Diversity And Health Assessments 6512

Diversity And Health Assessments 6512

Patient AG is a 54-year-old Caucasian male who was referred to your clinic to establish care after a recent hospitalization after having a seizure related to alcohol withdrawal. He has hypertension and a history of alcohol and cocaine abuse. He is homeless and is currently living at a local homeless shelter. He reports that he is out of his amlodipine 10 mg, which he takes for hypertension. He reports that he is abstaining from alcohol and cocaine but needs to smoke cigarettes to calm down since he is not drinking anymore. Diversity And Health Assessments 6512

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  • Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient above.
  • 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 6512

Assessing Musculoskeletal Pain

Assessing Musculoskeletal Pain

The body is constantly sending signals about its health. One of the most easily recognized signals is pain. Musculoskeletal conditions comprise one of the leading causes of severe long-term pain in patients. The musculoskeletal system is an elaborate system of interconnected levers that provides the body with support and mobility. Because of the interconnectedness of the musculoskeletal system, identifying the causes of pain can be challenging. Accurately interpreting the cause of musculoskeletal pain requires an assessment process informed by patient history and physical exams. Assessing Musculoskeletal Pain

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In this discussion, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.

 

To prepare:

  • By Day 1 of this week, you will be assigned to one of the following specific case studies for this discussion. Please see the “Course Announcements” section of the classroom for your assignment from your instructor.
  • Your discussion post should be in the episodic/focused SOAP Note format rather than the traditional narrative-style discussion posting format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all episodic or focused SOAP notes have specific data included in every patient case.
  • Review the following case studies:

STUDY CASE:

A 46-year-old female reports pain in both of her ankles, but she is more concerned about her right ankle. She was playing soccer over the weekend and heard a “pop.” She is able to bear weight, but it is uncomfortable. In determining the cause of the ankle pain, based on your knowledge of anatomy, what foot structures are likely involved? What other symptoms need to be explored? What are your differential diagnoses for ankle pain? What physical examination will you perform? What special maneuvers will you perform? Should you apply the Ottawa ankle rules to determine if you need additional testing?  Assessing Musculoskeletal Pain

With regard to the case study you were assigned:

  • Review this week’s learning resources and consider the insights they provide about the case study.
  • Consider what history would be necessary to collect from the patient in the case study you were assigned.
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
  • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

Post an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.

Assessing Musculoskeletal Pain

Disorders Of Gastrointestinal Function

Disorders Of Gastrointestinal Function

Marcee is a 52-year-old woman who worked at a reception desk at a company head office. She took some time off when she was treated for colorectal cancer. The Dukes classification was stage I, and the treatment protocol involved surgery and radiation therapy. No one in her family had a history of the disease. Marcee does not drink or smoke, but she does not pay close attention to her diet. At work, her meals consisted mainly of the foods she got from vending machines at the cafeteria. At home, she preferred to heat up frozen dinners or any prepackaged food that required minimal preparation time (Chapter 37, Learning Objective 9).

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  1. Review Marcee’s diet. What factors in her dietary choices might contribute to the development of colorectal cancer?
  2. Colorectal cancer often arises from adenomatous polyps. What are the development and histologic features of these polyps?
  3. Colorectal cancer may be a complication for individuals with ulcerative colitis. How are the “pseudopolyps” seen in this disease different from the polyps discussed above?
  4. Why is a fecal-occult blood test used as one of the screening tools for colorectal cancer? Explain the procedure for administering the test.

Disorders Of Gastrointestinal Function

 

Discussion: Hormone Replacement Therapy

Discussion: Hormone Replacement Therapy

In recent years, hormone replacement therapy has become a controversial issue. When prescribing therapies, advanced practice nurses must weigh the strengths and limitations of the prescribed supplemental hormones. If advanced practice nurses determine that the limitations outweigh the strengths, then they might suggest alternative treatment options such as herbs or other natural remedies, changes in diet, and an increase in exercise. Discussion: Hormone Replacement Therapy

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Consider the following scenario:

  • As an advanced practice nurse at a community health clinic, you often treat female (and sometimes male) patients with hormone deficiencies. One of your patients requests that you prescribe supplemental hormones. This poses the question: How will you determine what kind of treatment to suggest? What patient factors should you consider? Are supplemental hormones the best option for the patient, or would they benefit from alternative treatments?
To prepare:
  • Review Chapter 56 of the Arcangelo and Peterson text, as well as the Holloway, Makinen, and Huhtaniemi articles in the Learning Resources.
  • Review the provided scenario and reflect on whether or not you would support hormone replacement therapy.
  • Locate and review additional articles about research on hormone replacement therapy for women and/or men. Consider the strengths and limitations of hormone replacement therapy.
  • Based on your research of the strengths and limitations, reflect again on whether or not you would support hormone replacement therapy.
  • Consider whether you would prescribe supplemental hormones or recommend alternative treatments to patients with hormone deficiencies.

With these thoughts in mind:

Post a description of the strengths and limitations of hormone replacement therapy. Based on these strengths and limitations, explain why you would or would not support hormone replacement therapy. Explain whether you would prescribe supplemental hormones or recommend alternative treatments to patients with hormone deficiencies and why.

Discussion: Hormone Replacement Therapy

Family Assessment Part II

Family Assessment Part II

Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000-word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:

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  1. Describe the SDOH that affects the family’s health status. What is the impact of these SDOHs on the family? Discuss why these factors are prevalent for this family.
  2. Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions.
  3. Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide a rationale for your reasoning.
  4. Using the model, outline the steps for family-centered health promotion. Include strategies for communication.

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria.

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

Family Assessment Part II

Pharmacology And Diverse Populations

Pharmacology And Diverse Populations

Write for your organization a 3-5-page impact report regarding the health concerns of a new immigrant population. Describe the population’s health concerns and issues, explain current pharmacological treatments, and explain how culture and traditional practices may affect the use of pharmacology. Identify evidence-based strategies for the organization and nursing staff to use to educate the population and promote health and wellness. Pharmacology And Diverse Populations

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Imagine the county health department notifying your organization that a large number of immigrants are expected to be resettled in your area.  The organization, wanting to be prepared to handle any health concerns of the population, tasks each department with preparing for the influx of immigrants. Your supervisor asks you to prepare an impact report on the pharmacological needs of the population that can be shared with other departments.

Preparation

Complete the following as you prepare for your impact report:

  1. Choose one of the global areas below as the area from which the population will be coming.
    • Sub-Saharan Africa.
    • India.
    • China.
    • Dominican Republic.
    • Guatemala.
    • Jamaica.
    • Bangladesh.
    • Saudi Arabia.
    • Pakistan.
    • Mexico.
  2. Research the most common health concerns and issues for immigrants from your chosen global area, the pharmacological treatments that will likely be prescribed, and any cultural values or traditional practices that may impact patient outcomes.

Requirements

Once you have identified the population you will be using for this assessment, include the following in your impact report:

  • Describe the health concerns and issues facing the population.
  • Describe current pharmacological treatment regimens for the main health concerns and issues.
  • Explain any traditional beliefs and practices associated with health concerns and issues. Does the population engage in culturally based methods of treating health concerns?
  • Explain how cultural values and traditional practices might affect acceptance and use of prescribed pharmacological treatments. Be sure to consider the relationship between quality patient outcomes, patient safety, and the appropriate use of pharmacology.
  • Identify evidence-based, culturally sensitive strategies the organization can use to educate the population about the correct use of pharmacology treatments.
  • Identify evidence-based, culturally sensitive strategies the nursing staff can employ with the population to promote health and wellness. Pharmacology And Diverse Populations

Write this assessment as an impact report formatted as other reports of a similar nature in your organization or an organization with which you are familiar. Include a title page and reference page, and follow APA guidelines for your in-text citations and references.

Additional Requirements

  • Number of pages: 3–5
  • At least 3 current scholarly or professional resources.
  • Times New Roman font, 12-point, double-spaced font.

Pharmacology And Diverse Populations

Benchmark – Human Experience Across The Health-Illness Continuum

Benchmark: Human Experience Across The Health-Illness Continuum

The benchmark assesses the following competencies:

Benchmark: 5.1. Understand the human experience across the health-illness continuum.

Research the health-illness continuum and its relevance to patient care. In a 750-word paper, discuss the relevance of the continuum to patient care and present a perspective on your current state of health in relation to the wellness spectrum. Include the following:

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  1. Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.
  2. Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum.
  3. Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.).

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

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Benchmark: Human Experience Across The Health-Illness Continuum

Asthma Treatment PowerPoint

Asthma Treatment PowerPoint

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:

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  • 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. Include a reference slide

Asthma Treatment PowerPoint

Health Care Policy Development

Health Care Policy Development

1.4 Participate in health care policy development to influence nursing practice and health care.

Research public health issues on the “Climate Change” or “Topics and Issues” pages of the American Public Health Association’s (APHA) website. Investigate a public health issue related to an environmental issue within the U.S. health care delivery system and examine its effect on a specific population. Health Care Policy Development

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Write a 750-1,000-word policy brief that summarizes the issue, explains the effect on the population, and proposes a solution to the issue.

Follow this outline when writing the policy brief:

  1. Describe the policy-health issue. Include the following information: (a) what population is affected; (b) at what level does it occur (local, state, or national); and (c) evidence about the issues supported by resources.
  2. Create a problem statement.
  3. Provide suggestions for addressing the health issues caused by the current policy. Describe what steps are required to initiate policy change. Include necessary stakeholders (government officials, administrators) and budget or funding considerations, if applicable.
  4. Discuss the impact on the health care delivery system.

Include three peer-reviewed sources and two other sources to support the policy brief.

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

Health Care Policy Development

Benchmark – Diversity In Health Care

Benchmark: Diversity In Health Care

Diversity has a significant influence on health care. Studying transcultural health care helps health professionals understand different cultures in order to provide holistic and individualized health care. Review the Purnell Model for Cultural Competence, including the theory, framework, and 12 domains. Write 750–1,000 words exploring the Purnell Model for Cultural Competence. Include the following:

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1. Explain culturally sensitive care and its application within health care.

2. Explain the theory and organizational framework of the Purnell Model and discuss its relevance to transcultural health care.

3: Describe Purnell’s 12 domains of culture and assess how each of these domains plays an active role in the diversity of health care in your specific field.

4. Discuss how this model can be applied when working with different cultures in order to become a more culturally competent health care provider.

Benchmark: Diversity In Health Care