NR601 Week 6 iHuman Reflection Ella West

NR601 Week 6 iHuman Reflection Ella West – Step-by-Step Guide

The first step before starting to write the NR601 Week 6 iHuman Reflection Ella West is to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment. 

It is also important to identify the paper’s audience and purpose, as this will help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, review its use, including writing citations and referencing the resources used. You should also review the formatting requirements for the title page and headings in the paper, as outlined by Chamberlain University.

How to Research and Prepare for NR601 Week 6 iHuman Reflection Ella West

The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify a list of keywords related to your topic using various combinations. The first step is to visit the Chamberlain University library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from the Chamberlain University Library, PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last 5 years and go through each to check for credibility. Ensure that you obtain the references in the required format, such as APA, so that you can save time when creating the final reference list. 

You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next, create a detailed outline of the paper to help you develop headings and subheadings for the content. Ensure that you plan what point will go into each paragraph.

How to Write the Introduction for NR601 Week 6 iHuman Reflection Ella West

The introduction of the paper is the most crucial part, as it helps provide the context of your work and determines whether the reader will be interested in reading through to the end. Begin with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.

How to Write the Body for NR601 Week 6 iHuman Reflection Ella West

The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence collected from the research, and ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance, as well as how it relates to the thesis statement. You should maintain a logical flow between paragraphs by using transition words and a flow of ideas.

How to Write the In-text Citations for NR601 Week 6 iHuman Reflection Ella West

In-text citations help readers give credit to the authors of the references they have used in their work. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:

“The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Morelli et al. (2024), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Alawiye (2024) highlights that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.”

How to Write the Conclusion for NR601 Week 6 iHuman Reflection Ella West

When writing the conclusion of the paper, start by restating your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper by restating them. Discuss the implications of your findings and your arguments. Conclude with a call to action that leaves a lasting impression on the reader or offers recommendations.

How to Format the Reference List for NR601 Week 6 iHuman Reflection Ella West

The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded. The references should be organized in an ascending order alphabetically, and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication. 

Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:

References

Morelli, S., Daniele, C., D’Avenio, G., Grigioni, M., & Giansanti, D. (2024). Optimizing telehealth: Leveraging Key Performance Indicators for enhanced telehealth and digital healthcare outcomes (Telemechron Study). Healthcare, 12(13), 1319. https://doi.org/10.3390/healthcare12131319

Alawiye, T. (2024). The impact of digital technology on healthcare delivery and patient outcomes. E-Health Telecommunication Systems and Networks, 13, 13-22. 10.4236/etsn.2024.132002.

NR601 Week 6 iHuman Reflection Ella West Instructions

·  Reflection: Address the following questions:  

1. Caring for clients with memory loss can be challenging for caregivers and for providers. What ethical challenges might the provider face and what resources are available to ensure appropriate, ethically sound care for this client and her family? Have a look at NR601 Week 6 Discussion: Functional Health.

DX: Alzheimer’s with agitation/// middle stage issues (money mgt, agitation, sundowning, crying in the evening)

2. Include the following components:
   1. Write 150-300 words in a Microsoft Word document.  
   2. Demonstrate clinical judgment appropriate to the virtual patient scenario.
   3. Cite at least one relevant scholarly source as defined by program expectations (scholarly of < 5 years.)
   4. Communicate without errors in English grammar, spelling, syntax, and punctuation.

NR601 Week 6 iHuman Reflection Ella West Example

Ethical Considerations and Comprehensive Care for Elderly Patients with Alzheimer’s

Ella West, a 79-year-old woman presenting with confusion and memory loss, has been diagnosed with Alzheimer’s disease at a middle stage.

Ethical Challenges

1. Autonomy and Decision-Making

The diminishing cognitive abilities of individuals like Ella West pose significant challenges to the preservation of autonomy and decision-making capacity. As Alzheimer’s disease progresses, patients often face difficulties in comprehending and making informed choices about their medical care and personal affairs. Advance directives are legal documents that allow individuals to express their preferences for medical treatment in advance, particularly when they are no longer able to make decisions independently. For Ella, the creation and documentation of advance directives becomes crucial in providing guidance to healthcare providers and family members regarding her preferences for medical interventions, end-of-life care, and other relevant matters.

Considering the progressive nature of Alzheimer’s disease, providers should encourage Ella to appoint a durable power of attorney for healthcare and financial decisions. However, ethical considerations must be taken into account when implementing advance directives and durable powers of attorney (Sun et al., 2021). The provider must engage in open and transparent discussions with Ella and her family, explaining the implications of these legal instruments and respecting Ella’s autonomy throughout the decision-making process. Moreover, periodic reviews and updates of these documents are essential to reflect any changes in Ella’s preferences or life circumstances.

2. Quality of Life

Ensuring the quality of life for Ella West, who is grappling with Alzheimer’s disease, requires a delicate balance between maintaining well-being and addressing safety concerns. Ethical considerations arise prominently when managing behavioral disturbances, such as agitation, and deciding on interventions, particularly the use of antipsychotic medications. Preserving Ella’s quality of life involves acknowledging her individual preferences, values, and personal history. It requires healthcare providers to consider not only the medical aspects of her condition but also the psychosocial dimensions that contribute to her overall well-being.  

Alzheimer’s patients, especially in the middle stages of the disease, may exhibit behavioral disturbances that pose challenges for both the individual and those providing care. Addressing agitation, aggression, or psychosis becomes imperative, and antipsychotic medications are often considered as a potential intervention. However, the use of antipsychotic medications in elderly individuals with dementia raises ethical concerns due to potential side effects, including sedation, increased risk of falls, and cognitive decline. Moreover, regulatory bodies emphasize the need for caution, given the increased susceptibility of older adults to these side effects. The ethical dilemma lies in finding the right balance between addressing challenging behaviors and minimizing potential harm to the patient.

Healthcare providers must adhere to ethical principles such as beneficence and non-maleficence when deciding on interventions. In the case of Ella, a thorough assessment of the risks and benefits of antipsychotic medications is essential. Providers should explore alternative non-pharmacological interventions, such as behavioral therapies, environmental modifications, or engaging activities, before resorting to medication.

Open communication with Ella and her family is paramount in the decision-making process. Informed consent, including a comprehensive discussion of potential side effects and expected outcomes, ensures that Ella’s autonomy and preferences are respected (Sun et al., 2021).

3. Driving Privileges

 Revoking Ella’s driving privileges on medical grounds is ethically necessary for the safety of both Ella and the community. Communicating this decision sensitively to maintain her dignity and understanding family dynamics is vital.

4. Informed Consent

   The pharmacologic management of Alzheimer’s disease involves discussing risks and benefits with Ella’s family. Ethical considerations include obtaining informed consent for medications, such as cholinesterase inhibitors and NMDA-receptor antagonists, while considering the patient’s stage of disease and behavioral features.

Resources for Ethical Care

Advance Care Planning

Encouraging discussions about advance directives and durable powers of attorney for healthcare and financial matters is a crucial component of Ella West’s comprehensive care plan. As Alzheimer’s disease progresses, Ella’s ability to make decisions may decline, making it imperative to ensure her wishes are documented and legally binding. By initiating these conversations, healthcare providers facilitate an open dialogue about Ella’s values, preferences, and end-of-life care, ensuring her autonomy is respected even as cognitive abilities diminish (Culberson et al., 2023).

Patient and Family Support

Assessing Ella’s family’s psychosocial and financial capabilities is essential to provide appropriate support. Alzheimer’s places a significant burden on caregivers, both emotionally and financially. Identifying community-based programs for enrichment activities not only enhances Ella’s quality of life but also creates a supportive environment for her family (Culberson et al., 2023). Acknowledging and addressing the challenges caregivers face is vital in maintaining their well-being and ensuring sustained quality care for Ella.

Communication

Maintaining open communication with Ella’s family is paramount in the comprehensive care plan. This involves addressing concerns, explaining the rationale behind decisions, and providing ongoing support. Careful consideration of the emotional challenges caregivers face is essential (Culberson et al., 2023). Healthcare providers should be sensitive to the impact of Alzheimer’s on both the patient and their family, fostering a collaborative and compassionate approach to care.

References

Culberson, J. W., Kopel, J., Sehar, U., & Reddy, P. H. (2023). Urgent needs of caregiving in ageing populations with Alzheimer’s disease and other chronic conditions: Support our loved ones. Ageing Research Reviews, 90(102001), 102001. https://doi.org/10.1016/j.arr.2023.102001

Sun, W., Matsuoka, T., & Narumoto, J. (2021). Decision-making support for people with Alzheimer’s disease: A narrative review. Frontiers in Psychology, 12. https://doi.org/10.3389/fpsyg.2021.750803