Week 1: Leading Culturally and Linguistically Appropriate Healthcare

Throughout the course, you’ll use the map below to engage important population health concepts. Click on each hot spot to learn more about the population in that area.

This week, you discovered that the focus of healthcare has a growing emphasis on population health. Emphasis on quality improvement and tracking outcomes has led to exploring “why?” Why do some patients have trouble controlling their diabetes? Why do so some pediatric diabetic patients show up in the emergency department with an uncontrolled episode? These questions have led the DNP scholar and other healthcare providers to consider the social determinants of health. This query also requires that consideration be given to “how?” How do healthcare providers improve outcomes for a given population? Explore these questions as they relate to the populations represented on the interactive map below.

Create a culturagram for your selected population  

Hialeah, Florida. Culture of interest – Hispanic/Latino.  You may use the attached template.

• Create a culturagram for your selected population. Refer to Week 1, Explore page 2, for guidance in creating a culturagram. You may use the attached template, if you desire.
• Conduct a search for evidence. Identify one evidence-based intervention to reduce health disparities in the selected population.
• Consider how the selected intervention addresses at least one of the CLAS standards.

Share your professional experience related to the topic.

Culturagram blank Template attached

Sample how to do the work and the culture gram are attached

    

Hialeah, Florida

o Culture of interest – Hispanic/Latino

o Population – 224,669

o Individuals diagnosed with heart disease prior to the study year – 1513

o age 30 – 40

o age 35 – 63

o age 40 – 143

o age 45 – 189

o age 50 – 203

o age 55 – 225

o age 60 – 299

o age 65 – 351

o Individuals newly diagnosed with heart disease in the study year – 409

o Age 30 – 3

o Age 40 – 12

o Age 50 – 41

o Age 55 – 82

o Age 60 – 97

o Age 65 – 174

o Individuals who died of heart disease in the study year – 531

o Age 50 – 86

o Age 55 – 105

o Age 60 – 130

o Age 65 – 210

o Average years of life expectancy reduction due to heart disease – 10

Hialeah, Florida

o Culture of interest – Hispanic/Latino

o Population – 224,669

o Individuals diagnosed with heart disease prior to the study year – 1513

o age 30 – 40

o age 35 – 63

o age 40 – 143

o age 45 – 189

o age 50 – 203

o age 55 – 225

o age 60 – 299

o age 65 – 351

o Individuals newly diagnosed with heart disease in the study year – 409

o Age 30 – 3

o Age 40 – 12

o Age 50 – 41

o Age 55 – 82

o Age 60 – 97

o Age 65 – 174

o Individuals who died of heart disease in the study year – 531

o Age 50 – 86

o Age 55 – 105

o Age 60 – 130

o Age 65 – 210

o Average years of life expectancy reduction due to heart disease – 10

 

Discussion Question:

You have a patient who only has Medicare Part A and B. She has limited income most of which is used to pay for Medicare Part B. She is in dire need of placement into a nursing home as she can no longer care for herself at home. You gleaned from your reading that long-term care needed by low-income elderly people is paid by Medicaid, and you feel your patient meets the criteria. What are the steps you would take to advocate for your patient while she is still in the acute care setting? Who are some of the other health care professionals you would collaborate with to ensure your patient receives the additional healthcare coverage she needs? Analyze the role Medicaid plays in supporting long-term care for the elderly and disabled. Initial should be 400 words. Reference in APA 7th edition format.

 

Discussion: Diversity and Health Assessments

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).

Photo Credit: Getty Images

Randall’s statements sparked a great deal of controversy and debate; however, they emphasize an underlying reality in the healthcare field: different populations, cultures, and groups have diverse beliefs and practices that impact their health. Nurses and healthcare 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. Your Instructor will assign a case study to you for this Discussion.

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.
• By Day 1 of this week, you will be assigned a case study by your Instructor. Note: Please see the “Course Announcements” section of the classroom for your case study assignment.
• Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient assigned to you.
• 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 of Week 2

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

Looking From a Theoretical Lens Perspective

The language of qualitative research can be confusing. The words sound like regular English, but they have very particular meanings. To make the language even more complicated, the definitions can vary across different qualitative methodological scholars.

For the purpose of this course, distinctions between two important concepts should be considered:

1. Theoretical framework: the use of constructs and propositions a recognized theory (or theories) to a research problem, purpose, and question.
   • Examples: Social Influence theory, transformational leadership theory, game theory
2. Conceptual framework: the construction of ideas, assumptions, and beliefs sourced in both the literature and one’s own experience, which identify the main concepts that guide the formulation of the research problem, purpose, and question.
   • Examples: Concepts from positive psychology, mindfulness meditation, language development models

To prepare for this Discussion:

• Review the Learning Resources related to the use of a theoretical or conceptual framework to guide the examination of a research problem in qualitative research.

By Day 3

Post an explanation of the role of a theoretical or conceptual framework in qualitative research and provide examples from the resources you read. Use proper APA format and citations to support your post.

RESOURCES

Ravitch, S. M., & Carl, N. M. (2021). Qualitative research: Bridging the conceptual, theoretical, and methodological (2nd ed.) Sage Publications.

• Chapter 2, “Using Conceptual Frameworks in Research” (pp. 32–61)
• Chapter 3, “Critical Qualitative Research Design” (pp. 62–103)
  • “Qualitative Research Design” (focus on pp. 62-63)

Rubin, H. J., & Rubin, I. S. (2012). Qualitative interviewing: The art of hearing data (3rd ed.). Thousand Oaks, CA: Sage Publications.

• Chapter 1, “Listening, Hearing, and Sharing” (pp. 1–11)
• Chapter 2, “Research Philosophy and Qualitative Interviews” (pp. 13–24)

http://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographies

http://academicanswers.waldenu.edu/faq/72682

http://waldenwritingcenter.blogspot.com/2012/10/weathering-storm-of-problem-statements.html

http://waldenwritingcenter.blogspot.com/2012/10/weathering-storm-of-problem-statements.html

http://academicguides.waldenu.edu/rsch8310

https://class.content.laureate.net/cc041ecc15d15ed32d7d42335ec60b9c.docx

https://class.content.laureate.net/artifacts/USW1_RSCH_8310_majorAssignment1OverviewAndGuidelines.pdf

https://ezp.waldenulibrary.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=eue&AN=90147591&site=ehost-live&scope=site

https://doi-org.ezp.waldenulibrary.org/10.1177/0255761413508066

http://eric.ed.gov/?id=EJ1058505https://ezp.waldenulibrary.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=mnh&AN=24293199&site=ehost-live&scope=site

Follow the Soap Note Rubric as a guide:

Use APA format and must include minimum of 2 Scholarly Citations.

Soap Note Rubric:

  

(Student Name)

Miami Regional University

Date of Encounter:

Preceptor/Clinical Site:

Clinical Instructor: 

Soap Note # 1     Main Diagnosis: Acute Myocardial Infarction

PATIENT INFORMATION

Name:

Age: 

Gender at Birth: 

Gender Identity: 

Source: 

Allergies: 

Current Medications: 

 

PMH: 

Immunizations: 

Preventive Care: 

Surgical History: 

Family History:

Social History: 

Sexual Orientation: 

Nutrition History: 

Subjective Data:

Chief Complaint: 

Symptom analysis/HPI:

The patient is … 

Review of Systems (ROS)

CONSTITUTIONAL: 

NEUROLOGIC: 

HEENT: 

RESPIRATORY: 

CARDIOVASCULAR: 

GASTROINTESTINAL: 

GENITOURINARY: 

MUSCULOSKELETAL: 

SKIN: 

Objective Data:

VITAL SIGNS: 

GENERAL APPEARANCE: 

NEUROLOGIC:

HEENT: 

CARDIOVASCULAR: 

RESPIRATORY: 

GASTROINTESTINAL: 

MUSKULOSKELETAL:

INTEGUMENTARY: 

ASSESSMENT:

Main Diagnosis

(Include the name of your Main Diagnosis along with its ICD10 I10. (Look at PDF example provided) Include the in-text reference/s as per APA style 6th or 7th Edition. 

Differential diagnosis (minimum 3)

–

–

–

PLAN:

Labs and Diagnostic Test to be ordered (if applicable)

· – 

· – 

Pharmacological treatment: 

–

Non-Pharmacologic treatment: 

Education (provide the most relevant ones tailored to your patient)

Follow-ups/Referrals

References (in APA Style)

Examples 

Codina Leik, M. T. (2014). Family Nurse Practitioner Certification Intensive Review (2nd ed.). 

ISBN 978-0-8261-3424-0

Domino, F., Baldor, R., Golding, J., Stephens, M. (2010). The 5-Minute Clinical Consult 2010

(25th ed.). Print (The 5-Minute Consult Series).

I attached one example:

Please no plagiarism!!!