As their names imply, the honeyguide bird and the honey badger both share an affinity for honey. Honeyguide birds specialize in finding beehives but struggle to access the honey within. Honey badgers are well-equipped to raid beehives but cannot always find them. However, these two honey-loving species have learned to collaborate on an effective means to meet their objectives. The honeyguide bird guides honey badgers to newly discovered hives. Once the honey badger has ransacked the hive, the honey guide bird safely enters to enjoy the leftover honey.

Much like honeyguide birds and honey badgers, nurses and health professionals from other specialty areas can—and should—collaborate to design effective programs. Nurses bring specialties to the table that make them natural partners to professionals with different specialties. When nurses take the requisite leadership in becoming involved throughout the healthcare system, these partnerships can better design and deliver highly effective programs that meet objectives.

In this Assignment, you will practice this type of leadership by advocating for a healthcare program. Equally as important, you will advocate for a collaborative role of the nurse in the design and implementation of this program. To do this, assume you are preparing to be interviewed by a professional organization/publication regarding your thoughts on the role of the nurse in the design and implementation of new healthcare programs.

To Prepare:

• Review the Resources and reflect on your thinking regarding the role of the nurse in the design and implementation of new healthcare programs.
• Select a healthcare program within your practice and consider the design and implementation of this program.
• Reflect on advocacy efforts and the role of the nurse in relation to healthcare program design and implementation.

The Assignment: (2–4 pages)

In a 2- to 4-page paper, create an interview transcript of your responses to the following interview questions:

• Tell us about a healthcare program, within your practice. What are the costs and projected outcomes of this program?
• Who is your target population?
• What is the role of the nurse in providing input for the design of this healthcare program? Can you provide examples?
• What is your role as an advocate for your target population for this healthcare program? Do you have input into design decisions? How else do you impact design?
• What is the role of the nurse in healthcare program implementation? How does this role vary between design and implementation of healthcare programs? Can you provide examples?
• Who are the members of a healthcare team that you believe are most needed to implement a program? Can you explain why?

Instructions

DUE OCTOBER 26TH AT 11:59pm

The Artichoke Version of the Self

USE ONLY  Mitchell, H. B. (2015). Roots of Wisdom: A Tapestry of Philosophical Traditions, 7th. Cengage Learning, ISBN 9781285197128 AS A REFRENCE

Write a 2–3-page paper explaining the artichoke idea of the self. Remember to explain specific theories with supporting citations from the textbook and online lectures. 

As you develop your response, you might find some of the following questions to be relevant:

• What is the existential idea of the self?
• What do you make of the feminist, existential, and non-Western critiques of/alternatives to the essentialist/avocado self? Are there any problems with the idea that human beings are fundamentally rational creatures?

Course Competency:

• Design plans for care specific to the older adult.

Consider the scenario below, then follow the instructions underneath it to complete the assignment.

Mrs. Y

Mrs. Y is an 84-year-old client who was recently discharged from the hospital for an infected diabetic ulcer on her left leg. During her hospitalization, Mrs. Y required intravenous antibiotic therapy through a peripherally inserted central catheter (PICC) line.

Due to Mrs. Y’s long history of diabetes, her physician ordered that intravenous antibiotic therapy be continued at home. Subsequently, home health services were initiated, a home health nurse was assigned to Mrs. Y’s case, and an initial home visit was scheduled.

The home health nurse arrives at Mrs. Y’s home and introduces herself to the client and the family. The nurse explains the home nursing services that will be provided, including the PICC line and intravenous antibiotic therapy treatments.

During the initial home visit, the nurse assessed the physiological, psychological, functional, and safety needs of the client. The nurse’s findings were as follows:

• Mrs. Y lives alone; however, her daughter checks on her frequently throughout the day.
• The client is noted to have moderate functional issues and ambulates with a cane.
• The client has several throw rugs in the main walking quarters and minimal lighting throughout the hallways.
• Mrs. Y states “I used to get around my house with ease, but now I get a little tired and have to sit down and rest frequently.”

Consider Mrs. Y’s current health status and functional decline, then address the following:

1. Download the Concept Map and Plan of Care worksheet below. An example is also provided for your reference.
   • File: Concept Map and Plan of Care worksheet
   • File: Concept Map and Plan of Care example
2. Identify three (3) priority nursing diagnoses for Mrs. Y. Consider using the resource below to assist you.
   • eBook: Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care – Chapter 5 Nursing Diagnoses in Alphabetical Order
3. Create a visual representation of the three (3) priority nursing diagnoses by incorporating them into the Concept Map (template in the worksheet). Be sure each nursing diagnosis includes the following elements:
   1. “related to (r/t)” — description of the client’s problem
   2. “as evidenced by” — description of the client’s symptoms
4. Complete the Nursing Plan of Care (table in the worksheet) describing what should be implemented for Mrs. Y.
   1. Goals: Establish at least one (1) goal for each of the nursing diagnoses you identified (for a total of 3 goals). Goals should be: patient specific, measurable, actionable, realistic, and time limited.
   2. Nursing Interventions: Describe at least three (3) nursing interventions for each of the goals (for a total of 9 nursing interventions). Each intervention should be in alignment with the goal it is supporting.
5. Complete the assignment using proper spelling, grammar, and APA.

For information about creating a concept map, consult the resource(s) below.

• eBook: Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care, Chapter 4 – Concept or Mind Mapping to Create and Document the Plan of Care
• Q. What is a concept map and how do I create one?

1. You are a nurse who frequently cares for post-surgical patients in your hospital unit. Most of the medical-surgical patients have IV fluids infusing during their admission. Due to the frequent use of IV fluids on your floor, understanding fluid balance and electrolyte function is primary to your nursing practice. 

a. What conditions might lead to the development of hypovolemia?

b. How would the amount of patient fluid loss be determined?

c. Describe how hypovolemia and third-space fluid shifts correlate.

d. Outline the major difference between hypovolemia and third-space fluid shift.

e. Which conditions can result in third-space fluid shift?

2. You are a nurse in a nonsurgical cardiac unit caring for a 92-year-old patient who has two sons, 15 grandchildren, and 49 great-grandchildren. She lives in assisted living and has a history of congestive heart failure (CHF). She consistently struggles with balancing her fluids and electrolytes and has an affinity for dill pickles and sauerkraut. While hospitalized, she remains on a fluid restriction—much to her chagrin, as she loves ice cream. 

a. What within her history would indicate she was at risk for hypervolemia?

b. How would dill pickles and sauerkraut impact her fluid volume?

c. What body areas offer observational evidence of excessive interstitial extracellular fluid (ECF)?

d. Why would your patient be on a strict fluid restriction while hospitalized?

e. Outline nursing interventions used while a patient is on fluid restriction.

The paper should address the following:

1. Describe the dimensions of Patient-Centered Care and how do you apply PCC in your current practice.

2. Effective communications between health care providers and the patient is an essential component of PCC, why?

3. Describe an interprofessional healthcare team in your area of work. 

Do the members work collaboratively?

Do they improve patients’ outcomes, how?

4. Think about your experience as a nurse student, have you observed effective communication improve patients’ outcomes? Have you observed the impact of poor communication on patients’ outcomes?

The paper must be typed in APA format with a minimum of 1000 words (excluding first and references page) with a minimum of 4 evidence-based references using the required Arial 12 font.  Make sure references are used according to APA guidelines and electronic references must be from reliable sources such as CDC.