Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.  This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).  In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.  New practice approaches Interprofessional collaboration Health care delivery and clinical systems Ethical considerations in health care Practices of culturally sensitive care Ensuring the integrity of human dignity in the care of all patients Population health concerns The role of technology in improving health care outcomes Health policy Leadership and economic models Health disparities While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.  This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.  You are not required to submit this assignment to Turnitin

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Assignment:

Identify an older adult age 65 +, use a 1st and last initial. Execute a therapeutic assessment interview with them for at least two interview sessions assessing their self-identified:

• Demographics, life time education and career/employment
• Two most significant (positive) times in their lives
• What past hardship or loss has the client successfully negotiated in the past?
• Two personal strengths
• Engage them in identifying what is healthy versus non-healthy coping skills
  
  • Inquire of 2 healthy coping skills they have used in the past and/or now
• Three (3) pieces of advice they would give to their younger self if they could?
• Support the client in taking the Geriatric Depression Scale.pdf
• Support the client in taking the Fulmer SPICES Assessment.pdf
• Perform a Mini Mental State Exam.pdf and Patient_Stress_Questionnaire.pdf (attach here)
• Perform a Hall, Hall, and Chapman Article.pdf
• Report the findings from the Geriatric Depression Scale, Fulmer Spices, Patient stress questionnaire and the mini mental status exam
• Discuss your older adult’s level of ego integrity vs. despair as described by psychoanalyst Erik Erikson. If you had to rate them on a scale of 1-10, with 1 representing a full state of despair and 10 representing full ego integrity, what rating would you give your older adult?
• Describe at least two nursing diagnoses for this client.  
• Create a plan of care for the client to include at least three nursing goals with two nursing interventions each.

The assignment should be written in an APA-formatted essay. The essay should be at least 1500 words in length and include at least two scholarly sources other than provided materials.

Record the time you spend interviewing the client and writing the assessment report as practice experience hours in Project Concert. It is expected to take you between two and four hours. Access Project Concert.

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Review your problem or issue and the study materials to formulate a PICOT question for your capstone project change proposal. A PICOT question starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. The intervention used to address the problem must be a nursing practice intervention. Include a comparison of the nursing intervention to a patient population not currently receiving the nursing intervention, and specify the time frame needed to implement the change process.  Formulate a PICOT question using the PICOT format (provided in the assigned readings) that addresses the clinical nursing problem.The PICOT question will provide a framework for your capstone project change proposal.In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome.Describe the problem in the PICOT question as it relates to the following:

1.Evidence-based solution

2.Nursing intervention

3.Patient care

4.Health care agency

5.Nursing practice

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.You are required to submit this assignment to Turnitin.

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Assignment:

Write a scholarly paper in which you apply the concepts of epidemiology and nursing research to a communicable disease. Choose one communicable disease.

Epidemiology Paper Requirements

Include the following in your assignment:

1. A thorough description of the disease including causes, mode of transmission, symptoms, treatment and complications. Discuss the demographic most affected-incidence, prevalence, morbidity and mortality.
2. What are the determinants of health affecting this disease? https://www.healthypeople.gov/2020/about/foundation-health-measures/Determinants-of-Health.
3. Identify the epidemiologic triad including host, agent and environmental factors as related to this disease.
4. Discuss the role of the public health nurse in relation to this disease. How is the public health nurse involved in finding, reporting, collection and analysis of data and follow up?

A minimum of three references is required. The written essay should be at least 1250 words in length.

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