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Diversity and Health Assessments

In this Discussion, you will consider different socioeconomic, spiritual, lifestyle, and other cultural factors that should be taken into considerations when building a health history for patients with diverse backgrounds.

Case 1

JC, an at-risk 86-year-old Asian male is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs. He has a hx of hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency, and chronic prostatitis. He currently takes Lisinopril 10mg QD, Prilosec 20mg QD, B12 injections monthly, and Cipro 100mg QD. He comes to you for an annual exam and states “I came for my annual physical exam, but do not want to be a burden to my daughter.”

 

Case 2

TJ, a 32-year-old pregnant lesbian, is being seen for an annual physical exam and has been having vaginal discharge. Her pregnancy has been without complication thus far. She has been receiving prenatal care from an obstetrician. She received sperm from a local sperm bank. She is currently taking prenatal vitamins and takes Tylenol over the counter for aches and pains on occasion. She a strong family history of diabetes. Gravida 1; Para 0; Abortions 0.

Case 3

MR, a 23-year-old Native American male comes in to see you because he has been having anxiety and wants something to help him. He has been smoking “pot” and says he drinks to help him too. He tells you he is afraid that he will not get into Heaven if he continues in this lifestyle. He is not taking any prescriptions medications and denies drug use. He has a positive family history of diabetes, hypertension, and alcoholism.

To prepare:

· Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments.

· Select one of the three case studies. Reflect on the provided patient information.

· Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected.

· Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.

· Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information?

Post

Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you selected. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.

 This work should have Introduction and conclusion

– This work should have at 3 to 5current references (Year 2013 and up)

– Use at least 2 references from class Learning Resources

The following Resources are not acceptable:

1. Wikipedia

2. Cdc.gov- nonhealthcare professionals section

3. Webmd.com

CLASS LEARNING RESOURCES

**Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.

  • Chapter 1, “The History and      Interviewing Process” (pp. 1-20)

This chapter highlights history and interviewing processes. The authors explore a variety of communication techniques, professionalism, and functional assessment concepts when developing relationships with patients.

  • Chapter 2, “Cultural      Competency” (pp. 21–29)

This chapter highlights the importance of cultural awareness when conducting health assessments. The authors explore the impact of culture on health beliefs and practices.

**Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby.

  • Chapter 2, “Evidenced- Based Health Screening”      (pp. 6-9)

**Melton, C., Graff, C., Holmes, G., Brown, L., & Bailey, J. (2014). Health literacy and asthma management among African-American adults: An interpretative phenomenological analysis. Journal of Asthma, 51(7), 703–713. doi: 10.3109/02770903.2014.906605

Retrieved from the Walden Library Databases.

The authors of this study discuss the relationship between health literacy and health outcomes in African American patients with asthma.

**Centers for Disease Control and Prevention (2015). Cultural competence. Retrieved from https://npin.cdc.gov/pages/cultural-competence

This website discusses cultural competence as defined by the Center for Disease Control and Prevention (CDC). Understanding the difference between cultural competence, awareness, and sensitivity can be obtained on this website. 

**United States Department of Human & Health Services. Office of Minority Health. (2016). A physician’s practical guide to culturally competent care. Retrieved from https://cccm.thinkculturalhealth.hhs.gov/

From the Office of Minority Health, the Website offers CME and CEU credit and equips health care professionals with awareness, knowledge, and skills to better treat the increasingly diverse U.S. population they serve.

**Espey, D., Jim, M., Cobb, N., Bartholomew, M., Becker, T., Haverkamp, D., & Plescia, M. (2014). Leading causes of death and all-cause mortality in American Indians and Alaska Natives. American Journal of Public Health, 104(S3), S303-S311. 

The authors of this article present patterns and trends in all-cause mortality and leading cause of death in American Indians and Alaskan Natives.

**Wannasirikul, P., Termsirikulchai, L., Sujirarat, D., Benjakul, S., Tanasugarn, C. (2016). Health literacy, medication adherence, and blood pressure level among hypertension older adults treated at primary health care centers. Southeast Asian J Trop Med Public Health., 47(1):109-20.

The authors of this study explore the causal relationships between health literacy, individual characteristics, literacy, culture and society, cognitive ability, medication adherence, and the blood pressure levels of hypertensive older adults receiving health care services at Primary Health Care Centers.

Within the Discussion Board area, write 250-350 words that respond to the following questions with your thoughts

Primary Task Response: Within the Discussion Board area, write 250-350 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

How healthcare services are provided is constantly changing.  While historically, emergency departments (ED) was physically located within the hospital building, the standalone Emergency Department also referred to as the Free Standing Emergency Department (FSED) has become a new model for delivery of emergency services within communities.   Consider yourself in the role of a consultant to a healthcare organization, financial manager, or ED administrative director. You have been asked to provide the CEO and leadership with pros and cons of establishing a Free Standing Emergency Department.  You are aware of the news stories about these types of facilities, and you will want to review The Washington Post article at this link as you prepare your review.

Include in your discussion:

  • Differences between off campus emergency departments (OCEDs) and independent free standing emergency centers (IFECs).  What would be the advantage to the healthcare organization of an OCED?How would services provided be reimbursed either by private insurance or Medicare/Medicaid?What are the advantages or disadvantages to the community of an FSED?  Would members of the community favor an OCED or an IFEC?Why are most of the FSEDs located in Texas, Colorado and Ohio?Based on your research and the news stories about FSEDs, what would you recommend to the CEO and Board of Directors?
NOTE: Use at least two scholarly references and cite using APA format.

Introduce the disease with a brief definition and description

Powerpoint presentation . The topic is on Hyperthyroidism. Please include the following in the presentation.


Address the following Criteria:

1. Introduce the disease with a brief definition and description.

2. Discuss the Risk Factorsand the connection to theEtiologyof the initial injury to the cell/tissue/organ.

3. Discuss health care provider implications for prevention of the disease.

4. Show the progression from the initial injury to the defect in the tissue, organ and system functioning.

5. Link changes in the tissue, organ, and system functioning to the initial presenting signs and symptoms seen in primary careof the disease.

6. Provide a brief description of how the disease is diagnosed.

7. Provide a brief description of the pharmacological and non-pharmacological interventions used to treat and manage the disease.

8. Summarizes the disease on final slide with concluding remarks; includes implication for nurse practitioner practice.

9. Utilizes at least two current (within 5 years), peer-review scholarly sources to support presentation content. 

10.  Reference slide and in-text citations depict references correctly cited according to APA.

In this assignment, learners are required to write a case report addressing the personal knowledge and skills

Details:
 

In this assignment, learners are required to write a case report addressing the personal knowledge and skills gained in this course and potentially solving an identified practice problem.

General Guidelines:

Use the following information to ensure successful completion of the assignment:

  • This      assignment uses a rubric. Please review the rubric prior to beginning the assignment      to become familiar with the expectations for successful completion.Doctoral      learners are required to use APA style for their writing assignments. The      APA Style Guide is located in the      Student Success Center.This      assignment requires that at least two additional scholarly research      sources related to this topic, and at least one in-text citation from each      source be included.You      are required to submit this assignment to LopesWrite. Please refer to the      directions in the Student Success Center.

Directions:

Construct a 2,500-3,000 word (approximately 10-12 pages) case report that includes a problem or situation consistent with a DNP area of practice.

  1. Review      the IOM and Kaiser Commission Report on the uninsured to develop the case      report.Apply      public health concepts to describe understanding      of the problem or situation of focus.Apply      one or more public health concepts to the recommended intervention or      solution being proposed.Develop      the case report across the entire scenario from the identification of the      clinical or health care problem through the proposal for an intervention,      implementation, and evaluation using an appropriate research instrument.Describe      the evaluation of the selected research instrument in the case report.Lastly,      explain in full the tenets, rationale      for selection (empirical evidence), and clear      application using the language of public health concepts within the case      report.

Case Report Requirements:

In addition, your case report must include the following:

  1. Introduction with a problem statement.

  1. Brief      literature review.

  1. Description      of the case/situation/conditions explained from a theoretical perspective.

  1. Discussion that includes a detailed explanation      of the synthesized literature findings.

  1. Summary of the case.

  1. Proposed solutions to remedy gaps,      inefficiencies, or other issues from a theoretical approach.

  1. Identification      of a research instrument to evaluate the proposed solution along with a      description of how the instrument      could be evaluated.

  1. Conclusion.

In a paper of 750-1,000 words, summarize the main idea of the research findings for a specific patient population

Identify a research or evidence-based article that focuses comprehensively on a specific intervention or new diagnostic tool for the treatment of diabetes in adults or children.

In a paper of 750-1,000 words, summarize the main idea of the research findings for a specific patient population. Research must include clinical findings that are current, thorough, and relevant to diabetes and the nursing practice.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

Develop a PowerPoint presentation

Based on the summary of research findings identified from the Evidence-Based Project—Paper on Diabetes that describes a new diagnostic tool or intervention for the treatment of diabetes in adults or children, complete the following components of this assignment:

Develop a PowerPoint presentation (a title slide, 6-12 slides, and a reference slide; no larger than 2 MB) that includes the following:

  1. A brief summary of the research conducted in the Evidence-Based Project – Paper on Diabetes.A descriptive and reflective discussion of how the new tool or intervention may be integrated into practice that is supported by sound research.

While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

using the South University’s online library resources, identify and analyze a case of your choice

uing the South University’s online library resources, identify and analyze a case of your choice (no older than 8 years) that you believe presents a conflict between public health, healthcare ethics, and current legal statutes (i.e., required vaccinations, no smoking policies, food/restaurant labeling requirements, school nutrition policies, etc.).

Then, take the perspective of a healthcare executive or professional solving a public health or ethical dilemma that your organization, community, and/or the healthcare profession at large are facing.

Based on your research and analysis of the case, write an 8–10-page proposal to other healthcare executives soliciting their support for legal reform with the state legislature. Include the following items in your proposal:

  • Describe how healthcare professionals and leaders can bring about changes in healthcare, legal, or ethical issues.Explain the current conflict between public health, healthcare ethics, and the current legal statute you have selected. Use cases and outside resources to explain your position.Present a new piece of legislature that will address the ethical conflict. While there are no wrong or right answers, make sure to link your new law to previous cases and/or healthcare ethical principles. Use existing laws but also be creative in writing a law.Identify the barriers to implementing the law, the stakeholders, and ways in which the barriers can be overcome.

Your proposal should be approximately 8–10 pages in length. Organize your proposal in the following manner:

  • Title pageIntroduction
    • Summary of selected caseReason for the selection and how it meets the criteriaThe ethical dilemma
    Background researchProposalDescription of proposalConflictProposed legislationBarriersReference page that follows APA citation guidelines

Submission Details:

  • Support you

Respond to this post with a positive response

Respond to this post with a positive response :

Ask a probing question, substantiated with additional background information, evidence or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.


Validate an idea with your own experience and additional research.


Make a suggestion based on additional evidence drawn from readings or after synthesizing multiple postings.


Expand on your colleagues’ postings by providing additional insights or contrasting perspectives based on readings and evidence.


Use  references


EXAMPLE OF A REFERENCE


 If you cannot locate a doi number, this is how the reference should look. 


Quelly, S. B. (2017). Characteristics Associated with School Nurse Childhood Obesity Prevention Practices. Pediatric Nursing, 43(4). Retrieved from https://www.pediatricnursing.net/issues/17julaug/abstr5.html


                                                MAIN POST

Online learning has become more mainstream and is now providing higher education opportunities to those who would not have had access in the past.  Online success comes from planning out your week and then accomplishing it. For me, I set aside time on Monday and Wednesday.  These days are my weekly off days that I set up with my OR director before school started.  Involving my director and manager lets them know what my goals are and how they can help me achieve them.  

Planning/Time Management

When I plan out my “school day”, I start with what time I am waking up, I incorporate breakfast, and dropping the little girl off at VPK, as well as gym time.  My day starts at 0530 and “class” begins around 0730-0745.  Mondays are dedicated to reading and initial discussion post’s.  If I can post a discussion with time to spare I will start thinking of ideas for my response post.  Wednesday’s are dedicated review days and responding to posts.  Thursday and Friday, for me, seem to be review of material and discussion post.  These days tend to be later in the night since I get off at 1900. So, I set aside and hour and a half of “school-time” on those nights.  The main thing to understand about planning and time management with online learning is this; you can’t expect to achieve a goal without preparation.  

Communication/ Technology use

            Temeka Johnson states in the academic guide” Walden offers a very user-friendly environment for the students to stay connected–to get connected and stay connected”.  Communication is so vital for achieving online success.  Walden is connected, they have provided you a way to access information 24-7.  There is the Facebook groups and pages for each class, there is the chat support on the main page of the student portal. Walden has also given you a link for FAQ’s.  In my opinion they have thought about everything.  With everything that Walden offers, the ease of accessing information is due to use of modern technology.  Jeffrey Bodimer states in the academic guide, “I mean, it’s technology, you’re not going to break it. You know, it’s not going bite you. You just simply have to get in and play around with it. Do the pointing, do the clicking. Post something incorrectly. You know, make the mistake. Don’t be afraid of making of making the mistake.”   

Walden University has given us a solid platform to jump from.  The tools of success have been handed to you as well as the instructions on how to use them.  Take the time to plan out future, communicate with your instructors and fellow students, and use the technology provided to make those plans a reality.  

 

References

Gerr, M. (2018). Walden SRO: Creating a Technology Backup Plan. [online] Academicguides.waldenu.edu. Available at: https://academicguides.waldenu.edu/ld.php?content_id=2828215 [Accessed 3 Dec. 2018].

Create a new Microsoft Word document and save it with the title of W3P_LastName.docx.

In this week’s discussion assignment (Week 3 Discussion) you identified a career for a research topic and did some searching to find credible information. Now it is time to gather your thoughts and resources and structure them into a Microsoft Word document. You will write a summary about your research topic and the resources you have identified. With this assignment, you are introduced to formatting papers in the style that will be required in most of your future coursework.

Create a new Microsoft Word document and save it with the title of W3P_LastName.docx. Save this document in your ITS1000 folder on your computer (in which you saved your previous assignments). The Microsoft Word document should include the following.

  • A Title page in APA format.The body of the paper containing one paraphrased paragraph from each of the four sources that you found for Week 3 Discussion. Double space the body of your paper and use an APA-styled in-text citation for each paragraph. There is no need to include the quoted paragraphs here; only include your paraphrasing and in-text citation for each source.An APA-formatted running header and page numbers.References page containing four APA-styled citations for the sources you paraphrased in the body of the paper.

Make sure you put the research findings into your own words, paraphrasing and citing your sources where appropriate.

Here is an example for a reference of a Web site address:
Author, I. (Last edited date). Title of resource. Retrieved from http://Web address

Submit your completed document to the appropriate submission folder by the due date assigned.