NURS-6512 Week 2 Case Study Assignments

NURS-6512 Week 2 Case Study Assignments NURS-6512 Week 2 Case Study Assignments Case Study Assignments: The following will be the assignments for this week’s Case Study: Last Name A-M: JC, an at-risk 86-year-old Asian male is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs. He has ahx of hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency, and chronic prostatitis. He currently takes Lisinopril 10mg QD, Prilosec 20mg QD, B12 injections monthly, and Cipro 100mg QD. He comes to you for an annual exam and states “I came for my annual physical exam, but do not want to be a burden to my daughter” NURS-6512 Week 2 Case Study Assignments Last Name N-Z: TJ, a 32-year-old pregnant lesbian, is being seen for an annual physical exam and has been having vaginal discharge. Her pregnancy has been without complication thus far. She has been receiving prenatal care from an obstetrician. She received sperm from a local sperm bank. She is currently taking prenatal vitamins and takes over the counter Tylenol for aches and pains on occasion. She has a strong family history of diabetes. Gravida 1; Para 0; Abortion 0 ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS S Main Post Week 2 – NURS-6512 Week 2 Case Study Assignments COLLAPSE Diversity and Health Assessment Comprehensive health history, assessment, and awareness of cultural diversity play a very imperative role in the healthcare system. Cultural competence means transforming individual’s or groups’ knowledge and developing the standard policies and practices used in the various cultural backgrounds for better care outcomes (Centers for Disease Control and Prevention, 2019). This week’s discussion board aims to analyze critical culture and diversity awareness in healthcare for better results. Case scenario TJ, a 32-year-old pregnant lesbian, is being seen for an annual physical exam and has vaginal discharge. Her pregnancy has been without complication thus far. She has been receiving prenatal care from an obstetrician. She received sperm from a local sperm bank. She is currently taking prenatal vitamins and takes over the counter Tylenol for aches and pains on occasion. She has a strong family history of diabetes. Gravida 1; Para 0; Abortion 0 In the scenario mentioned above, the patient is a lesbian; can belong to almost all races, ethnicities, ages, races, cultures, or socioeconomic status. As healthcare providers, acknowledging sexual diversity and sensitivity and paying more attention to patients’ self-identity is crucial. The LGBTQ individual often faces challenges in every field, including stigma, violence, rejection from families, communities, etc.(Kates et al.,2018). It said that most LGBT individuals experienced discrimination even in healthcare settings based on their sexual orientation, gender identity, or expression (Hafeez et al., 2017). Although the individuals are no different from the general population in physical health, they are at high risk for a certain chronic disease like STD, HIV/AIDS, mental health issues, substance abuse (Kates et al., 2018). As healthcare providers, we should be culturally competent while questioning the patient by employing certain strategies, such as creating a welcoming environment, using inclusive and gender-neutral languages with a patient-centered care approach by asking an open-ended question (Brusie, 2020) The five targets question I would ask my patient to build the therapeutic relation – 1. What do you expect from today’s visit? 2. How do you define yourself? 3. Do you have a support system? 4. Are you sexually active? 5. Do you have any other medical concerns which need to address? The patient’s age and strong family history of diabetes automatically put the patient at high risk for developing gestational diabetes (Moosazadeh et al., 2016). It will be beneficial to educated about gestational diabetes, its effect on her child, and information about the glucose screening test, which generally does between 24 to 28weeks of pregnancy (Bellefonds, 2019). NURS-6512 Week 2 Case Study Assignments References Bellefonds, C. de. (2019, April 23). Glucose Screening and Glucose Tolerance Test. What to Expect. https://www.whattoexpect.com/pregnancy/pregnancy-health/prenatal-testing-glucose-screening-glucose-tolerance-test/. Brusie, C. (2020). 10 Tips for Caring for LGBTQ Patients. Nurse.org. https://nurse.org/articles/culturally-competent-healthcare-for-LGBTQ-patients/. Centers for Disease Control and Prevention. (2020). Cultural Competence in Health and Human Services. Centers for Disease Control and Prevention. https://npin.cdc.gov/pages/cultural-competence. Hafeez, H., Zeshan, M., Tahir, M. A., Jahan, N., & Naveed, S. (2017, April 20). Health Care Disparities Among Lesbian, Gay, Bisexual, and Transgender Youth: A Literature Review. Cureus. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5478215/. Kates, J., Dawson, lindsey, Salganicoff, A., Beamesderfer, A., & Ranji, U. (2018, May 3). Health and Access to Care and Coverage for Lesbian, Gay, Bisexual, and Transgender (LGBT) Individuals in the U.S. KFF. https://www.kff.org/disparities-policy/issue-brief/health-and-access-to-care-and-coverage-for-lesbian-gay-bisexual-and-transgender-individuals-in-the-u-s/. Moosazadeh, M., Asemi, Z., Lankarani, K. B., Tabrizi, R., Maharlouei, N., Naghibzadeh-Tahami, A., … Akbari, M. (2016, December 13). Family history of diabetes and the risk of gestational diabetes mellitus in Iran: A systematic review and meta-analysis. https://www.sciencedirect.com/science/article/abs/pii/S1871402116302399. Lucy Main Post Wk 2 COLLAPSE Case study: TJ, a 32-year-old pregnant lesbian, is being seen for an annual physical exam and has been having vaginal discharge. Her pregnancy has been without complication thus far. She has been receiving prenatal care from an obstetrician. She received sperm from a local sperm bank. She is currently taking prenatal vitamins and takes over the counter Tylenol for aches and pains on occasion. She has a strong family history of diabetes. Gravida 1; Para 0; Abortion 0 Cultural competence is the integration and transformation of knowledge about individuals and groups of people into specific standards, policies, practices, and attitudes used in appropriate cultural settings to increase the quality of services; thereby producing better outcomes (CDC, 2015). Factors such as culture, beliefs, sexual orientation and specific lifestyles can influence the individual’s perception about health and sensitive attention to one’s uniqueness should be considered when conducting a health assessment to provide the necessary care appropriately. In the case of TJ, different dynamics need to be considered in building a health history and assessing her health risks. The approach in the societal diversity of the individual needs to be nondiscriminatory and sensitive while gathering information to evaluate their health necessities and interacting with the patient. The knowledge of the culture from which the patient comes should not be formative in arriving at conclusions; instead, must be utilized to help make the questions asked more constructively probing to avoid viewing the patient as a stereotype (Ball, Dains, Flynn, Solomon, & Stewart,2015, pp. 28-29). Identifying the gender preference of TJ should not be used to determine her daily practices and health history but must be sensitively considered in developing the questions to ask. Although there are no known physiologic differences between lesbians and heterosexual women, being a lesbian does not inherently affect an individual’s health status; however, behaviors or risk factors that are more common among these group can result in health consequences (American College of Obstetricians and Gynecologists, 2012). The identified practices and risk factors associated with the population can assist clinicians in formulating focus questions and assessing their risks. The knowledge in cultural and diversity distinctions should not be used for assumption but should be incorporated in further determining the health needs of the patients. Potential Health-Related Risks- Case 2: TJ, a 32-year-old pregnant lesbian In the case of TJ, being pregnant in her population can be uncommon. Although her pregnancy was intended and has been receiving prenatal care, there can be unknown health risks that can affect the maternal and child well-being that needs to be recognized and be managed. Women who identify as lesbian or bisexual encounter barriers to health care that include concerns about confidentiality and disclosure, discriminatory attitudes and treatment, limited access to health care and health insurance, and often a limited understanding as to what their health risks may be (American College of Obstetricians and Gynecologists, 2012). Due to the obstacles that they may encounter, some health histories, and practices may not have been discussed. Practitioners need to be aware of evidenced-­based practice guidelines and make clinical decisions based on good quality scientific evidence as well as clinical judgment for cultural awareness to maintain the integrity of the patient care as considerations with individual patients and families. Lesbian, gay, bisexual or transgendered (LGBT) individuals receive more poor healthcare and often report a considerable degree of discrimination by medical students and practicing physicians causing them to avoid seeking medical care because of their sexual orientation (Dains, Baumann, & Scheibel,2019,pp.7). Healthcare professionals need to adopt a thoughtful way of attending the health needs of the LGBT population. NURS-6512 Week 2 Case Study Assignments Understanding the difficulty to access healthcare for her group can affect her pregnancy and her child. As studied in an article, while sexual and gender minorities have many of the same health concerns as the general population, they experience some health issues at higher rates and face several unique health challenges (Kaiser Family Foundation, 2016). In the case of TJ, identifying her health needs at the same time being sensitive to her diverse background should be considered in obtaining her health history and assessment. Although she had been seeing an obstetrician for her prenatal, there might be issues that can affect her health and pregnancy that were never addressed. In her case, her family history of diabetes needs to be evaluated as the condition can affect the maternal and child health. Also, her understanding and practices need to be assessed to address any further risks that can affect pregnancy. Targeted Questions- Case 2: TJ, a 32-year-old pregnant lesbian From the given scenario and risks, factors identified, focus inquiries will seek to gather as much as patient-centered information to address TJ’s medical needs while carefully considering her diversity. (Dains et al.,2019). The targeted questions will be as follows: • How are you feeling today? • What are recent changes in your pregnancy you experiencing that concerns you? • When was your last prenatal checkup? • Were these symptoms new, worsened or addressed in your previous prenatal appointment? • Can you describe your usual diet and activity? • What is your marital status? • Are you sexually active? • Did you have any health issues in the past? • Did any of your immediate family members have problems with their pregnancy? • Is there anything else that you need for me to address? References American College of Obstetricians and Gynecologists. (2012). Health Care for Lesbians and Bisexual Women. Retrieved from https://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Health-Care-for-Underserved-Women/Health-Care-for-Lesbians-and-Bisexual-Women Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby. Centers for Disease Control and Prevention (2015). Cultural Competence. Retrieved from https://npin.cdc.gov/pages/cultural-competence Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby. Chapter 2, “Evidenced-Based Clinical Practice Guidelines” Kaiser Family Foundation. (2016, November). Health and Access to Care and Coverage for Lesbian, Gay, Bisexual, and Transgender (LGBT) Individuals in the U.S. Retrieved from https://www.kff.org/disparities-policy/issue-brief/health-and-access-to-care-and-coverage-for-lesbian-gay-bisexual-and-transgender-individuals-in-the-u-s/ ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS Discussion: Diversity and Health Assessments May 2012, Alice Randall wrote an article for The New York Times on the cultural factors that encouraged black women to maintain a weight above what is considered healthy. Randall explained—from her observations and her personal experience as a black woman—that many African-American communities and cultures consider women who are overweight to be more beautiful and desirable than women at a healthier weight. As she put it, “Many black women are fat because we want to be” (Randall, 2012). NURS-6512 Week 2 Case Study Assignments Photo Credit: Getty Images 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. Your Instructor will assign a case study to you for this Discussion. To prepare: Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments. By Day 1 of this week, you will be assigned a case study by your Instructor. Note : Please see the “Course Announcements” section of the classroom for your case study assignment. Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient assigned to you. Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks. Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information? By Day 3 of Week 2 Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks. Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit! Read a selection of your colleagues’ responses. By Day 6 of Week 2 Respond on or before Day 6 on 2 different days to at least two of your colleagues 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. Submission and Grading Information – NURS-6512 Week 2 Case Study Assignments Grading Criteria To access your rubric: Week 2 Discussion Rubric Post by Day 3 of Week 2 and Respond by Day 6 of Week 2 To Participate in this Discussion: Week 2 Discussion NURS-6512 Week 2 Case Study Assignments Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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