NURS 6512 Discussion Diversity and Health Assessments

NURS 6512 Discussion Diversity and Health Assessments

NURS 6512 Discussion Diversity and Health Assessments

The population in the united states is composed of people from diverse cultural backgrounds and this aspect is also duplicated in the healthcare system. To ensure the provision of quality and effective healthcare services to the diverse population, the healthcare providers must be competent, sensitive, and also be aware of the diversity of the patient cultures and other essential beliefs as well as avoid stigmatizing patients based on their cultural differences.

When a healthcare provider is culturally competent, he or she accepts the diverse needs of their patients even though the diverse needs may be different from those of theirs. To ensure culturally competent healthcare services, the healthcare providers must be sensitive to the patient’s socioeconomic status, heritage and ethnicity.

Distinct from cultural awareness and cultural sensitivity, cultural competence is the ability of healthcare providers to modify their practices such that they effectively meet the needs of the different cultural groups (Sharifi, Adib-Hajbaghery, & Najafi, 2019). On the contrary, cultural awareness and sensitivity highlight the ability to recognize the differences without necessarily modifying practices to meet the various needs of different patients.

Case scenario

The case study presents Mono Nu, who is a 44- year old Filipino patient who started blood thinner medications a period of two weeks ago. The patient is from a low-income household and hence does not afford the prescribed medication. Besides, he has no adequate understanding on the working mechanism of the medications or why they are necessary. In addition, the patient lacks a social support network so that he can maintain his medications. His main diet is fish and tofu, which may lack in some essential nutritional components hence affecting the mode of action of the blood thinner medications.

Cultural Factors

Mono Nu is from the Philippines which makes him have a different understanding of health and wellness contrary to people from the western culture. The culture in the Philippines is such that they rely on family, friends, and faith in God for healing (Cacho & del Castillo, 2022). This culture of health and wellness prevents the Philippines from access to healthcare.

The culture of the patient, therefore, has an impact on his health because it can

dictate his willingness to adhere to the prescribed medications (Collado, 2019). In addition, the patient does not understand why his medications are producing the anticipated results meaning that the patient might be frustrated or, might be in a state where he feels helpless.

His choice of diet however indicates that he appreciates specific diet which is essential to healthy eating. As a health practitioner, some of the most sensitive issues to take into account while interacting with this particular patient include their age, cultural differences in terms of health beliefs, the likelihood of frustrations with the medications, and some potential side effects of medications.

Targeted Questions

1. What is your level of income? Do you have financial challenges in obtaining your prescribed medications?
2. Do you understand the mode of action of your blood thinner medications and why they are necessary for your current state?
3. Are there some cultural beliefs that may negatively influence your willingness to take the prescribed medications?
4. Do you have any social program that can assist you in obtaining your medications as prescribed?
5. Are there any other health concerns that you feel that I should be aware of?

References

Cacho, R., & del Castillo, F. (2022). God’s Benevolent Love in the Time of COVID-19 Pandemic: Articulations and Experiences of Select Filipino Youth. Religions, 13(2), 162.

Collado, Z. C. (2019). Challenges in public health facilities and services: evidence from a geographically isolated and disadvantaged area in the Philippines. Journal of Global Health Reports, 3.

May 2012, Alice Randall wrote an article for The New York Times on the cultural factors that encouraged black women to maintain a weight above what is considered healthy. Randall explained—from her observations and her personal experience as a black woman—that many African-American communities and cultures consider women who are overweight to be more beautiful and desirable than women at a healthier weight. As she put it, “Many black women are fat because we want to be” (Randall, 2012).

Randall’s statements sparked a great deal of controversy and debate; however, they emphasize an underlying reality in the healthcare field: different populations, cultures, and groups have diverse beliefs and practices that impact their health. Nurses and healthcare professionals should be aware of this reality and adapt their health assessment techniques and recommendations to accommodate diversity.

In this Discussion, you will consider different socioeconomic, spiritual, lifestyle, and other cultural factors that should be taken into considerations when building a health history for patients with diverse backgrounds. Your Instructor will assign a case study to you for this Discussion.

To prepare:

• Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments.
• By Day 1 of this week, you will be assigned a case study by your Instructor. Note: Please see the “Course Announcements” section of the classroom for your case study assignment.
• Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient assigned to you.
• Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
• Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information?

By Day 3 of Week 2

Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.

Diversity and Health Assessment

For being able to care for each patient’s needs without bias, healthcare professionals must be culturally aware. A healthcare worker is required to have the necessary skills to deliver excellent care to patients from different walks of life (Corona at al., 2018).

We reside in a nation with numerous customs, perspectives, and origins. As a result, it is essential to at least try to comprehend various socioeconomic briefings and be religiously sensitive to individuals who hold various religious beliefs.

Socioeconomic, Spiritual, Lifestyle, and Cultural Factors

John is a 33-year-old Caucasian man in my case study, but John’s biological gender is a woman. John has been using telehealth to get his testosterone. Due to financial hardships brought on by losing his job, John was forced to relocate and stay with his parents. He has no notable family history or a history of marriage.

In this situation, it’s critical for a healthcare professional to be aware of and understand the Caucasian culture Additionally, because John identified as a woman, it’s critical for a medical professional to understand and be aware of lesbian beliefs. When providing care, it is crucial not to follow the same pattern to deliver high-quality and effective treatment (Dains et al., 2018).

Sensitive Issues

John is currently facing individual, monetary, and psychological problems, and it is crucial to deal with all the issues in a professional manner. When a patient receives an HIV diagnosis, it’s critical to give them appropriate guidance and teach them how to take Biktarvy without causing any type of embarrassment. A patient’s testosterone use is another delicate subject that should be handled with respect, and the healthcare provider should check to make sure the appropriate dosage is being administered.

John should be made aware of the significance of quitting due to the negative effects it could potentially have on his well-being since he also smokes cigarettes and marijuana. John should be treated carefully to prevent bullying because of his gender identity and to help him appear like everyone. John should be treated gently and with care, as he is also depressed (Kisey et al., 2018).

Targeted 5 Questions

1 When did you first notice that you were depressed?

1. Have you ever considered harming yourself in any way?
2. What is the primary cause of your depression?
3. Do you feel content with your life?
4. Has receiving an HIV diagnosis changed the way you think and live?

 References:

Radcliff, Z., Al Ghriwati, N., Derlan, C. L., Velazquez, E., Halfond, R., & Corona, R. (2018). The relationship between Latina/o youth’s internal health locus of control, cultural factors, and body mass index. Journal of Latina/o Psychology, 6(3), 190-203. https://doi.org/10.1037/lat0000093Links to an external site.

Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care. Mosby.

Kisely, S., Li, A., Warren, N., & Siskind, D. (2018). A systematic review and meta-analysis of deep brain stimulation for depression. Depression and Anxiety, 35(5), 468-480. https://doi.org/10.1002/da.22746Links to an external site.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

Read a selection of your colleagues’ responses.

By Day 6 of Week 2

Respond on or before Day 6 on 2 different days to at least two of your colleagues who were assigned a different patient than you. Critique your colleague’s targeted questions, and explain how the patient might interpret these questions. Explain whether any of the questions would apply to your patient, and why.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 2 Discussion Rubric

Post by Day 3 of Week 2 and Respond by Day 6 of Week 2

To Participate in this Discussion:

Week 2 Discussion

What’s Coming Up in Week 3?

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

Next week, you examine assessment techniques, health risks and concerns, and recommendations for care related to patient growth, weight, and nutrition. You will also begin your first DCE: Health History Assessment which will be due in Week 4. Plan your time accordingly.

Overview of Digital Clinical Experiences (DCE) and Lab Components

Throughout this course, you are required to not only complete your standard course assignments and discussions, but you will also complete DCE and Lab Components that are either structured as optional or required assignment submissions. Please take the time to review your DCEand Lab Components for this course that are required submissions. See the table below and the attached table for specific DCE and Lab Components for the course.

Note: Each Shadow Health Assessment may be attempted and reopened as many times as necessary prior to the due date to achieve a total score of 80% or better, but you must take all attempts by the Day 7 deadline. You must pass BOTH the Health History and Comprehensive (head-to-toe) Physical Exam of at least a total score of 80% in order to pass the course.