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 himself 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. 

It is very important for healthcare providers to understand the culture of their patients in history taking and assessment. In the above scenario of a 23-year-old male, it is very important that the nurse practitioner be able to recognize different culture, values and biases in other to create an effective patient center communication (Ball, Dains, Flynn, Solomon, & Stewart, 2019). In other to provide culturally competent care, it is required that healthcare providers be sensitive to the patient’s heritage, sexual orientation, socioeconomic situation, ethnicity and cultural background (Ball et al., 2019). Healthcare professionals should avoid being stereotype base on patient culture but be able to recognize their limitations in knowledge about a patient culture and maintain an open mind on their cultures.

                                                     Socioeconomic, Spiritual, Lifestyle, and other cultural factors 

According to the scenario presented above, the 23-year-old does not have any socioeconomic factors affecting his health, but he has a spiritual and lifestyle factors that could affect his health. Culture, spirituality, and lifestyle is very important in the treatment of native Americans. The patient factor described above shows that the patient has factors like use of alcohol and drugs that may affect is health. Knowing these factors is very important in understanding the treatment approaches that are necessary to the particular individual (Indigenous Policy Journal, 2015). The patient also explains that he has anxiety about his drug use that could prevent him from reaching “heaven” when he dies In exploring this, the  nurse practitioner should be careful to not offend the patient but create rapport with the patient that can lead to a trustful one in other to implement treatment. Ask the patient to explain more about his specific beliefs and if he has a certain church or religion he follows and his thought about treatment options. I would also want to be careful when discussing his family’s medical history. Diabetes and hypertension are prevalent problems in the native community, partly due to the high rate of poverty and access to healthy foods (Struthers & Lowe, 2003). According Espey et al. (2014), there is increase mortality death rate in the native American population due to high incidence of diabetes, smoking prevalence, problem drinking, and social determinants. In this case a discussing patient perceived risk factors is a sensitive topic since patient already has anxiety because of his drug use. Proper assessment of the patient and good history taking to further find out what the patient could be more at risk for is important to provide better treatment and care. Other cultural factors that may affect the native American is that they mostly live in rural areas and are usually poor too making it difficult for them to get better healthcare. Even though not mention in the scenario above, the social determinant of the native Americans is that they are more likely than white to be poor, unemployed, and possess less education (Espey et al., 2014).

Sensitive Issues

The issues that the healthcare provider needs to be sensitive about when talking to the patient is the patient use of alcohol and recreational drugs.  The nurse practitioner will need to explore more by asking how often the patient drinks alcohol and uses recreational drugs. Patient also reported having anxiety. This could be from alcohol or the use of pot as mentioned. Native Americans are culturally sensitive to seek treatment for mental illness or drug/alcohol because of the stigma label on it. So, the nurse practitioner should be careful in suggesting treatment to patient. Nurse practitioner can start by asking the patient questions to find out patient stand regarding initiation of treatment (Ball et al., 2019).

                                               Targeted Questions

1. Do you smoke cigarettes, or are you around second-hand smoke?
2. What do you do for a living?
3. Within the last month has your anxiety impacted your daily living?
4. Have you tried any natural remedies to treat your anxiety?
5. On average, what is your daily/weekly alcohol intake?
6. Do you have a family or community support system?
7. Do you belong to any religious organization?

                                                                                        References

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Espey, D. K., Jim, M. A., Cobb, N., Bartholomew, M., Becker, T., Haverkamp, D., & Plescia, M. (2014). Leading Causes of Death and All-Cause Mortality in American Indians and Alaska Natives. American Journal of Public Health, 104(S3), S303-11. https://doi-org.ezp.waldenulibrary.org/10.2105/AJPH.2013.301798

Indigenous Policy Journal. (2015). Native American Indian Cultural Risk Factors – Contact to Termination. Retrieved from http://www.indigenouspolicy.org/index.php/ipj/article/view/338/325

I need a response from this discussion, 1 page

two references

Due 7/29 9 p.m EST

3 PAGES APA NOT INCLUDING MIN 4 REF

PUBLIC HEALTH (SELECT A COUNTRY)

 The dearth of disease surveillance in developing nations is an immediate opportunity for public health professionals to improve the health of underserved populations. As presented in the Chapter of your course text, implementing disease surveillance in developing nations requires that public health professionals acclimate to the variety of unique obstacles in each country. From insufficient lab diagnostics to a lack of personnel with necessary professional skills, there are many potential challenges to establishing surveillance systems in developing nations 

 

To complete this portion of your Scholar-Practitioner project, write a 3-page paper that provides an overview of your selected country and disease (H.I.V/AIDS)

 Be sure to address the following: include SUBHEADINGS)

• 1)Describe the condition/disease and the developing country.
• 2)Describe the current monitoring procedures used in the developing country.
• 3)Provide a rationale as to why the country would greatly benefit from a disease surveillance system.
• 4)Describe two additional special features that should be a part of surveillance systems in your chosen country.
• 5)Describe challenges public health officials face in establishing disease surveillance systems in this country.
• 6) Describe how you would address these challenges.

Rate yourself using the results from the “Nurse Manager Skills Inventory”:

http://www.aone.org/resources/nurse-manager-skills-inventory.pdf

Write a reflection of 750-1,000 words in which you identify your strengths and weaknesses related to the four content areas below:

1. Personal and professional accountability
2. Career planning
3. Personal journey disciplines
4. Reflective practice reference behaviors/tenets

Discuss how you will use your current leadership skill set to advocate for change in your workplace.

Identify one personal goal for your leadership growth and discuss your implementation plan to achieve that goal.

While APA format is not required for the body of this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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. Please refer to the directions in the Student Success Center.

RUBRIC:

Identification of strengths and weaknesses related to the four content areas listed.

Lists and analyzes strengths and weaknesses based on each of the listed content areas, and draws on evidence from the given Web site.

Discussion of use of current leadership skills to advocate change in the workplace.

Discusses specific changes that can be made in the workplace are discussed, while giving clear and relevant examples for why changes are necessary. Evaluates how personal skill set can be used to effect change in workplace.

Reflection on personal goal for leadership growth and development of implementation plan to reach goal.

Provides a thoughtful reflection on areas for growth. Pinpoints at least one specific goal for leadership growth, and outlines a well-organized and realistic implementation plan to meet the goal.

Thesis Development and Purpose

Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.

Paragraph Development and Transitions

There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Writer is clearly in command of standard, written, academic English.

Paper Format (1- inch margins; 12-point-font; double-spaced; Times New Roman, Arial, or Courier)

All format elements are correct.

Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment)

In-text citations and a reference page are complete. The documentation of cited sources is free of error.

 

Required Resources
Read/review the following resources for this activity:

• Textbook: Chapter 1
• Lesson
• Minimum of 2 scholarly sources (1 for the etic view, and 1 for the emic view. Your source for the emic view should come from someone who writes with authority in the religion you chose. For example, if you chose Buddhism, you could use a quotation from His Holiness, Dalai Lama XIV). 

Instructions
Make sure to read the lesson this week to learn about etic and emic perspectives so that you can appropriately apply them in this assignment. In an essay, apply the etic and emic perspectives to your own religion or a religion with which you have some familiarity.

• How would your tradition be described etically? Remember that this is an outsider’s perspective of what can be measured, studied, or observed.
• How would it be described emically? Remember that this is an insider’s perspective as seen by practitioners

Make sure that you are using at least one source for each approach and include citations from the assigned readings and additional scholarly sources. 

Click on the following link to view an example:

Link: Shinto Example

Writing Requirements (APA format)

• Length: 350-500 words (not including title page or references page)
• 1-inch margins
• Double spaced
• 12-point Times New Roman font
• Title page
• References page (minimum of 1 scholarly source)

Grading
This activity will be graded based on the Written Assignment Grading Rubric.

Weekly Objectives (WO)
WO1.3, 2.2

Required Resources:

 Molloy, M. (2013). Experiencing the world’s religions (6th ed.). New York City, NY: McGraw-Hill Companies, Inc

 

American Psychological Association. (2020). Publication manual of the American Psychological Association (7th ed.).

 

Effective Coalition Leadership

Locate a state or national coalition advocating for your approved healthcare policy concern. Who are the coalition partners and is there an identified leader? Can you identify successes indicating strong leadership? What can you add to the content for your upcoming interview from the work of this coalition?