Communication is not considered successful until the cycle is complete; with this in mind consider the following scenario:An 82 year old woman with moderate dementia and a hearing implement is brought to the surgeon's office for a follow-up appointment after hip replacement surgery. The woman's daughter accompanies her. The goal of the appointment is to make certain the hip is healing nicely and to discuss precautions before the patient returns to her assisted living apartment. Almost immediately, the conversation is directed toward the daughter because it is so much easier to explain to her what should be done. (Answer all of the following questions completely.)What might the staff do to help the patient understand the following?Use the walker consistentlyShoes must be leather tennis shoe type or uniform style; consider Velcro closure as opposed to laces that have to be tiedDo not wear pantyhoseYou will not be able to walk your dog on a leashShould the patient be left out of the conversation? Should the daughter be included?In cases such as these is something other than verbal communication indicated?What type of provider would you need to contact to assist the patient with normal daily tasks?The daughter has asked for information on support group she could become involved with to help her understand and support her mother as best as she can. Locate and list two support groups that might be helpful for the patient's daughter.Submit a properly APA formatted Word document that answers the above three questions regarding Patient Communication.

LP8 Assignment: CMS DirectorThis assignment will assess the competency 8. Evaluate trends that will affect the long-term care system in the future as well as challenges facing managers in the long-term care system of the future.Prepare a 3-4 page, double-spaced paper (cite 3-4 reliable sources) that addresses the following scenario:You are the newly appointed director of the Center for Medicare and Medicaid Services (CMS). With health care costs continuing to soar, the Medicare Modernization Act (MMA) rollout and Medicare Prescription Drug Improvement Plan in place, and the rollout of the Affordable Care Act in progress, you are confronted with potential increases in payments for Medicare and Medicaid programs. Meanwhile, the Director for the Administration on Aging continues to send you data about the portending rise in the number of older people and those with disabilities and the needs of such persons for comprehensive care, not just acute care.• Detail the impact the changing consumer demographics will have on long-term care.• Based on the statistics from the Director of Administration on Aging, detail how the CMS can expect facilities to focus on quality and outcomes relating to long-term care. How will this focus impact providers operationally?• Detail how these changes will impact the delivery of long-term care.• Detail what policies and regulatory measures you would take as the Director of CMS.• Detail what additional long-term strategies you would pursue to make national resources meet the nation’s need for chronic care.

Make a date with yourself, by yourself, to engage in an activity that highlights your importance to you. Engage fully in this activity, taking as much time as you need,and then record your reflections as follows: Record a 2 page paper using the following as your headings: Describe the activity (2 points)Discuss why you picked this activity (1 point)Describe what is the meaning of caring for self, how does the ANA Code of Ethics address caring for self; integrate the literature on caring for self from your current readings of Mayeroff, Roach, Boykin & Schoenhofer.and 2 other references from the vast nursing literature on caring for self. Total 5 references minimum (5 points) Describe how this activity nurtured your wholeness and well-being (5 points)Use APA format; title page and reference page (2 points) Rubric Caring for Self Paper Rubric Caring for Self Paper Rubric Criteria Ratings Pts This criterion is linked to a Learning OutcomeDescription of Activity 2.0 pts Proficient - Rich Description 1.0 pts Competent - Not fully described 0.0 pts Novice - Inadequate description 2.0 pts This criterion is linked to a Learning OutcomeReason for choice of activity 1.0 pts Proficient - Reason clearly presented 0.5 pts Competent - Reason not clearly presented 0.0 pts Novice - Reason not presented at all 1.0 pts This criterion is linked to a Learning OutcomeMeaning of Care of Self and literature integration 5.0 pts Proficient - Meaning clearly described supported with literature integration 2.5 pts Competent - Meaning not clearly described with minimal literature support 0.0 pts Novice - Meaning not described. 5.0 pts This criterion is linked to a Learning OutcomeDescription of activity in relation to nurturing your wholeness and wellbeing 5.0 pts Proficient - Full description how the activity nurtured wholeness and wellbeing 2.5 pts Competent - Limited description of activity in relation to nurturing wholeness and wellbeing 0.0 pts Novice - No description 5.0 pts This criterion is linked to a Learning OutcomeAPA format 2.0 pts Proficient - APA format used accurately throughout paper 1.0 pts Competent - APA format used but with many inaccuracies 0.0 pts Novice - APA format not used in paper. 2.0 pts Total Points: 15.0 Previous Do you have access to those 3 books because we have to used them as references. Boykin, A., & Schoenhofer, S. O. (2001). Nursing As Caring: A model for transforming practice. Sudbury, MA Mayeroff, M. (1971). On caring. NY: Harper. [ISBN 9780060920241] Roach, S. (1992). Caring: The human mode of being (revised ed.) Ottawa, CA: Canadian Hospital