Cross Cultural Health Perspectives

Cross Cultural Health Perspectives: Relationships and Expectations
Read the case story about how a Nurse Manager helps her staff become more culturally competent.

http://support.mchtraining.net/national_ccce/case0/case.html

Cross Cultural Health Perspectives and Learning Activities

After reading the case story, click on the Learning Activities link on the left side. Complete Activities 1, 2, and 4.
You may complete Activity 3 if you like, but it is not required.
In a 3-page paper:
1. Describe how Christy can handle the situation better the next time she encounters a Romani patient.
2. Reflect upon what have you learned after completing the Learning Activities. Your comments must show that you completed the Learning Activities and must show thoughtful reflection about how you have assessed your own personal development as you strive for cultural competence.
3. Identify at least one thing an organization can do to improve its cultural competence. How can the organization begin to do that? What resources could the organization use? (Be specific: give the name, a description, and the direct link to the resource).

Cross Cultural Health Perspectives Assignment Expectations

– In order to earn full credit, you must review all required background materials and make sure your paper meets these standards:
LENGTH: 2 – 3 pages typed, double-spaced, one inch margins, 12 point font
COVER PAGE: Copy the exact assignment onto your cover page (the actual questions or task).
REFERENCES: Be sure to cite your references in the text of all papers and on the reference list at the end. For examples you may review the way the references are listed in the modules and on the background reading list.
PRECISION: Each of the questions of the assignment is specifically addressed in the paper.
CLARITY: The paper reads clearly (i.e., it is not confusing) and is well-structured. Subheadings are used to guide the reader.
BREADTH: The paper presents appropriate breadth covering the questions of the assignment (multiple perspectives and references, multiple issues/factors considered, as appropriate).

Cross Cultural Health Perspectives Sources of Reference

DEPTH: The paper presents points that lead to a deeper understanding of the matters and/or issues being discussed and integrates several points into coherent conclusions.
EVIDENCE: Statements and points are well-supported with facts or statistics, and references.
CRITICAL THINKING: You set aside your own personal biases and instead approach the subject matter using available scholarly evidence. You consider the strengths and weaknesses of competing arguments/perspectives on this topic. Having read these scholarly sources, you make a judgment as to the merit of the arguments presented therein.

Euthanasia or Assisted Dying Issues

Euthanasia or assisted dying issues. Examine the facts surrounding the famous case of Terri Shiavo (d.2015) or a similar case. Defend or criticize a utilitarian position on this case and the surrounding issue of euthanasia.

As an alternative approach to utilitarian, investigate the principle of double effect. What metaphysical presuppositions underlie your approach to this issue (particularly concerning sentience, personhood, the mind/brain, and the idea of a soul?). What would be the social impact of a national commitment to prolong the life of the dying, particularly in cases where individual is in a vegetative or minimally conscious state? What are the rights, needs, and interests of the parties involved?

Euthanasia or Assisted Dying Issues Discussion

What outcome/action would you prefer if you or someone you care about were in Schiavo’s situation?
Euthanasia or assisted dying issues. Examine the facts surrounding the famous case of Terri Shiavo (d.2015) or a similar case. Defend or criticize a utilitarian position on this case and the surrounding issue of euthanasia. As an alternative approach to utilitarian, investigate the principle of double effect. Euthanasia or Assisted Dying Issues What metaphysical presuppositions underlie your approach to this issue (particularly concerning sentience, personhood, the mind/brain, and the idea of a soul?). What would be the social impact of a national commitment to prolong the life of the dying, particularly in cases where individual is in a vegetative or minimally conscious state? What are the rights, needs, and interests of the parties involved? What outcome/action would you prefer if you or someone you care about were in Schiavo’s situation? What would be the social impact of a national commitment to prolong the life of the dying, particularly in cases where individual is in a vegetative or minimally conscious state? What are the rights, needs, and interests of the parties involved? Euthanasia or Assisted Dying Issues What outcome/action would you prefer if you or someone you care about were in Schiavo’s situation?

Community Health Care Organization

Community Health Care Organization You work for a community health care organization which uses volunteers to lead training classes in various neighborhoods.

Many of the volunteers do not have experience with adult education or training. The organization has asked you to create a document, which can be given to these volunteers, which explains instructional methods. Community Health Care Organization
Create a document explaining instructional methods. In the document, you must include
• brief explanations of each method
• advantages and disadvantages of each method
• appropriate uses of each method

Community Health Care Organization Instructional Method

You are encouraged to design your document using various creative elements, styles, and formats. Community Health Care Organization You work for a community health care organization which uses volunteers to lead training classes in various neighborhoods. Community Health Care Organization Many of the volunteers do not have experience with adult education or training. The organization has asked you to create a document, which can be given to these volunteers, which explains instructional methods. Community Health Care Organization
Create a document explaining instructional methods. In the document, you must include
• brief explanations of each method
• advantages and disadvantages of each method
• appropriate uses of each method
You are encouraged to design your document using various creative elements, styles, and formats. You work for a community health care organization which uses volunteers to lead training classes in various neighborhoods. Many of the volunteers do not have experience with adult education or training. The organization has asked you to create a document, which can be given to these volunteers, which explains instructional methods. Community Health Care Organization
Create a document explaining instructional methods. In the document, you must include
• brief explanations of each method
• advantages and disadvantages of each method
• appropriate uses of each method
You are encouraged to design your document using various creative elements, styles, and formats.

Pros and Cons of Legalizing Medicinal Marijuana

Pros and Cons of Legalizing Medicinal Marijuana Drugs and Behavior Discuss the pros and cons of legalizing medicinal marijuana for recreational use.

Explain if it should be or should not be. Include and refer to a recent article on marijuana. Explain your conclusion and why? Drugs and Behavior Discuss the legalizing medicinal marijuana for recreational use. Pros and Cons of Legalizing Medicinal Marijuana Explain if it should be or should not be. Include and refer to a recent article on marijuana. Explain your conclusion and why? Drugs and Behavior

Pros and Cons of Legalizing Medicinal Marijuana Drugs and Behavior

Discuss the pros and cons of recreational use. Explain if it should be or should not be. Include and refer to a recent article on marijuana. Explain your conclusion and why? Drugs and Behavior Discuss the pros and cons of legalizing medicinal marijuana for recreational use. Explain if it should be or should not be. Include and refer to a recent article on marijuana. Explain your conclusion and why? Drugs and Behavior Discuss the pros and cons of legalizing medicinal marijuana for recreational use. Explain if it should be or should not be. Include and refer to a recent article on marijuana. Explain your conclusion and why? Drugs and Behavior Discuss the marijuana for recreational use. Explain if it should be or should not be. Include and refer to a recent article on marijuana. Explain your conclusion and why? Drugs and Behavior Discuss the pros and cons of legalizing marijuana for recreational use. Explain if it should be or should not be. Include and refer to a recent article on marijuana. Explain your conclusion and why? Drugs and Behavior Discuss the legalizing marijuana for recreational use. Explain if it should be or should not be. Pros and Cons of Legalizing Medicinal Marijuana Include and refer to a recent article on marijuana. Explain your conclusion and why?

Episodic Health Alterations and Illnesses

Episodic Health Alterations and Illnesses The assignment is to be presented in a question/answer format not as an
essay (i.e. no introduction or conclusion).

Each answer has a word limit; each answer must be
supported with citations. Students must provide in-text referencing and a Reference List must be
provided at the end of the Episodic Health Alterations and Illnesses assignment.
Weighting: 40%
Length and/or format: 1500 words
Learning outcomes assessed:
2. Apply a clinical decision making framework in the assessment and prioritization of health
problems in individuals undergoing surgery;
5. Determine appropriate nursing therapies and describe medical and allied health interventions
for selected episodic health alterations and illnesses
6. Plan evidence-based, safe, person-centered care for individuals undergoing surgery including Episodic Health Alterations and Illnesses
education and discharge planning; (ACU Graduate Attribute: 5,6)

Episodic Health Alterations and Illnesses Reference List (adhering to APA style)

Case Study
Beth is a 35 year old woman who has recently married her long term partner. Both Beth and her husband have professional careers, and are well established in their private lives. They have been discussing the thought of having children and are planning the ?right time? in the next 1-2 years. Recently, whilst in the shower Beth noticed a lump in her left breast. Following this she visited her GP and got a referral for an ultrasound and mammogram, and on review she was referred to a surgeon. A biopsy and lymph node removal indicated that further surgical intervention was required.

Episodic Health Alterations and Illnesses Past History of the Disease

Beth is now being admitted to undergo a left breast mastectomy and a DIEP reconstructive flap. During her nursing admission you note that Beth has a past history of asthma, exacerbated by stress and environmental factors, but that she is generally fit and well.
After approximately 6 hours in the OR Beth arrives in the recovery room where the anaesthetist hands over that her general anaesthetic was uneventful and she remained stable throughout the operation. The anaesthetist mentions that just before transfer to recovery she was given ?a little more? morphine to assist with pain relief when she wakes up. In addition it is handed over that the breast tissue has been sent to pathology for further examination, the flap needs strict routine observations, the pressure dressing is to remain intact until surgical review the next day and there is a low suction Jackson-Pratt drain insitu. Episodic Health Alterations and Illnesses
The recovery nurse begins her recovery assessment of the patient and notes Beth?s vital signs. BP 100/70, HR 85, SpO2 92%, Temp 35.0 and her RR 8. On closer respiratory inspection Beth?s breathing is quite shallow and has a distinctive ?noise? on expiration, with a slight tracheal tug noticed. All other recovery observations are stable at this time. As Beth starts to rouse the respiratory ?noise? and tracheal tug becomes quite evident, as does Beth?s anxiety and stress levels. Her vitals are now BP 130/90, HR 100, SpO2 96%, Temp 35.0 and RR is now 28.
After a long stay in PACU, Beth is now comfortable and ready for discharge to the ward. The charts are complete with an IV fluid order for Hartmann?s 2/24hrly, with numerous bags to follow. Antiemetic and Analgesic orders including Kytril 6-8/24 and Ondansteron 6/24, a PCA order of morphine commenced in PACU at 1mg/ml with a 5 minute lockout, and a PRN order for O/IV Paracetamol 1g. Beth has an IDC insitu with 1/24 readings. The surgeons orders are strict regarding the care and observation of Beth?s surgical site and flap reconstruction. The low suction drain is to remain insitu for 24-48hrs in which it will be reviewed prior to removal.
The next morning after handover you review Beth and her overnight progress post surgery and documents. You note that Beth has voided approximately 30-50mls per hour according to her FBC.As Beth has had a reconstruction you know that this constitutes minimal urine output and may require surgical review. You also note that according to her PCA observations chart she has had many ?demands? of the PCA but her pain control does not seem adequate. Beth draws your attention to her surgical site and you note that the color of the flap is normal and seems to be perfuming well. A routine Hb is due to be taken this am.

Episodic Health Alterations and Illnesses Question One

Whilst the patient is in PACU, identify and discuss airway management (and rationales) as related to the case study (400 words)
Question 2
In order of priority, using evidence based literature, identify and discuss the nursing interventions (and rationales) required to care for the chosen patient in the first 24 hours upon returning to the ward.
Nursing intervention/care presented needs to be accurate, relevant and specific to the chosen case study. (800 words)
Question 3
As part of your role as a primary nurse for your patient, you are required to initiate discharge planning. Identify the allied health professional/s you would refer your case study patient to and discuss the rationale behind your referral, what treatment may this health professional/s provide. (300 word)

Clinical Journal Power in the Workplace

Clinical Journal Power in the Workplace Observe your workplace for the use of power by the nurse manager. Respond to the criteria below using current literature to enhance the quality of your writings and support your reasons.

Identify and explain the different forms of power used by leaders in the workplace.
15 points
Discuss which forms of power are used by the nurse manager in your workplace and explain the guidelines nurse manager need to follow when using these forms of power.
25 points
Briefly describe three different situations in the workplace where the nurse manager used his/her power to address or resolve the situation. Discuss the forms of power he/she used and explain if this form of power had a negative or positive effect in each situation. Clinical Journal Power in the Workplace
25 points
If you were the nurse manager explain what types of power you would use in each of the situations you just described.
25 points

Clinical Journal Power in the Workplace APA Referencing Format

APA format and at least 2 references other than the web to support your writings Clinical Journal Power in the Workplace
10 points
I have been an RN for nine years working at Med/Surge and Detox/Psychiatric unit in a hospital located at NYC.
Textbook: Sullivan, E. (2017). Effective leadership and management in nursing. (8th ed).
New Jersey: Pearson Prentice Hall. Respond to the criteria below using current literature to enhance the quality of your writings and support your reasons.
Identify and explain the different forms of power used by leaders in the workplace. Identify and explain the different forms of power used by leaders in the workplace.
15 points
Discuss which forms of power are used by the nurse manager in your workplace and explain the guidelines nurse manager need to follow when using these forms of power. Clinical Journal Power in the Workplace
25 points
Briefly describe three different situations in the workplace where the nurse manager used his/her power to address or resolve the situation. Discuss the forms of power he/she used and explain if this form of power had a negative or positive effect in each situation. Clinical Journal Power in the Workplace

What is the Abuse Assessment Screen

What is the Abuse Assessment Screen Using the patient information provided, respond to the following questions: What cultural considerations are important for you to remember while you interview Ms. Li? If abuse is discovered, what should you do?

Patient: Sue Li Age: 20 Ethnicity: Asian American What is the Abuse Assessment Screen Using the patient information provided, respond to the following questions: What cultural considerations are important for you to remember while you interview Ms. Li? If abuse is discovered, what should you do?

What is the Abuse Assessment Screen Patient Information

Patient: Sue Li Age: 20 Ethnicity: Asian American What is the Abuse Using the patient information provided, respond to the following questions: What cultural considerations are important for you to remember while you interview Ms. Li? If abuse is discovered, what should you do?
Patient: Sue Li Age: 20 Ethnicity: Asian American What is the Abuse Assessment the patient information provided, respond to the following questions: What cultural considerations are important for you to remember while you interview Ms. Li? If abuse is discovered, what should you do?
Patient: Sue Li Age: 20 Ethnicity: Asian American What is the Abuse Assessment Screen Using the patient information provided, respond to the following questions: What cultural considerations are important for you to remember while you interview Ms. Li? If abuse is discovered, what should you do?
Patient: Sue Li Age: 20 Ethnicity: Asian American Abuse Assessment Screen Using the patient information provided, respond to the following questions: What cultural considerations are important for you to remember while you interview Ms. Li? If abuse is discovered, what should you do?
Patient: Sue Li Age: 20 Ethnicity: Asian American Asian American Abuse Assessment Screen Using the patient information provided, respond to the following questions: What cultural considerations are important for you to remember while you interview Ms. Li? If abuse is discovered, what should you do? What is the Abuse Assessment Screen
Patient: Sue Li Age: 20 Ethnicity: Asian American

Strategies for Community Health Promotion

Strategies for Community Health Promotion Assignment 5: Scholarly Paper – Strategies for Community Health Promotion | Value 30%
Purpose
The purpose of this assignment is to provide the student with an opportunity to develop a health promotion program and relate strategies of community planning, implementation and evaluation to the community diagnosis identified in Assignment 2. Please note you are not expected to carry out the health promotion program that you develop.

Strategies for Community Health Promotion
Choose one of the following to complete this assignment:
Based on the community diagnosis you developed in Assignment 2, (a) develop an outline for a program to meet the identified need, including goals and objectives, and (b) compare and contrast the strengths and limitations of two approaches for influencing community change in the direction of health which would be appropriate in developing the proposed program (e.g., behavioral / lifestyle, socio-environmental approach) and which need to be considered in the planning, implementation and evaluation of the program. Strategies for Community Health Promotion Discuss the role of the community health nurse related to each of the approaches and in relation to the planned program.
Or
Based on the community diagnosis you developed in Assignment 2, (a) develop an outline for a program to meet the identified need and (b) develop a proposal for obtaining funding for the program. Strategies for Community Health Promotion The proposal should include goals and objectives for the proposed program; a description of the target aggregate/group; rationale for the approach to be utilized (e.g., behavioral / lifestyle, socio-environmental approach); a description of the ?players? who will be involved in program planning, implementation and evaluation and their roles: proposed evaluation strategies; and, a budget for the program. Strategies for Community Health Promotion

Template for Community Diagnosis Strategies for Community Health Promotion

Issue description
Focus
Etiology
Manifestations
Risk, concern, state includes potential/actual
Boundaries of the population segment of interest
Causal factors Strategies for Community Health Promotion
Data that supports the etiological inference
-Signs and symptoms
Problem Approach Example
Risk of low birthweight
Among pregnant teen women living in the downtown area
Related to
a) inadequate income
b) tobacco use
as manifested by insecure housing, use of the food bank, unemployment rates
as manifested by smoking rates among pregnant teens
Poor nutritional status Strategies for Community Health Promotion
Among female seniors in Bridgeland
Related to
a) social isolation
b) inability to obtain food
as manifested by reports of home care nurses and parish workers
Wellness Approach Example
Opportunity to improve health status
Of adolescent pregnant women in the downtown area
Related to
a) effective parenting
b) smoking cessation
c) stress reduction
As manifested by -maintaining presence at school
-receiving social assistance
-enrolling in the Best Beginning program Strategies for Community Health Promotion

Gynecology Soap Notes Subjective Data

Gynecology Soap Notes Subjective Data What the patient tells you but organized by you in logical fashion
Chief Complaint (CC): One to three words explaining why patient came to clinic
History of Present Illness (HPI): Paint a picture of what is wrong with the patient.

You need to start EVERY HPI with age, race, gender. (Example: 34-year-old AA male) Must include the 7 attributes of each principal symptom:
1. Location
2. Quality
3. Quantity or severity
4. Timing, including onset, duration, and frequency
5. Setting in which it occurs
6. Factors that have aggravated or relieved the symptom
7. Associated manifestations
Medications: list each one by name with dosage and frequency
Allergies: include specific reactions to medications, foods, insects, environmental
Past Medical History (PMH): Illnesses, hospitalizations, risky sexual behaviors. Include childhood illnesses
Past Surgical History (PSH): Dates, indications and types of operations
OB/GYN History: Obstetric history, menstrual history, methods of contraception and sexual function
Personal/Social History: Tobacco use, Alcohol use, Drug use. Patient’s interests, ADL’s IADL’s if applicable. Exercise, eating habits
Immunizations: Last Tdp, Flu, pneumonia, etc.
Family History: Parents, Grandparents, siblings, children
Review of Systems: Go Head to toe. Cover each system that covers the Chief Complaint, History of Present Illness and History. YOU DO NOT NEED TO DO THEM ALL UNLESS YOU ARE DOING A TOTAL H&P. Remember, this is what the patient tells you. Gynecology Soap Notes Subjective Data
General: any recent weight changes, weakness, fatigue, or fever
Skin: rashes, lumps, sores, itching, dryness, changes, etc.
HEENT:
Neck:
Breasts:
Respiratory:
Cardiovascular:
Gastrointestinal:
Peripheral vascular:
Urinary:
Genital:
Musculoskeletal:
Psychiatric:
Neurological:
Hematologic:
Endocrine:
OBJECTIVE DATA: This is what you see, hear, feel when doing your physical exam. Gynecology Soap Notes Subjective Data Again, you go head to toe and you only need to examine the systems that are pertinent to the CC, HPI, and History unless you are doing a total H&P. Do not use WNL or normal. You must describe what you see.
Here is where the vital signs go. Include ht. and wt. and BMI.
General: General state of health, posture, motor activity and gait. Dress, grooming, hygiene. Odors of body or breath. Facial expression, manner, affect and reactions to people and things. Level of conscience.
SKIN:
HEENT:
Neck:
Chest/Lungs:
Heart/Peripheral Vascular:
Abdomen:
Genital:
Musculoskeletal:
Neurological:
ASSESSMENT: Need to list your priority diagnosis(es) first. For each priority diagnosis, list at least 3 differential diagnoses. Support your selection with evidence. Gynecology Soap Notes Subjective Data
Example: Migraine headache (tension headache, cluster headache, brain tumor)
Hypertension (renal disease, stress, renal artery stenosis)
PLAN: Treatment plan. Include both pharmacological and non-pharmacological strategies. Include alternative therapies. When do they need to follow-up? Any referrals? Consultations? Gynecology Soap Notes Subjective Data
Health Promotion: What does the patient family need to do to promote their health? Exercise, healthy diet, safety, etc.
Disease Prevention: For the patient’s age, what needs to be done to detect disease early…fasting lipid profile, mammography, colonoscopy, immunizations, etc.
REFLECTION: What did you learn from this experience? What would you do differently? Gynecology Soap Notes Subjective Data Do you agree with your preceptor based on the evidence?

Ventilator Associated Pneumonia Research Paper

Ventilator Associated Pneumonia Research Paper
Objectives:
1. Develop skills in locating, evaluating, and utilizing research literature with traditional and non-traditional resources.

2. Develop skills in the preparation, writing, and presentation of a formal research paper.
3. Provide better understanding of a specific respiratory disease process.
Form:
The paper will be prepared using the APA guidelines.
The Topic, Body, and Summary:
The topic should be on a respiratory disease process and must be approved by the instructor. A narrow focus should be kept so that adequate coverage is given to the topic. The disease process should be thoroughly researched and reported. Report should include pathogenesis, etiology, clinical findings, prognosis, symptoms, signs, how the disease is diagnosed, treatment, and any other relevant information.
Length:
Ten typewritten pages in length. The topic must be thoroughly researched and adequately reported. Please follow APA guidelines for spacing, margins, etc..
Sources of Information:
A minimum of eight (8) up-to-date references (within the last three years) is required. Ventilator Associated Pneumonia Research Paper The references should consist mainly of peer-reviewed articles.
Ventilator Associated Pneumonia Research Paper
Objectives:
Develop skills in locating, evaluating, and utilizing research literature with traditional and non-traditional resources.
Develop skills in the preparation, writing, and presentation of a formal research paper.
Provide better understanding of a specific respiratory disease process. Ventilator Associated Pneumonia Research Paper

Ventilator Associated Pneumonia Research Paper Format and Guidelines

The paper will be prepared using the APA guidelines.
The Topic, Body, and Summary:
The topic should be on a respiratory disease process and must be approved by the instructor. A narrow focus should be kept so that adequate coverage is given to the topic. The disease process should be thoroughly researched and reported. Ventilator Associated Pneumonia Research Paper Report should include pathogenesis, etiology, clinical findings, prognosis, symptoms, signs, how the disease is diagnosed, treatment, and any other relevant information.
Length:
Ten typewritten pages in length. The topic must be thoroughly researched and adequately reported. Please follow APA guidelines for spacing, margins, etc..
Sources of Information:
A minimum of eight (8) up-to-date references (within the last three years) is required. Ventilator Associated Pneumonia Research Paper The references should consist mainly of peer-reviewed articles.