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A 68-year-old client lives alone and is independent with all ADLs, has no restrictions for mobility, and is competent, and oriented x4.

Aging Adult Case Study

Write a 500 word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least two (2) sources in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

A 68-year-old client lives alone and is independent with all ADLs, has no restrictions for mobility, and is competent, and oriented x4. The client is on a fixed income, but has enough to manage a modest lifestyle. The client has family and social supports but is very independent and is proud of her self-reliance. The client’s height is 5’ 6”, weight is 210 lb. / 95.25 kg.

Please answer the following:

  • What is the client’s BMI?
  • Identify what screening tools you would use to assess nutritional and exercise knowledge, and why?
  • One Outcome/Intervention/Rationale:
    • Identify one outcome/goal that is reasonable, measurable and realistic. Identify 1 nursing intervention for the outcome and give rationale for the intervention.
  • Identify what weakness in the client’s life may be impacting the client’s activity and diet?
  • What referrals would you make and why?
  • (Use references for your responses, not just opinion.)

Assignment Expectations:

Length: 500 words in length

Structure: Include a title page and reference page in APA format.  These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions.  A minimum of two (2) scholarly sources are required for this assignment

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Writers Solution

A 68-year-old client lives alone and is independent with all ADLs, has no restrictions for mobility, and is competent, and oriented x4.

Aging Adult Case Study

A 68-year-old client lives alone and is independent with all ADLs, has no restrictions for mobility, and is competent, and oriented x4. The client is on a fixed income, but has enough to manage a modest lifestyle. The client has family and social supports but is very independent and is proud of her self-reliance. The client’s height is 5’ 6”, weight is 210 lb. / 95.25 kg.

Please answer the following:

  • What is the client’s BMI?
  • Identify what screening tools you would use to assess nutritional and exercise knowledge, and why?
  • Identify two client outcomes that are reasonable, measurable and realistic
  • Identify 3 nursing interventions for each client outcome and give rationales
  • Identify what weakness in the client’s life and supports may be impacting the client’s activity and diet?
  • What referrals would you make and why?
  • Identify your references in APA format. Use references not just opinion.

Assignment Expectations:

Length: 1500 to 1750 words in length

Structure: Include a title page and reference page in APA format.  These do not count towards the minimum word count for this assignment. Your essay must include an introduction and a conclusion.

References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of two (2) scholarly sources are required for this assignment.

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Creating Culturally Competent in Health Care Organizations

Creating Culturally Competent in Health Care Organizations

Read chapter 9 of the class textbook and review the attached PowerPoint presentation.  Once done present an analysis of the following case study answering the questions below.

Mrs. Li Huan, a 79-year-old Chinese American widow who lives alone in New York City’s Chinatown recently had a cerebrovascular accident (CVA) or stroke. Mrs. Li has right-sided paralysis with partial loss of voluntary movement and sensation in her right arm and leg. Mrs. Li has weak facial muscles, difficulty with speech, and drooling. She experiences numbness and tingling in her arms and legs. Mrs. Li is going to a rehabilitation center known for delivering culturally competent interprofessional care where she is cared for by a team of credentialed health care providers: Dr. Indira Patel, nurse J.J. Johnson, physical therapist Mohammad Abu Said, dietician Maria Gonzalez, and Chinese American herbalist, Chen Minzhe.

(Note: In traditional Chinese culture, a person’s last name or surname is written first, followed by his/her first name. Therefore, the patient’s last name is Li and the herbalist’s last name is Chen. It is proper etiquette to call a person of Chinese background by his/her title, in this case, Mrs. Li and Mr. Chen until the individual gives you permission to use his/her first name. To further confuse matters, many acculturated Chinese Americans are likely to reverse their first and last names in the typical US or Canadian order. Therefore, it is important to ask the patient, “What is your first name? What is your last name?” Note the correct order on the patient’s chart for other members of the team.)

  1. How do members of the interprofessional team assess Mrs. Li’s literacy, diet, and medications, including herbal medicines being provided by her herbalist, Mr. Chen?
  2. How do the nurse and other members of the team determine if complementary or integrative treatments, such as medicinal herbs, are helpful, harmful, or neutral to Mrs. Li’s recovery?
  3. If you were seeking advice or consultation from a traditional Chinese herbalist in your community, how would you locate one?
  4. Why do patients seek treatment from alternative and integrative healers?
  5. How can credentialed health care providers work collaboratively with Mr. Chen to ensure that prescription medicines and herbs are compatible and that there are no adverse or harmful interactions between various medicines?
  6. What strategies would you recommend in promoting Mrs. Li’s optimum functioning and health following her CVA? (Andrews & Boyle, Transcultural Concepts in Nursing Care, 7th Edition).

A minimum of 2 evidence-based references besides the class textbook no older than 5 years must be used (excluding the class textbook).  You must post two replies to any of your peers on different dates sustained with the proper references no older than 5 years as well and make sure the references are properly quoted in your assignment.  A minimum of 800 words is required.  Please make sure to follow the instructions as given and use either spell-check or Grammarly before you post your assignment.

Please check your assignment after the week is due because I either made comments or ask for clarification in some statements.  

Due dates:  Assignment – Wednesday, March 4, 2020, @ 11:59 PM in the discussion tab of the blackboard, and SafeAssign exercise in the assignment tab of the blackboard.

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Effective clinical decision-making is fundamental to competent nursing practice and the provision of safe, high quality care.

ASSESSMENT 1 – STRUCTURED ESSAY
Word Count: 1200 words. Weighting 30%
Rationale:
Effective clinical decision-making is fundamental to competent nursing practice and the provision of safe, high quality care. It is essential that nurses are competent in patient assessment, and the appropriate use of health information technologies, to ensure accuracy of assessments, recognise patient deterioration, and to make appropriate clinical decisions to ensure patient safety and prevent adverse events (Dalton, Harrison, Malin & Leavey, 2018; Razieh, Somayeh & Fariba 2018).
Aim:
The aim of this assessment task is for students to demonstrate understanding of factors that influence clinical decision-making in a nursing context, and the potential impact of health technologies on the quality of patient health assessment and thus quality of clinical decisions.
TASK DESCRIPTION:
For this task you need to write a 1200-word structured essay. There are TWO parts to this essay detailed below:
PART A:
(400 words) Multiple factors influence clinical decision-making for nurses.
For this part:
• Describe one key factor that influences clinical decision making in the context of your work environment, and discuss how this influences nursing clinical-decision making.
PART B:
(800 words) In healthcare, a range of Health Information Technologies are used to support patient safety and quality of care.
For this part:
• Identify and discuss at least one technology (technological devices / equipment / processes) commonly used by nurses in relation to patient assessment and care.
• Discuss the potential impact (positive / negative) in relation to quality of clinical patient assessment and nursing clinical decisions.