Genograms

 Discuss how genogram and ecomaps are used in nursing. Why and how would they incorporate these tools into their care of families? How does the use of these tools affect family risk appraisal? 

Book: Foundations for Population Health in Community/Public Health Nursing

 
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Gerd Chest Pain

Use of Research Findings and other evidence in Clinical Decision Making

Choose 2 EBP resources influencing the care provided to your client. Discuss the similarities and differences that you read for those two EBP peer reviewed articles.

Submit scholarly paper, with writing style at the graduate level, including all of the following:

  • Reviews topic and explains rationale for its selection in the context of client care.
  • Evaluates key concepts related to the topic.
  • Describes multiple viewpoints if this is a controversial issue or one for which there are no clear guidelines.
  • Assesses the merit of evidence found on this topic i.e. soundness of research
  • Evaluates current EBM guidelines, if available. Or, recommends what these guidelines should be based on available research.  Discuss the Standardized Procedure for this diagnosis.
  • Discusses how the evidence did impact/would impact practice.  What should be done differently based on the knowledge gained?
  • Consider cultural, spiritual, and socioeconomic issues as applicable.
 
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Gerentogoly W1 Post

 

Watch at least 60 minutes of TV, focusing on the depiction of older adults. Analyze and discuss TV programming in the context of at least two of the following:

  • Portrayal of elderly characters
  • Intergenerational themes
  • Conflict in relation to the older population
  • Aging stereotypes or myths
  • Cultural diversity in relation to quality of care
 
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Gerentogoly W1 Postreply Class

 SH

Discuss your own philosophy of aging. When do you think a person becomes elderly? What do you think of older people? Are they active, senile, debilitated, etc.? Give a description of an elderly person that you know.

        Older adulthood is an identity that carries significant stigma, and individuals become increasingly closer to assuming this stigmatized identity as they age. When people become older adults, they could view themselves as becoming part of a group to which they have held negative attitudes toward their whole life (Chopik, Bremner, Johnson & Giasson ,2018). I have seen myself doing the same thing, identify myself as old and try to act like it as the society defines it. However, I really think aging is how we perceive it to be. I have my parents for instance, going on 78 and 88 years of age, I find them aging gracefully, embracing their age transition. Although affected by chronic diseases, I found both of them to be very resilient, powering forward with their life. It always amazes my friends and other family members  to see how active my elderly parents  are.  My mom loves to cook ,therefore cooking everyday keep her going. My dad on the other hand who survived stroke twice, that left him with hearing deficit is continuously striving to stay active, he is on top of his health-related decision, checking his blood pressure every day, he is always reading ,nurturing his mind. Overall, my parents make me believe that age is just a number, someone could be of old age but still be young at heart. Becoming elderly I believe is when one is no longer able to function physically and cognitively  while aging . Older people are wise people to be around with all the life experiences they have to share.

 
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Gerentogoly W1 Postreplyproself

  

Question 1

Watch at least 60 minutes of TV, focusing on the depiction of older adults. Analyze and discuss TV programming in the context of at least two of the following:

  • Portrayal of elderly characters
  • Intergenerational themes
  • Conflict in relation to the older population
  • Aging stereotypes or myths
  • Cultural diversity in relation to quality of care

your answer

The Portrayal of Elderly Characters

On television, today, if a character goes crazy, makes extravagant comments to a person of the opposite sex or is intrigued by fundamental things, this character will probably have silver hair. In one way or another, the divine beings of television have chosen disgusting, inappropriate or idiotic actors for old characters. Or again, all three. See, for example, what they did with poor Margo Martindale, an award-winning Emmy artist named Tony. Currently plays the mother of the character of Will Arnett in the parody of CBS “The Millers.” A complete secondary plot at the beginning of the settlement was worked around his belly, explicitly gas. In this equivalent scene, Beau Bridges, another Emmy champion who plays his other important role, is not apt to use a wireless phone properly (The Millers First Look, 2013).

Intergenerational Themes

Located on a sugarcane ranch in Louisiana, Ava DuVernay’s Queen’s Sugar is a multigenerational epic drama that American television has never been able to organize. The fact that it takes into account so many elements in its reports, including class and intergenerational conflicts, dynamic and distant prejudices, government laws and directives and even the effect of the atmosphere and financial changes, is much more than subtle friction of agreements. Televisions are full of convincing and beautiful characters on the screen, who are also the main characters are Charley Bordelon (Dawn-Lyen Gardner), a rich woman who leaves Los Angeles with her teenage son to make another life; Nova Bordelon (Rutina Wesley), writer and extremist of New Orleans; and his brother Ralph Angel (Kofi Siriboe), a single father with a proven track record in the world of work, who is trying to raise a child abandoned by a crazy drug mother. Nothing in the program moves as one would expect, and the emphasis on aerial and forced visual narration (with the confidence of female leaders) separates it further from other families at different times (Queen Sugar, 2016).

professor question to post:

   How representative of elderly people do you believe this TV show really is? 

 
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Gerentogoly W1 Reply

Jc

 

Discuss your own philosophy of aging. When do you think a person becomes elderly? What do you think of older people? Are they active, senile, debilitated, etc.? Give a description of an elderly person that you know.

Discussing my own philosophy of aging. It really changes with each year I get older I used to think 31’s was old now I’m 35 it doesn’t seem so old yesterday was my birthday, I see myself as young feeling most days I have noticed more aches with aging and pregnancy and I feel I’m young acting anyways, my husband jokingly says otherwise and my son told me yesterday, I can’t believe your still a teenager at 35, I joked with him that I was a teenager and I said I know me either. So, at this time in my life I feel elderly to me is 65 and older like at retirement age. Also, though it varies in my mind  my mom is 73 but doesn’t seem elderly at all, she is very active and seems to have more energy than me.  My grandma is 103 and  has very sharp mind, a better memory than myself, she still walks with a rolling walker, my aunt lives with her and has since she was in her 80’s and cooks for her, her vision and hearing has gotten worse with aging, she will complain about some aches, which I think she has deserved the right to do, but really she is, I believe in  superb condition to be her age this August 6th she will be 104. I love listening to her stories and she loves talking. Age to me has just become a number. How you act, feel, and  take care of your body can really can impact your aging. In the ICU I’ve seen drugs age people in there 31’s and 40’s and make them look twice their age and if it doesn’t kill them it really effects their health and has a impact on their family. I try and keep a open mind no two people  are alike even if they are in the same age category. As it talks about in the text I have found myself believing  certain things aren’t achievable because of a person’s age. As the text says:

“Promoting wellness in older adults is an ideal; however, nurses may not believe it is achievable in practice because of barriers such as the following:

  • Older adults may be pessimistic about their ability to improve their health and functioning.
  • Survival needs and a multitude of health problems may take precedence over the “luxury” of being able to focus on wellness and quality of life.
  • Despite the increasing emphasis on wellness and health promotion, health care environments focus more on treating diseases than on preventing illness and addressing whole-person needs.
  • Often older adults and health care providers mistakenly attribute symptoms to aging rather than identify and address the contributing factors that are reversible and treatable.
  • Health care providers may not believe that older adults are capable of learning and implementing health-promoting behaviors that are inherent in wellness-oriented care” (Miller).

So, it just really all depends on the person to me some age better and are able to take care of themselves, and some don’t, it may not necessarily be their fault they may have a debilitating disease that they cannot help, but one thing is for sure we all age if we are still here on earth and I just hope we all can age well, and make the most out of this life we are given.

 
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Gerentogoly W2 Selfprofe

  

Discussion Question 2

Identify at least two modes of communication you have used for the elderly in your clinical practice. State what modes of communication were effective and which modes were challenging. Explain why.

Modes of Communication Used for The Elderly Clinical Practice

Two of the communication methods I use for older people in my clinical practice are listening and attending as well as non-verbal communication. Unequivocally, some people do not consider ” listening’” as a “communication.” For them, it seems strange that part of communication includes tranquility. However, listening is essential for excellent communication and is particularly crucial for one as a health care worker. I work closely with more elderly patients and often reveal vital things to me. In fact, some may prefer to use me instead of staff writing about what they feel or things that stress them because they need to know and trust me.

In addition, nonverbal communication is regularly represented by “body language’. Body language speaks volumes about the benefits and commitment of people in their communication. Despite the fact that people say the right things, the message can be lost if the body language suggests thinking of something completely different. The nonverbal communication of individuals speaks volumes about their benefit and commitment to the communication they have. It is essential that their posture, facial expression, outward appearance, and touch match the words they say (Standring, 2015).

Both methods were effective communication modes for me. This is because when listening and attending to the patients, I was able to understand the patients and treat them as per their needs. When it comes to body language as a non-verbal communication mode, I used different aspects such as body posture, eye contact, facial expression as well as touch. With a proper body posture and eye contact, the elderly people will feel conformable and trust the clinical officer so that they can get treated. Approaching them with a smile, a body language that shows that as a clinical officer, one is ready to help them, they will communicate their problem clearly, and that will help in treating them well (Ganasegeran et al., 2017).

Professor question to my assignment:

 Please elaborate on what exactly you mean by “listening and attending”. 

 
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Gerentogoly Wk2 Discussion

 

Discussion Question 2

Identify at least two modes of communication you have used for the elderly in your clinical practice. State what modes of communication were effective and which modes were challenging. Explain why.

Citations should conform to APA guidelines. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA Style website through the APA icon below.

 
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Gerentogoly Wk2 Discussionreply

TD

question

 

What do you think are the two most prevalent age-related changes that affect the lifestyle of the elderly? How would you help an elderly patient adjust to the two changes you identified?

answer:

One of the most prevalent age related changes I have noticed over my career is changes to the skin. Skin loses elasticity over time and decreased mobility can cause pressure ulcers to the patient. This is compounded as aging also reduces the ability for wounds to heal. Pressure ulcers affects the patient’s quality of life and can increase morbidity and mortality (Mervis, Phillips, 2019). It is important for elderly people to inspect their skin routinely and notice any breaks in the integrity of the skin. Teaching for these individuals would include making sure they reposition at least every hour while sitting or lying to offset pressure points. It is also important to have the elderly inspect pressure points over bony prominences. 

The second age related change that many elderly patients face is bowel function. Aging can cause decreased motility of the GI system and dietary changes affect the amount of fluids the individual have in their body. Many elderly people are very aware of the frequency and consistency of their bowel movements and become anxious when they do not have a bowel movement at least daily. It is important with these individuals to encourage a high fiber diet with adequate fluid consumption. The addition of dietary supplements such as fiber supplements or stool softeners can also help these individuals with regularity in their bowel functions. 

 
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Gerentogoly Wk2 Project

 

Assessing and Planning Care for an Elderly Person

In order to gain an insight into the world of elder adults, it is important to understand how they view themselves and the values they hold. Additionally it is important to assess and determine his/her needs and establish appropriate interventions for this individual.

By the due date assigned, choose an older adult to interview. This cannot be a patient in your clinical setting. You can use a friend, family member, or co-worker. The older adult should be 65 years or older. Use the format provided to record the responses. A list of questions is available for you to start with. Include 2–3 questions of your own to get a complete picture of the older adult. Summarize your findings and also contrast the responses with findings in your readings and other current literature.

Download a patient questionnaire (SEE ATTACHED DOCUMENT). This form should be used as an example.

After gaining permission, conduct a physical and mental functional assessment of the older adult you have chosen. Review your readings for the process of functional assessment.

Make use of the tools discussed this week to complete a comprehensive assessment of your patient. Search the Internet for resources on these tools.

  1. Tinetti Balance and Gait Evaluation
  2. Katz Index of Activities of Daily Living
  3. Assessment of Home Safety
  4. The Barthel Index

Make sure the older adult is clearly identified on the tools. Do not include their name, but do include professional or other designation, and age. Your name should also be identified on the tool. (This should be a part of your Appendix.)

Compare and contrast the age-related changes of the older person you interviewed and assessed with those identified in this week’s reading assignment. During this data analysis process provide at least 4–6 preliminary issues that you have identified. Identify three alterations in health that you would propose and describe them. Identify a minimum of three comprehensive interventions for each problem.

Make sure that you integrate personal cultural awareness and cultural competency.

Paper should be 5–6 pages, not including the questionnaire or tools used. These should be attached as an Appendix. Remember to use headings to identify the different sections in your paper.

On a separate references page, cite all sources using APA format.

  • Use this APA Citation Helper as a convenient reference for properly citing resources.
  • This handout will provide you the details of formatting your essay using APA style.
  • You may create your essay in this APA-formatted template.

Submission Details

  • Name your document _………………W2_A2_LastName_FirstInitial.doc.
  • Submit your document to the Submissions Area by the due date assigned.  
 
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