Nursing and the aging Family DQ week 2 Part 1 Dianelis Pons

 

  Please reply to this student post by adding something else relate to this post

Please APA style and less than 10 % similarity. 

 

Discussion part one

It is not possible to define aging in the elderly solely by chronological criteria, since the functional, physical, mental and health conditions they present must be considered, since the aging process is individual, verifying that different biological conditions can be observed in individuals located in the same chronological age range. For example, in the cardiovascular system, when an elderly person is subjected to exertion, there is a decrease in the ability of the heart to increase the number and strength of the heartbeat. With aging there is also a reduction in the heart rate at rest, an increase in cholesterol and vascular resistance, with the consequent increase in blood pressure. Another time may be that arteriosclerosis is caused by normal changes in age, environmental influences, and genetic factors. In the autonomic nervous system there is a lower cardiovascular response to sympathetic and parasympathetic stimuli and a decrease in adrenergic content. As a result of these changes, the ejection phase and the relaxation phase increase, with reduced diastole, greater impedance to the left ventricular ejection, and decreased compliance (Health & Medicine Week, 2019).

I believe that it is important not to confuse aging factors with diseases that are not the cause of the same. One of them is Alzheimer’s, as this is a disease that can appear suddenly and although older adults are more likely to get it, this is not the main cause of it. Memory loss in the elderly does not presuppose normality, but, on the contrary, illness. As a result, it is important to allow the patient and his family to plan for the future in the face of total disability, providing support and monitoring in the aspects of judgment and safety so that the patient can continue independently and living in the community as much as possible (Mental Health Weekly Digest, 2016).

References

Health & Medicine Week. (2019). Aging Research – Aging and Development; Data from University of Liverpool Advance Knowledge in Aging and Development (Ageing-associated changes in the expression of lncRNAs in human tissues reflect a transcriptional modulation in ageing pathways). Retrieved from: https://search.proquest.com/docview/2319051274?accountid=158399

Mental Health Weekly Digest. (2016). Neurodegenerative Diseases and Conditions – Alzheimer Disease; Researchers’ Work from Alzheimer’s Association Focuses on Alzheimer Disease (Guidelines to improve animal study design and reproducibility for Alzheimer’s disease and related dementias: For funders and researchers). Retrieved from: https://search.proquest.com/docview/1846856026?accountid=158399

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Theory Application Case Study 3 to 4 pages

Case Study

The purpose of this assignment is to demonstrate the application of a nursing theory to practice. Review the clinical case provided and apply your chosen theory to the case. Please utilize APA.   

Steps: 

1. Clearly explain and illustrate by example how the theory guides the focus of the assessment phase of the nursing process

2. Clearly explain and illustrate by example how the theory guides the choice of the variables to be assessed

3. Clearly explain and illustrate by example how the theory guides the nursing intervention

4. Identify the nursing interventions clearly

5. Describe how the interventions will modify, prevent, remove, or decrease the etiology of the problem as defined by the theory.

6. Evaluate the applicability of the nursing theory of practice

Case Study

Elizabeth Jefferies is a divorced 46-year-old mother of two children (Lily age 8 years and Felix age 10 years) and the daughter of two aging parents in the southeastern United States. She and her children have recently relocated from an urban neighborhood to a rural town to care for her parents, Robert and Susan. The move involved a job change for Elizabeth, a change in schools for the children, and an increased distance from the children’s father Chris. Robert is a 72-year-old Methodist minister who recently suffered a stroke, leaving him with diminished motor function of his left side and difficulty swallowing. Susan is 68 years old and suffers from fibromyalgia, limiting her ability to assist with the daily care of her husband. She has experienced an increase in generalized pain, difficulty sleeping, and worsening fatigue since her husband’s stroke.

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Strengths and Strategies, Curriculum Vitae, and Action Plan

APA format, Reference (s) must be within 5yrs. zero plagiarism. This paper will be appoximately 3.5- 4 pages including CV template page.  

Week 2: Strengths and Strategies, Curriculum Vitae, and Action Plan

Purpose

The purpose of this assignment is to develop (a) a leadership strength-to-strategy plan, (b) a professional curriculum vitae (CV), and (c) an action plan for leadership formation. The strengths-to-strategy plan (from the Week 1 interactive) formulates a plan to guide leadership development. The CV provides the professional foundation for the DNP portfolio through documentation of professional and academic accomplishments. The action plan addresses gaps or developmental opportunities in the CV while applying strategies from the strength-to-strategy plan. The strengths-to-strategy plan, professional CV, and developmental action plan contribute to the student’s professional development of skills and competencies relevant to the DNP scholar as a leader.

1. The assignment will include the following components:

a. One title page 

i. Title: Strengths-to-Strategy, Curriculum Vitae, and Action Plan 

ii. Format the title page as shown in the APA Paper Template in the Resources tab of Canvas and as demonstrated below:

Strengths-to-Strategy, Curriculum Vitae, and Action Plan

Name

School: …………

NR722: ……

September Session [or applicable Session] 2020

In this assignment, You will submit One document with all three of these assignments included in the following organization:

Introduction

Strengths-to-Strategy Plan

Professional Curriculum Vitae

Action Plan

Conclusion

References 

Appendix: CV in Template-*******See attached template. Include it as is as an Appendix per instruction. Owner will make entry inside the CV template afterwards. So disregard the instructions for completing inside the template******

iii. Include an introduction and a conclusion paragraph.

vi. Use the following required level 1 headings:

1. Strengths-to-Strategy Plan

2. Professional Curriculum Vitae

3. Action Plan for Leadership Formation

4. Conclusion

2. Introduction (10 points)

a. Note: Do not use “Introduction” as a heading. Place the paper’s title on the first line.

b. Present a clear purpose statement.

c. Introduce the sections of the paper in a mini-outline in sentence format.

d. Establish the significance of the paper to you as a future practice scholar and DNP leader.

3. Strength-to-Strategy Plan (40 points): Complete the Week 1 Strength-to-Strategy Plan interactive exercise located in the Explore section of Week 1. Use the Strength-to-Strategy Plan interactive to provide the rough information for this section of the paper, written in a Microsoft Word document.  ******* See helpful rough information for the wk 1 strength-strategy plan interactive excercise at the end of this page to use in completing this section***** 

b. Create four (4) Level 2 headings that reflect the Week 1 interactive results

i. Leadership Strengths

1. Describe in a paragraph 3 strengths you discovered in the interactive in complete sentences.

2. Briefly explain the importance of each to your leadership development.

i. Leadership Opportunities

1. Describe in a paragraph 3 opportunities you discovered in the interactive in complete sentences.

2. Briefly explain the importance of each to your leadership development.

iii. Strategies for Turning Opportunities into Strengths

1. Describe in a paragraph 3 strategies for turning opportunities into strengths you discovered in the interactive in complete sentences.

2. Briefly explain the importance of each to your leadership development.

iv. Strategies for Leveraging Others’ Strengths

1. Describe in a paragraph 2 strategies for leveraging others’ strengths you discovered in the interactive in complete sentences.

2. Briefly explain the importance of each to your leadership development.

4. Professional Curriculum Vitae (40 points):

a. Use the required Professional CV Template  .This section of the body of the paper should introduce your CV, explain your impressions as you constructed it in the template, and note any insights or surprises you discovered. In this section, include the instructions to the reader to see the Appendix, either in the sentence or within parentheses.

**** CV Template is attached here.  Attach CV template (as is) as an Appendix after the paper.) Not- Please do not add anything in side the CV template. Owner will complete the information required  (inside) the CV template.b. The professional CV should include the following (NOTE: If there are no entries in a section, enter “None” or “N/A” but do not remove the section)***

i. Name and Contact Information

ii. Education

1. List all educational institutions attended in reverse chronological order.

2. Include date degree conferred, degree earned, institution, and location.

3. Include your DNP with the anticipated graduate date .

ii. Professional Licensure: RN licensure and APRN/Other Licenses

1. List state(s) of licensure.

2. Do not list license numbers.

ii. National Professional Certifications

1. Include the date(s) of certification, the certification name, and certifying organization.

iii. Professional Work History

1. List all employment in reverse chronological order.

2. Include ONLY dates of employment, position, institution, and location of the position held.

iv. Professional Associations and Activities

1. List dates, role, and organization.

v. Awards and Honors

1. List dates, awards, and granting organizations.

vi. Research and Grants*

1. List dates, role, title, sponsor, and monetary award.

vii. Publication: Books, Book Chapters, and Journal Articles*

1. Provide complete reference in APA format

2. Bold your name

viii. Presentations*: International, National, Regional, or Local

1. Include date, title, conference, sponsor, and city.

ix. Volunteer activities

1. Include dates, role, and organization.

x. References Available Upon Request

*There may be items in the CV that you have not done yet in your development, but it is appropriate to leave the headings and enter “None” or “N/A.” 

5. Action Plan (50 points) : Include 3 Level Two Headings with 1 paragraph each that support your leadership formation. The action plan should include the following three sections:

a. Analysis of Current CV : An analysis of your current CV, including your greatest accomplishments and what you are most proud of in your career journey.  *****May use the roguh entry below to assist with this section. 

*****In my most recent job I led a change project for improving the Utilization review process by centralizing the documentation collection location to reduce the time spent on collecting them from different locations and from different people. 

The project was successful, my organization has seen reduction in the time spent on utilization review process and increase in productivity has also been noted.  My manager was so pleased with the improvements. The chief executive officer  was also very pleased with the above accomplishment and he has requested that I select team members to form a process improvement team *****

b. Plan of Action for Strengthening CV : A plan of action for strengthening your CV by adding accomplishments to areas in which you may not have entries or have limited entries.

c. Plan of Action to Turn Opportunities into Strengths: A plan of action for using the strategies for turning your developmental opportunities into strengths noted on the Strength-to-Strategy Plan.

5. Conclusion (10 points):

a. Recaps the paper’s purpose statement and mini-outline criteria.

b. Draws major conclusions from the body of your paper.

c. Summarize the importance of professional development to you as a future practice scholar and DNP leader.

5. Writing Organization and Mechanics (10 points)

a. One document is created using the four Level 1 headings prescribed.

b. The standard CV Template is used for the CV section and placed as an Appendix.

c. Grammar and mechanics are free of errors. (Grammarly.com)

d. APA style and standard English language are used & abbreviations/ acronyms are explained.

5. You will submit one document with all sections included in the following organization:

a. Title Page

b. Introduction

c. Strengths-to-Strategy Plan

d. Professional Curriculum Vitae

e.  Action Plan for Leadership Formation

f. Conclusion

g. References (if used)

h. Appendix*

The document below if the item referenced on # 3 above. ****Please use the rough info  below to assist in completing the #3 section per the instruction.

Strengths-to-Strategy Plan

Leadership Strengths

Servant leader: Having the responsibilities of service to others and recognize that the role of organizations is to create people who can build a better tomorrow. Strengths-based leader: I strive to empower workers’ strengths rather than identify problems. Task-oriented leader: I would spend time to explain expectations and I reward good performance, correct departures from expectations, and I would attempt to prevent future problems.

Leadership Opportunities

1. Unmasking my weakness 2. Learning from my failures 3. Appreciate feedbacks. 4. Listen to those with more experience 5. Refuse to settle for mediocrity

Turning Opportunities into Strengths

1. Understanding my leadership style will opens the door for building managerial skills in harmony with my true nature. With a sense of where I fall in leadership style categories, I will be better equipped to develop leadership skills. 2. Setting concrete goals and executing them. Formulating the right plan and setting meaningful benchmarks along the way gives me a map to follow, a methodology that will guide me through my tasks. 3. Admit when I fail and move on. When I recognize an error, I should admit it openly and take action to correct it. I should be open about your failures; discuss them with myself/with your team and earn from them. 

Leveraging Others’ Strengths

Listening to those that I work with and examining and adopting their good skills/strengths that I may lack. Being supportive and engaging with others.

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2 PAGE PAPER AND 2 POWERPOINT SLIDES

 Instruction

THIS IS A GROUP ASSIGNMENT SO I AM GOING TO NEED TO COLLABORATE 2 PAGES IN THE PAPER. DOES NOT NEED AN INTRO OR CONCLUSION. JUST IN TEXT CITATIONS AND REFERENCE AND THE 2 PAGES NEEDS TO BE “IDENTIFYING CURRENT PUBLICATIONS” ON A RECENT ARTICLE ABOUT “ELDERLY POLYPHARMACY”. THIS IS THE INSTRUCTIONS: Identify current publications concerning the issue being analyzed – literature review 30% In this section the team must demonstrate analysis and synthesis of the extant literature. The review should include information published in refereed journals, authoritative websites, government and other publications. References should be current and reflective of contemporary thought with regard to the selected issue. ALSO, THE POWERPOINT IS ALSO GROUP ASSIGNMENT SO PLEASE MAKE 2-3 SINGLE SLIDES REFERRING TO (ELDERLY POLYPHARMACY) AND TO “IDENTIFY CURRENT PUBLICATIONS AS WELL” NO INTRO OR CONLUCION NEEDED FOR THE SLIDES EITHER JUST 2 SLIDES IDENTIFYING CURRENT PUBLICATIONS ON ELDERLY POLYPHARMACY LIKE THE 2 PAGE PAPER AS WELL

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Essay Sophocles’ Antigone

Essay 1

Sophocles’ Antigone: Discuss the ethical implications of Creon’s decree. Examine each argument that he has with Antigone, Haemon, and Teiresias. Make certain that you have a thesis in which you state what you think of Creon’s decree.

Parameters: APA style and format. Must cite the story in your text and with an end reference in APA format. No other sources besides the story are needed. If you choose to use an outside source, you must cite it. 700 word minimum.

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Nola Pander

 

NOLA PENDER ASSIGNMENT

Choose one health-promoting behavior in which you personally could but don’t engage. Identify factors, as defined in the health promotion model, which contribute to your decision not to participate. Include immediate competing alternatives.

2. Analyze factors that contribute to your participation in a health-promoting activity and place each factor under the appropriate label from the health promotion model.

3. Consider your own philosophy of health and prepare your description of wellness. Is absence of disease more prominent than positive, active statements of health?

4. Anticipate the health-promoting behaviors important at various stages of development across the life span. What health promotion topics do you include in your practice?

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Evaluating Research Findings

In this assignment, you will identify interesting findings from research studies and determine if the results of the research were reliable.

Step 1: Identify a Research Study:

Please select a research study from a credible source such as a newspaper or journal article.

Step 2: Write a two to three page (minimum) paper where you examine the research design
You will review and describe:

  • Sample Size
  • Reliability
  • Has the research been conducted by a respected institution?
  • Are the results statistically significant?
  • Have other researchers been able to duplicate the results?
  • Are the researchers biased?

Step 3: When you have completed your assignment, save a copy for yourself in an easily accessible place.

Cite any sources in APA format.

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Hippa: PowerPoint presentation

Describe issues that may arise as health care reform continues to evolve.

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DISCUSSION, APA 6, 2 REFERENCES, SIMILARITIES LESS 5%

Visit the following website and answer the following question.

https://nurse.org/resources/family-nurse-practitioner/

After reviewing the different setting in which Family Nurse Practitioners work. What setting will be your career choice and why?

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PRACDQ10@11

  Hello i need a Briefly, Good and Positive Comment for this Post.Thank you.  I need at least two references .  

   

Donlashoni Cowley

NURS 6650 WEEK 10 Discussion Clinical Supervision Child and Adolescent Group

         The patient I was focusing on was not responding to any of his treatment plan we prepared. The young man was 18-year-old white male who has a history (F31.31) bipolar with depression and (F10.1) alcohol abuse (American Psychiatric Association (APA), 2013).  He lives with his father and stepmother whom his father just married 3 months ago. He had 2 other siblings 3 months old stepsister and a brother who is 25 years old who lives in Ohio with his wife. He dropped out of high school in the 10 grade and moved in with his dad. He was brought to the medical facility due to excessive alcohol abuse and bizarre behavior. The young man refused to participate in group therapy. He would not response to general questions or any activity lessons. He was very disrespectful to the other patient in therapy. He was constantly getting into argument and instigating flights with others. During the session he was invaded other patient space and was redirected several times by medical staff.  He presents as anger, irritated by others and withdrawn. The only thing he would say to express himself is “You’re not like me and you don’t know me”. 

         Group therapy starts at 1030am and end at 1130 before lunch time.  The age group was between 17 years old to 20 years old both male and female patients present. The group was made up of 10 patients along with1 mental health tech, social worker and me. He stated privately during his intake “he was not happy with living with his stepmother”. He drinks to forget his problems. The young man was escorted out of the group therapy because he continued to be aggressive to others and he was causing the other in the group to become agitated resulting in physical altercation to erupt. The patient denied suicidal ideations or attempts. The patient denied any past medical history and psychiatric history including past hospitalization. The patient also denied any family medical history and described his father as “healthy.” The patient reports that he drinks every day starting when he wakes up. He drinks about of one to two bottle of vodka a day. We administered the PHQ-(2)-(9) assessment where he scored 13 indicating moderate depression. The doctor was notified of the behaviors during therapy and new order placed. 

           My therapeutic approach with this patient started out to be psychodynamic and group cognitive-behavioral therapy (CBT).  We use “group work to help each patient become aware of there inner feels and needs” (Wheeler, 2014 p.410). CBT was attempted by trying to help the young man view his inner feeling and emotions along with identifying the trigger that influence the behaviors (Wheeler, 2014 p.410). CBT is a short-term psychotherapy which should be seen within 6 to 11 sessions where the patient participates in the therapy. We used psychoeducation to create some structure in the group according to the book of Wheeler (2014) “psychoeducational groups can be directed by nurses, social worker and license professional counselor (LPC). 

           The reason I think that group CBT was not helpful to the patient is mainly because he would not participate in group but would open up to one on one counseling at times. My treatment plan was to increase more one on one therapy and slowly implement group therapy with the same participates within the same age group. According to the video with Microtraining Associates (2009) this patient follows the typical “conflict of interpersonal relationship, this mean we had find another approach by using group therapy in a way to get more of the patient peers involved with the discussion”. This helped the patient to relate to the others in the group which allowed the patient to feel better with the acceptance to modify his behavior and value what is being expressed from his peers. This therapeutic approach would not look like the adult in the room, is tell him anything but rather he understands it from a selected similar position of his peers.  

         We used the CBT approach to help this  patient to recognize and understand his negative thoughts and feelings in order to ultimately substitute them with positive ones but to help this young adolescent man, we must implement other approaches to help achieve a positive out for the patient.  The journey for this client can be achieved but would require a long time with individual, group therapy along with substance abuse counseling to confront the under lying issues with this patient. Since this patient doesn’t interact with the group it is hindering his progress though group sessions. We notified the doctors and followed up on this patient with referrals for more frequent visits by the psychologist and psychiatric included medication changes to help with improving behaviors.  

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). 

         Washington, DC: Author.

Microtraining Associates (Producer). (2009). Leading groups with adolescents [Video file]. Alexandria, 

         VA: Author.

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for 

         evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company

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