Part 1scenario Familyan 83 Year Old Woman Is Recovering From Pneum ✓ Solved

PART 1 Scenario: Family An 83, year old woman is recovering from pneumonia. She has Alzheimer’s disease and has become increasingly hostile and unmanageable in the home setting. Her 65, year old daughter is distraught about the idea of placing her mother in a long-term care facility but feels she is not able to care for her. Directions: Part 1: • The original post must be at least 300 words in length • What is your role as a nurse in this situation? • How might you help the daughter with her decision? • What information would you give the daughter? PART 2 Scenario: Family A 78, year old man is a retired banker whose wife died several years ago.

He is able to perform all ADLs but needs help with meal preparation and transportation. He lives in a deteriorating neighborhood and no longer feels safe. He does not want to live with family members or completely give up his independence. Directions: Part 12 question • The original post must be at least 300 words in length • What housing options would be appropriate for him? Why? • What advantages would such housing options offer over living alone?

MULTY TRACK DIPLOMACY FINAL PROJECT 1. Which conflict I would like to deal with in my final project? The paper will deal with the civil war between the Hutu and the Tutsi in Rwanda. The title of my project is: Peace building and co-existence between Hutus and Tutsis 2. Who are the main actors in the conflict?

What are their perception of each other? - The main actors in the conflict are: I. The majority group of Hutus II. The minority group of Tutsis 3.What are the key issues of the conflict? · Social-political · Economy · Environmental factors · Cultural 4.Which of them my project is going to deal with? I want to deal in my project with the Social-political 5.What are the interests of the sides regarding the chosen issues? The interest of the Tutsis and the Hutus is to live together in harmony in the same land.

They want to prioritize the coexistence. They want to continue sharing their culture. 6.Why my project is necessary/important? Answering this question, formulate the goal of your project. The last decade of the 20th century was the most turbulent Rwanda has ever experienced in its history.

The country was ravaged by civil war, genocide, mass migration, economic crisis, diseases, return of refugees and environmental destruction. Rwandan families were affected and are still dealing with impacts such as death, disease, disability, poverty, loss of dignity and rather need coexistence and cohabitation. The goal is to manage peace achievement between Hutus and Tutsi in order to co-exist and cohabit together by promoting tolerance, forgiveness and better understanding. In this way to avoid another conflict. 7.How, using Second-Track/Citizen Diplomacy initiatives, my project is going to achieve the goal?

The second track/citizen diplomacy in this project will achieve the goal of: · Overcoming discrimination and prejudice, · Avoiding social barriers’ · Changing perception and stereotype, · Building teamwork and communication skills, · Strengthening tolerance and forgiveness · Finding commonalties among the participants 8.What are the actual steps/actions that will constitute the project activities? · Psychological help of concerns · Trust building activities · Mediation training · Seminar and lectures on conflict resolution · Training on intercultural, communication and co-existence · Team building on mediation · Lectures on conflict escalation and de-escalation · Trip to the Kigali genocide memorial museum · One week seminar with both groups out of Rwanda MULTI-TRACK DIPLOMACY: Transforming violence to peace The report will be in three parts: 1.

A conflict assessment to evaluate the appropriateness or feasibility of a second track initiative (diagnosis); 2. Future scenarios, and specific constructive outcomes that might emerge from workshop(s) promoting a favorable scenario as below (prognosis); and 3. Planning and proposed structure for a second or multi-track initiative bringing together influential (if unofficial) representatives of the parties to promote conflict transformation or building toward a preferred scenario (treatment). Part 1 should assess the dynamics of the conflict and the feasibility of potential second track intervention (diagnosis): a. What is the conflict about?

Place the conflict issues briefly in historical and regional context, noting significant factors driving the conflict. Note what stage the conflict is in now (unstable/militant politics, low-level/escalating violence, war, talk-fight/stalemate, de-escalating/contained, contested settlement, reconciliation—see Gurr and Davies chapter). b. Who are the parties involved, including states, minority groups, leaders, organizations, factions, alliances, spoilers, regional or international stakeholders? How are they affected, what are their sources of relative power, and what are their agendas or demands (positions)? c. What are their perceptions of each other , and what information and communication channels are available between or among them?

What cultural (and value) contrasts are involved here? To what extent do the groups need each other to achieve their goals? d. Identify the primary interests of each party motivating these agendas and perceptions, and the (non-negotiable) human needs underlying them. Note which interests or needs are shared, which may be complementary and which are conflicting. e. What previous attempts to settle the conflict have been made or are being made, by whom and with what results?

Reasons for failure or limited success? f. Are the groups willing to talk with each other? At what level (officials, informal leaders or grass roots)? What factors are pushing them to talk or inhibiting them? Under what conditions and at what level might they be willing to talk?

Part 2 should focus on future scenarios , specific to the conflict situation you are addressing (prognosis): g. What are some plausible alternative future scenarios , or common futures, for the conflict as a whole ? Note the assumptions or conditionalities on which each overall scenario is built (refer to factors driving the conflict as noted in 1a above), going beyond simple war/no-war dichotomies, and not restricting yourself to single issues in isolation from the big picture. h. Of these scenarios, which is the preferred overall outcome considering the interests of all parties? In contrast, what is the best overall outcome each of the main parties could achieve without negotiating an agreement with the others (“BATNAsâ€)?

This contrast needs to be cleat to motivate the parties to deal. Part 3 should outline the proposed second/multi-track initiative , including problem solving workshops, and potential outcomes (treatment): i. What are your organization’s goals in the initiative, who are your (potential) partner organizations , and what representatives of the parties have expressed interest in your assistance? j. Which organizations would convene and facilitate the workshops and who would represent the parties in such talks? What issue(s) might they be willing to discuss? k.

What specific steps are proposed to prepare the ground for a suitable interaction among the parties as “partners in conflict†or “partners in peacebuildingâ€? How will participants be selected and agreed to? What prior caucusing with each party may be needed to ensure agreement on an agenda and ground rules? l. What steps for trust building and skill building are proposed for the participants in the first workshop before focusing on their own conflict? m. What steps are proposed for facilitating consensus building in the first workshop by the participants toward better understanding and cooperation in seeking common ground? n.

Give examples of specific integrative options for conflict transformation or peacebuilding (sustainable development) that might emerge from the proposed second track initiative, that would promote the realization of the preferred overall outcome. Explain how they address key interests/needs of the main parties, who might implement them, and whether each one represents a short-term response (e.g., threat containment, confidence building), medium-term strategy (e.g., structure for a peace process) or long-term objective (e.g., appropriate new institutions of inclusive democratic governance, power sharing, autonomy). o. How is it proposed to facilitate action planning, re-entry, implementation and longer-term constructive engagement by participants and other actors in building on the initial workshop? p.

Give examples of expected outcomes, including impact both on participants and on their communities, that could provide criteria for evaluating the success of the initiative. For example, how will the process link into or promote an official peace process or otherwise facilitate constructive official engagement and/or broaden grassroots support for peacebuilding? q. How will the initiative be evaluated throughout? Include output, impact and outcome assessment. r. What specific actions or support are now requested from the organization(s) to whom this paper or brief is addressed, in order to help make this initiative happen? (No budget required at this stage.)

Paper for above instructions

Part 1: Nursing Role in Caring for an Alzheimer’s Patient
As a nurse, my primary role in this scenario involves a multifaceted approach to care that encompasses both direct patient care and comprehensive support for the family, particularly the daughter of the patient. Care for patients with Alzheimer's disease requires not only clinical competence but also emotional intelligence and the ability to navigate challenging family dynamics.
One of the first steps I would take is to establish rapport with the daughter. Understanding her emotional state is crucial—she is distraught about placing her mother in a long-term care facility, a common concern among caregivers of patients with Alzheimer’s disease. According to Alzheimer’s Association (2023), caregiver stress is prevalent among those caring for individuals with dementia, leading to anxiety, depression, and feelings of helplessness. By validating her feelings and providing a supportive environment for her to express her fears, I aim to foster open communication.
Next, I would provide the daughter with education about Alzheimer’s disease. This includes explaining the common behavioral symptoms, such as aggression and hostility, that her mother may exhibit. These symptoms can be exacerbated by various factors, including pain, frustration from inability to communicate, and changes in routine (American Psychological Association, 2022). By helping her daughter understand these behaviors, I could alleviate some of the distress associated with them.
In addition, I would discuss with her the importance of considering long-term care options, including residential facilities specializing in dementia care. While this idea is difficult to accept, I would provide her with information highlighting the benefits of specialized care. According to a study published in the Journal of the American Geriatrics Society (2021), specialized Alzheimer's care centers often furnish an environment that optimally supports the needs of individuals with cognitive impairments, aiding both patients and their families.
Supporting the daughter with resources is also key. I would suggest local support groups for caregivers and educational workshops focused on dementia care strategies. Involvement with such groups can offer emotional support from those in similar situations and enhance her caregiving skills (Gitlin, 2023).
Ultimately, my goal is to empower the daughter to make informed decisions regarding her mother's care while ensuring the well-being of both her and her mother. This holistic approach, which encompasses emotional support, education, and resource guidance, underlies a commitment to nursing care that respects the complex dynamics of family caregiving (McKenzie et al., 2020).
Part 2: Housing Options for a Senior Man Living Alone
In assessing appropriate housing options for the 78-year-old retired banker who is self-sufficient in performing activities of daily living (ADLs) but requires assistance with meal preparation and transportation, several viable solutions emerge. Given his expressed desire to maintain independence without living with family members, options such as assisted living facilities, independent living communities, and home care services should be considered.
Assisted Living Facilities:
These facilities provide a balance of independence and support. Residents typically have their own apartments while receiving assistance with daily tasks, including meals and transportation (National Institute on Aging, 2022). This arrangement could offer the elderly man the comfort of personal space while addressing his need for help, thereby enhancing his quality of life. Additionally, social activities and communal dining options are usually available, fostering socialization and reducing feelings of isolation.
Independent Living Communities:
This option is somewhat similar to assisted living, but it generally offers fewer services. Residents live in their own apartments or villas and have access to transportation, dining, and social activities on campus (Murphy, 2023). For our senior man, this community could offer a lifestyle that emphasizes independence while ensuring that he can access help when needed.
Home Care Services:
Should he prefer to remain in his own home, hiring a home care aide could be an excellent alternative. These aides can assist with meal preparation, help with transportation, and provide companionship (Institute on Aging, 2022). This arrangement would enable him to maintain his independence while receiving the necessary support.
The advantages of these housing options over living alone are substantial. Loneliness and social isolation are major concerns for seniors, often leading to adverse health effects (Cohen, 2021). Housing in a supportive community or utilizing home care services helps combat this isolation by offering social engagement and reducing the risk of depression. Furthermore, access to immediate assistance in emergencies enhances his safety compared to living alone (Smith et al., 2022).
Ultimately, the objective is to enable the elderly gentleman to live a fulfilling and independent life while ensuring his safety and well-being are prioritized, offering him a sense of stability and communal support.
Conclusion
Both scenarios present unique challenges that require compassionate nursing care and thoughtful consideration of housing options for the elderly. By establishing a solid foundation of understanding and support, nurses can positively influence both the patients’ and family members' experiences during what can be an overwhelming period of transitions.
References
1. Alzheimer’s Association. (2023). Caregiver Stress. Retrieved from [Alzheimer's Association](https://www.alz.org).
2. American Psychological Association. (2022). Understanding Alzheimer’s Disease: What Every Caregiver Should Know. Retrieved from [APA](https://www.apa.org).
3. Gitlin, L. N. (2023). Caregiver Support: A Guide for Families. Journal of Aging and Mental Health.
4. McKenzie, A., et al. (2020). Empowering Family Caregivers of Individuals with Dementia. Geriatric Nursing, 41(1), 32-41.
5. National Institute on Aging. (2022). Assisted Living Facilities. Retrieved from [NIA](https://www.nia.nih.gov).
6. Murphy, C. (2023). Independent Living Communities: Options for Older Adults. Harvard Health Publishing.
7. Institute on Aging. (2022). Home Care Services: What You Need to Know. Retrieved from [IOA](https://www.ioaging.org).
8. Cohen, S. (2021). The Effects of Loneliness on Health. American Journal of Public Health.
9. Smith, J., et al. (2022). Evaluating the Impact of Senior Living Communities on Health Outcomes. Journal of Gerontological Nursing, 48(12), 12-19.
10. Journal of the American Geriatrics Society. (2021). The Benefits of Specialized Dementia Care. Retrieved from [JAGS](https://onlinelibrary.wiley.com/journal/15325415).