How flexible is the schedule for receiving help with personal care?

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Research the different nursing care facilities in your community. Discuss the pros and cons of the facility in terms of what they offer. Provide a brief report with the following questions:
• What is the basic rate for room, board, and services (it’s a good idea to get this information in writing)?
• What services are covered by this rate?
• Are there other services available and how much do they cost?
• What are the payment policies?
• What is the refund policy if someone leaves before the end of a month?
• What is the policy for rate increases?
• How long has the current administration been in place?
• Is there enough staff available to meet my needs?
• Is there frequent staff turnover?
• Is some level of nursing care provided (RN, LPN, Nursing
• Assistant)? How often is it available?
• Who will help me with medications if I need it (e.g. reminding me to take them, opening the bottle)?
• Can someone administer medications to me if I can’t take them myself (e.g. applying medication to my skin, putting a pill in my mouth)?
• Can someone help me if I need special care (e.g. caring for a wound)?
• What happens if I have an emergency? Can I get help right away?
• Are staffs suitably dressed, personable, and outgoing?
• Do the staff members treat residents with respect and dignity?
• Do staff members treat each other in a professional manner?
• What language does most of the staff speak?
• What type of help with personal care is available (e.g. bathing, dressing)?
• How flexible is the schedule for receiving help with personal care?
• What, if any, transportation services are available? (e.g. medical appointments, shopping, religious services).
• Will staff arrange for activities (e.g. hair appointment, concert)?
• How does the home support and accommodate personal hobbies?
• Are there regularly planned activities that I will enjoy?
• Will I be able to attend religious services of my choice?
• Can I bring my pet with me when I move?
• When can I have visitors?
• Are there shops, a library, a park, or other amenities within walking distance?
• Is the home close to activities I enjoy?
• Is the home on a bus line?
• Is there an outside area to sit, walk, or garden?
• Are there shops, a library, a park, or other amenities within walking distance?
• Is the home close to activities I enjoy?
• Is the home on a bus line?
• Is there an outside area to sit, walk, or garden?
• Is the floor plan easy to follow?
• Are doorways, hallways, and rooms accommodating to wheelchairs and walkers?
• Are there hand rails to help with walking and in the bathroom?
• Are cupboards and shelves easy to reach?
• Are there nonskid floors and firm carpets to assist walking?
• Does the home have good natural and artificial lighting?
• Is the home clean, free of odors, and well heated and cooled?
• Does the home meet my standards of cleanliness?
• Is the home free from obvious environmental hazards?
• Are the home’s rooms clean, safe, and adequate for my needs?
• Will I have free use of common areas, such as the kitchen, activity rooms, toilet facilities, dining room, or grounds?
• Can I smoke in my room or in common areas?
• What furniture is provided?
• Can I bring along some of my furniture or other personal items?
• Can I adjust the temperature of my room?
• Is there a sit-down shower?
• Can I have my own personal phone line or internet connection?
• Are emergency procedures clearly posted?
• Am I able to lock my room and/or are there locked areas in each room for personal valuables?
• Is the food pleasing, nutritious, adequate, and attractively served?
• What if I don’t like what is being served?
• Can I cook in my room?
• Are snacks available?
• Are there specific meal times or are they flexible?
• Is there a refrigerator available to store my personal food?
• Will the home meet my dietary or cultural food preferences?
• Can I request special foods?
• Do other residents socialize with each other and appear happy and comfortable?
• Do residents speak favorably of the facility?
• Do the residents look like people I want to live with?
• How are room changes and roommate concerns addressed?
• Is there a resident group that meets?
• Do any of the other residents have a history of violent or other problem behaviors? How are these situations handled by staff?

Is this a beneficial molecule to consume?

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Consider reviewing the information about proteins, carbohydrates and fats in the OLI modules.
Pick a type of food that you enjoy. Before you start researching, state a hypothesis about the nutritional content of this food. Remember a hypothesis is an educated guess (and may be wrong), and a good hypothesis is specific.
Then summarize what you learned from your research. Include an image of at least one molecule found in this food and briefly describe that molecule in terms of the atoms it is made of and potentially the chemical bonds that keep the atoms together. Is this a beneficial molecule to consume? Explain why. Did your research support your hypothesis?

Discuss the problems in relation to the Healthy People 2020 goals.

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APPLICATION OF COMMUNITY HEALTH & POPULATION-FOCUSED NURSING
Competency 7019.1.1: Epidemiology The graduate applies principles of epidemiology to the assessment of the healthcare needs of communities.
Competency 7019.1.5: Environmental Health The graduate assesses the impact of the environment on the health of the community.
Competency 7019.1.8: Cultural Competency The graduate analyzes social and cultural factors that affect the care of diverse populations.
Introduction:
More emphasis is being placed on healthier communities as changes are occurring in the fields of healthcare financing policy and focus. One of the primary roles of a community health nurse is to assess the community or population in order to determine its health status in relation to its assets and needs.
Requirements:
A. Identify an appropriate community for which there is published data available (county state or national data) that will support the diagnosis.
B. Assess the health needs and risks of the identified community by utilizing the following tools:
Note: The collection of this data should include a variety of data sources such as focus groups with older adults and/or youth epidemiological data from the health department or department of vital statistics investigations of community resources from stakeholders or faith-based organizations and/or surveys. You do not have to answer every question listed in the assessment tools. Each of these tools can be found either in the web links section or as an attachment to this task.
Population Economic Status Assessment
Neighborhood/Community Safety Inventory
Cultural Assessment Tool
Disaster Assessment and Planning Guide
Windshield Survey
Population Health Scavenger Hunt
Note: The name of each of the six tools should be identified in the needs assessment summary along with a brief summary of how each of the six tools was used in the needs assessment.
1. Interpret the collected data using concepts of epidemiology and health determinants (e.g. birth rate death rate rates of disease morbidity).
C. Formulate an appropriate community diagnosis for the selected community by doing the following (suggested length of 46 pages):
1. Identify the top three problems for the selected community based on the Healthy People 2020 goals.
a. Discuss the problems in relation to the Healthy People 2020 goals.
2. Select one of the problems identified in part C1 that you would like to investigate further and do the following:
a. Discuss community resources (e.g. Public Health Department American Red Cross American Heart) that are available to address this problem.
3. Formulate a primary prevention topic based on the problem you identified in part C2.
Note: See the attached Approved Topic List for guidance in formulating your topic.
D. Include all in-text citations and references in APA format.
Note: For definitions of terms commonly used in the rubric see the Rubric Terms web link included in the Evaluation Procedures section.
Note: When using sources to support ideas and elements in an assessment the submission MUST include APA formatted in-text citations with a corresponding reference list for any direct quotes or paraphrasing. It is not necessary to list sources that were consulted if they have not been quoted or paraphrased in the text of the assessment.
Note: No more than a combined total of 30% of a submission can be directly quoted or closely paraphrased from outside sources even if cited correctly. For tips on using APA style please refer to the APA Handout web link included in the APA Guidelines section.
File Attachments:
1. Population Health Scavenger Hunt link opens in new window
2. Windshield Survey link opens in new window
Web Links:
1. Approved Topic List link opens in new window
2. Cultural Assessment Tool link opens in new window
3. Disaster Assessment and Planning Guide link opens in new window
4. Healthy People 2020 link opens in new window
5. Neighborhood/Community Safety Inventory link opens in new window
6. Population Economic Status Assessment link opens in new window
Click to Show/Hide Method
Evaluation Method

discuss the assessment of Mr Drew including neurological sensory and motor assessment

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Length: 1500 words
Task: Mr Patrick Drew is a 74-year-old man (UR number 452342). He was referred by his GP to the neurology team for investigation and management of his Parkinsons disease dysphagia and falls. On assessment he demonstrated bradykinesia gaze limitations (in all directions) a persistent unilateral tremor in his right arm and a shuffling gait (with limited arm swing). His limb rigidity is lead pipe rigidity but he also has cogwheel rigidity in his wrists. His wife Betty described an increasing frequency in coughing and choking during the meals. His lung fields are clear and there is currently no indication of aspiration pneumonia. Mr Drew has right sided facial bruising including a large periorbital haematoma where he fell and hit his head earlier in the week. A CT scan ruled out head injury and the event was classified as unremarkable. His frequency of falls has also increased in the last few months.
Mr Drew takes Sinemet (a combination of levodopa and carbidopa) and amantadine. Mr Drews problem is related to a deficit of dopamine within the brain. Neither of these drugs is dopamine.
Temp 36.7 C HR 64 RR 14 BP 140/82 SpO2 97% RA.
Structure and presentation:
This assignment is a piece of academic writing and needs to be structured as such with an introduction and conclusion. You may use sub-headings as needed. It is a requirement of this assignment that 12 or more current relevant policies practice guidelines academic literature and peer reviewed evidenced based sources (other than the prescribed texts) are referred to in your work.
APA Referencing
Excellent use of APA format inclusive of citations and references.
QUESTIONS
1. Outline the incidence/ prevalence and main causes of Parkinsons disease in Australia compare this your findings with another country of your choice. (4 marks)
2. Critically discuss the assessment of Mr Drew including neurological sensory and motor assessment (8 marks).
3. What interventions does Mr Drew require?
4. Critically discuss the implications to nursing and interprofessional practice when caring for people diagnosed with the varying stages of the condition.
5. In your presentation consider the signs and symptoms interventions and rational. This may be presented in table format however please ensure you integrate current evidence-based literature to support this discussion (8 marks).