A nurse at the local Senior Center made the following notation about a client: A 74-year-old female client wearing eyeglasses with bifocal lenses and hearing aid in her left ear. Walks with a shuffling gait, using a cane for support. Wearing house slippers and housedress. States, “My other doctor says I should have my eyes looked at by an expert. It’s been a while, and my eyes seem to be acting up lately. I can’t see so good anymore.” The client states that she takes medication for “sugar” and her blood pressure and has worn glasses for years with the last prescription changed about 3 years ago. “I was a seamstress for many years and quit when I couldn’t see to thread the needles anymore-just in time too. These new materials are too hard to work with!” Denies using any eye drops. Describes vision changes as difficulty seeing well at night, especially if trying to read. Uses a magnifying glass to help when reading. No eye pain or discharge, although eyes sometimes feel “dry and scratchy,” with the left eye being worse than the right. Admits to rubbing eyes but without relief.

Develop a Plan of Care for this patient that includes:

• 2 Nursing Diagnosis
• 2 goals for each Nursing Diagnosis
• Interventions with rationale

300 words

Those Who Aren’t

Questions 1 :   

Your comments will be graded on how well they meet the Discussion Requirements posted under “Before You Begin.”

Allied health professionals are health care practitioners with formal education and clinical training who are credentialed through certification, registration, and/or licensure. They collaborate with physicians and other members of the health care team to deliver high-quality patient care services for the identification, prevention, and treatment of diseases, disabilities, and disorders. Allied health professionals are experts in a multitude of therapeutic, diagnostic, and preventive health interventions and function in several diverse settings including disease prevention and control, dietary and nutritional services, mental and physical health promotion, rehabilitation, and health systems management. Take a position on the idea that a non-M.D. (e.g., P.A., N.P.) can provide the same level of care as that of a doctor; or is it more of a case of getting what you pay for? In preparing your response, ensure that you properly in-text cite all sources used in the support of your stated position(s) and in your example(s). 

250 words

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Reflection on Course Concepts 

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 Question 2:

Your comments will be graded on how well they meet the Discussion Requirements posted under “Before You Begin.”

A poem by T.S. Eliot (1943) says, “We had the experience but missed the meaning.” As your experience in this course comes to a close, I don’t want you to miss the meaning of the materials you have read, papers you have written, and discussions we have had throughout the session. They are more than a series of assignments and grades—the end result should be an improvement in your higher-order thinking and your ability to make connections between thoughts and ideas. You can achieve that through reflection, the art of taking charge of your own mind.

Reflection is a mental process that challenges you to use critical thinking to examine the course information, analyze it carefully, make connections with previous knowledge and experience, and draw conclusions based on the resulting ideas. A well-cultivated critical thinker (Paul & Elder, 2008):

• raises vital questions and problems, formulating them clearly and precisely;
• gathers and assesses relevant information, using abstract ideas to interpret it effectively; comes to well-reasoned conclusions and solutions, testing them against relevant criteria and standards;
• thinks open-mindedly within alternative systems of thought, recognizing and assessing, as need be, their assumptions, implications, and practical consequences; and
• communicates effectively with others in figuring out solutions to complex problems.

For this discussion, take some time to reflect upon two concepts that you learned in this course. What are the concepts? What insight or ideas did you gain from learning each of these concepts? Were there aspects of the concepts that you would challenge? What is the importance of these concepts to public health? How will you use this new wisdom in your current or future career?

In order to earn maximum credit, the comment should be more than your opinion, and more than a quick “off the top of your head” response. Be sure to support your statements, cite sources properly, cite within the text of your comments, and list your reference(s). The response must be a minimum of 250 words.

Britton, B. & Serrat (2013). Reflective Practice. Retrieved from http://www.slideshare.net/Celcius233/reflective-practice-27714069

Eliot, T. S. (1944) Four Quartets, The Dry Salvages, pt. 2. London.

Paul, R. & Elder, L. (February 2008). The Miniature Guide to Critical Thinking Concepts and Tools. Foundation for Critical Thinking Press.

250 words