Please see attached and carefully read the instructions.  The rubric is also attached. Thank you.

 

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The patient is a 58-year woman diagnosed with Stage IIIB breast cancer which required a mastectomy, chemotherapy and radiation treatments. She has a variety of chronic illnesses, including hypertension, diabetes and asthma. She is knowledgeable about her health and sees the doctor regularly to stay healthy.

She is very devout Catholic and grew up in a strongly devout family. Her church family is very important to her. Her mother and siblings live out of state. All of her family prays regularly for her along with their church and friends.

The patient was very sick as a child requiring frequent hospitalizations. Although her parents were repeatedly told that the patient would soon die from pneumonia, she always pulled through. This caused her family to note her strong-willed nature as a child. Her family nick name was “the happy child” because she was known for her cheerful, optimistic nature despite her frequent illnesses.

She has been married for 36 years. Her husband is very supportive. She has 2 grown sons who live about 4 hours away. Neither son is married.  Her best friend is a local nursing instructor. The friend has taken her back and forth for most of her treatments because her husband cannot get time off. Her co-workers are very supportive and assisted with money and food during chemotherapy. She has been a teacher in the community for 20 years. Her former students created a face book page to keep up with her progress and regularly send her encouragement.

1. Describe the patient’s world view. 

2. Explain the concept of affiliated-individuation. 

3. Explain the concepts of self-care, self-care knowledge, self-care resources, and self-care action. 

a, self-care-

b. self-care knowledge –

c. self-care resources –

d. self-care action –

4. What is APAM in MRM theory? 

a. What does it mean? 

b. Describe her adaptation potential. .

c. What was the stressor?

d. What was the arousal response?

e. What happened with the arousal? 

5. Identify one way the nurse can role-model for this patient. 

6. Using the patient in the scenario, discuss at least one nursing intervention for each of the MRM Five Aims of Interventions.  

a. Build trust

b. Promote Positive Orientation

c. Promote Perceived Control

d. Affirm and Promote Positive Strengths

e. Set Mutual Health Promotion Goals

 

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Increasingly patients are creating and maintaining personal health records (PHRs) with data from a variety of healthcare providers as well as data they have generated about their health. What provisions should be included in a model privacy and security policy that patients might use in making decisions related to their privacy and the security of their PHRs?

 

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Signature Assignment Title: Modern Organizations and Healthcare

Signature Assignment Description/Directions: Presentation

Nurse administrators are given an opportunity to apply the theories and principles studied from this course to realistic nursing issues, using evidence to support creative decision making. Issues were identified, gaps were described, problems were analyzed, and solutions proposed that simulated the types of decisions that advanced nurse leaders will need to make in actual nursing venues. For this presentation, the learner will:

• Develop 3 objectives for change and explain the 3 considerations on a Micro and Macro level.
• Identify three leadership strategies that can be utilized to manage positive, effective change within an organization
• Discuss how the leadership strategies chosen can support individual behaviors
• Analyze how the chosen leadership strategies can be used to improve intrapersonal and interpersonal situations
• Discuss the role of the nurse administrator as an organizational leader and change agent.  

This PowerPoint® (Microsoft Office) or Impress® (Open Office) presentation should be a minimum of 20 slides, including a title, introduction, conclusion and reference slide, with detailed speaker notes and recorded audio comments for all content slides. Use at least four scholarly sources and make certain to review the module’s Signature Assignment Rubric before starting your presentation. This presentation is worth 400 points for quality content and presentation.

 

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