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Discussion 1 ,250 Words,add References And Citations By 08/11/2020 At 6: 00 Pm – 2025 Adolescent pregnancy is viewed as a high risk situation because it poses serious
by adminNursing Assignment Help
Discussion 1 ,250 Words,add References And Citations By 08/11/2020 At 6: 00 Pm – 2025
Adolescent pregnancy is viewed as a high-risk situation because it poses serious health risks for the mother and the baby. Describe various risk factors or precursors to adolescent pregnancy. Research community and state resources devoted in adolescent pregnancy and describe at least two of these resources. Research the teen pregnancy rates for the last 10 years for your state and community. Has this rate increased or decreased? Discuss possible reasons for an increase or decrease.
Dq1 – 2025 What are your thoughts The health and vitality of Americans are critical to the productivity and innovation essential for
by adminNursing Assignment Help
Dq1 – 2025
What are your thoughts??
The health and vitality of Americans are critical to the productivity and innovation essential for our nation’s future. Hence disease prevention is more important in everyday life. The National Prevention Strategy is a model for our nation to provide the most useful and attainable means for leading a healthy lifestyle. This broad plan includes four strategic directions that serve as the base for all prevention efforts. The National Prevention Strategy such as the Patient Protection and Affordable Care Act will change our nation’s health-care system to prevention and wellness rather than the treatment of sickness and disease. The main strategies to be followed to achieve this prevention and wellness plan are to provide Healthy and safe community environments by increasing the quality of our nation’s air, land, and water, to avoid exposure to environmental hazards. Similarly, increasing the clinical and community preventives services such as immunizations and cancer screenings will reduce subsequent health care costs. Also, people should be empowered to be responsible and informed to practice a healthy lifestyle such as healthy & nutritional foods, exercises, and establishing positive social interactions. Eliminating health disparities are also another important aspect so that a disproportionate burden of illness and disease can be avoided (Benjamin, 2011).
National Prevention Strategy has also identified some important priority areas to improve the health of the American people, particularly those who are disproportionately affected by disease and injury. These are tobacco-free living, preventing drug abuse and excessive alcohol use, healthy eating active living, injury- and violence-free living, reproductive and sexual health and, mental and emotional well-being (Benjamin, 2011).
Everyone will interact with a nurse at some point in their lives. Nurses are high-level thinkers with exceptional skills and considerable ability to communicate, negotiate, coordinate, and collaborate in order to deliver care (Sullivan, 2004). When nurses are working within a health promotion model, every interaction with a client can be an educational intervention (Rankin 2005). For example, while changing the dressing of a diabetic foot ulcer, nurses get the opportunity to educate the requirement of regular blood sugar testing and diabetic control. When a patient comes to a clinic or doctor’s office, with a cut, it’s the perfect time to check the chart for the last tetanus booster. Similarly, during a home visit to discuss newborn care, it is the perfect opportunity for the nurse to discuss the childhood vaccine schedule, recommended vitamin supplements, or even the developmental milestones of an older sibling. This way, nurses are practicing health promotion strategies constantly (Jones, 2015).
REPLY 1 And 2 (7) – 2025 REPLY 1 It s important for nurses to provide culturally competent care It s important to assess the importance of a
by adminNursing Assignment Help
REPLY 1 And 2 (7) – 2025
REPLY 1
It’s important for nurses to provide culturally competent care. It’s important to assess the importance of a client’s culture/ethnicity (and their accompanying beliefs and values) when planning, providing, and evaluating care. Nurses’ practice must incorporate cultural needs and beliefs into their nursing practice to provide care that is individualized for the client and appropriate to the client’s needs (Cultural Awareness and Influences on Health: NCLEX-RN, 2020).
In the Asian culture, there is often a belief that terminally ill patients should not be informed about their prognosis, and many believe that speaking of it may bring bad luck or a poor outcome (Ritter & Graham, 2017, P. 235). Except in emergency situations in which a patient is incapable of making an informed decision, withholding information without the patient’s knowledge or consent is ethically unacceptable (AMA, 2020). After completing a cultural assessment, if the patient holds this belief, I would respect the cultural practice and withhold the information.
The patient would be encouraged to specify preferences regarding the communication of medical information, preferably before the information becomes available (AMA, 2020); it’s important to honor a patient’s request not to receive certain medical information or to convey the information to a designated surrogate, provided these requests appear to represent the patient’s genuine wishes (AMA, 2020). For the family who believes this, “decisions and communication are often considered the responsibility of the oldest male in the family, and can be seen as a moral obligation for that person to act in that capacity” (Ritter & Graham, 2017, P. 235).
For health care providers to balance the patient’s right to know with respect to the cultural practices and beliefs of the family, it’s important to: assess the amount of information the patient is capable of receiving at a given time, and tailor disclosure to meet the patient’s needs and expectations in keeping with the individual’s preferences; Monitor the patient carefully and offer full disclosure when the patient is able to decide whether to receive the information (AMA, 2020).
In short, each year, the United States becomes more diverse, with people of different races and religions, and with differing beliefs about medicine and medical care. As nurses, we owe it to our patients to provide them with the best care possible in ways they find appropriate (Reed, 2017).
References
AMA. (2020). Withholding Information from Patients. Retrieved from https://www.ama-assn.org/delivering-care/ethics/withholding-information-patients
Cultural Awareness and Influences on Health: NCLEX-RN. (2020). Retrieved from https://www.registerednursing.org/nclex/cultural-awareness-influences-health/
Reed, C. (2017). Cultural Competence. Retrieved from https://journals.lww.com/ajnonline/Fulltext/2017/07000/Cultural_Competence.5.aspx
Ritter, L.A., & Graham, D.H. (2017). Multicultural Health (2nd ed.). Burlington, MA: Jones and
Bartlett Learning. ISBN: 9781284021028
REPLY 2
Health is viewed as a cultural concept, and culture determines how we perceive the world. Therefore, respect for cultural practice in Asia is predetermined because culture helps shape how both the patient and the healthcare provider perceive illness and what they believe to be its cause (Fowler et al., 2011). I will only respect the culture if I lack the knowledge and skills of delivering bad news, the appropriate provision of optimal care to a dying patient, and the compassion to ensure that the patient retains his or her self-worth even at the time of his or her death.
According to Rosenberg et al. (2017), negative information should be briefly relayed to patients. The author recommends that the information be rehearsed to communicate the bad news concisely and how the healthcare team is committed to the patient’s support and treatment at the terminally ill stage. A good example of a prognosis that should be delivered to the patient, especially by word of mouth, is as follows: ‘The tests done on your collected samples have confirmed that your condition arose from a malignant tumor (sad news). Therefore, I have informed a radiotherapist and the oncologist to speak with you about the condition and then advise you further. Once I receive the recommendations from their examinations on you, I will decide on what best treatment to give to you (doing something about it). As things unfold, I will always be around to discuss with you on how we will go on with the treatment.’ Maintaining a silent observation at this point will lead to the patient’s psychological condition’s best results (Sarafis et al., 2014). Therefore, I will respect the culture, but any information that must reach the patient will always be delivered just as the profession prescribes.
Healthcare providers can balance the patient’s right to know their prognosis concerning their cultural practices and beliefs. To achieve such a balance, healthcare personnel should always try hard to become culturally sensitive (Chaet, 2016). Such sensitive care can be achieved through creating awareness, avoiding assumptions, and learning about other cultures. In any social issue, the first step is always to be aware. Any competent healthcare provider must always be endowed with culturally sensitive care. A good nurse or doctor will always strive to become culturally sensitive personnel while letting others understand their line of duty (Swihart & Martin, 2020). Secondly, a good healthcare provider should always avoid making assumptions because it is always important not to assume matters that you are not familiar with. Making such assumptions can cause a breakdown of trust and rapport between the healthcare provider and the patient. Lastly, a good doctor or nurse should always learn about other cultures. Learning a patient’s culture includes their medical history, medications, and current symptoms. Learning different cultures will involve immersing oneself in the culture of others.
In conclusion, it is always essential to have a truthful and open communication between the patient and the medic. Such open communication will enhance trust in the relationship and respect for autonomy. On the other hand, not fully disclosing information to the patient is an ethical breach because it brings the clash between the physician’s duty of promoting the patient’s health and the physician’s respect for the patient’s autonomy.
References:
Chaet, D. H. (2016). AMA Code of Medical Ethics’ Opinions Related to Discrimination and Disparities in Health Care. AMA Journal of Ethics, 18(11), 1095-1097.
Fowler, F. J., Levin, C. A., & Sepucha, K. R. (2011). Informing And Involving Patients To Improve The Quality Of Medical Decisions. Health Affairs, 30(4), 699–706. https://doi.org/10.1377/hlthaff.2011.0003
Rosenberg, A. R., Starks, H., Unguru, Y., Feudtner, C., & Diekema, D. (2017). Truth Telling in the Setting of Cultural Differences and Incurable Pediatric Illness. JAMA Pediatrics, 171(11), 1113–1119. https://doi.org/10.1001/jamapediatrics.2017.2568
Sarafis, P., Tsounis, A., Malliarou, M., & Lahana, E. (2014). Disclosing the Truth: A Dilemma between Instilling Hope and Respecting Patient Autonomy in Everyday Clinical Practice. Global Journal of Health Science, 6(2), 128. https://doi.org/10.5539/gjhs.v6n1p128
Swihart, D. L., & Martin, R. L. (2020). Cultural Religious Competence In Clinical Practice. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK493216/
All replies must be constructive and use literature where possible.
Your assignment will be graded according to the grading rubric.
REPLY 1 And 2 (7) – 2025 REPLY 1 It s important for nurses to provide culturally competent care It s important to assess the
by adminNursing Assignment Help
REPLY 1 And 2 (7) – 2025
REPLY 1
It’s important for nurses to provide culturally competent care. It’s important to assess the importance of a client’s culture/ethnicity (and their accompanying beliefs and values) when planning, providing, and evaluating care. Nurses’ practice must incorporate cultural needs and beliefs into their nursing practice to provide care that is individualized for the client and appropriate to the client’s needs (Cultural Awareness and Influences on Health: NCLEX-RN, 2020).
In the Asian culture, there is often a belief that terminally ill patients should not be informed about their prognosis, and many believe that speaking of it may bring bad luck or a poor outcome (Ritter & Graham, 2017, P. 235). Except in emergency situations in which a patient is incapable of making an informed decision, withholding information without the patient’s knowledge or consent is ethically unacceptable (AMA, 2020). After completing a cultural assessment, if the patient holds this belief, I would respect the cultural practice and withhold the information.
The patient would be encouraged to specify preferences regarding the communication of medical information, preferably before the information becomes available (AMA, 2020); it’s important to honor a patient’s request not to receive certain medical information or to convey the information to a designated surrogate, provided these requests appear to represent the patient’s genuine wishes (AMA, 2020). For the family who believes this, “decisions and communication are often considered the responsibility of the oldest male in the family, and can be seen as a moral obligation for that person to act in that capacity” (Ritter & Graham, 2017, P. 235).
For health care providers to balance the patient’s right to know with respect to the cultural practices and beliefs of the family, it’s important to: assess the amount of information the patient is capable of receiving at a given time, and tailor disclosure to meet the patient’s needs and expectations in keeping with the individual’s preferences; Monitor the patient carefully and offer full disclosure when the patient is able to decide whether to receive the information (AMA, 2020).
In short, each year, the United States becomes more diverse, with people of different races and religions, and with differing beliefs about medicine and medical care. As nurses, we owe it to our patients to provide them with the best care possible in ways they find appropriate (Reed, 2017).
References
AMA. (2020). Withholding Information from Patients. Retrieved from https://www.ama-assn.org/delivering-care/ethics/withholding-information-patients
Cultural Awareness and Influences on Health: NCLEX-RN. (2020). Retrieved from https://www.registerednursing.org/nclex/cultural-awareness-influences-health/
Reed, C. (2017). Cultural Competence. Retrieved from https://journals.lww.com/ajnonline/Fulltext/2017/07000/Cultural_Competence.5.aspx
Ritter, L.A., & Graham, D.H. (2017). Multicultural Health (2nd ed.). Burlington, MA: Jones and
Bartlett Learning. ISBN: 9781284021028
REPLY 2
Health is viewed as a cultural concept, and culture determines how we perceive the world. Therefore, respect for cultural practice in Asia is predetermined because culture helps shape how both the patient and the healthcare provider perceive illness and what they believe to be its cause (Fowler et al., 2011). I will only respect the culture if I lack the knowledge and skills of delivering bad news, the appropriate provision of optimal care to a dying patient, and the compassion to ensure that the patient retains his or her self-worth even at the time of his or her death.
According to Rosenberg et al. (2017), negative information should be briefly relayed to patients. The author recommends that the information be rehearsed to communicate the bad news concisely and how the healthcare team is committed to the patient’s support and treatment at the terminally ill stage. A good example of a prognosis that should be delivered to the patient, especially by word of mouth, is as follows: ‘The tests done on your collected samples have confirmed that your condition arose from a malignant tumor (sad news). Therefore, I have informed a radiotherapist and the oncologist to speak with you about the condition and then advise you further. Once I receive the recommendations from their examinations on you, I will decide on what best treatment to give to you (doing something about it). As things unfold, I will always be around to discuss with you on how we will go on with the treatment.’ Maintaining a silent observation at this point will lead to the patient’s psychological condition’s best results (Sarafis et al., 2014). Therefore, I will respect the culture, but any information that must reach the patient will always be delivered just as the profession prescribes.
Healthcare providers can balance the patient’s right to know their prognosis concerning their cultural practices and beliefs. To achieve such a balance, healthcare personnel should always try hard to become culturally sensitive (Chaet, 2016). Such sensitive care can be achieved through creating awareness, avoiding assumptions, and learning about other cultures. In any social issue, the first step is always to be aware. Any competent healthcare provider must always be endowed with culturally sensitive care. A good nurse or doctor will always strive to become culturally sensitive personnel while letting others understand their line of duty (Swihart & Martin, 2020). Secondly, a good healthcare provider should always avoid making assumptions because it is always important not to assume matters that you are not familiar with. Making such assumptions can cause a breakdown of trust and rapport between the healthcare provider and the patient. Lastly, a good doctor or nurse should always learn about other cultures. Learning a patient’s culture includes their medical history, medications, and current symptoms. Learning different cultures will involve immersing oneself in the culture of others.
In conclusion, it is always essential to have a truthful and open communication between the patient and the medic. Such open communication will enhance trust in the relationship and respect for autonomy. On the other hand, not fully disclosing information to the patient is an ethical breach because it brings the clash between the physician’s duty of promoting the patient’s health and the physician’s respect for the patient’s autonomy.
References:
Chaet, D. H. (2016). AMA Code of Medical Ethics’ Opinions Related to Discrimination and Disparities in Health Care. AMA Journal of Ethics, 18(11), 1095-1097.
Fowler, F. J., Levin, C. A., & Sepucha, K. R. (2011). Informing And Involving Patients To Improve The Quality Of Medical Decisions. Health Affairs, 30(4), 699–706. https://doi.org/10.1377/hlthaff.2011.0003
Rosenberg, A. R., Starks, H., Unguru, Y., Feudtner, C., & Diekema, D. (2017). Truth Telling in the Setting of Cultural Differences and Incurable Pediatric Illness. JAMA Pediatrics, 171(11), 1113–1119. https://doi.org/10.1001/jamapediatrics.2017.2568
Sarafis, P., Tsounis, A., Malliarou, M., & Lahana, E. (2014). Disclosing the Truth: A Dilemma between Instilling Hope and Respecting Patient Autonomy in Everyday Clinical Practice. Global Journal of Health Science, 6(2), 128. https://doi.org/10.5539/gjhs.v6n1p128
Swihart, D. L., & Martin, R. L. (2020). Cultural Religious Competence In Clinical Practice. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK493216/
All replies must be constructive and use literature where possible.
Your assignment will be graded according to the grading rubric.