Discussion Guidelines:

This discussion is worth 25 points, and requires an initial post and one response to a peer, with references. Both the initial and response posts are due on the same day. Reference all sources you’ve cited within your answers at the end of your narrative.  

Do not write a formal paper with title and reference pages.  However, use headings to delineate sections of your narrative that speak to the question(s). Be brief, yet concise, when answering the questions and include citations to support your statements.  

The Canvas discussion platform does not lend itself to setting up your narrative to APA formatting in regards to margins and indentations.  However, you are required to comply with APA in regards to all other components, i.e., grammar, spelling, complete sentences, proper use of headings, correct citations and reference sequencing and use of capitalization and italics.

Do not upload a document, if you do so this will not be graded.  You may copy and paste a prepared written submission. 

Initial Posting: 500 word minimum 

1. Select and describe at least one motivational axiom (Bastable, pg 248-250) and one Health Belief Model (Bastable, pp 257-268). (3 points)

2. Discuss how you will implement both to maximize learning outcomes in your chosen education project. (3 points)

3. What barriers or advantages are there to using the Health Belief Model or theory you have chosen? (3 points) 

4. How will you utilize the strengths and reduce the weaknesses of your chosen model or theory? (3 points)

5. Use two scholarly references to cite your work – a nursing scholarly article and/or reputable internet site and/or textbook. (3 points)

Response Posting: *200 word minimum

1. Thoughtfully and professionally contribute to one other student post by the deadline (see course Calendar) providing an objective assessment of their post and/or suggestions of (and rationales for) alternative axioms and models/theories that may also work for their target audiences/topic.  (5 points) 

2. Use two scholarly references to cite your work – a nursing scholarly article and/or reputable internet site and/or textbook. (5 points)

You have researched and studied the various nutritional requirements throughout the life cycle.

Please choose the life cycle stage (from pregnancy through infancy, toddlers through adolescence, older adults) that had the most impact upon you and your understanding  Please outline the nutritional requirements for this life cycle and include the reasons why it was helpful for your understanding.  

Please remember to respond to two other classmates submissions as you have done in your previous discussions.

Please include citations as in your previous discussions.

CASE STUDY: Caregiver Role Strain: Ms. Sandra A. Sandra, a 47-year-old divorced woman, received a diagnosis of stage 3 ovarian cancer 4 years ago, for which she had a total hysterectomy, bilateral salpingo- oophorectomy, omentectomy, lymphadenectomy, and tumor debulking followed by chemotherapy, consisting of cisplatin (Platinol), paclitaxel (Taxol), and doxorubicin (Adriamycin). She did well for 2 years and then moved back to her hometown near her family and underwent three more rounds of secondline chemotherapy. She accepted a less stressful job, bought a house, renewed old friendships, and became more involved with her two sisters and their families. Sandra developed several complications, including metastasis to the lungs. Then she could no longer work, drive, or care for herself. She had been told by her oncologist that there was nothing else that could be done and that she should consider entering a hospice. She met her attorney and prepared an advance directive and completed her will. She decided to have hospice care at home and, with the help of her family, set up her first floor as a living and sleeping area. She was cared for by family members around the clock for approximately 3 days. Sandra observed that she was tiring everyone out so much that they could not really enjoy each other’s company. At this time, she contacted the Visiting Nurse Association (VNA) to seek assistance. Her plan was to try to enjoy her family and friend’s visits. After assessment, the VNA nurse prioritized her problems to include fatigue and caregiver role strain. Other potential problem areas that may need to be incorporated into the care plan include anticipatory grieving and impaired comfort. 

Reflective Questions

 1. What are some of the stresses on Sandra’s middle-aged sisters and their families? 

2. What resources are available to manage these stresses and support the sisters while caring for their dying sister Sandra? 

3. Describe Sandra’s feelings about dependency and loss of autonomy because she is unable to do her own activities of daily living any longer

1. Paper format (20 points)
   • 3-5 pages (not including title and reference page) typed (12 Times Roman/Arial Font) in APA format
   • Title page and reference page
   • No spelling or grammatical errors
   • Paper outline similar to this:
     • Introduction
     • Community resources
     • Priority diagnoses, the goal and reason for the change
     • Realistic solution
     • Health education
     • Role of the nurse and community in the intervention
     • Conclusion
2. Community resources (15 points)
   
   1. Identified and analyzed
   2. How will the resources support the intervention of your nursing diagnosis?
3. Priority diagnosis, the goal for change, and rationale (15 points)
4. Develop a realistic solution to your nursing diagnosis in a teaching manner (evidenced-based practice) (20 points)
5. Describe the health education you will promote which follows from your nursing diagnosis (20 points)
6. Describe the role of the nurse and other community members in the interventions (10 points)

Select a Nursing Theory that closely aligns with your current practice. Reflect why you chose your theory and how it applies to your nursing practice.

 I would like for everyone to incorporate their knowledge from this course & reflect on a theory or concept that you could develop in advance nursing.

I’m asking for 250 word, APA 7th ed. required. 2 scholarly sources required. Plagiarism free. due date: Tuesday 13 @ 10:00 am