Competency
Utilize the holistic caring process.

Scenario
You are a student nurse at Rasmussen Hospital and were recently chosen to be the student representative of the newly formed Holistic Nursing Committee. Hospital leadership has asked your committee to address inpatient complaints about the amount of general noise pollution throughout the hospital.

The committee members feel this is a perfect opportunity to demonstrate how the holistic caring process can be applied to addressing the problem of noise pollution in the hospital. They have asked you to write an executive summary for hospital leadership.

You have a basic familiarity with holistic interventions that enhance the inpatient experience and promote healing, but know you will need to investigate evidence-based research about noise reduction and optimization.

Instructions
Write an executive summary that demonstrates the use of the holistic caring process to address general noise pollution in the hospital. The summary should be approximately 3-5 pages in length and include:

1. A summary of the holistic intervention you recommend be implemented in the hospital to combat general noise pollution. It should address the following:
2. Briefly describe the intervention. Be sure to support your recommendation using at least three evidence-based research articles.
3. Provide a statement of how this intervention could be incorporated into a patient’s therapeutic care plan.
4. Describe how this intervention would reduce general noise pollution in the hospital.
5. Describe how you would evaluate this intervention over time.
6. Assessment of the problem, challenges, and outcomes associated with hospital noise pollution. Include the following:
7. A description of general noise pollution in the hospital setting.
8. At least two sources of noise pollution in the hospital setting.
9. At least two health effects of noise pollution on patients.
10. At least two health effects of noise pollution on staff.
11. Discussion of the evidence-based, holistic caring interventions for addressing noise pollution in the hospital setting. Include the following:
12. At least one recommendation for acceptable sound levels in the hospital.
13. At least one evidence-based, holistic, mind-body intervention that promotes health and well-being in the hospitalized patient.
14. At least one evidence-based, holistic, environmental intervention for addressing noise pollution.

Resources
Consult the resources below for help developing your submission.
• Library Answer to: What is an executive summary?
• Library Answer to How do I write and adequately format an executive summary?
• School of Nursing Library Guide: Evidence-Based Research page
• Website: World Health Organization
• Website: United States Environmental Protection Agency

1.
Course Competency :
o Design plans for care specific to the older adult.

Consider the scenario below, then follow the instructions underneath it to complete the assignment.

Mrs. Y
Mrs. Y is an 84-year-old client who was recently discharged from the hospital for an infected diabetic ulcer on her left leg. During her hospitalization, Mrs. Y required intravenous antibiotic therapy through a peripherally inserted central catheter (PICC) line.
Due to Mrs. Y’s long history of diabetes, her physician ordered that intravenous antibiotic therapy be continued at home. Subsequently, home health services were initiated, a home health nurse was assigned to Mrs. Y’s case, and an initial home visit was scheduled.
The home health nurse arrives at Mrs. Y’s home and introduces herself to the client and the family. The nurse explains the home nursing services that will be provided, including the PICC line and intravenous antibiotic therapy treatments.
During the initial home visit, the nurse assessed the physiological, psychological, functional, and safety needs of the client. The nurse’s findings were as follows:
o Mrs. Y lives alone; however, her daughter checks on her frequently throughout the day.
o The client is noted to have moderate functional issues and ambulates with a cane.
o The client has several throw rugs in the main walking quarters and minimal lighting throughout the hallways.
o Mrs. Y states “I used to get around my house with ease, but now I get a little tired and have to sit down and rest frequently.”

Consider Mrs. Y’s current health status and functional decline, then address the following:
o Download the Concept Map and Plan of Care worksheet below. An example is also provided for your reference.

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