NURS 6512 week 2 Diversity and Health Assessments

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NURS 6512 week 2 Diversity and Health Assessments

Assessing a patient is one of the most important tasks for a health care provider. The patient in the assigned scenario is a 32-year old pregnant lesbian experiencing vaginal discharge. She has had regular prenatal care and has a family history of diabetes. It is important to use the best approach in assessing the patient to ensure she is comfortable with her care. The five targeted questions I would ask this patient are as follows: NURS 6512 week 2 Diversity and Health Assessments

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Tell me about your health history and your family’s health history.
How do you feel your pregnancy is going and how have you been feeling?
Tell me about the roles at home, who prepares meals, do you have support when needed for your pregnancy needs?
Tell me about your partners role in the pregnancy and delivery plans.
Do you have any concerns about your physical or mental health including questions regarding your pregnancy?

Each of the questions I asked for specific reasons. Asking about her health and family health history is to obtain more information about the history of diabetes. The later questions of roles in the family about meals can correlate to this question as well. Diet and meal preparation roles in a family are one of many parts of culture that should be taken into consideration (Ball et al, 2019). Gestational diabetes during pregnancy can lead to complications for the mother and baby (Centers for Disease Control and Prevention, 2021).

Asking about support of her pregnancy will ensure she has the support systems she needs in place for a healthy pregnancy and delivery. Ending the interview with an open ended questions about her health can allow the patient time to express any concerns she may have. Being aware and respecting cultural differences can improve assessment skills and allow for the best patient care (Centers for Disease Control and Prevention, 2020). NURS 6512 week 2 Diversity and Health Assessments

References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Centers for Disease Control and Prevention. (2020). Culture competences in health and human services. Retrieved from https://npin.cdc.gov/pages/cultural-competence

Centers for Disease Control and Prevention. (2021). Healthy pregnancy. Retrieved from https://www.cdc.gov/pregnancy/during.html

response

Your post was great. You are accurate about the possibility of healthcare inequities for LGBTQ

people. Many patients thought they were poorly treated, dismissed, or disregarded and hence did

not say anything about their treatment for fear of further mistreatment (Rees et al., 2020).

Because this patient needs to feel heard, it is crucial to make sure they have a sense of that so

they will continue coming back to the same provider. To some extent, we all carry around certain

preconceived notions and prejudices — that’s just a part of being human. However, I believe

most healthcare professionals enter the workplace every day hoping to leave those

preconceptions behind when they do their work. We’re bound to make mistakes. We allow our

political preferences to prevent us from providing everyone with unbiased healthcare. NURS 6512 week 2 Diversity and Health Assessments

Some LGBTQ individuals may be reluctant to tell their healthcare practitioner about their sexual

preferences. Some additional LGBTQ patients felt they or their peers would treat differently, or

perhaps change doctors because they felt awkward. Many are made uncomfortable or feel like

they must judge a patient’s preferences when discussing anything besides heterosexual interests.

Patients depend on us to put their best interests first. We must leave personal spiritual beliefs out

of the patient visit. It would be good to join up for a course to learn how to negotiate a situation

like this assignment.

Reference:

American College of Obstetricians and Gynecologist. (2016). Health Care for

Lesbians and Bisexual Women. https://www.acog.org/clinical/clinical-

guidance/committeeopinion/articles/2012/05/health-care-for-lesbians-and-bisexual-women

Rees, S. N., Crowe, M., & Harris, S. (2020). The lesbian, gay, bisexual and transgender communities’ mental

health care needs and experiences of mental health services: An integrative review of qualitative

studies. Journal of Psychiatric and Mental Health Nursing, 28(4), 578

589. https://doi.org/10.1111/jpm.12720

Discussion: Diversity and Health Assessments

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).

Photo Credit: Getty Images

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. NURS 6512 week 2 Diversity and Health Assessments

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.

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. NURS 6512 week 2 Diversity and Health Assessments

NURS_6512_Week_2_Discussion_Rubric

	Excellent	Good	Fair	Poor
Main Posting	45 (45%) – 50 (50%) “Answers all parts of the Discussion question(s) with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. Supported by at least three current, credible sources. Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.	40 (40%) – 44 (44%) “Responds to the Discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module. At least 75% of post has exceptional depth and breadth. Supported by at least three credible sources. Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style.	35 (35%) – 39 (39%) “Responds to some of the Discussion question(s). One or two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Post is cited with two credible sources. Written somewhat concisely; may contain more than two spelling or grammatical errors. Contains some APA formatting errors.	0 (0%) – 34 (34%) “Does not respond to the Discussion question(s) adequately. Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible sources. Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style.
Main Post: Timeliness	10 (10%) – 10 (10%) Posts main post by Day 3.	0 (0%) – 0 (0%) N/A	0 (0%) – 0 (0%) N/A	0 (0%) – 0 (0%) Does not post main post by Day 3.
First Response	17 (17%) – 18 (18%) “Response exhibits synthesis, critical thinking, and application to practice settings. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of Learning Objectives. Communication is professional and respectful to colleagues. Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English.	15 (15%) – 16 (16%) “Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English.	13 (13%) – 14 (14%) “Response is on topic and may have some depth. Responses posted in the Discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.	0 (0%) – 12 (12%) “Response may not be on topic and lacks depth. Responses posted in the Discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited.
Second Response	16 (16%) – 17 (17%) “Response exhibits synthesis, critical thinking, and application to practice settings. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of Learning Objectives. Communication is professional and respectful to colleagues. Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English.	14 (14%) – 15 (15%) “Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English.NURS 6512 week 2 Diversity and Health Assessments	12 (12%) – 13 (13%) “Response is on topic and may have some depth. Responses posted in the Discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited.	0 (0%) – 11 (11%) “Response may not be on topic and lacks depth. Responses posted in the Discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited.
Participation	5 (5%) – 5 (5%) Meets requirements for participation by posting on three different days.	0 (0%) – 0 (0%) N/A	0 (0%) – 0 (0%) N/A	0 (0%) – 0 (0%) Does not meet requirements for participation by posting on three different days.

Total Points: 100

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Name: NURS_6512_Week_2_Discussion_Rubric

Patients comes from different backgrounds, with different beliefs and associations, nurses and other health care professionals have the responsibility to treatment them reflecting on their backgrounds. Treatments should be tailored to incorporate their background, beliefs, and associations. This is where cultural competency and sensitivity comes into play. Health care professionals are not only expected to have the knowledge, skills, and tools, they should also be committed to the ongoing process of providing culturally competence care (Young & Guo, 2020).

My patient for this discussion is a 32-year-old pregnant lesbian with a family history of diabetes and on her first pregnancy. She is at the clinic today for her annuls physical and concern about her vaginal discharge. At first contact I will introduce myself and my role and ask her how she would like to be called. She is a lesbian and pregnant and I should treat her with utmost dignity and respects based on her association. I should be cautious and respectful to her association so that she can be comfortable with me as her care provider. Knowing her sexual orientation is important to promote continuity of care (Ball, Dains, Flynn, Solomon, & Stewart, 2019) NURS 6512 week 2 Diversity and Health Assessments

After establishing a good rapport with the patient and remaining sensitive to her association I will then start to build up a history. Awareness of the patient’s sexual orientation will influence the way the information is processed, understood and remembered (Betsch, & Bohrn, 2016). A good rapport with patients will put them at ease and increase their willingness to share information with providers. To build a history on this patient my questions will be: –

When did you start noticing the discharge?
Can you describe the nature of the discharge?
Who is your partner in this relationship?
Is she supportive of your current status?
Are you satisfied with your sexual life?

Health acre is as complex as the population we serve. Nurses must be open minded and willing to challenge themselves when it comes to dealing with people from different backgrounds. Sometimes patients come to the hospital with complaints but are unable to express themselves in English. Most time we must rely on people from a distance to help us communicate with the patient using the language line. This will depend on whether the language spoken by the patient is included in the language line. Using their relatives as interpreters is never an option except where necessary. Language barrier is usually one of the major challenges in providing care to people from different cultures.

The best strategy to employ in those situations is to be culturally sensitive and use culturally sensitively communication. The major uses of culturally sensitive communication should include, understanding one’s own culture, open and sensitive communication, and strategies to collaborate with the patient and family for optimal patient care (Almutairi & Rondney, 2013). As nurse we must be aware of our own cultural beliefs, values, attitudes, and practices before we can attempt to understand the patient’s culture.

Culturally sensitive communication can be challenging but remain essential for proper care delivery in a diverse and culturally sensitive society.

References

Almutairi, A. F., & Rondney, P. (2013). Critical cultural competence for culturally diverse

workforces: Toward equitable and peaceful healthcare. Advances in Nursing Science, 36(3), 200–212. http://dx.doi.org/10.1097/ANS. 0b013e31829edd51

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to

physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Betsch, C., & Böhm, R. (2016). Cultural Diversity Calls for Culture-Sensitive Health

Communication. Medical Decision Making, 36(7), 795–797. https://doi.org/10.1177/0272989X16663482

Young, S. & Guo, K. L. (2020). Cultural Diversity Training. The Health Care

Manager, 39 (2), 100-108. doi: 10.1097/HCM.0000000000000294. NURS 6512 week 2 Diversity and Health Assessments