A nurse at the local Senior Center made the following notation about a client: A 74-year-old female client wearing eyeglasses with bifocal lenses and hearing aid in her left ear. Walks with a shuffling gait, using a cane for support. Wearing house slippers and housedress. States, “My other doctor says I should have my eyes looked at by an expert. It’s been a while, and my eyes seem to be acting up lately. I can’t see so good anymore.” The client states that she takes medication for “sugar” and her blood pressure and has worn glasses for years with the last prescription changed about 3 years ago. “I was a seamstress for many years and quit when I couldn’t see to thread the needles anymore-just in time too. These new materials are too hard to work with!” Denies using any eye drops. Describes vision changes as difficulty seeing well at night, especially if trying to read. Uses a magnifying glass to help when reading. No eye pain or discharge, although eyes sometimes feel “dry and scratchy,” with the left eye being worse than the right. Admits to rubbing eyes but without relief.
Develop a Plan of Care for this patient that includes: 2 Nursing Diagnosis 2 goals for each Nursing Diagnosis Interventions with rationales Include in-text citations with 3-4 references
Interventions with rationales
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Being able to understand verbal communication is important in any profession, but it is especially important to understand medical terminology in a healthcare setting. This activity will allow you to practice your listening and interpretation skills. You are presented with two patient summaries, which contain multiple medical terms that you have been studying this module.
To prepare for this assignment, listen to each patient summary below (please see attachments) and answer the corresponding questions.
You will be able to listen to these summaries again as you answer the corresponding questions.
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1.In reference to Dyer-Barenson, describe the process to obtain cultural competency. Has this course helped you begin this process? What else do you need to do?
2. What is the difference between ethnicity and race,? What are primary and secondary characteristics of a culture?
Summary: The purpose of the weekly reflective journal exercises is to allow for analysis, synthesis and evaluation of nursing theory using guided questions. Reflection has been referred to as a process that happens internally, privately or in isolation (Hill & Watson, 2011). Also a useful definition of reflection has been referred to as the examination of an issue of concern, as a consequence of experience, creating clarity and meaning in terms of self, and which results in a change of perspective ( Boyd & Fales, 1983).
book :
Dayer-Berenson, L. (2014). Cultural competencies for nurses: Impact on health and illness, 2nd edition. Sudbury, MA: Jones and Bartlett. ISBN: 1-978-1-4496-8807-3
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I need a 2 or 3 sentence comment for each paragraph
Paragraph 1
Today’s family reaches beyond the traditional definition and encompasses societal units of single-parent families; lesbian , bisexual, gay, transgender, queer, and questioning (LBGTQ+) families’ children raised by grandparents or other relatives; multigenerational units; and people who are together out of friendship and love, not bloodlines”. It is important to understand the family dynamics of the patient, their roles and relationships so nurses can better understand family structure and their involvement. Involving families in care and education can enhance patient compliance. Family members can affect health of an individual based on their social characteristics, culture, the influences from their neighborhood, community and society (Sharma, 2013). Health seeking behaviors and preferences may also be influences by family structure and the changing dynamics of family composition can impact lifestyles and heath related risk factors (Sharma, 2013). Nurses have a powerful position to create a therapeutic relationship with patients and families and involving those who influence the health and wellbeing of an individual in efficient, quality health care (Ponte, et al., 2007). Nurses who are confident in their ability to acknowledge family structure and what patients and families need, can successfully implement actions to encourage high quality care. “The family influences on each other can be engaged to assist patients and family members make choices and changes for better health”
Paragraph 2
The definition of “family” has evolved over generations and expanded from the traditional male and female married couple and their children living under one roof to that of the modern way in which people are interacting with each other and carrying out relationships. Coinciding with the way people are relating to one and other today, the definition a family has broaden to “societal units of single-parent families; lesbian, bisexual, gay, trans gender, queer, and questioning (LBGTQ+) families; children raised by grandparents or other relatives; multi generational units; and people who are together out of friendship and love, not bloodlines. The form and function of the family dynamics directly influence the overall health of an individual. This is why understanding the different family structures and not assuming the “non-traditional” structure will enable the nurse to make accurate assessments on the health care needs of the individual as well as identifying gaps to meeting those needs and formulating a plan while honoring their preferences, beliefs and values. Understanding the family structure will give the nurse insight to the plan for aftercare and how well the goals will be met in the home setting. The family systems theory takes a look at the family as a whole system rather than individual members to study the family processes and problems. However, each family member has their own individual role, feelings, behaviors and goals that influence the rest of the family. Considering the family system will help nurses understand the interaction of the family because any “modification by an individual within the system can change the family’s finances, health, housing, communication, and dreams. Once a change is made within the member of the family then the dynamics in the whole system start to shift, which can result in either positive outcomes for everyone or create stressors and tensions for the other members to adapt to. Involving the whole family in the assessment and planning of care will create an environment of support and encouragement, promote education and increase the probability of healthier, positive behaviors.
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Select a health care facility or service (e.g., hospital, physician practice, long-term care facility, ambulance service, pharmacy, or skilled nursing facility).
Design a 700- to 800-word proposal for a process improvement or cultural change that would affect all levels of staff in the organization (e.g., Lean Six Sigma or Studer Group).
Cite 1 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).
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2. Download the provided PowerPoint template to create a presentation that includes:
· Your name on the title slide of the presentation
· Identification of two or more issues with existing system
· Identification of “work-a-round” solutions when using existing system
· Overview of standard language used only in nursing
· Overview of multidisciplinary standard language
· Set of five (5) open-ended survey questions for staff input on transitioning to the new system
· Presentation is free of spelling and grammar errors.
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TOPIC: Health Promotion in cardiovascular diseases.
4-6 pages including references but no initial page.
To cover the following topics:
1. Assignment meets all expectations with exceptional depth and breath. A comprehensive purpose statement delineates all requirements of the assignment.
2. Demonstrates the ability to evaluate, apply and integrate key assignment concepts.
3.Synthesizes and justifies (defends, explains, validates, confirms) information gleaned from sources to support major points presented. Uses 3 credible resources for the assignment, including at least 1 scholarly peer-reviewed resource.
4. Uses correct grammar, spelling, and punctuation with no errors. Uses correct APA format with no errors.
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This written assignment requires the student to investigate his/her local, state and federal legislators and explore their assigned committees and legislative commitments. The student is expected to investigate current and actual legislative initiatives that have either passed or pending approval by the house, senate or Governor’s office. The student will draft a letter to a specific legislator and offer support or constructive argument against pending policy or legislation. The letter must be supported with a minimum of 3 evidence based primary citations. (See Rubric)
Based upon the research week one and two, you will draft a pretend letter to a specific legislator on legislation being considered, passed, or tabled and offer support or constructive argument against pending policy or legislation. The letter must be supported with a minimum of 3 evidence-based primary citations and written in business letter format.
Do not start the letter with your name since you will be signing your name at the end. Identify the issue and why you support or do not support the issue. Thank you legislator for his/her support of your position. Closing salutation and then your name. Use business letter format. Do not mail this letter. It is a scholarly exercise only. Submission Details: Support your responses with examples. Cite any sources in APA format.
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350-word article that evaluates the cost of the health care workforce. Your article should: Identify three key drivers of labor costs within a specific health care service, facility, or other health sector-related occupation (e.g., labor supply, productivity improvement, technology, or personnel benefit design) Evaluate current industry solutions or remediation activities to address the identified labor costs Predict future changes (e.g., policy, funding, or public support) that might exacerbate or accelerate the solutions
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