Nursing And The Aging Family

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Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63).

Headers:

a. Course Reflection

b. Conclusion

Introduces the purpose of the   reflection and addresses BSN Essentials (AACN, 2008) pertinent to healthcare   policy and advocacy. (See file 1)

Purpose:

The purpose of this assignment is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the course.

-The students will identify the physiological process of aging.

– The students will be able to differentiate the adaptative human response to the aging process.

– The student will be able to manage and care older adults and their families.

2) Body (minimum 2 pages): 

The BSN Essentials (AACN, 2008) outline a number of healthcare policy and advocacy competencies for the BSN-prepared nurse. Reflect on the course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to Nursing and the Aging Family  and:

 

1 “Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches.

2. Recognize the relationship of genetics and genomics to health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of treatment effectiveness, using a constructed pedigree from collected family history information as well as standardized symbols and terminology.

3. Implement holistic, patient centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health illness continuum, across the lifespan, and in all healthcare settings.

4. Communicate effectively with all members of the healthcare team, including the patient and the patient’s support network.

5. Deliver compassionate, patient centered, evidence-based care that respects patient and family preferences.

6. Implement patient and family care around resolution of end of life and palliative care issues, such as symptom management, support of rituals, and respect for patient and family preferences.

7. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care.

8. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan.

9. Monitor client outcomes to evaluate the effectiveness of psychobiological interventions.

10. Facilitate patient centered transitions of care, including discharge planning and ensuring the caregiver’s knowledge of care requirements to promote safe care.

11. Provide nursing care based on evidence that contributes to safe and high-quality patient outcomes within healthcare microsystems.

12. Create a safe care environment that results in high quality patient outcomes.

13. Revise the plan of care based on an ongoing evaluation of patient outcomes.

14. Demonstrate clinical judgment and accountability for patient outcomes when delegating to and supervising other members of the healthcare team.

15. Manage care to maximize health, independence, and quality of life for a group of individuals that approximates a beginning practitioner’s workload

16. Demonstrate the application of psychomotor skills for the efficient, safe, and compassionate delivery of patient care.

17. Develop a beginning understanding of complementary and alternative modalities and their role in health care.

18. Develop an awareness of patients as well as healthcare professionals’ spiritual beliefs and values and how those beliefs and values impact health care.

19. Manage the interaction of multiple functional problems affecting patients across the lifespan, including common geriatric syndromes. 20. Understand one’s role and participation in emergency preparedness and disaster response with an awareness of environmental factors and the risks they pose to self and patients

21. Engage in caring and healing techniques that promote a therapeutic nurse patient relationship.

22. Demonstrate tolerance for the ambiguity and unpredictability of the world and its effect on the healthcare system as related to nursing practice.” (pp. 31-32).

 

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Scholarly Paper
Final Project: Updated

The final project allows students to develop a case conceptualization of a client and its application in the area of helping relationships and counseling skills. The aim of this project is to learn about the helping professions in greater depth by applying it to a client of your choosing.  Topics will revolve around areas noted in our text such as essential counseling skills that will enhance the helping relationship (i.e. empathy and empathic responses; probing and summarizing; challenging self and client; helping clients tell their stories; helping clients establish and reach their goals).

You can use a TV, movie, celebrity or book character for this project.  Please find at least three scholarly journals to supplement the textbook in your rationale of working with the individual. Be sure to cite correctly with APA when using scholarly resources as plagiarism is a serious offense and will result in a zero for the assignment. Proper spelling, grammar are expected as well. The case conceptualization should be 6 pages double spaced minimum in length. You may write the project up in narrative form, following the headers below.

Background information (5 points) In your paper identify the TV/book/movie setting, individuals, family members and any other important relationships of your identified client. Include demographic information, such as age, grade in school, employment status, and other history (e.g., military history, current or past legal problems) that seems relevant to the presenting problem and strengths of the client.

Multicultural considerations: (5 points) CACREP 2.F.2.c, CMH 5.C.2.j;Describe the cultural background (using every letter) of your client using either the RESPECTFUL or ADDRESSING model. Describe at least one multicultural counseling skill you will use to address this consideration.

Presenting Problem: (5 points) Describe the reason the individual is seeking counseling at this particular time (i.e., the presenting problem). Why did the client come to you (from the clients perspective or other referring stakeholder)? How long has the problem(s) persisted? Note the intensity, frequency and duration of symptoms.

Resources and Strengths (5 points): Describe the resources that are already available to the client (individual, family, friends, spiritual, community supports). Describe additional resources that would benefit and support fostering wellness in the client.

Role as a counselor (10 points): CACREP 2.F.5.f; 2.F..5.n; Identify two ways you will build rapport to enhance a strong working alliance. Describe your role as a counselor with this particular individual. (If this is a group project, this part must be done individually for each group member and copy and pasted in the final project.)  Identify specific counselor characteristics and cultural factors that may influence the process. Analyze areas for growth for you to consult about and competently best treat this client. What is involved with your current self-care plan? How do you plan to manage your ongoing self-care?

Therapeutic Dialogue (10 points):  CACREP 2.F.5.g Share pieces of an actual dialogue from the movie, tv, book with the character and then create a mock response from you (or your team) as a counselor as it relates to each of these:

Identify how and when you would use one nonverbal prompt in session

Create one empathic response to the client

Create one probing prompt to the client

Create an open ended question to ask the client

Provide a summary to something the client has said in the dialogue

Treatment planning (20 points) CACREP 2.F.5.d , 2.F.5.g; Formulate a tentative treatment plan for the individual based upon your book and at least one evidenced based journal article:

How will you help the client tell their story? What is the clients story, real story, and right story? (5 points)

Where in the stages of change is the client? You are also to identify trouble spots you might encounter while working with this particular individual, including reluctant and resistant behaviors to self defeating thoughts & behaviors. Students will identify how they would address any issues presented. (5 points)

How will you help clients design and set goals? Apply SMART (specific, measurable, attainable, realistic, and timely) and identify two goals for the client. (5 points)

How might you establish a feedback loop in counseling? How to you help clients design the way forward? (5 points)

Community resources (5 points) CACREP  2.F.5.k, 2.F.5m; Identify three resources in your local community as it relates to this topic as well as three national or international level resources and how you would refer your client. 

Ethical considerations (5 points)  CACREP 2.F.1.i , CMH 5.C.2.l;  Students will apply and cite two ACA Code of Ethics in this section. Describe any ethical or legal issues that pertain to the case and their impact. Examples of ethical issues that could be considered are: transference/countertransference, court-referred clients, informed consent, boundary violations, poor self-care, limits of confidentiality, and any mandated reporting required (e.g. Child or Adult Protective Services).

Professionalism & scholarly resources(10 points total) You must use at least three scholarly articles or resources (in addition to our book), one specifically in the treatment section and the other two in other sections of your choosing. Be sure to cite correctly with APA when using scholarly resources as plagiarism is a serious offense and will result in a zero for the assignment. Professionalism, proper spelling, grammar are expected as well.

Discussion 1: Financial Effects of Globalization

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In recent decades, the emergence of global economic, political, environmental, and cultural interconnections has greatly impacted people, companies, and nations  regionally and in different parts of the world. Consider, for instance, the following mission statement: “Partnerships International, Inc. periodically brings together industry and government in a collegial and informative setting in order to enhance the U.S.’s abilities and presence throughout the global marketplace, and to promote our continuous growth and development in that competitive, demanding and dynamic environment” (Partnerships International, Inc., 2014). There are financial implications associated with the emergence of global partnerships and globalization in general. In this Discussion, you consider some of these.
With these thoughts in mind:
By Day 3
Post an explanation of the financial benefits and limitations of global partnerships. Provide specific evidence of one positive or one negative impact of globalization on a government organization.

Discussion: Pay-Offs and Risks of Capital Investments

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a brief description of a major capital investment, e.g., property, buildings, building additions, equipment, software, or technology that will last more than a year, that you might recommend for the public organization. Discuss how the use of cost benefit analysis could be use to determine if this investement is a financially sound one for the organization. Then, analyze its potential pay-offs and risks, and explain how the organization might mitigate those risks.