Every year, approximately 4 million older Americans fall victim to abuse and neglect. And for every reported case of elder abuse and neglect, approximately 23 cases go undetected. About 90% of elder abuse is committed by a family member in the home, with the other 10% committed by hired caretakers, intimate partners, or healthcare workers in long-term care facilities. In some cases, the elderly person is neglecting or abusing him- or herself.

            Nurses are obliged to provide comprehensive and compassionate end-of-life care. This includes recognizing when death is near and conveying that information to families. Nurses should collaborate with other members of the health care team to ensure optimal symptom management and to provide support for the patient and family.

            Nurses and other health care providers have a responsibility to establish decision-making processes that reflect physiologic realities, patient preferences, and the recognition of what, clinically, may or may not be accomplished. Establishing goals of care for this patient at this time may provide a framework for discussion about what care should be provided. This process often involves collaboration with experts in decision-making, such as ethics committees or palliative care teams.

References

Swanson, E. (2015).  Legal implications of nursing action. Journal of Nursing; 37(9): 78-92.

Comment 1

Imago dei is the view of Christians as the human is made in the image of God (Shelly & Miller, 1999).  This is important to healthcare as we should treat our patients as they are a gift from God and everyone has a purpose in life.  The complexity of a human body is a miracle in its self when a human being is created with cells and the multiplication of all those cells to create different organs, blood, and a body to house everything.  As we treat our patients medically and spiritually, we do it for the love and devotion we must aid in healing those that are sick or make a person comfortable at the end of life.  Every person has a place on this earth with a duty to perform, but it is up to that individual to create a compassionate or hateful life. “The fundamental goal of health care and medicine is healing and caring that results in physical, emotional, and spiritual well-being” (Clark, 2018).  This holds truth as to how healthcare and religion play a factor in caring for God’s people.  As nurses we are not to judge a person and the choices they have made and any events leading up to the reason for the hospital admission.  We are there to promote a better future and offer a hand to aid them in the right direction.  Nurses are never to cause harm and to view each individual as a miracle that has been created, will give a more nurturing care for each individual patient.

Comment 2

The concept of imago dei is the Christian understanding that we, and all human beings, are created in the likeness and image of God himself. Since we are created in the His image, every person no matter their mental, physical, social, or any other marker of status, has been bequeathed a certain dignity and honor (Allen-Shelley & Miller, 2006).

This concept is the foundation of how Western society views and approaches human rights. It is present in our legal, health care, and social service systems. Thus, it is important in health care because it forms the basis for how we approach others. It is also important because it tells us that every human being is deserving of our care, no matter what their diagnosis may be, whether they have the ability to pay, or for any other reason (Allen-Shelley & Miller, 2006). 

It is relevant because, in health care we frequently experience situations in which medical care seems futile, like the example in Allen-Shelley & Miller (2006) of the infant born with a poor prognosis of life. We also frequently come across people who do not have the means to pay for their health care and/or do not have adequate health insurance. Per imago dei, these people are still deserving of care despite their inability to pay or their social status.

Assignment:

Exercises: 

1. What part does external environmental analysis play in the development of value adding support strategies? What part does strategy formulation play?

2. What are the basic building blocks of structure? What are the advantages and disadvantages of each?

Professional Development: 

Case #3: Community Blood Center of the Carolinas: Donations, Donations, Donations

Using Exhibit 9-6 (pp. 375 & 376) as an example, complete a strategic thinking map that compares the results of an internal environmental analysis against the value adding support strategies requirements. This map will extend and further articulate the strategic thinking maps developed in strategy formulation and the development of the service delivery strategy.

The value adding support strategies provide a powerful means to change the organization and create a competitive advantage, especially because some of the value assign support activities are less visible to those outside the organization, making the competitive advantage much more difficult to imitate or duplicate. Decisions concerning the organization’s culture, structure, and resources are strategic in nature and should be made by strategic thinkers.

Ginter, P. M., Duncan, W. J., & Swayne, L. E. (2013). Strategic Management of Health Care Organizations (7th ed.). San Francisco: Jossey-Bass. (Chapter 9)

the case study is on google. unable to post 23 pages.

1. Describe the steps of the evidence-based research process and the importance of using them. In the initial stages of an EBP project, where do nurses in your specialty go to locate sources of information that help them to determine whether or not a practice problem is appropriate for an evidence-based practice change proposal? Include two specific sources on the information in your discussion.

2. What are some of the major ethical issues in conducting research that impacts the advanced registered nurse? Discuss the role of the advanced registered nurse in advocating for patient safety and rights in conducting research.

Use 4APA citation for this assignment, NO PLAGIARISM.

1.  Define natural and man-made disaster and mention at least one type of each one in your community.   

2.  Based on the information provided in the response to the question above describe two major disasters in your community and how the concepts of community/public health were applied.  

3.  Define chronic illness and mention three major chronic illnesses in your community.  

4.  Discuss the financial impact of chronic illness in the community and how the cost of managing chronic illnesses can be decreased.

A minimum of 700 words is required

APA format word document, Arial 12 font attached to the forum on the discussion board.  A minimum of 3 evidenced-based references not older than five years