Interview an older family member and find out their wishes for care in their later years. At a minimum consider the following:

• Do they want to live with a loved one or stay in their home?       
• Maybe they would consider an Assisted Living Facility (ALF)?
• What are their wishes for end-of-life care?
• Are there any special cultural issues that need to be addressed?
• Do they have an advanced directive for health care?      
• Do they have a personal will?
• Will you be available to care for this person, if needed?      
• Do they have a pet that will need to be cared for, too

Please do not use actual names, but you can use the relative identity of aunt, uncle, grandfather, mother, etc

Please enjoy this time to talk to your family member and share any special comments or discussions you had.

 

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Clinical Judgment is the process of integrating evidence-based practice, critical-thought, the Nursing Process, knowledge, skills, and attitudes, as well as application of theory to practice in order to promote safe, quality care to clients in all settings.

Keeping that in mind, answer the following scenario:

You are the Charge Nurse in a large Urban Emergency Department (ED). You nursing staff include:

1. RN with 12 years of Trauma ED experience
2. New RN with 6 months ED experience
3. RN from the Medical Surgical floor with 8 years of experience

The following patients are in the ED, which patient will you give to each of the nurses and why?

1. A 76-year-old client who was involved in a motor vehicle accident and has hematuria.
2. A 38-year-old client with kidney stones complaining of severe pain.
3. A 24-year-old diabetic client with an acute urinary tract infection who will require discharge teaching.
4. An 80-year-old client that has not had a bowel movement for 4 days.

 

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Healthcare issues turn into law in many ways. Usually, a new debate in healthcare surfaces and then the controversy leads to the formation of a law. But how exactly does this happen? Sometimes a health issue is supported by a lobby group. Some issues start as a means to correct problems in patient care. Some health laws are created from public advocacy.

Regardless, should these current approaches in place today be considered “best practice”? Defend your yes/no stance. Share your thoughts on how healthcare issues become law. Try to point to a specific example. Do you approve of this process? Evaluate how this plan can be improved, and support with specific examples. Please explain and then interact with another student’s views.

 

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Access  the Healthy People 2020 website.

   Choose  a health topic from the website and answer the following questions in your own  words. What topic did you choose? Why did you choose it? What is the Goal,  according to Healthy People 2020 for your chosen topic? What does this mean to  you? Discuss actions the practical nurse can take to assist with meeting this  goal?

Discussion Board Rubric: Discussion questions provide students a format to respond, expand, integrate, and reflect on your understanding of the module content. Expectations from the faculty include students will actively participate in discussion to share and gain new insights, critique ideas, and to pursue the goal of constructing new knowledge.

 

Discussion Rubric Criteria

Example

Points Possible

INITIAL POSTING:
          Incorporated knowledge of readings and material within the response, contributed a substantive posting that demonstrated cognitive reflection, critical thinking and understanding of the subject matter.

Ideas examine topic from new perspective that contributes to group understanding of topic.

Initial post: 100-125 words, minimum

Postings offered substantial, well written contributions and opinions, observations, questions, experiences, critiques, and/or suggestions.

Reflects a reference from the required readings or outside readings, and/or personal experiences related to the question.

Met criteria for length of response.

5

 

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Instructions

For this assignment, you will write emails explaining a situation to both an employer and a friend.

Your employer has asked you to work on a day that you have already requested off for personal reasons. You are unable to change your plans and must therefore explain why you are unable to work (a family wedding or similar event is a possible choice for this). Your friend has asked you to assist him or her with moving on the same day. Again, you are unable to help because of the same prior engagement.

1. Write an email to your employer explaining why you are unable to work on the day specified.
2. Write an email to your friend explaining why you are unavailable to help with his or her move.
3. In a short, 1-page reflection, explain the differences between how you have communicated in the two emails. Familiarity with the other person, formality, type of language used, and other factors you may wish to include.
4. Keep in mind the audiences to whom you are writing. Ideas of grammar, formality, and word choice may be very different depending on your audience, but in both cases, clarity and succinctness are important.

 

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