1-Many nurses would probably be surprised at the rates of STD in the elderly population. Sometimes the infection is newly acquired or it could be residual from a prior infection (such as Herpes outbreaks). Ageist attitudes can cause people to think elders are not sexually active, resulting in a failure to recognize their symptoms of STD or give proper patient education.

  

2-A clinician’s knowledge of an elderly patient’s everyday concerns, social circumstances, mental function, emotional state, and sense of well-being helps orient and guide the interview. Asking patients to describe a typical day elicits information about their quality of life and mental and physical function (Brink, 2014). This approach is especially useful during the first meeting. Patients should be given time to speak about things of personal importance. Clinicians should also ask whether patients have specific concerns, such as fear of falling. The resulting rapport can help the clinician communicate better with patients and their family members (Brink, 2014). A mental status examination may be necessary early in the interview to determine the patient’s reliability; this examination should be conducted tactfully so that the patient does not become embarrassed, offended, or defensive (Brink, 2014). Routine screening for physical and psychologic disorders should be done annually, beginning at age 70.

  

3-Disorders that are common among the elderly are frequently missed, or the diagnosis is delayed. Clinicians should use the history, physical examination, and simple laboratory tests to actively screen elderly patients for disorders that occur only or commonly in the elderly; when diagnosed early, these disorders can often be more easily treated (Brink, 2014). Early diagnosis frequently depends on the clinician’s familiarity with the patient’s behavior and history, including mental status. Commonly, the first signs of a physical disorder are mental or emotional. If clinicians are unaware of this possibility and attribute these signs to dementia, diagnosis and treatment can be delayed (Brink, 2014).

  

4-I found myself doing the same thing working on the oncology unit. I would float to the floor as an agency nurse and would automatically get depressed in the report. Hearing all of those sad stories of the young patients and their prognosis. Just to see these young people dying with babies at home, it did something to me. I told my staffing agency to please remove it from my profile. I didn’t care if I was to go hungry, I couldn’t do it. I still cry when I hear a grieving child crying at their mother bedside. It does something to me.

 5-my family had a similar situation to yours. I think it happens to many people. No matter how much they would love to just drop everything and fulfill the wishes of their dying loved one, it’s just not possible. There are still the children to take care of and job obligations. Knowing this helps us to encourage our patient’s family that there are many other ways they can continue to show their love to a dying relative. 

  

6-Thank you for sharing your personal experience with your Grandpa. I can imagine how difficult it must have been for you and your family. I can understand how your mom would have been far too stressed with her grieving process of her partner and then to prepare to go through it all again too soon would have been hard.  I think as families, we do the best we can and hope for the best. As nurses, we have to understand that some families just can’t drop their lives to be at the bedside. It’s not that they don’t care or love the person, it’s just life. 

  

Assignment 1: Applying Current Literature to Clinical Practice

Psychiatric mental health nursing practice is one of the newest disciplines to be licensed to provide psychotherapy As such, the majority of psychotherapy research is centered on other disciplines such as psychology, social work, marriage/family therapy, art therapy, psychiatry, and mental health counseling. This makes it essential for you to be able to translate current literature from other disciplines into your own clinical practice. For this Assignment, you practice this skill by examining literature on group work and group therapy and considering its applicability to your own clients.

Learning Objectives

Students will:

· Evaluate the application of current literature to clinical practice

To prepare:

· Review this week’s Learning Resources and reflect on the insights they provide on group work and group therapy.

· Select one of the articles from the Learning Resources to evaluate for this Assignment. (See attached file)

Note: In nursing practice, it is not uncommon to review current literature and share findings with your colleagues. Approach this Assignment as though you were presenting the information to your colleagues.

(A clear purpose statement (The purpose of this paper is to…) is required in the introduction of all writings)

The Assignment

In a 5- to 10-slide PowerPoint presentation, address the following:

· Provide an overview of the article you selected, including answers to the following questions:

o What type of group was discussed?

o Who were the participants in the group? Why were they selected?

o What was the setting of the group?

o How often did the group meet?

o What was the duration of the group therapy?

o What curative factors might be important for this group and why?

o What “exclusion criteria” did the authors mention?

· Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own client groups. If so, how? If not, why?

· Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article.

Note: The presentation should be 6–10 slides, not including the title and reference slides. Include presenter notes (no more than a half page per slide) and use tables and/or diagrams where appropriate. Be sure to support your work with specific citations from the article you selected. Support your presentation with evidence-based literature.

To prepare:

• Consider the outcomes of your project or other evidence-based projects with which you have been involved. Were your findings as anticipated? What unexpected outcomes, if any, arose?
• Apply the concepts you have studied in previous courses to the data you gathered for your project or for other evidence-based projects. Consider social, political, technological, and financial factors as well as factors related to quality and your area of specialty.
• How does your analysis of the project outcomes inform the discussion and implications of your project? What impact could your findings have as they ripple out through multiple systems?
• Have you identified any ethical implications that require attention? If so, what are they?

Post a cohesive response that addresses the following:

• Discuss the implications of your project outcomes or the outcomes of other evidence-based practice projects. Integrate concepts from previous courses to explain the significance of your findings, and be sure to address ethical implications.

 See attached the article. 

Select one quantitative research article from this week’s Electronic Reserve Readings ( The effectiveness of telehealth care on caregiver burden, mastery of stress, and family function among family caregivers of heart failure patients: A quasi-experimental study )

Write a 260-word summary in which you:

  1-Describe the study design and explain the strengths and limitations of this design. 

2-Identify the intervention, if any. 

3-Describe the sample using descriptive statistics. 

4-Identify the data collection procedures and comment on the validity and reliability of measurements. 

5-What study findings are presented with descriptive statistics?

I would like you to create a fictitious medical/case report. You can choose any disease/condition covered in our text book. If you would like to choose something that is not covered in the textbook, you must first get permission from the instructor. Please send me an e-mail at my aol address, as it is easier for me to respond to you from that address, ONLY if you want to do somthing that is not covered in our text book. 

Your report must include the following:

Minimum 1 full page in length. This should be submitted as an attachment in the Db forum created for this project. (15 points)

Include 20 medical terms that you have learned from the chapters covered this semester. You must either underline, highlight, bold or italicize the medical terms you want to count.  If you do not do this, the word will not count.  (20 points)

While your report will be fictitious, it MUST make sense! (25 points)

Your report must contain at least one medical test/procedure that was performed on your patient. This test/procedure must be appropriate for your disease/condition. Additionally, you must include an image that represents the test/procedure in your report. (20 points)

Include basic vital signs and a history for your patient. Remember height and weight are considered important vital signs. (10 points)