Conduct a cultural self-assessment. In order to understand culture and cultural diversity, it is important that you understand your own culture and heritage. Using the tables that are located throughout Chapter 2 of your textbook (one for each domain of the Purnell Model for Cultural Competence, Table 2-1 to Table 2-12), answer these questions as they relate to you. Remember, you are answering these questions from your personal perspective, so there is no right or wrong response. Explain why you do or do not adhere to the dominant cultural practices and beliefs of the ethnic group(s) with which you primarily identify. Although the information on this self-assessment paper is strictly confidential, if you do not wish to self-disclose a specific area from the Organizing Framework, indicate so instead of just not addressing it. You are not required to provide citations/references in this paper. Attention should be paid to grammar, spelling, and punctuation. This assignment must be in an APA formatted essay.

Purnell, L., & Paulanka, B. (2013). Transcultural health care: A culturally competent approach (4th ed.). Philadelphia: F. A. Davis. (Chapter 2)

• Chapter 2: The Purnell Model for Cultural Competence

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Many people in the US, particularly the elderly, take more than one prescribed medication. CDC (2014) reported that between 2009 and 2012 nearly 48% of persons asked used at least one prescription drug, 22% used three or more prescription drugs, and nearly 11% used five or more.

In a recent study published by the Mayo Clinic, seven out of 10 Americans take at least one prescription drug. The most commonly prescribed drug is antibiotics — taken by 17 percent of Americans — followed by antidepressants and opioids — each taken by 13 percent of Americans. In addition, findings showed that:

• Even more staggering than the CDC findings, currently more than half of Americans take two prescription medications, and 20 percent of Americans are on at least five prescription medications.
• More women than men receive prescription medications.
• Antidepressant prescriptions are more common among women than men, and are most common among women ages 50 to 64.

When people take multiple medications, there is a greater risk for confusion about which medications are taken, when they are taken, and what they are being taken for. There is also a higher risk for drug interactions and increased side effects and adverse reactions.

Sometimes because of the sheer number of medications being prescribed, they may be forgotten, become too much of a bother, or a financial burden which can significantly impact client compliance and lead to poor health outcomes.

In this written assignment, you will be conducting an interview of a client who is taking multiple prescribed medications (three or more) and submitting a written paper describing the findings from the interview. You will then develop a Client Teaching Plan. Your instructor will assist you in the selection of the client. You must achieve a “pass” in this assignment to satisfactorily fulfill the requirements for the Pharmacology course.

The three parts of this assignment are:

Conduct an interview of a client who is taking multiple medications (polypharmacy). You must prepare the client before the interview by explaining why you are conducting the interview. You can say “my assignment is to find out about the medications you are taking so I can determine if you need more information about what you are taking”. You must always get permission from the client to conduct the interview and you must tell the client how the information will be used. You can say, “I will not be using your name in the information I share and I will be submitting it to my instructor only for this student assignment”. If there is important information that needs to be communicated to you, your doctor, family, or nurse, my instructor will assist me in following up on this”. Tell the client you will take no more than 30-45 minutes for the interview.

There may be a family member or significant other present during the interview. That is fine. Be sure to identify who answered a question and if possible always have the client answer first. Always thank the client (and others) when you complete the interview.

Do not use recording equipment for this interview. Have a notepad and pencil or pen and explain that you will be taking notes. When the interview is over, go to a quiet place and take some time to fill in any information you did not jot down. If you wait, you will not remember.

When setting the environment for the interview, make sure the client (and others) is comfortable and you are comfortably seated facing the client. If possible, do the interview in a quiet place.

Ask questions slowly giving the client time to answer. Pay attention to the client’s hearing and ability to respond to the questions. Be sure your non-verbal communication demonstrates you are calm and relaxed.

Use the following interview question guidelines when conducting the interview. Be aware that the client may not be able to answer each of the questions with detailed information. Collect as much information as the client is able and willing to give you. Remember you are the interviewer so you will be collecting information and not making any comments about the information shared by the client except to ask for further clarification if you are not sure what was said or need more detail if it is available.

1. What medications are you taking?
   (Before the interview research each of the medications. In your paper include the reason for each medication, the drug classification, the route of administration, the dose, and possible side effects/adverse reactions).

   For the following questions, paraphrase the client’s answers for your written paper.

2. How long have you taken each these medications?
3. Do you know why you are taking these medications?
4. Who told you about the medications and why you need to take them? Were you able to ask any questions about the medications and if so were they answered so you understood what was said?
5. How do you feel about taking these medications?
6. Are you taking other medication purchased “over the counter” such as in a drug store? If so, what is it and why are you taking it.
7. How and when do you take your medications?
8. Do you have any difficulty taking the medications? If so, what happens and how do you deal with any difficulties.
9. Have you ever felt any uncomfortable feelings and/or body reactions to taking these medications? If so, what were they and how were they handled?
10. If you had the above reaction, did they take you off the medication and/or replace it with another medication? Were you told why this happened?
11. Do you have any reason not to take the medications?
12. Have you ever not taken the medication? If so, what was the reason?

Ask a final question about whether the client would like to tell you anything further about their medications.

Write a paper describing your research and findings about the medications being taken and the results of the interview. Report your findings in a 3-5 page written paper. In your paper include the reason for each medication, the drug classification, the route of administration, the dose, and possible side effects/adverse reactions.

Use accurate and appropriate spelling and grammar and APA Editorial Format for sources used in your written paper.

Develop a teaching plan for this client based on your findings. Based on the findings from the interview, develop a 2-3 page teaching plan to include the following:

1. List one goal for this teaching plan
2. Describe two to three teaching resources that might be used
3. Identify two teaching strategies that can be used based on the client interviewed
4. List specific client instructions regarding the medications and what adverse reactions they should be aware of/and what to do
5. Identify at least one factor that may negatively influence adherence to the medications and how it can be overcome
6. If, appropriate, describe how the family might be involved in ensuring the client is on a proper and safe medication regime

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Conflict Analysis 

Due 7/27 @7pm EST

2.5 – 3 pages

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Purpose

This week’s graded discussion topic relates to the following Course Outcomes (COs).

• CO 2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO 3)
• CO 3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO 7)

Discussion

Please watch the video and listen to the dialogue before posting.

Nursing Conflict

 MUSIC] Thank you for agreeing to talk to me about the discussion we had the other day about assigning patient load. As I started to say in the meeting but got interrupted, it is that I really don’t like the new plan that we have. I like the old one better and I don’t understand why we need to change.

I think that they expressed one concern about visiting patients in Iron Ridge. And that is the key as they were with high crime rate. We all recognize this issue. I do understand, but the new patient assignment scheme is meant to match you with a patient who will most benefit from your specialty and not where you live geographically.

There are many patients in Iron Ridge who have diabetes that need your expertise. [BLANK_AUDIO] Well, I really do love my patients, and I don’t hold it against them that they live in a bad part of town. But frankly, I’m afraid. Every night when I watch the news, there’s somebody that’s been involved in a shooting or a carjacking.

I talked to my husband about it, and he said that if you insist I go over there, he wants me to quit because it’s not safe. [BLANK_AUDIO] I have an idea I would like to explore with you. What if we sent an escort to accompany you on your visit?

Would this help you feel safer in that neighborhood? Sure it would, but do you think that’s realistic? The last I heard, we didn’t have any money to give us nurses raises and bonuses. I mean, do we even have the budget for something like security? It’s realistic as long as I can justify the safety of our nurses.

Let’s say the cost is a barrier to this scheme. What do you think? [BLANK_AUDIO] Well let me think about it. I need to talk to my husband too. I can’t decide right now. But you’ve given me something to consider. [MUSIC] 

At times the needs of our families conflict with our work responsibilities. Could this possibly be the underlying issue here?

1. Explain the conflict resolution skills displayed by the leader in the scenario. On a scale of 1-10, how would you rate those of the leader?
2. How might earlier collaboration have been beneficial? What other leadership skills should be used?

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Conflict Handling Style

This assignment will help you understand conflict at the individual, team and organizational levels.

Using the South University Online Library or the Internet, research and identify additional information on handling conflict.

Based on your research and understanding, create a paper in a 3- to 4-page Microsoft Word document that:

Includes a description of change theories, conflict theories, and leader as a change agent.

Integrates how your ability to handle conflict can either enhance or hinder effective leadership in the health care environment.

Use this APA Citation Helper as a convenient reference for properly citing resources.

This handout will provide you the details of formatting your essay using APA style.

You may create your essay in this APA-formatted template.

Submission Details

• Support your responses with examples
• On a separate references page, cite all sources using APA format.
• Name your document SU_NSG4029_W3_Project_LastName_FirstInitial.doc
• Submit your document to the Submissions Area by the due date assigned.

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