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Nursing Assignments 6

Assignment #1: Chapter 24 - Assignment Gerontological Elder Abuse and Neglect You are a charge nurse in the emergency department. An elderly woman arrives with bruises all over the upper torso of her body and down her left arm. She was brought in by her grandson who resides with her, and the grandson shares that he brought her in to be checked out because he thinks she may have fractured her wrist when she fell on the last step going down in the cellar to do laundry. He appears extremely stressed and states that his grandmother suffers from Alzheimer disease. When you put the patient’s name and demographic information into the electronic medical record it indicates that this patient was in 2 weeks prior with a concussion. Instructions: 1. Read the scenario above and answer the following question: a. How would you assess the situation? b. What nursing interventions would you utilize to help both the elderly woman and the grandson? 2. Your paper should be: o One (1) page or more. o Use factual information from the textbook and/or appropriate articles and websites. o Cite your sources – type references according to the APA Style Guide. Mauk, K.. (2018). Gerontological Nursing: Competencies for Care. 4th ed. Jones & Bartlett Learning Assignment #2 Chapter 20 assignment What elements go into the idea of "quality of life" for the elderly? So many times we discuss the quality of life when someone elderly becomes very ill. The topic of quality is usually brought up for discussion as the ethical standard. Instructions: 1. Read Chapter 20 carefully. 2. Describe what "quality of life" aspects are relevant when a very elderly person is near death and you are the caregiver. Mauk, K.. (2018). Gerontological Nursing: Competencies for Care. 4th ed. Jones & Bartlett Learning Assignment #3 Chapter 20 assignment 2 Ms. B was told that she had a brain aneurysm. She made an advance statement of wishes saying that she did not want surgery if the aneurysm burst. However, shortly after she made this statement of wishes, the aneurysm burst and a team of surgeons took her to surgery believing that if not treated with surgery she would surely die. The hospital (Hospital #1) backed the decision of the surgeons thinking if there was no intervention the hospital would be liable for her death. This all happened as the family were alerted to the emergency and were making travel arrangements as they were all from out-of-town. Unfortunately, the outcome of the surgery was that she became ventilator-dependent paralyzed from the neck down and needing 24-hour care. Once the family was in the hospital, they held a family conference agreeing that Ms. B would not want to continue on in this state, and they petitioned the hospital to remove her from the ventilator. The hospital refused still believing the potential for legal ramifications. The family was distraught; but eventually, with the guidance of a lawyer they retained, they were able to have her transferred to another facility (Hospital #2) that was willing to take her off the ventilator knowing that the chances of her making it were slim. The felt that they were honoring her wishes along with her families' wishes. A day later Ms. B was taken off the ventilator and she expired within the hour. The family felt like they had done the right thing and they retained the lawyer to sue the initial hospital stating that they had not honored the wishes of their loved ones. In the trial, the hospital claimed that there was not enough evidence that Ms. B wished to not be placed on machines as the family claimed, even though it was witnessed by a nurse that the anesthesiologist for the care engaged her in a conversation about this very topic before her aneurysm burst. The hospital maintained that without documentation to that claim, they could not honor her wishes. In a surprising turn of events, the family filed suit in the Court of Appeals and won. The appellate court agreed with the family stating that any conversation, whether it be personal or professional could be used to reach a conclusion about one's desire about the nature of their own death. Instructions: 1. Read the Ms. B's case study above. 2. Answer the following questions: a. Do you agree with the original court or the court of appeals? Why? b. What kind of ethical theories was hospital #1 acting upon (beneficence, malfeasance, etc.)? c. What kind of ethical theories was hospital #2 acting upon (beneficence, malfeasance, etc.)? d. How did the family act in this ethical realm? e. Did you find that the result of this case was fair to Mrs. B and her family? f. Why is it so important that one put in writing their exact wishes to the nature of their death and how they envision it should be? 3. Your paper should be: o One (1) page or more. o Use factual information from the textbook and/or appropriate articles and websites. o Cite your sources – type references according to the APA Style Guide. Mauk, K.. (2018). Gerontological Nursing: Competencies for Care. 4th ed. Jones & Bartlett Learning Assignment #4 Chapter 11 An elderly gentleman is admitted to the hospital with an MRSA infection. It is soon discovered that the Staphylococcus is resistant to many different antibiotics. Unfortunately, this is discovered only after he is given a usual treatment regimen which is interrupted at the third dose to start him on some Vancomycin. Once the Vancomycin is finished, the gentleman develops a UTI (urinary tract infection) to which he is treated for. Having put the gentleman on a usual antibiotic to treat the UTI, the same scenario plays out and the initial antibiotic is stopped, and he is put on one that will treat the resistant bacteria. Instructions: 1. Read the scenario above. 2. Answer the following questions: (Please give a rationale for all of your answers) a. Due to this scenario playing out twice during the same stay, discuss some of the health implications that this man may be facing. b. What other conditions or health problems might he be at risk for now? c. Are there any organs at risk for being compromised? d. Are there any adjustments you could make to his diet or nutrition that may make the situation better? e. Describe what "quality of life" aspects are relevant when a very elderly person is near death and you are the caregiver. 3. Please respond to at least one (1) of your classmate's posting. 4. View rubric for grading. Mauk, K.. (2018). Gerontological Nursing: Competencies for Care. 4th ed. Jones & Bartlett Learning Assignment #5 Chapter 6 assignment What types of advocacy exist for nurses today? Certainly we can see how there are many ways and different groups to advocate for as a nurse. definition of Advocate: 1. Defends or promotes the rights of others. 2. Changes systems to meet the needs of others. 3. Empowers and promotes self-determination in others. 4. Promotes autonomy of diverse cultures. 5. Ensures respect, equality, and dignity for others. Cares for the humanness of all. Instructions: 1. Examine the term advocate as defined above, and think of how advocacy can be demonstrated in everyday practice. 2. Select at least three (3) of the factors that make up the definition and give a very specific explanation of how you or someone you know has demonstrated they were/are an advocate. 3. Your paper should be: o Typed according to APA style for margins, formatting and spacing standards o Book: Leadership Roles and Management Functions in Nursing: Theory and Application Ninth, North American Edition o Assignment #6 Chapter 20 assignment How Would You Handle This Petition? Betty Smith, a unit clerk, has come to see you, the nurse-manager of the medical unit, to complain of flagrant discriminatory practices against female employees of University General Hospital. She alleges that women are denied promotional and training opportunities comparable to those made available to men. She shows you a petition with 35 signatures supporting her allegations. Ms. Smith has threaten to forward this petition to the administrator of the hospital, the press, and the Department of Labor unless corrective action is taken at once. Being a woman yourself, you have some sympathy for Ms. Smith's complaint. However, you believe overall that employees at University General are treated fairly regardless of their sex. Ms. Smith, a fairly good employee, has worked on your unit for 4 years. However, she has been creating problems lately. She has been reprimanded for taking to much time for coffee breaks. Personnel evaluations that recommend pay raises and promotions are due next week. Instructions: 1. Read the scenario above and answer the following questions: a. How should you handle this problem? b. Is the personnel evaluation an appropriate time to address the petition? c. Outline your plan and explain your rationale 2. Your paper should be: o Typed according to APA style for margins, formatting and spacing standards. Book: Leadership Roles and Management Functions in Nursing: Theory and Application Ninth, North American Edition
Assignment #1: Chapter 24 - Assignment Gerontological Elder Abuse and Neglect You are a charge nurse in the emergency department. An elderly woman arrives with bruises all over the upper torso of her body and down her left arm.
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