Caring for an elderly family member can be overwhelming for families. If the stress of caregiving is left unchecked, it can take a toll on the caregiver’s health, relationships, and state of mind—eventually leading to burnout. Families may often be faced with a serious decision concerning the care of their loved ones.
Discuss strategies that are proven to help families deal with caregiver stress and burnout. How can you assist them in making decisions about the care of their loved ones? Include a discussion on handling advance directives with families. Document your discussion with at least five evidence-based references on the topics.

A large number of older adults misuse alcohol, prescription drugs, or other substances, and this number is growing bigger. It has been estimated that almost one in every five older Americans drink alcohol or use medications unsafely (American Association for Geriatric Psychiatry). For some older people, any alcohol use can be a problem. It depends on how their bodies respond to alcohol, the medications you may be taking, your current health, their medical and family history histories, and other factors. Discuss how you will monitor for misuse of alcohol, prescription drugs, and others substances in your geriatric clients. Identify at least 5 evidence-based references to support your plan.

The American Geriatrics Society (2003) defines transitional care as “a set of actions designed to ensure the coordination and continuity of health care as patients transfer between different locations or different levels of care within the same location” (Cited in Boltz, et. al., 2012). It also encompasses both the sending and the receiving aspects of the transfer and is based on a comprehensive plan of care and includes logistical arrangements, education of the patient and family, and coordination among the health professionals involved in the transition” (Coleman & Boult, 2003 cited in Boltz, et. al., 2012). Finally, it involves a broad range of services and environments designed to promote the safe and timely passage of patients between levels of health care and across care settings” (Naylor & Keating, 2008 cited in Boltz, et. al., 2012). Therefore, transitional care is an essential component of managing very ill geriatric clients. You will be expected to provide this care.

Select five research articles that address transitional care of the geriatric client and briefly describe at least three strategies you will use in your practice to minimize the negative effects associated with transitional care.

1. Distinguish between normal and abnormal physical and psychosocial changes associated with aging.
2. Identify syndromes and disease states commonly managed by advanced practice nurses in the geriatric population.
3. Critique existing protocols and best practices that address differential diagnosis, pharmacotherapeutic intervention, and resources to manage and evaluate acute and chronic illness in the geriatric population.
4. Plan and implement therapeutic interventions to return the geriatric patient to a stable state and/or optimize the patient’s health.
5. Examine state and federal resources influencing healthcare for the geriatric population.

To conduct a community assessment, you will need to consult directly with different stakeholders in your chosen community to get their input on what they believe is needed to bring about transformative change. Collaborate with your community to identify one or two community problems, and provide an example of what needs to change in order for transformation to take place in at least one of the social determinants of health. Remember: the issue you identify might seem obvious to you, but all of its social determinants might be less transparent. In addressing the determinants, keep in mind that there could be broader social factors that need deeper probing before you see where they originate. Be sure that the issue(s) you select for action are modifiable factors that you and your community can influence.
Describe the process and results of your community assessment in a paper of no more than 2500 words (about 10 double-spaced pages, excluding appendices), using Times New Roman 12 point font. Use the APA Style Guide to format your paper, and be sure to include citations and a reference list.
Address the following points in your paper, and where warranted, include research evidence (citations) to support your answers.
Use one or more of the approaches discussed in the course (medicine wheel, determinants model, or problem tree analysis) to assess your chosen community, and analyse and identify a problem/issue to address.
Use Freire’s problem-posing method to get to the root causes of the problem, and to identify how various social factors affect the issue you’re concerned with.
Describe who was included in the assessment, their criteria for inclusion, and who was involved in deciding the priority issue. Be sure to include those most affected by the problems that exist, as outlined in Assignment 1 (you can include the list of participants in an appendix).
Describe the effectiveness of the methods you use to gather information about the community and the problem (you can include the list of methods in an appendix).
Describe the level of participation of your community members. Try to engage them beyond the level of consultation and informing (rungs 3 and 4 on the ladder of participation).
Apply critical thinking principles to analyse the results of the assessment.
Identify one or two community problems, and provide an example of what needs to change in order for transformation to take place in at least one of the social determinants of health
Identify and discuss the challenges of using a participatory approach to assessing a community and identifying community problems.

Choose one of the following prompts about ​The Great Gatsby​. Write an essay in present tense and third person point of view explaining the specific points. Use quotes and examples to support your responses. Cite source.

Discuss the novel’s theme that the American Dream is corrupted by the desire for wealth. Explain how the characters from both social classes pursue this task. What does the novel and its theme offer about the American identity?

Ngugi wa Thiong’o’s novel The River Between describes the clash between tradition and change against the backdrop of the British colonization of Kenya in the late 19th century. Many consider the novel to be an analogy for the destruction of traditional African life by European imperialism. Describe some of the ways that Ngugi uses Waiyaki’s story to address the conflicts that arise in societies that are being colonized. How did the African characters react in different ways to the changes brought about by the advent of the white missionaries? Does the novel suggest that a compromise between change and tradition was possible in this period? What was The River Between?

Write a 3-5 page paper (12 point font, double-spaced, regular margins) addressing these questions and issues. I expect the paper to have a clear thesis and argument that is supported by concrete examples from the novel and relates to the historical context we are learning about in lecture and in the textbook. The paper should follow standard essay format (i.e. an introduction with thesis, paragraphs supporting your argument, and a conclusion bringing your argument together). Use MLA citation for the paper.

Discuss how social institutions influence sexuality and sexual behavior. Choose one of the following social institutions; religion, government, economy, family, media, education, school, peers; and identify how sexual norms and values are reinforced and maintained through individual interactions within the institution.

You will write an APA style essay for the assignment and submit the document in a MS Word document. Submissions should be two pages in length.

Under a Cruel Star: A Life in Prague 1941-1968 by Heda Margolius Kovaly

Heda Margolius Kovaly’s memoir details the effects that two of the twentieth century’s most destructive totalitarian ideologies had on individual lives. Both fascism and communism sought to liberate some groups of human beings while crushing others deemed to be enemies. Kovaly herself sees this process from both sides, first as a Jew in Auschwitz and then as one of the communist elite in post-war Czechoslovakia. Describe some of the ways that Kovaly portrays her and other individual’s efforts to cope under these two regimes. According to her, why did people who had suffered under Nazism turn around and support communism? Which of the three forces mentioned in the quote above does Kovaly consider the most powerful?

Write a 3-5 page paper (12 point font, double-spaced, regular margins) addressing these questions and issues.You will need to cite any direct quotes and paraphrasing from the novel. I expect the paper to have a clear thesis and argument that is supported by concrete examples from the novel and relates to the historical context we are learning about in lecture and in the textbook. Use MLA citation for the paper.

Persepolis vols. I and II by Marjane Satrapi

Marjane Satrapi’s graphic novel Persepolis recounts her childhood and early adulthood against the backdrop of the 1979 Iranian Revolution and the subsequent Iran-Iraq war. This is a story with both local and global aspects. Through the 1979 Revolution, religious traditionalists attempted to redefine Iranian identity in fundamentalist Islamic terms against the “decadent” West. Much of Satrapi’s story relates how ordinary Iranians tried to deal with these changes in everyday life. How does Satrapi describe the Islamic revolutionary transformation of Iranian society after 1979, and how Iranians reacted to (and resisted) these changes? How does she describe the formation of her own identity against fundamentalism, both in Iran and as a “Third Worlder” living in Europe? What role did both fear and freedom play in this process? What, for Satrapi, does it mean to be free?

Write a 3-5 page paper (12 point font, double-spaced, regular margins) addressing these questions and issues. I expect the paper to have a clear thesis and argument that is supported by concrete examples from the novel and relates to the historical context we are learning about in lecture and in the textbook.