Purpose: The purpose of this assignment is to stimulate thinking about how specific care might be approached using the King Theory of Goal Attainment as a framework for practice.

Instructions:

1. After reading the assigned scenario in the discussion board, identify 1 more problem or potential problem along with interventions to the plan of care for Mr. B. based on those typical for a patient with his medical problems or symptoms and demographics (in other words, you can assume that he may have other problems such as anxiety or pain or may be at risk for other problems). 

2. Develop plan of care and interventions for nursing problem using King’s Theory of Goal Attainment as the basis for practice.

3. Be sure that you include a title page and reference page as appropriate.

Scenario

Mr. B. is a 78-year-old African American, married male who was referred to the home health nurse after his discharge from the local hospital. He has been prescribed a low-sodium diet due to fluid volume over-load secondary to congestive heart failure.

During the initial visit, the nursing assessment focuses on the perceptions of the nurse and the client, communication of the nurse and the client, and interaction of the nurse and the client. The nurse begins by asking Mr. B. questions about his perception of the situation and his conclusions related to the situation. The nurse also asks the same questions of herself. Communication includes the nurse gathering additional information, validating her perceptions of Mr. B., validating the concerns f Mr. B., and establishing mutual trust. Nursing functions during assessment include viewing, recognizing, observing, and measuring; they reveal that Mr. B. consumes a diet high in sodium.

Planning for the care of Mr. B. will involve decisions about goals and agreement as to how to attain goals. These decisions are made by the nurse asking questions such as the following: (1) Which goals will serve Mr. B’s best interest? (2) What are Mr. B.’s goals? (3) Are Mr. B.’s goals and the nurse’s goals for Mr. B, congruent? (4) If the goals are not congruent, what further communication and interaction are needed to achieve congruence? (5) What are the priority goals? (6) What does Mr. B. perceive to be the best way to attain goals? (7) Is Mr. B. willing to work toward attainment of goals? (8) What does the nurse perceive as the best way to attain the goals?

There is agreement that Mr. B. needs to adhere to the prescribed low-sodium diet. To achieve that goal as well as his ultimate goal of not being hospitalized again for fluid retention, Mr. B. will require some additional information related to his dietary restrictions.

The next step of the process results in the occurrence of transactions. During this phase of the process, the nurse and Mr. B. participate in teaching sessions related to his low-sodium diet. The nurse will need to ask questions to evaluate whether she is doing what she and Mr. B. agreed upon as well as questions related to the feasibility of meeting the goals based on the transaction.

The primary aim of the evaluation phase is to assess if the goals set by the nurse and Mr. B. have been attained and, if goals were not attained, then to determine why they were not attained. Throughout this model of transactions process, the nurse continues to assess and intervene to apply the model simultaneously to problems other than the low-sodium diet as indicated by the condition of Mr. B. and current best clinical practices. 

To Prepare:

· Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.

· Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

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· Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.

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The Assignment: (2-3 pages not including the title and reference page)

· Read the assignment instructions and rubric carefully.

· The syllabus does require you to integrate credible, outside and course specific resources to demonstrate critical thinking and lend support to your ideas in your assignments. As a guide, you should integrate 3 or more peer-reviewed sources and 2 or more course resources.

In this assignment, you will develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team based on the scenario presented in the assignment instructions. The role description should be based on the SDLC stages and tasks. The role should clearly define how this individual will participate in and impact each of the following steps:

· Planning and requirements definition

· Analysis

· Design of the new system

· Implementation

· Post-implementation support

· Use APA format and include a title page and reference page.

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· Use the Safe Assign Drafts to check your match percentage before submitting your work.

What is the Christian concept of the imago Dei? How might it be important to health care, and why is it relevant?

According to your worldview, what value does a human person have? How does your position affect your stance on controversial bioethical issues, such as abortion, designer babies, and stem cell research?

From BBC News on the San Bernardino, CA December 2015 killings: “President Obama says the U.S. ‘will not be terrorized’ by the deadly San Bernardino shootings, which the FBI is treating as an act of terrorism.”   Inspired by the aims and ideology of ISIS (Islamic State of Iraq and Syria) which has claimed the two killers as supporters, “Syed Rizwan Farook, 28, and his wife Tashfeen Malik, 29, killed 14 people before being shot dead by police” (bbc.com/news 12/5/15).

In Paris on November 13, 2015, 130 people were killed by coordinated terrorist attacks in three different locations at the same time.   The French President Francois Hollande subsequently declared “France is at war.  We are in a war against terrorism, jihadism, which threatens the whole world.  Terrorism will not destroy France because France will destroy it” (cnn.com 11/16/15).

And you also know about more recent terrorist killings this year such as the terrorist who used a truck to mow down innocent people, including children, in Nice, France, and more than 80 people were killed.

For our week discussion forum, please answer two of the following three questions but be sure you answer question three as one of the two you’re answering:

[1] In your view, are the terrorists winning?  If yes, then what does that mean and how do you know?  If no, then what does that mean and how do you know?

[2] In the face of today’s terrorism, does the warning of the 19th century German Philosopher apply to us?  How might it relate to just war principles?  Explain.  “Whoever fights monsters should be careful that he does not become a monster.  When you stare into an abyss, the abyss stares back into you” (Beyond Good and Evil, #146).

[3] On her 16th birthday, the youngest recipient of the Nobel Peace Prize, Malala Yousafzi addressed the U.N. as a devout Muslim who had been shot in the head by the Taliban in Pakistan in 2012.  Listen to her speech and then share your response to her views on terrorists and how she has chosen to respond.  Is Malala a pacifist?  Is she arguing against just war theory? [LINK (Links to an external site.)]