Your LTC Resident
Summary of your Subjective and Objective Assessment:
List ALL possible Problems as Nursing Diagnoses (NANDA format):
What are your ‘Top 3’ Priority Diagnoses?
patient-Mr. W
Mr. W an 82-year-old man residing in a long-term care facility. he has a history of congestive heart failure, hypertension, and dementia. Mr. W is frequently anxious, particularly when being transferred to and from a wheelchair. his gait is unsteady and his lower extremities are weak. Mr. W performs basic self-care (oral hygiene, face washing), but needs assistance with toileting and complete bathing. he is able to feed himself. he is encouraged to be as independent as possible, but he is very slow to do so.

To prepare:
• Review the Meyer article, “Nursing Services Delivery Theory: An Open System Approach,” in this week’s Learning Resources. Focus especially on the information presented in Table 1 (p. 2831) and Figure 2 (p. 2833).
• Reflect on your organization or one with which you are familiar. Within a particular department or unit in this organization, identify a problem the staff is encountering.
• Using Table 1 in the Meyer article as a guide, analyze the department or unit, identifying inputs, throughput, output, cycles of events, and negative feedback. Consider whether the problem you have selected relates to input, throughput, output, cycles of events, and/or negative feedback.
• Think about how you could address the problem: Consider what a desired outcome would be, then formulate related goals and objectives, and translate those goals into policies and procedures.
• Research professional standards that are pertinent to your identified problem.
• Reflect on the organization’s mission statement and values. In addition, consider how addressing this problem would uphold the mission and values, while improving the organizational culture and climate. (Depending on the organization you have selected, you may have explored these in the Week 1 Discussion.)
To complete:
By Day 7
Write a 3- to 5-page paper (page count does not include title and reference page) that addresses the following:
• Describe a department or unit within a health care organization using systems theory terminology. Include a description of inputs, throughput, output, cycles of events, and negative feedback.
• Describe the problem you identified within the department or unit using an open- systems approach, and state where the problem exists using the systems theory model (input, throughput, output, cycles of events, or negative feedback).
• Based on this information, explain how you would address the problem as follows:
o Formulate a desired outcome.
o Identify goals and objectives that would facilitate that outcome.
o Translate those goals and objectives into policies and procedures for the department or unit.
o Describe relevant professional standards.
• Explain how your proposed resolution to the problem would uphold the organization’s mission and values and imp