When writing please make it understandable ….this is not doctorate level!

You will use walden library search and I will give you my sign in information to be able to conduct the search

Part 1: An Introduction to Clinical Inquiry

Create a 4- to 5-slide PowerPoint presentation in which you do the following: Powerpoint template attached

1-Identify and briefly describe your chosen clinical issue of interest. BEST PRACTICE IN TREATING DECUBITUS ULCERS IN HOSPICE

2-Describe how you used keywords to search on your chosen clinical issue of interest.

3-Identify the four research databases that you used to conduct your search for the peer-reviewed articles you selected.

4-Provide APA citations of the four peer-reviewed articles you selected.

Part 2: Identifying Research Methodologies

After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet) (ATTACHED) template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following: PLEASE USE THE TEMPLATE

-The full citation of each peer-reviewed article in APA format.

-A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest. 

-A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article.

-A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific.

-A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

In this assignment, you will be exploring actual and potential health problems in the childhood years using a functional health assessment and Erickson’s Stages of Child Development. To complete this assignment, do the following:

1. Using the textbook, complete the “Children’s Functional Health Pattern Assessment.” Follow the instructions in the resource for completing the assignment.
2. Cite and reference any outside sources used in your answers. Include in your assessment a thorough discussion of Erickson’s Stages of Child Development as it pertains to the development age of the child.

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 not required to submit this assignment to Turnitin.

NRS-434VN-R-Childrens-functional-health-pattern-assessment-Student.docx 

As stated in the class syllabus please present your assignment in an APA format, word document, Arial 12 font. The assignment must include at least 2 evidence-based references. A minimum of 700 words is required.  

1.  In your own word and using the appropriate evidence-based references define family and describe the different types of family.

2.  Identify characteristics of the family that have implications for community health nursing practice.

3.  Discuss a model of care for families.

4.  Describe strategies for moving from intervention at the family level to intervention at the aggregate level.

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