Select an ethnic minority group that is represented in the United States (American Indian/Alaskan Native, Asian American, Black/African American, Hispanic/Latino, Native Hawaiian, or Pacific Islander). Using health information available from Healthy People, the CDC, and other relevant government websites, analyze the health status for this group.

In a paper of 1,000-1,250 words, compare and contrast the health status of your selected minority group to the national average. Include the following:

1. Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group?
2. What are the health disparities that exist for this group? What are the nutritional challenges for this group?
3. Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors.
4. What health promotion activities are often practiced by this group?
5. Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice.
6. What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why?

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

REPLY 1( this first is about what I wrote in prompt week 6 nurs435)

Maria,

Nice work sharing how you would apply the collaboration model to this scenario. You incorporated the asking questions aspect well in your response. This week we read about the 3-2-1 approach that could be used in your scenario or even in personal conflicts as well. Share with us your thoughts on this approach and how it could help to resolve conflicts.

REPLY2

For this discussion, I chose to review the conflict scenario from Tina Chavez’s GSE DP. Specifically, I chose to focus on conflict scenario one. In this scenario, a group of four students are assigned a project that has to be completed by everyone. About one week into the project, the group is told that another student has been added to the group. The new student states that he can improve the project, but all original group members believe that their work is already good enough. Since everyone has to participate the new student is given a new task, but the new student does not want to do the task and leaves. 

In this scenario, it would be appropriate to use conflict resolution model. I would use the Triangle of Satisfaction Model. The Triangle of Satisfaction Model is used to examine interests as they fundamental to the field of conflict resolution. When this conflict resolution model is used, it is used to examine the parties’s wants, needs, and concerns, or interests. It would be appropriate for each student’s interests to be examined. In this case, their common interest is to earn a good grade on the project. The new student wants to participate as well. This is one of the interests that he has, so common ground should be found to ensure everyone participates. If I were in the group I would invite the new student to participate and contribute ideas. 

DQ1

It is significantly erroneous to believe that project implementation is simply a matter of organization and theory—that is, working the right processes and tasks, writing a perfect change document, having good leadership mechanisms in place, as well as having a perfect understanding of all the relevant change theories, including Lewin’s three stage theory, Lippit’s seven-step theory, B. F. Skinner’s and Pavlov’s operant and classical conditioning. Successful project implementation goes beyond these activities, and must include stakeholder support and involvement.

It is therefore pertinent to consider internal stakeholders, such as the nursing staff, supervisors, nurse managers, and other entities within the health care setting and the external stakeholders, which include health care regulators, competitors, health care consumers, and other entities outside the setting. According to Panorama Consulting Group (2020), doing a stakeholder analysis is very key for change implementation efforts for four reasons: to understand stakeholder needs and perspectives; to detect change resistance and increase commitment; to determine the best approach for stakeholder engagement; and to determine the appropriate messaging tactics that generate positive influence.

In view of the above, ensuring stakeholder support is important for the success of my change proposal because it ensure commitment and support for the change project. In a situation where most stakeholders in the setting where the change project will be implemented are in support and are fully involved, the chances are high that implementation will be successful. One important way to secure the support of both my internal and external stakeholders will include the organization of interactive forums in which the change project and its benefits will be discussed.

                                                                                     Reference

Panorama Consulting Group (2020). The role of a stakeholder analysis in change management. Available from: https://www.panorama-consulting.com/stakeholder-analysis-in-change-management/

Joseph, M. (2019). Importance of stakeholder support in implementation of evidence-based practice project in nursing. The Nursing Ace. Available from: https://thenursingace.com/importance-of-stakeholder-support-in-implementation-of-evidence-based-practice-project-in-nursing/#:~:text=Their%20support%20is%20necessary%20because,project%20in%20in%20interactive%20forums.

DQ2

Stakeholders are important in performance of an organization way of operating, by investing interest in medical decisions, and evidence-based practice. This can in include nurse, doctors, patients, payers, and policy-makers. Policy-makers create population-level metrics that inform their economic policies. Important questions they ask are eligibility to receive care, services provided, how services will be paid for, accessibility, other health care concerns to plan for. They set context in how the health care system will operate. Policies created are made to maximize patient health within the country’s financial and resources available. Patients receive care, and are the beneficiary customers of payers, who want to access health information from their smart phone or computer. Providers deliver care within policy framework. They are independent businesses that manage their own operations and finances. Payers are the financial element, who enroll patients as beneficiaries. They report to policy-makers about financial sustainability of the care program they have. 

For my change project, it is important to have the support of my fellow nurses, director, and possibly doctors. Evidence-based practice on why medication intervention for dementia related behavior are not effective, but instead adversely affects the patient is important to provide. I personally have noticed doctors like to prescribe many anti psychotics to patients with behavioral symptoms, which tend to sedate them and leads to decreased quality of life. I remember talking to the doctor about holding the patients second dose of quetiapine for the evening because I noticed he gets more confused and gets out of bed without calling for help. That evening I was able to communicate with the patient more effectively, and he seemed more relaxed with less confusion. It is important to have my fellow nurses to be on board with trying non-pharmacological interventions, instead of quickly asking for medications or restraining individuals.

Pressbooks. (n.d.). 3. Introducing the key stakeholders: Patients, providers, payors, and plicymakers (the four p’s). Retrieved from https://jln1.pressbooks.com/chapter/3-introducing-the-key-stakeholders-patients-providers-payors-and-policymakers-the-four-ps/

 I NEED A RESPONSE FOR THIS ASSIGNMENT

3 REFERENCES

Children and adolescents have the unique advantage and challenge of rapid growth and development within relatively short duration of time.  For this reason, developmental assessments are essential to identify and measuring growth, ensuring milestones are reached at appropriate times (Milbrath, et al., 2020).  Early identification leads to early interventions for children or adolescents who are not appropriately meeting milestones of development.  When performing a general assessment, whether for mental health issues or annual visit, it is important to also rule out any possible developmental symptoms that could be presenting as other acute symptoms.  It is important to ensure that the child or adolescent is developing appropriately or intervene promptly to address potential delays.

One assessment tool that can be used for very young children, even toddlers, is the Cognitive Adaptive Test/Clinical Linguistic and Auditory Milestone Scale (CAT/CLAMS).  The child plays with toys throughout the evaluation while the provider assesses their level of development (Milbrath, et al., 2020).  This is an effective test for determining the child’s language and cognitive development (Milbrath, et al., 2020).  An advantage of this assessment scale is that it can be used for very young children, as there are no specific questions but rather observation.  This tool is used in children since it involves toys and activity that is rated by the evaluator rather than specific questions that are answered by the client.  

Another tool that could be useful for a wider age range of children is the Early Development of Emotional Competence (EDEC), which is a tool that assesses the correlation between the child’s language skills and emotional abilities, particularly expression or behavior (Na, Wilkinson, & Liang, 2018).  This developmental tool may be more helpful in the mental health context, as it assesses the client’s language development as well as emotional response.  Rather than diagnosing, this tool can be useful in assessing the family dynamics, as parents or caregivers are active participants in this evaluation (Na, Wilkinson, & Liang, 2018).  While parents participate, the assessment tool is focused on the emotional regulation of the child or adolescent client.  This tool is used in children as it evaluates language development in relation to emotions, which would not be applicable for adult clients.

As with all populations of clients, evidence based treatments are most effective in treating a variety of symptoms, and can be taught to a large group to implement for practice (Leathers & Strand, 2018).  One method of treatment that would be more appropriate for children or adolescents over adults would be game or activity based treatment modalities.  This allows for the children to interact in a way that does not require verbal articulation.  While activity or other experiential therapies can be utilized for adults, they are more likely to be utilized and effective with a younger population.  Another treatment modality that would be more appropriate for child or adolescent clients is a technology application that can be used on a computer or tablet (Davidson, et al., 2019).  This is another way to engage children to actively participate in an application on a screen, which comes easily to children and adolescents.  While adults would be capable of utilizing an application on a computer, phone, or tablet, it would be more effective for younger clients. 

Parents play an important role in assessing child clients, as the parents are able to articulate observable symptoms or concerns that the young client may not be able to identify or label.  Another role that parents play in assessment and treatment is how they may be affected by their children’s diagnoses or symptoms.  It is important to identify parents who require increased support related to treatment, as there are specialized assessment tools to measure this as well (Samadi, Abdollahi-Bograbadi, & McConkey, 2018).  This can be an important part of the assessment and evaluation process for children and parents alike.  Often, the stressors experienced in the home environment affect and exacerbated already existing symptoms among children and parents.

References

Davidson, T.A., Bunnell, B.E., Saunders, B.E., Hanson, R.F., Danielson, C.K., Cook, D., Chu,

B.C., Dorsey, S., Adams, Z.W., Andrews III, A.R., Walker, J.H., Soltis, K.E., Cohen,

J.A., Deblinger, E., & Ruggiero, K.J.  (2019).  Pilot evaluation of a tablet-based

application to improve quality of care in child mental health treatment.  Behavior

Therapy, 50(2), 367-379.  doi:10.1016/j.beth.2018.07.005.

Leathers, S.J., & Strand, T.C.  (2018).  Social work training in the use of evidence-based

treatments for children: What works?  Journal of Social Work Education, 54(S1), S41-

S55.  doi:10.1080/10437797.2018.1434444.

Milbrath, G., Constance, C., Ogendi, A., & Plews-Ogan, J.  (2020).  Comparing two early child

development assessment tools in rural Limpopo, South Africa.  BMC Pediatrics, 20,

197.  doi:10.1186/s12887-020-02101-0.

Na, J.Y., Wilkinson, K., & Liang, J.  (2018).  Early Development of Emotional Competence

(EDEC) assessment tool for children with complex communication needs: Development

and evidence.  American Journal  of Speech-Language Pathology, 27, 24-

36.  doi:10.1044/2017_AJSLP-16-0058.

Samadi, S.A., Abdollahi-Boghrabadi, G., & McConkey, R.  (2018).  Parental satisfaction with

caregiving for children with developmental disabilities: Development of a new

assessment tool.  Children (Basel), 5(12), 166.  doi:10.3390/children5120166.

 

H/O Attendance Questions

Due: by the start of class

Please answer the 5 questions below for attendance credit. Submit your answers to the proper assignment folder. Please do not share work.

1. What are the components of a CBC lab and what does each component tell us about a child’s hematologic function?
2. Explain the pathophysiology of Iron Deficiency Anemia?  How is Iron Deficiency Anemia diagnosed in the pediatric patient? 
3. Discuss why a child admitted with sickle cell disease would require hydration, pain management and antibiotics as part of their treatment management. 
4. What are the nursing considerations in preventing myelosuppression in a pediatric patient with leukemia? 
5. What would you want to include in parent/patient education for a child with hemophilia?