Tag: Clinical-Nursing

This assignment will help you understand the disabilities that are caused due to Alzheimer’s disease.

Ellen is a 64-year-old Chinese American, who has recently been diagnosed with dementia of the Alzheimer’s type. She has been working steadily as a secretary but recently due to the disease has found it harder to perform her duties. She has worked for 34 years. She has recently become widowed and has two adult kids who live in the same area as her. But they rarely agree on how to provide care for her. Ellen has asked her children to help her navigate her decision to retire.

Based on the above scenario, create a 5- to 6-page report in a Microsoft Word document that describe the issues that Ellen and her children need to address regarding:

Ellen’s retirement

Ellen’s future health care plans

Ellen’s housing

Ellen’s financial situation

Ellen’s ability to perform her job effectively

The disease progression and its effect on her activities of daily living (ADL)

Advanced directives

Funeral plans

Social supports available to Ellen

Role her culture may play on her family’s decision

Support your answers with appropriate research and reasoning.

Cite any sources in APA format.

Submission Details

Name your document SU_HSC4000_W3_A2_LastName_FirstInitial.doc.

Submit your document to the 
W3 Assignment 2 Dropbox
 by 
Week 3, Day 6
.

Assignment 2 Grading CriteriaMaximum Points
Described the issues that Ellen and her children need to address regarding:

Ellen’s retirement

Ellen’s future health care plans

Cultural Case Study: Purnell’s Model for Cultural Competence domains

Cultural Case Study. Write a three- to four-page, APA-formatted Cultural Case Study: Purnell’s Model for Cultural Competence domains paper utilizing either Case Study #1 or #2 listed below.

Choose three of the domains conceptualized in Purnell’s Model for Cultural Competence that you feel could affect the case study chosen. Explain how these domains affect the patient’s health care. Next, address each of the following items in your Cultural Case Study: Purnell’s Model for Cultural Competence domains paper:

ORDER YOUR CASE STUDY OR ANY OTHER PAPER TODAY 

• Based on the chosen scenario, describe how the patient’s circumstances and cultural norms influenced their illness.

• Develop four questions specific to the patient’s history. Explain what information will be derived from each question and why the information is needed.

• Identify the special needs in caring for the patient in the scenario. Explain how you would address those needs.

• Identify the community services available to assist the patient with their needs.

• Evaluate the services to determine if they are adequate to meet the patient’s needs. Explain how the services do/do not meet the patient’s needs for improving their health care experience.

• Review the three domains of Purnell’s model that you chose. Reflect on the patient’s circumstances as well as variations in values, beliefs, and practices based on her/his cultural heritage. Discuss why the patient might have chosen different domains. Why might health care facilities, health care professionals, and patients manage things differently in practice as compared to theory? Based on your experience, what explains the difference? Discuss how this may influence your choices in the future.

Choose one of the following case studies as the focus of your Cultural Case Study: Purnell’s Model for Cultural Competence domains paper:

Case Study #1:

You are a nurse in the emergency room. The EMTs bring in a Caucasian (non-Hispanic) female who was found unconscious two blocks from the hospital. Patient’s initial assessment included blood sugar of 55. After the EMT’s initial treatment, she became responsive. She stated she is a 32-year old military veteran with a history of mental illness due to post traumatic stress disorder (PTSD) and suffers from Diabetes.

She is homeless and reports she has not eaten in 48 hours. The patient appears emaciated. It is apparent she has not bathed in some time and her clothes are showing significant wear and tear. Her shoes have holes in them and she is not wearing socks. She carries a backpack with her and states it contains everything she owns. She will not allow anyone to touch the backpack and will not let it out of her sight. When asked, the patient tells you she moved to the Midwest in the hopes of finding work two years ago after a medical discharge from the military. She states she had a job waiting for her when she arrived, but was quickly let go when the company closed due to financial mismanagement. She has not found another job. She has not sought care from the Veteran’s Administration, though she does qualify for care under their provisions. However, she has no mode of transportation to reach the hospital and it is a two-hour drive away.

Case Study #2:

You are a hospital nurse on the 24-observation unit. Your patient is a 52-year old male Asian/Pacific Islander, specifically a Chinese immigrant who is being admitted to rule out cerebrovascular accident CVA) and other neurological disease. The patient is accompanied by his elderly mother and wife. The patient and family speak some English but are not fluent. The patient’s symptoms include difficulty walking, abrasions/contusions on upper and lower right extremities, and mild confusion to place.

The mother states that the patient has been showing signs of difficulty walking for the past month. She has given him herbal teas and controlled his diet to balance his energy. The patient’s wife states the he has received acupuncture treatments in the last week and has been practicing moxibustion. During discussion with the patient and family, it was noted that the patient was not verbalizing any complaints but was smiling and agreeing with the family’s statements. No further information was shared.

Your Cultural Case Study: Purnell’s Model for Cultural Competence domains paper

• Must be between three to four pages in length (not including title and reference pages), double-spaced, and formatted according to APA style.

• Must include a separate title page with the following:

o Title of paper

o Student’s name

o Course name and number

o Instructor’s name

o Date submitted

• Must use at least four scholarly sources in addition to the course text.

• Must cite all sources in the body of the assignment. The citations must be in APA style as outlined in the Writing Center.

• Your cultural Case Study: Purnell’s Model for Cultural Competence domains must include a separate reference page that is formatted according to APA style.

This assignment will help you understand the disabilities that are caused due to Alzheimer’s disease.

Ellen is a 64-year-old Chinese American, who has recently been diagnosed with dementia of the Alzheimer’s type. She has been working steadily as a secretary but recently due to the disease has found it harder to perform her duties. She has worked for 34 years. She has recently become widowed and has two adult kids who live in the same area as her. But they rarely agree on how to provide care for her. Ellen has asked her children to help her navigate her decision to retire.

Based on the above scenario, create a 5- to 6-page report in a Microsoft Word document that describe the issues that Ellen and her children need to address regarding:

Ellen’s retirement

Ellen’s future health care plans

Ellen’s housing

Ellen’s financial situation

Ellen’s ability to perform her job effectively

The disease progression and its effect on her activities of daily living (ADL)

Advanced directives

Funeral plans

Social supports available to Ellen

Role her culture may play on her family’s decision

Support your answers with appropriate research and reasoning.

Cite any sources in APA format.

Submission Details

Name your document SU_HSC4000_W3_A2_LastName_FirstInitial.doc.

Submit your document to the 
W3 Assignment 2 Dropbox
 by 
Week 3, Day 6
.

Assignment 2 Grading CriteriaMaximum Points
Described the issues that Ellen and her children need to address regarding:

Ellen’s retirement

Ellen’s future health care plans

Elle

Cultural Influences to consider in health care delivery

Cultural Influences Post. Each culture has many aspects that can influence health decisions. Research one of the cultures listed below and address the following:

• Cultures: African/Black Americans, Hispanic/Latinos, Asian/Pacific Islanders, Native American/Alaskan Native, White (Non-Hispanic), and subcultures.

• Describe two aspects of their religious/spiritual beliefs or folk remedies/alternative therapies.

• Explain why these need to be considered by the nurse in the delivery of health care.

Your initial post should be 250-300 words and utilize at least one scholarly source from the University Library, cited in APA format, to justify your choices.

Guided Response: Choose two of your classmate’s posts and explain the importance of capturing information related to the folk remedies and alternative therapies utilized by Hispanic/Latinos and Asian Pacific Islanders. Explain why you think it is important to capture this type of information and describe its influence on the delivery of Western health care.

Provide a substantive response (minimum of 100 words) for each of your replies. List at least one scholarly source, cited in APA format, to support your rationale.

Turn in the Health History on your ‘patient’ here.  Be sure to review the 
format
 
and 
grading criteria
carefully before submitting.  You must attach your submission in WORD (
do not cut and paste
).

By submitting this paper, you agree: (1) that you are submitting your paper to be used and stored as part of the SafeAssign™ services in accordance with the 
Blackboard Privacy Policy
; (2) that your institution may use your paper in accordance with your institution’s policies; and (3) that your use of SafeAssign will be without recourse against Blackboard Inc. and its affiliates.

Purnell’s Model Post. Choose two of the twelve domains from Purnell’s model of cultural competence.

• Address how the two domains influence the health of Hispanics/Latinos and Asian Pacific Islanders.

• Include information on the health and educational needs for both cultural groups.

Your initial post should be 250-300 words and utilize at least one scholarly source from the Ashford University Library, cited in APA format, to justify your choices.

Guided Response: Respond to two of your peers by making a comparison using an alternate domain to the one identified by your peers. Explain how your chosen domain influences the culture’s use of the health-care system and health care decision-making.

Provide a substantive response (minimum of 100 words) for each of your replies. List at least one scholarly source, cited in APA format, to support your rationale.

Organizations work to improve overall written and verbal communication to encourage a win-win situation for improved patient or customer care, increased team motivation, and supportive management. Effective communication encourages active listening among people and improved understanding of a situation embracing both similarities and differences in each employee. Let’s read the following scenario to emphasize the importance of effective communication in a workplace.

You are the keynote speaker to improve overall communication effectiveness in your organization. Your presentation consists of 12–15 Microsoft PowerPoint slides (not including the title and reference slide) along with speaker notes. You are addressing an audience comprising all department heads and management staff.

Your overall focus is on common communication problems, various methods of learning, issues with feedback, and improving overall attitude through communication.

Address the following areas including detailed speaker notes. The speaker notes area is the 
white space
 below the slide where you can type information similar to a Microsoft Word document. Your Microsoft PowerPoint presentation consists of professional color slides, with detailed speaker notes to include examples to support each slide.

Describe four forms of communication used in the work environment. Discuss the benefits and concerns with each communication method. For example, body language, written, oral, and e-mail.

Describe four methods of learning and listening. How does a person learn (auditory, visual, etc.) if he or she has a preferred method? How can the person adjust to learning in ways not in his or her preferred method?

What environmental and personal barriers hinder communication? Be specific and provide at least three examples.

What impact can diversity in the work environment have on effective and ineffective communication according to age, gender, cultural, or religious diversity?

What three errors do managers commit when providing ineffective feedback?

Describe three issues managers and team members face if they are not prepared to provide instant communication? What negative result can occur if one is not prepared?

Describe four methods to overcome communication barriers and provide detailed examples.

Provide three key elements with specific examples on how effective communication can reduce errors, improve professional relationships, and assist staff with clear communication.

Purnell’s model of cultural competency – Domains and Influences

Learning Outcomes

1. Apply Purnell’s model of cultural competency, including cultural domains as it pertains to various populations.

2. Summarize the religious beliefs, spiritual beliefs, and folk remedies or alternative therapies that influence health care for diverse cultures.

3. Apply the concepts of cultural factors that influence health and illness of Hispanics/Latinos and Asian/Pacific Islanders.

Introduction

Students will examine cultural influences related to religion and spiritual beliefs, which comprise part of patients’ heritage. Purnell’s cultural competency model encompasses global, communal, familial, and personal perspectives that can affect the patient’s health care. It is important for nursing professionals to understand that the twelve domains of Purnell’s model are interrelated and do not stand alone. This model provides the framework for a thorough health assessment, including culture in order to provide competent care.

Required Resources

Text

Dayer-Berenson, L. (2014). Cultural competencies for nurses: Impact on health and illness (2nd ed.). Burlington, MA, Jones & Bartlett Learning.

• Chapter 6: Hispanics/Latinos

• Chapter 7: Asians/Pacific Islanders

Articles

Diabetes: researchers’ work from University of Arizona focuses on diabetes. (2012). Education Business Weekly, p.107. Retrieved from http://www.educationbusinessuk.net/

• The full text of this article is available in the ProQuest database in the Ashford University Library. This article shares the role of culturally competent care in Hispanic/Latino diabetic patients. The article identifies history information that is necessary, but was likely not asked as part of the history form.

Parker, V. A. (2010). The importance of cultural competence in caring for and working in a diverse America. Generations, 34(4), 97-102. Retrieved from http://www.asaging.org/generations-journal-american-society-aging

• The full text of this article is available in the EBSCOhost database in the Ashford University Library. This article addresses the need for culturally competent care in the elderly in all settings (i.e. hospital, assisted living, and long-term care facilities) and how there is an equal need for diverse employees as is necessary to be culturally competent for a diverse patient/client population.

Multimedia

Practice Activity. (2015). Transcultural Nursing. Burlington, MA: Jones & Bartlett Learning Navigate.

• The practice activities provide an opportunity to reinforce the concepts presented in the textbook readings.

• Complete the following practice activities: 7.1, 7.2, 7.3, 7.4, 8.1, 8.2, 8.3, 8.4

Websites

Cultural Competence Project. (2014). Developing cultural competencies in nurses: Evidence-based and best practices. Retrieved from: http://www.ojccnh.org/project/index.shtml

• This website offers details related to Purnell’s model for cultural competency along with cultural theories and research from Andrews & Boyle, Campinha-Bacote, Galanti, Giger & Davidhizar, Jeffreys, Leininger, Sagar, and Spector.

National Association of School Nurses. (2013). Purnell model for cultural competency. Retrieved from: https://www.nasn.org/ToolsResources/CulturalCompetency/PurnellModelforCulturalCompetence

• This website lists the domains of Purnell’s model for cultural competency and the inclusions for each domain.

Recommended Resources

Text

Dayer-Berenson, L. (2014). Cultural competencies for nurses: Impact on health and illness (2nd ed.). Burlington, MA, Jones & Bartlett Learning.

• Chapter 1: Birth of Transcultural Nursing to Current Theory and Conceptual Models for Cultural Diversity

• Chapter 5: Black Americans

• Chapter 8: Native Americans/Alaska Natives

• Chapter 9: Whites (Non-Hispanic)

Article

Pesut, B., Fowler, M., Reimer-Kirkham, S., Taylor, E., & Sawatzky, R. (2009). Particularizing spirituality in points of tension: Enriching the discourse. Nursing Inquiry, 16(4), 337-346. doi: 10.1111/j.1440-1800.2009.00462.x

• The full-text version of this article can be accessed through the EBSCOhost database.

Website

Peek, M. (2014, October 30). Poverty association with poor dealth outcomes and health disparities [Blog post]. Retrieved from http://healthaffairs.org/blog/2014/10/30/povertys-association-with-poor-health-outcomes-and-health-disparities/

• This blog discusses how poverty can contribute to poor health outcomes.

Barriers to Equitable Care. . Refer to this week’s readings and review the Now Is our Time: Healthy Living for Black Women 40 – 55 video. Use the information to help formulate your response to the following:

• Discuss two barriers to equitable healthcare for all Americans.

• Propose a solution to the two barriers.

• Next, address similarities and differences between the American population in general and the African/Black American culture with respect to barriers.

• Include a brief analysis as to why unique barriers exist based on cultural factors that influence health and illness of African/Black Americans.

• Discuss the nursing interventions you might employ to improve health outcomes for the African/Black American culture.

Your initial post should be 250-300 words and utilize at least one scholarly source from the University Library, cited in APA format, to justify your choices.

Guided Response: Choose two of your classmate’s posts. Compare and contrast how the cultural norms influence the nurse’s role discussed by your peer. Include a real-world example to illustrate your point.

Provide a substantive response (minimum of 100 words) for each of your replies. List at least one scholarly source cited in APA format, to support your rationale.

Learning Outcomes

1. Discuss the barriers that may impede the delivery of equitable health care.

2. Examine the intra-ethnic differences in cultural beliefs, customs, and traditions within subgroups of diverse populations.

3. Apply the concepts of cultural factors that influence health and illness of African/Black Americans.

Introduction

The patient’s cultural beliefs and values are important to consider in the delivery of health care. Nurses must be able to utilize assessment skills to evaluate patients’ health status and cultural needs. It is imperative to understand that cultural beliefs can affect the patient’s health just as much as the treatment plan. However, there are times when barriers exist to the delivery of culturally competent care. It is our responsibility to identify these barriers whether they are based on process, system, or financial aspects. The nurse plays an integral role in facilitating the best health outcomes for the patient. Knowing and understanding each cultural group ensures the patient receives quality care.

Intra-ethnic differences in cultural beliefs, customs, and traditions Required Resources

Text

Dayer-Berenson, L. (2014). Cultural competencies for nurses: Impact on health and illness (2nd ed.). Burlington, MA, Jones & Bartlett Learning.

• Chapter 5: Black Americans

Articles

Douglas, M. K., Pierce, J. U., Rosenkoetter, M., Pacquiao, D., Callister, L. C., Hattar-Pollara, M., & Purnell, L. (2011). Standards of practice for culturally competent nursing care: 2011 update. Journal of Transcultural Nursing, 22(4), 317. doi:10.1177/1043659611412965

• The full text of this article is available in the Sage database in the Ashford University Library. This article reviews the barriers to providing culturally competent care.

Eggenberger, S., Grassley, & J., Restrepo, E. (July 19, 2006). Culturally competent nursing care for families: Listening to the voices of Mexican-American women. OJIN: The Online Journal of Issues in Nursing. 11(3). doi: 10.3912/OJIN.Vol11No03PPT01.

• The full-text version of this article is available at the following url: http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume112006/No3Sept06/ArticlePreviousTopics/CulturallyCompetentNursingCare.html. This article reviews the communication techniques for Mexican subcultures.

Jimenez, R. L. (2014). Cultural competence and communication. AAOS Now, 8(9), 14-16. Retrieved from http://www.aaos.org/aaosnow/

• The full text of this article is available in the EBSCOhost database in the Ashford University Library. This article considers how culturally competent training influences a health care practitioner’s – in this case a doctor – relationship with patients. The author suggests that cultural competency is important but it is not the complete picture to providing the best care for diverse patients.

Paschal, A. M., Lewis-moss, R., Sly, J., & White, B. J. (2010). Addressing health disparities among African/Black Americans: Using the stages of change model to document attitudes and decisions about nutrition and physical activity. Journal of Community Health, 35(1), 10-7. doi:http://dx.doi.org/10.1007/s10900-009-9197-x

• The full text of this article is available in the ProQuest database in the Ashford University Library. This article reviews the poor diet and exercise habits, and the effects of these habits, on the health of African/Black Americans in order to design effective interventions.

Purnell, L. (2002). The Purnell model for cultural competence. Journal of Transcultural Nursing, 13(3), 193-196. doi:10.1177/10459602013003006

• The full text of this article is available in the Sage database in the Ashford University Library. This article reviews Purnell’s model of cultural competence.

Singleton, K. & Krause, E. (2009). Understanding cultural and linguistic barriers to health literacy. OJIN 14(3). doi: 10.3912/OJIN.Vol14No03Man04.

• The full-text version of this article is available at the following url: http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol142009/No3Sept09/Cultural-and-Linguistic-Barriers-.html. This article addresses the nurse’s role in conveying health care knowledge to patients through an understanding of the patient’s culture and language. Additionally, it shares case studies of patients’ experiences.

Multimedia

Films Media Group. (2006). Now is our time: Healthy living for black women 40-55 [Video file]. In Films on Demand. Retrieved from http://digital.films.com.proxy-library.ashford.edu/PortalPlaylists.aspx?aid=18596&xtid=30916

• This video looks at the incident rate of certain illnesses in African/Black American women. It focuses on diabetes, heart disease, and cancer, as well as how women can be more aware of their health and wellness.

Practice Activity. (2015). Transcultural Nursing. Burlington, MA: Jones & Bartlett Learning Navigate.

• The practice activities provide an opportunity to reinforce the concepts presented in the textbook readings.

• Complete the following practice activities: 5.1, 5.2, 5.3, 5.4, 6.1, 6.2, 6.3, 6.4

Intra-ethnic differences in cultural beliefs, customs, and traditions Recommended Resources

Text

Dayer-Berenson, L. (2014). Cultural competencies for nurses: Impact on health and illness (2nd ed.). Burlington, MA, Jones & Bartlett Learning.

• Chapter 1: Birth of Transcultural Nursing to Current Theories and Conceptual Models for Cultural Diversity

• Chapter 4: Organization of Health care Delivery in the 21st Century

• Chapter 6: Hispanics/Latinos

• Chapter 7: Asians/Pacific Islanders

• Chapter 8: Native Americans/Alaska Natives

• Chapter 9: Whites (Non-Hispanic)

Articles

Health Research & Educational Trust. (2013). Becoming a culturally competent health care organization [PDF file]. Retrieved from: http://www.hpoe.org/Reports-HPOE/becoming_culturally_competent_health_care_organization.PDF

• This PDF document discusses the health care organization’s role in the community, and how becoming culturally competent will improve patient engagement, education, access to services, and compliance with health care advice.

Tripp-Reimer, T., Choi, E., Skemp Kelley, L. and Enslein, J. (2001). Cultural barriers to care: Inverting the problem. Diabetes Spectrum. 14(1). doi: 10.2337/diaspect.14.1.13

• The full-text version of this article is available at the following url: http://spectrum.diabetesjournals.org/content/14/1/13.full. This article reviews cultural barriers related to a diabetic patient.