Diversity And Health Assessments Discussion

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Diversity And Health Assessments Discussion

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. Diversity And Health Assessments Discussion

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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.

 

WEEK TWO REQUIRED READING:

  • Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2023). Seidel’s guide to physical examination: An interprofessional approach (10th ed.). St. Louis, MO: Elsevier Mosby.
    • Chapter 1, “Cultural Competency”
      This chapter highlights the importance of cultural awareness when conducting health assessments. The authors explore the impact of culture on health beliefs and practices.
  • Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.
    Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center. Diversity And Health Assessments Discussion

    • Chapter 2, “Evidenced-Based Clinical Practice Guidelines”
  • Centers for Disease Control and Prevention. (2020, October 21). Cultural competence in health and human servicesLinks to an external site.. Retrieved from https://npin.cdc.gov/pages/cultural-competence
    This website discusses cultural competence as defined by the Centers for Disease Control and Prevention (CDC). Understanding the difference between cultural competence, awareness, and sensitivity can be obtained on this website.
  • United States Department of Human & Health Services. Office of Minority Health. (n.d.). A physician’s practical guide to culturally competent careLinks to an external site..Retrieved June 10, 2019, from https://cccm.thinkculturalhealth.hhs.gov/
    From the Office of Minority Health, this website offers CME and CEU credit and equips healthcare professionals with awareness, knowledge, and skills to better treat the increasingly diverse U.S. population they serve.
  • Coleman, D. E. (2019). Evidence based nursing practice: The challenges of health care and cultural diversityLinks to an external site.. Journal of Hospital Librarianship, 19(4), 330–338. https://doi.org/10.1080/15323269.2019.1661734
  • Young, S., & Guo, K. L. (2016). Cultural diversity trainingLinks to an external site.. The Health Care Manager, 35(2), 94–102. https://doi.org/10.1097/hcm.0000000000000100 Diversity And Health Assessments 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? Diversity And Health Assessments Discussion

                                              CASE STUDY

Paloma Hernandez, 26 year-old, Spanish speaking patient who presents to the clinic for the last 2 days in a row complaining of abdominal pain that is getting worse. The first visit the staff relied on her younger bilingual daughter to translate. She was treated with Omeprazole and encouraged to take OTC medication. Today she presents with the same problem. Her daughter states it is the same problem but worse today.

 

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 Assessments Discussion

 

 

WEEK ONE LEARNING RESOURCES (REFLECT ON THE RESOURCES BELOW)

  • Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2023). Seidel’s guide to physical examination: An interprofessional approach(10th ed.). St. Louis, MO: Elsevier Mosby.
    • Chapter 2, “The History and Interviewing Proce
      This chapter explains the process of developing relationships with patients in order to build an effective health history. The authors offer suggestions for adapting the creation of a health history according to age, gender, and disability.
    • Chapter 5, “Recording Information”
      This chapter provides rationale and methods for maintaining clear and accurate records. The authors also explore the legal aspects of patient records.
  • Sullivan, D. D. (2019). Guide to clinical documentation(3rd ed.). Philadelphia, PA: F. A. Davis.
    • Chapter 2, “The Comprehensive History and Physical Exam” (pp. 19–29)
  • Adly, N. N., Abd-El-Gawad, W. M., & Abou-Hashem, R. M. (2019). Relationship between malnutrition and different fall risk assessment tools in a geriatric in-patient unitLinks to an external site.. Aging Clinical and Experimental Research, 32(7), 1279–1287. https://doi.org/10.1007/s40520-019-01309-0
  • Chow, R. B., Lee, A., Kane, B. G., Jacoby, J. L., Barraco, R. D., Dusza, S. W., Meyers, M. C., & Greenberg, M. R. (2019). Effectiveness of the “Timed Up and Go” (TUG) and the Chair test as screening tools for geriatric fall risk assessment in the EDLinks to an external site.. The American Journal of Emergency Medicine, 37(3), 457–460. https://doi.org/10.1016/j.ajem.2018.06.015
  • Diamond-Fox, S. (2021). Undertaking consultations and clinical assessments at advanced levelLinks to an external site.. British Journal of Nursing, 30(4), 238–243. https://doi.org/10.12968/bjon.2021.30.4.238

Shadow Health Support and Orientation Resources

Use the following resources to guide you through your Shadow Health orientation as well as other support resources: Diversity And Health Assessments Discussion

  • Shadow Health. (2021). Welcome to your introduction to Shadow HealthLinks to an external site.. https://link.shadowhealth.com/Student-Orientation-Video
  • Shadow Health. (n.d.). Shadow Health help deskLinks to an external site.. Retrieved from https://support.shadowhealth.com/hc/en-us
  • Shadow Health. (2021). Walden University quick start guide: NURS 6512 NP students.Download Walden University quick start guide: NURS 6512 NP students.
  • Document: Shadow Health Nursing Documentation TutorialDownload Shadow Health Nursing Documentation Tutorial(Word document)

Introduction

Paloma Hernandez, a 26-year-old Spanish-speaking patient, presents with recurring abdominal pain, highlighting the importance of understanding various factors that influence her health. This discussion examines different spiritual, lifestyle, cultural, and socioeconomic factors associated with her. It also looks at the most sensitive issues that need to be considered about her, including the targeted questions that would help to build a better history. Diversity And Health Assessments Discussion

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Spiritual, lifestyle, cultural, and socioeconomic factors

One important factor that might affect Paloma’s ability to access necessary healthcare resources is her socioeconomic status. It is critical to consider factors like her insurance coverage, her financial security, and any barriers that might prevent her from getting the medical care she needs as soon as possible (Govender et al., 2021). It is possible to obtain important insights into potential stressors that could lead to the manifestation of her symptoms by investigating her living situation and employment status. To comprehend how Paloma’s spiritual beliefs might influence her healthcare decisions, it is essential to investigate them. It is imperative to adopt a nuanced approach that considers her cultural background and how her spirituality influences her perceptions of her health (Adly et al., 2019). This knowledge helps guide conversations regarding available treatments and the creation of coping mechanisms specific to her needs.

It is essential to consider Paloma’s lifestyle when performing a thorough health assessment. We can find out what lifestyle factors may be causing her abdominal pain by asking her about her eating habits, exercise routine, and sleep patterns. In addition, understanding cultural dietary and exercise preferences enables the creation of customized recommendations consistent with her cultural background (Govender et al., 2021). Also, the significance of cultural sensitivity cannot be emphasized, highlighting the requirement to understand the healthcare beliefs of the Spanish-speaking community. Potential misunderstandings can be successfully addressed by ensuring information is culturally appropriate and using qualified interpreters for accurate communication (Adly et al., 2019). This helps to promote a more patient-centred and inclusive approach to Paloma’s healthcare. Diversity And Health Assessments Discussion

Sensitive Interactions

The fact that Paloma depends on her daughter to translate raises questions regarding accuracy and privacy in communication. Establishing measures to guarantee private conversations, like designated areas and qualified translators, is crucial to building confidence and protecting the patient’s dignity (Lakshmikantha et al., 2021).

Five Targeted Questions

  1. Could you elaborate on your daily schedule, including your home and work responsibilities, so we can better understand any possible stressors causing your stomach pain?
  2. What is the nature of your diet and eating habits, taking into account any cultural customs or limitations that might be connected to your symptoms?
  3. Do you follow any religious or cultural customs affecting your health-related decisions or coping with illness?
  4. Could you share some information about your family’s medical history, especially about stomach or digestive problems?
  5. How at ease are you with the present course of treatment? Have there been any difficulties getting or taking the recommended medication? Diversity And Health Assessments Discussion

Conclusion

Holistically understanding Paloma Hernandez’s socioeconomic, spiritual, lifestyle, and cultural background is essential to addressing her health concerns. Sensitivity to these elements promotes a cooperative and patient-centered approach to her care by guaranteeing that interactions with healthcare providers are efficient, courteous, and customized to meet her needs. Diversity And Health Assessments Discussion