Cultural diversity

 

Paper to include: Name of the Culture,(Italian)

Country of Origin

Language spoken, include any statically

information,

Nutritional staples of their diet and food

preparation process,

Health Issues / Care / Any cultural challenges

Nursing considerations in caring for client

Traditional / History / Customs

Religious / Beliefs / Values

Family Structure

Each student will have

BHD421 Module 1 Case-

Module 1 – Case

PLEASE READ ATTACHMENTS FOR REQUIRED READING BEFORE STARTING ASSIGNMENT

INTRODUCTION TO COMMUNITY HEALTH

Assignment Overview

Understanding conceptually a community is critical to understanding this course. After reading the appropriate articles and websites listed on the Background page you should have a good understanding of what is a community and some of the differences between community health and public health.

Case Assignment

In responding to the questions below, I want you to immerse yourself into this course and try to think “out of the box.” Research points or questions you may not understand running key words through Google or another search engine. Remember, we don’t require examinations at TUI University but we do want you to demonstrate through the written word that you understand the key concepts presented in the course.

Please briefly answer the following questions:

  1. Which factor do you believe most affects the health of the community? Generally, these factors are classified as physical factors, social and cultural factors, community organization, and individual behavior. Please justify your response.
  2. Define community, community health and public health. Discuss the domains of personal and community health within the context of the community.
  3. Discuss and explain community health practices and what are their relationship to promoting a healthy community.
  4. Explain health disparity and their causes? Identify the problems related to health disparity.
  5. Discuss and explain a particular Social Determinant of Health that you consider to be the most important that can be improved by changing or modifying public policy as described by Richard Wilkinson and Michael Marmot in the WHO (2008) “Closing the gap in a generation” article.

Please submit your Case Assignment by the end of Module 1. Please refer to the Trident calendar for exact due dates. Please contact me at any time should you have any questions.

Assignment Expectations

  1. You are expected to consult the scholarly literature in preparing your paper; you are also expected to incorporate relevant background readings.
  2. Your paper should be written in your own words. This will enable your instructor to assess your level of understanding.
  3. In order to earn full credit, you must clearly show that you have read ALL required Background materials.
  4. Be sure to cite your references in the text of all papers and on the reference list at the end. For examples, look at the way the references are listed in the modules and on the Background reading list. Remember, any statement that you make that is not common knowledge or that originates from your synthesis or interpretation of materials you have read must have a citation associated with it. For guidelines on in-text citations, visit the following website: https://owl.english.purdue.edu/owl/resource/560/02/
  5. Proofread your paper to be sure grammar and punctuation are correct and that each part of the assignment has been addressed clearly and completely.
  6. Your assignment will not be graded until you have submitted an Originality Report with a Similarity Index (SI) score <15% (excluding direct quotes, quoted assignment instructions, and references). Papers not meeting this requirement by the end of the session will receive a score of 0 (grade of F). Papers with a lower SI score may be returned for revisions. For example, if one paragraph accounting for only 10% of a paper is cut and pasted, the paper could be returned for revision, despite the low SI score. Please use the report and your SI score as a guide to improve the originality of your work.

Length: This Case Assignment should be 3-5 pages (double-spaced) in length and should include 4-5 peer reviewed references, not counting the title and references page.

Note: Wikipedia is not an acceptable source of information.

REPLY 1 ELDER ABUSE

There are more than 1.4 million senior citizens living in nursing homes. Elderly residents are a particularly vulnerable population, with mental or physical incapacitation leaving them more susceptible to abuse and neglect. The National Center on Elder Abuse (NCEA) has classified seven different types of elder abuse, including physical abuse, sexual abuse, emotional or psychological abuse, financial or material exploitation, neglect, abandonment, and self-neglect.
Physical abuse is the use of physical force that may result in bodily injury, physical pain, or impairment. Physical abuse may include but is not limited to such acts of violence as striking, hitting, beating, pushing, shoving, shaking, slapping, kicking, pinching, and burning (NCEA, 2020).
Sexual abuse is defined as non-consensual sexual contact of any kind with an elderly person. Sexual contact with any person incapable of giving consent is also considered sexual abuse. It includes, but is not limited to, unwanted touching, all types of sexual assault, or battery, such as rape.
Emotional or psychological abuse is defined as the infliction of anguish, pain, or distress through verbal or nonverbal acts. Emotional/psychological abuse includes but is not limited to verbal assaults, insults, threats, intimidation, humiliation, and harassment.
Financial or material exploitation is defined as the illegal or improper use of an elder’s funds, property, or assets. Examples include, but are not limited to, cashing an elderly person’s checks without authorization or permission, forging an older person’s signature, misusing or stealing an older person’s money or possessions, and coercing or deceiving an older person into signing any document (NCEA, 2020).
Neglect is defined as the refusal or failure to fulfill any part of a person’s obligations or duties to an elder. Neglect may also include the failure of a person who has fiduciary responsibilities to provide care for an elder for example pay for necessary home care services or the failure on the part of an in-home service provider to provide the necessary care.
Abandonment is defined as the desertion of an elderly person by an individual who has assumed responsibility for providing care for an elder, or by a person with physical custody of an elder.
Self-neglect is characterized as the behavior of an elderly person that threatens his/her health or safety. Self-neglect generally manifests itself in an older person as a refusal or failure to provide himself/herself with adequate food, water, clothing, shelter, personal hygiene, medication when indicated, and safety precautions (NCEA, 2020).
Ethical Dilemmas and Considerations on Euthanasia, Suicide, and Assisted Suicide
Ethics in nursing do not appear sporadically when a decision regarding a law needs to be made, they are the ever-present guide to nursing practice. Every interaction with people, be they patients or colleagues is guided by ethics. Therefore, they have an important place in euthanasia, suicide, and assisted suicide (Wright, 2020).
The first step towards dealing with an ethical issue is identifying the moral or ethical conflict. In the case of euthanasia, suicide, and assisted suicide, one ethical conflict is that between the principles of autonomy, the right of the ill individual to practice self-determination and take action that he or she deems best for him or herself, and non-maleficence, the act of doing no harm.
An individual suffering from a terminal or incurable illness may wish to act autonomously and request euthanasia but, Wright (2020) proposes that the sacredness of our existence does not allow the act of euthanasia to be presented as ethical nursing practice. However, the answer is not so clear. They say that if the individual is deemed medically competent and is fully aware of the proposed consequences then their autonomy should be respected.
References
National Center on Elder Abuse (2020). Types of abuse. https://ncea.acl.gov/Suspect-Abuse/Abuse-Types.aspx (Links to an external site.)
Wright, A., (2020). Ethical considerations and implications for euthanasia and assisted suicide in New Zealand. https://www.nursingjournal.co.nz/volume-four-1-2017/ethical-considerations-and-implications-for-euthanasia-and-assisted-suicide-in-new-zealand/ (Links to an external site.) ReplyReply to Comment

REPLY 2

According to the National Center of Elder Abuse (NCEA), one in ten Americans aged sixty and above suffers from at least two forms of elder abuse. The different forms of elder abuse include physical abuse, which is an intentional use of force against an older person’s wishes. It is characterized by broken bones, bruises, burns, joint dislocation, sprains, and tooth loss. Sexual elder abuse is the second most common form of elder abuse. It is unwanted or forced sexual association with older adults. It is associated with genital or anus bleeding, bruised inner thighs or genitals, panic attacks, injuries in the pelvic region, and emotional and social withdrawal. The list also includes emotional and psychological elder abuse. It inflicts fear, mental agony, and distress to the respective adult. It takes several forms, including isolation, intimidation, terrorizing, insults, and threats. The most common signs of psychological abuse in adults include depression and withdrawal, isolation from family and friends, weakened self-esteem, and frequent attempts to hurt those around them.Stichler (2013) also argues that elder neglect is considered a form of abuse, according to NCEA. It occurs when the caregiver fails to prevent the elders from meeting their basic needs or preventing harm. Failure to provide the elders adequately with necessary daily activities, clothing, medical care, hydration, nutrition, and protection from damage are forms of elder neglect. The list also includes elder abandonment, which is often linked with neglect. When caretakers leave the elders in nursing homes, hospitals, or facility centers without an official arrangement on their care is a form of abandonment.In most cases, elders abandoned in healthcare centers might seem confused, scared, or lost. They may also appear depressed, lonely, dehydrated, and malnourished. The last two types of elder abuse, according to NCEA, include financial elder abuse and elder self-neglect. Financial elder abuse is linked to the improper, illegal, or unauthorized use of older people’s resources. Some of the warning signs of financial elder abuse include a pattern of missing property or belongings, elders facilitating discussions with mere documentation, and elders with no idea of their economic conditions. Elder self-neglect occurs when elders are weak enough to withdraw from meeting their daily needs.Practical Approaches for Ethical Dilemmas and Considerations in Healthcare Some of the ethical dilemmas and considerations in healthcare include cases linked to suicide, euthanasia, and assisted suicide. One of the primary approaches includes comparing the issue at hand to the specific rules in the Codes of Ethics (Stichler, 2013). In the long run, the health professionals would have analyzed the problem at hand with the Codes of Ethics and come up with a useful course of action relative to the issue presented with each patient. It is also vital to identify the party in power and control over the situation at hand. These steps are crucial as nurses will identify the resource relative to ideas, information, or clarification at hand.U.S. Department of Health & Human Services and Centers for Disease Control and Prevention (2014) states that addressing ethical dilemmas comes with breaking down the situation into competent parts. It provides room for identifying the issue at hand and generating the critical steps necessary to solve the issue. Healthcare professionals will identify and describe the possible question accurately and develop relevant ethical dilemmas and considerations. Ethical dilemmas and concerns in healthcare linked in activities above are easily found in the medical bodies’ legal sources such as legal codes and statues of practice.

ReferencesStichler, J. F. (2013). Healthy work environments for the ageing nursing workforce. Journal of Nursing Management, 21(7), 956–963. https://doi.org/10.1111/jonm.12174  (Links to an external site.)U.S. Department of Health & Human Services and Centers for Disease Control and Prevention. (2014). The State of Aging & Health in America 2013 [E-book]. CreateSpace Independent Publishing Platform. https://www.cdc.gov/aging/pdf/state-aging-health-in-america-2013.pdf (Links to an external site.)Elder Abuse, discussion board week 1.doc

Interdisciplinary Paper

  

Research and organize literature for the Interdisciplinary 

Incorporate health outcomes of the health promotion, detection of disease and disease prevention.  Organize an interdisciplinary plan of care for your client and the delivery of safe and effective care. Choose a patient, a gender, a medical condition and a situation of patient condition and their disease process and apply standards that are evidenced based which help support for the protection of your client. 

Incorporate concepts from Care of the Aging weekly powerpoints and the book-Gerontological Nursing and Healthy Aging (Toughy & Jett, 2018).

Paper should be 3 pages not including title and reference page. 

Paper should follow APA guidelines with a minimum of 5 references within 5 year span.

Pathophysiology (72 hours)

 

1) Minimum 9  full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

              

2)¨******APA norms, please use headers

          All paragraphs must be narrative and cited in the text- each paragraphs

          Bulleted responses are not accepted

          Dont write in the first person 

          Dont copy and pase the questions.

          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 6 references not older than 5 years

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc 

Part 2.doc 

__________________________________________________________________________________

Hypertension:

1. Abstract (Introduction)  (A brief overview of the background of the topic are provided) (1/2 page)

2. Create a case study using the system is presented and discussed about a patient with Hypertension

3. Describe Pathophysiology of the System of  Hypertension  according to the case

4. Describe the clinical Manifestations  of according to the case

5. What are the diagnostic Studies/ Laboratories for  Hypertension . Explain them

6. Clinical Management/ Treatment Modalities for  Hypertension 

7. Evaluation of Treatments 

8. Patient Education and Safety (QSEN) 

9. Make a questionare for Class discussion (6 questions)

Peer Response

Peers’  Response:

 From the video speech by Graham Hill: Why I am a weekday vegetarian, the main topic of discussion is why I am a weekday vegetarian where the speaker talks about a program to reduce a footprint. From the speech, the targeted audiences are the people willing to change to be vegetarians too. That is maybe the people who like other foodstuffs other than vegetables but are willing to turn back to veg. this is because of his program promotion of weekday veg. on the other hand, the thesis of the speaker’s topic is how human beings can slowly give up on the life of eating meat daily and change to be vegetarians in their life. The speaker vividly used the logos in the speech where he, first of all, considered both sides that is; he checked into the life of vegetables and the life of meat then decided to propose the vegetable life. On the other side, the speaker also has applied the use of ethos when he gave the research where he found that people taking hamburgers are getting closer to their grave by 1/3 and this shows how he is contented with the topic of speech. Pathos was also well applied where he talks about the slaughter of animals. One of the persuasive techniques used by the speaker is when he mentioned that if I don’t stop using humbugged, then I’m moving next to mu grave by a third. The speaker did not use the aids of visual, however; he used facial expressions to show how he felt about meat. The defective persuasion used by the speaker is when he left the audience with an option to choose between veg and meat. He persuaded me to listen to the speech just by saying some words like eating hamburger increases the risk of death. This made me to be so much keen on the speech. 

 

In the response post, based on your classmate’s review of the speech, include the following:

  • Was the speaker’s use of ethos, logos, and pathos effective?
  • How did the speaker use presentation aids?
  • Was the delivery of the speech effective? Why or why not?
  • Were you convinced?

Please be sure to validate your opinions and ideas with citations and references in APA format

Discussion ch

 I NEED A RESPONSE TO THIS ASSIGNMENT

2 REFERENCES

What the practitioner did well

In this week’s media, the therapist interviewed an adolescent male referred for a mental health evaluation due to anger management issues. The therapist discussed the client’s rights and limitations in privacy and confidentiality at the beginning of the session. As part of the informed consent process, the therapist was correct to clarify confidentiality and the roles, responsibilities, and expectations at the outset of treatment (American Psychological Association [APA], 2010). Transparency in treatment helps build the foundation for a strong therapeutic alliance. The therapist briefly inquired about the reason for the visit but shifted his attention to discussing the client’s school and leisure activities. He also asked about the client’s established support system. This informs the therapist that the client has other people that he can confide in and seek support. By delaying conversations about the problem, the adolescent client and therapist can get better acquainted, which reduces the development of resistance and reluctance in the client. The “warm-up” questioning allows the young male client to become acclimated to the back-and-forth verbal exchanges of therapy before discussing deeply personal or potentially threatening topics (Barrett & Rappaport, 2011). The therapist successfully paraphrased and reflected to understand the client’s experience of and feelings towards his mother. 

Areas the practitioner could improve

The therapist had missed opportunities to gather essential details from the adolescent client. The client expressed disdain for school. Key areas that the therapist missed with that revelation are how long the client had negative feelings towards school, what led to this feeling, how his grades, and his disciplinary actions at school. The therapist was correct to inquire about the client’s understanding of the reason for his visit, but he asked in a manner that caused the client to react defensively. The statement “she must have a reason” should be omitted. After that statement, the client looked away, crossed his arms, shrugged his shoulders, and told him to “ask her.” If the adolescent client feels judged and misunderstood, he will be reluctant to engage in treatment. The therapist’s mission is to help the teen divulge as much helpful information as possible to assess, diagnose, and treat properly. This mission is most effectively accomplished when therapists build a strong therapeutic relationship that represents respect and empathy for their clients’ problems (Ucar, 2017). 

Compelling concerns 

The client began to discuss the cause of his frustration with his mother. He expressed feeling “annoyed” because she persistently “nags” to share his feelings, making him hostile and resistant. Dysfunction within the family structure creates and maintains emotional and psychological issues in individuals. Unhealthy family dynamics negatively influence the way adolescents view themselves, others, and the environment, leading to poor interpersonal interactions (Al Ubaidi, 2017). Understanding and altering the household dynamic is critical to the success of the adolescent client’s treatment. 

Next question to ask and why

The next question to ask the client would be about his major stressors and how he tries to cope. Adolescents have varying life experiences and challenges. Assessing the client’s stressors gives me insight into his cognitive, physical, and social functioning. Significant life events and stressors have been linked to mental health and behavioral problems in adolescents. How the client copes or adapts determines his experience of distress and the ability to function. Revealing the client’s previous coping skills allows me to identify emotional issues and maladaptive patterns that perpetuate his problems.

References

Al Ubaidi, B. A. (2017). Cost if growing up in dysfunctional family. Journal of Family 

     Medicine and Disease Prevention, 3(3), 1-6.

American Psychological Association. (2010). Ethical principles of psychologists and code 

     of conduct. Retrieved on 11-30-20, from http://www.apa.org/ethics

Barrett, J., & Rappaport, N. (2011). Keeping it real: Overcoming resistance in adolescent 

     males mandated into treatment. Adolescent Psychiatry, 1, 28-34.

Ucar, S. (2017). Reluctance and resistance: Challenges to change in psychotherapy. Journal