Please write a paragraph with your opinion based on the text bellow. Please include citations and references in case you need to used for the question.

Vulnerable population is defined as ‘a group or groups that are more likely to develop health-related problems, have more difficulty accessing health care to address those health problems, and are more likely to experience a poor outcome or shorter life span because of those health conditions (Maurer, pg 528). Populations that may be more vulnerable to health risks include “the poor, the homeless, the disabled, the severely mentally ill, the very young, and the very old” (Maurer, pg 528). However, not all populations who are “at-risk” for certain health problems are considered vulnerable. Picture an elderly patient who is “at-risk” for falls due to loss of mobility and recent changes in medication regimen. If that patient lives in poverty and doesn’t have the money or health insurance to assist in proper medical care, such as an assisted living or nursing home, that patient will be more vulnerable to falling and is predisposed to further injuries, such as a broken hip.

As a long-term care employee of many years, I do believe that this population can be considered vulnerable in many situations. May of our elderly cannot and do not advocate for themselves for different reasons. Sometimes it is because they simply cannot understand their health care needs and disabilities. Many elderly patients that I have taken care of, had early to end stage Alzheimer’s/Dementia. Some patients couldn’t hear the conversations being had about their care and feel guilty for “bothering” the doctor or nurses to repeat themselves, so the patient can hear and interact. As a charge nurse in the nursing home, I would be involved in care conferences for each patient in the building. This gave me a chance to speak with the patient, their family, physicians, social services and all other services for their care. It was a time to bring up concerns to families and advocate for meal changes, medication changes and whatever else the patient needed to achieve their highest quality of life.

Some ethical issues I’ve ran into in the past are when a patient is still their own decision maker, but their family is trying to be more involved in their care and have different wishes than the patient. Many times, the patient would ask for more comfort measure-based care, whereas the family wanted full medical treatment for their loved one. This can be a very difficult situation for both parties and as the nurse, it was my job to work together with both parties while advocating for the patient and come to a common ground with everyone.

According to Healthy People 2020, in 2014 there were 46.3 million people who were 65 and older, by 2060 they project 98 million people to fall into this same category. Some of the common chronic conditions found in this population include: “Heart disease, cancer, chronic bronchitis or emphysema, stroke, diabetes mellitus, and Alzheimer’s disease (Healthypeople.gov). Many elderly people struggle with 2 or more of these chronic illnesses. Programs have been started to assist the elderly in paying for services to better manage their conditions, such as the Older Americans Act program.

References
Freances A. Maurer, C. M. (2013). Community/Public Health Nursing Practice: Health for Families and Populations(5th ed.). St. Louis, MO: Saunders/Elsevier.

Older Adults . (n.d.). Retrieved from HealthyPeople.gov: www.healthypeople.gov/2020

 

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University of Phoenix Material

Research Topic, Problem, and Question

Complete this worksheet to develop your research focus for this course. To help you better understand the main parts of research, this topic will be the basis for other assignments in the course.

Identify a Research Topic

Grove, Gray, and Polit (2015) define a research topic as “a concept or broad issue that is important to nursing, such as acute pain, chronic pain management, coping with illness, or health promotion” (p. 131).

Define your broad research topic in one to two sentences.

Identify your Research Problem

Grove, Gray, and Polit (2015) explain that a research problem “is an area in which there is a gap in the knowledge needed for nursing practice” (p.131).

Write your research problem and explain the significance and background in a 175- to 260-word narrative.

Develop your Research Question

Research questions should be short, probing, and take variables into account (Grove, Gray & Polit, 2015). Although the PICOS format is not required, your question should address patient, intervention, comparisons, outcomes for practice, and study design.

Develop a one-sentence research question.

HELP!!!😩

** Here is the research topic and question that was already done by my previous studypool tutor. I need help tweaking it, as I received a failing grade on this:

Research Topic

Assessing Strategies to promote emotional health among nurses in emergency and trauma centers.

Research Problem

The nursing profession is filled with numerous stressors that these professional are exposed each and every day. These range from the social, psychological and physical stressors that their line of duty exposes them to each and every single day. As scholars Akbar, Elahi, Mohammadi and Khoshknab (2016) indicate stressors in the workplace have a negative effect on an individual and could adversely affect them as well as their performance. Nurses who work in emergency and trauma centers are no exception and they face the same challenges and stressors that other nurses do. However in comparison they get to see a lot of human suffering and injuries which come with both physical and psychological pain. In order for this group of professional to effectively perform their jobs, they must be able to deal with these stressors and maintain good emotional health. Despite this fact more often than not these professionals fail and it can negatively affect their emotional health. This paper aims to determine the strategies which can be employed to promote good emotional health among them. This is necessary and important because these professional form the largest part of the healthcare profession and contribute immensely towards the healthcare outcome of patients.

Research Question

What strategies can be used to promote good emotional health among nurses in emergency and trauma centers?

 

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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 DQ1

Nursing is constantly evolving with every patient which allows for every nurse to bring their own experiences, beliefs, and values to the nursing practice. In this post I will summarize what wellness within chronic illness means to me, discuss what are some consequences of pain in the older adult, and lastly the age-related changes that affect psychological and cognitive functioning.

People are living longer. Which means many people are expected to have one chronic illness in their lifetime (Morton & Dunn, 2015). I believe wellness within a chronic illness is achieved. One must be able to adapt to this illness. Although some people can view a chronic illness negatively, one needs to make a commitment to keep going forward and not let that illness stop them from enjoying life (Touhy & Jett, 2010).

Pain can affect one’s life physically, psychologically, socially, and spiritually (Alvardo Garcia & Salazar Maya, 2015). Pain can cause sleep disorders, loss of appetite, and even reduce one’s ability to perform activities of daily living. Pain can cause a negative quality of life. As we age, cognitive impairments occur. When one is cognitively impaired they may not be able express pain obviously. Restlessness or withdrawal are a couple signs of pain in an elderly adult (Touhy & Jett, 2010).

Lastly age-related changes can affect ones psychological and cognitive function. As one ages, it is important to make sure vision and hearing tests are being done regularly so these do not cause barriers in everyday life. As I watched the video the Elder Project, Clara is 88 years old and lives alone. Her vision has declined drastically, and it affects her everyday living. She is also experiencing memory issues. She is scared to go out alone because she became lost and couldn’t remember where to go. Although there is no definite answer on why one gets diagnosed with dementia or Alzheimer’s, it is a prevalent age-related disease. Joanna is 81 years old and had been living alone. However, she has been also losing her memory. Joanna is very happy. She does not realize she is losing her memory. She thinks life is great. However, her daughter is facing many challenges. The roles become reversed. She now needs to make sure her mom is taken care of and safe.

In conclusion, aging is inevitable. As nurses we learn from our patients and their age-related changes. Evidence-based practice for elders helps improve access, and the quality of health services available (Morton & Dunn, 2015). Being able to adapt to a chronic illness brings wellness. Pain in the older adult can cause a negative quality of life. And lastly, as one ages, early detection to vision, hearing, or cognitive function has been proven to improve health outcomes.

References

Alvardo Garcia, A. M., & Salazar Maya, A. M. (2015). Adaptation to chronic benign pain in elderly adults. Invest Educ Enferm, 33(1), 138-147.

Morton, S., & Dunn, W. (2015, July 17). Addressing the health needs of an aging America: New opportunities for evidence-based policy solutions. University of Pittsburgh Health Policy Institute. https://doi.org/www.healthpolicyinstitute.pitt.edu…

The Elder Project: Seven Seniors Face the Future. Video

Touhy, T. A., & Jett, K. F. (2010). Gerontological Nursing & Healthy Aging (3rd ed.). St. Louis, MO: Mosby Elsevier.

Peer DQ2

Wellness within chronic illness means to me that even though you’re hurting, or something is amiss, you still have a life to lead. It’s like John and Jack in the nursing home; they know and understand the card that they have been dealt yet they choose to make the best of their situation every day. They try to keep things fun and light and enjoy the time that they still have left by socializing every day, having fun every day, trying to make other people laugh. They were still trying to be the best person that they could be regardless of the current situation that they were in (Colmers, 2010).

Consequences of pain in older adults can be severe. It can limit mobility; you may not want to be doing any kind of activities, pain makes you not want to get out of bed and do anything. Growing up I remember my mom getting together with her friends and going out for coffee every day; they would all meet up in one of the little coffee shops in town. As she got older though, the trips became less frequent and at one point they just stopped. She just hurt so bad it wasn’t worth it to her to try and navigate the stairs, get into the car and the walk to the coffee shop anymore. It would only be for special occasions to go to all that trouble. When the trips with her friends for coffee got to be too much you could see a definite change in her as she was becoming depressed (Molton & Terrill, 2014).

Some of the age-related changes that affect cognitive functioning are- declines in attention span, memory, and language. Many in the geriatric population tend to have a shorter attention span than those in their 20s, 30s, and 40s. Some memories start to fade, depending on what and where it’s located in your brain and what kind of diseases, if any, that can affect those memories. Language is another function that deteriorates over time as we get older; especially those with Dementia. Those patients can be talking, and it makes zero sense and that’s when it is referred to as word salad. It is essentially just a tossing around of words. It is almost like that of a younger child and even as it progresses it can be reminiscent of an infant where there’s no attention span, cannot make new memories to recall and cannot speak.

I found it interesting that as we age and get much older we can remember how to play an instrument that we learned when we were younger, or how to ride a bike; these memories are noted as procedural. However, we cannot remember to take our medications after breakfast or after dinner; this is noted as a prospective memory (Murman, 2015).

References

Colmers, E. (2010, 2010). The Elders Project [Video file]. Retrieved from http://ohio.kanopystreaming.com/video/elder-projec…

Molton, I. R., & Terrill, A. L. (2014, February-March). Overview of Persistent Pain in Older Adults. American Psychological Association, 69, No. 2, 197-207. https://doi.org/10.1037/a0035794

Murman, D. L. (2015, August). The Impact of Age on Cognition. Seminars in Hearing, 36, No. 3, 111-121. https://doi.org/10.1055/s-0035-1555115

 

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Assignment 2: Part 2 – Case Study: Basic Cardiac Life Support

As a nurse educator, you are responsible for preparing a clinically-proficient and culturally-competent nursing workforce through nursing education. In addition, you are expected to promote excellence in patient care and safe patient outcomes through patient education.

Motivating learners is the key to achieving learning outcomes. The motivational strategies that you use will help determine the successes or failures of the learning experience. Both intrinsic and extrinsic motivation can foster active learning and develop professional expertise in your learners. However, it is important to strike a balance between both approaches.

In the scenario below, you will use emerging technologies to keep learners engaged and interested. Using technology in classrooms, clinics, or community education centers can be an efficient and effective alternative to conventional learning.

You will create an 8-page paper (excluding title page, references, and Appendices) addressing the following items looking through the lens of the Staff Development Educator, the Community Health-Based Educator, or the Academic Nurse Educator (choose only one educator perspective through which to view the scenario).

Scenario: Basic Cardiac Life Support

You are working for a facility that has just purchased a $60,000 simulation mannequin. As you read the instructions, you find out that the modules you need to teach basic cardiac life support (BCLS) were not included in the simulator purchase. You find that the simulator cannot be used to its fullest potential because the interactive EKG and AED modules have not been purchased. You learn from the director of nursing education that there was not enough money in the budget to purchase the entire package. You are told that you must “make do” with what has been purchased to teach a class of 30 leaners of varying ages and diverse backgrounds.

1. Explain how will you deal with motivational issues in this diverse learning group.
2. How will you discover intrinsic motivating factors to help the various members of your audience learn the material that you plan to present?
3. Determine what possible issues related to resistant learners may you encounter.
4. Assess how will you manage the resistant learner.
5. What are the possible programs on BCLS support that you can design using this simulation mannequin, despite the limitations imposed on you?
6. Outline the advantages of using this simulation package to teach BCLS.
7. Determine the limitations of using a simulation mannequin, which does not have an interactive EKG and AED modules, to teach BCLS.
8. Plan how can you overcome these limitations.
9. Construct a method to evaluate your learners with a percentage to pass.

Submit this assignment to the W2:             

Assignment 2 Grading Criteria	Maximum Points
Identified strategies to manage motivational issues specific to the target audience.	25
Described methods to assess intrinsic motivational factors of the target audience.	20
Identified potential challenges related to the resistant learner.	25
Described ways to manage the resistant learner.	25
Identified and discussed various ways that the BCLS program can be taught within the limited technology of the simulation mannequin.	25
Identified methods that can handle the limitations of the simulation mannequin and provided ways it can enhance the learning experience.	25
Identified strategies to manage further unforeseen technology failures in the learning environment.	20
Successfully evaluated the learners at the end of the class using the designed method and percentage to pass.	25
Followed APA guidelines for writing style, spelling and grammar, and citation of sources.	10
Total:

 

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