PART 1

Module 02 Course Project – Select Topic { POLYPHAMACY}

Course Competency:

• Analyze the increased complexity of care among older adults.

Your supervisor needs to make sure that each of the in-service topics will be covered by someone, so she is asking the staff to communicate their topic preference. Below is the list of problems your supervisor wants the nursing staff to be able to teach older adult clients (and/or their family members) about.

In-service Topic Options:

• Depression
• Dementia
• Polypharmacy

Your supervisor has asked you to submit a 1-page proposal, written using proper spelling, grammar, and APA, which addresses the following:

1. Identify the client problem your in-service will address.
2. Describe at least 5 consequences of the client problem as it relates to the health, safety, and well-being of older adults.
3. Explain your rationale for choosing the client problem you selected.

PART 2

Module 03 Discussion – What Would You Do?

Consider the scenario below, then follow the instructions underneath it to complete the discussion. If appropriate, support your position with credible resources/examples/evidence and provide APA references.

Mr. D

Mr. D is a 90-year-old man who was admitted to the hospital with complaints of nausea, vomiting, left arm pain, and chest pain. An electrocardiogram (ECG) is performed, and he is diagnosed as having a myocardial infarction.

Mr. D has a long history of comorbidities including hypertension, diabetes, and congestive heart failure (CHF). With this in mind, the physician asks Mr. D if he wants life-sustaining measures taken (e.g., CPR, mechanical ventilation, etc.) should he experience cardiopulmonary arrest.

Mr. D tells the physician that he wants all measures taken to save his life.

Imagine that you are the nurse assigned to provide care to Mr. D, and address the following:

1.Considering Mr. D’s advanced age, what are the benefits/risks associated with providing life-sustaining measures?

2.What factors should you consider based on the Mr. D’s age and health history?

3.If Mr. D were your family member, how would you respond to his decision?

PART 4

Module 04 Course Project – Annotated Bibliography{ polypharmacy]

Course Competency:

Compare the care models for nursing practice specific to the older adult.

Transferable Skill:

Information Literacy: Discovering information reflectively, understanding how information is produced and valued, and using information to create new knowledge and participate ethically in communities of learning.

Your nursing supervisor likes the topic you chose for the in-service presentation and wants you to start researching! To make sure you get the project on the right track, your supervisor has asked you to do the following:

1. Using the Rasmussen Library, identify at least 2 resources pertaining to your topic..

2.Prepare an annotated bibliography for the resources you identified. Each entry will include:

a. the full APA formatted reference

b. an annotation consisting of the following elements:

2 to 4 sentences to summarize the main idea(s) of the source

1 or 2 sentences to assess and evaluate the source

1 or 2 sentences to reflect on the source

PART 5

Module 05 Assignment – Case Study Concept Map and Plan of Care

Course Competency: attached the work sheet.

Design plans for care specific to the older adult.

Consider the scenario below, then follow the instructions underneath it to complete the assignment.

Mrs. Y

Mrs. Y is an 84-year-old client who was recently discharged from the hospital for an infected diabetic ulcer on her left leg. During her hospitalization, Mrs. Y required intravenous antibiotic therapy through a peripherally inserted central catheter (PICC) line.

Due to Mrs. Y’s long history of diabetes, her physician ordered that intravenous antibiotic therapy be continued at home. Subsequently, home health services were initiated, a home health nurse was assigned to Mrs. Y’s case, and an initial home visit was scheduled.

The home health nurse arrives at Mrs. Y’s home and introduces herself to the client and the family. The nurse explains the home nursing services that will be provided, including the PICC line and intravenous antibiotic therapy treatments.

During the initial home visit, the nurse assessed the physiological, psychological, functional, and safety needs of the client. The nurse’s findings were as follows:

A. Mrs. Y lives alone; however, her daughter checks on her frequently throughout the day.

B. The client is noted to have moderate functional issues and ambulates with a cane.

C. The client has several throw rugs in the main walking quarters and minimal lighting throughout the hallways.

D. Mrs. Y states “I used to get around my house with ease, but now I get a little tired and have to sit down and rest frequently.”

Consider Mrs. Y’s current health status and functional decline, then address the following:

Download the Concept Map and Plan of Care worksheet below. An example is also provided for your reference.

File: Concept Map and Plan of Care worksheet

File: Concept Map and Plan of Care example

Identify three (3) priority nursing diagnoses for Mrs. Y. Consider using the resource below to assist you.

eBook: Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care – Chapter 5 Nursing Diagnoses in Alphabetical Order

Create a visual representation of the three (3) priority nursing diagnoses by incorporating them into the Concept Map (template in the worksheet). Be sure each nursing diagnosis includes the following elements:

“related to (r/t)” — description of the client’s problem

“as evidenced by” — description of the client’s symptoms

Complete the Nursing Plan of Care (table in the worksheet) describing what should be implemented for Mrs. Y.

Goals: Establish at least one (1) goal for each of the nursing diagnoses you identified (for a total of 3 goals). Goals should be: patient specific, measurable, actionable, realistic, and time limited.

Nursing Interventions: Describe at least three (3) nursing interventions for each of the goals (for a total of 9 nursing interventions). Each intervention should be in alignment with the goal it is supporting.

Complete the assignment using proper spelling, grammar, and APA.

PART 6

Module 06 Discussion – What Would You Do?

Consider the scenario below, then follow the instructions underneath it to complete the discussion. If appropriate, support your position with credible resources/examples/evidence and provide APA references.

Mr. B

Mr. B, a 70-year-old male client, presented to his primary care physician with complaints of blurred vision and headaches over the last two months. On several visits, Mr. B’s blood pressure was found to be elevated, so the physician started him on hydrochlorothiazide 25 mg by mouth daily. One month later, Mr. B began to have chest pains and shortness of breath, so his primary care provider referred Mr. B to a cardiologist for further evaluation.

The cardiologist ordered an echocardiogram and stress test which revealed heart enlargement and a reduced ejection fraction (volume of blood pumped out of the heart per minute). As a result, the cardiologist started Mr. B on a beta-blocker (metoprolol 25 mg by mouth daily).

A few days after taking the new medication (in addition to the hydrochlorothiazide ordered by the primary physician), Mr. B suffered a fall at home. Upon arrival at the emergency room, Mr. B’s blood pressure was 80/50. The emergency room physician suspected the cause of Mr. B’s fall was hypotension secondary to the medications he was taking. The ER physician recommended that Mr. B follow up with his primary care physician and cardiologist, but hold the medication until seen by them.

As recommended, Mr. B visits his primary care physician for a follow-up. During the visit, Mr. B’s blood pressure is found to be elevated (160/90), so his physician tells Mr. B to restart taking his blood pressure medication.

Imagine that you are the nurse attending to Mr. B and that he indicates that he’s afraid to restart the medication because of his recent fall.

1.What considerations/actions should the nurse make regarding the client’s refusal to restart his blood pressure medication?

2.What considerations/actions would have helped the healthcare team to prevent the client’s fall?

PART 7

Module 08 Course Project – Presentation Outline

Course Competency: [POLPHARAMACY]

Identify local, state, and national resources which facilitate safe and effective transitions of care for older adults.

Your supervisor at Rasmussen Home Health Services is satisfied with the resources described in your annotated bibliography and is eager for you to continue your work. As a next step, your supervisor wants you to develop and share the following items with them.

Write an introduction about your in-service presentation topic.

Create an outline that identifies and describes the important content areas for your in-service presentation topic.

Write a conclusion.

Provide an APA formatted References list that contains at least 2 credible references that you intend to cite in your presentation

PART 8

Module 09 Discussion – Effects of Ageism

Due to the increasing percentage of older adult clients in the U.S., it is imperative that healthcare providers assess and confront their own attitudes and perceptions toward older adults.

In your initial post, address the following:

a. Describe ageism and its impact on societal views of older adult clients.

b. Explain how ageism can influence the healthcare provisions of older adult clients.

c. As a healthcare provider, how can one best assess and confront attitudes, perceptions, behaviors, and biases toward older adults?

PART 9

Module 10 Course Project – PowerPoint Presentation Due

Course Competencies:[POLYPHARMACY’

Incorporate professional values, attitudes, and expectations regarding ageism when caring for the older adult.

Outline the importance of advocating for older adults in management of their care.

Your supervisor provided some valuable feedback in response to your outline! They are excited to see the PowerPoint slideshow you are creating for your topic’s in-service training. Having developed a number of presentations for in-services, your supervisor offered the following advice:

“When developing a slideshow, it’s important to be mindful of how you layout your content. For an in-service presentation, the slides should present key points, be arranged logically, without extraneous information contributing to a cluttered look. The audience should get a lot of the content from listening to what you say, not just from reading the slides. Using the Speaker Notes feature in PowerPoint is a great way to include relevant details that you want to provide without overloading the slides.”

Your supervisor wants you to work from your outline and prepare a visually appealing PowerPoint slideshow for the in-service presentation. They said it should:

1.Have a title slide.

2.Contain 6-10 content slides pertaining to the important content areas for your presentation topic.

3.Use the Speaker Notes feature in PowerPoint to reduce the amount of text that appears on the slides. (The Speaker Notes will contain the text that will guide what you say while presenting the slides.)

4.Be written using proper spelling/grammar.

5. Cite at least 2 credible references and present the sources in APA format on a References slide.

PART 10

Module 11 Assignment – Reflect on Your Development

Purpose of Assignment:

It is important for nurses to reflect on experiences and new knowledge gained in order to promote professional growth.

Course Competencies:

A. Analyze the increased complexity of care among older adults.

B. Compare care models for nursing practice specific to the older adult.

C. Design plans for care specific to the older adult.

D. Identify local, state, and national resources which facilitate safe and effective transitions of care for older adults.

E. Incorporate professional values, attitudes, and expectations regarding ageism when caring for the older adult.

F. Outline the importance of advocating for older adults in management of their care.

Transferable Skill:

Information Literacy: Discovering information reflectively, understanding how information is produced and valued, and using information to create new knowledge and participate ethically in communities of learning.

Instructions:

Reflect on your development as a nursing professional and address the following in a 1-2 page paper:

A. Describe how you achieved each of the course competencies and the transferable skill.

B. Provide at least one example of new knowledge gained related to each competency and explain how this new knowledge will impact your nursing practice.

You ca use this resources ,if you can

Doenges, M. E., Moorhouse, M. F., & Murr, A. C. (2019). Nursing care plans: Guidelines for individualizing client care across the life span (10th ed.). Philadelphia, PA: F.A. Davis.

Doenges, M., Moorhouse, M. F., & Murr, A. C. (2019). Nursing diagnosis manual: Planning, individualizing, and documenting client care (6th ed.). Philadelphia, PA: F.A. Davis.

Silvestri, L.A. & Silvestri, A.E. (2020). Saunders comprehensive review for the NCLEX-RN Examination® (8th ed.). Elsevier.

Vallerand, A. H., Sanoski, C. A., & Quiring, C. (2019). Davis’s drug guide for nurses (16th ed.). Philadelphia, PA: F.A. Davis.

Van Leeuwen, A. M., & Bladh, M. L. (2019). Davis’s comprehensive manual of laboratory and diagnostic tests with nursing implications (8th ed.). Philadelphia, PA: F.A. Davi