NUR505- REPLY TO DISCUSSION MARTHA – 2025 Instructor and Class Addressing the Purnell Model for Cultural Competence and its relevance for advanced practice nurse it

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NUR505- REPLY TO DISCUSSION MARTHA – 2025

Instructor and Class,

Addressing the Purnell Model for Cultural Competence and its relevance for advanced practice nurse, it is necessary to note that this theory helps nursing professionals identify twelve cultural domains where they need to practice cultural competence in order to provide high quality patient care.  These domains are as follows: heritage, communication, family roles and organization, workforce issues, bicultural ecology, high-risk behaviors, nutrition, pregnancy and childbearing, death rituals, spirituality, healthcare practices, and healthcare practitioner (Estevan, 2017).  Below, all these twelve domains will be observed in detail.

The domain of heritage refers to concepts related to country of origin, current residence, the effects of the topography of the country of origin and current residence, economics, politics, reasons for emigration, educational status, and occupations (Purnell, 2020).  The domain of communication implicates concepts related to the dominant language and dialects; contextual use of the language; nonverbal communications such as the use of eye contact, facial expressions, touch, body language, spatial distancing practices, and acceptable greetings; and the use of names (Purnell, 2020).  The domain of family roles and organization includes concepts related to the head of the household and gender roles; family roles, priorities, and developmental tasks of children and adolescents; child-rearing practices; and roles of the ages and extended family members; single parenting, sexual orientation, child-less marriages, and divorce (Purnell, 2020).

Further, the domain of workforce issues refers to concepts related to autonomy, acculturation, assimilation, gender roles, ethnic communication styles, individualism, and health care practices from the country of origin (Purnell, 2020).  The domain of bicultural ecology includes variations in ethnic and racial origins such as skin coloration and physical differences in body stature; genetic, heredity, endemic, and topographical diseases; and differences in how the body metabolizes drugs (Purnell, 2020).  The domain of high-risk behaviors includes the use of tobacco, alcohol and recreational drugs; lack of physical activity; nonuse of safety measures; and high-risk sexual practices (Purnell, 2020).

Next, the domain of nutrition includes having adequate food; food choices, rituals, and taboos; and how food and food substances are used during illness and for health promotion and wellness (Purnell, 2020).  The domain of pregnancy and childbearing refers to fertility practices; methods for birth control; views towards pregnancy; and prescriptive, restrictive, and taboo practices related to pregnancy, birthing, and postpartum treatment (Purnell, 2020).  The domain of death rituals includes how the individual and the culture view death, rituals and behaviors to prepare for death, burial practices, and bereavement behaviors (Purnell, 2020).

Finally, spirituality refers to religious practices and individual sources of strength (Purnell, 2020).  Health care practices includes the focus of health care such as acute or preventive; traditional, magicoreligious, and biomedical beliefs; individual responsibility for health; pain tolerance; self-medication practices; and views towards mental illness, and organ donation and transplantation (Purnell, 2020).  Health care practitioner refers to the status, use, and perceptions of traditional, and allopathic biomedical health care providers (Purnell, 2020).

In essence, advanced practice nurses (APNs) are expected to be well-educated and competent in all those twelve domains to be able to act professionally when facing differences and diversity related issues (Purnell, 2019).  Using the Purnell’s model, APNs can become more understanding and adaptive to various circumstances, and better able to apply culturally focused interventions.  The model helps APNs guide their thinking and decision-making process when they plan for holistic patient care (Purnell, 2019).

References

Estevan, G. (2017). Application of the cultural competence model in the experience of care in nursing professionals Primary Care. Atencion Primaria, 49(9), 549-556. doi: 10.1016/j.aprim.2016.10.013

Purnell, L. (2019). Update: The Purnell theory and model for culturally competent health care. Journal of Transcultural Nursing, 30(2), 98-105. doi: 10.1177/1043659618817587

Purnell, L. D. (2020). The Purnell Model and Theory for Cultural Competence. In Textbook for Transcultural Health Care: A Population Approach (pp. 19-59). Springer, Cham.

Lupus Patient Education Activity – 2025 A 20 year old female presents with chief complaint of fatigue anxiety and heart palpitations She has

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Lupus Patient Education Activity – 2025

A 20-year old female presents with chief complaint of fatigue, anxiety, and heart palpitations. She has recently given birth to her second child, a daughter. Initial recommendation from her follow up appointment is to rest. The patient’s symptoms worsen and then gradually resolve. Over the next year she has increased fatigue and headaches. She also starts to complain of joint pain in her ankles, knees, elbows, wrists, and fingers. Rest and over-the-counter pain medication relieve her symptoms, but it is difficult for her to find time for much rest due to the responsibilities of caring for a family and working full-time. The winter brings a new intolerance to low temperatures. She states her hands and feet becoming painful and discolored when she is exposed to cold. Her extremities became painful, stiff, and altered in color when exposed to cold temperatures. She also develops a butterfly rash.

DX: systemic lupus erythematosus.

Rx: prednisone and hydroxychloroquine

You are providing the patient with education on her new diagnosis. Create a patient teaching plan that covers the following questions.

1. What is lupus?

2. What key lifestyle changes will the patient need to address to manage her condition?

3. What are the important teaching points for her medications?

4. What are the recommendations to manage her symptoms, to avoid flare-ups, and to monitor her condition?

5. What symptoms, if they occur, should she report immediately to her provider and why?

CASE STUDY – 2025 2 references within 4years APA style minimum 300 words 4 5 sentences per question You are caring for an 82 year old

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CASE STUDY – 2025

 2 references (within 4years)

APA style

minimum 300 words (4-5 sentences per question)

You are caring for an 82-year-old woman who has been hospitalized for several weeks for burns that she sustained on her lower legs during a cooking accident. Before the time of her admission, she lived alone in a small apartment. The patient reported on admission that she has no surviving family. Her support system appears to be other elders who live in her neighborhood. Because of transportation difficulties, most of them are unable to visit frequently. One of her neighbors has reported that she is caring for the patient’s dog, a Yorkshire terrier. As you care for this woman, she begs you to let her friend bring her dog to the hospital. She says that none of the other nurses have listened to her about such a visit. As she asks you about this, she begins to cry and tells you that they have never been separated. You recall that the staff discussed their concern about this woman’s well-being during report that morning. They said that she has been eating very little and seems to be depressed.

1. Based on Nightingale’s work, identify specific interventions that you would provide in caring for this patient.

2. Describe what action, if any, you would take regarding the patient’s request to see her dog. Discuss the theoretical basis of your decision and action based on your understanding of Nightingale’s work.

3. Describe and discuss what nursing diagnoses you would make and what interventions you would initiate to address the patient’s nutritional status and emotional well-being.

4. As the patient’s primary nurse, identify and discuss the planning you would undertake regarding her discharge from the hospital. Identify members of the discharge team and their roles in this process. Describe how you would advocate for the patient based on Nightingale’s observations and descriptions of the role of the nurse.

Rheumatoid Arthritis Patient Education Activity – 2025 A 48 year old female presents stiffness in both hands in the morning for last 7 months Stiffness now lasted

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Rheumatoid Arthritis Patient Education Activity – 2025

  

A 48-year old female presents stiffness in both hands in the morning for last 7 months. Stiffness now lasted more than 1 hour every morning and includes hands, wrists and ankles. She also had increasing difficulty standing for long periods at work or at home due to foot and ankle pain. She began taking ibuprofen 800mg 3 times daily and found it helped her get through her day with less pain and stiffness. Three months ago, Joy noticed pain in her right and left shoulders when she would cut or blow dry her client’s hair. She also began feeling extremely tired and short tempered. She had no energy to do her usual activities. Ibuprofen was no longer very effective for her pain or stiffness. One morning, Joy could not lift her arms at all without extreme shoulder pain. She knew it was time to get help. 

Pt is married with 3 teenagers, and works part time as a hairdresser.

Dx: Rheumatoid Arthritis (RA) 

Rx: methotrexate, Physical Therapy

You are providing the patient with education on her new diagnosis. Create a patient teaching plan that covers the following questions. 

1. What is rheumatoid arthritis? 

2. What are the important teaching points for her medication? 

3. What are the recommendations to manage her joint pain during remission? During exacerbation?

7 C Care Management, Case Management, And Home Healthcare – 2025 Follow 3×3 Rule THREE PARAGRAPHS OF AT LEAST THREE SENTENCES EACH ONE WITH AT

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7 C Care Management, Case Management, And Home Healthcare – 2025

 Follow 3×3 Rule. THREE PARAGRAPHS OF AT LEAST THREE SENTENCES EACH ONE, WITH AT LEAST TWO  CITATIONS AND TWO REFERENCES NOT OLDER THAN 2015. 

APA STYLE. NO PLAGIARISM PLEASE.

 1. In thinking of five social determinants of health as identified in Healthy People 2020, identify the social determinants specifically that may be barriers to home care and case or care management services. Explain your answer.

Community Assessment And Analysis Presentation – 2025 The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission

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Community Assessment And Analysis Presentation – 2025

The RN to BSN program at Grand Canyon University meets the requirements for clinical competencies as defined by the Commission on Collegiate Nursing Education (CCNE) and the American Association of Colleges of Nursing (AACN), using nontraditional experiences for practicing nurses. These experiences come in the form of direct and indirect care experiences in which licensed nursing students engage in learning within the context of their hospital organization, specific care discipline, and local communities.

This assignment consists of both an interview and a PowerPoint (PPT) presentation.

Assessment/Interview

Select a community of interest in your region. Perform a physical assessment of the community.

  1. Perform a direct assessment of a community of interest using the “Functional Health Patterns Community Assessment Guide.”
  2. Interview a community health and public health provider regarding that person’s role and experiences within the community.

Interview Guidelines

Interviews can take place in-person, by phone, or by Skype.

Develop interview questions to gather information about the role of the provider in the community and the health issues faced by the chosen community.

Complete the “Provider Interview Acknowledgement Form” prior to conducting the interview. Submit this document separately in its respective drop box.

Compile key findings from the interview, including the interview questions used, and submit these with the presentation.

PowerPoint Presentation

Create a PowerPoint presentation of 15-20 slides (slide count does not include title and references slide) describing the chosen community interest.

Include the following in your presentation:

  1. Description of community and community boundaries: the people and the geographic, geopolitical, financial, educational level; ethnic and phenomenological features of the community, as well as types of social interactions; common goals and interests; and barriers, and challenges, including any identified social determinates of health.
  2. Summary of community assessment: (a) funding sources and (b) partnerships.
  3. Summary of interview with community health/public health provider.
  4. Identification of an issue that is lacking or an opportunity for health promotion.
  5. A conclusion summarizing your key findings and a discussion of your impressions of the general health of the community.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting 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.

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Discussion Question – 2025 Discussion Question How does Environmental Health influence achievements of Healthy People 2020

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Discussion Question – 2025

  

Discussion Question 

How does Environmental Health influence achievements of Healthy People 2020 and how does it influence Health of Global Community?

Must address the topic.

Rationale must be provided.

Illustrate an interdisciplinary approach to improvement of the healthcare outcomes of the vulnerable populations.

150-word minimum/250-word maximum without the references.

Minimum of two references (the course textbook must be one of the references) in APA format, must have been published within last 3-5 years.

Develop Your Position About The Individual Rights To Control The Spread Of Communicable Diseases For The Good Of Society. – 2025 Develop your position about the individual rights to control the spread of communicable diseases

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Develop Your Position About The Individual Rights To Control The Spread Of Communicable Diseases For The Good Of Society. – 2025

  

Develop your position about the individual rights to control the spread of communicable diseases for the good of society.

· Survey the role of boards of health in your community and state to determine how communicable diseases are prevented and controlled.

·150-word minimum/250-word maximum without the reference(s).

·  Minimum of one reference, APA format

Reference no older than 3 years 

Humanities – 2025 influence of Popular Culture Instructions Please complete the following steps for your discussion post After you have completed the

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Humanities – 2025

influence of Popular Culture

Instructions:

Please complete the following steps for your discussion post.

After you have completed the Unit 2 material and have considered the different theories of popular culture discussed within the unit, consider which theory you find most plausible.  For the discussion board this week please address the following in your post:

  • What are the main ideas of the theory you find most plausible? Define and discuss the theory in your own words.
  • What examples from popular culture can you find to support your theory?

Please be sure to validate your opinions and ideas with citations and references in APA format.

Psychopharmacologic Approaches To Treatment Of Psychopathology – 2025 For this Assignment as you examine the client case study in this week s Learning Resources consider

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Psychopharmacologic Approaches To Treatment Of Psychopathology – 2025

For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat pediatric clients presenting symptoms of a mental health disorder.

Learning Objectives

Students will:
  • Evaluate clients for treatment of mental health disorders
  • Analyze decisions made throughout diagnosis and treatment of clients with mental health disorders

The Assignment:

Examine Case 2: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.

At each Decision Point, stop to complete the following:

  • Decision #1: Differential Diagnosis
    • Which Decision did you select?
    • Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources. 
    • Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?
  • Decision #2: Treatment Plan for Psychotherapy
    • Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources. 
    • Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different?
  • Decision #3: Treatment Plan for Psychopharmacology
    • Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
    • What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources. 
    • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
  • Also include how ethical considerations might impact your treatment plan and communication with clients and their families.

Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.