Please review complete instructions
**THIS DISCUSSION IS DIVIDE IN TWO PARTS –
1. MAIN DISCUSSION POST BY WEDNESDAY 9/8/2021 BEFORE 8:00 PM EST
2. TWO REPLIES BY FRIDAY 09/10/2021 BEFORE 8:00 PM EST
Discussion: Diversity and Health Assessments
Randall’s statements sparked a great deal of controversy and debate; however, they emphasize an underlying reality in the healthcare field: different populations, cultures, and groups have diverse beliefs and practices that impact their health. Nurses and healthcare professionals should be aware of this reality and adapt their health assessment techniques and recommendations to accommodate diversity.
In this Discussion, you will consider different socioeconomic, spiritual, lifestyle, and other cultural factors that should be taken into considerations when building a health history for patients with diverse backgrounds.
TO PREPARE:
· Reflect on your experiences as a nurse on diversity issues in health assessments.
CASE STUDY 2
EB is a 68-year-old black female who comes in for follow-up of hypertension. She has glaucoma and her vision has been worsening during the past few years. She lives alone and is prescribed four hypertension medications (Hydralazine 50 mg PO Q8H, Metoprolol XL 200 mg PO Q12H, Lisinopril 40 mg PO daily, and HCTZ 25mg PO daily ). She brings in her medication bottles and she has some medication bottles from the previous year full of medications. She is missing one medication she had been prescribed and says she may have forgotten it at home. Her BP in clinic today is 182/99 with HR of 84
DISCUSSION – INSTRUCTIONS
1. Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. (Case Study 2)
2. Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information? Explain the issues that you would need to be sensitive to when interacting with the patient, and why.
3. Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
4. APA 7, Use at least 3 references.
Instructions:
Respond to your colleague who were assigned a different patient than you. Critique your colleague’s targeted questions and explain how the patient might interpret these questions. Explain whether any of the questions would apply to your patient, and why.
**minimum of three (3) scholarly references are required for each reply cited within the body of the reply & at the end**
Reply # 1
Crystal Barnwell
Top of Form
Diversity and Health Assessments
Age, gender, race, ethnic group, and, with these variables, cultural attitudes, regional differences, and socioeconomic status influence the way patients seek medical care and the way clinicians provide care (Ball RN DrPH CPNP, Jane W. et al., 2018, Chapter 2). This scenario for discussion is a 23-year-old Native American male seeking care for anxiety, who smokes pot and drinks alcohol to help his problem. He is concerned about not making into heaven considering his lifestyle, does not take any prescription medications and denies drug use. Family history consist of diabetes, hypertension, and alcoholism. In this post I will discuss socioeconomic, spiritual, lifestyle, and other cultural factors associated with my patient.
Socioeconomic, spiritual, lifestyle, and cultural factors.
Health disparities are differences associated with social and economic disadvantages in relation to race, gender, and more. Compared with other racial/ethnic groups Native Americans have a lower life expectancy, lower quality of life, and are disproportionately affected by many chronic conditions (Adakai et al., 2018, p. 1314). Native Americans have the lowest employment rate of any racial or ethnic group in the United States (Northern Arizona University [NAU], n.d.). American Indians are significantly more likely to report fair or poor health, obesity, diabetes, cardiovascular disease, and mental distress than the overall population (NAU, n.d.). One concern of my patient was that he is afraid that he will not get into heaven if he continues his lifestyle. American Indian tribal and Christian religions play an important part in the lives of Native Americans (Duran, 2002). Assuming my patient lives on a reservation it is believed that man is inherently good and should be respected for his decisions, hence this belief makes Native Americans more reluctant to seek help. They will not seek care outside of the reservation to a non-Indian provider which also puts them at their increased risk of their health disparities. Hospitals on the reservation serve large populations, causing people to hold off on care until it is immediate, and they are also underfunded, causing reduction in care programs (Duran, 2002).
Sensitive issues when interacting with patient.
The
Instructions:
Respond to your colleague who were assigned a different patient than you. Critique your colleague’s targeted questions and explain how the patient might interpret these questions. Explain whether any of the questions would apply to your patient, and why.
**minimum of three (3) scholarly references are required for each reply cited within the body of the reply & at the end**
Reply # 1
Amarachi Okafor
Top of Form
Case Study Scenario
MR, A 23-year-old Native American male comes in to see you because he has been having anxiety and wants something to help him. He has been smoking “pot” and says he drinks to help himself too. He tells you he is afraid that he will not get into heaven if he continues in this lifestyle. He is not taking any prescriptions medications and denies drug use. He has a positive family history of diabetes, hypertension, and alcoholism.
Cultural competency is vital in order to provide the best possible care for our patients. Cultural competency is defined as the integration and transformation of knowledge about individuals and groups of people into specific standards, policies, practices, and attitudes used in cultural settings to increase the quality of the service and general outcome (Centers of Disease Control & Prevention, 2020). Cultural competency is a component that is used throughout every interaction with a patient.
In this case study the patient comes from a Native American background. The patient also has a spiritual belief in heaven and smokes and drinks to himself as part of his regular lifestyle. This patient has a family history of diabetes, hypertension, and alcoholism which are factors that are important since this individual does smoke and drink regularly. This patient does not currently take any prescription medications which can be concluded that this patient is fairly healthy.
Native American Indians have a high rate of acquiring Type 1 Diabetes and with this patients’ family history of Diabetes, this is an issue that needs to be addressed with the patient since he is using alcohol to help with anxiety and also smokes (Nahian, 2021). Extreme levels of stress and anxiety can also raise the patients’ blood pressure and with the history of hypertension that would need to be managed early on. As a provider, you would also want to be sensitive to the patients’ religious beliefs and references not impeding your own beliefs into the care.
Five targeted questions include:
· How often do you smoke and drink?
· How do you feel after smoking and drinking?
· Have you ever been open to limiting the amount you smoke and drink?
· What is your daily/weekly activity level?
· Have there been any major changes in your life?
References
Ball, J.W., Dains, J. E.,
Why work with us?
Authenticity:
All of our papers are authentic, as each paper of ours is composed according to your unique requirements. Confidentiality: We value you data. Our company is extremely efficient in guarding the privacy of our clients. 100% Money Back Guarantee: In the event you cancel your order, you get your money back as soon as possible, we give a 100% refund. 24/7 Support: Our team members are available via email, live chat, and phone. Revision Policy: You can apply for a revision if you think your paper could be better. In this case, your paper will be revised either by the specialist assigned to you or by another writer.How the Platform Works
- Click on 'Place Your Order' tab on the menu or click on 'Order Now' tab at the bottom and a new order page will appear
- Fill in your requirements depending on your needs under the 'PAPER DETAILS' area
- In the next section, fill in the academic level, required number of pages, paper deadline as provided in the drop-down menus.
- To enter your registration details, click on 'CREATE ACCOUNT & SIGN IN'. This step allows you to create an account with us for purposes of record-keeping. Click on 'PROCEED TO CHECK OUT' at the bottom of the page
- The next section requires you to fill in the payment details. Follow the guided process and soon your order will be available for our team to work on.