Scenario: Family
An 83, year old woman is recovering from pneumonia. She has Alzheimer’s disease and has become increasingly hostile and unmanageable in the home setting. Her 65, year old daughter is distraught about the idea of placing her mother in a long term care facility but feels she is not able to care for her.

Directions:
Part 1:
• The post must be at least 200 – 300 words in length
• What is your role in this situation?
• How might you help the daughter with her decision?
• What information would you give the daughter?

Scenario: Family
A 78, year old man is a retired banker whose wife died several years ago. He is able to perform all ADLs but needs help with meal preparation and transportation. He lives in a deteriorating neighborhood and no longer feels safe. He does not want to live with family members or completely give up his independence.

Directions:
Part 1:
• The post must be at least 200 – 300 words in length
• What housing options would be appropriate for him? Why?
• What advantages would such housing options offer over living alone?

Scenario: Exercise
You are checking blood pressures at a senior citizen health fair. After you check the blood pressure of an older woman, she asks you about starting an exercise program. She has not been exercising, but some of her friends have told her that she should start to exercise regularly.

Directions:
Part 1:
• The post must be at least 200 – 300 words in length
• What recommendations do you give her?
• What precautions do you include in your recommendations?

Scenario: Safety
A 77, year old woman is hospitalized for management of her diabetes. She has a history of functional urinary incontinence and poor vision from the diabetes. The nursing staff observes her climbing over the side rails on numerous occasions at night en route to the bathroom. She is quite agitated during this time. The nursing assistant requests that you obtain an order for a body restraint at night to prevent her from falling out of bed.

Directions:
Part 1:
• The post must be at least 200 – 300 words in length
• Should this patient be restrained to prevent injury?
• Would you request the order for a body restraint? Why, or why not?
• What other information is relevant to this case?
• What nursing interventions could be tried before considering a restraint?

Healthcare organizations are like any other business in that there are teams of people to be guided to meet the organization’s goals. Groups require leaders, and the leaders must lead effectively for successful outcomes. Unfortunately, not every unit manager or department head is good at leading necessarily. 

Transformational leadership and high-performance

 Nursing education includes learning how to think critically, problem-solving, and when and who to delegate tasks to ensure the most efficient work completion. Nurse managers benefit from honing those skills when leading a team. Nurse managers are in the complicated position of advocates for their team members and patients and representatives of higher management and the organization (Asiri et al., 2016). That said, nurse managers have a lot of responsibility, and it simply is not reasonable for any manager to expect to control and manage every detail of their unit. Being a good manager means being good at empowering others to step and lead (Asiri et al., 2016). When lower-level members of a team are empowered and given reasonable autonomy to perform their job functions without being under intense scrutiny, their achievements grow in connection to the organization, and the investment grows for that person. When an individual is investing in their work, they tend to have more commitment to it, connecting purpose to their roles as team members (Asiri et al., 2016). A healthcare organization with invested and committed team members is an organization with quality care outcomes (Asiri et al., 2016).

Leadership influence on the nursing workforce

The transformational leadership style is the preferred and most successful leadership style in the healthcare industry (Alloubani et al., 2019). Transformational leaders exhibit how much they value their team and everyone on the team by seeking team involvement in decision-making and recognizing each contribution (Fischer, 2016). The transformational team leader encourages personal growth for its team, showing interest in the people’s well-being on the team. Team members recognized and shown concern for as individuals are team members that feel cared for and part of the organization’s family. Team members will give back what they receive in quality work that results in improved patient outcomes and work-life satisfaction (Fischer, 2016).

References

Alloubani, A., Akhu-Zaheya, L., Abdelhafiz, I. M., & Almatari, M. (2019). Leadership styles’ influence on the quality of nursing care. International Journal of Health Care Quality Assurance, 32(6), 1022-1033. Retrieved from https://doi-org.ezp.waldenulibrary.org/10.1108/IJHCQA-06-2018-0138

Asiri, S. A., Rohrer, W. W., Al-Surimi, K., Da’ar, O. O., & Ahmed, A. (2016). The association of leadership styles and empowerment with nurses’ organizational commitment in an acute health care setting: a cross-sectional study. BMC Nursing, 15(38), n.d. Retrieved from https://doi.org/10.1186/s12912-016-0161-7

Fischer, S. A. (2016). Transformational leadership in nursing: a concept analysis. Journal of Advanced Nursing, 72(11), 2644-2653. Retrieved from https://doi.org/10.1111/jan.13049

 It is estimated that more than 6% of the U.S. population will experience post traumatic stress disorder (PTSD) in their lifetime (National Center for PTSD, 2010). This debilitating disorder often interferes with an individual’s ability to function in daily life. Common symptoms of  anxiousness and depression frequently lead to substance abuse issues and  even physical ailments. For this Discussion, as you examine the Thompson Family Case Study in this week’s Learning Resources, consider how you might assess and treat clients presenting with PTSD.  

 Post on or before Day 3 an explanation of your observations of the client William in Thompson Family Case Study,  including behaviors that align to the PTSD criteria in DSM-5. Then,  explain therapeutic approaches you might use with this client, including  psychotropic medications if appropriate. Finally, explain expected outcomes for the client based on these therapeutic approaches. Support  your approach with evidence-based literature. 

No plagiarism 

4 references not more than 5 years

https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6640/05/mm/academic_year_in_residence_thompson_family_case_study/index.html 

Q1: Review the Agency for Healthcare Research and Quality (AHRQ) website on Health Literacy. Define health literacy and discuss the “Universal Precautions” approach to health literacy. What are three approaches nurses can use to improve health literacy in patient-centered care?

Q2:Define the challenges of interdisciplinary teams according to the IOM. From a nursing perspective, do you agree with this statement? If so, why do you think interdisciplinary work is difficult to achieve? If not, why not?

Considering the video and the earlier article you read on Bauerline, address following questions:

1. Do you find that this is the ‘Dumbest’ generation? Why or why not?
2. Do you believe generational attributes affect communication? Explain.
3. How do you see the advances and concentration on technology impacting you, as a professional nurse? Are there communication challenges you foresee when caring for patients and families?
4. How can nurses be efficient and compassionate communicators?