nurs6540 week 10 assignment latest 2018 march

Week 10
assignment

Assignment 2: Practicum – Week 8 Journal Entry

Reflect on geriatric patients from your practicum site.
Consider frail elder patients that you have assessed for skin wounds such as
bumps, bruises, shingles, herpes, bullous pemphigoid, Stevens-Johnson syndrome,
etc. Explain the consequences of these types of wounds for frail elders. Then,
describe a patient case including the care plan for assessment, diagnoses,
treatment, management, and patient education. Explain whether the patient’s
care plan was effective. Include how you might proceed differently in the
future. If you did not have an opportunity to evaluate a patient with this
background during the last 8 weeks, you can select a related case study or
reflect on previous clinical experiences.

By Day 7 of Week 10

This Assignment is due. Please submit the Journal Entries
(Weeks 8, 9 and 10) by Day 7 of Week 10.

Assignment: Practicum – Week 9 Journal Entry

An advance directive is a legal document that defines a
patient’s wishes for medical care. This document is a way for patients to share
their wishes with family members and health care providers when their illness
or mental capacity prevents them from making decisions. As an advanced practice
nurse who has care discussions with patients and their families, you need to
not only be familiar with the process of completing an advance directive, but
also understand how this document might impact your role in patient care and
treatment.

Journal Entry Part 1

For the first part of your journal entry, reflect on the
Five Wishes presented on the Five Wishes website and PDF and complete your Five
Wishes. Explain your state’s requirements for advance directives, including
whether your Five Wishes can be turned into a formal document. Then, explain
how your experience of completing your Five Wishes advance directive will help
you guide discussions with patients and their families. Finally, explain how
you might apply the Five Wishes advance directives to your nursing practice.
Include how this advance directive might benefit patients in decision making
for specialized areas of care.

Journal Entry Part 2

For the second part of your journal entry, reflect on
geriatric patients from your practicum site with disorders related to
specialized areas of care, such as oncology, nephrology, urology, gynecology,
and neurology. Describe a case of a frail elder patient who must make decisions
related to specialized areas of care. Then, explain potential patient outcomes
and include whether treatments would be beneficial and how they would impact
the patient’s quality of life. Finally, describe the patient’s wishes in terms
of treatments and interventions for the disorder (Was there an advanced
directive?) and how the patient might want to spend any remaining time. Include
how environmental factors, such as family, caregivers, ethnicity, culture,
religion, and/or personal values, might impact decision making for treatments
and interventions. If you did not have an opportunity to evaluate a patient
with this background during the last 9 weeks, you can select a related case
study or reflect on previous clinical experiences.

By Day 7 of Week 10

This Assignment is due. You will submit this Week 9 Journal
Entry, Week 8 Journal Entry and the Week 10 Journal Entry by Day 7 of Week 10.

Assignment: Practicum – Week 10 Journal Entry

Elder abuse is any intentional or negligent behavior that
results in physical, sexual, emotional, pharmacological, and/or financial
abuse. Unfortunately, abuse is sometimes difficult to identify, and elders are
often hesitant or unable to report abuse themselves (Administration on Aging,
n.d.). This makes it important for health care providers to regularly monitor
for signs of abuse and react according to local and state laws.

Journal Entry Part 1

For the first part of your journal entry, select and
describe one of the following types of elder abuse: physical, sexual,
mental/emotional/verbal, pharmacological, or financial. Explain strategies for
identifying this abuse. Then, explain how you would proceed based on your local
and state laws once you have identified this abuse in a patient. Describe
resources in your community that assist victims of this type of abuse and
explain how you, as the advanced practice nurse, might apply these resources
for abused elders who are identified in the clinical setting.

Journal Entry Part 2

For the second part of your journal entry, reflect on the
different cultures—ethnic, religious, regional, or generational—of the elder
patient population at your practicum site. Describe the cultures you have
observed and explain the influence of these cultures on the prevalence and
detection of elder abuse. Then, explain how culture might impact the way you
would implement resources for preventing or addressing abuse.

By Day 7 of Week 10

This Assignment is due. You will submit this Week 10 Journal
Entry, Week 8 Journal Entry and the Week 9 Journal Entry by Day 7 of Week 10.

For the Journal Entries —which are assessed with a
Satisfactory (S) or Unsatisfactory (U) score—the numerical grade will show as 0
points and the “S” or “U” will be posted in the Feedback area by your
Instructor. These scores of 0 points do not affect your grade; they simply
allow for a placeholder to place the “S” or “U” scoring. This concept also
applies to Weeks 4 and 7.

Submission and Grading Information

To submit your completed Assignment for review and grading,
do the following:

Please save your Assignment using the following naming
convention: WK10Assgn+lastname+first initial.

Click the Assignment Week 10 link.

Next, from the Attach File area, click on the Browse My
Computer button. Find the document you saved as “WK10Assgn+last name+first
initial.(extension)” and click Open. If you are submitting multiple files,
repeat until all files are attached.

Click on the Submit button to complete your submission.

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