Identify the physical changes that occur in men and women and the social,psychological, and medical impact of those changes.

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Objectives

Identify the physical changes that occur in men and women and the social,psychological, and medical impact of those changes.

Identify the challenges of individuals in the sandwich generation.

Write a 3-5 page paper describing the physical, social, and cognitive changes that are typically found in middle adulthood for both men and women. Describe how these changes impact the psychosocial stage of generativity versus stagnation. Identify the challenges of individuals in the sandwich generation. What 3-4 recommendations do you have to help someone currently experiencing the sandwich generation? What are examples of historical changes over the past 40 years that have increased the strain on men and women in their middle adult years?

To complete this assignment address each of the following in your paper:

Describe the physical, social, and cognitive changes that occur in middle adulthood for men.

Describe the physical, social, and cognitive changes that occur in middle adulthood for women.

Describe the psychosocial stage: generativity versus stagnation.

Describe how physical, social, and cognitive changes can impact this psychosocial stage.

Identify the challenges of the sandwich generation.

Describe historical changes from the past 40 years that have increased the strain on men and women in their middle adult years.

What limitations to your physical and mental health would affect the health care decisions you would make?

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End of Life Discussion

What will be important to you when you are dying (e.g., physical comfort, no pain, family members
present, etc.)?

How do you feel about the use of life-sustaining measures in the face of terminal illness? Permanent
coma? Irreversible chronic illness, such as Alzheimer’s disease?

Do you have strong feelings about particular medical procedures? Some procedures to think about
include mechanical breathing (respirator), cardiopulmonary resuscitation (CPR), artificial nutrition and
hydration, hospital intensive care, pain relief medication, chemo or radiation therapy, and surgery.

What limitations to your physical and mental health would affect the health care decisions you would make?

Would you want to have financial matters taken into account when treatment decisions are made?

Would you want to be placed in a nursing home if your condition warranted?

Would you prefer Hospice care, with the goal of keeping you comfortable in your home during the final period of your life, as an alternative to hospitalization?

In general, do you wish to participate or share in making decisions about your health care and treatment?

Would you always want to know the truth about your condition, treatment options, and the chance of success of treatments?

Describe how family systems theory can be applied to solicit changes in family members that, in turn, initiate positive changes to the overall family functions over time.

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Family Health Assessment

Understanding family structure and style is essential to patient and family care. Conducting a family interview and needs assessment gathers information to identify strengths, as well as potential barriers to health. This information ultimately helps develop family-centered strategies for support and guidance.

This family health assessment is a two-part.

Develop an interview questionnaire to be used in a family-focused functional assessment. The questionnaire must include three open-ended, family-focused questions to assess functional health patterns for each of the following:

Values/Health Perception

Nutrition

Sleep/Rest

Elimination

Activity/Exercise

Cognitive

Sensory-Perception

Self-Perception

Role Relationship

Sexuality

Coping

Select a family, other than your own, and seek permission from the family to conduct an interview. Utilize the interview questions complied in your interview questionnaire to conduct a family-focused functional assessment. Document the responses as you conduct the interview.

Upon completion of the interview, write a 750-1,000-word paper. Analyze your assessment findings. Submit your questionnaire as an appendix with your assignment. Include the following in your paper:

Describe the family structure. Include individuals and any relevant attributes defining the family composition, race/ethnicity, social class, spirituality, and environment.

Summarize the overall health behaviors of the family. Describe the current health of the family.

Based on your findings, describe at least two of the functional health pattern strengths noted in the findings. Discuss three areas in which health problems or barriers to health were identified.

Describe how family systems theory can be applied to solicit changes in family members that, in turn, initiate positive changes to the overall family functions over time.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

APA Style

-The interview questionnaire presented and demonstrates strong insight into family-focused assessment strategies. All functional heath patterns include three highly relevant open-ended questions.

-The family structure is clearly described. All individuals and relevant attributes are discussed in detail. The discussion demonstrates an in-depth perspective into family structure.

-Health behaviors are identified and presented in detail. The current health of the family is described. A clear understanding of family health and health behavior is demonstrated.

-Two functional health pattern strengths, three health problems, and barriers to health are discussed. Discussion identifies and assesses key aspects from findings. Discussion demonstrates insight into assessment of findings to identify functional health pattern strengths and health problems or barriers.

-Application of family systems theory to initiate positive changes in family functions over time is thoroughly discussed. The manner in which the theory is applied is highly relevant and strongly supports steps to achieving the desired outcomes.

 

Identify one primary question and one secondary question regarding the problem of interest.

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Literature Review in Action

In this assignment, you will create a presentation that reflects on your proposed problem of interest and explains the purpose of a literature review as it relates to this problem.

Step 1: Reflect on your proposed problem of interest.

Critically think about your research question or problem of interest.

Step 2: Consider the following questions:

What is the purpose of conducting a literature review?

What are the steps a nurse researcher would take to conduct a literature review?

What would be the primary and secondary questions regarding the research question or problem of interest?

Consider the importance of including sources with a variety of results when

identifying sources pertaining to your proposed problem of interest.

Step 3: Consider who your audience might be if you were to deliver your presentation in person.

What would you want them to know about this topic?

What would you expect them to already know?
Step 4: Create a seven- to ten-slide presentation that summarizes the purpose of a literature review.

Explain the steps in conducting a literature review. In your presentation, describe how you would approach conducting a literature review pertaining to your problem of interest. Identify one primary question and one secondary question regarding the problem of interest.

Step 5: Review your presentation.

Ensure that you are using best practices for formatting slides.

Include a title screen and summary screen.

Avoid making slides too text heavy or dense with text. As a guideline, limit text on each slide to five bullet points of six words each.

If using graphics, be sure that they are professional, reinforce your points, and are not used merely for decoration.

Be sure to add what you would say if delivering the presentation to a live audience in the notes section of each slide.

What was the perceived health problem, and how did you or the patient research this problem?

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The Internet and Healthcare

Step 1 Share an example of a time in your practice when you have had concerns about information that a patient (or family member, friend, or you) has obtained from the Internet.

If you have not had such an experience, go to a consumer health information website, such as WebMD, and look up a health condition that you typically see in your practice or have seen in your clinical experiences. Consider how a patient might use this information as you answer the questions in Step 2.

Step 2 In a one-page paper, describe safety concerns related to people who seek health-related information on the Internet and explain how to evaluate the quality of health-related information on the Internet. Use the following questions as guidelines for your paper:

What was the perceived health problem, and how did you or the patient research this problem?

What health-related information was obtained?

Was the information accurate?

How did (or might) the patient interpret the information?

What did (or might) the patient do with the information obtained?

What actual or potential harm could have happened as a result of the information?

How can you evaluate the quality of health-related information on the Internet?

Why is their support necessary to the success of your change proposal, and how you will go about securing that support?

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Strategic planning (CAUTION capstone change proposal project)

Discussion 2
Stakeholder support is necessary for a successful project implementation. Consider your internal stakeholders, such as the facility, unit, or health care setting (acute care hospital) where the change proposal is being considered, and your external stakeholders, like an individual or group outside the health care setting. Why is their support necessary to the success of your change proposal, and how you will go about securing that support?

Discussion 3

Technology is integral to successful implementation in many projects, through either support or integration or both. Name at least one technology that could improve the implementation process and the outcomes of your capstone project change proposal. Do you plan to use this technology? If not, what are the barriers that prevent its use?

What suggestions would you make for Beth regarding budget management?

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Budget Analysis

Over the past three months Beth notes that she is over budget. She does not understand what has happened to cause the variances. Anticipating a call from the Director of Nursing and Chief Financial Officer, she turns to you as a seasoned manager to help her understand.

Utilizing a nursing theoretical approach (e.g. Benner’s Model Novice-to-Expert), what is your assessment of Beth’s managerial skill level at this point? Provide your rationale.
What suggestions would you make for Beth regarding budget management?

Identify best evidence, clinical guidelines, regulatory mandates, and best practices in the literature

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Complete a SWOT analysis of internal and external environments, programs, resources, equipment, and supplies.
Literature Review
Identify best evidence, clinical guidelines, regulatory mandates, and best practices in the literature
Strategic Plan

Incorporate findings from SWOT analysis and literature review to identify one goal and outcome consistent with mission, vision, and values of the organization. Include a proposed budget that summaries labor costs, equipment, and supplies.
Conclusion

Provide recommendations for implementation and ongoing monitoring. Make recommendations for appropriate personnel by titles to serve as champions for the process. Identify appropriate data and tools to use for monitoring and reporting.

Compare  and contrast the fixed operating budget approach to the flexible operating budget approach as outlined in your text book and readings.

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Presentation Format
Budget Types/Methodologies

Compare  and contrast the fixed operating budget approach to the flexible operating budget approach as outlined in your text book and readings.

Describe these two budget methodologies. Include enough detail for the reader to follow and understand the methodology.
Comparison

Construct a table and compare the 2 types of budget methodologies in the following categories:

Advantages and disadvantages to the nurse leader in monitoring compliance

Operations best suited to each type of budget

Impact on the correlation to patient care

Ability to take variances into account

What spiritual considerations surrounding a disaster can arise for individuals, communities, and health care providers? Explain your answer in the context of a natural or man made disaster.

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Spiritual considerations

What spiritual considerations surrounding a disaster can arise for individuals, communities, and health care providers? Explain your answer in the context of a natural or man made disaster.

How can a community health nurse assist in the spiritual care of the individual, community, self, and colleagues?