Mrs. Thomas is a 54, year old African American widow, mother and grandmother, who lives with her daughter and four grandchildren (ages 12, 10, 7 and 5) in a 4 story walk up apartment. She is an active member of her church community and friends, comments that she had so much energy that she exhausted all of them just being around her. At age 51, she was diagnosed with non-Hodgkin’s lymphoma. Busy with raising her grandchildren, a little more than 3 years went by before she sought attention for her symptoms and was diagnosed. Despite aggressive treatments with chemotherapy and radiation, her diseased progressed and she was considering undergoing a bone marrow transplant. Climbing the stairs to the apartment one afternoon she became very short of breath and collapsed. Her twelve, year old granddaughter called 911. At the hospital she was minimally responsive and in severe respiratory distress. She was intubated and transferred to the ICU. A family meeting with the oncology and ICU team was called to discuss Mrs. Thomas’s advanced condition, the fact that she would probably not survive further treatment for the lymphoma and to develop a plan of care. Fifteen family members arrived, including her daughter, pre-teen granddaughters and grandson, three nieces, four nephews, several friends from her church and the minister. On being asked that only the immediate family participate in the meeting, the family and friends became angry and insisted that all of them be involved in this discussion.

1. The students should focus their thoughts on the dynamics of this family meeting. If you were the nurse in this situation, how would you address meeting? Here are some questions that may help your thinking. What is your impression regarding this scenario? What are some concerns you have with this case? What do you anticipate would happen? How would you handle all the family members and friends wanting to be included in the discussion? There is not right or wrong answer. But remember you need a professional journal to support the discussion. 

2. Now think about you being the patient. How would the situation be handle within your family? Have you thought about what kind of care you would want? Does someone know what you would want if you had a catastrophic event? Would family members support the decision maker’s decision for for you? 

 

1. https://www.caregiver.org/connecting-caregivers/services-by-state/?state=indiana 

2. https://caregiveraction.org/family-caregiver-toolbox

3. https://lotsahelpinghands.com/

4. https://www.caregiver.org/caregiver-resources/caring-for-another/

5. https://www.caregiver.org/caregiver-resources/caring-for-yourself/

Please address the following in a Word document: 

1. Please review the services provided by Indiana and reflect. Please connect your reflection to what we discussed in class and how this information could be helpful for you now or in the future.  (This pertains to Link 1). 

2. Please review 4 boxes within link two and reflect. Please connect your reflection to what we discussed in class and how this information could be helpful for you now or in the future. 

3. Please explore link three and reflect. Please connect your reflection to what we discussed in class and how this information could be helpful for you now or in the future. 

4. Please explore one caregiving topic within link four and reflect. Please connect your reflection to what we discussed in class and how this information could be helpful for you now or in the future.

5.  Please explore one topic within link five and reflect. Please connect your reflection to what we discussed in class and how this information could be helpful for you now or in the future.

 Reflection #3 

Movie: When the Levees Broke: A Requiem in Four Acts

Pages: 3 to 4

Objective

To relate the material in Chapter Four, “Perceiving and Believing” to the assigned film. Your paper (3-4 pages) will consist of three sections as follows. 

Introduction Paragraph (2 pts.)

Briefly summarize the film in five sentences or less.

Thinking (6 pts.)

What was the event that inspired the film

What caused the event

What was the response

How did different points of view include factual reports, inductive inferences, evaluative judgements

How do perceptions and beliefs of others influence awareness of our “lenses?”

Conclusion Paragraph (2 pts.)

Briefly explain how the text relates to the text in Chapter Four, “Perceiving and Believing.”

 

Topics- Select one of the community nursing diagnosis in chapter 16 and develop at least one program goal and two related outcomes. Discuss the rationale for your selection of the priority problem.

200-word maximum without the references.

Minimum of two references (the course textbook can be one of the references) in APA format, articles chosen must have been published within last 3-5 years.

Reply 1

Kristin Bonilla 3 postsRe: Topic 5 DQ 1

Nurse Managers and nurse leaders are the ones who are responsible for the changing of strategies to improve quality and patient care experiences. They are the ones that need to realize there is a problem, work with their departments to brainstorm ideas to change, and implement the change effectively. Change is not something that one person can do alone but the nurse manager and leaders of the department need to be the ones actively involved with the process. Leaders use a variety of different strategies, as defined by our text, to complete the process. Some of these strategies are: collaboration, facilitation of learning, delegation, coordination, shared governance, incorporation of quality and safety, and evaluation (Helbig, 2018).

Reference

Helbig, J., (2018). Chapter 3. Grand Canyon University (Ed.). Nursing Leadership & Management: Leading and Serving. Retrieved from: https://lc.gcumedia.com/nrs451vn/nursing-leadership-and-management-leading-and-serving/v1

Reply 2

3 postsRe: Topic 5 DQ 1

Nurse leaders and managers contribute extensively to changing the health care system for now and the future. Burke (2016 para 2) affirmed this position in this statement: “nurses are professionals with the capacity and responsibility to influence current and future healthcare delivery systems” (as cited in Grand Canyon University, 2018). Nurse leaders and managers contribute to reforms in health care through the utilization of their knowledge and skills to influence nursing practice to promote quality care delivery, patient safety and satisfaction. This is achieved through the following strategies:

1. Influencing policies: Policies are formulated to shape and reform healthcare delivery. Nurse leaders participate this process of reengineering healthcare by influencing those policies that are aimed at bringing about this change. A report by the Institute of Medicine (2011) on the future of nursing therefore recommended that nurses take up leadership roles to be able to impact healthcare policies that will promote quality and safe care (as cited in GCU, 2018).
2. Workflow: Nurse leaders can also contribute to changing the healthcare system through workflow. Workflow is the process an organization or people use to complete tasks to achieve a set goal. It is the way “people get work done” with sequential steps form the initiation to the end of the task (Brandall, 2018). According to GCU (2018), workflows in health care organizations often depend on nursing which gives nurse the opportunity to impact how healthcare is delivered. (GCU, 2018). Cain & Haque (2008) observed that an organization with a good workflow can easily reach their goals and targets in a “timely manner, leading to care that is delivered more consistently, reliably, safely, and in compliance with standards of practice” (as cited in GCU, 2018).
3. Clinical inquiry: This is all about asking questions regarding nursing practice. Nursing leaders and managers use clinical inquiries to determine lapses in nursing practice and develop quality improvement interventions and evidence-based practices to improve nursing care (GCU, 2018).

References

Cain & Haque, 2008, para. 10).Brandall B. (2018). What is a Workflow? A simple guide to getting started. Retrieved March 1, 2021 from https://www.process.st/what-is-a-workflow/

Grand Canyon University (Ed). (2018). Nursing leadership & management: Leading and serving.  https://lc.gcumedia.com/nrs451vn/nursing-leadership-and-management-leading-and-serving/v1.1/