Question description

Students, please view the “Submit a Clickable Rubric Assignment” in the Student Center.

Instructors, training on how to grade is within the Instructor Center.

Peer Review Assignment 

Peer reviews should provide feedback to a peer on the criteria expected in the paper. The Week 6 Feedback Form can be downloaded from the Appendices section of the course guide by clicking the link here. Follow these instructions:

For Online Students:

1. Choose a classmate’s paper from the “Easy Drop off/Pick up Zone” discussion thread in the course shell.
2. Obtain the Peer Review Feedback Form from the course shell.
3. Comment on all criteria, noting strengths and / or areas for improvement on the feedback form.
4. Provide completed Peer Review Feedback Form by posting it to the same “Easy Drop off/Pick up Zone” discussion thread AND submitting it to the Peer Review Assignment link above.

For On-ground Students:

1. Receive a classmate’s paper from your professor.
2. Obtain the Peer Review Feedback Form from the course shell.
3. Comment on all criteria, noting strengths and / or areas for improvement on the feedback form.
4. Provide completed Peer Review Feedback Form and classmate’s paper as directed by your professor.

Note: On-ground students should submit the feedback form and paper to the professor during the class meeting in which the paper is reviewed; online students should submit the feedback form and paper to the professor via the “Easy Drop off/Pick up Zone” discussion thread and Peer Review Assignment link in the course shell.

As you read a classmate’s paper, address these criteria:

• Identify the course, assignment, and date.

• Provide positive feedback, where appropriate, on the criteria.

• Identify areas for improvement, where appropriate, and recommend improvements.

The specific course learning outcomes associated with this assignment are:

• Recognize the elements and correct use of a thesis statement.

• Recognize transitional words, phrases, and sentences.

• Identify effective sentence variety and word choice.

• Identify positive qualities and opportunities for improvement in writing samples.

• Analyze the rhetorical strategies of ethos, pathos, logos in writing samples and for incorporation into essays or presentations.

• Correct grammatical and stylistic errors consistent with Standard Written English

• Recognize how to organize ideas with transitional words, phrases, and sentences.

Assignment 3: Persuasive Paper Part 1: A Problem Exists

STRAYER UNIVERSITY

Should laws governing nursing homes be changed?

Although the nursing homes are filled with the elderly, should they be made to relingquish all of their property to pay for nursing home. Is the system failing the elderly?

The Federal Government should not allow this to happen to the elderly. What are they doing to resolve this matter.

Nursing home care is undeniable expensive, what happens when you’ve worked all your life and you plan to have a nice nest egg stored away for and your loved ones only to sell it in order for you to live out the rest of your life in a nursing facility?

There should be laws in place for any individual that is experiencing a medical disease or can no longer care for themselves and is under doctor’s order must transistioned into a nursing home. The nursing homes all have different prices that they charge. Usually payments will be made through Medicare, Medicaid, private insurances or personal monies that have been saved. When I was completing the paperwork for my mother to be admitted into a nursing facility, the admission office kindly told me that her Medicare will not cover her stay because she was diagnosed with Dementia which means her level of care will more than likely remain the same for the duration of her stay at the facility so therefore is best that the paperwork be drawn up so that Medicaid which is a state/federal health insurance program for low income patients. Which the nursing home care is covered through Medicaid and plus the facility is garuanteed to get paid.

Over all, 31.5 percent of Medicaid’s $400 billion in shared federal and state spending goes to long-term care for the elderly and the disabled. According to the U.S. Bureau of the Census, slightly over 5 percent of the 65+ population occupy nursing homes, congregate care, assisted living, and board-and-care homes, and about 4.2 percent are in nursing homes at any given time.

With more than 70 million people enrolled in Medicaid, the program certainly faces long-term financial challenges. Federal Medicaid spending is projected to grow 6 percent a year on average, rising to $650 billion in 2027 from $389 billion this year, according to the Congressional Budget Office.

“Certainly, nursing homes would be part of those cuts, not only in reimbursement rates but in reductions in eligibility for nursing home care.” (www.nytimes.com/2017/06/24)

Skilled nursing staff consisting of RNs, LPNs, and certified nurses’ aides (CNAs) are available to provide 24-hour medical attention. Skilled nursing facilities are commonly used for short-term rehabilitative stays. Extending stays into longer-term care must be medically necessary for the treatment of a serious medical condition and is largely dependent on state and federal benefit regulations. (www.agingcare.com)

Interview with Water’s Edge Health Care and Rehabilitation Center (my mother is a residence here)

Explain economic, social, political, environmental, complexity, inequity, ethical/moral, etc

We are definitely under staffed and paid. There hasn’t been any raises in three years. Unfortunately a lot of our nurses due to child care issues will have to switch off shifts just so they’ll be able to work. Upper management doesn’t address the problems at hand instead they keep patching things up around here and nothing is being done about it. Who’s in charge of decision-making and withthe end-of-life care. The staff has lack of resources so that we may perform our job duties as needed. We have made suggestions to the management team that maybe they should bring in some animals to get the residents involved more and to cheer them up. Have more Family and Friends Day instead of once a year. Get the youth/community attention about our aging residents. Give the residents more to eat so they’re not unhappy throughout the evening. We need to adopt a better system with dealing with the residence monthly Patient Allowance Exchange-give them more than $35.00 a month to spend on personal items.

No matter what, I will still be part of the care team. I will still be my mother’s advocate. I will give much of my attention and my life to help her. I have learned to accept and respect reality. I try hard to have a life of my own so that I don’t get burned out. That’s a wining situation for both sides.

Question description

Personal Philosophy of Advance Nursing Practice Narrative

This Assignment addresses this course outcome:

MN502-1: Formulate a professional nursing philosophy based upon the role and responsibilities of the advanced nurse.

Introduction

The purpose of this Assignment is for you to present your views, values, and beliefs about the four concepts of the nursing metaparadigm (i.e., person, nursing, health, and environment) and their interrelationship to one another as they guide your current nursing practice. The process of identifying a personal nursing philosophy of advanced nursing practice and continuously examining, affirming, and validating this philosophy through caring for patients, families, communities, populations, and/or systems can foster professional and personal growth that builds advanced practice expertise.

Directions

In this Assignment, you will develop the first draft of your personal philosophy of advanced practice nursing. You will continue to work on this document throughout the course, with new drafts reflecting your growing sophistication as you reflect on each week’s lesson.

A philosophical statement includes these elements:

• An introduction that presents your thought processes used to articulate a philosophy of advanced practice nursing. Note that APA does not use a heading for the introduction, because it is assumed that the first few paragraphs of a manuscript are the introduction.
• Valued personal concepts, such as:
  • Metaparadigm concepts such as person/client, nursing, health, and environment
  • Additional concepts you may find valuable to advanced practice, such as IOM Future of Nursing, accountability, interprofessional collaborative practice, social justice, and professionalism
  • Definition of each concept selected
  • Relationships between and among concepts within your personal philosophy as applied to your current practice. A diagram with should be used to graphically depict these interrelationships.

Organization of Your Paper

Your final paper is to be written in APA format (including organization, documentation, and references) and be no more than two pages in length. The paper should include a title page and reference list, however, these pages are not included in the final page count.

Course materials, except textbook, may be used and must be supplemented by current literature from peer-reviewed nursing journals no older than 5 years.

Additional resources to support this Assignment include:

• Reflection: Readings
• IOM Future of Nursing
• Interprofessional collaborative practice

Evaluation Criteria

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Home.

Assignment Requirements

Before finalizing your work, you should:

• be sure to read the Assignment description carefully (as displayed above);
• consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary; and
• utilize spelling and grammar check to minimize errors.

Your writing Assignment should:

• follow the conventions of Standard American English (correct grammar, punctuation, etc.);
• be well ordered, logical, and unified, as well as original and insightful;
• display superior content, organization, style, and mechanics; and
• use APA 6th Edition format.