AIM: Registered nurses work with individuals, groups and communities to improve health. One way to...

Question

AIM:
Registered nurses work with individuals, groups and communities to improve health. One way to do this is to analyse how risks to health can be reduced during changes to natural, social and/ or governmental elements in our society. As clinical leaders, registered nurses are expected to collect information about an emerging health risk from a variety of sources and collate this information into a meaningful analysis with recommendations for a specific audience. The audience for these analyses can be the public, older people or carers of older people, or nurses working in a range of practice contexts. This aim of this assignment requires you to apply your theoretical knowledge gained from modules 1, 2 and 3.
Your poster and written justification (AN INDIVIDUAL ASSIGNMENT) must:
1. Recommend and justify the nursing requirements for older people diagnosed with, or at risk of, complex health conditions and/or cognitive decline; and
2. Evaluate the implications for nursing care related to changes in the environment (natural, social and governmental) that impact the health of older people.
For this task you will create a poster and write a justification supporting your poster inclusions and aesthetic layout.
There are two parts to this assignment. Part 1 is a poster and Part 2 is the written justification.
The total word allocation for this assignment is 2500 words and your written justification needs be a minimum of 1200 words. NOTE: You can decide how you allocate your word limit of 2500 words as long as your justification is no less than 1200 words.
TASK INSTRUCTIONS:
1. Before you begin preparing the poster or justification undertake the following steps:
I. Identify a specific health risk for a specific older adult population (aged over 65 years or over 55 years if Australian First Peoples);
II. Collect information about that specific health risk;
III. Develop a summary of your analysis of that information; and
IV. Identify an audience and make recommendations about risk reduction and treatment for that audience.
This part of the task is consistent with the approach used to collect information for an essay. You DO NOT need to submit your research/preparation materials.
2. Then, for part 1 of the assignment, create a poster to share your learning with the specified audience. The poster must provide credible and relevant information on a specified health risk and be interesting to the target audience. For more information about how to prepare an academic poster, visit the following websites:
New York University, How to Create a Research Poster – Poster Basics
E
en, T.C., Bourne, P.E XXXXXXXXXXTen simple rules for a good poster presentation. PLoS Computational Biology 3(5), e102
Overview: How to design a poster presentation (3:07) – YouTube video
3. Please note that the aesthetic features of the poster are important and purposeful. Be selective and concise with the number and type of words used, and use language that is consistent with the audience. Ensure that claims made are based on evidence from peer-reviewed literature.
4. Next, for part 2 of the assignment you need to develop a justification for your poster. The length of the justification is 1200 words. In this, you will:
i. Provide a rationale and supporting evidence for the selection of the health risk in the specified older adult population, and
ii. Justify your selection of the audience, included content, and aesthetic features.
NOTE: If you wish to use your assignment 1/ Case Study as the basis for this assignment, this is permissible. This will enable you to examine at a deeper level the clinical encounter you analyse in assignment 1.
Additional information:
.
· Ensure that you use scholarly literature[footnoteRef:1] (digitised readings, research articles, relevant Government reports and text books) that has been predominantly published within the last 5 years. [1: Scholarly or peer-reviewed journal articles are written by scholars or professionals who are experts in their fields, as opposed to literature such as magazine articles, which reflect the tastes of the general public and are often meant as entertainment.]
· Use academic language[footnoteRef:2] and health specific terminology throughout. [2: Everyday language is predominantly subjective. It is mainly used to express opinions based on personal preference or belief rather than evidence. Written academic English is formal. It avoids colloquialisms and slang, which may be subject to local and social variations. Formal language is more precise and stable, and therefore more suitable for the expression of complex ideas and the development of reasoned argumentation.]
· Refer to the marking guidelines when writing your assignment. This will assist you in calculating the weightings of the sections for your assignment.
· You may use headings to organise your work and use the first person in your writing.
Marking Guidelines
    CRITERIA
    POSSIBLE MARK
     CRITERION ONE: Poste
    · The scope and depth of content in the poster is appropriate for the selected audience (10 marks).
· White space (no words) is used effectively to support the logical flow of the poster information (5 marks).
· The aesthetic features of the poster are appropriate for the audience (5 marks).
    /20
    CRITERION TWO: Health Risk

    · The rationale for the selection of health risk in the specified older adult population in the written justification is supported using evidence.
    /10
    CRITERION THREE: Research and use of evidence
    · The rationale for the selection of poster elements including audience, content and aesthetic features in the written justification is logically developed (10 marks).
· No fewer than 10 different sources from the scholarly literature are sourced (5 marks).
    /15
    CRITERION FOUR: Academic Writing & Referencing
    · The writing is clear, concise & free of APA (6th ed) e
ors.
· Word limits for assessment items are strictly adhered to.
· The written justification is well presented, with co
ect spelling, grammar, and well-constructed sentence and paragraph structure.

5
    Total Marks
    /50

tae_636731746503358217_121737_1.docx

Anju Lata · Accepted Answer

Running Head: Fall and fracture in older people                                                                                  
 Fall and fracture in older people                                                                                                           10
Assignment
Falls/Fracture in Older People
Student Name:
Student ID:
Submitted to:
University:
PART A- POSTER
The Poster enlists few important Dos and Donts  to prevent the risk of falls in older Adults. The activities involving Dos are as follows:
· The Older Adults must undergo Annual Health Check up. The medicines prescribed for the old age adults should be in the lowest possible dose. The Hypnotics, Diuretics, Anti-hypertensives, Non-Steroidal Anti Inflammatory Drugs and Sedatives are known to have a significant role in inducing the fall. The American Geriatrics Society recommended a list of drugs which should be avoided in older adults namely the Blood Thinners (Aspirin), Psychiatric medications, Anticonvulsant drugs, Diuretics and Chemotherapy agents. The instructions for use of medicine should be clearly explained by the caregiver to the patient. 
· They must join an exercise Program though the exercises are found to have a moderate effect in reducing the risk of falls.
· There should be assistive devices installed in the house like Grab Bars, restraints, rails, bed alarms, and fall alert bracelets.
· The switch of the room Light must be near to the Bed. The lamps may be placed at the side of the bed to facilitate easier approach.
The activities involving Donts are as follows:
· The older adults must not try to stand on the furniture in order to reach the upper cabinet areas in the kitchen or elsewhere in the room. A slight misbalance may trigger a steep fall leading to serious injury.
· They must not use Alcohol or the Smoking. The dizziness caused due to alcohol may also lead to falls.
· The free space in the living room and bed room must be left vacant for easy movement. No extension cords must be there.
· They must wear comfortable foot wears and clothes to live in a relaxed manner avoiding the suffocation and breathing issues.
As per the reports of Bajaj Allianz in 2015, the 12.19% of the insurance claims are related to Fall Injuries, fractures and related surgeries.
Evaluation after a fall involves assessment of risk of injuries, review of the medical and pharmacological history, drug intake etc (Jin, 2018). The physical examination involves evaluation of balance, gait, vision, muscle strength, and cognitive functions of the body. The clinicians also identify the signs of abuse or neglect which is known to affect more than 10% adults every year. The check-up identifies the bruises, burns, ulcers, and bite marks. It also recognizes the extent of dehydration, mismanagement of medications, malnutrition which may result into falls in the patient. The Inter Cranial Injuries can be depicted in form of physical trauma to the head (abrasions, lacerations and bruises) along with a history of loss of consciousness. The clinicians maintain a high suspicion of identifying a head trauma in old age adults. The basic clinical diagnostic tests include tests of Blood Count, Vitamin B12 levels, ECG and thyroid tests. In older adults more than 95% of the hip fractures are caused due to falls (Lee, 2013). The MRI scans may be helpful in recognizing the Occult Hip Fractures. 
The first priority of the clinicians is to control the pain in the patient who has just fallen down. Cutaneous Femoral Nerve Blocks are provided to reduce the pain level without any kinds of systemic side effects (Blake, 2018). Additionally NSAIDS are provided to reduce the acute levels of inflammation. Acetaminophen is also given as analgesic. Moreover, in severe cases the patients may require surgery to control the pain level.
The medical diagnosis of arthritis, high BMI, diabetes, anemia, deficiency of Vitamin D, impaired hearing and vision, urinary incontinence and poor sleep are associated to increased rates of falls and injuries (Abraham, 2017).  
PART B- JUSTIFICATION
Introduction
The falls are considered to be a prominent cause of injuries in the old people aged more than 65 years (Jin, 2018). One of the serious consequences of falls may be hip fractures. The tendency of falling enhances with age due to balancing issues, vision problems, cognitive impairment, overall weakness, side effects of medications and other related issues (Gale, Cooper & Sayer,2016).  As per the reports of WHO, 28-35% of old age people greater than 65 years fall every year worldwide and the number increases every year (Viera et al, 2016). The aim of this paper is to make awareness in the community and among the old age people to prevent falls and fall-related injuries that is fractured.
Epidemiology of Falls in older people
Osteoporosis is a prevalent disease among the older people and affects nine percent of the persons who cross the age of fifty (Anena & Muchane, 2012). 
The adverse consequences and frequency of falls in older adults deteriorate the overall quality of life and also influences the cost of health care services.

AIM: Registered nurses work with individuals, groups and communities to improve health. One way to do this is to analyse how risks to health can be reduced during changes to natural, social and/ or...

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