Two separate responses 200 words each

I find myself to be most comfortable working with older adults between the ages of 70-85. As a nurse I have really only worked with the geriatric population. I work at a hospital in Arizona that is close to many different retirement communities. Our hospital’s average patient age is 74. This makes working with younger patients little more uncomfortable for me. I wonder if it is because younger patients are generally not as used to being in the hospital and I worry about not being able to calm their fears.

Cultures that are very different than mine also make me a little uncomfortable to communicate with them. I worry that I will offend the patient with something like eye contact. I work with a lot of Navajo patients. At first, I was nervous to work with Navajo patients because I did not know a whole lot about their culture, but as I have learned and worked with the Navajo, I have felt more comfortable being able to effectively communicate with them.

I had a patient from India and was nervous to be working with them for the same reason. This patient was one of the most kind hearted people I have ever met. By the time she was ready to be discharged I had learned a lot about her culture and enjoyed getting to know her.

            I do not feel uncomfortable communicating with other races, I feel more uncomfortable communicating with cultures that are different than mine. I think it is more that I am worried about possibly offending someone because of my own culture’s customs, and I can be unaware of other culture’s customs.  

            Communicating with someone of a different living situation is generally pretty easy for me as well. I have lived in communities that have a lot of diversity and that has helped me to understand the different living situations that people have.

            One thing I have recognized is that as a nurse, we work with so many different people. Everyone at some point in their life is going to need medical attention, and a nurse will be there to take care of them. As nurses we have to learn how to communicate with people who are very different from us and learn to adapt to the many different cultures and personalities we work with.

            When I was growing up, many of my experiences with how older adults are treated is mostly with respect. However, I also felt like older adults were seen as to be a burden on the family. I grew up learning that it may be best for older adults to be in an assisted living place. It has been found that many adult children are around the age of 60 or 70 when they are taking care of their 90-year-old parent (Graham, 2018, p. 1).  According to Graham (2018) Caregiving at the age of 60 or 70 can be very hard on the body and adds extra mental and physical stress (p. 1). I am not sure if having older adults in an assisted living is the best place for older adults, but I am interested in learning more about this topic this week.

Reference:

Graham, J. (2018, August 23). A late-life surprise: Taking care of frail, aging parents. Retrieved

from https://khn.org/news/a-late-life-surprise-taking-care-of-frail-aging-parents/.

2) 

Working in the healthcare settings, we come across many different people from different backgrounds, races, and living situation. The philosophy of any public space is the equality and standard way of thinking and feeling about others, but in reality, these differences could often cause tension and/or stress during the interaction of two people. When I come across a patient around my age group, I find that I speak to them as if they were a friend, often using slang and other gestures as I would with friends outside of the workplace. In contrast, with older adults I tend to speak a bit slower and professional due to the age difference. Being a 27-year-old Intensive Care RN, often times older patients initially feel as if my age will affect their care in a negative way because they relate young with inexperienced, therefore the tone and word choice are changed in order to instill confidence thru proper communication. The difference in gender can also have its changes of personality during a patient interaction. Being a male, I tend to talk to the guys a bit more straight forward and not so much emphasis on emotion, while with females, I tend to be more compassionate and understanding of their situation. As for the other factors that make a difference in people, race, sextual preference, living situation, that does not play a factor during patient communication as those are not important to me, instead I may feel the urge to ask more questions to get to know them and their culture or preferences if their difference interest me. 

             While growing up, the Latin culture has great respect for older adults. A young family member is always expected to take care of their older family members, especially the older females. Grandma’s, Aunt’s, and Mom are always the first to have priority in any situation, starting with the eldest one. The older males in the Latin culture are not left out behind, but typically are carefree to many situations, just wanting everyone to be happy regardless of where they stand. When I was about 5 years old in 1997, the respect for adults was already instilled in me. Always making sure that adults are respected and listened to what they asked of me. In 2007 I was 16, and things started changing, I would be able to challenge adults’ questions and figure out why things are the way that they are; this was a rebellious stage, but I was just trying to figure out why. Fast forward from the rebellious stage, 2011 I was 20 years old, and now had the knowledge as to why adults did what they did, and I understood the meaning behind it. The older adults in the family would now see me as an adult, and although the respect continued as such, I was now an adult as well with my own opinion and choice, regardless of their input. 

            The way we act and treat others is highly influenced by the upbringing that we have experienced as children, in my opinion, and therefore it is especially important for me to continue what I have been taught as a child, in the workplace, and continue the line of respect with those that surround me. In 2017, my niece was born, and now I find myself also educating her in what is acceptable and not acceptable in our eyes, to continue the same respect and behavior towards other, with her. For us, it doesn’t matter what color you are, which gender you like, where you live, which car you drive, which gender you are, what matters to us is the quality of person you are in the world and how you treat those that surround you.  
 

 

• Type of paper Assignment
   
• Subject Nursing
   
• Number of pages 1
   
• Format of citation APA
   
• Number of cited resources  4
   
• Type of service  Writing
   

Antimicrobial  Agents Antimicrobial agents are essential components in the treatment of  various bacterial infections as they help to kill or prevent the growth  of microbes such as bacteria, fungi, and protozoans. Prior to the  discovery of antimicrobial agents, treatment options for patients with  bacterial infections were limited. For many patients, treatment often  resulted in the amputation of limbs or even death. Today, treatment  options for bacterial infections typically have a more positive  prognosis. Due to the various types of infections presented in patients,  it is essential to be able to identify the underlying cause of the  infection—whether bacterial or viral—before recommending drug  treatments. This will help you identify whether or not an antimicrobial  agent would be appropriate and which specific agent would target the  infection. In this Assignment, you consider the appropriate use of  antimicrobial agents for infections.  To prepare: Review this week’s media presentation on principles of antimicrobial  therapy, as well as Chapter 8 of the Arcangelo and Peterson text. Consider the categories of antimicrobial agents. Think about differences between viral and bacterial infections. Reflect on why proper identification of the infection is key to  selecting the proper antimicrobial agent. By Day 7 Write a 1- to 2- page paper that addresses the following:  Describe the categories of antimicrobial agents. Describe differences between viral and bacterial infections. Explain why proper identification of viral and bacterial infections is  key to selecting the proper antimicrobial agent.

1 postsRe: Topic 3 DQ 1

What makes a vulnerable person or a community vulnerable, is that they cannot advocate for themselves or for their health care needs. Like in the cases of uninsured and underinsured individuals, they may not seek medical help or preventive health care fearing the expenses (Falkner, 2018). Individuals may have mixed reasons to be categorized as vulnerable population, such as uninsured/underinsured and being a senior citizen; minority and poverty; cognitively/emotionally/physically impaired and LGBTQ; or any other combinations of those.

CDC published statistics finalized based on Health Insurance Coverage: Early Release of Estimates from the National Health Interview Survey, 2018, stating that number of persons under age 65 uninsured at the time of interview was 30.1 million, which is 11.1%. This group of population is not only at-risk group, as they are at higher risk for developing chronic conditions and/or complications, but also vulnerable from not having access to healthcare due to lack of health insurance. The high risk for complications from flu infection, for example, includes adults 65 years of age and older (CDC.gov). They cannot advocate for their health needs and require attention/assistance/advocacy from PHN in finding local resources such as free clinics.

One of the ethical issues, when working with senior citizens, may raise from bias believes that elderlies are frail and must be protected, and may lead to disregarding the individual’s rights of lifestyle preferences and choices (Ludwick & Silva, 2004). I have advocated for senior citizens in the similar situations, in the acute and long-term care settings, protecting the persons’ dignity and rights to refuse certain treatments while providing appropriate care and paying respect.

Because of the weakened immune system, people with HIV/AIDS are susceptible to infections that healthy people can usually fight off.  These are called opportunistic infections.

Explore those infections (including, but not limited to): what those infections are, ways to contract them, how they can be prevented, how they are diagnosed, treatment for opportunistic infections.

Marcia Stapleton    4 posts   Re: Topic 1 DQ 2  Another “cultural” type barrier to EBP in clinical settings is our preference for humans  as our information source. When working in a clinical setting and there are more experienced nurses around us, most nurses default to asking the more experience nurse what to do in a clinical situation.  The more experienced nurse might have experience with the situation, but is it evidence-based?  Even when textual information was accessible in a clinical situation, it was shown that nurses preferred other nurses as a resource over the textual resource (Thompson, 2004).  This is seen over and over in the patient care setting.  When we are wondering how to deal with a situation, we just ask a nurse we think has dealt with the situation, and consider them the expert or the evidence-based research.  As a clinical nurse leader, I field many questions each day.  In order to move towards an evidence based practice, I must direct the nursing staff to the research related to the question.  Reference:  Thompson, C. (2004). Nurses, information use, and clinical decision making–the real world potential for  evidence-based decisions in nursing. Evidence-Based Nursing. Retrieved from  https://ebn.bmj.com/content/7/3/68