Why do many people seem to have negative feelings toward elders?

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Please, review the attached PowerPoint…

1.Why do many people seem to have negative feelings toward elders? What do you think that they fear when interacting with or touching older people? How can you as a nurse can overcome some of those fears or hesitations?

2. What types of rights do feel older adults should have when it comes to the end or prolong their life? If older adults with dementia or longtime chronic illnesses choose to withhold food/water or refuse treatment for an illness, do you feel that is within their rights? How would you counsel family members to deal with these types of issues?

3. Mention some strategies for assisting older adults in avoiding the problems of polypharmacy and organizing their medications in an easy to understand and use format. What are the different strategies that could be used? How would strategies change if the patient had hearing or vision deficits? What about if the patient were illiterate?

As stated in the syllabus the assignment must be presented in an APA format word document, Arial 12 font attached to the forum on the discussion board.

– A minimum of 3 evidenced-based references must be used, and one of them must be from a Geriatric Nursing Journal. References must be no older than 5 years.

– A minimum of 700 words is required.

– No plagiarism.

Chapter 34 Older Adults

Aging and Older Adults

Aging terminology

Age

Lifespan

Life expectancy

Longevity

Senescence

Cohort

Elders

Geriatrics

 

Aging and Health

Aging does not equal health.

Aging changes are both relative and absolute.

Aging is a comprehensive process.

Old age is a time of continued growth, development, and fulfillment.

The elderly population is heterogeneous and diverse.

Elders are tough.

 

 

Nursing of Older Adults

Elders in the community

Elders in the family

Elders as individuals

 

 

Preventive Health Care

Sensory integrity

Vision

Hearing

Nutrition and sleep

Elimination

Urinary

Fecal

Mobility

Falls

Preventive Health Care (cont.)

Communication

Cognition and affect

Confusion

Delirium

Dementia

Depression

Suicide

 

Preventive Health Care (cont.)

Employment and retirement

Life review

Sexuality

Thermal regulation

Hypothermia

Hyperthermia

Skin integrity

Pressure ulcers

Comfort and spirituality

 

 

Special Elder Health Issues

Immunizations

Medications

Chemical addictions

Ethical dilemmas

Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study- Part One

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Organizational Behavior and Business Influences and Advanced Practice Nursing Case Study- Part One

You are a family nurse practitioner (FNP) employed as a contract (1099 independent contractor) in a busy primary care practice for 2 years. The providers in the group include one physician, who is also the owner of the practice, and two other nurse practitioners, who are staff employees (W2 employees). The owner of the practice recently made comments about the need to produce more revenue. You relate with his concerns and feel that you have several strategies that could be helpful. Your contract is up for renewal in 3 months. You are highly satisfied with your job and want to stay with the group. You see 20 patients per day on average and take call every third weekend.

Discussion Question:

What negotiation strategies should you use to propose a contract renewal? How does your role as a 1099 contractor benefit the practice over the W2 employees? What evidence will you present to the practice to reinforce your value in the practice both in terms of revenue and patient satisfaction? Consider any additional services you may be willing to provide under your contract. Use logical reasoning, and provide evidence based rationales for your decisions.Keep in mind that your negotiation terms and conditions must be within the legal scope of practice for an ANP.

Which nursing theory do you feel will have the greatest impact on your practice and why.

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Theory provides the basis of understanding the reality of nursing; it enables the nurse to understand why an event happens. Please share your thoughts about nursing theory.

Which nursing theory do you feel will have the greatest impact on your practice and why.

Is there an article that you particularly found most useful in utilizing theory in your area of practice?

Which of the units’ discussion questions did you find most challenging; discuss why you chose that one?

Which discussion did you find more useful to understand nursing theory and its application in your area of practice?

Supplement your discussion with personal and professional experiences.

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer reviewed journal evidence to support the student’s position.

Reimbursement Issues for Nurse Practitioners

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Discussion: Reimbursement Issues for Nurse Practitioners

Understanding the complex process of accurate coding and billing is essential to a sustainable practice. As NPs, we are ultimately responsible for ensuring all coding and billing is accurate for each patient seen. For this Discussion, you will search the health care literature and summarize a peer-reviewed journal article published within the last five years.

To prepare:
  • Select one of the following topics:
    • Applying for Medicare and Medicaid Provider Numbers
    • Application process for National Provider Identifier Number
    • Incident to billing
    • Coding-Evaluation & Management
    • Fraudulent billing
    • Billing Self-Pay patients
    • Managed Care Organizations
  • Conduct a search and select a peer-reviewed journal article published within the last five years related to the topic you selected.

Note: For this Discussion, all students are to avoid all written work, which reviews or outlines coding and billing at previous or current worksites as well as previous or current practicum sites.

By Day 3

Post a brief summary of the article you selected. Include the key reimbursement issue addressed and how they would impact the NP in a collaborative practice versus and independent practice. Discuss an ethical or legal implication(s) associated with your article.