After reviewing the Psychological Care of the Elderly source found in course resources.

1: discuss surprising facts about the psychological care of the aging. 

2: Did you originally consider any of these as myths, when in reality they are based on evidence? 

3: How can nurses influence attitudes among caregivers and the public about aging?

at least 400 words in length and utilize at least one scholarly source other than the textbook. 

• Geriatric Nursing. (2018). https://geriatricnursing.org/psychological-care-of-the-elderly/

Patient Preferences and Decision Making

Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional. Fueled by this, health professionals are increasingly involving patients in treatment decisions. However, this often comes with challenges, as illnesses and treatments can become complex.

What has your experience been with patient involvement in treatment or healthcare decisions?

In this Discussion, you will share your experiences and consider the impact of patient involvement (or lack of involvement). You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision making.

To Prepare:

• Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a decision regarding their treatment plan.
• Review the Ottawa Hospital Research Institute’s Decision Aids Inventory at https://decisionaid.ohri.ca/.       
  • Choose “For Specific Conditions,” then Browse an alphabetical listing of decision aids by health topic.

NOTE: To ensure compliance with HIPAA rules, please DO NOT use the patient’s real name or any information that might identify the patient or organization/practice.

By Day 3 of Week 8

Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal life.

Week 4: Assignment – Application of Concepts from Caring Science

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Points: 300 | Due Date: Week 4, Day 7 | CLO: 3, 4 | Grade Category: Assignments

Assignment Prompt

Summary: A theory can be used to guide practice.  This assignment is an exercise in supporting a clinical practice with theory and evidence.

Directions: Identify an outcome of nursing practice in your area of practice that can be improved.  For example, if you work in home health, you may identify that throw rug use by fall risk patients is too prevalent.  You may be able to use the problem that inspired the theory concepts that you developed in week two. Identify the concept in Watson’s Theory of Caring that could represent or include the outcome.  In our example, the outcome would be the changes in self through the change in the patient’s floor covering practice. Identify a practice that can be changed or implemented that may influence the outcome. Identify the concept in Watson’s Theory of Caring that includes the practice.  In our example, the practice could be to improve the understanding of fall hazards through the engagement in a teaching-learning experience, one of Watson’s Caritas Processes. Identify exactly how these two concepts will be measured with their operational definitions. Develop a proposition between the two. Present your outcome in an APA formatted paper  meeting the University’s standards for a written assignment.

Expectations

· Due: Saturday, 11:59 pm PT

· Length: 5 to 7 pages including title and reference pages

· References: 3 to 10.  There should be enough to support the links between the concepts of the problem and the concepts of Watson’s Theory of Caring.

See USU NUR Resear

Week 4: Discussion Question – Watson’s Theory Concepts

Locked before Monday, September 21, 2020 5:00 PM PDT.

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Points: 30 | Due Date: Week 4, Day 3 & 7 | CLO: 1 | Grade Category: Discussions

Discussion Prompt

Find a concept within Watson’s Theory of Caring and a similar concept within any other nursing theory.  Compare the two concepts for similarities and differences. Illustrate how a person reading about a theory can be influenced in their understanding of a theory if they have a different definition of a concept than the author.

Expectations

Initial Post:

· Due: wednesday, 11:59 pm PT

· Length: A minimum of 250 words, not including references

· Citations: At least one high-level scholarly reference in APA from within the last 5 years

Peer Responses:

· Due: Thursday, 11:59 pm PT

· Number: A Minimum of 2 to Peer Posts, at least one on a different day than the main post

· Length: A minimum of 150 words per post, not including references

· Citations: At least one high-level scholarly reference in APA per post from within the last 5 years

Discussion: Respond to Posts in Your Own Thread

See USU NUR Discussion Board Rubric for additional details and point weighting.

Rubrics

· USU NUR Discussion Board Rubric

write a 2 page paper addressing the sections below of the research proposal.

Methodology

• Extraneous Variables (and plan for how controlled).
• Instruments: Description, validity, and reliability estimates, which have been performed (on a pre-established measure). Include plans for testing validity and reliability of generating your own instrument(s).
• Description of the Intervention
• Data Collection Procedures

 Local Practice Problem Exploration: Cancer.

As we have chosen the same practice problem, to explore, I am curious how your facility (north shore medical center, Miami, Florida) has planned to (or currently has implemented) becoming an Age-Friendly institution?  Many of the interventions you described echo the “4 M” is of the Age-Friendly Institution: Mentation, Mobility, Medications, and What Matters Most.  How have you seen institutions adapting to this framework in anticipation of the needs of cancer patients and survivors? 

– How cancer impacts nurses, healthcare organizations, nursing care, and general health care quality?

– what is the real impact on your community? What is the cost to your local community (Miami, Florida)? 

Just as you sought out stakeholders when considering practice problems at the national level, an ongoing dialogue with stakeholders at your local level is equally important. Get to know your formal and informal leaders. Networking with stakeholders sets into motion a collaborative relationship that is needed to focus on a practice problem with the intention of translating the best available evidence. 

 – Key stakeholders affected by the problem and ones involved in the resolution. In your current practice, what contributes to the alarming rates across the known practice problems? During your journey this week, you’ll also examine the role of stakeholders in change and the role of translation science in influencing patient outcomes across known practice problems. During your readings, you probably noted that there are challenges and barriers to changing practice.    

Instructions:

Use an APA style and a minimum of 200 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA style standards apply. 

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website, or blogs should not be used. 

*Recommended resources:

The U.S. Burden of Disease Collaborators. (2018). The State of U.S. health, 1990-2016 burden of diseases, injuries, and risk factors among U.S. states. JAMA, 319(14), 1444-1472. https://doi.org/10.1001/jama.2018.0158

White, K. M., Dudley-Brown, S., & Terhaar, M. F. (2016). Translation of evidence into nursing and health care (2nd ed.). Springer Publishing Company.

https://www.medicare.gov/hospitalcompare/cancer-measures.html

For this project, you will complete a clinical case study analysis, research review, and PowerPoint video presentation about the pathophysiology of a topic of your choice. Just Make powerpoint part I will present it.

1. Your presentation should follow a case study SBAR format (situation, background, assessment, and recommendations).
2. You must include three (3) different medical-based evidence and/or research recommendations.
3. You must include at least three (3) scholarly sources in your overall presentation.

Your PowerPoint presentation should include the following slides:

• Introduction to the case or situation
• Background detail
• Clinical assessment
• Recommendations
• Application to future practice
• Reference slide: At least three (3) scholarly references supporting your ideas.

 (I need 2 different copies of this Assignment)

Discuss a personal nursing philosophy.  Apply what you have learned about nursing theory in this course.  Identify a nursing philosophy that best matches your personal philosophy.  Discuss a nursing framework or theory that fits that philosophy including how it fits your personal philosophy.   Identify a possible situation in which that framework or theory would be a poor fit and discuss why it is a poor fit for that situation.  While it is an important skill to be able to match a theory with a situation, it is also critical to understand when a theory or framework does not fit a situation.

Expectations

• Format: APA 6th edition
• Length: 5 pages, excluding title and reference pages

See USU NUR Research Paper Rubric – MSN for additional details and point weighting.please use APA 6TH EDITION
BELOW IN INSTRUCTOR REMARKS 

Instructions for Answer to 2 Question

1- After Each DQ (question), write down references

2- 300 minimum words for every DQ, you can go up to 800 words but answer should be complete.

3- 2-3 Peer Reviewed/ scholarly references for each question

4- References should be within 4 years

5- I am in acute care nurse practitioner program.

6- The response to the DQ is expected to be a minimum of 300 words. A minimum of two peer reviewed/ scholarly  resources are expected. These need to be appropriate for a clinical professional to guide decisions about patient care. If a textbook is used for one of these responses, the other needs to be journal or professional-level website. The references need to be correctly formatted, as do the citations for those references.  “ Question words” don’t count towards 300 minimum count”

https://docs.google.com/document/d/1Br1FuXee8U1Yh2wb-iv4S8RbO3DWHirrktMyCOsbne4/edit?usp=drivesdk

Copyedit this paper below using copywriting Mark’s or track changes editing function in Microsoft word. Please provide feedback related to the key problems in scientific writing and relevance as described in previous lecture. Look out for APA errors (7thed APA).

For these questions, please read the following case study and then respond to the questions noted below.

Ms. BD is a 33-year-old G2P1 African-American female who presents to your clinic today complaining of unusual fatigue, nausea, and vomiting for the last five days. She has a medical history of chronic hypertension (HTN) that was diagnosed shortly after her first pregnancy two years ago and GERD. MS. BD’s blood pressure is controlled on Lisinopril-Hydrochlorothiazide 20/12.5mg by mouth twice a day, and GERD controlled on Bismuth Subsalicylate 262mg by mouth every 6 hours as needed. During the interview, you learn that she is single, sexually active, has one partner and that her menses is ten days late. She performed a home pregnancy the three days after missing her menstrual cycle, and the results were inconclusive. She states she feels terrible and needs relief. She has no other medical problems, symptoms, or concerns.

Assessment: Physical examination is unremarkable. BP128/68, HR is 74, Urine human chorionic gonadotropin (HCG) positive, beta HCG sent, potassium 4.2, blood
urea nitrogen (BUN) 14, creatinine is 0.6, Alanine aminotransferase (ALT) 29, White blood cells (WBCs) 6.5, hemoglobin (Hgb) 12.8, hematocrit (Hct) 39, and platelets 330,000.

1. List the additional questions you would need to ask this patient. Explain.
2. What is the safety profile of Lisinopril-hydrochlorothiazide and bismuth subsalicylate in pregnant women? What are the possible complications to the pregnant woman and her fetus?
3. What is the importance of assessing laboratory values when prescribing medications? How might the laboratory values, in this case, impact your treatment plan?
4. Would you make any changes to Ms. BD’s blood pressure and GERD medications? Explain. If yes, what would you prescribe? Discuss the medications safety in pregnancy, mechanism of action, route, the half-life; how it is metabolized in and eliminated from the body; and contraindications and black box warnings.
5. How does ethnopharmacology apply to this patient if she were NOT pregnant? Explain.
6. What health maintenance or preventive education do you provide in this client case based on your choice of medications/treatment?
7. Would you treat this patient or refer her? Explain. If you refer, where would you refer this patient?