Case Study Week 8

A 63 years old obese female presents with 4 to 5 months history of mid-epigastric pain that is worse after eating. She is unable to identify any specific foods that may be triggering the symptoms. She denies excessive gas, denies regurgitation of food or a water brash. She has normal daily bowel movements but states that sometimes her stools are very dark. She denies nausea and vomiting. She has no previous history of these symptoms and they are becoming disruptive in her daily life. She has been taking TUMs, “like they are candy.”

Past Medical History: surgical menopause at age 35 secondary to endometriosis, hypertension (HTN), diabetes mellitus Type II, morbid obesity, dyslipidemia. Surgical History: T&A as child, total abdominal hysterectomy with bilateral salpingo-oophorectomy, appendectomy, cholecystectomy. Her medication regimen includesPremarin 0.625mg q day, lisinopril 10mg q day, metformin 500mg bid, and atorvastatin 40mg q HS. VS: BP 145/94, P 90, R 18, T 98.2. The patient’s height is 5’4” and her weight is 225lbs., consequently her BMI is 38.6.  Physical examination is within normal limits.

Questions for response:

1. What additional history would you like for this patient?

2. If you plan to start drug treatment today

a. what is your choice, the dose, and the duration of the treatment?

b. what are some alternatives to this choice

c. what is your rationale for this choice

3. What risk factors for this patient will guide your choice?

4. Are there any major drug-to-drug interactions, side effects or adverse reactions to this drug?

5. Provide patient education regarding the use of this drug. Besides drug therapy, are there any other interventions you would consider or recommend?

References less than 5 years and at least 6. no less than 2 pages

Select an ethnic minority group that is represented in the United States (American Indian/Alaskan Native, Asian American, Black/African American, Hispanic/Latino, Native Hawaiian, or Pacific Islander). Using health information available from Healthy People, the CDC, and other relevant government websites, analyze the health status for this group.

In a paper of 1,000-1,250 words, compare and contrast the health status of your selected minority group to the national average. Include the following:

1.Describe the ethnic minority group selected. Describe the current health status of this group. How do race and ethnicity influence health for this group?

2.What are the health disparities that exist for this group? What are the nutritional challenges for this group?

3.Discuss the barriers to health for this group resulting from culture, socioeconomics, education, and sociopolitical factors.

4.What health promotion activities are often practiced by this group?

5.Describe at least one approach using the three levels of health promotion prevention (primary, secondary, and tertiary) that is likely to be the most effective in a care plan given the unique needs of the minority group you have selected. Provide an explanation of why it might be the most effective choice.

6.What cultural beliefs or practices must be considered when creating a care plan? What cultural theory or model would be best to support culturally competent health promotion for this population? Why?

Cite at least three peer-reviewed or scholarly sources to complete this assignment. Sources should be published within the last 5 years and appropriate for the assignment criteria and public health content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

Part 1

With a society that is so diverse in its own nature, issues pertaining to cultural diversity are bound to occur in the process of team management and leadership. Using the ————-University Online Library or the Internet, research about cultural diversity. Based on your research and understanding, answer the following questions:

· How does having members of different cultures on a team affect the team’s performance?

· How would you incorporate a person from a culture of your choice into your team, keeping in mind communication differences within your and the chosen culture?

Part 2

In the years to come, cultural diversity will only continue to increase. I don’t think nursing is educated well enough on culture. Every day we encounter patient after patient with different beliefs, practices, etc. However, we don’t encounter a well diverse of cultures. Of course, the diversity of people will depend on where we live. For example, a New York healthcare provider will possibly experience more diversity than someone in Kentucky or North Dakota. As far as having different cultures on a team, it can be beneficial, but it can also be degrading to some team members. Those team members who are the only one, like a team of eight members, four Caucasian, two African-American, one Asian and one Middle Eastern, the Asian and Middle Eastern may grow tired of being the only resource. In addition, because the Asian and Middle Eastern are the only ones, stereotypes are bound to be formed. The bad part about nursing is that we form opinions and pass it on to our coworkers instead of being positive and forming our own opinions. “Regardless of the personal background of the nursing faculty, there are some who contend that what Campinha-Bacote (1999) terms ‘unconscious incompetence’ with regard to diversity issues is the norm”(Bednarz, Schim, & Doorenbos, 2010). Performance wise, some cultures are known to work harder, whereas Americans get the stereotype of being “lazy.” Having different cultures will add some insight and possible comfort to patients of their own or similar culture.

When incorporating someone into my team regardless of their culture, they would be treated the same. Yet, I would take the time to discover aspects of their culture and how to use that in my everyday practice. I understand how it feels to be excluded, looked at differently or judged, so communication wise we would figure out a way that works for the patients and us. “Working with diversity also can be described in terms of opportunities and pearls. Facing the challenges of a diverse student body can be seen as a learning adventure” “(Bednarz, Schim, & Doorenbos, 2010).

Students, please view the “Submit a Clickable Rubric Assignment” in the Student Center.
Instructors, training on how to grade is within the Instructor Center.

 Click the link above to submit your assignment
 

 Assignment 1: Marketing and the Health Care System
 

Due Week 4 and worth 300 points

Select a health care provided with which you are familiar and write a four to six (4-6) page paper in which you:

1. Determine the direct impact of marketing for the health care provider you selected.
2. Outline a strategy for the health care provider you selected to determine the utilization of its products or services.
3. Outline a marketing strategy for the health care provider you selected.
4. Recommend at least three (3) separate ways the health care provider you selected could shape the buying decisions of its customers.
5. Provide at least three (3) qualified sources, e.g., peer-reviewed journals, professional organization Website, or health care provider Websites.

Your assignment must follow these formatting requirements:

• Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
• Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

• Describe the health care system and the role of marketing.
• Analyze the competitive environment of a health services organization and identify a course of action that will allow for strategic marketing success.
• Use technology and information resources to research issues in health services marketing.
• Write clearly and concisely about health services marketing using proper writing mechanics.

Grading for this assignment will be based on answer quality, logic/organization of the paper, and language and writing skills.