tart by reading and following these instructions:

1. Quickly skim the questions or assignment below and the assignment rubric to help you focus.

2. Read the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.

3. Consider the discussion and the any insights you gained from it.

4. Create your Assignment submission and be sure to cite your sources, use APA style as required, check your spelling.

Assignment:

Identify an older adult age 65 +, use a 1st and last initial. Execute a therapeutic assessment interview with them for at least two interview sessions assessing their self-identified:

• Demographics, life time education and career/employment
• Two most significant (positive) times in their lives
• What past hardship or loss has the client successfully negotiated in the past?
• Two personal strengths
• Engage them in identifying what is healthy versus non-healthy coping skills
  
  • Inquire of 2 healthy coping skills they have used in the past and/or now
• Three (3) pieces of advice they would give to their younger self if they could?
• Support the client in taking the Geriatric Depression Scale.pdf
• Support the client in taking the Fulmer SPICES Assessment.pdf
• Perform a Mini Mental State Exam.pdf and Patient_Stress_Questionnaire.pdf (attach here)
• Perform a Hall, Hall, and Chapman Article.pdf
• Report the findings from the Geriatric Depression Scale, Fulmer Spices, Patient Stress Questionnaire, and the Mini-Mental Status Exam
• Discuss your older adult’s level of ego integrity vs. despair as described by psychoanalyst Erik Erikson. If you had to rate them on a scale of 1-10, with 1 representing a full state of despair and 10 representing full ego integrity, what rating would you give your older adult?
• Describe at least two nursing diagnoses for this client.  
• Create a plan of care for the client to include at least three nursing goals with two nursing interventions each.

The assignment should be written in an APA-formatted essay. The essay should be at least 1500 words in length and include at least two scholarly sources other than provided materials.

Discussion: Unit 3

Analyzing the Digital Divide

Instructions:

In this discussion, you are asked to analyze ethical dilemmas related to the digital divide This assignment proceeds through the following steps:

• First, choose a digital divide – rural-urban, racial, intergenerational, or international – that is most relevant to your life.
• Second, describe ways you are advantaged and/or disadvantaged by this digital divide.
• Third, reflect upon the ethical dilemmas of this divide while recommending reforms to change this inequality.

Please be sure to validate your opinions and ideas with citations and references in APA format.

The Health Workforce 

This discussion highlights on the health workforce as central to the health care system, and any changes in its deployment and utilization will have significant effects on health care quality and costs. The ACA and rising concerns about the efficiency of health care delivery are bringing renewed attention to on the current makeup of the health care workforce, the challenges posed by shortages in certain professions, and how these shortages are being addressed. 

Grading Rubric for Healthcare Workforce 

Most healthcare in the United States is delivered in traditional setting such as hospitals, physician organizations, and long-term care organizations. As access is becoming more readily available, the demand for care is increasing as physician shortages is also increasing.

PLEASE  READ AND ANSWER ALL THE FOLLOWING QUESTIONS LISTED BELOW!!!! APA Format, English punctuation, and spelling. NO plagiarism, proof of Turnitin document. 

1. With the increase in number of non-physician providers, discuss how it may affect cost, quality, and access to care in the U.S. healthcare system?

2. Discuss on the possibility of changes to scope of practice regulations for Advanced Practice RNs and how it could help to abate health worker shortages?

3. Why is primary care so important?

Please go to the following web address:

https://adfs.rasmussen.edu/adfs/ls?wa=wsignin1.0&wtrealm=urn%3aextranet%3aportal&wctx=https%3a%2f%2fportal.rasmussen.edu%2f_layouts%2f15%2fAuthenticate.aspx%3fSource%3d%252F&wreply=https%3a%2f%2fportal.rasmussen.edu%2f_trust%2fdefault.aspx  Please sign in with the following information:

Username: mikayla.schumacher@smail.rasmussen.edu

Password: Addie!0823

Click on Courses on the top, and then click on Section 01 Pathophysiology, click on Module 3, then assignments. Scroll down to Module 03 Quiz – Nervous & Endocrine System Disorders. Complete the quiz.

Reply 1 

Courseillant 4 postsRe: Topic 4 DQ 2

Organizational culture is viewed as a collective structure which is controlled by universal ideas, traditions, values and theories. Notably, these ideals and beliefs are generally shared by the individuals in the organization; it is important to note that, sharing of the values and beliefs in an organization such as healthcare organizations impact the conducts of the nurses based on their jobs, actions and dressing codes. I believe that, organizational culture for example teamwork, constancy, hostility, emphasis on workers, results and innovation can create affirmative effect over the company, however, it can as well create more burden to the nurses who work in the healthcare sector. For example, I believe that, barriers like conflicts between the nurses, dejected workers, lack of communication as well as lack of trust among nurses can make nursing leaders become helpless and ineffective. This indeed becomes daunting for the nursing leaders and it can eventually promote a negative effect on the healthcare setting including patients.
Reply 2

An organizational culture, as defined by Nightingale in her article, are “ideas, customs, behaviors, mission, beliefs, etc. that define the environment of an organization.” (Nightingale, 2018). We like to believe that these concepts are all positive but there are things within an organization’s culture that do make nurses and other staff powerless. Some barriers that would have a negative effect would be shortages of resources and supplies, not enough staff to support the patient census, bullying in the work place, and lack of available time to meet with administration to propose new ideas. Unfortunately, barriers can cause struggles between nurses and nursing leaders. A good nurse leader will rise above the barriers and continue with a good attitude while promoting the employer to the rest of the nurses and staff to ensure a calm throughout the nursing departments.

Reference

Nightingale, A., (2018). Nursing Standard. Developing the Organisational culture in a healthcare setting. Retrieved from: https://search-proquest-com.lopes.idm.oclc.org/docview/1992715222?accountid=7374