nurs6512 week 2 discussion latest 2018 april

Week 2
discussion

Discussion: Diversity and Health Assessments

In 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 health care field:
different populations, cultures, and groups have diverse beliefs and practices
that impact their health. Nurses and health care 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.

Case 1

JC, an at-risk 86-year-old Asian male is physically and
financially dependent on his daughter, a single mother who has little time or
money for her father’s health needs. He has a hx of hypertension (HTN),
gastroesophageal reflux disease (GERD), b12 deficiency, and chronic
prostatitis. He currently takes Lisinopril 10mg QD, Prilosec 20mg QD, B12
injections monthly, and Cipro 100mg QD. He comes to you for an annual exam and
states “I came for my annual physical exam, but do not want to be a burden to
my daughter.”

Case 2

TJ, a 32-year-old pregnant lesbian, is being seen for an
annual physical exam and has been having vaginal discharge. Her pregnancy has
been without complication thus far. She has been receiving prenatal care from
an obstetrician. She received sperm from a local sperm bank. She is currently
taking prenatal vitamins and takes Tylenol over the counter for aches and pains
on occasion. She a strong family history of diabetes. Gravida 1; Para 0;
Abortions 0.

Case 3

MR, a 23-year-old Native American male comes in to see you
because he has been having anxiety and wants something to help him. He has been
smoking “pot” and says he drinks to help him too. He tells you he is
afraid that he will not get into Heaven if he continues in this lifestyle. He
is not taking any prescriptions medications and denies drug use. He has a
positive family history of diabetes, hypertension, and alcoholism.

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.

Select one of the three case studies. Reflect on the
provided patient information.

Reflect on the specific socioeconomic, spiritual, lifestyle,
and other cultural factors related to the health of the patient you selected.

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

Post an explanation of the specific socioeconomic,
spiritual, lifestyle, and other cultural factors associated with the patient
you selected. 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.

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

Respond on or before Day 6 to at least two of your
colleagues who selected a different patient than you, using one or more of the
following approaches:

Suggest additional socioeconomic, spiritual, lifestyle, and
other cultural factors related to the patient.

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.

Explanation & Answer

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