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Scenario:
• Your 79, year old female patient suffered a stroke 6 months ago. She is cared for in her sister’s home. The patient is dependent for position changes. She is unable to communicate the need to be turned. She must be fed at all meals. She has a stage II pressure injury on her sacral area.

Questions:
• Develop a teaching plan for the family to ensure that the patient’s needs are met

scenario 2

Directions: Musculoskeletal
• A 72, year old man lived a fairly sedentary lifestyle as an accountant. Now that he is retired, he recognizes the need to be active to maintain his health as long as possible. He is concerned, however, that it is too late for him to start exercising because he has never engaged in such activities.

Attention Wizard Kim. 

Week 6 Discussion: Practicum professional Development Objectives/ Progress Appraisal  3 pages. 

Rubrics 

The Impact of Chronic Illness

In a Microsoft Word document of 4-5 pages formatted in APA 7 style, describe the information collected about a person with a chronic illness. Please note that the title and reference pages should not be included in the total page count of your paper.

Identify one person from the illness group you chose in Week 1 to interview (see attachment). The person should not be a patient at the facility in which you work. You can use friends, family members, or coworkers. Do not use the person’s name in the paper, only initials.

Administer the questionnaire you created in Week 1 to that person and address the following:

Compile the data and analyze the responses to better illustrate where this person, his or her family, and friends are in relation to accepting the diagnosis in relation to the standard health or illness definitions.

The analysis should also include coping skills, treatment, and support aspects of the illness.

Explain how this information will direct care plan development for the chosen illness group.

Include a copy of the interview you created with the responses from the person interviewed in an Appendix.

Support your responses with examples and information from library resources, textbook and lectures.

On a separate references page, cite all sources using APA 7 format. 

Please use the attached reading material to complete work.

Remember to include an open-ended follow-up question with each response. This is a required part of substantive participation that encourages further discussion.

When you post responses to your peers the response needs to be “substantive” to receive credit. Substantive posting criteria includes: Acknowledge what your peer stated (agree or disagree). Include additional information. End the post with an open-ended follow up question. This is important to encourage further discussion.

 It relates to the problem of all chronic diseases in general. Explain to your patients what chronic disease means, what the different ones are, the risk factors, and ways to prevent them from getting one or more. There are national statistics on the problem of chronic disease you can share. 

 THIS ASSIGNMENT IS NOT ABOUT ONE CHRONIC DISEASE! 

This is NOT a Research Project but a Quality Improvement Project 

TOPIC: Impact of Medication Administration Errors on 3-4-Year-old Leukemia Patients 

This week’s post will focus on Chapter Three. Please address the areas below in your discussion post this week. Please write at least five concise statement discussing the content in this area. Spelling and grammar will be reviewed and graded. Note: When you write the chapters, adhere to the Proposal Paper requirements.

Population and Sample Selection: This section discusses the setting, total population, project population, and project sample. The discussion of the sample includes the project terminology specific to the type of sampling for the project.

Instrumentation or Sources of Data: This section describes, in detail, all data collection instruments and sources (tests, questionnaires, interviews, databases, media, etc.); the specific instrument or source to collect data for each variable or group (quantitative project).

Validity and Reliability: This section provides specific validity statistics for quantitative instruments, identifying how they were developed, and explains how validity will be addressed during data collection approaches. This section provides specific reliability statistics for quantitative instruments, identifying how the statistics were developed, and explains how reliability will be addressed during data collection approaches.

Data Collection Procedures: Describe the step-by-step procedures used to carry out all the major steps for data collection for the project in a way that would allow another investigator to replicate the project. Can say Step 1, Step 2, Step 3…

Data Analysis Procedures: This section provides a description of how the data will be collected and organized for each variable or group; a description of the type of data to be analyzed, identifying the descriptive, inferential, or nonstatistical analyses; a description of how the raw data will be organized and prepared for analysis; and a step-by-step description of the procedures used to conduct the data analysis.

Ethical Considerations: This section discusses the potential ethical issues surrounding the DPI project, as well as how human subjects and data will be protected. It identifies how any potential ethical issues will be addressed.

Limitations: This section discusses, in detail, the limitations related to the project approach and methodology and the potential impacts on the results.

Respond to the prompts after each scenario. 

Scenario 1: 

Justin is a front-office assistant at a local physician’s office. On a busy day at the office, Justin is consumed by patients and their needs. While helping a patient, Sarah, the other front-office assistant, calls Justin over to answer questions regarding the patient intake process. Justin explains the process to Sarah and then continues to work with the patient at his window. Later that day, Justin reflects on the situation and is frustrated that he had to stop working with his patient to explain a process to Sarah that he has already explained a dozen times. Justin takes to social media to express his frustrations with Sarah and her inability to take care of patients properly even though she has been trained. 

Write a 175- to 260-word response to the following prompts: 

• Explain how Sarah might perceive Justin’s actions.
• Explain the ramifications of using social media as an outlet for voicing frustrations about a co-worker.  
• Provide an example of a more effective communication method to use in this situation. 

Scenario 2: 

Jana works in a long-term care facility that cares for all types of patients. She receives emails from multiple co-workers throughout the day, and today she receives the following email from Sean: 

“Hi Jana, 

I noticed that I DIDN’T receive your monthly report yesterday. I NEED to get it as soon as possible TODAY so that I can finish the final report.  

Thanks, Sean”

Write a 175- to 260-word response to the following prompts: 

• Explain how Jana might perceive the tone of this email.
• Describe whether you perceive Sean’s tone to be appropriate or inappropriate.
• Provide an example of a more effective communication method to use in this situation.

Scenario 3:  

Robert is an older patient checking in at the window of his local retail health clinic. The office assistant is taking Robert’s insurance card and asking a couple of follow-up questions. Robert asks the assistant to speak up because of some background noise. The assistant starts speaking slower and enunciates her words instead of speaking louder.  

Write a 175- to 260-word response to the following prompts:  

• Explain how Robert might perceive the office assistant’s reaction.
• Explain the ramifications of communicating with patients in this manner.
• Provide an example of a more effective communication method to use in this situation.

Cite a minimum of one reference to support your assignment.

Format your assignment according to APA guidelines. 

Submit your assignment (the three responses) in one document.

Emergency Plan for the Older Adult (OA)

Based on what you have learned so far in this course, create a PowerPoint presentation that addresses each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least two (2) sources throughout your presentation. Make sure to reference the citations using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Review the rubric criteria for this assignment.

Locate the American Red Cross in your area: http://www.redcross.org/ or in person

• Identify what is necessary for emergency supplies to have on hand for a healthy older adult (OA).
• Visit with an older family member or friend to identify specific needs for this older adult (reasonable for this person).
  • Assist the OA in creating their Personal Emergency Plan
• Why is this important for OA singles or couples who live independently without services?
  • Title Slide (1 slide)
  • Objective Slide (1 slide)
  • Necessary Emergency Supplies for OA (1 -2 slides)
  • OA Personal Emergency Plan (1-2 slides)
  • Importance for Independent OAs (1 slide)
  • References (1 slide)

Assignment Expectations:

Length: 6-8 slides

Structure: Include a title slide, objective slide, content slides, reference slide in APA format. 

Speaker Notes not required

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions.  A minimum of two (2) scholarly sources are required for this assignment.

 According to Dorothy Orem Theory  explain the role the selected nursing theory has/had in the evolution of healthcare 

Reply to this discussion post (site sources if applicable)

My evidence-based practice project is to improve workplace violence by increasing awareness, responding to incidents and improving policies in place. With these new measures in place, the Emergency Department will be a safe place to work. To make my project successful, variables play an important part in improving the process and how to evaluate it.

     I will need to determine the independent and dependent variables to improve the safety of the Emergency Department. Workplace violence on the Emergency Department staff is the dependent variable and the independent variable is the number of workplace violence incidents they encounter. I would evaluate independent variables by collecting data from workplace incidents that had occurred in the last year and interview ED staff to collect data from as many members as possible about workplace incidents.

     The dependent variable is workplace violence (verbal, physical and emotional abuse) on Emergency Department on staff. Studies show that the Emergency Department has higher statistics of violence because of independent variables like stress, long wait times, unpredictable and challenging situations.

     If a process or improved policy is made, it can help improve other departments of hospitals and clinics where WPV occurs. Other dependent variables can include workplace violence in different departments on different staff members that are a part of psychiatric facilities, floors amongst the hospitals and outpatient clinics. When the evaluation of current policies and responses to “Code Greys” are reviewed and analyzed, we can implement changes depending on the variables that are collected.