Cultural Health Promotion Project

 Cultural diversity refers to the differences among people based upon shared ideology and shared valued sets of beliefs, norms, customs, and meanings evidenced in a way of life. This diversity is expressed in many ways. Diversity in history, beliefs, practices, and opportunities not only exist among the many cultural groups, they typically exist across a wide continuum within the group. Health behaviors are influenced by culture and cultural values as well as socioeconomic status. In this assignment, students will develop a health promotion project for a cultural group living anywhere in the United States. You are to learn as much as you can about the culture norms and patterns and how these norms and patterns influence health practices. The purpose of this assignment is to develop a deeper understanding and sensitivity regarding the role of culture in patients’ lives and in nursing through the examination of a cultural/ethnic group while addressing health promotion strategies and disease prevention. PROJECT COMPONENTS The project should address the following Aspects of Cultural Assessment: 1. Ethnic/racial identity: How does the group identify itself in terms ethnicity and racial background? What is the range of interaction outside of the cultural group? Are recreational, educational, and other social activities within the ethnic reference group, the wider community, or both? 2. History and Value Orientation: How are values derived? What is the historical experience of the group that may have impacted values? 3. Language-communication process: What is the primary spoken language? What languages are spoken in the home? And by whom? What language is preferred when speaking to outsiders? Do second and third generations in the speak the language of their grandparents? 4. Health Beliefs and Practices: What are the traditional health beliefs? How common are these beliefs and practices within this group? To what extent are folk healing practices and practitioners used?  5. Religious Belief and Spirituality: Discuss religious articles & practices. How is spirituality is defined in the culture? Remember that Religious Beliefs and Spirituality are different concepts. 6. Lifecycle events: Which life cycle events are important to the culture? What are the customs associated with births, coming of age, marriage, and death? 7. Nutritional Behavior/Diet: Are there restrictions? Are there common practices? 8. Medical health care access and experience: Is access to care and equality of care an issue for this group? For example, are group members less likely to receive needed care due to system issues such as financial access or provider biases than another group? Based on the Cultural Assessment Data, the group will design a Cultural Health Promotion Plan: 9. Cultural Health Promotion Plan: Identify a health risk or health problem the project will address. Describe why this is an issue for your chosen target group and how cultural plays a role in the health risk or problem. 10.Health Promotion Strategies/Methods: Based on the health risk/problem identified, describe the strategies/methods that you will implement. Focus on primary and secondary prevention strategies. Refer to Healthy People 2020 Topics and Objectives. You may access the website at: https://www.healthypeople.gov. 11.Project Evaluation Methods: State the outcomes you expect to achieve. State how you will measure/assess the effectiveness of the project. This is a GROUP assignment. Groups will consist of no more than three students. A group leader must be assigned. Submit the paper via Moodle designated assignment link. Only one submission per group. DUE DATE: Week 12 Complete the paper according to APA 6th Edition Guidelines as a word-processed document. The paper is limited to a MAXIMUM of Ten (10) pages (including the title page and references pages; NO Abstract is needed for this assignment). Do not exceed the ten-page limit as only ten pages will be read and graded. The paper must be double spaced using Font Size 12 (including the reference page). PRESENTATION In addition to the paper, the group will prepare a presentation. The presentation will be graded separately – refer to course syllabus. You may use a presentation style of your choice, i.e.. PowerPoint, Prezi, etc. Presentations are limited to 30 minutes.  

hospice 2

Cultural considerations in End of Life Care 

What is culture?

How different cultures view death?

Examples of different culturally practices at the end of life?

special considerations or rituals at the end of life

1 page at least 1 reference 

Assignment 08: Cross-Cultural Conundrum

HA3300D – Healthcare Policy and Ethics

Assignment 08: Cross-Cultural Conundrum 

 Directions

You are the manager of your local regional health clinic. You have a meeting with your Board of Trustees coming up in a few days. Your trustees have asked you to prepare a short presentation in response to an incident that occurred at your clinic just a few weeks ago:

A young Native American woman fell sustaining an injuring to her arm. After a week, her arm is still painful which causes her to visit a physician at your clinic. The physician orders tests, ascertains that there is no fracture, and decides to simply advise over-the-counter medication for inflammation and pain. Two weeks later the patient returns with the same issue at which time the physician believes that physical therapy will help the injured arm. While undergoing physical therapy, the patient also visits with a local healer who prescribes herbal treatments for the injury. The patient returns to see the physician after two weeks with an improvement in her injury. On her last visit she wanted to discuss her desire to use natural treatments in conjunction with physical therapy with the white doctor but did not. In fact, she has discussed very little with her doctor about her injury, how it has affected her ability to care for her children and elderly mother, etc. She does not fully trust the white doctor and has heard him sound skeptical concerning healers from her culture or other types of “non-traditional” treatments. The patient does, however, feel that natural remedies administered by healers help her.

For this assignment, either prepare a speech by typing the transcript in a Word document, OR prepare a brief (7-8 slide) PowerPoint presentation. In your speech/presentation, address the following questions:

.What ethical issues does this incident raise?

.Should you be involved in this issue at all, or is this a job for another part of your organization?

.Propose a solution to the conflict, supporting your plan using ethical concepts.

Urgent, urg

  

During this hospital stay, after you pressed the call button, how often did you get help as soon as you wanted it? 1o

Before giving you any new medicine, how often did hospital staff describe possible side effects in a way you could understand?

Choose one of the questions on the survey and locate an article that includes an intervention to improve patient satisfaction on that question.

(Do NOT include “increased staffing” as your solution.)

State article title, first author name, year of publication, Journal title

Provide/ describes system-based solution from article

Strategy

Exercises: 

1. What part does external environmental analysis play in the development of value adding support strategies? What part does strategy formulation play?

2. What are the basic building blocks of structure? What are the advantages and disadvantages of each?

Professional Development: 

Case #3: Community Blood Center of the Carolinas: Donations, Donations, Donations

Using Exhibit 9-6 as an example, complete a strategic thinking map that compares the results of an internal environmental analysis against the value adding support strategies requirements. This map will extend and further articulate the strategic thinking maps developed in strategy formulation and the development of the service delivery strategy.

Advanced Pharmacology Response to a discussion post

 

CL.

 

As an advanced practice nurse assisting physicians in the diagnosis and treatment of disorders, it is important to not only understand the impact of disorders on the body, but also the impact of drug treatments on the body. The relationships between drugs and the body can be described by pharmacokinetics and pharmacodynamics.

Pharmacokinetics describes what the body does to the drug through absorption, distribution, metabolism, and excretion, whereas pharmacodynamics describes what the drug does to the body.

Photo Credit: Getty Images/Ingram Publishing

When selecting drugs and determining dosages for patients, it is essential to consider individual patient factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes. These patient factors include genetics, gender, ethnicity, age, behavior (i.e., diet, nutrition, smoking, alcohol, illicit drug abuse), and/or pathophysiological changes due to disease.

For this Discussion, you reflect on a case from your past clinical experiences and consider how a patient’s pharmacokinetic and pharmacodynamic processes may alter his or her response to a drug.

To Prepare
  • Review the Resources for this module and consider the principles of pharmacokinetics and pharmacodynamics.
  • Reflect on your experiences, observations, and/or clinical practices from the last 5 years and think about how pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug.
  • Consider factors that might have influenced the patient’s pharmacokinetic and pharmacodynamic processes, such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease.
  • Think about a personalized plan of care based on these influencing factors and patient history in your case study.
By Day 3 of Week 1

Post a description of the patient case from your experiences, observations, and/or clinical practice from the last 5 years. Then, describe factors that might have influenced pharmacokinetic and pharmacodynamic processes of the patient you identified. Finally, explain details of the personalized plan of care that you would develop based on influencing factors and patient history in your case. Be specific and provide examples
  Pharmacology is the study of the interactions between drugs and the body. The two broad divisions of pharmacokinetics refers to the movement of drugs through the body, whereas pharmacodynamics refers to the body’s biological response to drugs. Pharmacokinetics describes the drug’s exposure by characterizing absorption, distribution, bioavailability, metabolism, and excretion as a function of time, while pharmacodynamics describes drug response in terms of biochemical or molecular interactions (Arcangelo et al., 2017). The focus of this discussion will be in the process of warfarin in term of pharmacokinetics and pharmacodynamics of it in the body.   Ms. J.J. ‘s Health issue:   I was in charge of Ms. J. care couple years ago, a 85 year old African American women who was diagnosed with dementia cerebral infarction due to unspecified occlusion of cerebral artery, arthropathy, major depressive disorder, atrial fibrillation with a history of long-term use of anticoagulants, contracture of muscle, constipation, hypertension and GERD. She is currently on coumadin for the atrial fibrillation and the blood levels are monitoring every week in order to control the drugs therapeutic levels and avoid any adverse reactions.  Pharmacodynamics versus pharmacokinetics of this anticoagulant:  Many statistics from the stroke prevention in atrial fibrillation (SPAF) trial suggest that safety of anticoagulant in the elderly can be maximized through a careful monitoring and maintenance of the INR which is between 2 and 3. Ms. J’s therapeutic window for warfarin 2 to 3 which is the normal range for coumadin therapeutic level. Her weekly dosage is adjusted to her current blood levels. Bleeding is the most related complication of anticoagulant. Amy INR that increasing to 3.4 or 4.0 from Ms. J will result in nose bleeding, decreasing the coumadin or stop it for one or two days will be the only option (Horton & Bushwick, 1999).     Factors influencing Ms. J’s drugs therapy:   Multiple factors may affect the absorption of her medication. For example, the presence or the absence of flood in the stomach, blood flow to the area for absorption, and the dosage form of the drug. In Ms. J’s case, the most critical factor. Influencing her absorption of coumadin is gastric motility due to the history of constipation that she has, while a routine laxative dose and stools softens are administered daily for bowel movement.  Patient-centered care plan for management of constipation:   A non-pharmacologic care plan management can be introduced for the constipation in order to reduce the frequency and the quantity of laxative and stool. Softens doses that Ms. J is getting and ultimately gain a net decrease in gastrointestinal absorption of coumadin. Increasing a dietary fiber in her menu, encourage fluid and prune juice can have a significant impact on her bowel movement (Portalatin & Winstead, 2012).     Portalatin, M., Winstead, N. (2012). Medical Management of Constipation. Clinic in Colon and   Rectal Surgery. Doi: 10.1055/s-0032-1301754. Retrieved from   https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3348737/  Horton, J. D., Bushwick, B. M. (1999). Warfarin Therapy: Evolving Strategies in Anticoagulation American Family Physician. 59(3):635-646. Retrieved from   https://www.aafp.org/afp/1999/0201/p635.html     Arcangelo, V. P., Peterson, A. M., Wilburg, V., Reinhold, J. A. (2017). Pharmacotherapeutics for Advanced Practice: A Practical Approach. (4th Ed.). Wolters Kluwer Lippincott Williams &
 

New2/3

In collaboration with the approved course preceptor, students will identify a specific evidence-based topic for the capstone project change proposal. Students should consider the clinical environment in which they are currently employed or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a leadership or quality improvement initiative, or an unmet educational need specific to a patient population or community. The student may also choose to work with an interprofessional collaborative team.

Students should select a topic that aligns to their area of interest as well as the clinical practice setting in which practice hours are completed.

Write a 500-750 word description of your proposed capstone project topic. Include the following:

  1. The problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project that will be the focus of the change proposal.
  2. The setting or context in which the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project can be observed.
  3. A description (providing a high level of detail) regarding the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.
  4. Effect of the problem or issue, intervention, quality initiative, educational need, or collaborative interprofessional team project.
  5. Significance of the topic and its implications for nursing practice.
  6. A proposed solution to the identified project topic with an explanation of how it will affect nursing practice.

You are required to cite to a minimum of eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Plan your time accordingly to complete this assignment.

Prepare this assignment according to the guidelines found in the APA Style Guide

I HUMAN case study

 

Assignment: i-Human Case Study: Evaluating and Managing Cardiovascular Conditions

Because cardiovascular conditions are preventable and manageable, it is important that the advanced practice nurse use both their understanding of the cardiovascular system and the impact of patient factors and behaviors that might increase patient risk of such conditions. This critical information can guide you in immediately identifying signs and symptoms that can inform differential diagnoses and lead to identification of appropriate treatment options and a treatment plan.

Photo Credit: yodiyim – stock.adobe.com

For this Case Study Assignment, you will analyze an i-Human simulation case study about an adult patient with a cardiovascular condition. Based on the patient’s information, you will formulate a differential diagnosis, evaluate treatment options, and create an appropriate treatment plan for the patient.

To prepare:

  • Review this week’s Learning Resources. Consider how to assess, diagnose, and treat patients with cardiovascular conditions. 
  • Access i-Human from this week’s Learning Resources and review this week’s i-Human case study Fred O. MacIntyre V5 PC. Based on the provided patient information, think about the health history you would need to collect from the patient. 
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis. 
  • Identify three to five possible conditions that may be considered in a differential diagnosis for the patient. 
  • Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis. 
  • Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients with cardiovascular conditions. 

Assignment

As you interact with this week’s i-Human patient, complete the assigned case study. For guidance on using i-Human, refer to the i-Human Patients Case Player Student Manual in the Week 1 Learning Resources.

By Day 7

Complete and submit your Assignment in i-Human.

Submission and Grading Information

6026: Healthcare Issue

Assessment 1

  • PRINT
  • Analysis of Position Papers for Vulnerable Populations
  • Toggle DrawerOverview
    Develop a 4–6-page position about a specific health care issue as it relates to a target vulnerable population. Include an analysis of existing evidence and position papers to help support your position. Your analysis should also present and respond to one or more opposing viewpoints.
    Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you must complete the assessments in this course in the order in which they are presented.
    Position papers are a method to evaluate the most current evidence and policies related to health care issues. They offer a way for researchers to explore the views of any number of organizations around a topic. This can help you to develop your own position and approach to care around a topic or issue.
    SHOW LESSThis assessment will focus on analyzing position papers about an issue related to addiction, chronicity, emotional and mental health, genetics and genomics, or immunity. Many of these topics are quickly evolving as technology advances, or as we attempt to push past stigmas. For example, technology advances and DNA sequencing provide comprehensive information to allow treatment to become more targeted and effective for the individual. However as a result, nurses must be able to understand and teach patients about the impact of this information. With this great power comes concerns that patient conditions are protected in an ethical and compassionate manner.
    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

    • Competency 1: Design evidence-based advanced nursing care for achieving high-quality population outcomes. 
      • Evaluate the evidence and positions of others that could support a team’s approach to improving the quality and outcomes of care for a specific issue in a target population.
      • Evaluate the evidence and positions of others that are contrary to a team’s approach to improving the quality and outcomes of care for a specific issue in a target population.
    • Competency 2: Evaluate the efficiency and effectiveness of interprofessional interventions in achieving desired population health outcomes. 
      • Explain the role of the interprofessional team in facilitating improvements for a specific issue in a target population.
    • Competency 3: Analyze population health outcomes in terms of their implications for health policy advocacy. 
      • Explain a position with regard to health outcomes for a specific issue in a target population.
    • Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards. 
      • Communicate an initial viewpoint regarding a specific issue in a target population and a synthesis of existing positions in a logically structured and concise manner, writing content clearly with correct use of grammar, punctuation, and spelling.
      • Integrate relevant sources to support assertions, correctly formatting citations and references using APA style.
    • Competency Map
      CHECK YOUR PROGRESSUse this online tool to track your performance and progress through your course.
  • Toggle DrawerContextPosition papers are a way for individuals, groups, and organizations to express their views and intentions toward a specific issue. In health care, many position papers address specific policies, regulations, or other approaches to care. As a master’s-prepared nurse, you should feel empowered to express and advocate for your own views on policy and care matters. This is especially important when it comes to populations you or your organization cares for that are not receiving the quality, type, or amount of care that they require.
    An important skill in creating a position paper or policy proposal is the ability to analyze and synthesize others’ views about the population or issue of interest to you. By synthesizing the positive and negative views of an issue, you can become better equipped to strengthen your own arguments and to respond to opposing views in an informed and convincing way.
  • Toggle DrawerQuestions to ConsiderAs you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
    SHOW MORE
  • Toggle DrawerResourcesMSN Program Journey
    The following is a useful map that will guide you as you continue your MSN program. This map gives you an overview of all the steps required to prepare for your practicum and to complete your degree. It also outlines the support that will be available to you along the way.

  • Assessment InstructionsScenario
    Pretend you are a member of an interprofessional team that is attempting to improve the quality of health care and the outcomes in a vulnerable population. For the first step in your team’s work, you have decided to conduct an analysis of current position papers that address the issue and population you are considering.
    In your analysis you will note the team’s initial views on the issue in the population as well as the views across a variety of relevant position papers. You have been tasked with finding the most current standard of care or evidenced-based practice and evaluating both the pros and cons of the issue. For the opposing viewpoints, it is important to discuss how the team could respond to encourage support. This paper will be presented to a committee of relevant stakeholders from your care setting and the community. If it receives enough support, you will be asked to create a new policy that could be enacted to improve the outcomes related to your chosen issue and target population.
    The care setting, population, and health care issue that you use for this assessment will be used in the other assessments in this course. Consider your choice carefully. There are two main approaches for you to take in selecting the scenario for this assessment:

    1. You may use one of the issues and populations presented in the Vila Health: Health Challenges in Different Populations and Vila Health: Resources for Topical Research media pieces. For this approach, you may consider the population in the context of the Vila Health care setting, or translate it into the context in which you currently practice or have had recent experience.
    2. You may select a population and issue that is of interest to you and set them in the context of your current or desired future care setting. While you are free to choose any population of interest, the issue you choose should fall within one of the following broad categories:
      • Genetics and genomics.
        • Sickle cell, asthma, multiple sclerosis, myasthenia gravis.
      • Immunity.
        • Type 1 diabetes, systemic lupus erythematosus (SLE), congenital neutropenia syndrome.
      • Chronicity.
        • Arthritis, any type of cancer or lung or heart disease, obesity.
      • Addiction.
        • Abuse of alcohol, prescription drugs, tobacco, illegal substances.
      • Emotion and mental health.
        • Post-traumatic stress disorder (PTSD), depression, eating disorders, psychosis.
    3. Note: If you choose the second option, contact the FlexPath faculty for your section to make sure that your chosen issue and population will fit within the topic areas for this course.
      Instructions
      For this assessment you will develop a position summary and an analysis of relevant position papers on a health care issue in a chosen population. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your submission addresses all of them. You may also want to read the Analysis of Position Papers for Vulnerable Populations Scoring Guide and Guiding Questions: Analysis of Position Papers for Vulnerable Populations to better understand how each grading criterion will be assessed.
    • Explain a position with regard to health outcomes for a specific issue in a target population.
    • Explain the role of the interprofessional team in facilitating improvements for a specific issue in a target population.
    • Evaluate the evidence and positions of others that could support a team’s approach to improving the quality and outcomes of care for a specific issue in a target population.
    • Evaluate the evidence and positions of others that are contrary to a team’s approach to improving the quality and outcomes of care for a specific issue in a target population.
    • Communicate an initial viewpoint regarding a specific issue in a target population and a synthesis of existing positions in a logically structured and concise manner, writing content clearly with correct use of grammar, punctuation, and spelling.
    • Integrate relevant sources to support assertions, correctly formatting citations and references using APA style.
    • Example Assessment: You may use the assessment example, linked in the Assessment Example section of the Resources, to give you an idea of what a Proficient or higher rating on the scoring guide would look like.
      Additional Requirements
    • Length of submission: 4–6 double-spaced, typed pages, not including the title and reference pages. Your plan should be succinct yet substantive. No abstract is required.
    • Number of references: Cite a minimum of 3–5 sources of scholarly or professional evidence that support your initial position on the issue, as well as a minimum of 2–3 sources of scholarly or professional evidence that express contrary views or opinions. Resources should be no more than five years old.
    • APA formatting: Use the APA Style Paper Template linked in the Resources. An APA Style Paper Tutorial is also provided to help you in writing and formatting your analysis.