Creating Culturally Competent Health Care Organizations

Read chapter 9 of the class textbook and review the attached PowerPoint presentation.  Once done present an analysis of the following case study answering the questions below.

Mrs. Li Huan, a 79-year-old Chinese American widow who lives alone in New York City’s Chinatown recently had a cerebrovascular accident (CVA) or stroke. Mrs. Li has right-sided paralysis with partial loss of voluntary movement and sensation in her right arm and leg. Mrs. Li has weak facial muscles, difficulty with speech, and drooling. She experiences numbness and tingling in her arms and legs. Mrs. Li is going to a rehabilitation center known for delivering culturally competent interprofessional care where she is cared for by a team of credentialed health care providers: Dr. Indira Patel, nurse J.J. Johnson, physical therapist Mohammad Abu Said, dietician Maria Gonzalez, and Chinese American herbalist, Chen Minzhe.

(Note: In traditional Chinese culture, a person’s last name or surname is written first, followed by his/her first name. Therefore, the patient’s last name is Li and the herbalist’s last name is Chen. It is proper etiquette to call a person of Chinese background by his/her title, in this case, Mrs. Li and Mr. Chen until the individual gives you permission to use his/her first name. To further confuse matters, many acculturated Chinese Americans are likely to reverse their first and last names in the typical US or Canadian order. Therefore, it is important to ask the patient, “What is your first name? What is your last name?” Note the correct order on the patient’s chart for other members of the team.)

1. How do members of the interprofessional team assess Mrs. Li’s literacy, diet, and medications, including herbal medicines being provided by her herbalist, Mr. Chen?
2. How do the nurse and other members of the team determine if complementary or integrative treatments, such as medicinal herbs, are helpful, harmful, or neutral to Mrs. Li’s recovery?
3. If you were seeking advice or consultation from a traditional Chinese herbalist in your community, how would you locate one?
4. Why do patients seek treatment from alternative and integrative healers?
5. How can credentialed health care providers work collaboratively with Mr. Chen to ensure that prescription medicines and herbs are compatible and that there are no adverse or harmful interactions between various medicines?
6. What strategies would you recommend to promote Mrs. Li’s optimum functioning and health following her CVA? (Andrews & Boyle, Transcultural Concepts in Nursing Care, 7th Edition).

INSTRUCTIONS:

 APA format word document, Arial 12 font attached to the forum ,   If you don’t post your assignment in any of the required forums you will not get the points.  A minimum of 2 evidence-based references besides the class textbook no older than 5 years must be used.   the proper references no older than 5 years in two different days to verify attendance and as well make sure the references are properly quoted in your assignment.  A minimum of 800 words is required.  

 PLEASE FOLLOW THE INSTRUCTIONS BELOW

5 REFERENCES

ZERO PLAGIARISM

As you might recall from Week 5, there are significant differences in the applications of cognitive behavior therapy (CBT) for families and individuals. The same is true for CBT in group settings and CBT in family settings. In your role, it is essential to understand these differences to appropriately apply this therapeutic approach across multiple settings. For this Discussion, as you compare the use of CBT in group settings and family settings, consider challenges of using this approach with your own groups.

Learning Objectives

Students will:

• Compare the use of cognitive behavioral therapy for groups to cognitive behavioral therapy for families
• Analyze challenges of using cognitive behavioral therapy for groups
• Recommend effective strategies in cognitive behavioral therapy for groups

To prepare:

• Reflect on your practicum experiences with CBT in group and family settings.

 Post an explanation of how the use of CBT in groups compares to its use in family settings. Provide specific examples from your own practicum experiences. Then, explain at least two challenges counselors might encounter when using CBT in the group setting. Support your response with specific examples from this week’s media. 

Public Health Nursing:  Pioneers in Healthcare Reform

Review the attached PowerPoint presentation.  Once done present a 900 words essay discussing the influence and contributions of the public health nursing the healthcare reform.  

– Must be presented in an APA format word document, Arial 12 font attached to the forum on the discussion board.  

– A minimum of 3 evidenced-based references must be used (excluding the class textbook). References must be no older than 5 years.  A minimum of 900 words is required.  

– No plagiarism.

 Please guide by the questions down below. writing needs to cover all 5 questions. do not skip questions. 

Write a 300 word message in which you:
1.Reflect upon what you have learned about evidence-based practice during the past eight weeks. 

2.Describe how your understanding has changed. 

3.Comment on how the literature search process that you have used in this course differs from the rules for systematic reviews. 

4.Locate one systematic review or clinical guideline using the  AHRQ  website https://www.guideline.gov/

5.Identify the guideline’s purpose.

Comment 1You correctly stated that Mr. C is a candidate for bariatric surgery based on his poor health history including high cholesterol, an elevated BMI level of 45, OSA, high fasting blood glucose (FBG) of 146 mg/dl, has a high respiratory rate of 26 which can point to pulmonary disease.  Good candidates for weight-loss surgery are obese adults who also have an obesity-related health condition, who are aware of the risks and benefits of surgery, and are willing to make lifestyle changes after surgery, especially in regard to eating habits. Following bariatric surgery many patients show improvement in obesity-related conditions, such as diabetes, high blood pressure, obstructive sleep apnea and arthritis.

Comment 2

Nice post! You bring up very good points when speaking about the functional health patterns and problems the patient has. I particularly liked how you brought up assessing for sleep apnea. People don’t really understand the implications of having sleep apnea and energy levels throughout the day. People can also suffer from headaches/migraines if they have obstructive sleep apnea. It’s so important for our body to recharge while sleeping and part of that recharging has to do with proper oxygenation. Many people who are obese are unaware that they may have this problem and need to have a sleep study. Many of my patients don’t know they have it until I or another nurse notices they are snoring and desaturated while sleeping. This can be a scary finding. 

Comment 3

Hi Diona, one specific thing that caught my attention from reading Mr. C’s case study was that this patient takes multiple medications at different times throughout the day because of multiple diseases that are present. This requires the patient to place a lot of attention and plan accordingly. The patient also has to make sure to manage their medications in order to decrease their chances of overdosing, missing a medication, or drug contraindications. Some strategies that can be used are: fill the prescriptions at one pharmacy, use a pill dispenser, and make a list.