CASE STUDY #1

Please help me with this assignment. The case study has been attached. 

CULTURAL WK 5 DISCUSSION

 Discussion Post Topic #5: In dealing with cultural differences/potential conflict in nursing/healthcare, what assessments and strategies would you incorporate to gain compliance from your culturally diverse client(s). Provide examples of the culture(s) discussed and your evidenced-based strategies. 

Your Experience & Research Articles

 

Based on this week’s reading, share a qualitative research article that is useful and applicable to your practice based on your readings.  Critique and evaluate this article based on the credibility, audibility, and fittingness proposed by Guba & Lincoln in Chapter 6 of your textbook. 

Discussion tip #1: Review Table 6.2 in your textbook and discuss each point in relation to your qualitative research. 

Discussion tip #2: Do you have an article that uses qualitative research? 

Chapter 6 Quantitative.jpg

at this point week 4 D

please follow all directions

Elder portfolio

I have attached the files below. please answer the questions.

Here is the link for the elder Abuse questions. 

Care of the older person part 2

Copyright © 2022 The Open College (Version 10)

Module Title Care of the Older Person

Module Code 5N2706

Assessment Technique Skills Demonstration

Weighting 60%

Assessment Details:

In this assessment you are required to write 3 comprehensive reports on the below skills undertaken
within the care setting with a Client /Service User.

1. An outing or indoor activity {examples of outing: trip to cinema, garden centre, park,

examples of indoor: cookery, cards, storytelling, arts & craft etc.}

2. A Reminiscence Session {examples: looking at old film, photo album, talking about past events

in client’s life, school days etc.}

3. A Health Promotion Activity: {examples: Diet, Oral Hygiene, Exercise, hand hygiene, etc}

In the reports you are required to illustrate good client care practice that you will implement in future
practice. In each of the reports you need to illustrate understanding and knowledge of your role in
promoting safe practices, client independence, support, autonomy and dignity during the planning
and implementation of the activities.

Your reports will be assessed on the following:

• Thorough organisation and preparation of the task, including identification of clients’ needs.

(15 marks)

• Careful execution of the task. (15 marks)

• Effective communication throughout the task. (10 marks)

• Effective use of relevant safety and health practices. (10 marks)

• Comprehensive record of the task. (10 marks)

Copyright © 2022 The Open College (Version 10)

Instructions:

For each Skill Report you can:

1. Choose one of the case studies profiles below to complete the reports and follow the
guidelines provided to complete same. The below case studies are a brief overview of a client
and you are free to interpret and expand upon the client history, background if you wish.

OR

2. Complete the assessment on a service user you have cared for during work placement or
family member/relative you have cared for in the home, whereby you have been involved in
assisting them with a recreational / therapeutic activity.

Case Study One

James Brown is a 75-year-old male who was admitted into the nursing home in January 2020. Previous
to this Mr Brown was in St Vincent’s hospital following a stroke where he spent six months. Following
the stroke Mr Brown now uses a rollator. He has no difficulties transferring himself and needs no
assistance. He is partially paralysed on the left side of his body, and sometimes his speech is a little
slurred. Mr Browns wife and son visited every few days. Prior to his retirement Mr Brown worked in
Dublin Dockyards and had a keen interest in swimming, hill walking and crossword puzzles.

Case Study Two

Alice Jones is 81 years old and was admitted to the residential home in 2019 from her home where
she lived with her husband. Alice was diagnosed with dementia in 2016, she is forgetful and has a
history of wandering and this increases her vulnerability. Unfortunately, Alice’s care needs could not
be met at home due to her dementia. This cognitive decline also impacts on her physical and social
ability as she requires support to maintain her daily activities of living. This includes personal care,
nutrition, safety, mobility and guidance.

Case Study Three

Mary Walsh is 74 years of age, she is a widow of ten years, she has one daughter and one son, her son
resides in Australia. Mary is currently residing in a nursing home and she has been diagnosed with
dementia and is in the early stages. As an effect Mary suffers from short term memory loss. Mary also
has restricted mobility as a result of a fall two years ago and suffered a fractured hip. Mary’s physical
ability all though restricted is quite good. Mary uses a rollator for short to medium distance and a
wheelchair for long distance or when going out, she has full mobility with her upper body and regularly
attends physiotherapy.

Copyright © 2022 The Open College (Version 10)

Case Study Four

Annie Smith is an 84-year-old lady who still very much enjoys the activities of daily living. Annie has
cognitive impairment and mobilises with the aid of a rollator; she also has arthritis and wears a hearing
aid in her right ear. Annie has a regular diet and fluids and has a good appetite. Annie takes a lot of
pride in her appearance and likes to wear nice clothes and to have her hair done. Annie is a widow;
she has no children but has led a very full and active life and was very engaged in social activities
throughout her life. Annie lived on her own for a number of years upon the death of her husband and
attended a day centre which she enjoyed greatly. It was noticed by the staff in the day centre and her
home care team that Annie was becoming more forgetful and confused and was leaving her home
and forgetting how to return. The difficulty in maintaining her safety in the home was one of the main
reasons that Annie entered the nursing home.

Additional guidelines for Skills Demonstration

The below Structure must be followed for each Skills Demonstration report & specific points to be
addressed.

Title of Activity_______________

❖ Client Profile: {in this section provide details on the following: name, age, illness / disability,
level of independence}

❖ Rational for the chosen activity: {why did you choose this activity and how would you or did
you involve the client in the decision-making process}

❖ Preparation of the activity: {for example: materials, time, venue, transport etc. and discussion

with supervisor/person in charge}

❖ Communication: {what communication techniques are used to meet the needs of the client,

such as verbal, non-verbal skills and written}

❖ Health and Safety: {in this section address safety measures and infection control that must be

implemented and give rationale}

❖ Implementation of the Activity: {in this section outline from start to finish the activity itself,

you can do this in steps e.g., step 1, 2, 3 and so on. It is important to place emphasis on good

client care, support provided, promotion of independence and interaction, client feedback}

❖ Reflection: {in this section reflect on the benefits of activity for the client and outline future

recommendations to promote recreational activities}

Copyright © 2022 The Open College (Version 10)

Specific Guidelines & Important Information

1. Word Count: 500-600 words per Skills report (+/-10%).

2. Your skill reports must be written in first person only.

3. Write in past tense if based on past experiences from placement / working with family

member.

4. Write in future tense if based on the case study provided.

5. In your reports it is important to emphasize good client care, addressing how client’s privacy,

dignity, independence, empathy, respect and positive self-image of clients would be

promoted and maintained during the activity.

6. Ensure reports are structured using the headings above.

7. Reports do not require research information or supportive references.

For final presentation of your work please ensure:

• Accuracy of information supplied.

• Written in correct context and professional.

• Correct structure applied.

• Quality of Presentation

• Grammatical correctness and proper spelling

• Professional vocational language is used.

Your work must also protect the anonymity of the client and organisation, thus all names must be
changed. This must be stated clearly in your work.

Please note: if you do go over your word count deduction will be at tutor discretion, based on the
relevance of the information submitted.

Where applicable, in the skill report work can be supported with images of
activities/material/equipment/ environment BUT NO IMAGES OF CLIENT CAN BE SUBMITTED.

Please note failure to adhere to all of the above, may result in deduction of marks.

Any results issued are provisional and subject to confirmation from the QQI External Authenticator.

Discusssion

 Read

APRNs are primary care providers, pivotal in providing primary health care and preventive services in communities. Advanced practice nursing is defined by the Nurse Practice Act but governed by the Board of Nursing in different states or territories. Where the Nurse Practice Act falls short in interpretation, the Board of Registered Nursing guides the form of an opinion (American Nurses Association, n.d.). Advanced practice nurses should understand how these laws and regulations shape practice.

            I am from California, and I chose Iowa for comparison. In both states, APRN nursing regulations allow advanced practice nurses to function as primary care providers with permission to certify disability pursuant to the unemployment insurance code section2708 (California Legislative Information, n.d.). Similarly, in both states, APRNs also sign POLST forms.

            APRNs in California can prescribe controlled substances after fulfilling specific requirements, including six months of physician supervision, a pharmacology course, and another specific course about schedule II-controlled drugs. Iowa Board of Registered Nursing also allows nurse practitioners to prescribe Schedule II drugs after registering with the pharmaceutical board. Both states require the prescriber to be registered with the Drug Enforcement Agency.

           Advanced Registered Nurse Practitioners in Iowa have autonomy in practice; alternately, they can collaborate with a physician or surgeon, but this is not a requirement of the Iowa Board of Nursing. APRNs in Iowa practice autonomously. California has a standardized procedure arrangement for advanced practice nurses to diagnose, treat, and prescribe. APRNs in California have career-long supervision, delegation, or team management by a physician. Largely, California regulations allow advanced nurse practitioners to approve, sign, or modify treatment plans after consultation with a physician.

          California Board of Registered Nursing allows for using marijuana by nurses as long as it is not used within the workstation. The legislation makes it unlawful for an employer to eliminate hiring someone based on that person using Cannabis away from their workstation. The legislation further guides that a nurse who uses cannabis for medical purposes should also be exempted from this policy. On the contrary, recreational use of marijuana is illegal under Iowa law. A nurse may be affected even if the positive drug screen was done in another state that allows the use of marijuana. Potential employers usually forward positive marijuana screens where a nurse has a license.

           Advanced Practice Registered Nurses with full legal authority to practice at full scope will have issues practicing autonomously in California because of the restricted practice legislation. One of the objectives of the ANA is to fight barriers to nursing practice so that nurses practice to the full extent of their education and training despite being in different territories. All nurses are licensed by their state of practice or by a multistate license. The Nurse Licensure Compact provides APRNs with a multistate license that allows nurses to practice in the home state and other compact states (NCSBN. (n.d.). Not all states are compact states.

            Nurses adhere to the rules through continuous education to keep up with the latest practices and technology. Many approved colleges provide the necessary certification; some are state-specific, and others can be found online. Joining Professional organizations is also useful for sources of the latest information in the medical world.

explain how the regulatory environment and the regulations selected by your colleague differ from your state/region. Be specific and provide examples. 

The devepment of nursing and nursing knowledge.

 The development of nursing knowledge is an ongoing process. Discuss the case for the ongoing development and use of nursing grand theories and conversely, make a case for the obsolescence of nursing grand theories for today’s practice and research. 

Assigment .Apa seven . All instructions attached.


Week 3: Paper #1 Due

Complementary and alternative medicine (CAM) is becoming increasingly common in the United States and the rest of the western world. Most of nursing education in the United States, Canada, the United Kingdom, Europe, and Australia—often referred to as Western countries—has been under the umbrella of biomedicine, and thus Western nurses are familiar and comfortable with its beliefs, theories, practices, strengths, and limitations. Fewer nurses have studied alternative medical theories and practices and as a result may lack information or even harbor misinformation about these healing practices. Unlike the profession of medicine in general, however, the profession of nursing has traditionally embraced two basic concepts embodied by alternative therapies—holism and humanism—in its approach with clients.
Your assignment is to write a 2-3 page paper discussing how nurses can incorporate alternative medicine into a holistic approach to patient care. Please use references within the last 5 years and submit the work in APA format.

Nursing

Purpose

The purpose of this assignment is to investigate informatics in healthcare and to apply professional, ethical, and legal principles to its appropriate use in healthcare technology.

Course outcomes: This assignment enables the student to meet the following course outcomes:

CO 4: Investigate safeguards and decision‐making support tools embedded in patient care technologies and information systems to support a safe practice environment for both patients and healthcare workers. (PO 4)

CO 6: Discuss the principles of data integrity, professional ethics, and legal requirements related to data security, regulatory requirements, confidentiality, and client’s right to privacy. (PO 6)

CO 8: Discuss the value of best evidence as a driving force to institute change in the delivery of nursing care. (PO 8)

Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.

Total points possible: 200 points

Preparing the assignment

Your faculty member will provide a scenario for you to address in your paper. Choose an ending to the scenario, and construct your paper based on those reflections. Choose one of the following outcomes for the end of the scenario:

1. A HIPAA violation occurs, and client data is exposed to the media.

2. A medication error has harmed a client.

3. A technology downtime that impacts patient care occurs, and an error is made.

4. A ransomware attack has occurred, and the organization must contemplate paying the ransom or lose access to patient data.

Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions. Include the following sections:

a. Introduction – 20 points/10%

· Presents a clearly designed thesis statement or argument.

· Provides a clear and concise overview of the content.

· Offers a compelling argument to elicit the readers attention and generate interest.

b. HIPAA, Legal, and Regulatory Discussion – 20 points/10%

· Identify client privacy and HIPPAA standards as they relate to the impact of technology on nursing care.

· Review healthcare regulations as they relate to the impact of technology on nursing care.

· Describe legal guidelines on appropriate use of technology.

c. Scenario Ending and Recommendations – 50 points/25%

· Presents the selected or assigned scenario ending as the focus of the assignment.

· Evaluates the actions taken by healthcare providers selected or assigned scenario evolves.

· Recommends actions to mitigate the injury sustained in the selected scenario ending.

· Supports recommendations with evidence from recent scholarly publications.

d. Advantages and Disadvantages – 50 points/25%

· Presents at least two advantages of using the specified technology in healthcare.

· Presents at least two risks of using the specified technology in healthcare.

· Describes professional and ethical principles guiding the appropriate use of technology in healthcare.

· Support advantages and risks with evidence from recent scholarly publications.

e. Conclusion and Reflections – 40 points/20%

· Summarizes the selected or assigned scenarios ending including the recommendations.

· Establishes a clear link between the discussion and the thesis statement or argument.

· Discusses thoughtful insights and implications based on the outcomes.

· Describes how new insights will impact future behavior as a healthcare professional.

f. APA Style and Organization – 20 points/10%

· References are submitted with assignment.

· Uses current APA format and is free of errors.

· Grammar and mechanics are free of errors.

· Paper is 4-5 pages, excluding title and reference pages.

· At least three (3) scholarly, primary sources from the last 5 years, excluding the textbook, are provided.

For writing assistance, visit the Writing Center.

Please note that your instructor may provide you with additional assessments in any form to determine that you fully understand the concepts learned in the review module.

· A scenario is to be used to complete the RUA: We Can But Dare We paper that is due at the end of week 4. Below is the scenario; please do not use any other scenario for this assignment. Logistics and details, including scenario ending choices, regarding the paper can be found in the RUA: We Can But Dare We grading rubric found in the Unit 4 module.

Scenario:

You are an emergency department nurse responding to a severe freeway accident. As a triage registered nurse determining the severity of each case and maintaining proper flow, it is your duty to review all patients impacted by this event. While reviewing patients coming in, you stumble across a familiar name, which happens to be the name of a famous actor, Governor Gru. Upon determining this, you happen to take a photo of the data and post about the finding on your social media account.

To complete this paper, please choose an appropriate scenario ending listed in the RUA We Can But Dare We rubric (which is also attached to this announcement).

 

THIS IS AN INDIVIDUAL ASSIGNMENT. Each of you will write your own paper.

This assignment will be submitted to Turn It In and will be screened for integrity violations. TRY NOT use quotes of any kind. (1 is acceptable). If you paraphrase and cite all content you will significantly reduce your similarity score.

 FOLLOW THE RUBRIC to receive full points! 

Please reach out to your assigned faculty member with questions!


NR360 Information Systems in Healthcare

We Can, But Dare We? Guidelines

© 2023 Chamberlain University. All Rights Reserved.

NR360_ RUA_We_Can_But_Dare_We_Guidelines_SEP23 1

Grading Rubric Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment.

Assignment Section and Required Criteria

(Points possible/% of total points available)

Highest Level of Performance

High Level of Performance

Satisfactory Level of Performance

Unsatisfactory Level of Performance

Section not present

Introduction

(20 points/10%)

20 points

10 points

5 points

0 points

Required criteria

1. Presents a clearly designed thesis statement or argument.

2. Provides a clear and concise overview of the content.

3. Offers a compelling argument to elicit the reader’s attention and generate interest.

Meets all requirements for section.

Includes no fewer than 2 requirements for section.

Includes no fewer than 1 requirement for section.

No requirements for this section presented.

HIPAA, Legal, and Regulatory Discussion

(20 points/10%)

20 points

10 points

5 points

0 points

Required criteria

1. Identify client privacy and HIPPAA standards as they relate to the impact of technology on nursing care.

2. Review healthcare regulations as they relate to the impact of technology on nursing care.

3. Describe legal guidelines on appropriate use of technology.

Meets all requirements for section.

Includes no fewer than 2 requirements for section.

Includes no fewer than 1 requirement for section.

No requirements for this section presented.

Scenario Ending and Recommendations

(50 points/25%)

50 points

43 points

38 points

19 points

0 points

Required criteria

1. Presents the selected or assigned scenario ending as the focus of the assignment.

2. Evaluates the actions taken by healthcare providers selected or assigned scenario evolves.

3. Recommends actions to mitigate the injury sustained in the selected scenario ending.

4. Supports recommendations with evidence from recent scholarly publications.

Meets all requirements for section.

Includes no fewer than 3 requirements for section.

Includes 2 requirements for section.

Includes 1 requirements for section.

No requirements for this section presented.

Advantages and Disadvantages

(50 points/25%)

50 points

43 points

38 points

19 points

0 points

Required criteria

1. Presents at least two advantages of using the specified technology in healthcare.

2. Presents at least two risks of using the specified technology in healthcare.

3. Describes professional and ethical principles guiding the appropriate use of technology in healthcare.

4. Support advantages and risks with evidence from recent scholarly publications.

Meets all requirements for section.

Includes no fewer than 3 requirements for section.

Includes 2 requirements for section.

Includes 1 requirements for section.

No requirements for this section presented.

Conclusion and Reflections

(40 points/20%)

40 points

34 points

30 points

15 points

0 points

Required criteria

1. Summarizes the selected or assigned scenarios ending including the recommendations.

2. Establishes a clear link between the discussion and the thesis statement or argument.

3. Discusses thoughtful insights and implications based on the outcomes.

4. Describes how new insights will impact future behavior as a healthcare professional.

Meets all requirements for section.

Includes no fewer than 3 requirements for section.

Includes 2 requirements for section.

Includes 1 requirements for section.

No requirements for this section presented.

APA Style and Organization

(20 points/10%)

20 points

18 points

16 points

8 points

0 points

Required criteria

1. References are submitted with assignment.

2. Uses current APA format and is free of errors.

3. Grammar and mechanics are free of errors.

4. Paper is 4-5 pages, excluding title and reference pages.

5. At least three (3) scholarly, primary sources from the last 5 years, excluding the textbook, are provided.

Includes all requirements for section.

Includes 4 requirements for section.

Includes 3 requirements for section.

Includes 1-2 requirements for section.

No requirements for this section presented.

Total Points Possible = 200 points

© 2023 Chamberlain University. All Rights Reserved.

NR360_ RUA_We_Can_But_Dare_We_Guidelines_SEP23 4

image1.png