Post a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.”

References:

• Response posts: Minimum of one (1) total reference: one (1) from peer-reviewed or course materials reference per response.

Words Limits

• Response posts: Minimum 100 words excluding references.

Peer discussion 1

This week’s assignment focuses on gerontological reminiscence. Included in the assigned readings and viewings is the film “Tuesdays with Morrie”. In this discussion post, I will discuss the modalities of reminiscence and life review and the significance of the life story of an elder. I will also discuss what I believe can be improved upon for effective communication, in addition to identifying the impact of culture and family values in care provided for the elderly.

“Tuesday’s with Morrie” involved a heavy amount of reminiscence from Morrie, as he discusses life lessons and how he personally learned them. Morrie makes it a point to tell his friend, Mitch, these life lessons that he learned, in an effort to help Mitch better his own life. By trying to help the younger generation understand that they could potentially die at any time, he urges Mitch to work to lead the life he wants to live, and try to avoid making some of the same mistakes that he did. Morrie feels that reminiscing validates his life, by remembering both the good times and the bad. He reminisces on his regrets of pride, vanity, and hardness of heart, and urges to forgive, so you can die surrounded by love and peace. Throughout the film, we see Morrie continually works to teach Mitch that shouldn’t be afraid to love, and don’t be afraid of giving himself to someone he may lose. Reminiscing about one’s life as an elder, especially those who are battling chronic diseases, can decrease depression (Syed Elias, Neville, Scott, 2015). Morrie is dying from ALS, and talks about how he lost the ability to use his legs first; this is something that haunts him, as he often reminisces about how much he loved to dance. Since many chronic and progressive diseases often come with the inability to do the things they love, it is important to allow the elderly to reminisce as part of a healthy coping process.

When it comes to improving communication strategies with the elderly, I feel that Morrie was trying to tell Mitch that it is important to listen to the lessons he was trying to teach. He strives to make Mitch understand that it is important not to pretend that the elderly don’t have feelings, and tells him that communication should be open and honest. It is silly to pretend that disease and death do not exist. He also discusses with Mitch the importance of touch…when we are infants, we yearn for it, yet we shun it as we age. Sometimes, as the elderly enter their final stages of life, they begin to yearn for touch again, even if it is as simple as holding their hand. This is something that I did when I sat by my grandmother’s hospice bed for a week, almost three years ago today as I write this post. I typed my papers for my very first nursing class of my BSN with one hand, while holding her hand with the other. Even though she wasn’t able to see me, I know on some level, she was comforted by my touch. We can even use music as a way to help communicate, and even help someone reminisce and cope with a disease process (Maruszewski, Bonk, Karcz, Retowski, 2017). Finally, Morrie tells Mitch not to be afraid of silence, as sometimes another’s presence alone is comforting enough. I feel that through active listening, touch, and presence, we can overcome many barriers to those with deficits during their final years.

In the film, Morrie has a funeral while he is still alive, so that he can see all of his family and close friends, and hear all of the nice things they have to say about him. Later on, he tells Mitch about his perfect day, which involves spending the day with those same close friends and family members. His day is nothing extravagant, simply walking in the park after a light lunch and then a big pasta dinner, followed by dancing. It is the simple things that meant the most to him, that he truly cherished, and wanted to do on his one perfect day. In the end of the film, he passes away at home (like he wanted), surrounded by his family and friends. When our loved one is dying, I believe it is imperative that we do the best we can to honor their wishes, and make their last bit of time as comfortable as possible.

In conclusion, I felt this film was a great window into essentially the dying process. Morrie discusses some of the most important moments in his life, while accomplishing his goal of teaching one more class to Mitch. He does all of this while reminiscing on his life, and teaching Mitch that “if you learn how to die, you will learn how to live” (Forte, Heyer, Ogden, Winfrey, 1999).

References

Forte, K. (Producer), Heyer, S. (Producer), Ogden, J. (Producer), Winfrey, O. (Producer), & Jackson, M. (Director). (1999). Tuesday’s with Morrie [Motion picture].United States of America: American Broadcasting Company.

Maruszewski, T., Bonk, E., Karcz, B., & Retowski, S. (2017 November). Elderly peoples preferences regarding reminiscence material. Educational Gerontology, 43(11): 531-539. Retrieved from: https://eds-b-ebscohost-com.proxy.library.ohio.edu…

Syed Elias, S. M., Neville, C., & Scott, T. (2015 September-October). The effectiveness of group reminiscence therapy for loneliness, anxiety, and depression in older adults in long-term care: a systematic review. Geriatric Nursing, 36(5): 372-380. doi: 10.1016/j.gerinurse.2015.05.004

Peer discussion 2

A person’s life story is important because it gives a history of a person’s past, providing insight into that person’s present circumstances. The purpose of this discussion post is to discuss how life review and reminiscence therapy facilitates and highlights an elderly person’s life story, improvements that can be made to effectively communicate with geriatric patients with sensory impairments, and identifying the impacts that cultural and family values have in providing quality care for older patients.

For elderly people especially struggling with depression and loneliness, reminiscence therapy is a non-pharmacological intervention aimed at increasing a person’s self-esteem by relieving feelings of depression, anxiety, and loneliness (Elias, Neville, & Scott, 2015). Likewise, life review is a form of reminiscence therapy (called spiritual reminiscence therapy) that involves the person finding meaning in their past and future life (Elias et al., 2015). This form of reminiscence therapy focuses on a person’s life, and a person can find meaning and have positive self-esteem as they recount their life story. Furthermore, when this therapy is conducted in a group setting, the elderly patient benefits by establishing social connections, new relationships, and enhanced communication skills, thereby increasing self-esteem and reducing loneliness and depression (Elias et al., 2015).

To improve effective communication strategies for older adults with speech, hearing, vision, language, and cognitive impairments, investing extra time alone into each elderly patient interaction can greatly improve communication. Elderly patients are typically slower to respond, need information repeated, may take longer to process information, and desire to be treated as a valued human, and allowing for extra time can augment these interactions. Also, respectfully addressing the patient by their name, utilizing large-font written instructions, pictures, or diagrams, and providing audio instructions for patients who have difficulty seeing or reading can decrease communication barriers. Additionally, ensuring the patient is wearing their hearing aid and it is on, speaking slowly, and facing the patient directly at eye level can reduce hearing barriers (“Understanding Older Patients,” n.d.). For me, the biggest inference I can gain from the videos and articles of this week’s module is to have patience and empathy for elderly patients while giving them extra time. I think this is the most effective method for improving communication. In my practice, when I have a geriatric patient, I have to remind myself to slow down in my interview process, listen closely to them, and answer their questions slowly while making eye contact. It is my goal to provide respectful and empathetic care.

Finally, family and cultural values impact a person’s principles, life, and preferences, and these factors need to be considered to provide quality, appropriate care. Being aware of a patient’s family and cultural differences can direct the nurse to have cultural humility, which is an open-minded acceptance of differences, and this attitude helps one to provide culturally competent care (Andrews & Boyle, 2016).

In summary, the importance that reminiscence and life review therapy has on geriatric patients’ depression, anxiety, and loneliness have been analyzed related to recounting one’s life story. Effective communication improvements for elderly patients with impairments have also been discussed, as well and how one’s family and cultural values influence their care and preferences.

References

Andrews, M. M., & Boyle, J. S. (2016). Transcultural concepts in nursing care (7th ed.). Philadelphia, PA: Wolters Kluwer.

Elias, S. M. S., Neville, C., & Scott, T. (2015). The effectiveness of group reminiscence therapy for loneliness, anxiety and depression in older adults in long-term care: A systematic review. Geriatric Nursing, 36(5), 372–380. https://doi.org/10.1016/j.gerinurse.2015.05.004

Understanding Older Patients. (n.d.). Retrieved October 16, 2018, from https://www.nia.nih.gov/health/understanding-older…

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Post a thoughtful response to at least two (2) other colleagues’ initial postings. Responses to colleagues should be supportive and helpful (examples of an acceptable comment are: “This is interesting – in my practice, we treated or resolved (diagnosis or issue) with (x, y, z meds, theory, management principle) and according to the literature…” and add supportive reference. Avoid comments such as “I agree” or “good comment.”

References:

• Response posts: Minimum of one (1) total reference: one (1) from peer-reviewed or course materials reference per response.

Words Limits

• Response posts: Minimum 200 words excluding references.

Peer post 1

In this discussion, I will be delving into the world of politics and how it relates to nursing. I will be discussing what a lobbyist and what an advocate are, including how they relate and how what they do is different and why what they do is useful. Finally, I will be discussing the World Health Organization (WHO) and what they do in with regards to defining health care policy.

The government is a central force of our nation and they are in charge of establishing and controlling policies that have great effects on our lives, such as the highly debated heartbeat bill pertaining to abortion. One of the many ways these policies are brought to the attention of those within the government is through the actions of lobbyists and advocates. A lobbyist is often a paid member of a group that utilize their knowledge to push certain policies to the forefront of the office and it is a costly business (Mason, Gardner, Outlaw & O’Grady, 2016). Lobbyists use their forces to bring attention to some policy that they hope to push through the system and they do it by pushing information onto those they consider the right people, the people who will be most likely to hold the same beliefs on the particular topic.

An advocate, much like a lobbyist is someone pushing their agenda on to those they feel are in the right position to help get something done. Advocates often have a direct knowledge in what they are advocating for, but it is not necessary and anyone who feels they have something worthwhile to say and want to get that information to the people who can influence change can do so through the act of advocating. To make a difference through advocacy one must have the commitment to their desired course of action as well as make their presence known (Kostas-Polston, Thanavaro, Arvidson, & Taub, 2015).

Advocates and lobbyists do the same work, they are pushing for something they want to be implemented as a policy that now directly affects others. The main difference between the lobbyists and those that advocate is the access to funding. Lobbyists often are backed by large corporations or groups and have the funds to make their voices heard above others. Lobbyists are also expected to adhere to certain guidelines such as registering with Congress if their action of lobbying exceeds that of 20% (Mason, Gardner, Outlaw & O’Grady, 2016). When there is an important item that people believe needs to be made a policy the means of how the voices get heard, whether lobbyist or advocate, is not as important as the message getting to the intended parties.

The organization that I have selected is the World Health Organization (WHO). The WHO is well known as a group that advocates for health care policy across the globe. The World Health Organization is especially driven to advocate in relation to research in the field of health care (World Health Organization, 2019). The WHO is highly invested in global health and well-being and spend much of their time advocating for health care in underfunded countries.

In conclusion, the government and politics play a large role in the field of health care. It is the job of the lobbyists and the passion of the advocates that get the ball rolling and get the information to the people that can make it a policy. Regardless of who is responsible for getting a health care matter turned into policy, what is important is that we are here to advocate for what is in the best interest of the patient.

References

Kostas-Polston, E. A., Thanavaro, J., Arvidson, C., & Taub, L. M. (2015). Advanced practice nursing: Shaping health through policy. Journal of the American Association of Nurse Practitioners, 27(1), 11-20. doi:10.1002/2327-6924.12192

Mason, D. J., Gardner, D. B., Outlaw, F. H., & O’Grady, E. T. (2016). Policy & politics in nursing and health care (7th ed.). St. Louis, MO: Elsevier

World Health Organization (WHO), (2019). Retrieved from https://www.who.int/occupational_health/topics/wor…

Peer discussion 2

This week’s discussion is about the difference and similarities as well as importance of lobbyist and advocates. Also, there will be a discussion of how one of the selected organizations in the week one discussion lobby or advocate for health care policy.

A lobbyist is someone who deal with government officials and influences them to do things for others (Mason et al., 2016).

An advocate is someone who help others through writing, speaking and through other means to help all that comes their way, this can be an individual, family, community and more ((Mason et al., 2016).

For similarities of advocate and lobbyist are that they all work into making a change in a good way, they all help others by being the voice for the voiceless and most importantly these persons who are lobbyist and advocates shows that they care and are there to use their influences for the better good of others.

Their differences will be that they use different approaches to do their work and deal with different people, like lobbyist dealing with governmental officials especially and advocates dealing with all others who can help individuals, families or even communities ((Mason et al., 2016).

Both advocates and lobbyist are important because as I said earlier, they both help others, they are the voice to the voiceless, they are there to help the people get what they need in their community and themselves. Nurses are advocates to their patients, at my work place my nurse manager mostly fill forms that shows how much some patients needs help paying for their care and stay in our facility and also, we nurse passed on patients concerns to the physicians.

Just like Fraser, 2019 said, the funds that was given to the public health was going to be used for other things like renovations but then, advocates helped the government used the funds approved in preventing diseases and lower the cost of doing that. This kind of advocacy will help not only individuals but the community at large. The organization that I chose is an advocate to the helpless and this organization is World Health Organization (WHO) because the help the needy around the world.

We all need help and it is good that most people are there to use their power and influences to help others. Without advocacy and lobbyist most of our needs may never be met, so it is good we have these men and women in our lives.

Reference

Mason, D. J., Gardner, D. B., Outlaw, F. H., & O’Grady, E. T. (2016). Policy & politics in nursing and health care (7th ed.). St. Louis, MO: Elsevier.

Fraser, M. R. (2019). A brief history of the prevention and public health fund: implications for public health advocates. American Journal of Public Health, 109(4), 572–577. doi-10.2105/AJPH.2018.304926

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

In this unit, you will discuss two (2) healthcare issues facing healthcare administrators. In a 2- page summary, you will identify the bioethical and political issues and discuss how you would effectively and ethically handle the situations. You must address both of the following scenarios.

Scenario 1: You are the healthcare administrator of a nursing home. You are informed by your Admissions Director that a new memory-impaired resident has been admitted into your longterm care unit. The staff is concerned about the involvement of family with your resident. Family members from out-of-town arrived and expressed concern about your resident’s do not resuscitate (DNR) orders which were authorized by the Power of Attorney of another family member. A quarrel erupts in the nursing home with family members voicing their opinions loudly. You arrive on the scene and are immediately told by the visiting family member, “Do you know who I am? I am a supervisor for the Department of Health and Human Services and will not hesitate to have your facility surveyed for noncompliance.” What do you do?

Scenario 2: You are the administrator of a for-profit healthcare clinic. The receptionist notifies you that a 15-year-old has arrived needing prenatal care and does not want her parents to know about her pregnancy. She is covered by her parent’s insurance and does not have enough money to privately pay for the visit. What do you do? Submitting your work: Submit you

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Movie Analysis

After viewing the movie write a three page report using the criteria listed below:

Did the characters accurately exhibit the mental health disorders categorized by the list?

Give specific examples to explain(20 points)

What societal /cultural attitudes are reflected about mental illness?(20 points)

How did you react to the characters? (15points)

Nursing Diagnosis

State 3 NANDA diagnosis and psychiatric nursing care you would provide to the main character (25 points)

How could the film be used to help patients, families, and mutidisciplinary staff understand mental illness/treatment? ( 15 pts)

1.Title page is correct

2.page numbering is accurate

3 page header is appropriate Total( 5 pts)

4 Citation of references in text is correct

Direct quotes

paraphrasing

5.Reference list citations are included in text

6.Use professional vocabulary

7.Use correct grammar, spelling, punctuation and capitalization

Maintain economy of expression.

The movies are

1.Out of darkness

2.Rain Man

3.A beautiful mind

4.The note book

5.The karen carpenter story

Each movie should be 2 pages plus the reference page ,

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"