Hi Professor Payne and class,
The community setting that I chose was hospice nursing. Having worked in-facility hospice and community hospice off and on, I have seen the difference between the two. As Nies and McEwen (2019) noted, “nurses who work with the terminally ill seek to enhance the patient’s quality of life by focusing on relieving suffering throughout the illness, supporting the patient and family through the dying process….” (p. 683). The community hospice nurse visits patients that are either living in their homes or an assisted living/long term care facility. Many of the patients have terminal illnesses such as cancers, AIDS, cardiac, respiratory, end-stage diseases, etc. Many times, the hospice nurses provide extensive education regarding non-pharmacological and pharmacological methods, disease process, signs and symptoms of impending death, etc. to patients and their families because there are often misconceptions about hospice.
Tertiary prevention targets populations that have experienced disease or injury and focuses on limitation of disability and rehabilitation; keep health problems from getting worse, to reduce the effects of disease and injury, and to restore individuals to their optimal level of functioning (Nies & McEwen, 2019, p. 7). I think this is a more appropriate level of prevention since hospice nurses concentrate on holistic care and symptom management, which can include pain, dyspnea, anxiety, nausea and vomiting, constipation, and terminal restlessness (Crusse & Messler, 2014). Tertiary prevention allows for the hospice nurse to educate patients and families on prevention of worsening symptoms, and providing the patient with medications and/or equipment to help with quality of life improvement and symptom management (i.e., oxygen, bedside commodes, geri chairs, nebulizers, wheelchairs, hospital beds, and medical supplies). Hospice Nursing
Crusse, E. P., & Messler, T. (2014). Hospice care is comfort care. Nursing Made Incredibly Easy!, 12(3), 40-48. doi: 10.1097/01.
Nies, M. A., & McEwen, M. (2019). Community/public health nursing: Promoting the health of populations (7th ed.). St. Louis, MO: Saunders/Elsevier. Hospice Nursing
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Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
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Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score. Hospice Nursing
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
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Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
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