Review the Institute of Medicine (IOM) report: ″The Future of Nursing: Leading Change, Advancing Health,″ focusing on the following sections: Transforming Practice, Transforming Education, and Transforming Leadership. Write a paper of 750-1,000 words about the impact on nursing of the 2010 IOM report on the Future of Nursing. In your paper, include: The impact of the IOM report on nursing education. The impact of the IOM report on nursing practice, particularly in primary care, and how you would change your practice to meet the goals of the IOM report. The impact of the IOM report on the nurse’s role as a leader. Cite a minimum of three references.

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SCENARIO
An eighty year old member of the community to which you are assigned complained of being unable to pass stool for the past five days. When she was further questioned, the patient reported that she usually drinks three small glasses of water daily and that her diet usually consists of white bread and mint tea for breakfast and rice and chicken at lunch and supper time.
The patient also stated that she missed her boyfriend who was abroad.

SPECIFIC OBJECTIVES:
1. Read the scenario and do the following:
a. Identify the assessment data in the scenario.
b. Classify the data using Maslow’s hierarchy of basic needsas the point of reference.
c. Identify the priority problem, giving reasons for your response.
d. Making reference to the NANDA-Approved Nursing Diagnoses 2015–2017, state the diagnostic label that is applicable to the problem identified.
e. Making reference to the most recent NANDA updates (2015 – 2017), define the diagnostic label identified in part d.
f. Describe the etiology of the problem.
g. Formulate a nursing diagnosis to reflect the existing problem, whether actual or risk.
h. Using the five (5) criteria for construction of a goal, formulate a goal of care relevant to the patient’s priority need.
i. Construct a nursing care plan using the DNE approved layout to address the PRIORITY problem identified in the scenario and including no less than three key nursing interventions.

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