The culture of the deaf and hard of hearing is often overlooked because it is characterized as a nonethnic culture.  What cultural characteristics do deaf people have in common with other cultural groups? If your patient is both deaf and identifies with another cultural group as well, (like Asian, Cuban, Russian, polish,mursulin, or others) how does this affect your ability to provide quality cultural care?

How culture affects the way in what psychiatric patient are treated?

The post should be a minimum of 450 words, scholarly written, APA7 formatted, and referenced.  A minimum of 3 references are required (other than your text) for posts.  Refer to the Grading Rubric for Online Discussion in the Course Resource section.  

Instructions:

Use an APA 7 style and a minimum of 450 words. Provide support from a minimum of at least three (3) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. citations and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA 7 style standards apply. 

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website or blogs should not be used.

Case Study 2: Selective Abortion and IVF

Case Study Assignments (45 points each, see rubric) 

Greg and Abigail Grossman, an older couple who were patients of Mrs. Clemmons (a nurse in a clinic specializing in assisted reproduction), were finally successful in their third attempt at IVF. Mrs. Grossman’s pregnancy test was positive 2 weeks after the procedure, and her hormone levels were very high, indicating that more than one embryo was viable. Indeed, by the fourth month of pregnancy, five fetuses could be seen on ultrasound, and all seemed to be developing normally. The clinic had followed the usual procedure of implanting more than one embryo in order to increase the chance that at least some would survive. Although implanting as many as five is uncommon, some people wanting to increase the probability of at least one successful pregnancy do transfer that many, especially if the woman is older and previous attempts have failed. 

At this point, the clinic physician recommended that the Grossmans reduce the pregnancy to two fetuses to ensure their survival, to prevent the birth of premature infants needing costly neonatal nursery services for weeks after the birth, and to avoid potential harm (cardiac overload) to Mrs. Grossman. The procedure would be a selective abortion of three of the fetuses. 

The Grossmans were horrified by this information and did not know what to do. They asked Mrs. Clemmons to help them make their decision. To be honest, she found it very hard to see couples faced with this type of choice. She shared their grief when they failed to become pregnant through sometimes several IVF procedures. Each IVF attempt was hard on the woman’s health, hard on the marriage relationship, and expensive. Many couples used their retirement savings or took huge loans to pay for the treatment and then had no idea how they would pay for the child’s college education. Once a woman became pregnant, it seemed a cruel twist to then recommend killing some of the fetuses so that others would have a better chance at healthy births—especially when it took such a great effort to have any fetuses in the first place! She found the potential for selective abortion one of the most undesirable aspects of IVF. Even though this possibility was explained to couples before beginning IVF, she had not observed one case in which a couple who made the decision to selectively abort did not experience serious emotional trauma and did not later question their decision. Two of the clinic’s couples had, in fact, lost their remaining fetuses a few weeks after elective abortion procedures. How could Mrs. Clemmons best help the Grossmans through this difficult decision? 

1. If a couple could make a selective abortion choice based on sexual preference, what would prohibit some other couple from making a selective abortion choice based on genetic endowments such as blue eyes and blond hair, or mental intelligence? 

2. What role should nurses have in discussing the limits of technological advances and the morality of their uses?

Students are required to submit weekly reflective narratives throughout the course that will culminate in a final, course-long reflective journal due in Topic 10. The narratives help students integrate leadership and inquiry into current practice.

This reflection journal also allows students to outline what they have discovered about their professional practice, personal strengths and weaknesses, and additional resources that could be introduced in a given situation to influence optimal outcomes. Each week students should also explain how they met a course competency or course objective(s).

In each week’s entry, students should reflect on the personal knowledge and skills gained throughout the course. Journal entries should address one or more of the areas stated below.  In the Topic 10 graded submission, each of the areas below should be addressed as part of the summary submission.

1. New practice approaches
2. Interprofessional collaboration
3. Health care delivery and clinical systems
4. Ethical considerations in health care
5. Practices of culturally sensitive care
6. Ensuring the integrity of human dignity in the care of all patients
7. Population health concerns
8. The role of technology in improving health care outcomes
9. Health policy
10. Leadership and economic models
11. Health disparities

While APA style 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.

ANSWER QUESTION # 9 —– Health policy

Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document.

1. Give examples of psychosocial factors that affect the health care professional and the effect those factors could have on patient education.
2. Give examples of psychosocial factors that affect the patient and the effect those factors could have on patient education.
3. Explain what is meant by personality styles and give examples of approaches that could be used to help the patient. Include self-perception as a factor.
4. List the steps in adjustment to illness and how the patient copes with each step.
5. Explain the health professional’s role in teaching the patient at different life stages.
6. Define the role of the family in patient education.
7. How might the family influence the compliance of the patient and what measures can the health care professional use in communication with the family?

Points Possible

50 points

Reflection Question

Based on the results you obtained from the Foundation of Nursing Leadership self-assessment in Week 1 Lesson, reflect on the questions below and share in a post.

• What is your current leadership style?
• How does your leadership style impact your decision making in nursing care?
• How will you further develop your leadership skills?