APA STYLE.  lESS THAN 10% SIMILARITY. 

The following post is another student post to wish i have to react. Please add some extra imformation relate to what the student post. 

 

Transcultural Perspectives in Older Adults’ Care

Question 1

In developing a home care plan for a chronically ill 82 years old man living in a single-room hotel, the nurse must assess and consider a number of factors. The factors that the nurse must consider include resources available to the patient, their needs and limitations that would affect care while living at home. First, the nurse should assess the cultural values practices and availability of community resources. The presence or absence of formal and informal resources in the city will influence the client’s access to healthcare services. Cultural values such as those influencing the patient’s typical family structure will also affect their access to care. For example, Hispanic families tend to live together which means the sick and the elderly can be taken care of by members of the extended family (Miyawaki, 2016). The nurse should also consider social economic factors that affect access of the patient to care. It is important to understand whether the patient has enough money to sustain him at the hotel room and cater for health needs. For example, the nurse should assess whether the patient can afford home care services for his condition.

The nurse should assess resources based on the needs and limitations of the patient. The needs of the patient determine the type of resources and help that should be available to them. The nurse should assess both the healthcare and social needs and understand how they maybe affected by culture. For example, a diabetic patient may need access to a pharmacy or clinic where he can get insulin shots. Logistical factors such as transportation and language interact to determine access to healthcare by an elderly person. For example, the patient may need emergency treatment while staying at the hotel. The nurse should hence consider the presence of emergency transport or care in around the hotel. Cultural limitations may also affect the access to care for the patient while staying at the hospital. For example, among African American cultures, an elderly male should be taken care of by a male care taker (Bamidele et a., 2019). In such a case, the patient maybe limited if there are no male caretakers in the hotel.

Question 2

In conducting health assessment in order to develop a culturally appropriate care plan for Filipino and Chinese American clients, there are several key sets of information that a nurse should collect. First, the nurse must assess the influences of culture on how the people view aging.  For example, cultural differences may define need for help among the elder (Andres & Bolye, 2016). Culture also determines whether an old person seeks traditional healthcare practice or family remedies. For example, among the Chinese there is a simultaneous use of western and traditional health practices such as focusing on the restoration or harmony and balance between the body and spirit (Andres & Bolye, 2016). A nurse should seek to establish whether the patient uses traditional healthcare practices as a result of cultural preference or due to inadequate access to biomedical therapy. Another factor to consider in the assessment is the cultural values in regard to family. Chinese and Filipino tend to live in a family setting made of nuclear and extended families rather than isolated (Miyawaki, 2016). As such, the nurse should enquire about the living situation at home. Unlike non-Hispanic whites, Filipino and Chinese elderly may prefer to live at home with their families than in a home for the elder. Also, due to the relatively limited numbers of Filipinos in the US, a nurse must also seek to understand the patient’s preferences in environment for care. For example, the nurse may try to connect the old adult with other people from his home country. In this case, an understanding of logistics such as the ability to make it to the venue for meeting is relevant.

Question 3

In acute care setting, nurses should understand that the patient’s view of illnesses are influenced by their cultural background. For example, pain is experienced based on the cultural experiences. As such, the nurses should assess each patient’s pain tolerance, past and present experience with pain, effect of pain on their quality of life, and their understanding of what pain means (Andres & Bolye, 2016). The nurses should also assess the patient’s expectations for the treatment of the pain. In the subacute unit, the nurses should seek to understand types of treatment that patients expect for management of pain. Patients may prefer traditional methods for the management of pain which would inform the nurse on the treatment modality to use. For example, Chinese people often prefer massage therapy to pharmacological methods of pain relief (Zhang et al., 2017). After proper assessment, the nurse may opt to integrate the preferred remedies of pain with western medicine to obtain optimum result. However, it is only through proper consultation with the patient that a quality option can be acquired. As such, the nurse manager should impart the skills for assessment of cultural based experience of disease and pain to effectively produce quality result in the subacute care.

References

Andres, A.M. & Bolye, J.S. (2016).  Transcultural Concepts in Nursing Care (7th ed.).  ISBN 978-1-4511-9397-8

Bamidele, O., Lagan, B. M., McGarvey, H., Wittmann, D., & McCaughan, E. (2019). “… It might not have occurred to my husband that this woman, his wife who is taking care of him has some emotional needs as well…”: the unheard voices of partners of Black African and Black Caribbean men with prostate cancer. Supportive Care in Cancer, 27(3), 1089-1097.

Miyawaki, C. E. (2016). Caregiving practice patterns of Asian, Hispanic, and non-Hispanic white American family caregivers of older adults across generations. Journal of cross-cultural gerontology, 31(1), 35-55.

Zhang, B., Xu, H., Wang, J., Liu, B., & Sun, G. (2017). A narrative review of non-operative treatment, especially traditional Chinese medicine therapy, for lumbar intervertebral disc herniation. Bioscience trends, 11(4), 406-417.

Part #1:
Abstract

What is PTSD?

Put all work together (Team Leader). 

Part #2:

Statistics

Diagnostic criteria / Categorization

Part #3: 
Physiological Responses

Maladaptive Patterns 

Part #4:

Interventions / Treatments (pharmacological and non-pharmacological)

Part #5:

Other considerations in the management of _________ (including but not limited to management of behaviors, family considerations, challenges in the care of patients with this disorder./Conclusions

The team leader will put the work together at the end. Therefore, group members must post their parts at least 3 weeks before the due date (Friday, July 5) (due date is Friday, July 26). In this way the leader has time to put all parts together, do the conclusion and post the paper for group members to check and do suggestions. The final paper / revision is responsibility of all group members.

Please, review all the information and be sure that you understand what to do. Start working as soon as possible. Do not leave it for the end. 

Please, do not hesitate to contact me if you have any question or doubt. Please, contact me if you are having any issue with any team member or if any team member is not participating. Student that do not participate will get a “0” in the Group 

Research Project which accounts for 30% of the final grade. 

I wish you to success and learn from this group project experience.

Thank you in advance for working as a team! 

  

Learning Objectives

Students will:

· Assess client families presenting for psychotherapy 

· Develop genograms for client families presenting for psychotherapy

To prepare:

· Select a client family that you have observed or counseled at your practicum site.

· Review pages 137–142 of Wheeler (2014) and the Hernandez Family Genogram video in this week’s Learning Resources.

· Reflect on elements of writing a comprehensive client assessment and creating a genogram for the client you selected.

Assignment

Part 1: Comprehensive Client Family Assessment

Create a comprehensive client assessment for your selected client family that addresses (without violating HIPAA regulations) the following:

· Demographic information

· Presenting problem

· History or present illness

· Past psychiatric history

· Medical history

· Substance use history

· Developmental history

· Family psychiatric history

· Psychosocial history

· History of abuse and/or trauma

· Review of systems

· Physical assessment

· Mental status exam

· Differential diagnosis

· Case formulation

· Treatment plan

Part 2: Family Genogram

Develop a genogram for the client family you selected. The genogram should extend back at least three generations (parents, grandparents, and great grandparents).

Resources ( Need 3 references).

Laureate Education (Producer). (2013b). Hernandez family genogram [Video file]. Baltimore, MD: Author. 

American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.

Nichols, M., & Davis, S. D. (2020). The essentials of family therapy (7th ed.). Boston, MA: Pearson.

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer.

Assignment 1:

Ethics is the study of moral choices that conform to professional standards of conduct. Morals are rules of conduct based on standards of right and wrong. Etiquette is the prescribed code of courteous social behavior. Equity law is based on societies’ changing principles in the areas of ethics, morals, and conscience. Society has also added etiquette as being a social necessity.

Write an essay defining and describing the principles of ethics, morals, conscience, and etiquette as related to the medical office. Find and  summarize at least1 peer-reviewed article for each of the 4 categories.

Your answers will vary regarding the articles found, but the descriptions should include the following ideas:

Ethics: the rules of conduct recognized in respect to a particular class of human actions or a particular group, culture, etc.: medical ethics; Christian ethics. (ethics. (n.d.). Dictionary.com Unabridged. Retrieved September 23, 2013, from Dictionary.com website: http://dictionary.reference.com/browse/ethics).

Morals: of, pertaining to, or concerned with the principles or rules of right conduct or the distinction between right and wrong; ethical: moral attitudes. (morals. (n.d.). Dictionary.com Unabridged. Retrieved September 23, 2013, from Dictionary.com website: http://dictionary.reference.com/browse/morals).

Conscience: capable of or marked by thought, will, design, or perception (Merriam-Webster’s Medical Desk Dictionary, 1996).

Etiquette: the code of ethical behavior regarding professional practice or action among the members of a profession in their dealings with each other: medical etiquette. (etiquette. (n.d.). Dictionary.com Unabridged. Retrieved September 23, 2013, from Dictionary.com website: http://dictionary.reference.com/browse/etiquette).

Your paper must be 2–3 pages, use at least 4 peer-reviewed sources, must be written in current APA formatting, and incorporate a biblical worldview.

Assignment 2:

  

Answer the following questions in 1–2 pages (within the same document) in 12-point font and double-spaced. Format the paper in question and answer style. Answers should be in complete sentences and in your own words. Provide citations with specific answers and a reference list, at the end, in current APA format.

Use your textbook to learn more about Health Education as a profession. Visit NCHEC to answer the following questions:

1. What is the role of a Certified Health Education Specialist (CHES)?

2. How does one go about becoming a CHES?

3. Why is it important for a health educator to become certified?

4. What are the 7 responsibilities expected of health educators?

5. How do you see yourself fulfilling at least 1 of the responsibilities of health educators (even if you plan on a different career field)?

6. Browse the “job postings” tab to find CHES preferred/required job listings. Summarize a job description that looks interesting to you; explain why you are interested, and what more you would need to do to be eligible to apply. Add any further comments/questions you may have after exploring NCHEC and Health Education.

Medical Assisting

After reviewing the section on medical assisting in the course textbook, briefly describe the role of the medical assistant in today’s healthcare office. This section must be 5–6 sentences in length. How could training as a medical assistant be a valuable tool when pursuing advanced health careers (for example: physician assistant, nursing, or physical therapy)?

 Not all medical errors carry extreme consequences like those described in this week’s introduction, but they are harmful just the same. Most people have experienced some form of medical error. For example, perhaps you were prescribed a medication that interfered with another of your medications. Perhaps you received an inaccurate diagnosis that led to unnecessary testing or prolonged discomfort. For this Journal, you reflect on an experience you had with a medical error and explore tools that could have assisted in prevention.

references:

 

Johnson, J. K., & Sollecito, W. A. (2020). McLaughlin & Kaluzny’s continuous quality improvement in health care (5th ed.). Burlington, MA: Jones and Bartlett.
Chapter 9, Assessing Risk and Preventing Harm in the Clinical Microsystem (pp. 234–251)

Agency for Healthcare Research and Quality. (2019c). Measurement of patient safety. Retrieved from https://psnet.ahrq.gov/primers/primer/35/Measurement-of-Patient-Safety

Agency for Healthcare Research and Quality. (2019a). Checklists. Retrieved from https://psnet.ahrq.gov/primer/checklists?q=/primers/primer/14

Agency for Healthcare Research and Quality. (2019b). Detection of safety hazards. Retrieved from https://psnet.ahrq.gov/primer/detection-safety-hazards

Agency for Healthcare Research and Quality. (2019d). Root cause analysis. Retrieved from https://psnet.ahrq.gov/primer/root-cause-analysis 

 Describe a time when you experienced a medical error as a student, practicing nurse, patient, or family member. Be sure to explain the circumstances of the error, as well as the quality and safety methods and tools that could have helped prevent the error. Be specific and provide examples.