1)  After discussion with your preceptor, name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based change proposal. Explain how your proposal will directly and indirectly impact each of the aspects.

2) Now that you have completed a series of assignments that have led you into the active project planning and development stage for your project, briefly describe your proposed solution to address the problem, issue, suggestion, initiative, or educational need and how it has changed since you first envisioned it. What led to your current perspective and direction?

3) Work with your preceptor to assess the organization for required resources needed for the strategic plan if the change proposal were to be implemented. Review your strategic plan and determine what resources would be needed if the change proposal were to be implemented. Write a list of at least four resources you will need in order to implement your change proposal.

The assignment will be used to develop a written implementation plan.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

 How does efficient frontier analysis (EFA) differ from other forms of complex risk assessment techniques? 

A nurse has decided to research the following PICOT question: “Adult clients who are admitted to the cardiac unit with congestive heart failure are more likely to develop nosocomial infections than other cardiac clients admitted to the cardiac unit.” A quantitative research design is planned for this project. From the PICOT question, determine the variables that can be included in the study.

Assignment:

Identify an older adult age 65 +, use a 1st and last initial. Execute a therapeutic assessment interview with them for at least two interview sessions assessing their self-identified:

• Demographics, life time education and career/employment
• Two most significant (positive) times in their lives
• What past hardship or loss has the client successfully negotiated in the past?
• Two personal strengths
• Engage them in identifying what is healthy versus non-healthy coping skills
  • Inquire of 2 healthy coping skills they have used in the past and/or now
• Three (3) pieces of advice they would give to their younger self if they could?
• Support the client in taking the Geriatric Depression Scale.pdf
• Support the client in taking the Fulmer SPICES Assessment.pdf
• Perform a Mini Mental State Exam.pdf and Patient_Stress_Questionnaire.pdf (attach here)
• Perform a Hall, Hall, and Chapman Article.pdf
• Report the findings from the Geriatric Depression Scale, Fulmer Spices, Patient stress questionnaire and the mini mental status exam
• Discuss your older adult’s level of ego integrity vs. despair as described by psychoanalyst Erik Erikson. If you had to rate them on a scale of 1-10, with 1 representing a full state of despair and 10 representing full ego integrity, what rating would you give your older adult?
• Describe at least two nursing diagnoses for this client.  
• Create a plan of care for the client to include at least three nursing goals with two nursing interventions each.

The assignment should be written in an APA-formatted essay. The essay should be at least 1500 words in length and include at least two scholarly sources other than provided materials.