Poster Presentation

Poster Presentation

Poster Presentation

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Students this project will allow you to formulate and hypothetically develop your own research project. The purpose of this project is for the student to follow all of the different steps in a research project on an already published article and presented as a poster presentation. A poster session or poster presentation is the presentation of research information by an individual or representatives of research teams at a congress or conference with an academic or professional focus. The work is usually peer reviewed. Poster sessions are particularly prominent at scientific conferences such as medical congresses.

Students will select a nursing research already published and following the article information you will create a poster presentation that include the below information:

The outline of the poster should include the following tabs (minimum requirements)

Abstract Outline:

-Title of Project

-Problem Statement: what is the problem that needs fixing?

-Purpose of the Project

-Research Question(s)

-Hypothesis

-Methodology (Qualitative vs. Quantitative)

-Steps in implementing your project

-Limitations

Results (Pretend results)

-Conclusion

-References

I have attached an example of a poster presentation for guidance. The due date for the poster presentation is WEEK 13. Please feel free to be artistic and provide graphs and data. You are welcome to use any poster template. Please submit it via turn it in.

 

AXAMPLE

www.Post

(—THIS SIDEBAR DOES NOT PRINT—)

DESIGN GUIDE

This PowerPoint 2007 template produces a 36”x48” presentation poster. You can use it to create your research poster and save valuable time placing titles, subtitles, text, and graphics.

We provide a series of online tutorials that will guide you through the poster design process and answer your poster production questions. To view our template tutorials, go online to PosterPresentations.com and click on HELP DESK.

When you are ready to print your poster, go online to PosterPresentations.com

Need assistance? Call us at 1.510.649.3001

QUICK START

Zoom in and out

As you work on your poster zoom in and out to the level that is more comfortable to you.

Go to VIEW > ZOOM.

Title, Authors, and Affiliations

Start designing your poster by adding the title, the names of the authors, and the affiliated institutions. You can type or paste text into the provided boxes. The template will automatically adjust the size of your text to fit the title box. You can manually override this feature and change the size of your text.

TIP: The font size of your title should be bigger than your name(s) and institution name(s).

 

Adding Logos / Seals

Most often, logos are added on each side of the title. You can insert a logo by dragging and dropping it from your desktop, copy and paste or by going to INSERT > PICTURES. Logos taken from web sites are likely to be low quality when printed. Zoom it at 100% to see what the logo will look like on the final poster and make any necessary adjustments.

TIP: See if your school’s logo is available on our free poster templates page.

Photographs / Graphics

You can add images by dragging and dropping from your desktop, copy and paste, or by going to INSERT > PICTURES. Resize images proportionally by holding down the SHIFT key and dragging one of the corner handles. For a professional-looking poster, do not distort your images by enlarging them disproportionally.

Image Quality Check

Zoom in and look at your images at 100% magnification. If they look good they will print well.

ORIGINAL

DISTORTED

Corner handles

Goodprinting quality

Bad printing quality

QUICK START (cont.)

How to change the template color theme

You can easily change the color theme of your poster by going to the DESIGN menu, click on COLORS, and choose the color theme of your choice. You can also create your own color theme.

You can also manually change the color of your background by going to VIEW > SLIDE MASTER. After you finish working on the master be sure to go to VIEW > NORMAL to continue working on your poster.

How to add Text

The template comes with a number of pre-formatted placeholders for headers and text blocks. You can add more blocks by copying and pasting the existing ones or by adding a text box from the HOME menu.

Text size

Adjust the size of your text based on how much content you have to present. The default template text offers a good starting point. Follow the conference requirements.

How to add Tables

To add a table from scratch go to the INSERT menu and
click on TABLE. A drop-down box will help you select rows and columns.

You can also copy and a paste a table from Word or another PowerPoint document. A pasted table may need to be re-formatted by RIGHT-CLICK > FORMAT SHAPE, TEXT BOX, Margins.

Graphs / Charts

You can simply copy and paste charts and graphs from Excel or Word. Some reformatting may be required depending on how the original document has been created.

How to change the column configuration

RIGHT-CLICK on the poster background and select LAYOUT to see the column options available for this template. The poster columns can also be customized on the Master. VIEW > MASTER.

How to remove the info bars

If you are working in PowerPoint for Windows and have finished your poster, save as PDF and the bars will not be included. You can also delete them by going to VIEW > MASTER. On the Mac adjust the Page-Setup to match the Page-Setup in PowerPoint before you create a PDF. You can also delete them from the Slide Master.

Save your work

Save your template as a PowerPoint document. For printing, save as PowerPoint of “Print-quality” PDF.

Print your poster

When you are ready to have your poster printed go online to PosterPresentations.com and click on the “Order Your Poster” button. Choose the poster type the best suits your needs and submit your order. If you submit a PowerPoint document you will be receiving a PDF proof for your approval prior to printing. If your order is placed and paid for before noon, Pacific, Monday through Friday, your order will ship out that same day. Next day, Second day, Third day, and Free Ground services are offered. Go to PosterPresentations.com for more information.

Student discounts are available on our Facebook page.
Go to PosterPresentations.com and click on the FB icon.

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●Worldwide there are approximately 18 million new cases of sepsis each year, with a mortality rate range estimated about 30% to 60%.

●Sepsis is the 10th leading cause of death in the United States.

●Organ failure occurred in 19.1 % of sepsis patients from 1979 to 1989 and 30.2% from 1990 to 2000.

●Severe sepsis as the primary diagnosis increased from 326,000 in 2000 to 727,000 in 2008.

●Severe sepsis as the secondary diagnosis increased from 621,000 in 2000 to 1,141,000 in 2008.

●About 24 % of patients who develop severe sepsis or septic shock will do so in a Medical-Surgical unit.

●Severe sepsis strikes about 750,000 Americans annually

Paragraph 6- Long paragraph

Paragraph 6- Long paragraph

Please write a long Paragraph answering to this discussion below with your opinion. Please include citations and references in alphabetical order in case of another source.

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Geopolitical community refers to regions political views that guide the government, the economy, laws as well as local and foreign policies. This usually refers to an entire nation and the foreign policies. I live in Ketchikan, Alaska, which is the southeastern part of Alaska. Ketchikan in positioned on the island of Ravillagegido with a population in the winter time of about 8900 people and in the summer time of approximately 10900, we also play host to some days in the summer with 12000 cruise ship passengers. We are the bridge to nowhere that was never built. We have the only international airport in the world that cannot be accessed by a road. We are the first city that you get to when coming to Alaska. On this island we have a Gateway Borough Assembly, Saxman Tribal Council, Ketchikan Indian Corporation, and Ketchikan City Council.

Phenomenological community is a group of people who have shred or like-minded relationship, values, beliefs, and goals. They are not bound by geographical boundaries. There are many that I could think of, like the Catholic Church which we are a part of, the Filipino community which I am part of because I have been married to one for almost 30 years, or the fact that I am a nurse.

There are many difficulties dealing with the diverse population in Ketchikan. The Alaskan Native have their own clinics and health care system, they usually get mad at the providers and stop using their system, there is public health, but they have limited the amount of services and the ages in which they can help people, therefore most people are referred to the Emergency Room and start building up a huge bill. I am pretty sure that this is the same for most communities in Alaska and maybe in other places of the United States as well.

One issue that comes to mind is PCP (Paralytic Shellfish Poisoning). This is a product of the red tide that moves through our area and the vast amount of fresh seafood that is everywhere. I now that they have the
same problems in other nations with the clams and oysters and things. We see this with almost every ethnic group that is our area. They have posted signs around most of the beaches and put out public service announcements.

References:

Maurer, F. A., & Smith, C. M. (2017). Community/public health nursing practice: Health for families and populations. Elsevier Health Sciences.

Contemporay Issue Position Essay

Contemporay Issue Position Essay

Contemporary Issue Position Essay

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WCU assignment icon Choose a case from the https://journalofethics.ama-assn.org/cases

and take a position. For this assignment you will evaluate the

ethical arguments for or against the issue. Identify the potential legal

arguments (consider current federal guidelines), indicate any potential

professional code conflicts you foresee, and support your position with

an explanation of your own ethical/moral foundation.

In your 2-3 page paper:

Identify the issue and state your ethical position.
How might this scenario play out or impact you in your role as a nurse practitioner?
Defend your position with legal, ethical, and professional evidence.
As part of your position, propose strategies and solutions for addressing the issues.
What other ethical issues does this case bring to light, if any?
Support your position with at least one scholarly source (it may be your text). Be sure to cite the article you choose, use APA format, and include a title page and reference page.

Review the rubric for further information on how your assignment will be graded.

Long Paragraph – Please follow instructions

Long Paragraph – Please follow instructions

What are social determinants of health? How do social determinants of health contribute to the development of

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illness? What is a communicable disease chain? Are there steps that a nurse can take to break a link within the communicable disease chain? Give a specific example. Please include citations and references.

Readings within your text covering international/global health and the following websites will assist you in answering these questions:

U.S. Centers for Disease Control and Prevention (CDC) Global Health website: http://www.cdc.gov/cogh/index.htm
U.S. Department of Health & Human Services (HHS) Global Health website: http://www.globalhealth.gov/index.html
Families USA – Why Global Health Matters—Here and Abroad website: http://www.familiesusa.org/
World Health Organization (WHO) website: http://www.who.int

Long Paragraph ( 2 )

Long Paragraph ( 2 )

Select a global health issue impacting the international health community. Briefly describe the global health issue

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and its impact on the larger health care system (i.e., continents, regions, countries, states, and health departments). How can health care delivery systems work collaboratively to address global health concerns?Who are some of the stakeholders that may work on these issues? Include citations and references.

Readings within your text covering international/global health and the following websites will assist you in answering these questions:

U.S. Centers for Disease Control and Prevention (CDC) Global Health website: http://www.cdc.gov/cogh/index.htm
U.S. Department of Health & Human Services (HHS) Global Health website: http://www.globalhealth.gov/index.html
Families USA – Why Global Health Matters—Here and Abroad website: http://www.familiesusa.org/
World Health Organization (WHO) website: http://www.who.int

APA Style format

APA Style format

Grand Canyon University American Psychological Association [APA] Style Guide for Writing Introduction Students of

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Grand Canyon University (GCU) are required to use the Publication Manual of the American Psychological Association (6th ed.) for preparing written assignments, except where otherwise noted. All students should have a personal copy of the APA Publication Manual, which is available through the GCU Bookstore or local bookstores. In the interest of providing resource material for student use, this guide to APA style and format has been developed and made available. It is based on the current 6th edition of the APA Manual. However, the guide only highlights aspects of APA style and format, and so it is recommended that students use the APA Manual as a resource when writing APA-style papers. An APA template has been provided in the Student Success Center’s Writing Center for student download and use. PLEASE NOTE: The curriculum materials (Syllabus, Lectures/Readings, Resources, etc.) created and provided by GCU in the online or Web-enhanced modalities are prepared using an editorial format that relies on APA as a framework but that modifies some formatting criteria to better suit the nature and purpose of instructional materials. Students and faculty are advised that GCU course materials do not adhere strictly to APA format and should not be used as examples of correct APA format, or in place of the APA Manual, when preparing written work for class. © 2013 Grand Canyon University 1 Last updated: January 2, 2013 APA Format and Style General Academic writing, which is independent thought supported by reliable and relevant research, depends on the ability to integrate and cite the sources that have been consulted. Use APA style for all references, in-text citations, formatting, etc. Write in first- and second-person sparingly, if ever. This means, avoid using I, we, and you; instead, use he, she, and they. Do not use contractions. Paper Format 1) 2) 3) 4) 5) 6) Use standard-sized paper of 8.5″ x 11″. Margins should be 1″ all around (top, bottom, left, right). Use Times New Roman 12-point font. For emphasis, use italics (not quotation marks, bold, etc.). Double-space. Align the text flush left. Organization The basic organization of an APA-style paper includes the title page, abstract, body, and reference section, though students are encouraged to follow any specific directions given in their Overview assignment. Title Page The title page includes four elements that should be centered in the middle of the page: title, author byline, institutional affiliation followed by the course prefix and number (e.g., Grand Canyon University: PSY 351), and date of submission. Please note that even though APA does not require the date on a title page, it is a requirement for GCU papers. Being the first page, the title page is where to set up your page header, which includes the running head and the page number. The running head—an abbreviated title that is a maximum of 50 characters—should appear flush left in all uppercase letters in the header on all pages. Page numbers should be in the header, flush right. To format your running head and page numbers in Microsoft Word, click ViewHeader and Footer. In the header box that shows up, type Running head: ABBREVIATED TITLE HERE. On the Header/Footer dialog box that pops up, click Insert Page Number (last button on the left). Put the cursor between the running head and the page number, and click the tab button a few times until the running head is flush left and the page number is flush right. © 2013 Grand Canyon University 2 Last updated: January 2, 2013 Abstract The abstract covers the main points of the paper and is not always required in a GCU writing assignment. Read the assignment instructions carefully to determine whether the assignment requires an abstract or not. 1) 2) 3) 4) Abstract is page 2 of the assignment. The word Abstract should be centered at the top of the page. As per GCU policy, the abstract should not exceed 120 words. Do not indent the abstract paragraph. Body The body will contain all of the author’s main points as well as detailed and documented support for those ideas. 1) The body begins on its own page. 2) The title of the paper should be centered at the top of the first page of the body, in initial caps. 3) The introduction follows the title, but is not labeled. 4) Use headings to separate sections of the paper, but none of the sections should start their own page. The first level of heading is centered and bolded with each word of four letters or more capitalized (see template for an example). The second level of heading (subheading) is flush left and bolded, with each word of four letters or more capitalized. Note that not all papers will have headings or subheadings in them. APA dictates that you should avoid having only one subsection heading and subsection within a section. In other words, use at least two subheadings under a main heading, or do not use any at all. References The references page will contain a list of all sources actually cited in the paper. 1) 2) 3) 4) This should start its own page. The word References, though not in italics, is centered at the top of the page. Include all, any, and only sources that were actually cited in the paper. Arrange the sources in alphabetical order using the authors’ last names. © 2013 Grand Canyon University 3 Last updated: January 2, 2013 Style, Punctuation, and Mechanics Numbers 1) Use numerals for numbers 10 and above (12 of the subjects); for numbers above and below 10 grouped for comparison (2 of 16 responses); for numbers representing times, dates, measurements, and ages (2-year-olds, 2 hr 15 min); for statistics and percentages (multiplied by 5, 5% of the sample); and for numbers denoting a specific place in a series, book, or table (Table 3, Group 3, page 32). 2) Spell out numbers below 10 that do not represent precise measurements (eight items, nine pages); for numbers beginning a sentence, title, or heading (Forty-eight people responded. Ten subjects improved.); for common fractions (one fifth of the class); and for approximations of numbers of days, months, and years (about three months ago). Acronyms An acronym uses the first letter of each word in a name or title. 1) Acronyms must be spelled out completely on initial appearance in text. The abbreviation or acronym should appear in parentheses after that initial spelling out. Example: The No Child Left Behind Act (NCLB) had a profound impact on public education in the United States. The NCLB was an initiative of President George W. Bush in 2002. Spelling and Word Usage Use Merriam-Webster’s Collegiate Dictionary as a default for spelling words. The dictionary can also be used as a resource for hyphenation, capitalization, etc. In-Text Punctuation 1) Use one space after punctuation marks at the end of a sentence. 2) Use ellipses when omitting material within a quote. 3) Place a comma after the penultimate word in a series. For example: Your books, ball, and bat are under the bed. 4) If a compound word is not in Merriam-Webster’s Collegiate Dictionary, use hyphens for clarity rather than omit them. 5) Hyphenate compound adjectives that precede the noun they modify, except when the first word of the compound is an adverb ending in -ly. For example: role-playing technique, twoway analysis, middle-class families, widely used method 6) Do not hyphenate a compound adjective if its meaning is established or it cannot be misread. For example: grade point average, health care management 7) See page 98 of the APA Manual for further rules on hyphenation. © 2013 Grand Canyon University 4 Last updated: January 2, 2013 Initial Capitalization 1) Capitalize all words of four or more letters in titles (books, articles, etc.) used in text. This rule does not apply within the References section, except for the titles of periodicals. 2) Capitalize proper nouns and names. In-Text Citations In-text citations are used in the body of a paper to show which sources a student used for particular material. When you use material from a source, you need to document that source by using a citation and reference note. All quotations, paraphrases, and summaries must be referenced. Using material from a source without citing that source is considered plagiarism; please reference GCU’s policy on Plagiarism in the University Policy Handbook. Citation Rules 1) In-text citations should note the author information, plus the publication year. 2) For a work by one author, cite last name followed by year on every reference. This citation can be placed at the end of the sentence, or it can be incorporated into the grammatical structure of the sentence. Examples: Researchers have concluded that food and comfortable setting were more important than games available to most students (Liu, 1999). According to Liu (1999), researchers have concluded that food and comfortable setting were more important than games available to most students. 3) For a work by two authors, cite both last names followed by year on every reference. Examples: (Walker & Allen, 2004) According to Walker and Allen (2004)… 4) For a work by three to five authors, cite all last names followed by year on first reference, and the first author’s last name followed by et al. and year upon subsequent references. Examples: (Bradley, Ramirez, Soo, & Walsh, 2006) (Bradley et al., 2006) © 2013 Grand Canyon University 5 Last updated: January 2, 2013 5) For a work by six or more authors, cite last name of the first author followed by et al. and the year on all references. Examples: (Wasserstein et al., 2005) According to Wasserstein et al. (2005)… 6) If no author exists for the source, use the first few words of the title. Example: Students were more concerned about having a place to socialize with other students than about all-out competition (“Philosophy and the Science,” 2001). 7) If the material is a direct quote, the page or paragraph number of the source should immediately follow. Examples: “Ethics examines moral values and the standards of ethical behavior” (Ornstein et al., 2008, p. 162). Basu and Jones (2007) went so far as to suggest the need for a new “intellectual framework in which to consider the nature and form of regulation in cyberspace” (para. 4). 8) Quotations with 40 or more words should be in block format. a) Omit the encompassing quotation marks. b) Start a block quote on a new line. c) Indent the entire block 0.5 inches from the left margin (in the same position as a new paragraph) d) Additional paragraphs within a block quote should have the first line indented an additional 0.5 inches. e) The in-text citation for a block quote is placed outside the final punctuation for the quote. f) Double space. © 2013 Grand Canyon University 6 Last updated: January 2, 2013 Sample Paragraph With In-Text Citations Liu and Berry (1999) conducted a survey of college campuses to determine the best design for a student lounge. They concluded that food and comfortable seating were more important than games available to most students. Students were more concerned about having a place to socialize with other students than about all-out competition. In fact, they continue, arcade games could be a turn-off for some students because they did not want to compete with the noise to talk. These same students said that they would prefer to have a place where they could study and casually socialize at the same time, so seating, lighting, and noise level were all crucial. (Liu & Berry, 1999, p. 14) This study and others (Wendell, 1978; Hartford, Herriford, & Hampshire, 2001; Johnson et al., 2004) confirm that while having activities is important, students are more drawn to comfortable multi-purpose environments. In-Text Citation Examples Book Reference: Ellis, D. (2006). Becoming a master student. Boston, MA: Houghton Mifflin Company. With a direct quote: Ellis (2006) notes that “creative thinking is more appropriate in the early stages of planning and problem solving” (p. 223). Without a direct quote: It may be more appropriate to think creatively during earlier planning and problem-solving stages (Ellis, 2006). © 2013 Grand Canyon University 7 Last updated: January 2, 2013 APA References The reference list should appear at the end of a paper. It provides the information necessary for a reader to locate and retrieve any source you cite in the body of the paper. Each source you cite in the paper must appear in your reference list; likewise, each entry in the reference list must be cited in your text. Your references should begin on a new page separate from the text of the essay; label this page References (with no quotation marks, underlining, etc.), centered at the top of the page. The References page should be double-spaced just like the rest of your essay. 1) All lines after the first line of each entry in your reference list should be indented one-half inch from the left margin. This is called hanging indentation. 2) Invert all authors’ names; give surnames and initials for up to and including seven authors (e.g., Author, A. A., Author B. B., Author, C. C.). When authors number eight or more, include the first six authors’ names, then insert three ellipses, and add the last author’s name. Example: Gilber, D. G., McClernon, J. F., Rabinovich, N. E., Sugai, C., Plath, L. C., Asgaard, G., … Botros, N. (2004). Effects of quitting smoking on EEG activation and attention. Nicotine and Tobacco Research, 6, 249-267. doi:10.1080/14622200410001676305 3) Reference list entries should be alphabetized by the last name of the first author of each work. 4) If you have more than one article by the same author, single-author references or multipleauthor references with the exact same authors in the exact same order are listed in order by the year of publication, starting with the earliest. 5) When referring to any work that is NOT a journal—such as a book, article, or Web page title—capitalize only the first letter of the first word of a title and subtitle, the first word after a colon or a dash in the title, and proper nouns. Do not capitalize the first letter of the second word in a hyphenated compound word. © 2013 Grand Canyon University 8 Last updated: January 2, 2013 Reference Examples: Books, Reference Books, and Book Chapters Entire Book — Print Version Format: Author, A. A. (Year). Title of work. Location: Publisher. Example: Daresh, J. C. (2004). Beginning the assistant principalship: A practical guide for new school administrators. Thousand Oaks, CA: Corwin. Electronic Version of a Print Book Format: Author, A. A., & Author, B. B. (Year). Title of work. Retrieved from http://www.xxxxx Example: Shotton, M.A. (1989). Computer addiction? A study of computer dependency [DX Reader version]. Retrieved from http://www.ebookstore.tandf.co.uk/html/index.asp Format: Author, A. A. (Year). Title of work. doi:xxxx Example: Schiraldi, G. R. (2001). The post-traumatic stress disorder sourcebook: A guide to healing, recovery, and growth [Adobe Digital Editions version]. doi:10.1036/0071393722 Electronic-Only Book Format: Author, A. A. (Year). Title of work. Retrieved from http://www.xxxxx Example: O’Keefe, E. (n.d.). Egoism and the crisis in Western values. Retrieved from http://www.onlineoriginals.com/showitem.asp?itemID=135 © 2013 Grand Canyon University 9 Last updated: January 2, 2013 Edited Book Format: Editor, A. A. (Ed.). (Year). Title of work. Location: Publisher. Example: Feldman, P. R. (Ed.). (1997). British women poets of the romantic era. Baltimore, MD: Johns Hopkins University. Chapter in a Book Format (Print): Author, A. A., & Author, B. B. (Year). Title of chapter or entry. In A. A. Editor & B. B. Editor (Eds.), Title of book (pp. xxx-xxx). Location: Publisher. Example (Print): Haybron, D. M. (2008). Philosophy and the science of subjective well-being. In M. Eid & R. J. Larsen (Eds.), The science of subjective well-being (pp. 17-43). New York, NY: Guilford Press. Format (Online): Author, A. A., & Author, B. B. (Year). Title of chapter or entry. In A. A. Editor & B. B. Editor (Eds.), Title of book (pp. xxx-xxx). Retrieved from http://www.xxxx Example (Online): Haybron, D. M. (2008). Philosophy and the science of subjective well-being. In M. Eid & R. J. Larsen (Eds.), The science of subjective well-being (pp. 17-43). Retrieved from http://www.science.com/ Philosophy and the science.pdf Format (Online with DOI): Author, A. A., & Author, B. B. (Year). Title of chapter or entry. In A. A. Editor & B. B. Editor (Eds.), Title of book (pp. xxx-xxx). doi:xxxxxxx Example (Online with DOI): Haybron, D. M. (2008). Philosophy and the science of subjective well-being. In M. Eid & R. J. Larsen (Eds.), The science of subjective well-being (pp. 17-43). doi:10.1037/10762000 © 2013 Grand Canyon University 10 Last updated: January 2, 2013 Multiple Editions of a Book Format: Author, A. A. (Year). Title of work (xx ed.). Location: Publisher. Example: Parker, F., & Riley, K. (2004). Linguistics for non-linguists: A primer with exercises (4th ed.). Boston, MA: Allyn & Bacon. Entry in an Online Reference Work — Byline Available Format: Author, A. A. (Year). Entry title. In B. B. Editor (Ed.), Title of reference work (xx ed.). Retrieved from http://www.xxxxx Example: Graham, G. (2005). Behaviorism. In E. N. Zalta (Ed.), The Stanford encyclopedia of philosophy (Fall 2007 ed.). Retrieved from http://plato.stanford.edu/entries/ behaviorism Entry in an Online Reference Work — No Byline Available Format: Entry title. (Year). In Title of reference work (xx ed.). Retrieved from http://www.xxxx Example: Heuristic. (n.d.). In Merriam-Webster’s online dictionary (11th ed.). Retrieved from http://www.m-w.com/dictionary/heuristic Entry in Reference Work — No Byline Format: Entry title. (Year). In A. Editor (Ed.), Title of reference work (xx ed., Vol. xx, pp. xxx-xxx). Location: Publisher. Example: Heuristic. (2007). In J. Smith (Ed.), The book of words (7th ed., Vol 3, pp. 65-66). New York, NY: Jones and Lawrence. © 2013 Grand Canyon University 11 Last updated: January 2, 2013 Book Written and Published by Organization Format: Organization Name. (Year). Title of work. Location: Publisher. Example: American Psychological Association. (2001). Publication manual of the American Psychological Association (5th ed.). Washington, DC: Author. Note that the organization is both the publisher and the author, so the word “Author” is noted in place of the publisher’s name. Reference Examples: Periodicals Journal Article With DOI Format: Author, A. A. (Year). Title of article. Journal Title, Volume(Issue), xxx-xxx. doi:xxxxxx Example: Herbst-Damm, K. L., & Kulik, J. A. (2005). Volunteer support, marital status, and the survival times of terminally ill patients. Health Psychology, 24, 225-229. doi:10.1037/0278-6133.24.2.225 Journal Article Without DOI and Retrieved From Internet Format: Author, A. A. (Year). Title of article. Journal Title, Volume(Issue), xxx-xxx. Retrieved from http://www.xxxxxxxx Example: Sillick, T. J., & Schutte, N. S. (2006). Emotional intelligence and self-esteem mediate between perceived early parental love and adult happiness. E-Journal of Applied Psychology, 2(2), 38-48. Retrieved from http://ojs.lib.swin.edu.au/index.php/ejap © 2013 Grand Canyon University 12 Last updated: January 2, 2013 Journal Article Without DOI and Retrieved From Print Version Format: Author, A. A. (Year). Title of article. Journal Title, Volume(Issue), xxx-xxx. Example: Light, M. A., & Light, I. H. (2008). The geographic expansion of Mexican immigration in the United States and its implications for local law enforcement. Law Enforcement Executive Forum Journal, 8(1), 73-82. Article in a Magazine — Print Format: Author, A. A. (Year, Month). Article title. Magazine Title, Volume(Issue), xxx-xxx. Example: Mehta, P. B. (1998, June). Exploding myths. New Republic, 290(25), 17-19. Article in a Magazine — Online Format: Author, A. A. (Year, Month). Article title. Magazine Title, Volume(Issue). Retrieved from http://www.homepage Example: Clay, R. (2008, June). Science vs. ideology: Psychologists fight back about the misuse of research. Monitor on Psychology, 39(6). Retrieved from http://www.apa.org/monitor Article in a Newspaper — Print Format: Author, A. A. (Year, Month Day). Article title. Newspaper Title, pp. xx, xx. Example: Schwartz, J. (1993, September 30). Obesity affects economic, social status. The Washington Post, pp. A1, A4. © 2013 Grand Canyon University 13 Last updated: January 2, 2013 Article in Newspaper — Online Format: Author, A. A. (Year, Month Day). Article title. Newspaper Title. Retrieved from http://www.homepage.com Example: Brody, J. E. (2007, December 11). Mental reserves keep brain agile. The New York Times. Retrieved from http://www.nytimes.com Report from University or Government Organization, Corporate Author Format: Organization name. (Year). Title of report (Publication No. xx). Retrieved from http://www.xxxx Example: U.S. Department of Health and Human Services, National Institutes of Health, National Heart, Lung, and Blood Institute. (2003). Managing asthma: A guide for schools (NIH Publication No. 02-2650). Retrieved from http://www.nhlbi.nih.gov/health/prof/asthma/asth_sch.pdf Authored Report from Nongovernmental Organization Format: Author, A. A., & Author, B. B. (Year). Title of report (Research Report No. xxx). Retrieved from Agency name website: http://www.xxxxxxxxx Example: Kessy, S. S. A., & Urio, F. M. (2006). The contribution of microfinance institutions to poverty reduction in Tanzania (Research Report No. 06.3). Retrieved from Research on Poverty Alleviation website: http://www.repoa.or.tz/documents_storage/Publications/Reports/06.3_Kessy_and_Uri o.pdf © 2013 Grand Canyon University 14 Last updated: January 2, 2013 Informally Published Work Format: Author, A. A., & Author, B. B. (Year). Title of work. Retrieved from http://www.xxxxxxxxx Example: Black, C. (2011). Women and addiction: From Betty Ford to Amy Winehouse. 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Case and Discussion

Case and Discussion

Answer the below DQ 250 words APA format 3 scholarly sources with citation less than 5 year old

Case and Discussion

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A 21-year-old women comes to your office with a 2 day history of right ear pain. She reports that the ear pain began shortly after taking scuba diving lessons. She describes the pain as “a pressure” and also notes “crackling” in the right ear and periodically feeling dizzy.

What other associated symptoms should you ask about?
How does the time course help to distinguish among different causes of ear pain?
How does the age of the patient help with narrowing the diagnostic possibilities?
What diagnostic tests do you want to include to help you with your diagnosis?
Create a differential diagnosis flowsheet for this patient and include the diagnostics as well as the pharmacological management and rationale related to the differentials.

Antibiotic Therapy

Antibiotic Therapy

Journal Grading Rubric Unsatisfacotry Satisfactory Average 1 2 3 Identifies importance of Minimal reflection without

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subject as it Identifies importance without reference to personal, reflection or examples. relates personally, clinical, or profession. clinically, and professionally. Reflects on experiences and ties them to the course and unit outcomes appropriately. Provides short reflection, but no clear connection to outcomes. Major grammar errors. Reflection of subject to self, clinical, and professional importance with minimal integration of evidence based information. Provides a well written reflection, Provides short reflection, and there is a clear connection to and there is a small outcomes, but lacks clinical connection to outcomes. insight. Several grammar errors. Few grammar errors Format/Style 4 Total available points = Rubric Score Low Grade points High Low High 3,5 4,0 0 0 2,5 3,49 0 0 1,7 2,49 0 0 1,0 1,69 0,0 1,00 0 0 0 0 Rubric Excellent Weight Final Score Thorough identification of the importance of the subject matter to the individual, clinical, and the profession. Supports this through personal experience and evidence-based information. Post consist of at least 300 words. 45% 0,00 Provides a well written reflection that is clearly connected to the outcomes and clinical insight is evident in the writing. 45% 0,00 No grammar, word usage or punctuation errors. Overall style is consistent with professional work. 10% 0,00 100% 0,00 Score 4 Final Score 0 Percentage #DIV/0! Percentage Low High 90% 100% 80% 89,99% 70% 79,99% 60% 0 69,99% 59,99%
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People of Baltic Heritage.People of Brazilian Heritage

People of Baltic Heritage.People of Brazilian Heritage

Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Cultures Larry Purnell, PhD, RN, FAAN

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Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Overview/Heritage ▪ People of Baltic descent come from Estonia, Latvia, and Lithuania. ▪ The countries of origin of these ethnic groups are sometimes referred to as the Baltics or the Baltic countries because each of them is located in Europe on the Baltic Sea. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Overview/Heritage ▪ Historical, cultural, religious, and language differences prevent the group from being one cultural entity. ▪ These countries represent three distinct ethnic groups and are treated as such. ▪ The Estonians are a Finno-Ugric people whose language is related to Finnish. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Overview/Heritage ▪ The Union of Soviet Socialist Republics (USSR) forcibly annexed Estonia in 1949 and maintained control until 1991 when Estonia regained its independence. ▪ Latvia, situated between Estonia and Lithuania on the Baltic Sea, was independent from 1918 to 1940 when it was forcibly annexed by the USSR. ▪ Latvia regained its independence in 1991. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Overview/Heritage ▪ Russians make up 29 percent of the population of Latvia; the remainder is made up of Byelorussians, Ukrainians, and Poles. ▪ Most ethnic Latvians speak a Baltic language related to Lithuanian. ▪ Lithuania was an independent country from 1918 to 1940 when the USSR forcibly annexed it. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Overview/Heritage ▪ In 1990, Lithuania re-declared its independence from Soviet rule. ▪ For Lithuania, 83.5 percent are Lithuanians, 6.3 percent are Russians, 6.7 percent are Poles, and 3.7 percent other. ▪ Lithuanian is a Baltic language related to Latvian. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Overview/Heritage ▪ The Baltic countries today are democratic, growing economically, and are successful compared with many other former Soviet Union countries where poverty and dictatorship have been predominant. ▪ In 1940, the three Baltic countries lost their independent status to Germany and then to the USSR in 1941. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Overview/Heritage ▪ During this time, hundreds of thousands of Latvians, Lithuanians, and Estonians were deported in cattle cars to Soviet prison camps in Siberia. ▪ Fearing death or deportation by the communist regime, Estonians, Latvians, and Lithuanians fled to the West by any means possible. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Overview/Heritage ▪ The post-World War II influx of immigrants to the United States came in 1949. ▪ Because the immigrants fled from the religious, cultural, and political persecution of the Soviet regime and could not return to their native countries after World War II, the U.S. Congress facilitated their entry by enacting laws designating them as displaced persons. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Overview/Heritage ▪ Many of the post-World War II refugees were professionals. ▪ All three Baltic countries have regular song festivals and dance festivals in the US and in the native countries too. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Overview/Heritage ▪ The Baltic countries are strong in the arts, and theater, opera, music of all types, and film continue to flourish. ▪ During the past 10 years, the three Baltic countries have experienced a “brain-drain” to some extent because many of their highly educated have emigrated to the US and Europe. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Overview/Heritage ▪ Education is highly valued by people of Baltic descent. All three Baltic countries have high literacy rates. ▪ Education is valued in itself and is seen as a way of improving life circumstances. ▪ These immigrants made many sacrifices so their children could become educated. As a result, many Americans of Baltic descent have advanced degrees. Many are professionals in medicine and law. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Communication ▪ People of Baltic descent share thoughts and feelings readily. ▪ The stereotype of quiet, stoic individuals is not borne out by observation or research. ▪ For example, humor can be used to relate to these clients and is appreciated if used in the right context. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Communication ▪ Clients of Baltic origin may hesitate to share intimate thoughts and feelings related to their cultural sense of decorum, but this does not mean that they do not experience feelings and emotions. ▪ They may wait to see if the health-care professional is caring and takes the time to actually listen to them. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Communication ▪ As a whole, people of Baltic descent are not flamboyant or highly volatile, but individual differences are always present. ▪ Some individuals enjoy touch and close contact, while others do not. ▪ Individuals from these cultures are receptive to a caring use of touch from family and close friends, but they may come across as more aloof with strangers. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Communication ▪ People of Baltic descent give attention to the past, present, and future. ▪ The past is revered in the sense that significant historical events for each cultural group continue to be celebrated and acknowledged. ▪ People of Baltic descent value frugality because they have had hard times in the past. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Communication ▪ People of Baltic descent view time similarly to the dominant American culture. ▪ Individuals of Baltic descent have become acculturated to time awareness and deadlines; they arrive at appointments on time. Because of their strong work ethic and high value on work, they take pride in the efficient and wise use of their time. ▪ Socially, however, they may be less aware of time and tend to be late. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Communication ▪ Individuals of Baltic descent generally use their American last name. ▪ First names of women end in “a” and first names of men end in “as” or “s.” In their native languages, the last names indicate if the person is male or female; for females, the last name indicates if the woman is married or single. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Communication ▪ In Latvian, the typical last name ends in “ans,” “ins,” or “e” with the endings indicating masculine or feminine genders. ▪ Estonian names are similar to Finnish names. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Communication ▪ The father is the head of the household in the typical family of Baltic heritage. ▪ Both men and women in the family may have jobs and discuss major decisions. ▪ Health-care and other major decisions are made jointly by both spouses. ▪ Women in the family are given respect, and decision-making is done by both men and women. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Family Roles & Organization ▪ Because education is highly valued, parents encourage and supervise children in their school work and progress. ▪ Corporal punishment was used by older generations but is practiced less by younger families. ▪ Cultural activities, such as song or dance groups and ensembles, frequently unite people. Transcultural Health Care: A Culturally Competent Approach, 4th Edition ClickerCheck The language spoken by people from the Baltic countries is a. The same for Latvians and Lithuanians but different for Estonians. b. The same for Estonians and Latvians but different for Lithuanians. c. Different for each country. d. The same for each country. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Correct Answer Correct answer: C The language spoken by people from the Baltic countries is different for each country. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Family Roles & Organization ▪ The traditional nuclear family is still the standard in these cultural groups. ▪ Family is highly valued and divorce is still fairly rare. ▪ Lithuanian Americans are predominantly Roman Catholic, and their religion supports strong family values. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Family Roles & Organization ▪ Older people are respected in the Baltic cultures. ▪ If grandparents are unable to live independently, every effort is made to have them move in with an adult child, usually a daughter. ▪ Nursing homes are used when needed. ▪ In America, a certain amount of respect is still given to professionals, but each cultural group has more of an egalitarian sense of community. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Family Roles & Organization ▪ The literature does not include information about same-sex couples in these cultures. ▪ Because the dominant religions of the Baltic countries do not sanction homosexuality, few individuals and couples are openly homosexual. Transcultural Health Care: A Culturally Competent Approach, 4th Edition ClickerCheck Newer immigrants from the Baltic countries should be assessed for a. Malaria. b. Thalassemia. c. Orthopedic disorders. d. Endocrine disorders. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Correct Answer Correct answer: D Newer immigrants from the Baltic countries should be assessed for endocrine disorders because of radiation fallout from the Chernobyl accident. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Workforce Issues ▪ Material aspects are seen as secondary to the more important family values. ▪ Responsibility is taken seriously and is encouraged. ▪ People of Baltic descent adapt readily to American values of timeliness in the workplace. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Workforce Issues ▪ People of Baltic descent have no difficulty maintaining their sense of autonomy and readily take on work roles, responsibility, and decision making. ▪ They usually do not like to confront those in authority directly and find ways to deal with difficult situations or people through the use of humor or deference. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Workforce Issues ▪ Recent immigrants who have lived under the Soviet regime may not be accustomed to making decisions for themselves or acting autonomously. ▪ In previous governmental regimes, individuals and their rights were not considered important. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Biocultural Ecology ▪ People of Baltic descent have white skin. Estonians are similar to the Finns with brown hair and eyes, but some are blonde and blue-eyed. ▪ Latvians and Lithuanians have fair complexions with blonde hair and blue eyes. ▪ Recent immigrants from the Baltics may be at risk for cancer because of industrial pollution and radiation exposure from the Chernobyl nuclear disaster in 1988. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Biocultural Ecology ▪ Some immigrants are survivors of political torture, having spent years in prison labor camps in Siberia. ▪ The incidence of alcoholism is high in the Baltics. ▪ Ashkenazi Jews from the Baltic countries may respond differently to neuroleptic agents. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic High-Risk Health Behaviors ▪ Exercise and physical activity are valued, and people of these cultures make an effort to get a reasonable amount of exercise. ▪ Individuals who have emigrated to the United States in the last 15 years tend to continue to smoke. ▪ Although many people of Baltic descent maintain jobs and are able to function, their use of alcohol is high. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Nutrition ▪ Because many individuals who left the Baltics after World War II experienced food shortages and times of starvation, food is important to these people. ▪ Recent immigrants have left the Baltics for economic reasons and have also experienced food shortages. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Nutrition ▪ Some foods common among this cultural group are meats such as pork, chicken, and beef. ▪ Rye and whole grain breads are popular. ▪ Baked goods such as bacon rolls, yeast baked goods, and rich tortes and cakes are common. ▪ Fresh fruits and vegetables are enjoyed. ▪ Potato dishes such as potato pancakes, potato kugel, and potato dumplings are popular. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Nutrition ▪ Beets, mushrooms, and cabbage are used in soups and sauces. ▪ Dairy products such as sour cream, butter, and yogurt are included daily in their meals. ▪ Grain porridges are popular, especially among Latvians who have putras porridges. ▪ The content of porridges varies according to regions in Latvia. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Nutrition ▪ Foods enjoyed by people of Baltic descent include smoked and unsmoked sausages, and smoked fish, eel, and pork. ▪ The spices used are rather mild compared with those of other cultures, but foods may be high in salt content. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Pregnancy & Childbearing Practices ▪ In previous generations in the Baltics, infant mortality rates were very high. Large families were encouraged under communism. ▪ Baltic people in the US use a variety of birth control measures. ▪ Americans of Baltic descent use modern Western medicine practices obtain early prenatal medical care, and are receptive to health teaching for prenatal and postnatal care. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Pregnancy & Childbearing Practices ▪ Some women and families from these cultural groups prefer natural childbirth and breastfeeding. ▪ Pregnant women are to remain calm and receive no shock or frightening news. ▪ Godparents are important in the child’s life and traditionally give gifts, including candy, to each other and guests. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Death Rituals ▪ Death is viewed as part of life, and ceremonies of the wake and funeral are linked with Christian religious services. ▪ The funeral may take place within 3 to 4 days following the death, providing time for out-of-town friends and relatives to gather. ▪ Cremation is permissible. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Death Rituals ▪ The funeral is usually a Christian service, followed by a meal at which all attendees are welcomed. Burial is the usual practice. ▪ Grief is expressed by sadness, crying, and talking about the deceased with fondness and respect. ▪ Individuals from these cultures express emotions readily but not in highly dramatic ways. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Death Rituals ▪ Decorum is maintained in public and with strangers. ▪ The dead are often remembered with frequent visits to the cemetery. ▪ All Souls Day, November 2, Ve·line·s, is a significant day for Lithuanian Americans, with religious ceremonies commemorating the dead. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Spirituality ▪ Estonian Americans and Latvian Americans are predominantly Lutherans but include some Catholics, while Lithuanian Americans are predominantly Roman Catholic. ▪ All these groups celebrate major Christian religious holidays, particularly Easter and Christmas. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Spirituality ▪ Individuals of these cultures consider themselves as having spiritual roots, which may be closely linked with their high value for their language, country, and culture. ▪ Under Soviet rule, religion was forbidden; every effort to eradicate all traces of religious belief. ▪ Religion was replaced by communist dogma for 50 years. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Spirituality ▪ A very small percentage of Latvians maintain an ancient pagan religion. ▪ This religious group is called Dievtui (those with God) and has a high priest as the head of the group. ▪ Stories include myths and folk wisdom in rhyme as an important part of their content. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Spirituality ▪ Most Americans of Baltic descent consider prayer an individual expression of their faith. ▪ Many have been sustained through hardships by their strong religious faith and continue to have strong religious needs. ▪ Spiritual and religious considerations are considered private and may not be readily shared with health-care professionals. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Spirituality ▪ Clergy from the client’s church are usually welcome. ▪ Clients find considerable comfort in speaking with the clergy in times of crises and serious illness. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Health-care Practices ▪ Individuals of Baltic descent adhere to modern medical regimens and readily use the health-care system available to them. ▪ Because they consider health and well-being important, they take an active interest in healthy lifestyles, nutrition, and exercise. ▪ Fresh air is considered important, and walking, especially in natural settings such as parks, is enjoyed by all ages. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Health-care Practices ▪ People of Baltic descent assume responsibility for their own health. ▪ Because work is highly valued, most are in the workforce and have insurance coverage. ▪ Medical care and hospitalization are sought readily. Attempts are made to maintain health even into old age. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Health-care Practices ▪ Recent immigrants from the Baltics to America may have different values because they lived under a communist regime in which the government “took care” of their medical needs. ▪ These immigrants often need help understanding the American health-care system and may be reluctant to use it if they have no medical insurance coverage. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Health-care Practices ▪ Chamomile and linden blossom teas may be used for fevers and colds. ▪ Honey is used for colds and sore throats. ▪ Younger people prefer to use over-the-counter cold remedies and analgesics. The use of natural substances for healing purposes is not customary among this generation. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Health-care Practices ▪ Among older Baltic immigrants, language may continue to present difficulty if they have not learned English well. ▪ Many older individuals may tolerate pain as a part of life and may not complain about it or report it. ▪ Some stigma is attached to mental illness, but medical care is sought. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Health-care Practices ▪ Most people of Baltic descent accept physical handicaps, mental illness, and mental retardation. ▪ The family usually cares for the individual at home. ▪ Americans of Baltic descent do not enjoy the sick role and avoid it when possible. ▪ Work is highly valued and the person returns to normal responsibilities as soon as possible. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Health-care Practices ▪ Most people of Baltic descent accept blood transfusions and organ donation and transplantation. ▪ The use of extraordinary means to preserve life is an individual decision, but living wills are frequently used. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Health-care Practitioners ▪ Besides family members and friends providing informal traditional health practices, no traditional health-care providers are found among people of Baltic descent in the United States or in the Baltics. ▪ Because education is highly valued by people of Baltic descent, physicians, dentists, and nurses are held with respect. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Health-care Practitioners ▪ Advice given to their clients is usually followed. ▪ People of Baltic descent are used to both men and women giving direct physical care. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Baltic Health-care Practitioners ▪ Nurses and health-care practitioners need to provide for privacy and consider the modesty needs of female and male clients of these cultures as they would for any client. ▪ Older clients of both sexes are used to being treated with respect. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Culture Larry Purnell, PhD, RN, FAAN Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Overview/Heritage ▪ There is little literature on Brazilian health conditions, practices, and beliefs, although there is a lot on the objective culture such as arts, music, dance, and cuisine. ▪ Brazilian heritage is rich in its mixture of Portuguese, French, Dutch, German, Italian, Japanese, Chinese, African, Arab, and native Brazilian Indians. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Overview/Heritage ▪ Common knowledge among Brazilians living in the United States is that many of them are escondidos (hidden) or officially referred to as undocumented aliens. ▪ The exact number of Brazilians living in the United States is unknown. ▪ Many Brazilians subsist in urban slums without privacy and hope to earn enough money to return home. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Overview/Heritage ▪ Brazilians in the US are underemployed, often giving up their professions to earn money as domestic workers, waiters, cab drivers, and other low-paying positions. ▪ Immigrants often move to large cities where many networks help find “under-the-table” wages. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Communication ▪ Portuguese is the official language of Brazil, although dialects exist and vary. ▪ Many Brazilians continue to be of “proper” old-world orientation where true feelings are not divulged for fear of hurting the receiver of the communication. ▪ In the intimate circle of family and compatriots, sharing thoughts and feelings is common. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Communication ▪ Young adult and adolescent Brazilians in the United States are generally more acculturated because of their desire and need to assimilate. ▪ Sharing thoughts and feelings is more common among intragenerational groups rather than intergenerational groups. ▪ Most Brazilians use touch and direct eye contact. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Communication ▪ Women kiss each other on both cheeks when they meet and when they say good-bye. ▪ At times, women and men kiss in the same manner. ▪ Men shake each other’s hands and slap each other on the back with the other hand. This gesture frequently ends in an embrace. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Communication ▪ Children are kissed, and there is much touching. Kissing a child frequently includes the combination of a “kiss and smell.” ▪ Spatial distancing is close. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Communication ▪ Facial expressions and symbolic gestures are commonplace. ▪ Most Brazilians in America are futureoriented. ▪ In general, they are not punctual, especially for social occasions. ▪ However, those in professional circles are punctual. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Communication ▪ Brazilian names are lengthy, but the modern trend is to use only the first and last names. ▪ Traditionally, names appear as first name, mother’s family name, and father’s family name. “Junior” is added to a name if the son has been named after the father and Neto if the son has been named after the grandfather (third generation). Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Communication ▪ When a woman marries, she may opt to drop her mother’s maiden name and her father’s name, or she may keep them both. ▪ At times de, da/do, das/dos is added to a name to denote “of” and seems to be done out of tradition. No rigid protocol is apparent. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Communication ▪ Children who have no father are often given the mother’s maiden name to which da Silva is added, denoting that the line of paternity is unclear. ▪ In day-to-day relationships, people are called by their first name or Seu, Senhor (more respectful) preceding the first name of a man, or Dona preceding the first name of a woman. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Communication ▪ Mothers, grandmothers, or respected strangers are referred to as A Senhora, and fathers, grandfathers, and respected men are called O Senhor. ▪ Doctors are addressed as Doutor or Doutora, and professors are addressed as Professor or Professora. The latter two are followed by the first name. Copyright © 2013 F.A. Davis Company Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Family Roles and Organization ▪ Brazilian society is one of machismo, with the middle and upper classes being patriarchal in structure. ▪ As women assert their equality, more egalitarian relationships are becoming evident. ▪ Lower socioeconomic households tend to be more matriarchal in nature. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Family Roles & Organization ▪ Older people live with one of their children when self-care is a concern. ▪ Older people are respected, seen as family counselors, and are always addressed as O Senhor or A Senhora. ▪ They are included in family activities and usually accompany their children’s families on vacation. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Family Roles & Organization ▪ Godparents are a very important family extension. ▪ Poor families frequently ask their patron and patrona (employer and spouse) to be godparents to their child. ▪ The godmother is called comadre by the mother. ▪ Compadre is used in reference to the godfather. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Family Roles & Organization ▪ Although historically common in the lower socioeconomic classes, middle-class households with a single-female parent are becoming increasingly common among Brazilians in the United States. ▪ In middle-class families, the “no father” status is obscured by the child receiving the same middle and last names as the mother. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Family Roles & Organization ▪ Social status is very important in the Brazilian society, demonstrated in the titles that people use with each other, and the practice of listing both parents’ surnames. ▪ Brazilians, especially from the south and southeast of Brazil, have become more accepting of gay and lesbian relationships. ▪ Same-sex relationships may carry a stigma. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Workforce Issues ▪ Brazilians value diplomacy over honesty even when they promise to attend to something the next day, knowing that it will be impossible. ▪ Professional Brazilians show up for work on time. ▪ Less educated Brazilians may find it difficult to adhere to time schedules in the American workplace. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Workforce Issues ▪ Brazilians generally respect authority and are frequently more comfortable in employment situations where rules and job specifications are well defined. ▪ Many undocumented Brazilians find employment within the Brazilian community where they may never have to learn the new language. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Workforce Issues ▪ The categorization of Brazilians in the US under the general category of “Hispanics” adds to their discomfort. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Biocultural Ecology ▪ The “typical” Brazilian is a moreno with brown skin and eyes and black or brown hair. However, individuals particularly from the southern states of Brazil may have blond hair and blue eyes. ▪ Common health conditions among Brazilians include malaria, Chagas disease, dengue fever, meningitis, yellow fever, schistosomiasis, typhoid fever, Hansen’s disease, hepatitis, tuberculosis, parasitic skin infections, cholera, cardiovascular diseases, and lactose intolerance. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Biocultural Ecology ▪ Smoking is a high-risk behavior among Brazilians living in the United States. ▪ Among men, drinking hard liquor is also prevalent. ▪ Accessibility and use of street drugs and an individual’s desperate search for quick money are other identifiable high-risk behaviors and often involve living in crowded conditions. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Nutrition ▪ The mainstay of the Brazilian American’s diet continues to be rice, beans, and farina. ▪ Roast beef, fresh chicken, and seafood are sought when they are not too expensive. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Nutrition ▪ Breakfast typically consists of bread with cafe com leite (half coffee and half hot milk). ▪ Sometimes cuscus (dry cornmeal mush) is served with milk. ▪ Fruit, fruit juices, and scrambled eggs, with or without sliced hot dogs, are common special breakfast fares among middle-class families. ▪ Sweet potatoes and yams may grace a breakfast table. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Nutrition ▪ Dinner is eaten at noon. This heavy meal, consisting of beans, rice, and farina, often includes mashed potatoes and pasta. ▪ Common desserts are custard, various cornmeal pastries, fruit, and doce (a sweet paste made by boiling sugar and fruit. ▪ A vegetable and or fruit salad are also common. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Nutrition ▪ A preference, especially among young Brazilian women, is to rely on vitamins instead of food consumption to help them remain thin. ▪ In the US, food limitations are imposed by expense and inaccessibility of Brazilian mainstay foods. Transcultural Health Care: A Culturally Competent Approach, 4th Edition ClickerCheck Common health conditions of Brazilian immigrants include a. Schistosomiasis. b. Thalassemia. c. Glucose-6-dehydrogenous deficiency. d. Hemophilia. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Correct Answer Correct answer: A Schistosomiasis is a common health condition of immigrant Brazilians, especially those coming from rural areas. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Pregnancy & Childbearing Practices ▪ Although Brazil is predominantly a Catholic country, birth control is taught and used. ▪ Women are encouraged by their physicians or clinic personnel to have tubal ligations to prevent unwanted pregnancies. ▪ Frequently, unwanted pregnancies and abortions are, in the end, left in God’s hands. ▪ Immigrants in the United States generally practice birth control. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Pregnancy & Childbearing Practices ▪ Herbal teas are used for bringing on late menstrual periods and for stimulating natural abortions. ▪ Single women may try to become pregnant to facilitate their chance of remaining permanently in the US. ▪ Pregnant women are encouraged not to do heavy work and not to swim. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Pregnancy & Childbearing Practices ▪ Taboos also warn against having sexual relations during pregnancy. ▪ Taboos generally vary according to geographic region, socioeconomic status, and ethnic background. ▪ Many Brazilian mothers prefer to give their babies powdered dry milk in place of breastfeeding. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Pregnancy & Childbearing Practices ▪ Some women often feel that their milk is fraca (weak). ▪ Breastfeeding is linked to a social stigma that a mother who breastfeeds may often be thought of as abandoned or sexually unattractive. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Pregnancy & Childbearing Practices ▪ A postpartum woman eats chicken soup to help her body return to normal. ▪ She is also advised not to eat spicy foods or repadura (a molasses candy) and not to drink garapa (sugar water) or caldo de cana (sugar cane juice) if she breastfeeds her infant. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Death Rituals ▪ The death of a baby or an infant, historically, has been and continues to be treated joyfully and without much sadness, for the child has died pure and is regarded as an angel. ▪ If financially possible, the families of Brazilians who die in the United States personally accompany the body to Brazil for burial in the family vault. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Death Rituals ▪ The fatalistic expression, “It was God’s will,” helps the grieving process among the rich and the poor. ▪ Older people wear black for various amounts of time depending on their relationship with the family member. ▪ Frequently, the final portrait is hung in the family chaper or near the family altar, and prayers are recited. An eternal light burns. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Death Rituals ▪ Relatives are honored on the anniversaries of their death, both at home and at Masses. ▪ Often, the family places an obituary of remembrance with or without a picture of the deceased in the local newspaper on the anniversary of the death. Transcultural Health Care: A Culturally Competent Approach, 4th Edition ClickerCheck Maria Miranda de Silva is reluctant to breastfeed. A common belief about breast feeding among Brazilians is that breastfeeding a. Breastfeeding causes diarrhea in the infant. b. Breastfeeding Is linked to a social stigma. c. Breast milk is weak. d. Breast milk is contaminated with iron. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Correct Answer Correct answer: B Breastfeeding is linked to a social stigma that a mother who breastfeeds may often be thought of as abandoned or sexually unattractive. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Spirituality ▪ 90 percent of Brazilians are Catholic, various Protestant sects are making inroads into the Brazilian culture. ▪ A few, including Catholics, incorporate traditions of Indian animism, African cults, AfroCatholic syncretism, and Kardecism, a spiritualist religion embracing Eastern mysticism. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Spirituality ▪ Saints are asked for help, and people wear medals or little pouches of special powders around their necks. ▪ The meaning of life is found in religion, economy, fatalism, and reality. For some, life is uma luta (a battle). For others, life has an almost hedonistic attitude. ▪ The greatest source of strength for Brazilians is their immediate and extended families. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Health-care Practices ▪ Most Brazilians do not talk about their illnesses unless the illnesses are very serious. ▪ Generally, illness is discussed only within the family. ▪ Many Brazilians feel that talking about an illness, such as cancer, negatively influences their condition. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Health-care Practices ▪ Because many Brazilians tend to shun hospitals, their families accompany them and stay around the clock. ▪ The patient is often brought food from home. ▪ The family is the nucleus of responsibility for health care and is eager to participate in care. ▪ Brazilians are known for their self-medication practices. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Health-care Practices ▪ Antibiotic, neuroleptic, antiemetic, and most other prescription drugs are easily obtained over the counter in Brazilian pharmacies. ▪ Once in the US, incoming Brazilians bring medicines requested by their friends and, thus, maintain the circulation of medications not available to Brazilians living in the US. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Health-care Practices ▪ Traditional and homeopathic pharmacies are supplemented by remedios populares (folk medicines) and remedios caseiros (home medicines). ▪ Folk remedies and traditional health-care practices are intermeshed when a serious illness may be best treated by traditional caretakers. ▪ Some take homeopathic bolinhas (little white balls) prepared specifically for certain ailments. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Health-care Practices ▪ Brazilians generally do not like to talk about pain. However, once the emotional barrier is removed, they feel relieved to be able to discuss their discomfort. ▪ Many pain-relieving medicines are available without a prescription in Brazil. ▪ Sickness is a neutral role and is considered socially exempt. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Health-care Practices ▪ Nervios is the ever-present folk diagnosis that identifies weakness, craziness, and anger as principally associated with hunger. ▪ Better-educated Brazilians accept blood transfusions, organ donation, and organ transplantation. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Health-care Practitioners The folk-health field has many health-care practitioners: ▪ Curandeiros are divinely gifted. ▪ Rezadeiras (praying women) help exorcise illnesses. ▪ Card readers can predict fortunes. ▪ Espiritualistas are able to summon souls and spirits ▪ Conselheiros are counselors or advisors. ▪ Catimbozeiros are sorcerers. ▪ Additionally, head priestesses or priests from the AfricanBrazilian Umbanda or Xango religion, all have the power to heal their believers. Transcultural Health Care: A Culturally Competent Approach, 4th Edition Brazilian Health-care Practitioners ▪ Brazilians in the United States tend to respect physicians and nurses. ▪ Medical education is prestigious and highly sought by aspiring university students.
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Topic 1 DQ 2

Topic 1 DQ 2

Please write a paragraph with your opinion based on the text bellow. Please include citations and references in case you need to used for the question.

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Nurses are with patients more than any other medical team member and are supposed to advocate for their patients. Sometimes ethical principles arise like autonomy, but nurses are always required to respect the patient’s wishes, even if they don’t agree with them. When helping patients, nurses must remember that patients come from various ethnic groups, cultures, backgrounds, and beliefs. Therefore, nurses are to only supply the patients with the facts and allow them to make their decisions with what the patient believes is best for themselves or their family member. Having said that, I believe that breastfeeding for the infants during the first year is the best nutritious food that promotes normal infant growth and development and natural immunity.

If a mother is reluctant to breastfeed her infant, I would go over the advantages and nutritious benefits to having the baby breastfeed and also discuss alternative food options for the baby. Again, as nurses we must remember that patients have different beliefs, cultures, etc., that we must respect and allow the patients to make their own medical decisions.

According to our class textbook, Physical Examination and Health Assessment, there are four advantages to breastfeeding an infant that I would discuss with the mother of the infant. I would discuss and provide written information on these four benefits to breastfeeding:

1. Fewer food allergies and intolerances.

2. It reduces the likelihood of overeating.

3. Less cost than infant commercial formulas. No money is spent on formulas.

4. It increases mother-infant interaction time. Breastfeeding creates that close interacting between the mother and the infant.

In addition, I would also discuss with the mother other benefits to breastfeeding that include:

1. Human milk helps protect your baby from illnesses such as obesity, ear infections, leukemia, diarrhea, vomiting, SIDS, type II diabetes, and asthma (Office of Women’s Health).

2. It may help lower your risk for breast and ovarian cancers (USDA).

In fairness, I would also let the mother know of some challenges that may come with breastfeeding from personal experience when my daughters breastfeed with their mother. They include sore nipples, over or under supply of milk, engorgement, or breast infections.

There are times when a mother may choose not to breastfeed. I would offer alternatives and benefits for the mother that include:

1. Using milk from donor banks. This is still human milk and can provide the same benefit to the infant as if they were breastfed.

2. There are infant formulas that provide nutritious alternatives to human milk that have vitamins and nutrients (Kids Health).

3. Bottled formulas can be more convenient because either parent can feed the infant (Kids Health).

4. More flexibility for the mother because she can make a bottle and leave and allow someone else to feed the infant (Kids Health).

However, I would also advise the mother that no manufactured formula provides antibodies like human milk does. I believe that by providing the pro, cons, and facts to breastfeeding and other alternatives allows the mother to make a fair and balanced decision to feeding her baby.

References

Jarvis, Carolyn, (2016). Physical Examination and Health Assessment. 7th Edition. St.

Louis, MO: Elsevier.

Kids Health from Nemours. Breastfeeding vs Formula Feeding. Retrieved from:

https://kidshealth.org/en/parents/breast-bottle-feeding.ht

Office of Women’s Health. Making the decision to Breastfeed. Retrieved from:

https://www.womenshealth.gov/breastfeeding/making-decision-breastfeed

United States Department of Agriculture. Tips for Breastfeeding Mom. Retrieved from:

https://wicworks.fns.usda.gov/wicworks//Topics/BreastfeedingFactSheet.pdf