PART I Discussion Question: As nurses, we complete physical assessments on a routine basis, even though they are typically focused assessments. What type of technology have you seen utilized in your assessment process that assists in your effectiveness to communicate findings both orally and in written format? If you have not seen or utilized technology in your assessment process, how do you ensure effective communication for assessment findings?  Part 2: **Signature Assignment** Holistic Assessment of the Older Adult This assignment is a voice over PowerPoint recording of 13-15 minutes. For the PowerPoint and recorded presentation, create a presentation that addresses each of the following points/questions. Be sure to completely answer all the prompts or questions for each bullet point. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least four (4) scholarly sources throughout your presentation, referencing in APA style. Include title and references slides in the presentation. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Ensure that you have permission from your older adult to conduct the health assessment and ensure that they are not identified on the PPT. Review the Signature Assignment rubric criteria for this assignment. Part 1: Assessment: Choose an adult (65 years or older) friend or relative and perform a holistic health assessment. Clearly discuss your discovered holistic health assessment data. Your assessment should include the following parts for the holistic assessment: General Health History Physiological Assessment Psychological Assessment Social Assessment Cultural Assessment Developmental Assessment Spiritual Assessment Part 2: Interpretation (Abnormality and Coping) Choose one abnormality from the data gained in the assessments and discuss possible reasons/causes for the abnormality.  How does this abnormality impact the other areas of the patient’s life? Discuss the client’s stress and coping mechanisms.   Are they healthy?  What recommendations and improvements could be made that are individualized for this person? Part 3: Teaching Plan: Create a teaching plan that addresses the client holistically by applying the assessment data you have analyzed.  Describe at least one client goal for each of the six categories (each category should have a goal) (physical, psychological, social, cultural, developmental, and spiritual). Discuss one strategy per goal you would use to teach your client about each individual goal Explain how you will evaluate if your teaching was effective  Title Slide (1 slide) Objective Slide (1 slide) Assessment General Health History (1slide) Physical (1 slide) Psychological (1 slide) Social (1 slide) Cultural (1 slide) Developmental (1 slide) Spiritual (1 slide) Interpretation (Abnormality and Coping) Abnormality, Reasons/Causes, Impact on Life (1 slide) Stress, Coping, Recommendations (1 slide) Teaching Plan Physical Goal and Teaching Strategy (1 slide) Psychological Goal and Teaching Strategy (1 slide) Social Goal and Teaching Strategy (1 slide) Cultural Goal and Teaching Strategy (1 slide) Developmental Goal and Teaching Strategy (1 slide) Spiritual Goal and Teaching Strategy (1 slide) Evaluation Plan (1 slide)

Assignment ContentPrivacy and Confidentiality are the key fundamental elements for building trust between a health care provider and the patient. When compromised or breached, the patient-provider relationship can suffer, making for potentially poor outcomes. In the Privacy and Confidentiality Report template, you will review a real-life scenario in which Ben Smithfield observes potential areas of concern where either privacy or security of protected health information (PHI), or both, may be breached. Managers are responsible for ensuring substantial compliance with not only the organization’s policies but also state and federal laws that outline the standards for privacy and security of a patient’s PHI to maintain trust and confidence and to avoid serious fines and penalties.Rubics grade is below.Compliance Violations10% of total grade2015105Regulatory Stakeholders20% of total grade40302010Patient and Provider Rights15% of total grade3022.5157.5Compliance and Risk-Management Factors of the Medical Records20% of total grade40302010Plan of Action15% of total grade

Discussion: Healthcare Policy and Financing in the U.S.Value-based purchasing and pay-for-performance may continue to affect health policy, future reimbursement, and care-delivery trends in the United States. Outpatient services and post-acute services have recently come under the scrutiny of the Centers for Medicare and Medicaid Services (CMS) to ensure quality of care to ultimately control costs.Skilled Nursing Facility (SNF) Value-Based Purchasing went into effect on October 1, 2018, for the fiscal year 2019. Nursing homes that offer short-term rehabilitation and get reimbursed by Medicare Part A fall into this category. Specifically, SNFs will have a reduction in Medicare reimbursement based on rehospitalization rates. CMS will look back 2 years and will compare the rehospitalization rate from 2016 to 2018 for year one. Low-performing SNFs can potentially lose 2% on their Medicare fee-for-service (FFS) reimbursement.Sunnyside Nursing Home, from Week 4, continues to have a 35% readmission rate, so the leadership is anticipating they will be affected by the Medicare discount. Medicare may also consider a reduction in hospice reimbursement as well, potentially 1.8%. Based on these expected changes and current data, you will make a recommendation regarding the future census planning at Sunnyside.To Prepare:Review the Sunnyside Nursing Home Revenue Plan.Familiarize yourself with the information found on the Overview of Terms tab.Review the Sunnyside Nursing Home CMS Discount Revenue media piece in the resources to assist you in calculating the few missing cells in the Revenue Plan.Study the completed Revenue Plan tab to see the impact of the Medicare changes.The AHCA NJ tab lists the projections for long-term care for New Jersey, where Sunnyside is located. Review the information, especially in the 85+-year-old column to see the impact, if any, on nursing home demand in New Jersey.The American Health Care Association (AHCA) website has several resources to guide healthcare planning in the United States: https://www.ahcancal.org/research_data/Pages/LTC-P... Download and analyze the Long-Term Care (LTC) Patient Projections report for your state. Look for your state to view the impact of the aging population. Pay specific attention to the 85+ trend.Complete the remaining calculations in the Sunnyside Nursing Home Revenue Plan.Based on the information in the report from AHCA and the spreadsheet, what recommendation would you make regarding the future census planning at Sunnyside? By Day 4Post a comprehensive response to the following:What are some of the future issues and concerns related to healthcare financing in the United States?How might healthcare policy inform financing of healthcare, and what might that mean for the quality of health?How will value-based purchasing affect healthcare providers? Review the information in the Sunnyside Case Study to guide this response. How can a healthcare provider ensure viability in the new value-based paradigm?Would you consider new technologies for Sunnyside to employ to reduce readmissions?