DIVERSITY AND HEALTH ASSESSMENTS

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DIVERSITY AND HEALTH ASSESSMENTS

CASE STUDY 1

Paloma Hernandez is a 26-year-old Spanish-speaking patient who has been coming to the clinic for the last 2 days in a row complaining of abdominal pain that is getting worse. On the first visit, the staff relied on her younger, bilingual daughter to translate. She was treated with Omeprazole and encouraged to take OTC medication. Today she presents with the same problem. Her daughter states it is the same problem but worse today. DIVERSITY AND HEALTH ASSESSMENTS

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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 consideration when building a health history for patients with diverse backgrounds.

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.
  • By Day 1 of this week, you will be assigned a case study by your instructor. Note: Please see the “Course Announcements” section of the classroom for your case study assignment.
  • Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient assigned to you. DIVERSITY AND HEALTH ASSESSMENTS
  • 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 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 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.

DIVERSITY AND HEALTH ASSESSMENTS

 

Quality Improvement Initiative Evaluation

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Quality Improvement Initiative Evaluation

Imagine you have been asked to prepare and deliver an analysis of an existing QI initiative at your workplace. The QI initiative you choose to analyze should be related to a specific disease, condition, or public health issue of personal or professional interest to you, or you may use the hospice information provided in the Vila Health: Data Analysis activity in this assessment. The purpose of the report is to assess whether the specific quality indicators point to improved patient safety, quality of care, cost and efficiency goals, and other desired metrics. Your target audience is nurses and other health professionals with specializations or interests in your chosen condition, disease, or public health issue. Quality Improvement Initiative Evaluation

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In your report, you will:

  • Analyze a current QI initiative in a health care setting.
    • Identify what prompted the implementation of the QI initiative.
    • Evaluate problems that arose during the initiative or problems that were not addressed.
  • Evaluate the success of a current QI initiative through recognized benchmarks and outcome measures as required to meet national, state, or accreditation requirements.
    • Identify the core performance measurements related to successful treatment or management of the condition. Quality Improvement Initiative Evaluation
    • Evaluate the impact of the quality indicators on the health care facility.
  • Incorporate interprofessional perspectives related to the success of actions used in the QI initiative as they relate to functionality and outcomes.
  • Recommend additional indicators and protocols to improve and expand the outcomes of a current quality initiative.
  • Ensure your analysis conveys purpose in an appropriate tone and style, incorporating supporting evidence, and adhering to organizational, professional, and scholarly writing standards.

Be sure to address all of the bullet points. You may also want to read the Quality Improvement Initiative Evaluation Scoring Guide to better understand the performance levels that relate to each grading criterion. Additionally, be sure to review the Guiding Questions: Quality Improvement Initiative Evaluation [DOCX] Download Guiding Questions: Quality Improvement Initiative Evaluation [DOCX]document for additional clarification about things to consider when creating your assessment.

Quality Improvement Initiative Evaluation

Anorexia/Depression/Anxiety

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Anorexia/Depression/Anxiety

Ms. Smith: Anorexia/Depression/Anxiety

Ms. Smith is an 85-year-old woman with end-stage cardiac disease in a  home hospice program. She has been very comfortable, not experiencing  any other symptoms, and has been quite functional until the last two  weeks. Her family contacts the home hospice nurse concerning her lack of  appetite, “continual sadness,” and anxiety which they feel is affecting  her ability to function.

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During a routine home visit by the hospice nurse, the patient relates that she has no appetite and is quite comfortable just having occasional “snacks” when she pleases. However, her family remains adamant that she requires better nutrition, and they request an IV be inserted. In addition, the family believes Ms. Smith is depressed and “too antsy,” and these contribute to her lack of appetite. Mrs. Smith states that she has had trouble with depression for many years but has always tried to find “the brighter side” to fight off the sadness. She also acknowledges that she becomes anxious when her children come to visit, as they “don’t want to admit I am dying,” she says. She reports that she does not always sleep well at night because she is afraid to die and leave her family behind. She says, “I wish I had raised my children better. If I had, there might not be all of this fighting going on about my care. I wish they would leave me alone, so I can die the way I want to.”

Discussion Questions:

  1. How might the hospice nurse incorporate interdisciplinary care for this patient?
  2. What additional assessments would be needed?
  3. What interventions might be considered?

Anorexia/Depression/Anxiety

 

Health Promotion: Prevention Of Disease

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Health Promotion: Prevention Of Disease

Discussion:

Healthy aging is an important public health issue, both nationally and internationally. The World Health Organization (WHO) recognizes healthy aging as a process whereby all people of all ages are able to live a healthy, safe, and socially inclusive lifestyle.

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Discuss how social determinants of health for older adults are impacted by those living in poverty.

Instructions: 

Post your discussion in the Moodle Discussion Forum.  The initial post must be made by Day 3.  Word limit: 500 words.  Reply to at least two other student posts with a reflection of their response.  Please make sure to provide citations and references (in APA, 7th ed. format) for your work.

Health Promotion: Prevention Of Disease

Power Point Asthma And Stepwise Management

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Power Point Asthma And Stepwise Management

To Prepare:

  • Reflect on drugs used to treat asthmatic patients, including long-term control and quick relief treatment options for patients. Think about the impact these drugs might have on patients, including adults and children. Power Point Asthma And Stepwise Management
  • Consider how you might apply the stepwise approach to address the health needs of a patient in your practice.

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  • Reflect on how stepwise management assists health care providers and patients in gaining and maintaining control of the disease.

Create a 5- to 6-slide PowerPoint presentation that can be used in a staff development meeting on presenting different approaches for implementing the stepwise approach for asthma treatment. Be sure to address the following:

  • Describe long-term control and quick relief treatment options for the asthma patient in your practice, as well as the impact these drugs might have on your patient.
  • Explain the stepwise approach to asthma treatment and management for your patient.
  • Explain how stepwise management assists health care providers and patients in gaining and maintaining control of the disease. Be specific.
  • Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.
    • Chapter 62, “Drugs for Asthma and Chronic Obstructive Pulmonary Disease” (pp. 557–579)
    • Chapter 63, “Drugs for Allergic Rhinitis, Cough, and Colds” (pp. 580–588)
  • Document: APA Presentation Template

Power Point Asthma And Stepwise Management

Health Care Stressors

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Health Care Stressors

  • Identify and describe at least two competing needs impacting your selected healthcare issue/stressor.
  • Describe a relevant policy or practice in your organization that may influence your selected healthcare issue/stressor.

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  • Critique the policy for ethical considerations and explain the policy’s strengths and challenges in promoting ethics.
  • Recommend one or more policy or practice changes designed to balance the competing needs of resources, workers, and patients while addressing any ethical shortcomings of the existing policies. Be specific, and provide examples.
  • Cite evidence that informs the healthcare issue/stressor and/or the policies, and provide two scholarly resources in support of your policy or practice recommendations.

Health Care Stressors

Nursing Pharmacology Week 4 Assignment

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Nursing Pharmacology Week 4 Assignment

To Prepare:

  • Review the case study assigned by your Instructor for this Assignment
  • Reflect on the patient’s symptoms, medical history, and drugs currently prescribed.
  • Think about a possible diagnosis for the patient. Consider whether the patient has a disorder related to the gastrointestinal and hepatobiliary systems or whether the symptoms are the result of a disorder from another system or other factors, such as pregnancy, drugs, or a psychological disorder.
  • Consider an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.

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Explain your diagnosis to the patient, including your rationale for the diagnosis.

  • Explain your diagnosis to the patient, including your rationale for the diagnosis.
  • Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
  • Justify why you would recommend this drug therapy plan for this patient. Be specific, and provide examples.

Nursing Pharmacology Week 4 Assignment

Data Analysis And Quality Improvement Initiative Proposal

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Data Analysis And Quality Improvement Initiative Proposal

In this assessment, you will make a QI initiative proposal based on a health issue of professional interest to you. This proposal will be based on an analysis of dashboard metrics from a health care facility. You have two options: Data Analysis And Quality Improvement Initiative Proposal

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Option 1

If you have access to dashboard metrics related to a QI initiative proposal of interest to you:

  • Analyze data from the health care facility to identify a health care issue or an area of concern. You will need access to reports and data related to care quality and patient safety. If you work in a hospital setting, contact the quality management department to obtain the data you need.
    • You will need to identify basic information about the health care setting, size, and specific type of care delivery related to the topic that you identify. You are expected to abide by standards for compliance with the Health Insurance Portability and Accountability Act (HIPAA).

Option 2

If you do not have access to a dashboard or metrics related to a QI initiative proposal,

  • You may use the hospital data set provided in the Vila Health: Data Analysis media piece to identify a health care issue or an area of concern.
  • You will follow the same instructions and provide the same deliverables as your peers who select Option 1.

Complete the following steps for your proposal:

  • Analyze the data to identify a health care issue or an area of concern as it relates to a state, national, or accreditation benchmark requirement relevant to your professional setting.
    • Evaluate the quality of the data.
  • Outline a QI initiative proposal based on the selected health issue or area of concern and support data analysis to improve the identified dashboard metric. The interactive activity Designing a Quality Improvement Initiative can get you going on the first steps of the QI process and your assessment. Data Analysis And Quality Improvement Initiative Proposal
    • Identify the target areas of improvement and outcome measures.
    • Include the QI model that will be utilized.
    • Specify evidence-based strategies that will be utilized.
  • Integrate interprofessional perspectives and actions to lead to quality improvements in patient safety, cost-effectiveness, and work-life quality.
    • Specify roles and responsibilities.
  • Apply effective collaboration strategies to promote the quality of interprofessional care.
    • Include specific communication tools.
  • Deliver a persuasive, coherent, and effective audiovisual presentation. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

Be sure that your proposal, at minimum, addresses each of the bullet points. You may also want to read the Data Analysis and Quality Improvement Initiative Proposal Scoring Guide to better understand the performance levels that relate to each grading criterion. Additionally, be sure to review the Guiding Questions: Data Analysis and Quality Improvement Initiative Proposal [DOCX] Download Guiding Questions: Data Analysis and Quality Improvement Initiative Proposal [DOCX]document for additional clarification about things to consider when creating your assessment.

Data Analysis And Quality Improvement Initiative Proposal

 

Immune System And Cancer

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Immune System And Cancer

The immune system is exceedingly complex in terms of its constituent cells, molecules, and signaling pathways. Each major component of the immune system is critical for survival; immune activity protects against infections that would quickly be lethal without immune defenses and eliminates cells in the stages of cancerous transformation.  Immune System And Cancer

The most common and major immune system disorders are related to immune activity that exceeds physiological needs. Hypersensitivity in the form of allergies occurs in 10%–20% of the population. The prevalence of allergies increased in the developed world from the 1960s through the early 2000s, after which it began to plateau. Although less common than immune hyperactivity, disorders in which immune activity is below normal leave an individual susceptible to dangerous infections. In some individuals, immune activity is compromised to the extent that those affected are at risk for a major illness or even death.

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1. What is the “big picture” of the immune system’s role in maintaining homeostasis?

2. What general principles are involved in the protection provided by the innate and adaptive immune systems? Immune System And Cancer

The annual incidence of cancer in the United States is estimated at 439.2 per 100,000 persons, with an annual rate of deaths due to cancer of 163.5 per 100,000 persons. Cancer ranks second, just behind heart disease, as a cause of death in the United States.

Over the past 25 years, death rates have dropped in the United States for cancers of the lung and bronchus, prostate, colon and rectum, and stomach, while liver cancer death rates have increased. At least 42% of cancer cases in the United States may be preventable with lifestyle changes such as smoking cessation, weight loss, physical activity, alcohol use reduction or avoidance, improved nutrition, use of sunblock, and avoidance of tanning devices. Vaccination or antibiotic use can reduce the incidence of cancer-causing infections such as those due to hepatitis B and C viruses, human papillomavirus, and Helicobacter pylori.

1. What features help to differentiate a benign tumor from a malignant tumor?

2. What tissues give rise to a carcinoma, a sarcoma, and a lymphoma?

Immune System And Cancer

Healthcare Informatics Assignment

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Healthcare Informatics Assignment

User-Friendly Healthcare Informatics Systems

In this writing assignment, you will write a one- to two-page paper in which you analyze the importance of user-friendly informatics systems.

Step 1: Reflect on your encounters with healthcare informatics systems that you have used in the clinical setting (either as a practicing nurse or as a student in the clinical setting).

Step 2: Answer the following questions as you write your paper:

  • Why is it important that informatics systems be user-friendly? In your encounters with informatics systems, have the systems been user-friendly? Explain.
  • What does learnability refer to, and what was your experience with learning this healthcare informatics system?

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  • What does efficiency refer to, and, in your experience, how did the healthcare informatics systems affect your efficiency?
  • What does memorability refer to, and, in your experience, how easy was it to use the healthcare informatics system after being away from it?
  • Did you encounter any errors while using the healthcare informatics system? How can errors affect the usability of a healthcare informatics system?
  • What was your overall satisfaction with the healthcare informatics system?

Cite any sources in APA format, 7th edition,, with website links

Healthcare Informatics Assignment