you are going to participate in a discussion on a novel or movie.  Please choose one of the stories below and read the novel or watch the movie.  You’ll participate in the discussion thread below related to the story you choose. 

1. Fault in Our Stars novel by Green (2012) or Fault in Our Stars movie (2014)
2. Still Alice novel by Genova (2009) or Still Alice movie (2014)

This family story discussion has two parts:

Part 1:Construct Grid (ALL)

Using the blank construct grid, choose 8 constructs relevant to the family in the novel/movie and complete those rows of the grid.  Share your completed constructs with your discussion group and explain why you chose them. 

Part 2:  Family Story Discussion Fault in Our Stars

The rest of the focus for this week is the Fault in Our Stars book or movie discussion. I am providing the following list of questions to jump start the discussion. You don’t need to answer all of the questions. This is meant to be a free-flowing conversation, and I expect each of you will add your questions throughout the discussion.

Each of you can tell us how you experienced the story, and pick one of the questions below to answer if these help focus your thoughts.

1. John Green uses the voice of a teenage girl to tell this story. Why do you think he choose to do this? Was it effective? How would it have been different if he had told the story from a different voice? How does voice relate to family nursing practice?
2. What does the title, Fault in Our Stars, mean?
3. How would you describe the two main characters, Hazel and Gus?
4. How do Hazel and Gus relate to their cancer?
5. At one point in the book, Hazel states, “Cancer books suck.” What is she really meaning?
6. How do Hazel and Gus change, in spirit, over the course of the novel?
7. Why is “An Imperial Affliction” written by Peter Van Houten Hazel’s favorite book?
8. How many of you looked to see if, “An Imperial Affliction” was an actual book?
9. What do you think about the author Peter Van Houten?
10. Why it was so important for Hazel and Gus to learn what happens after the heroine dies in the An Imperial Affliction?

Part 2:  Family Story Discussion Still Alice

The rest of the focus for this week is the Still Alice book or movie discussion. Below, you’ll find a list of questions to jump start the discussion. You don’t need to answer all of the questions. This is meant to be a free-flowing conversation, and I expect each of you will add your questions throughout the discussion.

Each of you can tell us how you experienced the story, and pick one of the questions below to answer if these help focus your thoughts.

Participate in a book discussion by choosing and answering one of the questions below. 

1. Why do you think the author named the book “Still Alice?”
2. How is Alzheimer’s not only Alice’s diagnosis but also her family’s?
3. How does Alzheimer’s affect roles in a household? 
4. Why do you think the author wrote the book from third person narrative, taking away from the personal connection? 
5. Or, write your own question related to the novel and answer it.

 

A 41-year-old male presents to the doctor’s office you work at complaining of a sore throat and headache. Upon examination, he is diagnosed with a virus that is currently prevalent in the area he works. He is told to rest and drink liquids until the virus has run its course. He becomes irate and tells you he wants an antibiotic.

1. How could you explain to him why he does not need an antibiotic?
2. What are some alternatives you could consider for a patient who demands an antibiotic?

Instructions: It is a discussion post so 1 page to 1 1/2 pg is good enough. Apa format. Must have 3 references.

 

The case study I was presented was “An 83-year-old resident of a skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen. History obtained from staff reveals the patient has a history of malabsorption syndrome and difficulty eating due to lack of dentures. The patient has been diagnosed with protein malnutrition”. 

When looking into protein malnutrition, protein energy-malnutrition is the most commonly seen terminology, or PEM, that is the result of starvation (with or without catabolic stress). PEM is considered a disease and is the result of chronic inadequate protein or energy intake not meeting the body’s needed intake of nutrients. In some cases, the loss of fat is reduced due to a slowed energy use accomplished by decreasing the metabolism and instead using the body’s storage of lean protein. Typically, the majority of the protein is released from muscle tissues and the kidneys, blood, immune cells, GI tract and liver are spared for the most part. In cases where the ration of energy and protein are not obsolete, the body can adapt to the environment by decreasing the energy and protein needed to sustain homeostasis. PEM results in “a lowered metabolic rate and reduced muscle mass (including reduced cardiac and respiratory muscle mass); its clinical consequences include muscle weakness and functional disability, reduced cardiac and respiratory capacity, mild hypothermia and a reduced body protein reserve” (Hoffer, 2001). In PEM, the extracellular fluid also shifts and can cause generalized edema. 

In consideration of protein malnutrition, there are two conditions that come up in various articles, Kwashiorkor and marasmus. “Kwashiorkor is predominantly a protein deficiency, while marasmus is a deficiency of all macronutrients — protein, carbohydrates and fats. People with marasmus are deprived of calories in general, either because they’re eating too little or expending too many, or both. People with kwashiorkor may not be deprived of calories in general but are deprived of protein-rich foods” (C.C. Medical, n.d.). In this case study, though the primary diagnoses is protein malnutrition, marasmus may be more fitting and in align with the physiologic problems this patient is facing. “For older adults, adverse health outcomes associated with malnutrition can often be more complex and disproportionally worse than outcomes associated with overweight or obesity. Malnutrition in older adults can lead to weight loss. Functional recovery from this weight loss is unlikely to occur due to the loss of skeletal muscle mass, even with full nutritional support” (Dent et. al, 2023).  “Marasmus is equally distributed between the genders, however, as a result of cultural differences in some parts of the world women may be at an increased risk of marasmus” (NCBI, 2023).

 

• Respectfully agree or disagree with your colleague’s assessment and
• Explain your reasoning. In your explanation, include why their explanations make physiological sense or why they do not. Support each of your replies with at least 0ne citation and reference.

First, read “Case Study 6-6 “Develop a Motivation Plan” on page 121 in Organizational Behavior in Health Care. Within the principles of the content theories of Maslow, Herzberg, and Alderfer:

1. Explain why Susan is behaving the way she has been over the past three months.
2. Offer three specific recommendations to address the problem of Susan’s job performance.

Your well-written paper should meet the following requirements:

• five pages in length, not including the cover sheet and reference page. 
• Formatted according to APA 7th edition
• Provide support for your statements with in-text citations from a minimum of four scholarly articles. Two of these sources may be from the class readings, textbook, or lectures, but the other two must be external. The Saudi Digital Library is a good place to find these references. 

 Recommended:

• Chapter 6 PowerPoint slides SEU_HCM502_Module02_OBHC_CH06.pptx – Alternative Formats – Organizational Behavior in Health Care
• Chapter 7 PowerPoint slides Chapter 7 PowerPoint slides – Alternative Formats – Organizational Behavior in Health Care
• Batayneh, M., Ali, S., & Nashwan, A. (2019). The burnout among multinational nurses in Saudi Arabia. Open Journal of Nursing, 9, 603-619.