Madeleine Leininger Transcultural Nursing Theory

Discuss the applicability of the theory of culture care diversity and universality to discover nursing knowledge and provide culturally congruent care. Take into consideration the current trends of consumers of health care, cultural diversity factors, and changes in medical and nursing school curricula. The following are examples of trends you may use as a thread to start your discussion:

a. The importance of transcultural nursing knowledge in an increasingly diverse world

b. The growth of lay support groups to provide information and sharing of experiences and support for clients, families, and groups experiencing chronic, terminal, or life-threatening illnesses or treatment modalities from diverse or similar cultures

c. Cultural values, beliefs, health practices, and research knowledge in undergraduate and graduate nursing curricula across the life span

d. Inclusion of alternative or generic care in nursing curricula, such as medicine men, Native American healers, curers, and herbalists in the Southwest and selected substantiated Chinese and Ayurvedic medicine methods shown to be effective for the treatment of both acute and chronic diseases

e. The increased access to health care information from the Internet and the growing number of books, audio recordings, and video recordings published on health maintenance, alternative medicine, herbs, vitamins, minerals, and over-the-counter medications and preparations

f. Spiraling health care costs; use of health maintenance organizations, preferred provider organizations (PPO), or internal plan provider lists; lack of health insurance; increased reliance on self-diagnosis, treatment, and care; and increased availability of diagnostic kits for home-based self-diagnostic testing

g. Problems related to cultural conflicts, stress, pain, and cultural imposition practices

h. Increased suspiciousness and mistrust or distrust of cultural, religious, and political groups because of increased terrorist activities worldwide

1.  Discuss the meaning of mental health illness in the context of societal and cultural norms about behaviors.

2.  Mention and analyze emerging models of treatment that offer promise in improving the quality of life for the chronic mentally ill in communities.

3.  Mention and discuss the level of prevention in community mental health.

4.  Discuss the primary outcome of culturally competent psychiatric nursing care.

INSTRUCTIONS

APA format word document, references and in-text citations are required.

A minimum of 3 evidence-based references no older than 5 years must be used.  

A minimum of 800 words not to exceed 1,000 are required without counting the first and last page.  

Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:

• The role genetics plays in the disease.
• Why the patient is presenting with the specific      symptoms described.
• The physiologic response to the stimulus presented in      the scenario and why you think this response occurred.
• The cells that are involved in this process.
• How another characteristic (e.g., gender, genetics)      would change your response.

Scenerio: A 27-year-old patient with a history of substance abuse is found unresponsive by emergency medical services (EMS) after being called by the patient’s roommate. The roommate states that he does not know how long the patient had been lying there. Patient received naloxone in the field and has become responsive. He complains of burning pain over his left hip and forearm. Evaluation in the ED revealed a large amount of necrotic tissue over the greater trochanter as well as the forearm. EKG demonstrated prolonged PR interval and peaked T waves. Serum potassium level 6.9 mEq/L.

APA STYLE at least 3 references and citations

1. Try taking a different route to class the next time it meets. Before you do this, think about how many changes, large and small, you will have to make to do this.

a-Will you have to leave earlier to be in class on time? 

b-Will you meet different people on your way to class?

c-See different sights?

d-Would you change your route to class on the day of the final exam? 

e-Why or why not? Summarize the positives and negatives of this small change. Relate your responses to this change to the way staff nurses feel when an administrator makes what he or she thinks is a “minor” change. 

2. Think about a change that has occurred in your life. Some examples may be a change of role, a move, a marriage, a birth, a divorce, or a death. 

a-How did you react to the change? 

b-Would you have reacted differently if you had had more information?

c-Using Lewin’s model, describe the basic elements in the situation and how you eventually achieved a comfortable outcome. 

This week, you will complete the Research Clinic simulation from the perspective of Dr. Richard Sowers, the Principal Investigator (PI), and then reflect on the experience.

Go to the following website:

https://ori.hhs.gov/the-research-clinic

• Click the Play Full Video button and watch the opening introduction video. After you finish the video, in the lower right corner, click Next > to see the characters. Select Dr. Richard Sowers.
• Proceed through the simulation as Dr. Richard Sowers, noting the different decisions you make along with their effects. Go through the simulation a few times and make different decisions to see the different effects they cause.
• Write a reflective paper describing the process you went through and the results you received based on the different decisions you made as Dr. Richard Sowers. Recall your previous experience with this simulation as Jan Klein, RN, the clinical research coordinator. Discuss how both roles can affect a research study depending on which decisions are made.
• Your paper should be 2 to 3 pages in length, not including the cover page or reference page, written in current APA format, using Times New Roman 12-point font, double-spaced with 1-inch margins. Use a minimum of one peer-reviewed or scholarly reference published within the last five years to support your findings on the research process and ethics.

Family APRN certification application in state of FLORID

Answer the following five questions to be submitted in a word documents. APA format reference required 

1.) Which are the Family Advanced Partitioner Register Nurses (APRN) certification bodies in USA.? ( AANP www.aanpcert.org,  and ANCC [email protected])

2.) According to the certification body you selects, which are the application requirement?

3.) When can you apply?

4.) What is the passing test score?

5.) How much does the certification exam cost?

Attention Wizard Kim. 

Week 6 Discussion: Practicum professional Development Objectives/ Progress Appraisal  3 pages. 

Rubrics 

Competency

Explain principles of care for clients with oncological disorders.

Scenario

Anna is a 45-year-old female that presented to her physician’s office for her annual check-up. Anna has a history of diabetes, obesity, and noncompliance with diet and medications to control her diabetes. She a single mother of three teenagers and smokes regularly. During the history review, Anna shares with you that she has not been feeling like herself for the past six months, she has been unusually tired and thought that she felt a lump in her right breast during a self-breast exam around that same time. She stated, “I am very busy with my children; I haven’t had time to get it checked out.” She has recently been experiencing right nipple pain. Anna has a positive family history of breast cancer; both her mother and grandmother have been treated for breast cancer. Anna has never had a mammogram. During the breast examination, the practitioner palpated a lump in Anna’s right breast. No discharge from the nipple was observed. Anna’s right breast was tender upon palpation. No abnormalities were found in the left breast. Based on the physical findings Anna will undergo a diagnostic mammogram.

Instructions

In a 2-page paper, describe the care that Anna would require and address the questions below.

1. What risk factors does Anna have that could predispose her to the development of cancer?
2. What signs and symptoms could indicate that Anna has developed cancer?
3. Based on Anna’s risk factors and presenting problems, identify three care strategies that you would use to provide quality care to Anna. Provide rationale to explain why you chose these strategies.

Resources

For assistance with citations, refer to the APA Guide.

For assistance with research, refer to the Nursing Research Guide.

With the realization that pain is highly prevalent among older adults, please answer the following questions.

Questions:
1. What are some ways you as the nurse can utilize to determine pain in the older adult?
2. What are some of the potential barriers related to self-reporting of pain in the older adult?
3. What is the prevalence of pain in the older adult?
4. Describe and compare your findings for each of the following:
a. Numeric rating scale
b. Visual analog scale
c. McGill pain questionnaire
d. Pain in dementia patients

NURSING CARE PLAN

Formulate a nursing care plan for a patient with Cushing’s Disease.

Format:

Assessment, Nursing Diagnosis, Planning, Implimentation, Rational, Evaluation.

1.NCP must be presented in Columns format: Not essays format.

2. No sentences: only bullet points/phrases.

3. Only one Nursing Diagnosis (ND).

4. Maximum of 2 pages: No more.

5. Only one submission chance; no resubmissions.

Note:

Please follow instructions very strictly. This is absolutely necessary since as a nurse you MUST ALWAYS FOLLOW INSTRUCTIONS STRICTLY EG. MEDICATION DOSAGES.

Please read Cushing’s Disease. Read