Reflective Practice Pants On Fire Discussion

NSG 4067 Reflective Practice Pants on Fire Discussion

Advance Care Planning and Analysis

Read the section titled “Reflective Practice: Pants on Fire” from the chapter “Health Policy, Politics, and Professional Ethics” and address the questions below.

How do you judge Palin’s quote below, as an effective strategy to oppose Democrats’ plans for health care reform or unethical scaremongering?

“And who will suffer the most when they ration care? The sick, the elderly, and the disabled, of course. The America I know and love is not one in which my parents or my baby with Down Syndrome will have to stand in front of Obama’s death panel so his bureaucrats can decide, based on a subjective judgment of their level of productivity in society, whether they are worthy of health care. Such a system is downright evil.”

Reflect on what informs your judgment: commitment to advance care planning, analysis of facts, and/or political party loyalties?

Is it right for nurses to endorse health reform legislation even if the legislation is not perfect?

Does this apply to the recently failed American Health Care Act?

Week 4 Discussion 2

The discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned and complete your participation for this assignment by Day 7. To support your work, use your course and text readings and also use resources from the South University Online Library.

As in all assignments, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.
• APA Citation Helper
• APA Citations Quick Sheet
• APA-Style Formatting Guidelines for a Written Essay
• Basic Essay Template

Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.

TASK

Post your initial response to the topic below.

Functional Wellness

Identify two strategies you can implement to provide comfort to maintain function with an ethnically diverse older adult with a chronic disease?
These strategies can be nutrition, ADLs, exercise, etc.

Nurse’s Role in Influencing the Legislative Process Assignment

In a Microsoft Word document of 2-3 pages formatted in APA style, you will answer three questions related to your opportunity as a nurse and an advocate. The first two questions relate to influencing a bill that is traveling through the legislative process. The third question refers you to the social determinants of health and asks you to think specifically on your role as a nurse in influencing social determinants of health.

Answer the following questions:

What parts of the lawmaking process does a nurse have an opportunity to influence the final bill passage?

List at least two ways that this influence can take place. In your opinion, would one way be preferable over the other?

Reviewing the social determinants of health, select one to respond to this question:

What role can nurses play in promoting health status through policy changes directly affecting this social determinant?

Write each question as a new topic area and then follow with a paragraph or two to answer the question. You may find it necessary to search for answers to the questions outside of the assigned reading.

On a separate references page, cite all sources using APA format. Helpful APA guides and resources are available in the South University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the South University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.

• APA Citation Helper

• APA Citations Quick Sheet

• APA-Style Formatting Guidelines for a Written Essay

• Basic Essay Template

Please note that the title and reference pages should not be included in the total page count of your paper.

Assessing and Planning Care for an Elderly Person Assignment

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.

In a Microsoft Word document of 4-5 pages formatted in APA style, you will discuss your interview of an older adult. This person cannot be a patient in your clinical setting. You can use a friend, family member, or co-worker. The older adult must be age 65 years or older.
There are two parts to this assignment – the psychosocial interview component and the functional assessment.

Interview

Download the patient questionnaire. Use this format to record the person’s responses.

Include 2–3 questions of your own to get a complete picture of the older adult.
Summarize your findings.
Include the questionnaire with responses in the Appendix of your paper.

Assessment

After gaining permission, conduct a physical and mental functional assessment of the older adult you have chosen. Review your readings for the process of a functional assessment.

Use the tools discussed this week to complete a comprehensive assessment of your patient. Search the Internet for resources on these tools.
- Tinetti Balance and Gait Evaluation
- Katz Index of Activities of Daily Living
- Assessment of Home Safety
- The Barthel Index
- Do not include a name on each tool, but do include professional or other designation, and age. Your name should also be identified on the tool.
  - Include these tools in the Appendix.
Based on your assessment:
- Compare and contrast the age-related changes of the older person you interviewed and assessed with those identified in this week’s reading assignment.
- Identify at least 4–6 preliminary issues.
- Identify three alterations in health that you would propose and describe them.
- Identify a minimum of three comprehensive interventions for each alteration.
- Integrate cultural considerations in your interventions.