• We meet.
• In order to understand friendships, we need to see what a friendship is and its stages of development.
• Friendship is one of the most important of our interpersonal relationships.
• We develop an intimate friendship.
• Friendships develop through various stages.
• Friendships don’t develop full blown but rather go through various stages-from the initial meeting to intimate friendship.
• We develop a casual friendship.
• By understanding friendship we will be in a better position to develop and maintain productive and enjoyable friendships.
• Friendship-an interpersonal relationship characterized by mutual positive regard-is one of our most important assets.
• We develop a close relationship.
• Friendship is vital to all of us.

*These statements are from the Organizing a Scrambled Outline activity on the Course Compass website

Step 3 Arrange the statements about friendship.

Arrange the statements to form a logical flow. Modify your arrangement as many times as needed to fit one of the organizational patterns you learned about in the lesson.(Here is where you take the statements about friendship shown above and organize them in the arrangement you chose. You may have to think about this for a bit to make sure you organize it correctly for your chosen style.)

Step 4 Write the heading Introduction.

On the top of a sheet of blank paper, write the heading Introduction. Determine which statements you would include in the speech introduction. Then fill in the rest of the components of an introduction. (This is the second part of the assignment. Just start it on another page with the heading as described here. Use the statements about friendship shown above and choose which ones would be the introduction.)

Step 5 Write the heading Body.

On the top of a second sheet of blank paper, write the heading Body. Determine which statements you would include in the body of the speech. (This is NOT a separate page unless you are out of room on. Begin Body heading and then choose the statements that go in that area.)

Step 6 Write the heading Conclusion.

On the top of a third sheet of blank paper, write the heading Conclusion. Determine which statements you would include in the conclusion of the speech. Then fill in the rest of the components of a conclusion. (You may need more pages since headings take up room. That is okay, just use another page and follow the directions here for the Conclusion area. Be sure you label each area.)

Step 7 Enter the information.

In your word processing document, enter the headings and associated statements. (This just means to get your work ready to submit.)

Step 8 Answer the questions.

• Which pattern of organization did you use to structure the flow of statements?
• Are there any other patterns that you could have potentially used? If so, which one(s)? ( This would be the last paragraph or heading. So, write these questions and then respond to each one separately.) (You may have more pages than usual, but you will still have about 500 words or so. Just follow the directions for each section  and answer them fully. Do not get hung up on the word count.)

This is a Collaborative Learning Community (CLC) assignment.In your CLC group, create a PowerPoint presentation of 15 slides in which you compare the pros and cons of continuing nursing education related to the following:

1. Impact on competency.
2. Impact on knowledge and attitudes.
3. Relationship to professional certification.
4. Relationship to ANA Scope and Standards of Practice.
5. Relationship to ANA Code of Ethics.

Take a position with your CLC group: Should continuing nursing education be mandatory for all nurses? Support your position with rationale.

A minimum of three scholarly sources are required for this assignment.

Unit II Assignment You receive a follow-up call from the area director saying the employee filing the original non-formal complaint has provided additional information about the alleged health situation and submitted a formal complaint using the OSHA-7 form, making the complaint a formal complaint. A few days later, an OSHA compliance officer shows up at your facility to perform a comprehensive inspection. The compliance officer presents the proper credentials, and you verify that the compliance officer is employed by OSHA and assigned to the local office. During the opening conference, the compliance officer provides you with the formal complaint, alleging that employees are exposed to hazardous concentrations of metal fumes in welding areas of the plant, that you have not performed any air sampling to determine exposure levels, that adequate ventilation is not present in welding areas, and that adequate respiratory protection has not been provided to welders. As a part of the inspection, the compliance officer requests the following documents:  chemical inventory list;  OSHA 300 logs;  Hazard Communication Program, including training records;  any sampling data that you have;  Respiratory Protection Program, including medical clearance letters and training records;  written hazard assessment for personal protective equipment (PPE) used at the facility;  Safety Data Sheets (SDSs) for the metals you use in the production process and any welding rods/wire used in the welding area; and  any other written programs you have that are required by an OSHA regulation. The compliance officer takes a walk-through tour of the facility, spending extra time in the welding areas. During the walkthrough, the compliance officer points out several issues believed to be apparent violations. The issues are as follows:  Heavy haze is present in the welding area.  Individuals wearing half-mask air-purifying respirators have full beards.  Employees are using chemicals that could be injurious to the eyes, and no emergency eyewash is present.  Eyewash is present in another area of the plant that is covered in dust, and there is no indication of recent BOS 3525, Legal Aspects of Safety and Health 3 operation or inspection.  Employees are using chemicals that could be absorbed through the skin and are not using any gloves.  Employees are performing maintenance inside a press with no lock-out/tag-out applied.  No written lock-out/tag-out program is available at the time of the inspection.  Welding operation is performed near flammable materials, and no fire watch present.  There is no record of training for fork truck drivers.  Extension cords are stretched across walkways.  Three containers are present in the plant with no label present on any of the containers.  An employee could not find a SDS for the chemical he or she was using. The compliance officer asks for a private conference room and a list of non-managerial employees. He tells you that he intends to interview four non-managerial employees before leaving for the day. He also states that he will return the next day to collect some air samples at the facility. You are worried about the number of citations and penalties that you may face. Provide a document summarizing the steps you would take as soon as the compliance officer leaves, and the steps you believe you could have taken during the walk-through that may have resulted in a quick-fix penalty reduction. Your document must be at least three pages in length, not counting the title or reference pages. You must also

Please answer the following question:

• How does culture influence health?
• Give examples of dominant ethnic and biomedical cultural influences on the health of individuals or populations?

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