Anne Kolsky    3 posts   Re: Topic 9 DQ 2  Potential Barriers to Sustained Changes   Population health improvements require action from multiple sources. People are complex and so are responses to changes. Everyone is accountable and delegation can only go so far. Our nation tends to see value in how much money is spent vs taking the sometimes-harder route of making actual changes. It is easier to “throw money” at the problem, then change the root of the problem. Pardon the pun, but we tend to put bandaids on the hemorrhages. We tend to see the problem from our own personal perspectives only. Contributions and partnerships must come from all areas of influence.  Possible Solutions  Multisectoral community health business partnership models maybe a key to making everyone a part of the bigger picture as well as the details. This is a different pathway that shows promise. As the article states, “It is time to move beyond grands and isolated efforts to partnerships with substantial structure, incentives, and financing,” (Kindig & Isham, 2014). Business, education, state and local governments, community developers, and philanthropic organizations must form partnerships to make changes sustainable. Developing a business model is one way to encourage this as the “bottom line” is always a motivating factor. If it can be done without making this the “only” factor and that everyone has a stake in the “business,” then it can work well. HealthPartners is an example of a consumer-driven nonprofit that works in partnership with entities that encourage a unique niche (Kindig & Isham, 2014).  Kindig, D. A., & Isham, G. (2014). Population health improvement: A community health business model that  engages partners in all sectors. Frontiers of Health Services Management, (4), 3. Retrieved from  https://search-ebscohost-com.lopes.idm.oclc.org/login.aspx?  direct=true&db=edsgih&AN=edsgcl.553965837&site=eds-live&scope=site

 

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Creating Culturally Competent Health Care Organizations

Read chapter 9 of the class textbook and review the attached PowerPoint presentation.  Once done present an analysis of the following case study answering the questions below.

Mrs. Li Huan, a 79-year-old Chinese American widow who lives alone in New York City’s Chinatown recently had a cerebrovascular accident (CVA) or stroke. Mrs. Li has right-sided paralysis with partial loss of voluntary movement and sensation in her right arm and leg. Mrs. Li has weak facial muscles, difficulty with speech, and drooling. She experiences numbness and tingling in her arms and legs. Mrs. Li is going to a rehabilitation center known for delivering culturally competent interprofessional care where she is cared for by a team of credentialed health care providers: Dr. Indira Patel, nurse J.J. Johnson, physical therapist Mohammad Abu Said, dietician Maria Gonzalez, and Chinese American herbalist, Chen Minzhe.

(Note: In traditional Chinese culture, a person’s last name or surname is written first, followed by his/her first name. Therefore, the patient’s last name is Li and the herbalist’s last name is Chen. It is proper etiquette to call a person of Chinese background by his/her title, in this case, Mrs. Li and Mr. Chen until the individual gives you permission to use his/her first name. To further confuse matters, many acculturated Chinese Americans are likely to reverse their first and last names in the typical US or Canadian order. Therefore, it is important to ask the patient, “What is your first name? What is your last name?” Note the correct order on the patient’s chart for other members of the team.)

1. How do members of the interprofessional team assess Mrs. Li’s literacy, diet, and medications, including herbal medicines being provided by her herbalist, Mr. Chen?
2. How do the nurse and other members of the team determine if complementary or integrative treatments, such as medicinal herbs, are helpful, harmful, or neutral to Mrs. Li’s recovery?
3. If you were seeking advice or consultation from a traditional Chinese herbalist in your community, how would you locate one?
4. Why do patients seek treatment from alternative and integrative healers?
5. How can credentialed health care providers work collaboratively with Mr. Chen to ensure that prescription medicines and herbs are compatible and that there are no adverse or harmful interactions between various medicines?
6. What strategies would you recommend to promote Mrs. Li’s optimum functioning and health following her CVA? (Andrews & Boyle, Transcultural Concepts in Nursing Care, 7th Edition).

INSTRUCTIONS:

 APA format word document, Arial 12 font attached to the forum ,   If you don’t post your assignment in any of the required forums you will not get the points.  A minimum of 2 evidence-based references besides the class textbook no older than 5 years must be used.   the proper references no older than 5 years in two different days to verify attendance and as well make sure the references are properly quoted in your assignment.  A minimum of 800 words is required.  

 

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Question # 1:

   

You have an idea to improve patient care that you would like upper management to support and fund. What type of communication tool would you use to present your idea and why?

Question # 2:

What differentiates someone that is intrinsically motivated from someone that is extrinsically motivated? Give an example of how you would go about motivating an individual who is intrinsically motivated and one who is extrinsically motivated. What are the characteristics of a performance-driven team?

 

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#1:

 

What is the impact to the nursing profession and to the public related to the projected nursing shortage? Discuss at least one way that the nursing profession is working toward a resolution of this problem.

#2: What is the role of health care reform in shifting the focus from a disease-oriented health care system toward one of wellness and prevention, and how does nursing fit into this shift? 

 

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#1:

 Discuss current research that links patient safety outcomes to ADN and BSN nurses. Based on some real-life experiences, do you agree or disagree with this research? 

#2:

 

What is the difference between a DNP and a PhD in nursing? Which of these would you choose to pursue if you decide to continue your education to the doctoral level?

 

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