NURS-6512 Week 2 Discussion: Diversity and Health Assessments

NURS-6512 Week 2 Discussion: Diversity and Health Assessments NURS-6512 Week 2 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 Discussion: Diversity and Health Assessments ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS 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 for NURS-6512 Week 2 Discussion: Diversity and Health Assessments: 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 in NURS-6512 Week 2 Discussion: Diversity and Health Assessments 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 Discussion: Diversity and Health Assessments Example Approach Week 2: Ann-Marie Main Discussion Post Scenario: 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” This is an elderly patient who lives with his daughter as stated in the above-mentioned scenario. This patient is no longer independent where he can provide for himself financially therefore, he depends on his daughter for support. His daughter has all these extra responsibilities and appears to be overwhelmed according to his utterance of “I do not want to be a burden to my daughter”. Caring for the elderly in the family according to Asian culture is the responsibility of the immediate family members, as they remain the main source of emotional, physical, spiritual and financial support for their ageing parents (“Caring for aging Chinese: Lessons learned from the United States,” n.d.). It is important to ensure patient comfort as this will allow for openness and trust between patient and caregiver. It is also very important to ask open ended questions and to allow this patient to express themselves fully. It is very important that the caregiver understands, respect and observe the cultural beliefs and preferences of this patient. It is very important to view each patient as an individual and not group people who tend to have the same physical characteristics together thinking they are all the same. The caregiver needs to maintain safe but comfortable distance between themselves and the patient, avoid piercing eye contact, be on time for their meeting and touch appropriately as these are some of the factors affecting persons in this cultural group (“Understanding transcultural nursing : Nursing2020,” n.d.). I would ask this patient the following five questions: Why do you feel like you are a burden to your daughter? How have you been eating? Are you able to afford your medications? Have your daughter ever raised her voice at you or voiced her frustrations about taking care of you? Have you been compliant with your medications? As primary care nurse, it is important to understand and appreciate that our patient population is diverse and that persons may look like a group but not share the exact same belief due to cultural diversities and independence of beliefs. To communicate effectively with patients, we need to be aware of this and be sensitive in our approach to care. It is important to provide patient privacy and establish trust. This can be done by asking culturally appropriate questions and providing patients with the opportunity to show us how they want to be treated. Management can help by implementing programs that help to improve cultural awareness and ethnic diversity into staff education as this will intern improve healthcare outcomes for patients and their families (“Cultural competence and ethnic diversity in healthcare,” n.d.). References Caring for aging Chinese: Lessons learned from the United States. (n.d.). Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2704564/ Cultural competence and ethnic diversity in healthcare. (n.d.). Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6571328/ Understanding transcultural nursing : Nursing2020. (n.d.). Retrieved from https://journals.lww.com/nursing/Fulltext/2005/01001/UNDERSTANDING_TRANSCULTURAL_NURSING.2.aspx 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 ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS Rubric Detail Select Grid View or List View to change the rubric’s layout. Name: NURS_6512_Week_2_Discussion_Rubric Grid View List View Excellent Good Fair Poor Main Posting 45 (45%) – 50 (50%) “Answers all parts of the Discussion question(s) with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. Supported by at least three current, credible sources. Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 40 (40%) – 44 (44%) “Responds to the Discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module. At least 75% of post has exceptional depth and breadth. Supported by at least three credible sources. Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. 35 (35%) – 39 (39%) “Responds to some of the Discussion question(s). One or two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Post is cited with two credible sources. Written somewhat concisely; may contain more than two spelling or grammatical errors. Contains some APA formatting errors. 0 (0%) – 34 (34%) “Does not respond to the Discussion question(s) adequately. Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible sources. Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style. Main Post: Timeliness 10 (10%) – 10 (10%) Posts main post by Day 3. 0 (0%) – 0 (0%) N/A 0 (0%) – 0 (0%) N/A 0 (0%) – 0 (0%) Does not post main post by Day 3. First Response 17 (17%) – 18 (18%) “Response exhibits synthesis, critical thinking, and application to practice settings. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of Learning Objectives. Communication is professional and respectful to colleagues. Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English. 15 (15%) – 16 (16%) “Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English. 13 (13%) – 14 (14%) “Response is on topic and may have some depth. Responses posted in the Discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. 0 (0%) – 12 (12%) “Response may not be on topic and lacks depth. Responses posted in the Discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited. Second Response 16 (16%) – 17 (17%) “Response exhibits synthesis, critical thinking, and application to practice settings. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of Learning Objectives. Communication is professional and respectful to colleagues. Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English. 14 (14%) – 15 (15%) “Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English. 12 (12%) – 13 (13%) “Response is on topic and may have some depth. Responses posted in the Discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. 0 (0%) – 11 (11%) “Response may not be on topic and lacks depth. Responses posted in the Discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited. Participation 5 (5%) – 5 (5%) Meets requirements for participation by posting on three different days. 0 (0%) – 0 (0%) N/A 0 (0%) – 0 (0%) N/A 0 (0%) – 0 (0%) Does not meet requirements for participation by posting on three different days. Total Points: 100 Name: NURS_6512_Week_2_Discussion_Rubric Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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