Anxiety Disorder Discussion
Anxiety Disorder Discussion
Question Description
TEXT BOOK: SEIDEL GUIDE TO PHYSICAL EXAMINATION
APA FORMAT PLEASE
Discussion: Diversity and Health Assessments
Alice Randall wrote an article for The New York Times in May 2012 about the cultural factors that encouraged black women to maintain a weight higher than what is considered healthy. Randall explained that, based on her observations and personal experience as a black woman, many African-American communities and cultures regard overweight women as more beautiful and desirable than women of a healthier weight. “Many black women are fat because we want to be,” she explained (Randall, 2012).
Randall’s statements sparked much debate and controversy; however, they highlight an underlying reality in the health care field: different populations, cultures, and groups have different beliefs and practices that impact their health. Nurses and other health care providers should be aware of this reality and modify their health assessment techniques and recommendations to account for diversity.
In this Discussion, you will look at various socioeconomic, spiritual, lifestyle, and cultural factors that should be considered when creating a health history for patients from various backgrounds.
CASE 1 JC, an ailing 86-year-old Asian male, is physically and financially dependent on his daughter, a single mother with little time or money to devote to her father’s medical needs. He has high blood pressure (HTN), gastroesophageal reflux disease (GERD), a vitamin B12 deficiency, and chronic prostatitis. He is currently taking Lisinopril 10mg QD, Prilosec 20mg QD, monthly B12 injections, and Cipro 100mg QD. He comes in for an annual physical and says, “I came for my annual physical, but I don’t want to be a burden to my daughter.”
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CASE 2
TJ, a 32-year-old pregnant lesbian, is having a physical exam and has been experiencing vaginal discharge. So far, her pregnancy has
been trouble-free. She has been seeing an obstetrician for prenatal care. She obtained sperm from a nearby sperm bank. She is currently taking prenatal vitamins and occasionally takes Tylenol over the counter for aches and pains. She comes from a long line of diabetics. Abortions 0; Gravida 1; Para 0;
CASE 3 MR, a 23-year-old Native American male, comes in to see you because he is anxious and wants to be helped. He’s been smoking “pot” and claims to drink to help him. He expresses concern that if he continues to live this way, he will not be able to enter Heaven. He does not take any prescription medications and denies using drugs. He comes from a family of diabetics, hypertensives, and alcoholics.
TO BE PREPARED:
Consider your nursing experiences as well as the information in this week’s Learning Resources on diversity issues in health assessments.
Choose one of the three case studies. Consider the patient information provided.
Consider the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the patient’s health that you have chosen.
Consider how you would compile a patient’s medical history. What questions would you ask, and how would you phrase them so that they were sensitive to the patient’s background, lifestyle, and culture? Create five specific questions to ask the patient in order to build his or her health history and assess his or her health risks.
Consider the difficulties associated with communicating with patients from various populations. What strategies can you use as a nurse to be culturally sensitive while gathering the necessary information?
BY DAY 3
Provide an explanation of the patient’s specific socioeconomic, spiritual, lifestyle, and other cultural factors. Explain why you should be mindful of certain issues when interacting with the patient. Provide at least five specific questions that you would ask the patient in order to build his or her health history and assess his or her health risks.
Please keep in mind that you must complete your initial post before you can view and respond to your colleagues’ postings in this Discussion. Begin by clicking on the “Post to Discussion Question” link, then “Create Thread” to finish your first post. Remember that once you press the Submit button, you cannot delete or edit your own posts, and you cannot post anonymously. Please double-check your post before clicking the Submit button!
Learning Resources
REQUIRED READINGS
Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.
Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.Chapter 1, “The History and Interviewing Process” (pp. 1-20)This chapter highlights history and interviewing processes. The authors explore a variety of communication techniques, professionalism, and functional assessment concepts when developing relationships with patients.
Chapter 2, “Cultural Competency” (pp. 21–29)This chapter highlights the importance of cultural awareness when conducting health assessments. The authors explore the impact of culture on health beliefs and practices.
Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby.Chapter 2, “Evidenced- Based Health Screening” (pp. 6-9)
Melton, C., Graff, C., Holmes, G., Brown, L., & Bailey, J. (2014). Health literacy and asthma management among African-American adults: An interpretative phenomenological analysis. Journal of Asthma, 51(7), 703–713. doi: 10.3109/02770903.2014.906605
Retrieved from the Walden Library Databases.
The authors of this study discuss the relationship between health literacy and health outcomes in African American patients with asthma.
Centers for Disease Control and Prevention (2015). Cultural competence. Retrieved from https://npin.cdc.gov/pages/cultural-competence
This website discusses cultural competence as defined by the Center for Disease Control and Prevention (CDC). Understanding the difference between cultural competence, awareness, and sensitivity can be obtained on this website.
United States Department of Human & Health Services. Office of Minority Health. (2016). A physician’s practical guide to culturally competent care. Retrieved from https://cccm.thinkculturalhealth.hhs.gov/
From the Office of Minority Health, the Website offers CME and CEU credit and equips health care professionals with awareness, knowledge, and skills to better treat the increasingly diverse U.S. population they serve.
Espey, D., Jim, M., Cobb, N., Bartholomew, M., Becker, T., Haverkamp, D., & Plescia, M. (2014). Leading causes of death and all-cause mortality in American Indians and Alaska Natives. American Journal of Public Health, 104(S3), S303-S311.
Retrieved from the Walden Library databases.
The authors of this article present patterns and trends in all-cause mortality and leading cause of death in American Indians and Alaskan Natives.
Wannasirikul, P., Termsirikulchai, L., Sujirarat, D., Benjakul, S., Tanasugarn, C. (2016). Health literacy, medication adherence, and blood pressure level among hypertension older adults treated at primary health care centers. Southeast Asian J Trop Med Public Health., 47(1):109-20.
Retrieved from the Walden Library Databases.
The authors of this study explore the causal relationships between health literacy, individual characteristics, literacy, culture and society, cognitive ability, medication adherence, and the blood pressure levels of hypertensive older adults receiving health care services at Primary Health Care Centers.
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