Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion.

Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.

TASK

Post your initial response to one of the two topics below.

Topic 1

Age related changes can affect the lifestyle/quality of life of the elderly.

  • What do you think are the two most prevalent age-related changes that affect the lifestyle of the elderly?
  • How would you help an elderly patient adjust to the two changes you identified?

Peer 1

Working on the med/surg unit as a Registered Nurse has given me many opportunities to interact with the elderly patient. A common change that I’ve noticed was loss of balance cause by muscle weakness. “The major age-related physiological change in older people frequently encountered skeletal muscle mass loss, known as sarcopenia” (McGinley, 2017). Second change in the elderly was loss of appetite which causes poor nutrition. Poor nutrition can be caused by loss of taste buds.

An elderly patient can be adjusted to these changes by recommending increased activity which is the best intervention for muscle weakness.  A short walk outside or even gardening in yard are examples of increased activities.  A membership at the local gym can also help increase with strengthen exercises. Elderly patient can be given brochures with exercises that are easy to follow and read. “All this type of activity, together with protein rich die, helps prevent further losses and functional decline” (McGinley, 2017). Interventions that can be done with an elderly person’s appetite loss are teaching them about eating small serving sizes and consuming meals when awake and energized. When making the selection of food, pick foods that are soft in consistency and even having a meal with family and friends might encourage the elderly to eat.

References

Mayo Clinic. (2014). Physical Medicine and Rehabilitation: Slowing or Reversing

Muscle Weakness. Retrieved from https://www.mayoclinic.org/medical-

professionals/physical-medicine-rehabilitation/news/slowing-or-reversing-

muscle-loss/mac-20431104

McGinley, E. (2017). Supporting older patients with nutrition and hydration.

                Journal of Community Nursing, 31(4), 54-57. Retrieved from https://search-

ebscohost-com.su.idm.oclc.org/login.aspx?direct=true&db=rzh&AN=12466

7326&site=ehost-live&scope=site

Peer 2

Age related changes are inevitable as we get older. Two prevalent changes in the elderly are decreased bone density leading to frail bones, and decreased hearing and vision (Mayo Clinic, 2020). Decreased hearing and vision which happens with aging contributes to the loss of independence because it removes the ability to drive. Losing the ability to drive many elderly people have to rely on family or friends to help them get to what they need. Although these changes are common, there are vitamins and supplements that can help improve overall health; additionally, patients can be educated on different exercises that can be done to increase strength and decrease the risk of falls. Helping our patients and  providing them with resources that help them maintain their health is essential for providing a good quality of life in the elderly.

Reference:

Mayo Clinic. (2020). Aging: What to Expect. Retrieved from https://www.mayoclinic.org/healthy-lifestyle/healthy-aging/in-depth/aging/art-20046070

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 Using library resources, find a scholarly article that addresses any aspect of contemporary feminism.

1. Using library resources, find a scholarly article that addresses any aspect of contemporary feminism.  Read your article and compose a one Page summary to post to this week’s Discussion.  You should take care to identify the author’s thesis; any research or analysis; and the conclusion.  The goal of this assignment is to make sure you convey the key points of the article, with accuracy and precision. Use APA format.

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 This paper will have three parts addressing two important pieces of legislation related to the right of individuals to make health care decisions for themselves.

 This paper will have three parts addressing two important pieces of legislation related to the right of individuals to make health care decisions for themselves.

Part I

The Advance Health Care Directive 

Locate a copy of an advanced directive (AD) that complies with the laws of the state in which you work. The organization in which you work should have a copy of an advance directive that is given to patients. If not, download your state’s Advance Directives here http://www.caringinfo.org/i4a/pages/index.cfm?pageid=3289.

Complete the advance directive for yourself.  Do not turn in your AD with your paper. The AD is for your personal use.

In your paper, Part I:

  1. Identify where you obtained the AD and explain its compliance with state law.
  2. Conduct research (1-2 sources) to learn more about the AD in your state and explain how it works.
  3. Discuss how easy or difficult it was to complete the AD. Your comments should be specific and both objective and subjective. For example, when you state your personal feelings, you must relate them to the literature (textbook and research) that discusses this process and the difficulties that many people face when completing an advance directive.

(Cite/ reference any sources you use to explore these questions, including your texts.)

Part II

Physician Orders for Life-Sustaining Treatment (POLST) Form

  1. What is a Physician Orders for Life-Sustaining Treatment (POLST) form?
  2. When should this form be completed?
  3. Who can complete the form?
  4. Who needs to sign the form to make it a legal document?

(Cite/reference any sources you use to explore these questions, including your texts.)

Part III

Tie the two first sections together by writing a summary and conclusion.

This section should address:

1. the differences between an Advance Health Care Directive and the POLST,

2. the RN’s important role in assuring the patient’s right to autonomy in choosing the healthcare interventions the patient does or does not want.

____________________________________________

Use current APA format.

The paper should be between 3-5 pages in length excluding the title and reference page(s).

Cite and reference the course text and at least two (2) additional appropriate professional sources.

Review the rubric for further information on how your assignment will be graded.

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Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.

Required Readings

Marshall, E., & Broome, M. (2017). Transformational leadership in nursing: From expert clinician to influential leader (2nd ed.). New York, NY: Springer.

  • Chapter 5, “Collaborative      Leadership Contexts: Networks, Communication, Decision Making, and      Motivation” (pp. 121–144)
  • Chapter 9, “Creating and Shaping      the Organizational Environment and Culture to Support Practice Excellence”      (pp. 247–278)
  • Chapter 10, “Building Cohesive and      Effective Teams” (pp. 279–298)

Select at least ONE of the following:

Clark, C. M., Olender, L., Cardoni, C., & Kenski, D. (2011). Fostering civility in nursing education and practice: Nurse leader perspectives. Journal of Nursing Administration, 41(7/8), 324–330. doi:10.1097/NNA.0b013e31822509c4

Note: You will access this article from the Walden Library databases.

Clark, C. M. (2018). Combining cognitive rehearsal, simulation, and evidence-based scripting to address incivility. Nurse Educator. doi:10.1097/NNE.0000000000000563

Note: You will access this article from the Walden Library databases.

Clark, C. M. (2015). Conversations to inspire and promote a more civil workplace. American Nurse Today, 10(11), 18–23. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2015/11/ant11-CE-Civility-1023.pdf

Griffin, M., & Clark, C. M. (2014). Revisiting cognitive rehearsal as an intervention against incivility and lateral violence in nursing: 10 years later. Journal of Continuing Education in Nursing, 45(12), 535–542. doi:10.3928/00220124-20141122-02

Note: You will access this article from the Walden Library databases.

Document: Work Environment Assessment Template (Word document)

Required Media

TEDx. (2017, April). Jody Hoffer Gittell: The power of a simple idea [Video file]. Retrieved from https://www.youtube.com/watch

Discussion: Workplace Environment Assessment

How healthy is your workplace?

You may think your current organization operates seamlessly, or you may feel it has many issues. You may experience or even observe things that give you pause. Yet, much as you wouldn’t try to determine the health of a patient through mere observation, you should not attempt to gauge the health of your work environment based on observation and opinion. Often, there are issues you perceive as problems that others do not; similarly, issues may run much deeper than leadership recognizes.

There are many factors and measures that may impact organizational health. Among these is civility. While an organization can institute policies designed to promote such things as civility, how can it be sure these are managed effectively? In this Discussion, you will examine the use of tools in measuring workplace civility.

To Prepare:

· Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).

· Review and complete the Work Environment Assessment Template in the Resources.

·

Post a brief description of the results of your Work Environment Assessment. Based on the results, how civil is your workplace? Explain why your workplace is or is not civil. Then, describe a situation where you have experienced incivility in the workplace. How was this addressed? Be specific and provide examples.

Assignment: Workplace Environment Assessment

Clearly, diagnosis is a critical aspect of healthcare. However, the ultimate purpose of a diagnosis is the development and application of a series of treatments or protocols. Isolated recognition of a health issue does little to resolve it.

In this module’s Discussion, you applied the Clark Healthy Workplace Inventory to diagnose potential problems with the civility of your organization. In this Portfolio Assignment, you will continue to analyze the results and apply published research to the development of a proposed treatment for any issues uncovered by the assessment.

To Prepare:

· Review the Resources and examine the Clark Healthy Workplace Inventory, found on page 20 of Clark (2015).

· Review the Work Environment Assessment Template.

· Reflect on the output of your Discussion post regarding your evaluation of workplace civility and the feedback received from colleagues.

· Select and review one or more of the following articles found in the Resources:

o Clark, Olender, Cardoni, and Kenski (2011)

o Clark (2018)

o Clark (2015)

o Griffin and Clark (2014)

The Assignment (6 pages total):

Part 1: Work Environment Assessment (2 pages)

· Review the Work Environment Assessment Template you completed for this Module’s Discussion.

· Describe the results of the Work Environment Assessment you completed on your workplace.

· Identify two things that surprised you about the results and one idea you believed prior to conducting the Assessment that was confirmed.

· Explain what the results of the Assessment suggest about the health and civility of your workplace.

Part 2: Reviewing the Literature (2 pages)

· Briefly describe the theory or concept presented in the article(s) you selected.

· Explain how the theory or concept presented in the article(s) relates to the results of your Work Environment Assessment.

· Explain how your organization could apply the theory highlighted in your selected article(s) to improve organizational health and/or create stronger work teams. Be specific and provide examples.

Part 3: Evidence-Based Strategies to Create High-Performance Interprofessional Teams (2 pages)

· Recommend at least two strategies, supported in the literature, that can be implemented to address any shortcomings revealed in your Work Environment Assessment.

· Recommend at least two strategies that can be implemented to bolster successful practices revealed in your Work Environment Assessment.

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