Category: Nursing

  • First Steps on Becoming a Grassroots Lobbyist/Advocate for Health Care Policy

    First Steps on Becoming a Grassroots Lobbyist/Advocate for Health Care Policy

    This assignment has two parts, numbered below. Write each question as a new topic area, then follow with a paragraph or two to answer the question. You may find it necessary to search for answers to the questions outside of the assigned reading. Be sure to use APA guidelines for writing style, spelling and grammar, and citation of sources.

    ORDER A CUSTOM WRITTEN ESSAY

    Tasks:

    Imagine that you are going to make a visit to your representative in Congress. Develop a one-page document that supports your position on the AHCA that you would leave with your representative or his or her aide when you make your visit. This one-pager, also called a “leave behind,” should state your position clearly in bullet points and give your reasons why your position is preferred. This “leave behind” should have 1 inch margins and utilize 14-point font throughout. If you were making this visit in person, you would present your “leave behind” to the person with whom you speak during your visit. Include a second page that describes your rationale for the position in your “leave behind” page supported by at least two journal articles.

    Write a two-page brief to describe the scenario surrounding your legislative visit. Understanding the political affiliation of your representative, include answers to the following:

    Was your member in support or in opposition to the AHCA?

    State three points that you would cover in support or opposition to your representative’s position.

    How does your nursing experience influence the advocacy position that you take on the AHCA?

    Submission Details:

    Submit your response in a 4-page Microsoft Word document.

    Name your document SU_NSG4068_W3_Project_LastName_FirstInitial.doc.

    Submit your document to the Submissions Area by the due date assigned.

    Cite sources in the APA format on a separate page.

  • Impact of Chronic Illness – Diabetes Mellitus Essay Assignment

    Impact of Chronic Illness – Diabetes Mellitus Essay Assignment

    Introduction

    Diabetes mellitus has various impacts on the patients, their families, and the friends around them. Various patients have various mechanisms of coping with the situation most of which is as advised by their doctors or healthcare facility professionals where the diagnosis was done. This document is a discussion on the impacts of this disorder as per the analysis of an interview I conducted with one of my diabetic friends.

    ORDER A CUSTOM WRITTEN ESSAY

    Results of the interview

    The initials of the patient friend with whom I conducted the interview is R.O. He was diagnosed with the disorder in 2010 while he was at the age of 22. He was diagnosed with type 1 diabetes. Before being diagnosed with the disorder, R.O experienced the following symptoms; frequent urination and in large quantities. He often felt very thirsty and wanted to drink water always. He was losing weight over time. He indicated in his response that his weight dropped from 70kg in March 2009 to 65Kg in August 2009. He always felt very hungry. Sometimes he experienced blurred vision and felt tired most of the time. R.O admitted that in his life, he has never been engaged in any meaningful exercise. He liked consuming meat and other animal products implying that there was a possibility of feeding on saturated fats. He also had no regular eating hours. In fact, he liked skipping breakfast according to his response. No member of his family has ever suffered from this disorder.

    Sometimes he feels angry at very simple things, he feels very tired when he engages in the vigorous activity. He indicates that since the diagnosis, his family has offered emotional support such as encouragement and physical support such as ensuring he has not involved in vigorous physical chores around. He feels that this has enabled him to cope well. According to R.O., his doctor has advised him to avoid emotional stress and engage in light physical exercise. Since the diagnosis, the doctor advised him to avoid foods rich in saturated fats, those that contain high levels of sodium and those containing excess sugar. There are other tests that the doctor advised him to take. One is the blood pressure test and those related to cardiovascular systems. The main medication prescribed by his doctor is insulin given by regular injection and pramlintide also regularly injected.

    Analysis

    According to the results of the interview, the ability to live for long with this disorder is all about its management. The management of the illness can be divided into three aspects. These are treatment, copying, and support.

    Treatment

    The main form of treatment as per this case is insulin injection. The existence of diabetes type 1 implies the inability of the pancreases to produce enough insulin. The role of insulin in the body is to ensure proper usage of the glucose consumed by an individual. Low level of insulin implies that the glucose consumed is not properly used in the body such that its level in the blood rises (Chiang et al., 2014). The treatment is aimed at ensuring that the glucose level in the blood is kept at normal levels. The injection of insulin in the body is to restore its level back to normal so that the blood glucose levels are maintained. That implies three options of insulin depletion, the first one is short-acting insulin, and there is the rapid-acting insulin and finally the intermediate-acting insulin. The other for medication used in the treatment of this disorder is the pramlintide. This medication delays the time taken by the stomach to empty itself. It basically lowers the secretion of glucagon after the meals taken. Further, it reduces the appetite through a central mechanism so that at the end of it all it helps reduce the glucose level in the blood. As part of treatment, other tests are necessary. Diabetes is known to result in other disorders such as blood pressure and various cardiovascular diseases. Determining their presence and treating or controlling the is key to the success of the treatment process. It is not logical to treat a person with diabetes without treating and managing any associated disorder. The main objective is to increase lifespan hence the need to take these tests as in the case of R.O.

    Copping

    The other management method to this disorder rests on the advice offered by the doctor. The first one is a change in eating habit. Reducing consumption of red meat, animal products means reducing the calories that an individual takes in. this reduces the possibility of obesity and diabetes. Sugary foods high glucose contentment once they have been broken down. With the low levels of insulin in the body, consuming a lot of this food implying introducing high levels of surplus glucose in the body which in turn causes a rise in the blood glucose level hence worsening the situation (Evert et al., 2014). The other aspect is avoiding emotional and physical stress. Mental or psychological stress has been found to increase glucose level in the blood and that is the reason it is discouraged. Stress hormone called cortisol increases the blood sugar level (Reagan, 2012). Exposing oneself to stress result to production of this which in turn increases the glucose level in the blood. Light exercise helps relax the mind and the whole situation is hence kept under control. Constant doctor-patient contact like the case of R.O is another coping mechanism. Further advice from the doctor and close monitoring to avoid any escalation of the situation. Impact of Chronic Illness – Diabetes mellitus Essay Assignment. Impact of Chronic Illness – Diabetes mellitus Essay Assignment. Impact of Chronic Illness – Diabetes mellitus Essay Assignment.

    Support

    The other coping strategy is drawn from support from various people within the environment of the patient. In the case of R.O, family and workmates provided the necessary support. The family is one of the main sources of stress. The family in ensuring that the patient is not subjected to emotional family stress is very key (Haas et al., 2012). Finding a solution to family problems without causing any tension that would escalate the situation is the key concept of family support. Further, the family provides financial support for treatment and medication. Family members taking over responsibilities that require a lot of mental effort or physical effort that would result in stress is also a mechanism. The other support source is an understanding of the employer and the work. The main idea behind this is to provide a conducive environment for management of the illness. The employer ensuring that work pressure is reduced is important. The baseline is understanding the patient and what is required of the people in his environment.

    Impact of the interview findings on care plan for diabetic persons

    The development of care plan for a given group of people suffering from a given disorder relies heavily on knowledge of the illness. That is management mechanisms which include copping, treatment, and support. The information gathered from this interview provides the care program planner with the information on what is required in the care environment. Again, it provides the information on treatment methods which is a key concept in the development of the care program. What should be avoided and that which should be encouraged by the care program depends on the information gathered in the interview. In general, the interview sheds light on the requirement that must be included in the care program which is treatment mechanism, copping and support. Impact of Chronic Illness – Diabetes mellitus Essay Assignment

    Conclusion

    Diabetes as a disorder associated with low levels of insulin in the body. The resultant effect is a high level of glucose in the blood. Treatment of the disorder involves insulin injection and pramlintide for those with diabetes type 1. The copping mechanism includes reducing emotional and psychological stress. This requires support from family members and the workmates among the different types of people in the patient’s environment. The development of a care plan relies on the knowledge about the patient’s disorder type and what kind of support necessary for him. The care plan must ensure that the coping mechanisms necessary for the patient are included.

    References

    Chiang, J. L., Kirkman, M. S., Laffel, L. M., & Peters, A. L. (2014). Type 1 diabetes through the

    lifespan: a position statement of the American Diabetes Association. 
    Diabetes Care
    , 
    37
    (7), 2034-2054.

    Haas, L., Maryniuk, M., Beck, J., Cox, C. E., Duker, P., Edwards, L., … & McLaughlin, S. Impact of Chronic Illness – Diabetes mellitus Essay Assignment

    (2012). National standards for diabetes self-management education and support. 
    The Diabetes Educator
    , 
    38
    (5), 619-629.

    Reagan, L. P. (2012). Diabetes as a chronic metabolic stressor: causes, consequences and clinical

    complications. 
    Experimental neurology
    , 
    233
    (1), 68-78. Impact of Chronic Illness – Diabetes mellitus Essay Assignment

    Evert, A. B., Boucher, J. L., Cypress, M., Dunbar, S. A., Franz, M. J., Mayer-Davis, E. J., … &

    Yancy, W. S. (2014). Nutrition therapy recommendations for the management of adults with diabetes. 
    Diabetes Care
    , 
    37
    (Supplement 1), S120-S143.

    Impact of Chronic Illness – Diabetes mellitus Essay Assignment

  • Health information and patient privacy essay

    Health information and patient privacy essay

    You have been hired as Assistant Manager of a Home Health Care Agency. The agency offers a wide range of skilled medical services such as nursing care, physical therapy, occupational therapy from qualified medical professionals. The agency also provides home health aide services including assistance with activities of daily living, such as bathing and eating.

    Your supervisor told you that she recently received a call from an advocate whom an employee consulted via the Employee Assistance Program because the employee felt that she had been treated unfairly after contracting an illness. She explained that a few months ago, one of your agency’s home health aides, Sara, became ill. Sara had been coughing for approximately six weeks, lost weight without trying, had no appetite, was having difficulty sleeping, and had an intermittent fever. She became concerned and went to see a healthcare professional who diagnosed her with active tuberculosis (TB).

    ORDER A CUSTOM WRITTEN ESSAY

    Sara missed a lot of time from work while completing treatment for TB. Her physician cleared her to return to work after she was no longer contagious. Upon returning to work, Sara felt isolated because her boss and co-workers refused to spend time with her. She heard that someone from the agency’s Human Resources Department told her co-workers her diagnosis. The stressful circumstances at work became even worse when another home health aide started to display the same symptoms Sara had.

    Your supervisor has asked you to review the entire situation and how it was handled by the agency.

    Now, in a complete 600-800 words Health information and patient privacy essay paper, address the following: (DO NOT WRITE QUESTIONS IN THE PAPER)

    In consideration of Sara’s privacy and in an effort to educate members of the organization of the possible outbreak, what strategies/steps should the Department of Human Resources (HR) do to ensure health information is provided to all stakeholders? Explain 5-6 strategies and offer concrete information to support your viewpoint.

    Explain the implications of this problem for the stakeholders involved in this home health organization. Be sure to compare and contrast the implications for the different stakeholders and give special attention to the residents that Sara visited in their homes.

    Tuberculosis Video 

    Your Health information and patient privacy essay paper must include:

    · 100% originality

    · 600-800 words count excluding title and reference page

    · Proper introduction and conclusion

    · 3 credible references cited in APA

  • Healthcare Information Technology and Standards

    Healthcare Information Technology and Standards

    The  ability to exchange and use health information electronically is  important in order to improve healthcare quality and safety.  Interoperability is critical to future exchange of health data to reduce  medical errors, improve quality, and contribute to medical research. In  order for this to happen, it is necessary to come to agreement on a  variety of data standards. It is also critical that health data is  secure from all types of threats and technological vulnerabilities.

    ORDER A CUSTOM WRITTEN ESSAY

    Using  the South University Online Library or the Internet, research about  healthcare IT and their standards. Based on your research and  understanding, respond to the following:

    What are the five main core development areas for Health IT?

    What do we mean by data standards? Give five examples of current data standards that are being used. What is their purpose?

    What is needed to achieve interoperability between all providers?  What types of network standards are necessary in addition to data  standards?

    What has been the role of Office of the National Coordinator (ONC)  for Health IT in data standards and interoperability? What is the  Nationwide Health Information Network?

    How do the standards in the EHR systems and interoperability  networks impact the working environment of healthcare professionals?

    What are the ways health organizations will need to protect health  data from threats (man-made and natural disaster) and technological  vulnerabilities?

  • Physicians and nurses shortage in healthcare essays

    Write a Post of 350–400-word reply to each of the following Physicians and nurses shortage in healthcare essays discussion

    Physicians and nurses shortage in healthcare essays discussion #1

    As a nurse myself, I have experienced first-hand the struggles of the shortage. My first experience was that of a student and that was nearly 15 years ago. The community college that I started my nursing education with was in El Paso, Texas. It was very difficult to be able to get accepted into the program because they only offered 35 slots and entrance was only given every two years. You had to compete with your GPA in the non-nursing courses, write an essay to the nursing faculty, and pray you got accepted. This was because of the nursing shortage. There were only three instructors and these 3 women taught every single class. Not enough faculty members to teach were one of the reasons for the shortage at that time.

    ORDER A CUSTOM WRITTEN ESSAY

    Now let’s fast forward a few years. With a move to a new city and state I made a career and educational move as well. I completed my Bachelor of Science in Nursing and eventually became a Director of Nursing (DON) at a 120-bed nursing home. As the DON, one of my main responsibilities was staffing the home. Pynes & Lombardi (2011) discuss some common mistakes that new managers make when it comes to the interview process. They identified exactly what was happening to me in that I had “several openings and a short time in which to fill them (Pynes & Lombardi, 2011.) Of course, I had some problems, but through prayer, trial and error I learned how to be more selective. James 1:2-3 (NKJV) says “My brethren, count it all joy when you fall into various trials, knowing that the testing of your faith produces patience.” What I found in my interviewing of potential staff was that there were not a lot of candidates applying, the pay was low, and the nurse-patient ratio was extremely high.  Physicians and nurses shortage in healthcare essays.

    The facility I worked for focused on the numbers.  Are there enough “licensed bodies” in place to provide the nursing hours that were required by the state? That was the bottom line. Seventy-five percent of the time I was forced to hire a nurse that I felt was unqualified for the position. I was uncomfortable with hiring a nurse who had no experience working with the elderly. I had concerns about their assessment skills of an older adult patient. I wanted nurses who could provide quality care. The administrator wanted nurses who could help meet the nursing hours. There was no motivation in investing in staffing quality nurses when reimbursement was still given whether providing care at the minimum levels versus care at a higher level of excellence (Fox & Abrahamson, 2009.) I remember the administrator keeping an unqualified nurse on staff that had made several serious mistakes simply because “she was the only nurse available to cover a shift on short notice.” The nurse had not checked on a resident at all during her 12 hour shift and discovered him dead in his bed the next morning when she went in to check his blood sugar. The resident was a full code and CPR was not initiated. The main focus for the administrator was only to meet the required nursing hours for the day regardless of the skills of the nurse.

    Ferguson & Lloyd (2017), argue that staffing is not just important when providing healthcare, but “safe staffing is critical for positive patient and population outcomes.” High acuity patients require more nursing care than those that are low acuity. As a young nurse fresh out of nursing school I was very interested in cardiac care. I began working at the local hospital of which I worked as a Student Nurse Tech (SNT) while in nursing school. As a SNT we worked alongside the licensed Registered Nurses (RNs) and Licensed Vocational Nurses (LVNs) in order to gain experience. As an SNT you pretty much worked wherever you were assigned. One evening I came on shift and discovered that it was just myself (the unlicensed student) and one RN working on the cardiac step-down unit with 13 patients. The normal staffing ratio would include 1 RN, and LVN, and a nursing assistant. With the type of critical patients on the unit the RN was very frustrated because these patients are all mid-level to high acuity. This was unsafe for the RN whose license I worked under and the patients we were caring for. At this time acuity-based staffing solutions were not being used. Ferguson and Lloyd (2017) see acuity-based staffing as a means to help with decision-making when it comes to admissions, transfers and discharges. Nursing informatics is a field that is focusing on these types of issues. Even in my two year working as a DON, I was faced with the same problem. Having residents on mechanical vents, tube feedings, frequent blood sugars with minimum staffing becomes frustrating and sometimes unsafe. Taking control of admissions, discharges, and transfers in a systematic manner could have prevented one nurse from having so many high-acuity patients.

    The final contribution to the nursing shortage is low pay when compared to other professions. The nurses at the nursing home back then only made $12.75 an hour. The hours were long, the work was hard, and the stress level was high. When it was time for annual evaluations, the nurses were only given a raise of 10 to 25 cents more an hour. Instead of being given time off to take a vacation, which most could not afford to do, they are given a check to the equivalent of one week of their pay. I lost most staff to the local hospitals because the shortage was so bad that they began offering $5K bonuses to attract nurses to come and work for them. When employers began offering student loan repayment and tuition vouchers, Fox and Abrahamson (2017), argue that this method of recruitment made it so much easier for employers to offer a low wage. Most of the nursing in my graduating class, including myself, were offered bonuses for 1-2 year commitments. I gave the cardiac unit 1 year and only stayed that long so I did not have to repay the bonus. I left because of poor staffing on a unit with such critical patients. Physicians and nurses shortage in healthcare essays. Physicians and nurses shortage in healthcare essays.

    My recommendation to ratify the nursing shortage would be for nurses to be able to specialize, maybe in their final year of the baccalaureate program, in the particular field as to which they want to work. As a student, you go through each area, pediatrics, mental health, medical-surgical, obstetrics, etc. If in your final year you got to learn more about the one you really fell in love with, that would keep you interested, and maybe not burn out as fast. I also recommend alternate work schedules. Even in administrative nursing we are still at a shortage. We desire to get the work done, but cannot always do it within the confines of the office, or structured work day. My next recommendation would be free continuing education for current nurses that wish to train in other areas. There are so many technological advances out right now and things change such as new medical equipment, new ways to perform a procedure. I would like to be able to explore those things as a way to market myself for other opportunities to learn new nursing skills.

    Fox, R. L., & Abrahamson, K. (2009). A critical examination of the U.S. nursing shortage: Contributing factors, public policy implications.
     Nursing Forum, 44
    (4), 235-244. doi:10.1111/j.1744-6198.2009.00149.x

    Ferguson, S. L., & Lloyd, J. (2017). Innovative information technology solutions: Addressing current and emerging nurse shortages and staffing challenges worldwide.
     Nursing Economics, 35
    (4), 211. Physicians and nurses shortage in healthcare essays.

    Pynes, J. E., & Lombardi, D. N. (2011). Human resources management for health care organizations: A strategic approach. San Francisco, CA: Jossey-Bass.

     

     Physicians and nurses shortage in healthcare essays discussion #2 

    Depending upon what research a reader would apply to understanding where the national shortage of both physicians and nurses comes from: be it one factor, or combination of factors the result is the shortage is rampant and ongoing. For the past two decades in both the United States and Canada the economy experienced colossal shortages across the health care profession ranks. (Pynes & Lombardi, 2011,).

    Directly pinpointing physicians as a focus I chose to deduce the physician shortage to a combination of factors beginning with the fundamentals of math. From a simple ratio perspective assuming a traditional model outlook of patients being care for by a single physician, there is one physician for every 2,500 patients. The odds of achieving and maintaining a balanced physician –to-patient ration would be difficult. (Green Savin, & Lu, 2013).

    Another factor of area to consider which directly contributes to the national physician shortage “is the gap between the adult populations demand for primary care services and the capacity primary care (Bodenheimer & Smith, 2013).” The unmatched physician –to-patient perspective details the concept of the patients access to timely care in taking in account various degrees of patient demand and arrival of patients requests that in joining patients demands, visits and time spent with each patient the result would be a severe backlog and the inference of quality of visit with physician. Physicians and nurses shortage in healthcare essays.

    ORDER A CUSTOM WRITTEN ESSAY

    Another factor of area to consider which directly contributes to the national physician shortage “is the gap between the adult populations demand for primary care services and the capacity primary care (Bodenheimer & Smith, 2013).” The demand is greater than the physicians avaliable to supply the need a strategy of offset must be looked at a way to supply for patient needs. Strategies to rectify the physician employment issue specifically the physician –to-patient ratio issue would be implementing teams, non-physicians, and electronic communication to counter the ratio issue. Presumably by creating teams of care and have the non-physicians support the physicians more consistent amounts of patients can be seen per day. By increasing electronic communication would minimize the face-to-face appointment and the time saved could be devoted to quality physician visits.

    Additional strategies to suggest to rectify the employment issue of physicians would be efficiently use all personnel staffed in the capacity of health care professionals. That means empowering nurses and pharmacists who fall under licensed personnel to provide more care. Also that means instating standing orders for all for medical assistants who fall under nonlicensed health personnel to function in higher required needs of health coaches to provide preventive care needs. (Bodenheimer & Smith, 2013).” By utilizing all health care personnel available there is more time for the team of professionals to take care of the needs of the patients. If additional hiring needs to take place health care human resource departments are adamant is correct placement. Physicians and nurses shortage in healthcare essays.

    Ensuring the overarching goal is reached which is to hire physicians who “would contribute to the progressive improvement of performance across the organization (Pynes & Lombardi, 2011, p. 178).” Biblical integration can be related to Acts 20: 35 which read “In all things I have shown you that by working hard in this way we must help the weak and remember the words of the Lord Jesus.” By analyzing and finding all strategies that result in heightened patient access and quality care would be working hard in the way in which the book of Acts describes. As medical services abilities and what is being offered to the consumer has grown facilities and support capabilities of delivering services has not which directly correlates to the workforce manning one being able to keep up with the demand and provide the services in a timely manner.

    References

    The Holy Bible, English Standard Version. (2016).

    Pynes, J. E., & Lombardi, D. N. (2011). Human resources management for health care organizations: A strategic approach. San Francisco, CA: Jossey-Bass. ISBN: 9780470873557. Green, L. V., Savin, S., & Lu, Y. (2013). Primary care physician shortages could be eliminated through use of teams, non-physicians, and electronic communication. Health Affairs, 32(1), 11-9. Retrieved from http://ezproxy.liberty.edu/login?url=https://search-

    proquest-com.ezproxy.liberty.edu/docview/1285127946?accountid=12085

    Bodenheimer, T. S., & Smith, M. D. (2013). Primary care: Proposed solutions to the physician shortage without training more physicians. Health Affairs, 32(11), 1881-6. Retrieved from http://ezproxy.liberty.edu/login?url=https://search-proquest-com.ezproxy.liberty.edu/docview/1458312676?accountid=12085 . Physicians and nurses shortage in healthcare essays. Physicians and nurses shortage in healthcare essays.

  • Lazarus’ Stress Adaptation Theory Essay

    Lazarus’ Stress Adaptation Theory Essay

    Please respond to this Lazarus’ Stress Adaptation Theory Essay post as if it was me using at least 1 scholarly article (within 5 years) in response to her chosen non-nursing theory. Min of 150 words.

    ORDER A CUSTOM WRITTEN ESSAY

    The borrowed non-nursing theory I chose is Lazarus’ Stress Adaptation Theory.  I will apply it to the advance clinical practice specialty area.  His adaptation theory is process where people are observed while they undergo stressful situations. It is the psychological response to stress that is most important. His premise was that the more of the situation gets revealed the more the patient reacts to the stress.  The anxiety isn’t the issue so much as the perceived notion that the patient is threatened. (McEwen & Wills, 2014) This brings me to the incorporation into the advance clinician.  The Nurse Practioner sees the teens in their most vulnerable state and can only take care of them for that moment, possibly offer them a shelter name to sleep in for the night. The article has stages of runaways and as they progress through the stages, they become harder more institutionalized in affect.  Neglect and abuse usually is the catalyst for the end product of a child living on the street and being subject to all the street has to offer, for instance drugs and prostitution. (Jongserl, 2010) This theory will help the practioner assess the stage and level of degradation that adolescent is in.  The behaviors of apprehension and fear are reactions to the clinician and their care.  It will also remind the advance practioner that physical illness is often how stress manifests itself and that age isn’t a factor when having stress.  This Theory will allow the Nurse practioner to include a plan to destress the patient and try to incorporate that in very short-term goals for the patient to achieve in hopes that there may be a way for the child to get off the streets and stay safe.  The success of the teen depends on their coping skills that will decrease the stressors and move the patient into adapting a positive lifestyle.  It is a useful guide in treating patients holistically. Lazarus’ Stress Adaptation Theory Essay

  • Borrowed (non-nursing) theories used in nursing practice essay

    Respond to the following borrowed (non-nursing) theories used in nursing practice essay

    Please respond to this Borrowed (non-nursing) theories used in nursing practice essay post as if it were me. The response needs to be in regards to non-nursing theories used in nursing practice. This student named a couple in paragraph one, and elaborated most on Erik Eriksons theory in paragraph 2. I happened to use Erik Eriksons theory on my post, so please include that i too used it on my post, and agree with it.

    ORDER A CUSTOM WRITTEN ESSAY

    The response to the Borrowed (non-nursing) theories used in nursing practice essay must have at least 1 scholarly article (no older than 5 years), Great APA format and citation, and a minimum on 150 words.

    ……………………………………………………………………………………

    Borrowed (non-nursing) theories used in nursing practice essay

    In nursing practice, we apply some borrowed theories. These borrowed theories play an equally important role similar to nursing theories. Borrowed theories are relevant in advanced clinical practice since they enhance the knowledge and nursing practice. Non-nursing theories continue to influence nursing practice because some of the concepts of nursing theories were borrowed from these theories. For example, Nola Pender’s theory of health promotion borrows ideas from theories like Fishbein’s theory of reason action and social learning theory by Albert Bandura. Another theory that is readily applicable to my practice as a nurse practitioner is the psychosocial theory by Erik Erickson. Erickson’s theory outlines eight stages of development that a person has to go through in their lifespan from infancy to late adulthood. As nurse practitioners we attend to patients of all age groups, therefore, it is vital to understand the developmental theory to guide the formulation of age-appropriate care to our patients. This is because the developmental theory helps in better understanding of patients.

    According to Machajewski and Kronk (2013), Erik Erickson’s theory is applied in advanced clinical practice addressing childhood grief. Kubler Ross outlined the different stages of grieving and individuals have unique ways of grieving. A family nurse practitioner should be aware of the grieving process of a child after the loss of a parent. The developmental theory will enable the nurse to understand age-appropriate responses to traumatic events and loss.  In the article, the authors present unfortunate incidents of loss of children, friends or siblings in an elementary school. They state that “The FNP has a unique opportunity to care for the family as they move through grief. Knowing the developmental stage of the sibling survivors is the first step to assist in this journey” (Machajewski & Kronk, 2013, p. 447). The nurse practitioner will provide the needed psychological and social support with compassion to the child. This is an indication that we can integrate other non-nursing theories into nursing practice. Erickson’s theory will enable the nurse to understand the developmental stage of the child then use age-appropriate approach to manage the child’s loss. Using Erickson’s developmental theory can help FNP’s provide the “physical care and emotional support so that no sibling survivor and family are left to navigate the journey of grief unassisted” (Machajewski & Kronk, 2013, p. 448). This is an indication that borrowed theories borrowed theories can be used in advanced clinical practice. The nurse will be able to assess for dysfunctional responses due to grieving.  Borrowed (non-nursing) theories used in nursing practice essay.

  • Mental Health Services In U.S

    Mental Health Services In U.S

    Mental Health Services In 250 words, discuss the issues associated with access to mental health care and the populations that are affected by the current health care system Be sure to cite sources to support your opinions.

  • Greek Culture, Hindu Culture and Cuban American Culture Essays

    Greek Culture, Hindu Culture and Cuban American Culture Essays

    Greek Culture

    Overview/Heritage

    This show presents two groups of people with Greek heritage.

    The first group refers to those or their ancestors who emigrated from Greece, the second group originated in Cyprus.

    Both groups have a common history, language, and religion.

    Overview/Heritage

    The largest Greek community outside Greece is in the United States.

    The largest Greek Cypriot community outside Greece is in Britain.

    The core values of
    philotimo
    (honor and respect) and
    endropi
    (shame) are key when considering the experience of Greeks and Greek Cypriots.

    Overview/Heritage

    Philotimo
    is a Greek’s sense of honor and worth that is derived from one’s self-image, one’s reflected image (respect), and one’s sense of pride.

    Philotimo
    is enhanced through courage, strength, fulfilling family obligations, competition with other people, hospitality, and appropriate behavior.

    Shame results from deviant conduct.

    Communication

    All Greeks, whether in Greece, Cyprus, or the diasporas, use the same form of written language, although there are regional and country variations in spoken Greek.

    Diasporic Greek communities regard the retention of the Greek language as an essential part of their identity.

    Communication

    Greek and Greek Cypriot people tend to be expressive in both speech and gesturing.

    They use their hands frequently while talking.

    They embrace family, friends, and others to indicate solidarity.

    Whereas inner-most feelings, such as anxiety or depression, are often shielded from outsiders, anger is expressed freely.

    Communication

    Eye contact is generally direct, and speaking and sitting distance is closer than that of other European Americans.

    Patients often appear to be compliant in the presence of the health-care worker, but this may be only superficial to ensure a smooth relationship.

    Communication

    Greeks are oriented to the past as they are highly conscious of the glories of ancient Greece.

    They are present-oriented with regard to
    philotimo,
    family life, and situations involving family members.

    However, they tend to be future-oriented with regard to educational and occupational achievements.

    Communication

    Greek Americans differentiate between “Greek time,” which is used in family and social situations, and “American/clock time,” which is used in business situations.

    Greek time emphasizes participating in activities until they reach a natural breaking point, whereas American/clock time emphasizes punctuality.

    Communication

    For Greeks and Greek Cypriots, having a Greek name is an important sign of their heritage.

    Honorific titles might be given to members of the community who are elders or otherwise respected.

    Terms such as
    Thia
    (aunt),
    Kyria
    (Mrs.), or
    giagia
    (grandma) may be used.

    Communication

    First names come either from the Bible or from ancient Greek mythology and history.

    Ideally, first daughters are named for the mother’s mother and first sons for the father’s father.

    Following tradition, middle names are the first name of the father.

    Family Roles and Organization

    The father is considered the head of the household in Greek and Greek Cypriot families.

    The complexity of household dynamics is noted in the well-known folk saying, “The man is the head, but the wife is the neck that decides which way the head will turn.” This acknowledges the primacy of fathers in the public sphere and the strong influence of women in the private sphere.

    Family Roles and Organization

    The roles of husband and wife are characterized by mutual respect (a partnership). However, their relationship is less significant than that of the family as a unit.

    Fathers are responsible for providing for the family, whereas women are responsible for the management of the home and children.

    Family Roles and Organization

    Greeks are often friendly but somewhat superficial and distant with those considered “outsiders.”

    Traditionally, the cleanliness and order of the home reflect the moral character of the woman.

    Children are included in most family social activities and tend not to be left with babysitters.

    Family Roles and Organization

    The child is the recipient of intense affection, helpful interventions, and strong admiration.

    The child may be disciplined through teasing, which is thought to “toughen” children and make them highly conscious of public opinion.

    Adolescents, particularly young women, tend to reside with their parents until they get married.

    Family Roles and Organization

    Girls have considerably less freedom in dating than their brothers, and it is common for girls to be prohibited from dating until they are in the upper grades of high school.

    Suppression of personal freedom by parents is a major risk factor for suicidal attempts in Greek and Greek Cypriot adolescent girls.

    Family Roles and Organization

    Additional areas identified as high-stress for Greek adolescents include extreme dependence on the family, intense pressure for school achievement, and a lack of sexual education in the home.

    Families feel responsible to care for their parents in old age, and children are expected to take in widowed parents.

    Family Roles and Organization

    Failure to do so results in a sense of dishonor for the son and guilt for the daughter.

    Treatment of the
    giagia
    (grandmother) and the
    pappou
    (grandfather) reflects the themes of closeness and respect emphasized in the family.

    Grandparents tend to participate fully in family activities.

    Family Roles and Organization

    If the older person is ill, living with the family is the first preference, followed by placement in a residential care facility.

    The basis of social status and prestige is family
    philotimo
    and cohesiveness.

    Social status is also received from attributes such as wealth, educational achievement, and achievements of its members.

    Family Roles and Organization

    Greek and Greek Cypriot communities tend to be relatively conservative.

    As a consequence, alternative lifestyles encompassing premarital sex, divorce, and same-sex relationships are considered sources of concern for family members and the community.

    Workforce Issues

    In the United States, the high achievement orientation and work ethic have resulted in Greeks’ serving as a “model” ethnic group.

    Greeks stress self-reliance is sometimes seen as reluctance to be told what to do.

    Eye contact is generally direct, and speaking and sitting distance is closer than that of other European Americans.

    Biocultural Ecology

    Greeks and Greek Cypriots are most commonly of medium stature, shorter than northern Europeans, but taller than other populations of southern Europe.

    Although some Greeks have blue eyes and blond hair, usually from the northern provinces of Greece, most Greeks have dark hair and dark skin.

    Biocultural Ecology

    Common health conditions of Greeks and Greek Cypriots include cardiovascular disorders, cerebrovascular disorders, thyphoid, hepatitis A and B, glucose-6-phosphate dehydrogenase, thalassemia, lactose intolerance, Tay-Sachs disease, malaria, and tuberculosis.

    Most women choose to have an abortion if they are found to carry a fetus with thalassemia.

    High-Risk Health Behaviors

    Alcohol is most often considered a food item and is consumed with meals.

    However, losing control by being “under the influence” engenders considerable gossip and social disgrace, focused not only on the individual but also on the family.

    Obesity among both sexes and smoking among men are high among Greeks.

    High-Risk Health Behaviors

    Greeks and Greek Cypriots tend to disregard standard health promotion behaviors.

    Safety measures for adults, such as seat belts and helmets, are often viewed as infringements on personal freedom and are frequently ignored, particularly by the older generation.

    Nutrition

    Greeks describe their culture as an “eating culture.” Food is a centerpiece of everyday life as well as of social and ritual events.

    Fasting is an integral part of the Greek Orthodox religion.

    During fasts, it is forbidden to eat meat, fish, and animal products such as eggs, cheese, and milk. General fast days are Wednesdays and Fridays.

    Nutrition

    Greeks and Greek Cypriots base their diet on cereals, pulses, lentils, vegetables, fruits, olive oil, cheese, and milk.

    They are also relatively high consumers of sweets and snacks.

    For adults, dairy products are consumed in the form of yogurt or cheeses such as feta, kopanisti, kefaloteri, kasseri, and halloumi.

    Nutrition

    Fats are consumed in the form of olive oil, butter, and olives.

    Meats include chicken and lamb or, in the United States and Britain, beef adaptations.

    Eggs; lentils; and fish such as shrimp and other shellfish, whitefish, and anchovies are additional sources of protein.

    Nutrition

    Vegetables such as potatoes, eggplant, courgettes (zucchini), spinach, garlic, onions, peas, artichokes, cucumbers, asparagus, cabbage, and cauliflower are common Greek food choices.

    Bread choices include pita, crescent rolls, and egg breads. Other foods include rice, tabouli, macaroni, and cracked wheat (bourgouri).

    Fruit preferences include grapes and currants, figs, prunes, oranges, lemons, melons, watermelons, peaches, and apricots.

    Pregnancy and

    Childbearing Practices

    In North America, Greeks have deliberately limited family size so children can be adequately cared for and educated.

    A wide variety of birth control measures, such as intrauterine devices, birth control pills, and condoms are preferred.

    The strong pro-life Greek Orthodox church condemns birth control while silently accepting the reality.

    Pregnancy and

    Childbearing Practices

    Abortion is condemned as an act of murder except in circumstances that threaten the life of the mother or when a young woman becomes pregnant as a result of rape.

    In practice, a number of women, particularly those who are unmarried, have legal abortions because of the negative consequences of having a baby out of wedlock.

    Pregnancy and

    Childbearing Practices

    Pregnancy is a time of great respect for women and a time when women are given special considerations.

    Proscriptions include not attending funerals or viewing a corpse, refraining from sinful activity as a precaution against infant deformity, and praying to St. Simeon.

    Pregnancy and

    Childbearing Practices

    Pregnant women are encouraged to eat large quantities; foods high in iron and protein are particularly important.

    If a pregnant woman remarks that a food smells good or if she has a craving for a particular food, it should be offered to her; otherwise the child may be “marked.”

    This is the usual explanation for birthmarks.

    Pregnancy and

    Childbearing Practices

    After delivery, most traditional Greeks consider the mother ritually impure and particularly susceptible to illness for 40 days.

    During this time, she is admonished to stay at home and not attend church.

    At the end of the 40 days, the mother and child attend church and receive a ritual blessing.

    Pregnancy and

    Childbearing Practices

    For breast-feeding mothers, early showering is sometimes thought to result in the infant developing diarrhea and becoming allergic to milk.

    Newborns are generally breast-fed, and solids are not introduced early.

    When relatives visit an infant in the hospital, silver objects or coins may be placed in the crib for good luck.

    Death Rituals

    A
    klama
    (wake) is held in the family home or, more commonly in North America today, in a funeral home.

    All relatives and friends are expected to attend.

    The wake ends when the priest arrives and offers prayers.

    Pictures and mirrors may be turned over. During the wake, women may sing dirges or chant. In some regions, people practice “screaming the dead,” in which they cry a lament, the
    miroloyi
    .

    Death Rituals

    In Greece and Cyprus, the
    kidia
    (funeral) is held the following day at the Orthodox church, with internment in a cemetery.

    After internment, family and friends gather for a meal of fish, symbolizing Christianity; wine, cheese, and olives in the family home or a restaurant.

    Death Rituals

    On the basis of the Orthodox belief in the physical resurrection of the body, Greeks and Greek Cypriots reject cremation.

    The extent of adherence to this precept varies in North America, but Greeks and Greek Cypriots in Britain do not practice cremation.

    Black is the color of mourning dress and is often worn by family members throughout the 40 days of mourning; for widows it may be worn longer.

    Death Rituals

    While black armbands are still worn in Greece and Cyprus, that custom is virtually nonexistent in immigrant communities.

    After death, family and close relatives, who may stay at home, mourn for 40 days.

    Close male relatives do not shave as a mark of respect.

    Death Rituals

    A memorial service follows 40 days after burial and at 3 months, 6 months, and yearly thereafter.

    At the end of this service,
    koliva
    (boiled wheat with powdered sugar) is served to participants, and mourning is conducted with joyful reverence.

    Spirituality

    Most Greeks in America are affiliated with the Greek Orthodox church, whereas Greeks and Greek Cypriots in Britain are affiliated with the Archdiocese of Thyateria and Great Britain.

    The central religious experience is the Sunday morning liturgy, which is a high church service with icons, incense, and singing or chanting by the choir.

    Spirituality

    The Greek Orthodox religion emphasizes faith rather than specific tenets.

    The Greek faith does not emphasize Bible reading and study.

    Some parishioners attend church services weekly; others attend only a few times a year.

    Spirituality

    Easter is considered the most important of holy days, and nearly all Greeks and Greek Cypriots in America and Britain attempt to honor the day.

    There is a strong belief in miracles, even among second and subsequent generations of Greeks and Greek Cypriots in America and Britain.

    Daily prayers may be offered to the saints.

    Spirituality

    Family members may make “bargains” with saints, such as promises to fast, be faithful, or make church donations if the saint acts on behalf of the ill family member.

    They may call on an individual’s namesake or a saint believed to have special affinity with healing.

    Spirituality

    A distinctive feature of the Greek Orthodox religion is the place it assigns to icons, such as paintings of saints, the Virgin Mary, and Christ.

    These icons have sacred significance as sources of connection to the spiritual world.

    In the homes, holy vigil candles are often kept burning.

    To ensure safety and health, many begin each day by kissing the blessed icons and making the sign of the Greek cross.

    Spirituality

    When a person is ill, the icon of the family saint or the Virgin Mary may be placed above the bed.

    Many Greeks and Greek Cypriots also may sprinkle their homes with holy water from Epiphany Day church services to protect the members of their household from evil.

    Health-care Practices

    The amount of acceptance and use of biomedicine is highly related to one’s level of education and generation of immigration.

    Greek immigrants tend to be anxious about health, to lack trust in health professionals, and to rely on family and community for advice and remedies.

    Health-care Practices

    To be healthy means to feel strong, joyful, and content; to be able to take care of oneself; and to be free from pain.

    Threats to health result from a lack of balance in life; departure from family; neglect of education or work; and failure to demonstrate right behaviors, such as respect toward parents, sharing with family, upholding religious precepts, and staying out too late.

    Health-care Practices

    Problems are considered originating outside the individual’s control and are attributed to God, the devil, spirits, and envy or malice of others.

    The family generally assumes responsibility and care for a sick member and works to control interactions with health professionals.

    Health-care Practices

    Three traditional folk healing practices are particularly notable: those related to
    matiasma
    (bad eye or evil eye),
    practika
    (herbal remedies), and
    vendousas
    (cupping).

    Matiasma
    results from the envy or admiration of others. While the eye is able to harm a wide variety of things including inanimate objects, children are particularly susceptible to attack. Common symptoms include headache, chills, irritability, restlessness, and lethargy; in extreme cases,
    matiasma
    has resulted in death.

    Health-care Practices

    Greeks employ a variety of preventive mechanisms to thwart the effects of envy or evil eye, including protective charms in the form of
    phylactos
    , amulets consisting of blessed wood or incense, or blue “eye” beads, which “reflect” the eye.

    In particularly severe cases, the Orthodox priest may recite special prayers of exorcism and use incense to fumigate the afflicted person.

    Health-care Practices

    Practika
    are herbal and humoral treatments used for initial self-treatment.

    Chamomile, the most popular herb, is generally used in teas for gastric distress or abdominal pain, including infant colic and menstrual cramps.

    It is also used as an expectorant to treat colds.

    Health-care Practices

    Liquors, such as anisette, ouzo, and
    mestika
    , are used primarily for colds, sore throats, and coughs and are consumed alone or in combination with tea, lemon, honey, or sugar, either alone or in some combination.

    Occasionally, liquors are used for treatment of
    nevra
    (nerves).

    Raw garlic is used as prevention for colds, and cooked garlic is used for blood pressure and heart disease.

    Health-care Practices

    Vendousas,
    a healing practice, is used as a treatment for colds, high blood pressure, and backache.

    It consists of lighting a swab of cotton held on a fork, then placing the swab in an inverted glass, thereby creating a vacuum in the glass, which is then placed on the back of the ill person.

    The skin on the back is drawn into the glass. This procedure is repeated 8 to 12 times.

    Health-care Practices

    Self-medicating behaviors are common, with herbal remedies and over-the-counter medications used widely for specific symptoms.

    Mental illness is accompanied by social stigma, with negative consequences for the afflicted person as well as the family and relatives.

    Shame originates in the notion that mental illness is hereditary; afflicted people are viewed as having lifelong conditions that “pollute” the bloodline.

    Health-care Practices

    Individuals with mental illness often present with somatic complaints such as dizziness and paresthesias on initial visits to health-care practitioners.

    Recent immigrants tend to have higher rates of mental disorders, which perhaps result from the stress of culture change.

    A folk model for
    nevra
    is a socially acceptable and culturally condoned medium for the expression of otherwise unacceptable emotions.

    Health-care Practices

    Ponos
    (pain) is the cardinal symptom of ill health and an evil that needs eradication.

    The person in pain is not expected to suffer quietly or stoically in the presence of family.

    The family is relied on to find resources to relieve the pain or, failing that, to share in the experience of suffering.

    In the presence of outsiders, the lack of restraint in pain expression suggests lack of self-control, and therefore it is considered
    endropi.

    Health-care Practices

    The key aspect of the sick role is for the sick to fully rely on the family for sustenance.

    When an individual is ill, it is particularly important that he or she not be left alone.

    When hospitalization occurs, family members expect to stay with the individual, even during examinations and therapeutic procedures.

    Protection includes shielding the sick from a serious diagnosis.

    Health-care Practices

    On the basis of the Christian Orthodox belief in the physical resurrection of the body, some Greeks and Greek Cypriots may reject the concept of autopsy and do not readily accept organ donation.

    However, the Greek Orthodox church is strongly pro-life and more recently has been encouraging organ donation as an act of love.

    Blood transfusions are wholly acceptable and are common for people with thalassemia.

    Health-care Practitioners

    A woman who cures, particularly one who cures the evil eye, is known as a
    magissa
    , which is usually translated as “witch” but means “magician”; she may also be called doctor.

    In the US and Britain, “wise women” from one’s own family conduct most lay healing.

    The priest may also be called on for advice, blessings, exorcisms, and direct healing.

    Health-care Practitioners

    Many Greeks and Greek Cypriots display a general distrust of all professionals and le shopping around for physicians and other professionals to obtain additional opinions is relatively common.

    The use of several physicians simultaneously may result in untoward drug interactions from conflicting interventions or overdoses.

    There is also a fear that the sick person may be used as a subject for experimentation.

    Health-care Practitioners

    Hospitals are a particular source of mistrust both for Greeks and Greek Cypriots.

    When hospitalizations occur, the family may be perceived by staff as demanding or “interfering” as they enact their protective advocacy roles.

    Mothers may demand to sleep with their children and fear that the children may not receive appropriate care.

    ClickerCheck

    The parents bring their 14 month old baby to  the clinic because herbs have not adequately treated
    matiasma
    which is

    a.Evil eye.

    b.Colic.

    c.Teething.

    d.Sunken fontanelle.

    Correct Answer

    Correct answer: A

    Matiasma
    is evil eye.

    ClickerCheck

    The family has been treating their teenage son with
    vendouses
    ,
    cupping which is traditionally used to treat

    a.Infertility.

    b.Nervous disorders.

    c.Pneumonia.

    d.Acne.

    Correct Answer

    Correct answer: C

    Vendouses
    ,
    cupping, is used to treat colds, high blood pressure, and backache.

     

     

    Greek Culture, Hindu Culture and Cuban American Culture Essays – Hindu Culture

     

    Hindu Overview/Heritage

    More than a billion people inhabit India.

    Eighty percent of the population are Hindus, followers of Hinduism.

    Other significant religious groups include Sikhs, Moslems, and Christians.

    Hindu Overview/Heritage

    Different religious sectors share many common cultural beliefs and practices.

    Immigrants to the United States come predominantly from urban areas, including all major Indian states.

    Hindu Overview/Heritage

    Most recent immigrants are highly educated.

    More than 1,600,000 Asian Indians are living in the United States.

    Most come to the United States to attain a higher standard of living, better working conditions, and job opportunities.

    Hindu Communication

    Asian Indian languages fall into two main groups: Indo-Aryan in the north and Dravidian in the south.

    Hindi, with 1,652 dialectical variations, is the national language along with English.

    Women often speak in a soft voice, making it harder to understand what they say.

    Hindu Communication

    Men may become intense and loud when they converse with other family members.

    Women avoid direct eye contact with men.

    Direct eye contact with older people and authority figures may be considered a sign of disrespect.

    Hindu Communication

    Touching and embracing are not acceptable for displaying affection.

    Even between spouses, a public display of affection such as hugging or kissing is frowned upon, being considered strictly a private matter.

    Temporality is past-, present-, and future–oriented.

    Hindu Communication

    Punctuality in keeping scheduled appointments may not be considered important.

    Older family members are usually not addressed by name but as elder brother, sister, aunt, or uncle.

    Hindu Communication

    A woman never addresses a man by name because the woman is not considered an equal or superior.

    Strangers are greeted with folded hands and a head bow that respects their personal territory

    Hindu Family Roles & Organization

    No institution in India is more important than the family.

    The hierarchical structure of authority is the patriarchal joint family based on the principle of superiority of men over women.

    The male head of the family is legitimized and considered sacred by caste and religion, which delineate relationships.

    Hindu Family Roles & Organization

    Central relationships are based on continuation and expansion of the male lineage through inheritance and ancestor worship, related to the father-son and brother-brother relationships.

    A matrilineal system exists in a few areas in the southwestern and northeastern regions of the country; however, power rests with the men in the woman’s family.

    Hindu Family Roles & Organization

    A submissive and acquiescent role is expected of women in the first few years of married life with little or no participation in decision-making.

    Strict norms govern contact and communication with the men of the family, including a woman’s husband.

    Parents strongly encourage and emphasize scholastic achievement in fields that promise good employment and a high social status.

    Hindu Family Roles & Organization

    Although many parents expect and accept the Westernization of their children, the question of marriage is still a concern for parents who have opinions about how their children should be married, whether “arranged” or partly arranged.

    Hindu parents or Indians from all religious traditions want their children to marry other Indians.

    Hindu Family Roles & Organization

    Arranged marriages at a young age are considered most desirable for women.

    The practice of an arranged marriage continues in the United States in order to minimize the stress associated with differences in castes, lifestyles, and expectations between the male and female hierarchy.

    Hindu Family Roles & Organization

    The two major types of transfer of material wealth accompanying marriage are bride price and a dowry.

    Bride price is payment in cash and other materials to the bride’s father in exchange for authority over the woman, which passes from her kin group to the bridegroom’s kin group.

    Hindu Family Roles & Organization

    In the joint family structure, Hindu women are considered “outsiders” and are socialized and incorporated in such a way that “jointness” and residence are not broken up.

    A close relationship between the husband and wife is disapproved because it induces favoring the nuclear family and dissolving the joint family.

    A marriage is regarded as indissoluble.

    Hindu Family Roles & Organization

    Older family members are held in reverence and cared for by their children when self-care becomes a concern.

    Single-parent, blended, and communal families are not well accepted by Hindus.

    Homosexuality may cause a social stigma.

    ClickerCheck

    A male nurse is giving dietary discharge instructions to Mrs.  Mukhopadhya. She she does not maintain eye contact with the nurse. This means she is

    a.Embarrassed.

    b.Does not understand.

    c.Demonstrating respect.

    d.Does not care.

    Correct Answer

    Correct answer: C

    Out of respect, traditional Hindus do not maintain eye contact with authority figures, nor do females maintain eye content with men.

    Hindu Workforce Issues

    At work, Hindus adopt American practices and cultural habits.

    Hierarchies of age, gender, and caste prescribe transactions among Hindus.

    At work, relationships are a reproduction of the authority-dependence characteristic of family and social relationships.

    Hindu Workforce Issues

    In seeking to establish a personal and benevolent relationship, Hindus may be seen as too eager to please, ingratiating, or docile, all antithetical to the task of assertion and independence.

    Women avoid direct eye contact with men.

    Direct eye contact with older people and authority figures is a sign of disrespect.

    Hindu Biocultural Ecology

    Indian diversity of physical types and can be divided into three general groups according to the color of their skin:

    White in the north and northwest,

    Yellow in areas bordering Tibet and Assam, and

    Black in the south.

    Hindu Biocultural Ecology

    Indids
    (whites) have a light-brown skin color, wavy black hair, dark or light brown eyes, are tall or of medium height, and are either dolichocephalic (long-headed) or brachycephalic (short-headed).

    Hindu Biocultural Ecology

    Melanids
    , often referred to as the Dravidians and are the population of southern India, have dark skin ranging from light brown to black, elongated heads, broad noses, thick lips, and black, wavy hair.

    They are usually shorter than 5 feet 6 inches tall.

    Hindu Biocultural Ecology

    Common health conditions of Asian Indians include malaria, filiariasis, tubersulosis, pneumonia, cardiovascular diseases, rheumatic heart disease, sickle cell anemia, dental disease, lactose intolerance, cancer of the cheek, nose, and mouth, breast and stomach cancer, ichthyosis vulgaris, beriberi, thiamine deficiency, goiter, osteomalacia, dropsy, and flurosis.

    Hindu Biocultural Ecology

    Many individuals require lower doses of lithium, antidepressants, and neuroleptics, and they may experience side effects even with the lower doses.

    They are also more sensitive to the adverse effects of alcohol consumption, resulting in marked facial flushing, palpitations, and tachycardia.

    Hindu High-risk health Behaviors

    Alcoholism and cigarette smoking among Hindu Americans, especially among men, cause significant health problems.

    Hindu Nutrition

    Dietary habits are complex and regionally varied. Most believe that food was created by the Supreme Being for the benefit of man.

    The influence of religion is pervasive in food selection, customs, and preparation methods.

    Classification of regional food habits can be two-fold based on the types of cereals and fresh foods consumed.

    In the first category are rice and bread eaters; in the second category are vegetarians and non-vegetarians.

    Hindu Nutrition

    Vegetarianism is firmly rooted in culture.

    The term
    non-vegetarian
    is used to describe anyone who eats meat, eggs, poultry, fish, and sometimes cheese.

    Many Brahmins in North India consider eating meat to be religiously sanctioned.

    In some parts of India, eating fish is acceptable to Brahmins, whereas in other parts eating meat is sacrilegious.

    Hindu Nutrition

    Dietary staples include rice, wheat, jowar, bajra, jute, oilseeds, peanuts, millet, maize, peas, sugarcane, coconut, and mustard.

    Cereals supply 70 to 90 percent of the total caloric requirements.

    A variety of pulses or lentils, cooked vegetables, meat, fish, eggs, and dairy products are also consumed.

    Hindu Nutrition

    Heavily spiced (curry) dishes with vegetables, meat, fish, or eggs are favored, and hot pickles and condiments are common.

    Spice choices include garlic, ginger, turmeric, tamarind, cumin, coriander, and mustard seed.

    Vegetable choices include onions, tomatoes, potatoes, green leaves, okra, green beans, and root vegetables.

    Hindu Nutrition

    In North India, wheat is the staple food. Other cereals are
    jowar
    ,
    bajra
    , and
    ragi
    , consumed in porridges, gruels, and
    rotis
    (baked pancakes).

    People from Punjab do not favor fish, and people from the south generally dislike the idea of meat of any kind.

    In Saurashtra in the south, fish, fowl, flesh, and eggs are taboo practically everywhere.

    Hindu Nutrition

    Women generally serve the food but may eat separately from men.

    Women are not allowed to cook during their menstrual periods or have contact with other members of the family.

    Foremost among the perceptions of Hindus is the belief that certain foods are “hot” and others are “cold,” and therefore, they should only be eaten during certain seasons and not in combination.

    Hindu Nutrition

    Geographic differences in the hot and cold perceptions are dramatic.

    Many foods considered hot in the north are considered cold in the south. Such perceptions and distinctions are based on how specific foods are thought to affect body functions.

    Failure to observe rules related to the hot and cold theory of diseases results in illness.

    Hindu Pregnancy and Childbearing Practices

    Birth control methods include intrauterine devices, condoms, and rhythm and withdrawal methods.

    Grandmothers, mothers, and mothers-in-law are considered to have expert knowledge in the use of home remedies during pregnancy and the postpartum period.

    Many older women frequently travel to the United States to assist new mothers in antenatal and postnatal care that is consistent with traditional customs.

    Hindu Pregnancy and Childbearing Practices

    The birth of a son is a blessing because the son carries the family name and takes care of the parents in their old age.

    The birth of a daughter is cause for worry and concern because of the traditions associated with dowry, a ritual that can impoverish the lives of those who are less affluent.

    Hindu Pregnancy and Childbearing Practices

    No taboo against the father being in the delivery room exists, but men are usually not present during birthing.

    Because self-control is valued, women suppress their feelings and emotions during labor and delivery.

    Hindu Pregnancy & Childbearing Practices

    Certain “hot” foods like eggs,
    jaggery
    , coconut, groundnut, maize, mango, papaya, fruit, and meat are avoided during pregnancy because of a fear of abortion caused by heating the body or inducing uterine hemorrhage.

    Pregnancy is a time of increased body heat; hence, “cold” foods, such as milk, yogurt, and fruits, are considered good. Buttermilk and green leafy vegetables are avoided because of the belief that these foods cause joint pain, body aches, and flatulence.

    Hindu Pregnancy & Childbearing Practices

    Burning sensations during urination, scanty urine, or a white vaginal discharge are considered serious signs of significant overheating.

    Overeating and consumption of high-protein foods, including milk, are avoided because such foods result in an exaggerated growth of the baby that may lead to a difficult delivery.

    Hindu Pregnancy & Childbearing Practices

    Morning sickness is caused by an increase in body heat.

    Anemia caused by iron deficiency is one of the nutritional disorders affecting women of childbearing age. This condition may be aggravated because of the practice of reducing the consumption of leafy vegetables to avoid producing a dark-skinned baby.

    Hindu Childbearing Practices

    After the birth, both the mother and the baby undergo purification rites leading to the 11th day.

    The baby is officially named on the 11th day during the “cradle ceremony,” and several rituals are performed to protect the baby from evil spirits and to ensure longevity.

    Hindu Childbearing Practices

    The postpartum mother is considered to be impure and is confined to a warm room and often keeps the windows closed to protect her against cold drafts. Exposure to air conditioners and fans, even in warm weather, may be considered dangerous.

    The pollution lasts for 10 days. This period of necessitated and mandatory confinement assists in bonding between the mother and the newborn. It provides the mother with adequate rest and time to tend to the baby’s needs.

    Childbearing Practices

    A sponge bath for the newborn is recommended until the umbilical cord falls off.

    Soft massage to the extremities is recommended before bathing the infant.

    Washing the infant’s hair daily is believed to improve the quality of the hair.

    Childbearing Practices

    During the postpartum period, hot foods, such as brinjals, drumsticks, dried fish, dhal, and greens, are good for lactation.

    Cold foods, such as buttermilk and curds, gourds, squashes, tomatoes, and potatoes, are restricted because they produce gas. Cold foods are thought to produce diarrhea and indigestion in the infant.

    Childbearing Practices

    Abstentions are primarily practiced for the baby’s health; harmful influences might be transmitted through the mother’s breast milk. Some believe that colostrum is unsuited for infants. Most women think that the milk does not “descend to the breast” until their ritual bath on the third day and, as a result, newborns are fed sugar water or milk expressed from a lactating woman.

    Childbearing Practices

    Breast milk is commonly supplemented with cow’s milk and diluted with sugar water. A child’s stomach is considered weak as a result of diarrhea; therefore, the child is given diluted milk.

    Sources of protein, such as eggs, curds, and meat are avoided because they might adversely affect the baby.

    Childbearing Practices

    The mother’s diet the first few days is restricted to liquids, rice, gruel, and bread.

    Boiled rice, eggplant, curry, and tamarind juice are added to the diet between 6 months and a year after the birth of the baby.

    Hindu Death Rituals

    A tenet of Hinduism is that the soul survives the death; death is a rebirth.

    The death rite is called
    antyesti
    , or last rites.

    The priest pours water into the mouth of the deceased and blesses the body by tying a thread around the neck or wrist.

    The eldest son completes prayers for ancestral souls, but all male descendants perform the rites; each offers balls of rice on behalf of the deceased ancestor.

    Hindu Death Rituals

    The body is usually cremated rather than interred.

    The ashes are immersed or sprinkled in the holy rivers. Such immersions are of great benefit to the souls of the dead.

    Hindus may save their family’s ashes to later scatter them in holy rivers when they return to their homeland.

    Hindu Death Rituals

    Women may respond to the death of a loved one with loud wailing, moaning, and beating their chests in front of the corpse, attesting their inability to bear the thought of being left behind to handle situations by themselves.

    Hindu Spirituality

    Hinduism, the largest religion and oldest tradition practiced in India, represents a set of beliefs and a definite social organization.

    Hinduism denotes belief in the authority of Vedas and other sacred writings of the ancient sages, immortality of the soul and a future life, existence of a Supreme God, the theory of karma and rebirth, theory of the four stages of life, and the theory of four
    Purusarthas
    ,
    or ends of human endeavor.

    Hindu Spirituality

    Orthodox Hindus view society as divinely ordained on the basis of the four castes: (a)
    Brahmin,
    the highest caste, priests and scholars, emerged from the head of God; (b)
    Kshtriya
    ,
    warriors, from the arms; (c)
    Vaisya
    ,
    merchants, from the waist; and (d)
    Sudra
    ,
    menials, from the feet of God.

    Hindu legal codes are based on the caste system.

    Hindu Spirituality

    Women often fast one day a week or for a lunar month to fulfill a vow made to a deity in supplication for a particular blessing.

    Wives frequently fast to secure the continued health of their husbands and families.

    Shrines may be set up in the living room, dining room, or in a back room or in a closet.

    The shrine typically contains representations or symbols of one or more deities.

    ClickerCheck

    The wife of Mr. Ganganna ask the nurse to arrange
    antyesti
    for her critically ill husband. The nurse recognizes that
    antyesti
    is

    Last rights.

    A Hindu religious leader.

    A traditional Hindu healer.

    A strength enhancing special drink.

    Correct Answer

    Correct answer: A

    Antyesti
    is last rights among Hindus.

    Hindu Health-care Practices

    Physical examinations are especially traumatic to women who may not have experienced or heard about Pap tests and mammography exams.

    Most individuals believe that illnesses attack an individual through the mind, body, and soul.

    Some believe that too much sexual activity and worry are associated with tuberculosis.

    Hindu Health-care Practices

    Suffering of any kind produces hope, which is essential to life.

    To maintain harmony between self and the supernatural world, the belief that one can do little to restore health by oneself provides a basis for ceremonies and rituals.

    Worshiping goddesses, pilgrimages to holy places, and pouring water at the roots of sacred trees have medicinal effects in healing the sick person and in appeasing the planets to help prevent illnesses and misfortunes.

    Hindu Health-care Practices

    In
    Ayurveda
    ,
    the traditional system of medicine in India, the primary emphasis is on the prevention of illnesses. Individuals have to be aware of their own health needs.

    One of the principles of Ayurveda includes the art of living and proper health care, advocating that one’s health is a personal responsibility.

    The key to health is an orderly daily life in which personal hygiene, diet, work, and sleep and rest patterns are regulated.

    Hindu Health-care Practices

    A common health problem is self-medication.

    Those migrating to America are accustomed to self-medicating and may bring medications with them or obtain medications through relatives and friends.

    The traditional healers use Ayurvedic, Siddha, and Unani medical systems all of which are based on the Tridosha theory.

    Hindu Health-care Practices

    The Ayurvedic system uses herbs and roots; the Siddha system, practiced mainly in the southern part of India, uses medicines; and the Unani system, similar to the Siddha, is practiced by Muslims.

    According to the Tridosha theory, the body is made up of modifications of the five elements: air, space, fire, water, and earth.

    Hindu Health-care Practices

    Because of their religious beliefs of karma, Hindus may attempt to be stoic and may not exhibit symptoms of pain.

    Pain is attributed to God’s will, the wrath of God, or a punishment from God and is to be borne with courage.

    Family may not want to disclose the gravity of an illness to the patient or discuss impending disability or death for fear of the patient’s vulnerability and loss of hope, resulting in death.

    Hindu Health-care Practitioners

    The sick role is assumed without any feeling of guilt or ineptness in doing one’s tasks.

    The individual is cared for and relieved of responsibilities for that time.

    Psychological distress may be demonstrated through somatization, which is common, especially in women.

    Hindu Health-care Practices

    Because of the stigma attached to seeking professional psychiatric help, many do not access the health-care system for mental health problems.

    Mental illness is considered to be God’s will.

    No Hindu policy exists that prevents receiving blood or blood products.

    Donating and receiving organs are acceptable.

    Hindu Health-care Practitioners

    Although Hindus in general have a favorable attitude toward American physicians and the quality of medical care received in the United States, relatives and friends are usually consulted before health-care professionals.

    Physicians are considered omnipotent because God grants cures through physicians.

    Clients tend to be subservient and may not openly question physicians’ behavior or treatment.

    Hindu Health-care Practitioners

    Physician is also viewed like an older person in the family; a protective, authoritative, and responsible relationship; and a parent-child relationship.

    Mental health traditional healers such as
    Vaids
    , practice an empirical system of indigenous medicine;
    mantarwadis
    cure through astrology and charms; and
    patris
    act as mediums for spirits and demons.

    Women are especially modest, generally seeking female health-care providers for gynecologic examinations.

     

    Greek Culture, Hindu Culture and Cuban American Culture Essays – Cuban American Culture

    Cuban American Overview/Heritage

    The Republic of Cuba is a multiracial society with people of primarily Spanish and African origins.

    Other ethnocultural groups include Chinese, Haitians, and Eastern Europeans.

    Spain, the United States, and the Soviet Union significantly influence Cuba’s history and culture.

    Cuban American Overview/Heritage

    Mistrust of government has reinforced a strong personalistic tradition and sense of national identity evolving from family and interpersonal relationships.

    Cuban American Overview/Heritage

    Desire for personal freedom, hope of refuge, political exile, and promise of economic opportunities prompted migration.

    Cubans in the United States take great pride in their heritage and tend to be conservative, Republican, and anticommunist.

    Cuban American Overview/Heritage

    Many possess a strong ethnic identity, speak Spanish, and adhere to traditional Cuban values and practices..

    The highest concentration of Cubans is in Florida, although significant numbers live in New Jersey, New York, Illinois, and California.

    Cuban American Communication

    Many Cubans live and transact business in Spanish-speaking enclaves.

    While the second generation speaks Spanish, many converse with friends or peers in “Spanglish,” a mixture of Spanish and English.

    The highly educated are more likely to speak English at home.

    Cuban American Communication

    Many value
    simpatía
    and
    personalismo
    in their interactions with others.

    Simpatía,
    the need for smooth interpersonal relationships, is characterized by courtesy, respect, and the absence of criticism or confrontation.

    Personalismo,
    the importance of intimate interpersonal relationships, is valued over impersonal bureaucratic relationships.

    Cuban American Communication

    Choteo
    , a lighthearted attitude with teasing, bantering, and exaggerating is often observed in their communications with others.

    Conversations are characterized by animated facial expressions, direct eye contact, hand gestures, and gesticulations.

    Voices tend to be loud, and the rate of speech is fast.

    Cuban American Communication

    Touching, handshakes, and hugs are acceptable among family, friends, and acquaintances and may be used to express gratitude to the caregiver.

    Touch is common between people of the same gender; older men and women rarely touch in public.

    Cuban American Communication

    Most tend to emphasize current issues and problems rather than future ones.

    Hora cubana
    (Cuban time) refers to a flexible period that stretches 1 to 2 hours beyond designated clock time.

    Most Cubans use two surnames representing the mother and father’s family names.

    Married women may also add the husband’s name.

    Cuban American Family Roles and Organization

    Traditional family structure is patriarchal, characterized by a dominant and assertive male and a passive, dependent female.

    Traditionally, Cuban wives stay at home, manage the household, and care for children, whereas husbands are expected to work, provide financially, and make major decisions for the family.

    Cuban American Family Roles and Organization

    Honor is attained by fulfilling family obligations and treating others with
    respeto
    (respect).

    Vergüenza
    , a consciousness of public opinion and the judgment of the entire community, is considered more important for women than for men.

    Machismo dictates that men display physical strength, bravery, and virility and be the spokesperson, even though they might not make the decisions.

    Cuban American Family Roles and Organization

    La familia
    (the family, nuclear and extended, including godparents) is the most important source of emotional and physical support.

    Multigenerational (3 to 4 generations) households are common, including a high proportion of people 65 years and older who live with their relatives.

    Cuban American Family Roles and Organization

    According to U.S. standards, Cuban parents tend to pamper and overprotect their children.

    Children are expected to study, respect their parents, and follow
    el buen camino
    (the straight and narrow).

    Boys are expected to learn a trade or prepare for work and to stay away from vices.

    Girls are expected “to remain honorable while single,” to prepare for marriage, to avoid the opposite sex, and not to go out without a chaperone.

    Cuban American Family Roles and Organization

    When a daughter reaches 15 years, a
    quinceaneras
    , or elaborate 15th birthday party, is typically held to celebrate this rite of passage for the daughter.

    Adolescents may undergo an identity crisis and reject their heritage causing parents to feel their authority is being challenged.

    Cuban American Family Roles and Organization

    Little information is available on homosexuality.

    Same-sex behaviors among men may be regarded as a sign of virility and power rather than homosexual behavior.

    The gay lifestyle is contradictory to the machismo orientation of this culture. Same-sex couples may be alienated from their families.

    ClickerCheck

    A 22-year-old from Cuba comes to the prenatal clinic for the first time. She introduces herself as Elena Florencia Gonzalez Portillo. The receptionist should ask what

    a.Is your husband’s surname?

    b.Is your husband’s last name?

    c.Name do you wish to be called?

    d.What is your legal name?

    Correct Answer

    Correct answer: D

    The legal name is what should be used for record-keeping.

    Cuban American Workforce Issues

    Cuban ethnic enclaves with a familiar language and culture have created numerous employment opportunities for recent Cuban immigrants.

    A source of tension is the tendency of Cubans to speak Spanish with other Cuban or Hispanic coworkers. Speaking the same language allows them to form a common bond, relieve anxieties at work, and feel comfortable with one another.

    Cuban American Workforce Issues

    Traditional Cubans recognize supervisors as authority figures and treat them with respect and deference.

    Cubans value a structure characterized by
    personalismo
    , one that is oriented around people rather than around concepts or ideas.

    Personal relationships at work are considered an extension of family relationships.

    Because of the emphasis on the job or task in the American workplace, many Cubans view this workplace as being too individualistic, businesslike, and detached.

    Cuban American Biocultural Ecology

    Most Cubans are white, and only 5 percent are black with physical features similar to those of African Americans.

    Cuban Americans tend to have lower incidences of diabetes mellitus, obesity, and hypertension than other Hispanic groups or whites.

    Because of their diet, which is high in sugar, many exhibit a high prevalence of tooth loss, filled teeth, gingival inflammations, and periodontitis.

    Cuban American Biocultural Ecology

    Commonly occurring health conditions of Cubans are hypertension, coronary artery disease, obesity, diabetes mellitus, and lung cancer.

    Specific information related to drug metabolism is limited; however, in general, many require lower doses of antidepressants and experience greater side effects than non-Hispanic white populations.

    Cuban American High-risk Health Behaviors

    Cuban Americans tend to exhibit a higher incidence of smoking than other Hispanic or European groups.

    Alcohol use is greater among males than females and among younger versus older groups.

    Violent deaths account for high mortality rates among adolescents and young adults.

    Suicide rates also exceed those of the white non-Hispanic population.

    ClickerCheck

    The nurse is using an interpreter to interview the parents of a 6-year-old Cuban, Leonardo, who has stomach pain. The nurse should direct questions to

    A. The father.

    B. The mother.

    C. The interpreter.

    D. Both parents.

    Correct Answer

    Correct answer: D

    The nurse should address the questions to both parents to demonstrate respect to both of them.

    Cuban American Nutrition

    Food allows families to reaffirm kinship ties, promotes a sense of community, and perpetuates customs and heritage.

    Staple foods include root crops like yams, yuca, malanga, and boniato; plantains; and grains.

    Many dishes are prepared with olive oil, garlic, tomato sauce, vinegar, wine, lime juice (
    sofrito)
    , and spices.

    Cuban American Nutrition

    Meat is usually marinated in lemon, lime, sour orange, or grapefruit juice before cooking.

    A leisurely noon meal (
    almuerzo
    ) and a late evening dinner (
    comida
    ), sometimes as late as 10 or 11 pm, are often customary.

    Being overweight is seen as positive, healthy, and sexually attractive.

    Food allows families to reaffirm kinship ties, promotes a sense of community, and perpetuates customs and heritage.

    Cuban American Pregnancy and Childbearing Practices

    Cuban women’s fertility rate is lower than that of other Hispanic American women. Cuba’s current reproductive rate is among the lowest in the developing world.

    Even before the revolution, Cuba had the lowest birthrate in Latin America.

    The low fertility rate has been attributed to many women in the workforce.

    Cuban American Pregnancy and Childbearing Practices

    Preterm births and neonatal and post-neonatal deaths are lower among Cuban American women than among other Hispanic American groups.

    Prenatal care is higher than among other Hispanic and white non-Hispanics.

    Mothers tend to use advice about child health given by their spouses, mothers, mothers-in-law, and clerks and pharmacists.

    Cuban American Pregnancy and Childbearing Practices

    Childbirth is a time for celebration with family members and friends congregating in the hospital.

    Traditionally, men have not attended the births of their children, but younger, more acculturated, fathers are frequently present.

    Cuban American Pregnancy and Childbearing Practices

    During the postpartum period, ambulation, exposure to cold, and bare feet place the mother at risk for infection.

    Family members and relatives often care for the mother and baby for about 4 weeks postpartum.

    Most women consider breast-feeding better than bottle feeding; approximately half choose to breast-feed.

    Cuban American Pregnancy and Childbearing Practices

    Cutting the infant’s hair or nails in the first 3 months is believed to cause blindness and deafness.

    Cuban American Death Rituals

    In death, as in life, the support of the extended family network is paramount.

    Bereavement is expressed openly as loud crying with other physical manifestations of grief.

    Death is often seen as a part of life and some, especially men, may approach death stoically.

    Cuban American Death Rituals

    The dying person is typically attended by a large gathering of relatives and friends.

    In Catholic families, individual and group prayers are held for the dying to provide a peaceful passage to the hereafter.

    Religious artifacts such as rosary beads, crucifixes, or
    estampitas
    (little statues of saints) are placed in the dying person’s room.

    Cuban American Death Rituals

    For adherents of
    Santería,
    death rites may include animal sacrifice, chants, and ceremonial gestures.

    Candles are lighted after death to illuminate the path of the spirit to the afterlife.

    A
    velorio
    (wake) lasts 2 to 3 days and is usually held at a funeral parlor or in the home where friends and relatives gather to support the bereaved family.

    Cuban American Death Rituals

    Burial in a cemetery is common practice, although some may choose cremation.

    The deceased are customarily remembered and honored on their birthdays or death anniversaries by lighting candles, offering prayers or masses, bringing flowers to the grave, or gathering with family members at the grave site.

    Cuban American Spirituality

    Approximately 85 percent of Cuban Americans are Roman Catholic; the remaining 15 percent are Protestants, Jews, and believers in African Cuban Santería.

    Roman Catholicism is personalistic and characterized by devotion and intimate, confiding relationships with the Virgin Mary, Jesus, and the saints.

    Cuban American Spirituality

    Significant religious holidays include
    Noche Buena
    (Christmas Eve), Christmas,
    Los Tres Reyes Magos
    (Three Kings Day), and the festivals of the
    La Caridad del Cobre
    and Santa Barbara.

    Santería
    is a 300-year-old African Cuban religious system that combines Roman Catholic elements with ancient Yoruba tribal beliefs.

    Cuban American Spirituality

    Followers of Santería believe in the magical and medicinal properties of flowers, herbs, weeds, twigs, and leaves.

    Sweet herbs such as
    manzanilla, verbena
    , and
    mejorana
    are used for attracting good luck, love, money, and prosperity.

    Bitter herbs such as
    apasote, zarzaparilla
    , and
    yerba bruja
    are used to banish evil and negative energies. Santería is viewed as a link to the past and is used to cope with physical and emotional problems.

    Cuban American Spirituality

    Physical complaints may be diagnosed and treated by a physician, whereas the
    santero
    may assist in balancing and neutralizing the various aspects of the illness.

    Deeply held religious beliefs provide guidance and strength during the long and difficult process of migration and adaptation and continue to play an important role in their day-to-day lives.

    Cuban American Spirituality

    Belief in a higher power is evident in practices used to maintain health and well-being or cure illness, such as using magical herbs, special prayers or chants, ritual cleansing, and sacrificial offerings.

    Many tend to be fatalistic, believing that they lack control over circumstances influencing their lives.

    Cuban American Health-care Practices

    African Cubans may seek biomedical care for organic diseases but consult a
    santero
    for spiritual or emotional crises.

    Conditions such as
    decensos
    (fainting spells) or
    barrenillos
    (obsessions) may be treated solely by a
    santero
    or simultaneously with a physician.

    Many tend to seek help only in response to crisis situations.

    Cuban American Health-care Practices

    Many Cuban Americans rely on the family as the primary source of health advice.

    Older women provide traditional home remedies such as herbal teas or mixtures to relieve mild or moderate symptoms or cure common ailments.

    Older Cuban Americans were socialized into a strong health ideology and successful primary care system while still in Cuba.

    Cuban American Health-care Practices

    Use of preventive services in the US is generally determined more by access to care than by acculturation.

    Many Cuban Americans use traditional medicinal plants in the form of teas, potions, salves, or poultices. In Cuban communities, stores called
    botanicas
    sell herbs, ointments, oils, powders, incenses, and religious figurines to relieve maladies, bring luck, drive away evil spirits, or break curses.

    Santería necklaces and animals used for ritual sacrifice are often available at
    botanicas
    .

    Cuban American Health-care Practices

    Blood transfusions and organ donations are usually acceptable.

    Cuban American Health-care

    Practitioners

    Both traditional and biomedical care are acceptable.

    Folk remedies may be used at home, but if the condition persists, folk practitioners such as
    santeros
    and biomedical practitioners may be used either simultaneously or successively.

    S
    anteros
    may prescribe treatment or perform rituals to enable ill people to recover by invoking supernatural deities to intervene to help make them well.

  • HealthCare Informatics Essay Assignment

    HealthCare Informatics Essay Assignment

    Paper must be written in APA, original, correct in-text citation and good English. Please pay keen attention to the questions asked. Answer all question asked sensibly.

    For this HealthCare Informatics Essay Assignment, write a 1,000-1,250 word paper in which you

    1. Select a clinically based patient problem in which using a database management approach provides clear benefit potential.

    ORDER A CUSTOM WRITTEN ESSAY

    2. Consider how a hypothetical database could be created to assist with this clinically based patient problem. Identify and describe the data needed to manage this patient problem using information from the electronic health record (EHR).

    3. Include a brief description of the patient problem that incorporates information needed to manage the specific problem in the HealthCare Informatics Essay Assignment. Describe what information is required for the patient to manage the condition and how the database and health care provider can be incorporated into the approach for better health outcomes.

    4. Describe each entity (data or attribute) that will be pulled from the EHR as either structured or unstructured and provide an operational definition for each. Structured data is more easily searchable and specifically defined. For example, structured data can be placed in a drop-down menu like hair color: brown, black, grey, salt and pepper, blonde, platinum, etc. Unstructured data is data that would be included in a nurse’s notes. An operational definition is how a researcher or informatics specialist decides to measure a variable. For example, when the nurses enter height into the EHR, do they enter height as measured in inches or centimeters or in feet and inches?

    5. Provide a complete description of data entities (the objects for which you seek information, i.e., patients) and their relationships to the attributes collected for each entity (data collected for each entity, i.e., gender, birthdate, first name, last name, etc.) that apply to the hypothetical database. You can use a concept map similar to the “Database Concept Map” resource, to help you describe the relationships between each entity and its attributes in your HealthCare Informatics Essay Assignment.