This assignment is due tomorrow. Please provide this ASAP.
APA in text citations. No text books references and no older than 5 years.
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. 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.
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.
original question my answer:
Develop a wellness program with a holistic approach for the older adult you identified, using resources available in your community. Discuss how this approach will prove an optimum level of well-being.
A Wellness Program for the Elderly
Target Population: The target population for this wellness program will be the elderly people like —– who suffer from arthritis and do not have the right health management resources at their disposal.
The unmet needs of the population: After having a conversation with —-, so many things surfaced. For example, he told me that the medical staffs do not give patients like him the needed medical care, meaning that there is a big gap in healthcare. He also extended a lot of gratitude to his caretaker saying that were it not for her, his condition would have been far much worse. While this was true, I also felt that — is not given the care that is required since he constantly complains of severe joint pains and has difficulties doing the daily tasks such as standing up on his own and bathing himself. He is just a representation of thousands of other elder patients like him who have absolutely no one to take care of them and are uninsured.
Holistic interventions to address the identified needs: The following are the strategies that will be included in the program. First and foremost, professionals will be hired to engage such elderly persons with exercises such as aerobics, range of motion exercises strengthening and enduring exercises (Mok, 2018). In the program, the patients will be taught on the best ways to manage their pain given that arthritis is a life-long condition that can only be managed using the right treatments and protocols (Roedl, Wilson & Fine, 2016). Furthermore, I would engage doctors in the program so that they can be able to get a first-hand glance of the problem on the ground.
Implementation of the program: The proposed program will be developed in phases. The first phase will be the trial phase and if all goes well, full implementation will follow. This initiative is targeted at helping both organizations and elderly patients into their journey towards living a life with arthritis.
professor question to my answer:
What barriers might you expect that slow down complete implementation of the process?
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original question
Develop a wellness program with a holistic approach for the older adult you identified, using resources available in your community. Discuss how this approach will prove an optimum level of well-being.
Respond
…… Is a 68 year old retired Caucasian woman. Her age related changes include arthritis, GERD, stress incontinence, vision changes, skin changes, and breathing difficulty on exertion. She lives in a RV and travels the country with her husband.
Holistic care includes biological, social, psychological and spiritual needs. (Zamanzadeh, Jasemi, Valizadeh, Keogh, & Taleghani, 2015). Biological and physiological needs are integrated into day to day life.
However, due to her living situation joining different groups and communities is not practical since they are always on the move. Luckily, there are many communities that take place on the Internet and she is efficient with the computer. Some groups she can join online include support group, exercise group, a book club, and a cooking group.
These things would help to manage her age related changes with a social aspect.
Exercise, diet, and support groups would help her manage her breathing difficulties, GERD, and arthritis. While they are stopped she could visit local parks and churches, as well as group activities such as bingo. This would help fill her spiritual needs as well. ….. has a unique situation and fortunately there are still option available to help fill her needs.
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Share an experience where you cared for a patient in the healthcare setting who was from a culture different from your own. How did you accommodate this patient’s needs? How would you apply the Purnell Model to future cultural encounters?
Which one of the twelve domains of culture from the Purnell Model do you feel is most important? Why?
Cultural accommodation is a priority in healthcare and daily life. Nursing professionals must willingly adapt to different cultures to provide excellent service. Cultural competence is a requirement that increases awareness of not only patients but also of the socioeconomic status. Paying special attention to the patient’s needs will also build rapport, reassure patient and provide a safe and comfortable environment.
A couple of Asian and Hispanic decent was accompanied to the inpatient rehab unit. The male patient of 86 years was the patient admitted with a left hemorrhagic stroke and right sided weakness. The husband was Spanish and could not follow simple commands in English. The wife was 83 years old and was of Asian descent but spoke fluent Spanish, but could not relate in English. This was proven to be a tough task during the admission process. However, I realized that by smiling and speaking slowly the husband/patient became more cooperative. The uncertainty of asking questions and receiving incomplete or no response was a major concern. Instead of panicking, the idea of utilizing the hospital policy for communication arose. The “blue” phone was the answer to the problem, so it was retrieved from storage and communication was in full effect. This communication device was used to call a medical interpreter instead of relying on a family member.
In addition, the nonverbal communication was a dominant component to displaying cultural competency. Smiling with the patient and wife was sufficient in gaining their trust. The Purnell model helped to certify how important competence, patience and cultural accommodation is. By initiating this model, the nurse will understand that patient population continues to change and become more diverse than once before. The most important domain in the Purnell model is communication because this transcends across all cultures. With proper communication, patients, family and clinical professionals may become more competent and culturally aware.
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Public health nursing involves working with communities and populations as equal partners, and focusing on primary prevention and health promotion (Kulbok, Thatcher, Park, Meszaros, 2012). There are many types of public health nurses in the area I live in including home health nurses, health department nurses, free clinic nurses, and home hospice nurses. Community based nursing involves collaboration and partnerships with communities and populations to address health and social conditions and problems. The nurse I interviewed for this discussion, Jennifer, is a registered nurse who takes home call for Community Hospice, a locally owned hospice service in the Vidalia area. I have dealt with this facility on a personal and professional level and there is no greater community centered facility in our area more so than Community Hospice.
Q: What are your job responsibilities?
A: As an on-call nurse, my main job is new patient intakes after business hours. This includes going into the homes of patients who are admitted under hospice care. During these intake assessments it is my job to record and take vital signs, educate families and patients on the disease, prognosis, treatments, and hospice care, and to ensure that families and patients understand and agree with the plan of care. On routine visits it is my responsibility to again assess patients, record vital signs, as well as monitor any changes from previous visits and report changes to our providers on staff.
Q: Does a correlation exist between your job description and your practice?
A: Although she has a very clear job description laid out for her, she explains that her duties go far beyond the typical hands on patient care the typical nurse sees in the office or hospital setting. She explains hospice is a special kind of job where you not only care for the patient but patient’s families as well. She explains sometimes the care for the patient includes caring for them family and helping them cope with the prognosis of death.
Q: Are you involved in policy formulation that affects client services?
A: Jennifer describes her work environment and boss as exceptional. All staff are seen as equals and their opinions valued to the fullest. Each day they have a meeting where all staff who reports to the Hospice House that day go through reports as well as ideas to make their jobs successful. She states having supportive staff members makes it easy to help policy implementation and change.
Q: Do you belong to a professional organization related to your current job position?
A: Currently Jennifer explains she is not involved in an organization related to hospice care. However there is an organization that several of her fellow employees are members of which is the National Hospice and Palliative Care Organization (NHPCO). This organization’s mission is the largest nonprofit membership organization representing hospice and palliative care programs and professionals in the United States. The organization is committed to improving end-of-life care and expanding access to hospice care with the goal of profoundly enhancing quality of life for people dying in America and their loved ones (NHPCO 2018). This organization helps support and update hospice based nurses on any advances in their area of nursing as well as provide support.
AP
Select an infectious disease and research the CDC website for information about the disease, its natural history, presenting symptoms, and outbreak characteristics. Identify an occurrence of the disease by searching the Internet for recent reports of this disease and compare that episode or occurrence with information from the CDC website.
Acute flaccid myelitis (AFM) is a rare infectious disease that affects the nervous system. The disease cause inflammation to spinal cord predominantly the gray matter, which cause the muscles and reflexes in the body to become weak. According to CDC, there are several probable causes of AFM such as, viruses like poliovirus and non-polio enteroviruses, West Nile virus, and adenoviruses environmental toxins and genetic disorders.
The symptoms present with sudden onset of upper and lower extremities weakness, loss of muscle tone and reflexes. Some people will also experience facial drooping, ptosis, difficulty moving the eyes, slurred speech, difficulty swallowing, pain in the extremities, and inability to urinate. The most severe affect is respiratory failure.
According to CDC, from August 2014 through September 2018 there’s been a total of 386 confirmed cases, mostly cases involve children. Currently for 2018 with presenting onset of symptoms for September to October 16,2018; there are 62 confirmed cases in 22 state in the U.S.The patients’ symptoms have been most similar to complications of infection with certain viruses, including poliovirus, non-polio enteroviruses, adenoviruses, and West Nile virus. The diagnostic test ran all AFM cases have tested negative for poliovirus. “The increase in AFM cases in 2014 coincided with a national outbreak of severe respiratory illness among people caused by enterovirus D68 (EV-D68). Among the people confirmed with AFM, CDC did not consistently detect EV-D68 in every patient (Acute Flaccid Myelitis, 2018).
Week 2 ProjectAssignment 
Due October 21 at 11:59 PM
For this assignment, you will interview a person from a cultural background that is different from your own. Using the twelve domains of culture from the Purnell Model, discuss the health practices of that culture and compose a scholarly paper in a Microsoft Word document of 5–6 pages formatted in APA style.
In your paper, you should include the following:
Select a person from a cultural group different from your own. You may choose a patient, friend, or work colleague. For the sake of confidentiality, do not reveal the name of the person you interview; use only initials.
For the person you select, complete the cultural assessment using questions 1 through 12 from the Purnell Model for Cultural Competence in your textbook, Transcultural Health Care: A Culturally Competent Approach.(SEE ATTACHED)
On a separate page, cite all sources using APA format.
Week 4 Project
For this assignment, you will compose a scholarly paper focused on health promotion for a population of your choosing. Your paper should be 6 to 7 pages in length and formatted in APA style.
Be sure to address the following:
On a separate page, cite all sources using APA format.
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