Spiritual Issues Surrounding Disaster
Please respond to the following post with a long paragraph add citations and references.
What spiritual issues surrounding a disaster can arise for individuals, communities, and health care providers? Explain your answer in the context of a natural or manmade disaster. How can a community health nurse assist in the spiritual care of the individual, community, self, and colleagues?
Response to peers
Running head: AFRICAN AMERICAN CULTURE AND AMISH HERITAGE Roxana Tejera Florida National University Nursing Department BSN Program Nur 4636 01/22/2019 Professor Cassandre Milien MSN 1 AFRICAN AMERICAN CULTURE AND AMISH HERITAGE 2 1. Discuss the cultural development of the African American and Amish heritage
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in the United States. African American refers to the African people who were forced to slavery in America during the slavery era. The United States constitution had given a period during which the forced slave trade will be eradicated in all the States. Therefore, after eradication of slave trade in America, the black slaves could not go back to their countries but settled in America as African Americas. African American culture has its roots in Africa. Due to the reasons that most slaves were from western Africa, African American culture is a deep blend of their practices. However, their culture was in the blink of destruction as the slavery roles did not allow African slaves to practice their culture in America. Although some of the cultural traits were lost, the African culture survived and it is now blended in the American culture. For a long period, racial discrimination prevented the growth and mixing of African culture with that of American culture (Purnell, 2013). However, African American descendants liked to maintain and have their own culture embedded in their tradition. Even if this faced stiff opposition from American Racists, they later succeeded, and today African culture dominate most parts of South America. The Amish people came from Europe to America in early 1600 to free from the religious persecution by the state church in Europe. Being white, they never faced racial discrimination as their African counterparts but were allowed to settle and even to own land at the area near Pennsylvania. AFRICAN AMERICAN CULTURE AND AMISH HERITAGE 2 They are viewed as the people who have great conservative culture. Even though the Americans did not oppose or force them to abandon their culture, Amish culture remains one of the littleknown cultures in the United States. This is mainly because it is a more of religious kind of culture which most people view to be conservative. Amish culture though not famous remains in the United States up to date but only among the Amish people. 2. What are the cultural beliefs of the African American and Amish heritage related to health care and how they influence the delivery of evidence-based healthcare? Both African American and Amish heritage culturally believe that things happen because they have been designated by fate to happen in that matter. For instance, an African American believes that good health is a result of luck and success while bad health is as a result of bad omen (Asiodu et al 2015). Therefore, an African American will consult a doctor only after all the home remedies’ have failed. On the same note, an Amish believes that good health is a reward from God and illness can just come as the punishment from God. Therefore, he will not seek the intervention of the doctor unless prayers have not worked at the right time. It is therefore advisable for the nurse dealing with the case of people from these cultures to exhibit high levels of tolerance. Also, the African American culture is characterized by mistrusts from the health caregivers. This is because of the past discriminations they received in the hands of health cares during and after the slave trade period. So unless the health care provider is friendly, they will be very reluctant to share family or personal information (Burkett, 2015). On the same note, Amish had been persecuted in Europe due to their strict believe in God and therefore they fear that they can be persecuted again for believing in God. Thus, in order to give evidence-based healthcare, it is advisable for the health care provider to build a trust relationship with the patients. AFRICAN AMERICAN CULTURE AND AMISH HERITAGE 2 Reference Asiodu, I. V., Waters, C. M., Dailey, D. E., Lee, K. A., & Lyndon, A. (2015). Breastfeeding and use of social media among first‐time African American mothers. Journal of Obstetric, Gynecologic, & Neonatal Nursing, Burkett, K., Morris, E., Manning-Courtney, P., Anthony, J., & Shambley-Ebron, D. (2015). African American families on autism diagnosis and treatment: The influence of culture. Journal of autism and developmental disorders, 45(10), Purnell, L. (2013). Transcultural health care. Philadelphia: F.A. Davis. Running head: PEOPLE OF AFRICAN AMERICAN HERITAGE AND AMISH HERITAGE 1 People of African American Heritage and Amish Heritage Karen Echenique Culture in Nursing Florida National University Prof. Cassandre Milien, MSN PEOPLE OF AFRICAN AMERICAN HERITAGE AND AMISH HERITAGE 2 People of African Heritage and Amish Heritage The African American culture which is also known as the Black culture in America is the mix of African descent in Americans in our society. The African American culture is the most influential culture in the United States to this day. Owing to slavery, African Americans were restricted of many of their ethnic practices including, values and traditions. Several of these customs were blended and influenced with the white culture in America. Although Black culture was reshaped due to slavery, it is one of the most unique cultures that have impacted the American culture immensely. Subsequently after the emancipation of slaves in the United States, the traditions of black culture continued to surpass other cultures especially in literature, music, religion, food and art. On the other hand, Amish, also known as Amish Mennonite began emigrating to North American from Europe around the 18th Century. They originally Settled in the east side of Pennsylvania, where there is still great amount of residents. A separation between the religion occurred after 1850 which created two groups amongst the religion: “New Amish” which accepted technological innovation and believed in social change and “Traditional Amish” who abided to the older ways of the religion. The main aspects of the Amish church is that family and community is separated from the rest of society. Their language is a mix of German and English dialects. The Amish are best known for their old-fashioned aspects; plain clothing, furniture, transportation etc. and the use of electricity and technology is avoided. Originally, patients of African American descent were defined as “Blacks” however, most recently this is not the best terminology to describe these persons because people of African descent may have light complexion. African Americans in our society today have bleneded PEOPLE OF AFRICAN AMERICAN HERITAGE AND AMISH HERITAGE 3 heritages and it is important not to generalize race with skin color in the health care setting. Families may be matriarchal, although the role may be shared in some families. Health and Diet disparities studies have showed that residents in low-income neighborhoods of AfricanAmericans are at increased risks for health disparities. A lack of access to health care and health insurance contributes to the prevalence of chronic illnesses. African Americans have strong connections with religion, especially Christianity, however, many follow Islam. Moreover, many African Americans are becoming health conscious recently, where they seek treatments and health screenings. Healthcare for the Amish may vary from family to family but most are less likely to seek medical attention because they believe God is the ultimate healer. The Amish turn to alternative forms of treatment for minor illnesses like: folk remedies and herbal teas. Most Amish patients reject health insurance coverage and shame birth control. Abortions are forbidden by the religion even if the mother is enduring a life-threatening pregnancy. They do not rule out immunizations but only 16-26% of Amish children have actually received preventive immunizations. Nurses must be extra careful not to over educate Amish women to practice contraception and instructions must be given in a simple manner; higher education is not allowed. References Britannica, T. E. (2018, December 14). Amish. Retrieved from https://www.britannica.com/topic/Amish LibGuides: Celebrating African American Culture & History: Home. (2018, January 25). Retrieved from https://guides.hmcpl.org/AfricanAmericanHistory
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Response to peers
Running head: AFRICAN AMERICAN AND AMISH HERITAGE IN THE U. S. Discussion # 3 Melvys Barrios Florida National University Culture In Nursing Prof. Cassandre Milian, MSN 1 Running head: AFRICAN AMERICAN AND AMISH HERITAGE IN THE U. S. 2 Ohio, Indiana and Pennsylvania nest religious and cultural groups in large and smaller communities , also in other states including Wisconsin. These communities with this type of religion and culture are called Amish. The Amish population grows every day because they are large families with enough members. Studying the Amish culture is very important to be able to offer health care correctly. The knowledge that a nurse can acquire in terms of beliefs and understanding of this religion will make it easier for health professionals to provide the best possible care as well as gain confidence from these Amish patients. At another point, AfricanAmericans have generally adopted the cultures of the general population of the United States, but they will still also assume certain customs and cultures, such as; in an African-American family it could be matriarchal, although the father or mother can acquire the role of the decision. African-American women tend to be single longer than men and have done more university than men. African-Americans are increasingly aware in the field of health and research treatments and examinations for their health although sometimes the knowledge or education about health in this population tends to vary according to their generations. Those who are older tend to be suspicious of health professionals because of what has been rumored about the Tuskeege experiments on African-Americans, which makes them more untrustworthy until they realize that health care providers are friendly and can be counted with them in a positive way letting them know that they are truly interested in them and their health. It is clear that AfroAmericans depend on a relationship of trust, patient vs health care provider since it is crucial for them. The African-Americans are very religious people mainly affiliated to the Baptist religion as well as the church of God in Christ but in spite of this many follow the Islam. Running head: AFRICAN AMERICAN AND AMISH HERITAGE IN THE U. S. 3 Many times they maintain good health corresponds with a very good religious practice. Also many of their churches or parishes maintain a health ministry through which nurses provide their health support , like with flu vaccines, blood pressure control, and health education in general. The rich population on the other hand tend to move away from these communities and become less traditional, while the poor choose to practice traditional cultures and religions. the elderly particularly practice and experience many home and natural remedies. It is more part of the African-American culture, going through an herbalist to reach remedies because this is part of the African-American culture since the era of slavery. In general, it is very difficult for African-Americans to divide the use of medicinal herbs from their African religions, including Igbo, Yoruba and others. As we all know medical treatments during slavery were rejected for Africans so they had no choice but to resort to home remedies and natural since then continue to affect their cultural communities and religions. Most African-Americans today have tried home remedies before seeking professional help in health or a treatment from a doctor. In 1700 a group of Anabaptists emigrated from Europe to the United States called the Amish. These groups called Amish are extremely religious and hard-working people who believe in their beliefs that worldliness prevents humans from being closer to God. These communities choose to have a simple life by evading all technological use or even modern comforts by supporting their conservative thinking. The Amish are governed by their personal code of conduct called Ordnung which shows their way of dressing, their behavior and their way of expressing themselves or talking in order a link of relationships and rules to follow correspond to the Amish faith. There are many differences between the Amish and the non-Amis. For example, Running head: AFRICAN AMERICAN AND AMISH HERITAGE IN THE U. S. 4 the Amish do not believe in birth censorship. Therefore, their level of infant mortality is low, which leads to overpopulation in a rapid increase. The Amish Loaf and its beliefs are unique, in their style and practice in difference to the English. Healthcare providers benefit in many ways by applying the power of cultural competence, since by gaining knowledge they can select clues that lead to positive diagnoses where the patient appreciates the care of cultural support by establishing a familiarity or trust between the patient and the patient’s health care professional. The Amish also expose themselves to try remedies before asking for medical help. Maybe these remedies could mask the problem a bit in the first place. The Amish for example do not receive immunizations so in this way it is obvious that diseases that are not common to English, will be more common in the Amish. Also taking into account that the Amish tend to prefer natural treatments instead of prescriptions as a cause in consideration of the cost. The Amish ‘s patient will accept a treatment at a lower cost since their does not have health insurance. Bearing in mind that due to their way of transporting themselves to places, such as the horse and the buggy, it limits them to continue correctly with a follow-up of any treatment that is ordered by their doctor. In conclusion, that is why it is very important to maintain and learn more about the different cultures of our patients in order to develop a plan of care that fits their needs and beliefs, to build a relationship of trust between the patient and caregivers of the health care provider. Relating quickly guarantees effective communication between patient and providers. Making connections with the members of the community is another very important fact in order to recognize the conditions of the communities. In addition to learning and learning a little more Running head: AFRICAN AMERICAN AND AMISH HERITAGE IN THE U. S. about different cultures and beliefs, the health professional can educate the different communities more in confidence about the well-being of each patient. 5 Running head: AFRICAN AMERICAN AND AMISH HERITAGE IN THE U. S. 6 References Health Care for African American Patients/Families. (2011, May 16). Retrieved May 15, 2018, from dimensionsofculture.com/2011/05/health-care-for-african-americanpatientsfamilies/ Smith, M. (2001). Writing a successful paper. The Trey Research Monthly, 53, 149-150. Weyer, S. M., Hustey, V. R., Rathbun, L., Armstrong, V. L., Anna, S. R., & Ronyak, J. et al. (2003). A look into the Amish culture: What should we learn? Journal of Transcultural Nursing, 14(2), 139-145. World Health Organization (2007). Mental health: Strengthening mental health promotion Retrieved 7/30/09, from www.who.int/entity/mediacentre/factsheets/fs220/en/nn Running head: PEOPLE OF AFRICAN AMERICAN HERITAGE AND AMISH HERITAGE 1 People of African American Heritage and Amish Heritage Karen Echenique Culture in Nursing Florida National University Prof. Cassandre Milien, MSN PEOPLE OF AFRICAN AMERICAN HERITAGE AND AMISH HERITAGE 2 People of African Heritage and Amish Heritage The African American culture which is also known as the Black culture in America is the mix of African descent in Americans in our society. The African American culture is the most influential culture in the United States to this day. Owing to slavery, African Americans were restricted of many of their ethnic practices including, values and traditions. Several of these customs were blended and influenced with the white culture in America. Although Black culture was reshaped due to slavery, it is one of the most unique cultures that have impacted the American culture immensely. Subsequently after the emancipation of slaves in the United States, the traditions of black culture continued to surpass other cultures especially in literature, music, religion, food and art. On the other hand, Amish, also known as Amish Mennonite began emigrating to North American from Europe around the 18th Century. They originally Settled in the east side of Pennsylvania, where there is still great amount of residents. A separation between the religion occurred after 1850 which created two groups amongst the religion: “New Amish” which accepted technological innovation and believed in social change and “Traditional Amish” who abided to the older ways of the religion. The main aspects of the Amish church is that family and community is separated from the rest of society. Their language is a mix of German and English dialects. The Amish are best known for their old-fashioned aspects; plain clothing, furniture, transportation etc. and the use of electricity and technology is avoided. Originally, patients of African American descent were defined as “Blacks” however, most recently this is not the best terminology to describe these persons because people of African descent may have light complexion. African Americans in our society today have bleneded PEOPLE OF AFRICAN AMERICAN HERITAGE AND AMISH HERITAGE 3 heritages and it is important not to generalize race with skin color in the health care setting. Families may be matriarchal, although the role may be shared in some families. Health and Diet disparities studies have showed that residents in low-income neighborhoods of AfricanAmericans are at increased risks for health disparities. A lack of access to health care and health insurance contributes to the prevalence of chronic illnesses. African Americans have strong connections with religion, especially Christianity, however, many follow Islam. Moreover, many African Americans are becoming health conscious recently, where they seek treatments and health screenings. Healthcare for the Amish may vary from family to family but most are less likely to seek medical attention because they believe God is the ultimate healer. The Amish turn to alternative forms of treatment for minor illnesses like: folk remedies and herbal teas. Most Amish patients reject health insurance coverage and shame birth control. Abortions are forbidden by the religion even if the mother is enduring a life-threatening pregnancy. They do not rule out immunizations but only 16-26% of Amish children have actually received preventive immunizations. Nurses must be extra careful not to over educate Amish women to practice contraception and instructions must be given in a simple manner; higher education is not allowed. References Britannica, T. E. (2018, December 14). Amish. Retrieved from https://www.britannica.com/topic/Amish LibGuides: Celebrating African American Culture & History: Home. (2018, January 25). Retrieved from https://guides.hmcpl.org/AfricanAmericanHistory
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Discussion Post Emotional Intelligence
Students will be required to post answers to discussion questions posted in BrightSpace. The initial post must between 250-350 words with at least one scholarly reference. Students will respond to two other members of their group with a response of at least 150 words. The posts must be meaningful, respectful and substantive. You are the nurse manager on a busy medical-surgical unit. You have been requested to attend a hospital administration meeting with your Chief Nursing Officer (CNO) and the hospital Chief Financial Officer. The CNO explains that nurse−patient staffing ratios on every unit are being increased, and your ratios must also increase by 1-2 patients on both the day and night shift. The CNO assures you this is a temporary issue due to the seasonal high census, and this decision is not open for debate. You are shocked and don’t know how to respond initially. Related question #1 Using the Theory of Emotional Intelligence: a) Describe how you will demonstrate self-management and social competence to regulate your emotions in this scenario? b) Discuss how you will respond to your CNO by using this leadership theory.
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The scientific management theory
Please respond with a paragraph to the following post, add citations and references:
The scientific management theory seeks to improve an organizations efficiency by systematically improving the efficiency of task completion by utilizing scientific, engineering and mathematical analysis. Some of the routines that seem to be inefficient is communication. It’s vital to have open communication between management and front-line staff. The front-line staff is the professionals that provides direct patient care. With poor communication skills common mistakes and errors get missed and a floor or unit doesn’t function on safe levels. This will cause poor patient outcomes and safety hazards for staff and patients. When staff can’t communicate with their management they feel unappreciated and over worked. Its imperative for management to actively listen, follow up with staff and evaluate the unit. Staff retainment is also an issue in the profession of nursing. Many nurses are leaving their jobs due to burn out, poor pay scales, poor management and feeling not valued. New nurses begin their careers excited and eager to learn, however there isn’t enough seasoned nurses on the unit to properly train them. This creates a barrier for learning and the new nurses loose interest or become afraid for their licensed. Many new nurses leave their jobs within a year. Currently, I work in a nineteen bed ICU, we have a leadership committee for our unit. This consist of ICU nurses, nursing assistants, doctors and our manager. They meet once a month to discuss the current issues and complaints made by our staff and patients. During each meeting interventions are created to improve our patient outcomes and address complaints from staff. I feel that this encourages staff to get involved in decision making and improve the standards of care for our patients. I have seen positive outcomes since this committee was started. For example, staff complained of feeling unappreciated. Now we have a comment box on our unit to recognize staff member for their dedication and hard work. Each quarter a staff member is recognized on our star board and rewarded with a gift card. Our manager also meets with the entire unit once a month to discuss educational classes offered, any current or unresolved issues and she gives everyone a chance to speak. It’s important to have great management and leadership skills. Without this the whole team will fail because there isn’t any one to lead.
Reference:
Marquiz, B.L. & Huston, C.J. (2009). Leadership Roles and Management Functions in Nursing: Theory and Application (6th ed.). Philadelphia, PA. Wolters Kluwer Lippincott Williams and Wilkins.
Part 3 Topic 1 DQ 1-2 Leadership ability
Please respond with a paragraph to the following post, add citations and references:
Leadership is both a research area and a practical skill encompassing the ability of an individual or organization to “lead” or guide organizations. Management includes the activities of the strategy of an organization and coordinating the efforts of its employees to accomplish objectives and goals through available resources. Both management and leadership should be open minded and visionary thinkers. For example, they both need to have positive influences on staff through their motivation, morals and values. They need to have appropriate problem-solving skills and can cope with multi-tasking. One way to expand influence as a leader is to do the right thing the right way. As a nurse leader, it’s important to implement critical thinking skills, listen actively and to have great coping skills. These skills are essential in the high stress and fast paces environments that nurses work in day to day. Some ways to make a difference in nursing is to be politically aware and actively involved with the current issues of nursing. Reading professional journals and attending continuing education classes that are relevant to our practice may also improve leadership and management skills. One would describe a great nursing leader/manager as one that keeps staff motivated to perform a top quality of patient care. Its someone who can inspire others to work together in pursuit of a common goal, such as enhanced patient care.
Reference:
Huber, D. (2014). Leadership and Nursing Care Management. (5th ed.). Retrieved from http://pageburst.elseiver.com/#blocks/978145574071…
the question is below and all details are below
Diabetes Case Study
Chief Complaint
“My left foot feels weak and numb. I have a hard time pointing my toes up.”
History of Present Illness
D.T. is 42-year-old Caucasian woman who has had an elevated blood sugar and cholesterol 2 years ago but did not follow up with a clinical diagnostic work-up. She had participated in the state’s annual health screening program and noticed her fasting blood sugar was 160 and her cholesterol was 250. However, she felt “perfectly fine at the time” and did not want to take any more medications. Except for a number of “female infections,” she has felt fine recently.
Today, she presents to the clinic complaining that her left foot has been weak and numb for nearly 3 weeks and that the foot is difficult to flex. She denies any other weakness or numbness at this time. She does report that she has been very thirsty lately and gets up more often at night to urinate. She has attributed these symptoms to the extremely warm weather and drinking more water to keep hydrated. She has gained a total of 50 pounds since her last pregnancy 10 years ago, 20 pounds in the last 6 months alone.
Past Medical History
Past Surgical History
C-section 14 years ago
OB-GYN History
Family History
Social History
Allergies
NKDA
Medications
Review of Systems
General
Admits to recent onset of fatigue
HEENT
Has awakened on several occasions with blurred vision and dizziness or lightheadedness upon standing: Denies vertigo, head trauma, ear pain, difficulty swallowing or speaking
Cardiac
Denies chest pain, palpitations, and difficulty breathing while lying down
Lungs
Denies cough, shortness of breath, and wheezing
GI
Denies nausea, vomiting, abdominal bloating or pain, diarrhea, or food intolerance, but admits occasional episodes of constipation
GU
Has experienced increased frequency and volumes of urination, but denies pain during urination, blood in the urine, or urinary incontinence
EXT
Denies leg cramps or swelling in the ankles and feet; has never experienced weakness, tingling or numbness in arms or legs prior to this episode
Neuro
Has never had a seizure and denies recent headaches
Derm
Has a rash under her bilateral breast and in groin area
Endocrine
Denies a history of goiter and has not experienced heat or cold intolerance
Vital Signs
BP 165/100, T 98 F, P 88 regular, HT 5 feet 4 inches, RR 20 non labored, WT 210 lbs
What you need to do:
Format
The paper should be no more than 3–5 pages (not including the title page and reference pages.
Assignment Requirements:
Before finalizing your work, you should:
Your writing Assignment should:
Case Study
A 60-year-old male patient is admitted with chest pain to the telemetry unit where you work. While having a bowel movement on the bedside commode, the patient becomes short of breath and diaphoretic. The ECG waveform shows bradycardia.
Please use complete sentences to answer the questions. Ensure that you are using correct grammar. In additions, support your answers by using your textbooks, scholarly journals, and credible Internet sources. All citations must be in APA format.
Inflammation and wound repair
Carlton, a 6-year-old boy, was playing on a sandy beach with his mother. He began to run along the shoreline when he stepped on the sharp edge of a shell, giving himself a deep cut on his foot. His mother washed his foot in the lake and put on his running shoe to take him home. One day later, Carlton’s foot looked worse. The gash was red and painful. The foot was warm to touch and appeared swollen. Carlton’s mom put some gauze over the wound and prepared to take him to the local community health clinic. (Learning Objectives: 1, 2, and 6)
2. What are the immunologic events that are happening at the local level during Carlton’s acute inflammatory response?
3. Nutrition plays an important factor in wound healing. What stages of wound healing would be affected by a deficiency in vitamins A and C?
Needs to be APA format with 2 sources.
discussion post
Describe the role of each component of the ECG in the heart’s contraction: the P wave, the PR interval, the QRS complex, the ST segment, the T wave, and the QT interval. What is the difference between artifact and dysrhythmia? How can you reduce artifacts? What are some situations that can occur if artifact is not reduced or eliminated?
You are working in the Telemetry Unit. The nurse “watching” the monitors is reading a magazine. She constantly turns off an alarm that looks a lot like Ventricular Fibrillation. She tells you that it is not a dysrhythmia, it is just artifact. What do you think about her actions? What is the worst case scenario in this situation? What would you do?
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