Describe several ways in which you think grief manifests itself.

Part A: Grief Sayings Activity

Address from the perspective of an experience of someone in your professional or personal life. Respond to the prompts in the spaces provided.

Type the grief saying you selected here.

Saying : C.S. Lewis, “A Grief Observed”

“Grief and pain are the price we humans have to pay for the love and total commitment we have for another person. The more we love, the more we are hurt when we lose the object of our love. But if we are honest with ourselves, would we have it any other way?”
Reflect about your experience related to the saying.
What was the situation, and who was the person involved? (Maintain confidentiality by using only initials.) How did you feel when you read the saying? In what way did the saying reflect your experience or that of someone you know?
Describe several ways in which you think grief manifests itself.

Include specific examples from your experience, the sayings in this exercise, and your readings in this course.

Use three references for this part of the assignment

Part B

. Final Reflections
Competency Re-Evaluation

• Go to the website for Hartford Institute for Geriatric Nursing: http://www.hartfordign.org/uploads/File/hosp_competencies.pdf.*

• On the Self-Evaluation by Employee section, read through each competency and its criteria, and rate yourself as: No prior experience, needs to review, or can perform.

• Summarize your findings for each competency on a sheet of paper as illustrated on the chart below. (You may abbreviate or paraphrase the competency criteria.) If you can competently perform all the tasks for a competency, place a “Y” in the last column.

• Record your final reflections in the space provided.

Hartford Institute for Geriatric Nursing. (2002). Competency: Care of adult 65 years +. Retrieved January 21, 2009, from http://www.hartfordign.org/uploads/File/hosp_competencies.pdf.

Your Self-Evaluation of Competencies (beginning of the class(week 1))

Competency Topic No Prior Experience or Needs Review Can Perform All at This Time

1. Communication Health care proxy, DNR; adaptive devices

2. Physiological and psychological age changes Use organization’s established criteria for management of polypharmacy

3. Pain assessment and management Y

4. Skin integrity Y

5. Functional status Use assistive devices and suggest or initiate referral to appropriate therapies (OT, PT, ST) to promote and maintain optimal function

Urinary incontinence Y

Nutrition/Hydration Y

Falls and injuries Y

6. Restraints No prior expreience

7. Elder abuse Y

8. Discharge planning Provide patient education materials that are legible, printed clearly and at appropriate level of medical literacy

Your re-evaluation of competencies (end of my class( week 8))

Competency Topic No Prior Experience or Needs Review Can Perform All at This Time

1. Communication Y

2. Physiological and psychological age changes Y

3. Pain assessment and management Y

4. Skin integrity Y

5. Functional status Same from the self evaluation

Urinary incontinence Y

Nutrition/Hydration Y

Falls and injuries Y

6. Restraints No experience

7. Elder abuse Y

8. Discharge planning Same from the self evaulation

Reflections

For which topics have you experienced the greatest change in knowledge and skills during the course? Why? Cite specific readings or course activities that had the greatest impact on your knowledge and skills in those areas.

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