Discussion Question

There are many types of elder abuse. Choose two types and discuss challenges you perceive in abolishing them. Justify why you consider them as the most crucial. Discuss how you can advocate and protect the elderly from abuse.

Citations should conform to APA guidelines. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA Style website through the APA icon below.

ARTICLES TO BE REVIEWED ARE UPLOADED, WORK ENVIRONMENT ASSESSMENT UPLOADED ALSO, PLEASE REVIEW.

Briefly describe the theory or concept presented in the article(s) you selected.

Explain how the theory or concept presented in the article(s) relates to the results of your Work Environment Assessment.

Explain how your organization could apply the theory highlighted in your selected article(s) to improve organizational health and/or create stronger work teams. 

Be specific and provide examples. APA with in-text citations & references.

Dr. Johnstone didn’t like what he saw.  The x-rays of Gladys Gwynn’s hip showed a fracture of the femoral neck and severe osteoporosis of the hip.  Mrs. Gwynn had been admitted to the orthopedic ward of Hamilton Hospital after a fall that morning at Sunny Meadows, an assisted-living facility.  The accident had occurred when Sheri Smith, a new aide, lost her grip while helping Mrs. Gwynn in the shower.

A frail but alert and cheerful woman of 85, Mrs. Gwynn has osteoarthritis and osteoporosis that have forced her to rely on a walker.  Although her finances were limited, she has been living at Sunny Meadows since her husband’s death four years ago.  Dr. Johnstone knew that she didn’t have any close relatives, and he did not think that she had signed a Health Care Power of Attorney designating someone to help with medical decisions like this.

A total hip replacement would be the logical treatment for a younger patient because it could restore some of her lost mobility.  However, for a frail patient like Mrs. Gwynn, internal fixation of the fracture might be the treatment of choice.  This would repair the break but not improve her mobility.

Dr. Johnstone needs to make a decision soon, but he knows that Mrs. Gwynn is groggy from pain medication.  With one more look at the x-ray, Dr. Johnstone sighs and walks toward Mrs. Gwynn’s room.

Because of the pain medication, Gladys Gwynn may not be able to speak for herself.  Since she has no relatives to help, is it appropriate for Dr. Johnstone to make the decision about surgery for her?  Given these circumstances, is it possible that when Gladys moved into Sunny Meadows they had her sign a Health Care Power of Attorney to someone in the facility?

Initial post must be a minimum of 5-6 complete sentences

Due 6/8 6 p.m est

500 words not including min 4 references APA format

  

Public health officials use myriad data sources to collect information for disease surveillance. Because of the ease of access, the majority of this information comes from electronic data sources such as daily physician visits, frequency of ambulance use, and filling of pharmacy prescriptions. Because every piece of information a public health official receives is not an indicator of disease, it is critical to find the right data sources to detect events and trends.

Often, creative thinking is required to identify potentially useful data sources and the combination of variables that may be revealing. Of course, identifying the data sources is only half the battle. It is also critical to determine how reliable the data are and how they will be obtained

Select a chronic disease or condition. Analyze data sources that are or might be used to monitor the disease or condition. Then identify three data sources that you think are useful indicators of an event or trend related to the disease or condition you have selected. Justify your selection of each of the data sources you identified. Briefly address the case protocol (if appropriate) for the data sources and describe how the accuracy of that data might influence the disease surveillance 

  

Discussion: Diversity and Health Assessments

In 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 health care field: different populations, cultures, and groups have diverse beliefs and practices that impact their health. Nurses and health care professionals should be aware of this reality and adapt their health assessment techniques and recommendations to accommodate diversity.

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.

Case 1

JC, an at-risk 86-year-old Asian male is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs. He has a hx of hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency, and chronic prostatitis. He currently takes Lisinopril 10mg QD, Prilosec 20mg QD, B12 injections monthly, and Cipro 100mg QD. He comes to you for an annual exam and states “I came for my annual physical exam, but do not want to be a burden to my daughter.”

Case 2

TJ, a 32-year-old pregnant lesbian, is being seen for an annual physical exam and has been having vaginal discharge. Her pregnancy has been without complication thus far. She has been receiving prenatal care from an obstetrician. She received sperm from a local sperm bank. She is currently taking prenatal vitamins and takes Tylenol over the counter for aches and pains on occasion. She a strong family history of diabetes. Gravida 1; Para 0; Abortions 0.

Case 3

MR, a 23-year-old Native American male comes in to see you because he has been having anxiety and wants something to help him. He has been smoking “pot” and says he drinks to help him too. He tells you he is afraid that he will not get into Heaven if he continues in this lifestyle. He is not taking any prescriptions medications and denies drug use. He has a positive family history of diabetes, hypertension, and alcoholism.

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.

· Select one of the three case studies. Reflect on the provided patient information.

· Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected.

· 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

Write Plsease include subheading

an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you selected. 

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.