Healthy aging is an important public health issue, both nationally and internationally. The World Health Organization (WHO) recognizes healthy aging as a process whereby all people of all ages are able to live a healthy, safe and socially inclusive lifestyle.

Discuss how social determinants of health for the older adult are impacted for those living in poverty. 

2 pages plus 1 reference page

no plagiarism 

Please review the case presented and answer all the questions at the end of it.

CASE INTRODUCTION

Huddles are such an important part of nursing – they relay pertinent information, increase safety, offer team building opportunities, promote better outcomes for the patient, and ultimately can reduce costs.

Here is your scenario:

Your nurse manager identifies that the staff on your rehabilitation unit, and particularly that you as the evening charge nurse, are resistant and oppositional to an important new patient safety strategy of implementing huddles to improve staff communication.

BRIEF SUMMARY OF CASE 

Paragraph 1  Your nurse manager meets with you, the evening charge nurse, (and with you he had previously begun a disciplinary action process because you refused to implement huddles on the shifts when you was in charge).   You now understands that you (and the staff) were wrong, and you begin to explore with the manager how better to implement huddles on your shift.

Paragraph 2  In a quarterly staff development in-service for the rehab facility’s leaders, a group of nurses and charge nurses, including you, learn about implementing change using Lewin’s five-step Stages of Change (SCM) Model. The nurse manager and you apply this model to their failed implementation of huddles.

Paragraph  3 – You return to your unit and share with the staff that you—and they—were wrong to refuse to implement huddles. You begin to start the process as a change agent.

DISCUSSION GUIDE – QUESTIONS  Worth 2 points each (16 points)

Paragraph 1

1. How does your nurse manager know that you are ready to learn and be a part of the unit change?
2. How was the decision to implement the huddles handled?
3. What is the importance of a huddle?

Paragraph 2

1. What would you do prior to implementing a staff meeting to best communicate new information to the staff?
2. How would you describe Lewin’s Theory of Change? Can you give an example where you have used this theory?
3. What other theories of change are you familiar with, in addition to Lewin’s?

Paragraph 3

1. How would you manage conflict with the other unit staff?
2. How would you handle the resistance to change as noted by the unit staff?

Translating Change as a Practice Scholar

As a practice scholar, you are aware of the vast amounts of new knowledge available to inform practice. Reflect upon this issue and consider the following.

• What strategies will you use to stay informed about current best available evidence?
• What strategies will you use to disseminate current best available evidence to those you lead?
• In recent history, there is little to no indication of the sustainability of evidence to reduce the eight national problems. What strategies will you use to ensure the sustainability of evidence-based practice?

In Diabetic Patient between the ages of 40 and 60  without pharmacological treatment the practice of exercise and healthy diet compared with patients who do not practice exercise and do not consume healthy diet, increase the risk to suffer peripheral neuropathy?

I need 5 quantitative research study related to the the PICO question above.

The study chosen must be a Quantitative research study design). Criteria for approval ( and therefore should be screened as part of your search strategy) are all of the following:

· published with the last 5 years

· relevant to nursing (i.e., have nursing implications)

· uses quantitative methodology (data analysis uses statistical tests), not qualitative methodology (data analysis uses words)

· uses one, or a combination, of the following statistical tests to analyze data:

· Pearson correlation, Spearman rho correlation

· Simple Linear regression, Multiple Linear Regression (not Logistic Regression) 

· T-test, Mann-Whitney U test, chi square (χ2), Wilcoxon

ANOVA (ANalysis Of VAriance) (not Multiple Analysis of Variance (MANOVA) or Analysis of Co-Variance (ANCOVA) 

Instructions:

• Read the four articles below.
• Should undocumented immigrants be included or excluded from national proposals for health insurance?
  • Why?
• Also discuss your stance on national insurance plans in general.
• Justify your position by referring to course readings, videos, or other relevant sources.

Remember that views differ on this contentious issue—don’t be afraid to present and defend your position. You may need to reference the chapters in the book on health insurance and economics.

Your initial post should be at least 400 words.

Please be sure to validate your opinions and ideas with citations and references in APA format.

• Bustamante, A. V., Chen, J., McKenna, R. M., & Ortega, A. N. (2018). Health care access and utilization among US immigrants before and after the affordable care act (Links to an external site.). Journal of Immigrant and Minority Health. https://doi.org/10.1007/s10903-018-0741-6
• Galarneau, C. (2011). Still missing: Undocumented immigrants in health care reform (Links to an external site.). Journal of Health Care for the Poor and Underserved, 22(2), 422-428. Retrieved from https://repository.wellesley.edu/cgi/viewcontent.cgi?article=1096&context=scholarship
• National Academies of Sciences, Engineering, and Medicine. (2015). Health status and access to care. In The integration of immigrants into American society (pp. 377-411). Washington, DC: The National Academies Press. https://doi.org/10.17226/21746
• Suárez-Orozco, C. (2017). Conferring disadvantage: Behavioral and developmental implications for children growing up in the shadow of undocumented immigration status. Journal of Developmental and Behavioral Pediatrics, 38, 424-428. [PDF]