Your assignment this week will be an APA paper to include title page, level headings, and a reference page.

1. Case Study

The hospice nurse sat with Ann’s husband, Ben. Ann was resting quietly as the increased dosage of IV pain medication gradually reached its therapeutic level. Ben turned his head and slowly turned, looking out the room’s only window. As he glanced up, a small flicker of light caught his breath. It was a shooting star. A tear fell from the corner of his eye and he turned to Ann. The nurse sensed that something significant to Ann and Ben was unfolding. Shuffling to Ann’s bedside, he took her small fragile hand in his. These hands had rocked cradles, burped babies, and groomed the horses she loved to ride. Gently holding her hand, he turned to the nurse. “She would ride like the wind was chasing her.” Looking back to Ann his voice broke; choking back tears “Ann, Ann I saw Jessie…Jessie is calling.” Ben turned “Jessie was our daughter. She died having a baby that was too big. When she died it was a pitch-black night. Cold, so cold, the baby died too, a little boy, named him Abe, Jr. after Jessie’s husband. I took Ann outside so she could cry to God above and there in this dark sky we saw two falling stars…together…just falling. We knew it had to be Jessie and Abe…two angels to light up the night.” Ben turned back as a deep sigh escaped from Ann’s lips. A soft smile remained as she joined Jessie and Abe.

• Based on this case study how would the nurse actualize Parse’s theory of Human Becoming?
• What are characteristics of a human becoming nurse? What are strengths and weaknesses to this theory of nursing?
• What challenges exist for healthcare institutions to switch to this nursing approach?
• How might Parse’s understanding of transcendence guide the nurse, as Ann’s death became a reality to Ben?
• From the nursing theories we have discussed, what additional theory would you apply to this case study? Develop a plan of care to include both nursing theories (be specific and provide reasons)

The APA formatted paper should include 2 outside references and your book. The essay should be between 1250 and 1500 words in length.

Please answer ONE of the following Discussion Questions.  Please be certain to include the number of the DQ being answered and provide a well-developed and complete answer to receive credit.  Also, please ensure to have read the assigned chapters for the current week. 

DQ-1 What is informed consent?  Who and why is able to obtain informed consent?       

DQ-2 What are some instances where a nurse can be confronted with refusal of treatment?

DQ-3 What is the nurse’s role during refusal of entreat?

When is it that a patient cannot refuse treatment?

support your references in your discussion posts as well.

nterview a fellow peer in your class who works in a different health discipline than you. Begin your interview with the following questions:

1. What is your role as a health care team member?
2. How do you define professionalism and how does professional responsibility influence your work?
3. Do you consider leaders in your organization stewards of health care? Why or Why not?
4. Is it important to you that leaders exercise professional advocacy and authenticity as well as power and influence when working with colleagues? Why or why not?

In 500-750 words, summarize your interview and share your impressions of your peer’s responses.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

I WORK AS A HOME HEALH NURSE.

our assignment this week will be an APA paper to include title page, level headings, and a reference page.

Case study #1 

Mrs. Franklin-Jones was admitted from the Emergency Room to Cardiac Intensive Care one week ago with a diagnosis of acute myocardial infarction. She has recovered as expected and is moving to the cardiac step down unit today. She is talking with Nurse Julie Hernandez, as she gets settled in her new room, “I was really surprised when I got that bad pain in my chest! I knew I had high pressure but I just didn’t think it was that bad. I try to take my medicine like they told me to in the clinic but sometimes I forget. I guess that I need to study those papers they gave me about what foods I should eat and not eat. I better take care of myself! Momma had bad pressure and it killed her! Who knows—I may even have to learn to cook different than I was taught in Jamaica! I may have to let Tomas do the cooking. He’s got more time at home now than I do since he lost his job. There isn’t too much time between my shifts at the school cafeteria and my new housecleaning job. You know my sister is coming up from Jamaica to see me. I think she is bringing me some bush tea. That’ll set me right!”

• Using Leininger’s Culture Care Model, what factors in the story shared by Mrs. Franklin-Jones should be considered by Nurse Hernandez when planning for the patient’s discharge?
• Why is the theory of Culture Care Diversity important in the delivery of nursing care for all patients?
• Using Leininger’s Theory of Culture Care Diversity and Universality, develop a plan of care for Mrs. Franklin-Jones.
• Discuss the strengths and limits to Leininger’s Theory.

Case Study #2

Claude Jean-Baptiste is recovering from post-hip replacement surgery and has been transferred to the Rehabilitation Institute adjacent to the hospital. When he enters the unit, he sees welcoming signs written in several languages including his own, Creole. Since there are no nurses on that shift that speak Creole, they use a language line to ask for translation services. During this initial nursing assessment, the translator informs Mr. Jean-Baptiste that the nurses invite him to have a relative at his side so that they can be sure to understand and meet his needs. He is asked about Haitian customs and beliefs that they might honor. Mr. Jean-Baptiste is encouraged to bring food and spiritual care items, and to share the warmth of his culture with the nursing staff.

• Discuss assumptions of the Transpersonal Caring relationship. What is the nurse’s role?
• How is love, as defined by Watson, evident in this caring moment?
• How can the nurse creatively use self to create a healing environment?
• Discuss the strengths and limits to Watson’s Theory.

This paper should include 2 outside references and your book. The essay should be between 1500 and 1750 words in length.

 EW

The two types of elder abuse I decided to discuss are emotional abuse and exploitation.  Emotional abuse is inflicting mental pain, anguish, or distress on an older person through verbal and nonverbal acts.  Examples of emotional abuse are as follow: name calling, verbally telling someone they are worthless, intimidation, and playing mind games.  Exploitation is taking, misusing, or concealment of funds, property, or assets of an older adult for one’s own personal gain.  Examples of exploitation are as follow:  taking money from an older person, borrowing the older person’s vehicle and not returning it, moving in with an older person without consent and treating the poverty as your own.  I consider the types of abuse discussed as crucial because they are difficult to prove.  These types of abuse can be done without physical evidence.  The abuser can easily deny the allegations.  As we discuss the elderly, we often assume that there’s cognitive impairment and memory difficulties. With there being cognitive impairment, the accuser can easily detour the mistreatment.  Growing population of the elderly, the demand for elderly care, workload of social welfare agencies, and age-related changes in the elderly such as cognitive and mobility impairments are challenges in abolishing the abuse.  The elderly client often has a decline in mobility and cognition; making if difficult to effectively communicate with others.  Elderly clients can easily be retained and controlled, contributing to easy target for abuse without it being known.  Social welfare agencies often have overwhelming workload, contributing to insufficient assessments and follow-up of the alleged abuse and possible overlooked abuse.  There are ways to protect the elderly, while in the community and workplace.  While in the workplace, being familiar with the patient and their behavior is helpful.  Often the abuse victim will exhibit abnormal behaviors when being abused.  The patient may be withdrawn, fearful, and shameful.  The facility social worker is then involved for assessment for psychological factors such as depression.  The assessment is on-going. The care team along with the abuse coordinator for the facility will continue the investigation.  When in the community; neighbors, family, friends, and primary care physicians are our main sources that will help with possible abuse of an elderly.  If the elderly has not had a routine doctor’s visit over an amount of time; this should be reported for follow-up to assess the reason for no doctor visits.  If a neighboring elderly person has not been seen in a while, alert police and local social welfare agencies for courtesy checks.  Families should check on their elderly family members (uncles, aunts, grand dad, grand-mother, etc,); and the same for elderly friends.  If anything suspicious, report it.