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.
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Diversity 18995825
/in Uncategorized /by developerDiversity among individuals, as well as cultures, provides a challenge for nurses when it comes to delivering meaningful health promotion and illness prevention-based education. How do teaching principles, varied learning styles (for both nurses and patients), and teaching methodologies impact the approach to education? How do health care providers overcome differing points of view regarding health promotion and disease prevention? Provide an example.
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Diversity 19477669
/in Uncategorized /by developerConduct an assessment of the health care environment where you work (i.e. health department, long-term care facility, specialty clinic, inpatient hospital, etc). Specifically, examine potential barriers that may exist for a member of a minority group that has a significant presence in your community (i.e. Native American, Cubans, Hmong). Using the criteria below (and explained in greater detail on pages 39 and 40), assess the potential organizational barriers to care in your work environment. Explore ways to decrease barriers to health care for this minority group so that your organization can strive for cultural competency. Write a 3-4 page APA essay, using two scholarly sources in addition to the textbook.
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Diversity And Health Assessments 19453213
/in Uncategorized /by developerTJ, 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 over the counter Tylenol for aches and pains on occasion. She has a strong family history of diabetes. Gravida 1; Para 0; Abortions 0
May 2012, Alice Randall wrote an article for The New York Times on the cultural factors that encouraged black women to maintain a weight above what is considered healthy. Randall explained—from her observations and her personal experience as a black woman—that many African-American communities and cultures consider women who are overweight to be more beautiful and desirable than women at a healthier weight. As she put it, “Many black women are fat because we want to be” (Randall, 2012).
Randall’s statements sparked a great deal of controversy and debate; however, they emphasize an underlying reality in the healthcare field: different populations, cultures, and groups have diverse beliefs and practices that impact their health. Nurses and healthcare professionals should be aware of this reality and adapt their health assessment techniques and recommendations to accommodate diversity.
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. Your Instructor will assign a case study to you for this Discussion.
To prepare:
By Day 3 of Week 2
Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. 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.
PLEASE PAY ATTENTION THE CASE STUDY
4 REFERENCES NOT MORE THAN FIVE YEARS
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Diversity And Health Assessments
/in Uncategorized /by developerIn 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.
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.
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.
**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.
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Diversity In American Society
/in Uncategorized /by developerReport Issue
DIAS Research Essay Assignment
Contemporary Issues in Diversity
Length: 4-6 pages (double spaced, 12-point font, Times New Roman, 1 inch margins all the
way around, no spaces between paragraphs). Reference/Works Cited page not included in
page count.
Format: No title page needed.
Sources: 4 scholarly sources (see note below).
Topic: Scan through Chapters 8-14 (not including 13), focusing on a topic that has personal or
professional meaning for you. Ask questions to direct your research: Is it true that
undocumented workers cost our economy more than they benefit it? Are Asian students
“naturally” better at math? Are men are less nurturing and therefore less capable of taking care
of small children? Is Affirmative Action effective or ineffective? Does law enforcement racially
profile? Why do boys frequently have lower GPA’s but higher standardized test scores? Does
therapy to change sexual orientation work? Would a deaf person prefer to be hearing? Are
people with mental illness violent?
The topic must be a contemporary issue. You may not write a historical essay. For example, an
essay that covers the history of sexism during World War 2 would not be acceptable. Also, the
essay must explore the issue in contemporary American society. Essays may not be focused on
the issue world-wide. You may compare the US to other countries to make a point, but it can’t
be the focus of the paper.
Your paper is about asking a genuine question and using research to answer it. This should be
something you truly have a question about. This is your opportunity to research this and
uncover the facts, the fictions, and the attitudes that surround that question. Begin by looking
through the book and thinking about the issues and ideas that really interest you. I suggest you
go with your strongest interest, rather that whatever looks easiest. Please contact me if you
would like help picking a topic.
Narrow your topic as much as you can! Topics such as “Is there sexism in public schools?” are
much too broad. A much more narrow question would be, “Are standardized tests biased
towards girls or boys?” Sometimes, you can’t know how you will narrow your topic until you
have done some research.
As long as your final paper is in the same topic area, you do not need my permission to narrow
it. If you wanted to change topics completely (such as changing from racism to ableism), you
must get approval.
Topic areas to consider (these are options, but you are welcome to select any topic from
Chapters 8-12 and 14):
1. Native Americans 2. African-Americans
3. Latino/Hispanic 4. Asian Americans
5. Immigration 6. LGBT
7. Economic/Income levels 8. Differing Abilities (physical, mental, social or learning)
9. Gender Roles 10. Religions/Faith
11. Age issues
Content to cover (It does not have to be in this order):
1. What is the question, assumption, idea that you are starting with (the more focused your
topic, the better)?
2. What does the book say about the topic (or related to the issue)?
3. What does your outside research say?
4. What are your own conclusions about this issue as related to the topic of diversity?
Sources: In addition to your textbook, you must use at least 3 other written, copyrighted,
reliable, sources.
Highly recommended (Required for an A paper)
• academic journals (found in Academic Search Complete or other database. Google
scholar is not a database).
Somewhat recommended (Including only sources such as these will result in a grade no higher
than B)
• well-known newspapers and magazines (Time, Newsweek, Wall Street Journal, New
York Times, LA Times, Plain Dealer, Beacon Journal)
Use with extreme caution (Only use these if you cannot find the information in a higher quality
sources. Avoid if possible.)
• news websites (CNN, MSNBC, FoxNews, etc.)
Not recommended/Do not use (Papers using only these sources will not receive a passing
grade. Papers depending heavily on these websites will not earn above a C):
• blogs
• very biased websites
• YouTube videos
Avoid Plagiarism! Cite!
• Paper must be 100% newly written by you for this course. No recycled papers, parts of
papers or speeches.
• APA In-text citations as well as a works cited/references page.
• Points will be deducted for not citing or incorrect citing.
• Plagiarism will result in a “0” for the paper.
Diversity in American Society
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Diversity In History
/in Uncategorized /by developerRespond to at least two of your classmates. Compare and contrast your answers to further everyone’s understanding of diversity and the lens of history.
Make sure you support your response with the readings from this module, and any additional resources if needed.
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Diversity In The Healthcare Workforce
/in Uncategorized /by developerThe Course Outcome covered this week is CO2.
CO2: Communicate effectively with culturally diverse individuals, families, and organizations. (PO3)
As nurses, we work with providers and healthcare team members whose native language is not English. In fact, some of you may have interviewed a non-native English speaker for your Course Project. This diversity may lead to challenges with communication and the nurse being “caught in the middle.”
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Diversity In The Media
/in Uncategorized /by developerIn response to your two peers, provide feedback about the example used and the social message that was provided. Are there other messages being represented?
Both peers discussion are attached.
You must support your response with the readings from this module attached below, and any additional resources if needed.
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Diversity Through The Lenses Of History And The Humanities
/in Uncategorized /by developerFor this second milestone, you will analyze your issue or event in diversity through the first two lenses introduced in this course: history and the humanities. This will provide you with a chance to practice analyzing your issue or event through these lenses. You will receive feedback on this practice attempt.
The Issue/Event is —> Conflicts in Intergenerational Workplace
To complete this assignment, review the Milestone Two Guidelines and Rubric.
Attached below is completion of Milestone One which is the beginning of this assignment to be done now. Please follow along with milestone one below to help and use all sources attached below to help answer questions in Milestone two rubric.
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Dka And Diagnostic Testing 19452995
/in Uncategorized /by developerYou will need to think about multifaceted discharge planning for a 45-year-old, married African American male and an 85-year-old, widowed African American male who were admitted to the hospital with a diagnosis of diabetes ketoacidosis (DKA).
In your initial post, please answer the following:
Explain your rationale for your choices, citing resources from the literature.
Answer the following question as assigned by your role in the discussion:
Each of the 3 answers needs to be 2 paragraphs long (about 150-200 words per paragraph) answering the questions with references from:
McCance, K. L., & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Elsevier.
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