I NEED A POSITIVE COMMENT BASED IN THIS ARGUMENT. BETWEEN 150-200 WORDS.

 

The geriatric assessment is a multidimensional and multidisciplinary assessment used to evaluate an older person’s functional ability, physical health, cognition, and socioeconomic status. This assessment differs from a typical medical assessment. This assessment assesses the person’s functional capacity as well as quality of life. Assessment often times incorporates multidisciplinary team like physician, social worker, nutritionist, physical and occupational therapists (Elsawy & Higgin, 2011).

As individual’s age, there are many changes occurring. These changes may incorporate changes in vision, hearing, gait, nutrition, and other problems or illnesses. Diseases such as dementia and Alzheimer’s are also common in geriatrics. It is very important to get an overview of the whole patient. It is necessary to conduct a thoroughly physical and history assessment (Elsawy & Higgin, 2011).

Patients functional ability is assessed. This includes the person’s ability to perform tasks of daily living. This task incorporated dressing, bathing, ambulating, and nutrition. It is important to determine if patient is getting their basic needs meet. Medical problems, family history, and social history are also reviewed. If any problem is suspected there are actions taken to meet those needs. References and supportive resources are also given if needed (Elsawy & Higgin, 2011).

When nurses are performing assessments, special consideration needs to be taken. Special consideration involves nurses paying close attention to visual and hearing problems. Nurses must speak clearly and slow to allow patients understanding of what is being said or asked. Nurses should also keep in mind that elderly patients intend to feel more fatigue. Nurses should allow sufficient time for assessments to be completed (Elsawy & Higgin, 2011).

Geriatric assessments are more thoroughly and require more time. It is important for nurses to gather adequate patient information. Not only to be pay attention to current problem or illness, but we also need to pay attention to patient daily basic needs and possible problems affecting these needs. If problems are noted, it is important to make the necessary referrals to make sure the patient is being cared for as a whole.

 

Reference

Elsawy, B., Higgin, K. 2011. The Geriatric Assessment. Retrieved from http://www.aafp.org/afpl/2011/0101/p48.html

Course Reflection Guidelines

Purpose

The purpose of this assignment is to provide the student an opportunity to reflect on selected RN-BSN competencies acquired through the NUR3805 course.

Course Outcomes

This assignment provides documentation of student ability to meet the following course outcomes:

• The students will be able to identify the evolution and history of the nursing profession (ACCN Essential I, II, V, VII; QSEN: safety, evidence-based practice, teamwork and collaboration, and patient centered care).
• The student will identify the scope of the nursing practice (ACCN Essential I, II, V, VII; QSEN: safety, evidence-based practice, teamwork and collaboration, and patient centered care).
• The student will identify the importance of the evidence-based practice in the nursing profession and its impact on the healthcare guidelines (ACCN Essential I, II, V, VII; QSEN: safety, evidence-based practice, teamwork and collaboration, and patient centered care).
• The student will be able to identify the different roles in the nursing profession (ACCN Essential I, II, V, VII; QSEN: safety, evidence-based practice, teamwork and collaboration, and patient centered care).

Points

This assignment is worth a total of 100 points (10%).

Due Date

Submit your completed assignment under the Assignment tab by Sunday 11:59 p.m. EST of Week 15 as directed.

Requirements

1. The Course Reflection is worth 100 points (10%) and will be graded on quality of self-assessment, use of citations, use of Standard English grammar, sentence structure, and overall organization based on the required components as summarized in the directions and grading criteria/rubric.
2. Follow the directions and grading criteria closely. Any questions about your essay may be posted under the Q & A forum under the Discussions tab.
3. The length of the reflection is to be within three to six pages excluding title page and reference pages.
4. APA format is required with both a title page and reference page. Use the required components of the review as Level 1 headers (upper and lower case, centered):

Note: Introduction – Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63).

1. Course Reflection
2. Conclusion

Preparing Your Reflection

-The BSN Essentials (AACN, 2008) outline a number of healthcare policy and advocacy competencies for the BSN-prepared nurse.

– Reflect on the NUR3805 course readings, discussion threads, and applications you have completed across this course and write a reflective essay regarding the extent to which you feel you are now prepared to:

1. “Demonstrate skills in using patient care technologies, information systems, and communication devices that support safe nursing practice.
2. Use telecommunication technologies to assist in effective communication in a variety of healthcare settings.
3. Apply safeguards and decision-making support tools embedded in patient care technologies and information systems to support a safe practice environment for both patients and healthcare workers.
4. Understand the use of CIS systems to document interventions related to achieving nurse sensitive outcomes.
5. Use standardized terminology in a care environment that reflects nursing’s unique contribution to patient outcomes.
6. Evaluate data from all relevant sources, including technology, to inform the delivery of care.
7. Recognize the role of information technology in improving patient care outcomes and creating a safe care environment.
8. Uphold ethical standards related to data security, regulatory requirements, confidentiality, and clients’ right to privacy.
9. Apply patient­care technologies as appropriate to address the needs of a diverse patient population.
10. Advocate for the use of new patient care technologies for safe, quality care.
11. Recognize that redesign of workflow and care processes should precede implementation of care technology to facilitate nursing practice.
12. Participate in evaluation of information systems in practice settings through policy and procedure development.
13. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches.
14. Recognize the relationship of genetics and genomics to health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of treatment effectiveness, using a constructed pedigree from collected family history information as well as standardized symbols and terminology.
15. Implement holistic, patient­ centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health­ illness continuum, across the lifespan, and in all healthcare settings.
16. Communicate effectively with all members of the healthcare team, including the patient and the patient’s support network.
17. Deliver compassionate, patient­ centered, evidence-based care that respects patient and family preferences.
18. Implement patient and family care around resolution of end ­of ­life and palliative care issues, such as symptom management, support of rituals, and respect for patient and family preferences.
19. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care.
20. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan.
21. Monitor client outcomes to evaluate the effectiveness of psychobiological interventions.
22. Facilitate patient­ centered transitions of care, including discharge planning and ensuring the caregiver’s knowledge of care requirements to promote safe care.
23. Provide nursing care based on evidence that contributes to safe and high-quality patient outcomes within healthcare microsystems.
24. Create a safe care environment that results in high quality patient outcomes.
25. Revise the plan of care based on an ongoing evaluation of patient outcomes.
26. Demonstrate clinical judgment and accountability for patient outcomes when delegating to and supervising other members of the healthcare team.
27. Manage care to maximize health, independence, and quality of life for a group of individuals that approximates a beginning practitioner’s workload
28. Demonstrate the application of psychomotor skills for the efficient, safe, and compassionate delivery of patient care.
29. Develop a beginning understanding of complementary and alternative modalities and their role in health care.
30. Develop an awareness of patients as well as healthcare professionals’ spiritual beliefs and values and how those beliefs and values impact health care.
31. Manage the interaction of multiple functional problems affecting patients across the lifespan, including common geriatric syndromes.
32. Understand one’s role and participation in emergency preparedness and disaster response with an awareness of environmental factors and the risks they pose to self and patients
33. Engage in caring and healing techniques that promote a therapeutic nurse patient relationship.
34. Demonstrate tolerance for the ambiguity and unpredictability of the world and its effect on the healthcare system as related to nursing practice.” (pp. 18-19, 31-32).

Reference:

American Association of Colleges of Nursing [AACN]. (2008). The essentials of baccalaureate education for professional nursing practice. Washington, DC: Author.

Directions and Grading Criteria

Category Points % Description

(Introduction – see note under requirement #4 above)

8

8

Introduces the purpose of the reflection and addresses BSN Essentials (AACN, 2008) pertinent to healthcare policy and advocacy.

You Decide Reflection

80

80

Include a self-assessment regarding learning that you believe represents your skills, knowledge, and integrative abilities to meet the pertinent BSN Essential and sub-competencies (AACN, 2008) as a result of active learning throughout this course. Be sure to use examples from selected readings, threaded discussions, and/or applications to support your assertions to address each of the following sub-competencies:

1. “Demonstrate skills in using patient care technologies, information systems, and communication devices that support safe nursing practice.
2. Use telecommunication technologies to assist in effective communication in a variety of healthcare settings.
3. Apply safeguards and decision-making support tools embedded in patient care technologies and information systems to support a safe practice environment for both patients and healthcare workers.
4. Understand the use of CIS systems to document interventions related to achieving nurse sensitive outcomes.
5. Use standardized terminology in a care environment that reflects nursing’s unique contribution to patient outcomes.
6. Evaluate data from all relevant sources, including technology, to inform the delivery of care.
7. Recognize the role of information technology in improving patient care outcomes and creating a safe care environment.
8. Uphold ethical standards related to data security, regulatory requirements, confidentiality, and clients’ right to privacy.
9. Apply patient­care technologies as appropriate to address the needs of a diverse patient population.
10. Advocate for the use of new patient care technologies for safe, quality care.
11. Recognize that redesign of workflow and care processes should precede implementation of care technology to facilitate nursing practice.
12. Participate in evaluation of information systems in practice settings through policy and procedure development.
13. Conduct comprehensive and focused physical, behavioral, psychological, spiritual, socioeconomic, and environmental assessments of health and illness parameters in patients, using developmentally and culturally appropriate approaches.
14. Recognize the relationship of genetics and genomics to health, prevention, screening, diagnostics, prognostics, selection of treatment, and monitoring of treatment effectiveness, using a constructed pedigree from collected family history information as well as standardized symbols and terminology.
15. Implement holistic, patient­ centered care that reflects an understanding of human growth and development, pathophysiology, pharmacology, medical management, and nursing management across the health­ illness continuum, across the lifespan, and in all healthcare settings.
16. Communicate effectively with all members of the healthcare team, including the patient and the patient’s support network.
17. Deliver compassionate, patient­ centered, evidence-based care that respects patient and family preferences.
18. Implement patient and family care around resolution of end ­of ­life and palliative care issues, such as symptom management, support of rituals, and respect for patient and family preferences.
19. Provide appropriate patient teaching that reflects developmental stage, age, culture, spirituality, patient preferences, and health literacy considerations to foster patient engagement in their care.
20. Implement evidence-based nursing interventions as appropriate for managing the acute and chronic care of patients and promoting health across the lifespan.
21. Monitor client outcomes to evaluate the effectiveness of psychobiological interventions.
22. Facilitate patient­ centered transitions of care, including discharge planning and ensuring the caregiver’s knowledge of care requirements to promote safe care.
23. Provide nursing care based on evidence that contributes to safe and high-quality patient outcomes within healthcare microsystems.
24. Create a safe care environment that results in high quality patient outcomes.
25. Revise the plan of care based on an ongoing evaluation of patient outcomes.
26. Demonstrate clinical judgment and accountability for patient outcomes when delegating to and supervising other members of the healthcare team.
27. Develop a beginning understanding of complementary and alternative modalities and their role in health care.
28. Develop an awareness of patients as well as healthcare professionals’ spiritual beliefs and values and how those beliefs and values impact health care.
29. Manage the interaction of multiple functional problems affecting patients across the lifespan, including common geriatric syndromes.
30. Understand one’s role and participation in emergency preparedness and disaster response with an awareness of environmental factors and the risks they pose to self and patients
31. Engage in caring and healing techniques that promote a therapeutic nurse patient relationship.
32. Demonstrate tolerance for the ambiguity and unpredictability of the world and its effect on the healthcare system as related to nursing practice.” (pp. 18-19, 31-32).

Conclusion

4

4

An effective conclusion identifies the main ideas and major conclusions from the body of your essay. Minor details are left out. Summarize the benefits of the pertinent BSN Essential and sub-competencies (AACN, 2008) pertaining to scholarship for evidence-based practice.

Clarity of writing

6

6

Use of standard English grammar and sentence structure. No spelling errors or typographical errors. Organized around the required components using appropriate headers. Writing should demonstrate original thought without an over-reliance on the works of others.

APA format

2

2

All information taken from another source, even if summarized, must be appropriately cited in the manuscript and listed in the references using APA (6th ed.) format:

1. Document setup
2. Title and reference pages
3. Citations in the text and references.

Total:

100

100

A quality essay will meet or exceed all of the above requirements.

Grading Rubric

Assignment Criteria

Meets Criteria

Partially Meets Criteria

Does Not Meet Criteria

(Introduction – see note under requirement #4 above)

(8 pts)

Short introduction of selected BSN sub-competencies (AACN, 2008) pertinent to scholarship for evidence-based practice. Rationale is well presented, and purpose fully developed.

7 – 8 points

Basic understanding and/or limited use of original explanation and/or inappropriate emphasis on an area.

5 – 6 points

Little or very general introduction of selected BSN sub-competencies (AACN, 2008). Little to no original explanation; inappropriate emphasis on an area.

0 – 4 points

You Decide Reflection

(80 pts)

Excellent self-assessment of skills, knowledge, and integrative abilities pertinent to healthcare policy and advocacy. Reflection on pertinent BSN sub-competencies (AACN, 2008) supported with examples.

70 – 80 points

Basic self-assessment of skills, knowledge, and integrative abilities pertinent to healthcare policy and advocacy. Reflection on pertinent BSN sub-competencies (AACN, 2008) not supported with examples.

59 – 69 points

Little or very general self-assessment of skills, knowledge, and integrative abilities pertinent to healthcare policy and advocacy. Little or no reflection on pertinent BSN sub-competencies (AACN, 2008) or reflection not supported with examples.

0 – 58 points

Conclusion

(4 pts)

Excellent understanding of pertinent BSN sub- competencies (AACN, 2008). Conclusions are well evidenced and fully developed.

3 – 4 points

Basic understanding and/or limited use of original explanation and/or inappropriate emphasis on an area.

2 points

Little understanding of pertinent BSN sub-competencies (AACN, 2008). Little to no original explanation; inappropriate emphasis on an area.

0 – 1 point

Clarity of writing

(6 pts)

Excellent use of standard English showing original thought with minimal reliance on the works of others. No spelling or grammar errors. Well organized with proper flow of meaning.

5 – 6 points

Some evidence of own expression and competent use of language. No more than three spelling or grammar errors. Well organized thoughts and concepts.

3 – 4 points

Language needs development or there is an over-reliance on the works of others. Four or more spelling and/or grammar errors. Poorly organized thoughts and concepts.

0 – 2 points

APA format

(2 pts)

APA format correct with no more than 1-2 minor errors.

2 points

3-5 errors in APA format and/or 1-2 citations are missing.

1 point

APA formatting contains multiple errors and/or several citations are missing.

0 points

Max Points: 150

Details:

 

Examine the high-risk nutritional behaviors associated with different cultures. Identify the historical perspectives, belief systems, and other factors associated with these high-risk nutritional behaviors for each culture. Write a 1,500-3,000 word paper on your findings in which you accomplish the following:

 

1. Summarize the high risk-nutritional behaviors practiced among 10 different cultures.
2. Discuss the historical perspectives and belief systems of these cultures that influence the high-risk nutritional behaviors.
3. Explore additional influencing factors on high-risk behaviors for each culture. These may include, but are not limited to (a) education, (b) family roles, (c) spiritual beliefs, (d) health care practices, and (e) drug and alcohol use.

This paper requires minimum of six outside resources in addition to the textbook, properly documented using APA guidelines.

 

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

 

You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.