Tag: Clinical-Nursing

Pablo Gaborra and Carmen Medina Case studies – N512 Diverse Populations & Health Care week 4 Assignment

Question

N512 Diverse Populations & Health Care

Module 4 Assignment  

Complete the following Case Studies :

Mexican case study #2

Puerto Rican case study #2

Write a 3-4 page APA essay, using two scholarly sources in addition to the textbook.

MEXICAN CASE STUDY #2

Pablo Gaborra, aged 32, and his wife, Olga, aged 24, live in a migrant-worker camp on the eastern shore of Maryland. They have two children: Roberto, aged 7, and Linda, aged 18 months. Olga’s two younger sisters, Florencia, aged 16, and Rosa, aged 12, live with them. Another distant relative, Rodolpho, aged 28, comes and goes several times each year and seems to have no fixed address. Pablo and Olga, born in Mexico, have lived in the United States for 13 years, first in Texas for 6 years and then in Delaware for 1 year, before moving to the eastern shore of Maryland 5 years ago. Neither of them have U.S. citizenship, but both children were born in the United States. Pablo completed the sixth grade and Olga the third grade in Mexico. Pablo can read and write enough English to function at a satisfactory level. Olga knows a few English words but sees no reason for learning English, even though free classes are available in the community. Olga’s sisters have attended school in the United States and can speak English with varying degrees of fluency. Roberto attends school in the local community but is having great difficulty with his educational endeavors. The family speaks only Spanish at home. Not much is known about the distant relative, Rodolpho, except that he is from Mexico, speaks minimal English, drinks beer heavily, and occasionally works picking vegetables. The Gaborra family lives in a trailer on a large vegetable farm. The house has cold running water but no hot water, has an indoor bathroom without a shower or bathtub, and is heated with a wood-burning stove. The trailer park has an outside shower, which the family uses in the summer.  The entire family picks asparagus, squash, peppers, cabbage, and spinach at various times during the year. Olga takes the infant, Linda, with her to the field, where her sisters take turns watching the baby and picking vegetables. When the vegetablepicking season is over, Pablo helps the farmer to maintain machinery and make repairs on the property.Their income last year was $30,000. From the middle of April until the end of May, the children attend school sporadically because they are needed to help pick vegetables. During December and January, the entire Gaborra family travels to Texas to visit relatives and friends, taking them many presents. They return home in early February with numerous pills and herbal medicines. Pablo Gaborra and Carmen Medina Case studies – N512 Diverse Populations & Health Care week 4 Assignment.

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Olga was diagnosed with anemia when she had an obscure health problem with her last pregnancy. Because she frequently complains of feeling tired and weak, the farmer gave her the job of handing out “chits” to the vegetable pickers so that she did not have to do the more-strenuous work of picking vegetables. Pablo has had tuberculosis for years and sporadically takes medication from a local clinic. When he is not traveling or is too busy picking vegetables to make the trip to the clinic for refills, he generally takes his medicine. Twice last year, the family had to take Linda to the local emergency room because she had diarrhea and was listless and unable to take liquids. The Gaborra family subscribes to the hot and cold theory of disease and health-prevention maintenance.

Study Questions

1. Identify three socioeconomic factors that influence the health of the Gaborra family.

2. Name three health-teaching interventions the health-care provider might use to encourage Olga to seek treatment for her anemia.

3. Identify strategies to help improve communications in English for the Gaborra family.

4. Identify three health-teaching goals for the Gaborra family. Pablo Gaborra and Carmen Medina Case studies – N512 Diverse Populations & Health Care week 4 Assignment

5. Name three interventions Olga must learn regarding fluid balance for the infant, Linda.

6. Discuss three preventive maintenance–teaching activities that respect the Gaborra family’s belief in the hot and cold theory of disease management. Pablo Gaborra and Carmen Medina Case studies – N512 Diverse Populations & Health Care week 4 Assignment

7. Identify strategies for obtaining health data for the Gaborra family.

8. Identify four major health problems of Mexican Americans that affect the Gaborra family.

9. If Olga were to see a folk practitioner, which one(s) would she seek?

10. Explain the concept of familism as exhibited in this family.

11. Distinguish between the two culture-bound syndromes el ataque and susto.

12. Discuss culturally conscious health-care advice consistent with the health belief practices of the pregnant Mexican American woman.

13. Discuss two interventions to encourage Mexican American clients with tuberculosis to keep clinic appointments and to comply with the prescribed medication regimen.

14. Identify where the majority of Mexican Americans have settled in the United States.

PUERTO RICAN CASE STUDY #2

Carmen Medina, aged 39, lives with her husband, Raúl, aged 43, who works as a mechanic in a small auto shop.Mr. Medina has worked in the same place since he and his wife came to the United States from Puerto Rico 15 years ago. The Medinas have a 4-year-old son, José; a 16-year-old daughter, Rosa; and an 18-year-old son, Miguel. The Medinas both attended vocational school after completing high school. Mrs. Medina is employed 4 hours a day at a garden shop. She stopped working her full-time job to care for her ill mother and aged father, who do not speak English and depend on government assistance. The family income last year was $28,500. The family has health insurance through Mr. Medina’s job. Pablo Gaborra and Carmen Medina Case studies – N512 Diverse Populations & Health Care week 4 Assignment. They live in a threebedroom apartment in a low-income Illinois community. Miguel works in a fast-food store a few hours a week. Because Rosa has responsibilities at home, the Medina’s do not allow her to work outside the home. She is very close to her grandmother but avoids talking with her parents. Both Rosa and Miguel are having difficulties in school. Rosa is pregnant and the family does not know. She is planning to drop out of school, get a job in a beauty shop, and leave home without telling the family. Miguel frequently comes home late and, on occasion, sleeps out of the home. He is beginning college next semester and has plans to move out of the house during the summer. The family is having difficulty dealing with Rosa’s and Miguel’s developmental and behavioral challenges. Although Mrs. Medina is outspoken about these concerns, Mr.Medina is quiet and not actively involved in the discussion. He is more preoccupied with the family’s financial situation. Mrs. Medina’s parents are encouraging them to return to Puerto Rico.

Mr. Medina was diagnosed with hypertension 2 months ago, when he went to the emergency room for a respiratory infection. He smokes cigarettes and drinks two to three beers every evening after work. He has not followed up on his blood pressure treatment. Miguel is beginning to smoke, but not at home. José has had frequent colds and sinus allergies. He has been to the emergency room three times during the past year for respiratory infections. Mrs. Medina’s last physical examination was after she had José. She is experiencing insomnia, tiredness, headaches, and gastrointestinal problems. She is very concerned about Rosa and Miguel, her parents, and the family’s finances. Mrs. Medina is Catholic and recently has been visiting her church more often. Study Questions

1. Explain Mrs. Medina’s attitude in her relationship with her adolescent daughter.

2. Identify strategies to ensure that Rosa seeks prenatal care.

3. Identify barriers to accessing health care for the Medina family. Pablo Gaborra and Carmen Medina Case studies – N512 Diverse Populations & Health Care week 4 Assignment.

4. What are the high-risk behaviors exhibited by this family?

5. What communication barriers exist in this family that affect care delivery?

6. Discuss gender and family roles in the context of traditional Puerto Rican culture.

7. Identify socio demographic factors affecting the physical- and mental health well-being for this family.

8. Identify Puerto Rican folk practices appropriate for this family.

9. If the Medina family chose to visit a folk healer, which one(s) do you think they might visit? Why?

10. If Mrs. Medina’s parents visit a health-care provider, what might they expect?

11. Identify culturally congruent interventions to ensure compliance with Western health prescriptions for Mr. Medina.

12. Discuss the importance of respeto and familism in the Medina family.

13. Identify culturally congruent interventions for Rosa’s pregnancy.

14. Identify health-promotion and disease-prevention interventions needed for José. Pablo Gaborra and Carmen Medina Case studies – N512 Diverse Populations & Health Care week 4 Assignment

Amish and Jewish Case studies – N512 Diverse Populations & Health Care week 7 Assignment

Question

N512 Diverse Populations & Health Care

Module 5 Assignment  

Complete the following Case Studies:

Amish case study

Jewish Case study #1

Write a 3-4 page APA essay, using two scholarly sources in addition to the textbook.

AMISH CASE STUDY

Elmer and Mary Miller, both 35 years old, live with their five children in the main house on the family farmstead in one of the largest Amish settlements in Indiana. Aaron and Annie Schlabach, aged 68 and 70, live in the attached grandparents’ cottage. Mary is the youngest of their eight children, and when she married, she and Elmer moved into the grandparents’ cottage with the intention that Elmer would take over the farm when Aaron wanted to retire.  Amish and Jewish Case studies – N512 Diverse Populations & Health Care week 7 Assignment. Eight years ago, they traded living space. Now, Aaron continues to help with the farm work, despite increasing pain in his hip, which the doctor advises should be replaced. Most of Mary’s and Elmer’s siblings live in the area, though not in the same church district or settlement. Two of Elmer’s brothers and their families recently moved to Tennessee, where farms are less expensive and where they are helping to start a new church district.

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Mary and Elmer’s fifth child, Melvin, was born 6 weeks prematurely and is 1 month old. Sarah, aged 13, Martin, aged 12, and Wayne, aged 8, attend the Amish elementary school located 1 mile from their home. Lucille, aged 4, is staying with Mary’s sister and her family for a week because baby Melvin has been having respiratory problems and their physician told the family he will need to be hospitalized if he does not get better within 2 days.  At the doctor’s office, Mary suggested to one nurse, who often talks with Mary about “Amish ways,” that Menno Martin, an Amish man who “gives treatments,” may be able to help. He uses “warm hands” to treat people and is especially good with  babies because he can feel what is wrong. The nurse noticed that Mary carefully placed the baby on a pillow as she prepared to leave. Amish and Jewish Case studies – N512 Diverse Populations & Health Care week 7 Assignment. Elmer and Mary do not carry any health insurance and are concerned about paying the doctor and hospital bills associated with this complicated pregnancy. In addition, they have an appointment for Wayne to be seen at Riley Children’s Hospital, 3 hours away at the University Medical Center in Indianapolis, for a recurring cyst located behind his left ear. Plans are being made for a driver to take Mary, Elmer, Wayne, Aaron, Annie, and two of Mary’s sisters to Indianapolis for the appointment. Because it is on the way, they plan to stop in Fort Wayne to see an Amish healer who gives nutritional advice and does “treatments.” Aaron, Annie, and Elmer have been there before, and the other women are considering having treatments, too. Many Amish and non-Amish go there and tell others how much better they feel after the treatments.

They know their medical expenses seem minor in comparison to the family who last week lost their barn in a fire and to the young couple whose 10-year-old child had brain surgery after a fall from the hayloft. Elmer gave money to help with the expenses of the child and will go to the barn raising to help rebuild the barn. Mary’s sisters will help to cook for the barn raising, but Mary will not help this time because of the need to care for her newborn.  The state health department is concerned about the low immunization rates in the Amish communities. One community-health nurse, who works in the area where Elmer and Mary live, has volunteered to talk with Elmer, who is on the Amish school board. The nurse wants to learn how the health department can work more closely with the Amish and also learn more about what the people know about immunizations. The county health commissioner thinks this is a waste of time and that what they need to do is let the Amish know that they are creating a health hazard by neglecting or refusing to have their children immunized. Amish and Jewish Case studies – N512 Diverse Populations & Health Care week 7 Assignment.

Study Questions

1. Develop three open-ended questions or statements to guide you in your understanding of Mary and Elmer and what health and caring mean to them and to the Amish culture.

2. List four or five areas of perinatal care that you would want to discuss with Mary.

3. Why do you think Mary placed the baby on a pillow as she was leaving the doctor’s office?

4. If you were the nurse to whom Mrs. Miller confided her interest in taking the baby to the folk healer, what would you do to learn more about their simultaneous use of folk and professional health services? Amish and Jewish Case studies – N512 Diverse Populations & Health Care week 7 Assignment

5. List three items to discuss with the Millers to prepare them for their consultation at the medical center.

6. If you were preparing the reference for consultation, what would you mention about the Millers that would help to promote culturally congruent care at the medical center?

7. Imagine yourself participating in a meeting with state and local health department officials and several local physicians and nurses to develop a plan to increase the immunization rates in the counties with large Amish populations. What would you suggest as ways to accomplish this goal?

8. Discuss two reasons why many Old Order Amish choose not to carry health insurance.

9. Name three health problems with genetic links that are prevalent in some Amish communities.

10. How might health-care providers use the Amish values of the three-generational family and their visiting patterns in promoting health in the Amish community?

11. List three Amish values to consider in prenatal education classes.

12. Develop a nutritional guide for Amish women who are interested in losing weight. Consider Amish values, daily lifestyle, and food production and preparation patterns.

13. List three ways in which Amish express caring.

JEWISH CASE STUDY #1

Selecting a “typical” Jewish client is difficult. An ultra-Orthodox Jew has a particular set

of special needs. Yet, it is more common to see a Jew who is a middle-of-the-road

Conservative.

Sarah is an 80-year-old woman who is a first-generation American. She was

raised in a traditional Conservative home. Her husband died after 50 years of a strong

marriage. She has three children. Although her home is not kosher, she practices a

variation of kosher-style eating, avoiding pork and not making dishes that combine

meat and milk. Amish and Jewish Case studies – N512 Diverse Populations & Health Care week 7 Assignment

Two months ago, she was diagnosed with pancreatic cancer. Surgery was

attempted, but the cancer was already in an advanced stage. Chemotherapy was started,

but the cancer has progressed and is not responding to the medications. She is having

difficulty eating because of the pressure of the tumor on the gastrointestinal tract.

Discussions are being held to determine whether or not treatments should be stopped

and whether hospice care should be initiated.

Her hospital room is always filled with visitors.

Study Questions

1. What must you anticipate in discussing with Sarah her wishes regarding the continuation of medical care?

2. How would you respond to her initial decision to have surgery and initiate chemotherapy?

3. What questions do you need to ask in the initial patient interview to assess her degree of religious practice? How will you determine her spirituality needs?

4. What is your understanding of the reason she has so many visitors in her room?

5. Is hospice care appropriate for this patient?

6. Sarah dies with her family at her bedside. What interventions can you take at the time of death to demonstrate religious sensitivity to the family? What questions do you need to ask the family?

7. Describe three genetic or hereditary diseases common with Ashkenazi Jews.

8. Describe Jewish burial rituals and grieving process. Amish and Jewish Case studies – N512 Diverse Populations & Health Care week 7 Assignment

9. Discuss the laws of Kashrut in regard to food practices for observant Jewish clients.

10. What should the health-care provider keep in mind when entering a Jewish home to provide care?

11. Distinguish between the terms Sephardic and Ashkenazi.

12. How might a non-Jewish and a Jewish coworker share holidays in the workforce?

13. What is the official language the Jewish people use for prayer? Amish and Jewish Case studies – N512 Diverse Populations & Health Care week 7 Assignment

Japanese and Chinese Case studies – N512 Diverse Populations & Health Care week 7 Assignment

Question

N512 Diverse Populations & Health Care

Module 6 Assignment  

Complete the following Case Studies:

Chinese case study #1

Japanese case study #1

Write a 3-4 page APA essay, using two scholarly sources in addition to the textbook.

CHINESE CASE STUDY #1

An elderly, Asian-looking man is admitted to the emergency room with chest pain; difficulty breathing; diaphoresis; vomiting; pale, cold, clammy skin; and apprehension. Three people, speaking a mixture of English and a foreign language to one another, accompany him. The nurse tries to speak English with the man, but he cannot understand anything she says. Accompanying the elderly man are two women (one elderly and very upset and one younger who stands back from the other three people) and one younger man.

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The younger man states that the elderly man, whose name is Li Ying Bin, is his father; the elderly woman, his mother; and the younger woman, his wife. The son serves as the translator. Li Ying Bin comes from a small village close to Beijing. He is 68 years old, and he has been suffering with minor chest pain and has had trouble breathing for 2 days. He is placed in the cardiac room, and the assessment continues. Mr. Li is on vacation, visiting his son and daughter-in-law in the city. His son and daughter-in-law have been married for only 1 year, but the son has lived in the West for 7 years. Japanese and Chinese Case studies – N512 Diverse Populations & Health Care week 7 Assignment. Mr. Li’s daughter-in-law looks Chinese but was born in the United States. She does not speak very many words of Chinese. Further physical assessment reveals that Mr. Li has a history of “heart problems,” but the son does not know much about them. Mr. Li had been to the hospital in Beijing but did not like the care he received there and returned home as soon as possible. He goes to the local clinic periodically when the pain increases, and the health-care provider in China used traditional Chinese medicine, herbs, and acupuncture. In the past, those  treatments relieved his symptoms. Medications are ordered to relieve pain, and Mr. Li undergoes diagnostic procedures to determine his cardiac status. The studies reveal that he did sustain massive heart damage. Routine interventions are ordered, including heart medications, anticoagulants, oxygen, intravenous fluids, bedrest, and close monitoring. His condition is stabilized, and he is sent to the cardiac intensive-care unit. In the cardiac unit, the nurse finds Mrs. Li covering up Mr. Li until he sweats, and Mrs. Li argues with the nurse every time her husband is supposed to dangle his legs. She complains that he is too cold and brings in hot herbal beverages for him to drink. She does not follow the nurse’s and physician’s orders for dietary restrictions, and she begins to hide her treatments from the staff. Her son and daughter-in-law try to explain to her that this is not good, but she continues the traditional Chinese medicine treatments. Mr. Li is a very quiet patient. He lies in bed and never calls for help. He frequently seems to be meditating and exercising his arms. When he does talk to his son, he speaks of the airplane ride and the problems of being so high. He believes that may have caused his current heart problem. Mr. Li also wonders if Western food could be bad for his system. Mr. Li’s condition gradually deteriorates over the next few days. Nurses and physicians attempt to tell the family about his condition and possible death, but the family will not talk with them about it. Mr. Li dies on the 5th day.

Study Questions

1. If you were to go to China on a business trip, how would you design your name card so that the Chinese would not be confused?

2. If you wished to have a meeting with a Chinese delegation of health-care providers, would you expect them to be on time? Why?

3. If the meeting included a meal with Chinese food, what kinds of food would you expect to be served? How would it be presented? If something were served that you do not like, would you eat it anyway?

4. Compare and contrast the Chinese meaning of life and way of thinking with the Western meaning of life and way of thinking.

5. What are the common health risks for the development of chronic obstructive pulmonary disease among Chinese people?

6. What are some of the reasons that Mr. Li waited so long to enter the hospital? Japanese and Chinese Case studies – N512 Diverse Populations & Health Care week 7 Assignment.

7. Mr. Li did not complain of chest pain in the cardiac intensive-care unit. Is this a common behavior? Why?

8. True or False: The Chinese family will expect health-care providers at the hospital to provide most of the care for Mr. Li.

9. Why must the physician be careful with the amounts of medication ordered?

10. Mrs. Li is curt, demanding, and disagreeable toward her daughter-in-law. Why does she act this way?

11. Explain why Mr. Li blames the airplane ride and the Western food for his heart attack. Why does he meditate and do exercises?

12. Is Mr. Li’s stoicism during dying surprising? Why do the family members refuse to discuss his health and possible death?

13. What is the preferred method for handling the remains of a deceased Chinese person?

14. Describe common mourning rituals for the Chinese.

15. Describe bereavement in a Chinese family.

16. Describe a common view of death among Chinese.

 

JAPANESE CASE STUDY #1

This case study is a composite of actual situations. Marianne, who is American, and Ken Shimizu, who is Japanese, have worked in Tokyo for over 30 years as Methodist missionaries. They have annual furloughs and occasional sabbaticals, during which they visit relatives and sponsoring organizations and engage in continuing education in the United States. They met as college students in the United States, and their three grown children have established their own careers in the United States. Ken’s 98-year-old mother resides with Marianne and Ken. She is not Christian Japanese and Chinese Case studies – N512 Diverse Populations & Health Care week 7 Assignment.

but has always been extremely supportive of Ken and Marianne’s work. Ken teaches at a large Christian university, whereas Marianne has served in various church-related positions over the years. As missionaries, they live in  ubsidized post–World War II housing near Ken’s university. Marianne has been a frugal housewife, preparing local foods in the Japanese style for her family. Ken, who is nearly 60, recently learned that he has glaucoma. By the time it was discovered, he had lost a significant amount of peripheral vision. Although Marianne delivered all three children at a Christian hospital in Tokyo, she gets her annual physical examination when visiting relatives in the United States. She has never believed that the Japanese health system is as proactive as that in the United States. On her most recent visit to the United States, Marianne learned that she has hypertension. Her physician prescribed a medication that is readily available in Japan, but the physician was concerned about the level of stress in Marianne’s life. Mother Shimizu is quite confused and requires considerable care, but it is unthinkable for Ken, the only child, to put his mother in a long-term-care facility. Even if he would, the  quality of facilities in Japan leaves much to be desired. Most of the responsibility for Mother Shimizu falls on Marianne, in addition to her work.Marianne’s relatives are urging her to consider placing Mother Shimizu in a church-related life-care community near Marianne’s family in the United States, where Marianne and Ken would like to retire. Marianne’s own parents lived in this facility at the end of their lives. She is considering these issues as she returns to Tokyo.

Study Questions

1. Identify some of the cultural issues that may lead to conflict in this international family.

2. What are the family resources for this international family?

3. What factors within the Japanese health system may account for the late diagnosis of Ken’s glaucoma?

4. What practical issues might arise for the Shimizus if Mother Shimizu were placed in a long-term-care facility in the United States?

5. What dietary factors may contribute to Marianne’s hypertension? Japanese and Chinese Case studies – N512 Diverse Populations & Health Care week 7 Assignment.

6. In what ways might you consider Ken to be countercultural as a Japanese man?

7. What social pressures might Marianne have faced, given some of her choices, as a housewife in Japan?

8. What pressures will Ken likely experience as he considers how to meet the needs of both his mother and his wife?

9. Compare and contrast the fertility and mortality rates of Japan and the United States.

10. Do the traditional Japanese maintain sustained eye contact with strangers? Why or why not?

11. To which drugs might Japanese people have greater sensitivity than that of white ethnic populations?

12. How do most Japanese people meet their need for calcium? Japanese and Chinese Case studies – N512 Diverse Populations & Health Care week 7 Assignment

N512 Diverse Populations & Health Care week 7 Assignment German and Irish case studies

Question

N512 Diverse Populations & Health Care

Module 7 Assignment  

Complete the following Case Studies:

German case study

Irish case study

Write a 3-4 page APA essay, using two scholarly sources in addition to the textbook.

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GERMAN CASE STUDY

Margaret Schmidt, a terminally ill 60-year-old American of German descent, was recently admitted to a hospice service and is receiving care at home. Diagnosed with metastatic breast cancer, Margaret’s prognosis is less than 6 months. Margaret’s cancer has metastasized to her ribs and liver and often causes intense pain. Although Margaret speaks freely of her impending death, her family has expressed their discomfort at her decision to secure hospice care. Over the last 10 years, Margaret, a nurse, has practiced homeopathy (for herself and others) and consults frequently with a medical intuitionist. She follows the medical intuitionist’s recommendations to attenuate her symptoms but avoids, when she can, the traditional cancer pain–management therapies. Medical staff and her family have entered into continuous discussions with her about her lack of acceptance of traditional medical approaches. Margaret remains unconvinced of their value within her scheme of care. Margaret maintains a strong belief in an afterlife, believing that she will be reunited with her husband. Margaret meditates daily, calling upon her spiritual guides and angels for strength and peace in the dying process. She often asks those around her to join her during this time. N512 Diverse Populations & Health Care week 7 Assignment German and Irish case studies.

Study Questions

1. What experiences have you had with patients of German descent?

2. How does Margaret’s German ancestry mold her beliefs about medical treatment?

3. What Western medicine concepts complicate the staff and family’s understanding of Margaret’s self-prescribed medical regimen?

4. How do you, as a health-care professional, feel about the use of homeopathic remedies?

5. What is your view of the use of medical intuitionists and other nonWestern health practices?

6. How do Margaret’s health-care choices differ or match your own?

7. How do you deal with cultural health practices unlike your own?

8. Discuss Margaret’s desire to control her life even through terminal illness.

9. Relate Margaret’s strong spiritual beliefs in an afterlife to her ability to cope with her impending death.

10. Describe a plan of care that is culturally sensitive to the patient and her family.

11. How can your knowledge of the German American culture positively influence health outcomes for Margaret?

12. Discuss the cultural filters you may use as you assist Margaret in her health-care decisions.

13. Describe the enculturation you, as a health-care professional, have experienced and how this influences your own health-care decisions.

 

IRISH CASE STUDY

The O’Rourke family lives on a small farm in Iowa and comprises David, aged 30; his wife, Mary, aged 29; and two children: Bridget, aged 7, and Michael, aged 6. Both David and Mary are second-generation Irish. Before purchasing their farm 5 years ago, David sold farm equipment in Ohio. The O’Rourkes are Catholic; Mary converted to atholicism when they married. David, who works long hours outdoors, is concerned about profitability from his corn crop because of the unpredictable size of the harvest, and thus, his income varies depending on the weather.Mary did not work outside the home because she wanted to be with their children until they started school. However, because both children are now school age, Mary has discussed with David the possibility of working part time to supplement the family income. He would prefer that she stay at home, but Mary is anxious to return to the workforce and believes the timing is right. N512 Diverse Populations & Health Care week 7 Assignment German and Irish case studies.

Both David and Mary are happy with just two children and do not desire more. They use the rhythm method for family planning.  Eating a healthy breakfast is important to the O’Rourkes. Because eggs are readily available on the farm, they have fried eggs with potato bread and juice at least four times a week. Their main meal in the evening usually includes meat, potatoes, and a vegetable. David enjoys a glass of beer with dinner.  David has been a little edgy lately because of his concerns about the corn crop. He admits to having some minor chest pain, which he attributes to indigestion. His last visit to a physician was before their marriage. Mary knows David is concerned about finances and believes it would help if she had a job. Bridget and Michael spend a lot of time outside playing and doing some minor chores for their parents. Both children enjoy school and are looking forward to returning in the fall. Bridget is starting to show concern over her appearance. She does not like her red hair and all the freckles on her face. Her teacher has noted that Bridget has trouble reading and may need glasses. Michael wants to be a farmer like his Dad but worries about his Dad being tired at night.

The O’Rourkes have not taken a vacation since they were married. They go to the state fair in the summer, which is the extent of their trips away from home. They are active in the church and attend services every Sunday.

Study Questions

1. Describe the O’Rourke family structure in terms of individual roles.

2. Identify two potential health problems related to the O’Rourke’s dietary practices.

3. Identify potential health-risk factors for the O’Rourkes as a family unit and for each family member.

4. Explain the relationship between risk factors and ethnicity specific to the O’Rourke family and their Irish heritage.

5. Describe culturally competent health-promotion strategies for the identified risk factors for the O’Rourke family.

6. Describe the O’Rourke family’s fertility practices. Are they congruent with their Irish background and religious beliefs?

7. Describe the O’Rourke family’s communication patterns.

8. What are the predominant health conditions among Irish immigrants? N512 Diverse Populations & Health Care week 7 Assignment German and Irish case studies

9. Explain the significance of the Great Potato Famine for Irish Americans.

10. Name two genetic diseases common among Irish Americans.

11. Identify accepted fertility practices for Irish American Catholics.

12. Identify three sources of strength for the Irish American in times of illness.

13. Identify traditional home remedies commonly used by Irish Americans.

N512 Diverse Populations & Health Care week 7 Assignment German and Irish case studies

N512 Diverse Populations & Health Care week 8 Assignment

Question

N512 Diverse Populations & Health Care

Module 8 Assignment  

Signature Assignment

A nurse educator is preparing an orientation on culture and the workplace. There is a need to address the many cultures that seek healthcare services and how to better understand the culture. This presentation will examine the role of the nurse as a culturally diverse practitioner.

Choose a culture that you feel less knowledgeable about

Compare this culture with your own culture N512 Diverse Populations & Health Care week 8 Assignment

Analyze the historical, socioeconomic, political, educational, and topographical aspects of this culture

What are the appropriate interdisciplinary interventions for hereditary, genetic, and endemic diseases and high-risk health behaviors within this culture?

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What are the influences of their value systems on childbearing and bereavement practices

What are their sources of strength, spirituality, and magicoreligious beliefs associated with health and health care?

What are the health-care practices: acute versus preventive care; barriers to health care; the meaning of pain and the sick role; and traditional folk medicine practices?

What are cultural issues related to learning styles, autonomy, and educational preparation of content for this culture?

This PowerPoint® (Microsoft Office) or Impress® (Open Office) presentation should be a minimum of 20 slides, including a title, introduction, conclusion and reference slide, with detailed speaker notes and recorded audio comments for all content slides. Use at least four scholarly sources and make certain to review the module’s Signature Assignment Rubric before starting your presentation. This presentation is worth 400 points for quality content and presentation. N512 Diverse Populations & Health Care week 8 Assignment

N508 Theory and Research weekly discussions

Question

N508 Theory and Research

Module 1 Discussion

Why is a literature review an important part of the planning phase?  What impact should the literature have on current research?

 

N508 Theory and Research

Module 2 Discussion

How are theory and research connected? Provide one example of how theory supports research or how research supports theory from the nursing literature. N508 Theory and Research weekly discussions

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N508 Theory and Research

Module 3 Discussion

How has history defined and shaped modern ethics in nursing research? What are some additional issues or personal examples you can think of that can further our understanding of ethics in research? Explain.

 

N508 Theory and Research

Module 4 Discussion

What are some issues to consider when using face validity? What are some potential pitfalls to avoid, and how would you avoid them? Give a couple examples

 

N508 Theory and Research

Module 5 Discussion

In your opinion, is it possible to perform a truly and totally pure structured interview? For example, how can you negotiate a participant that tends to add more than the question requires? Explain.

 

N508 Theory and Research

Module 6 Discussion

Discuss the focus of ethnographic analysis. How do you plan to account for such issues as bias, subjectivity, and objectivity in order to provide a quality and ethical ethnographic analysis? Give a few examples

 

N508 Theory and Research

Module 7 Discussion

Argue the pros and cons of evidence-based practice (EBP). Why would a focus on EBP be good for the discipline of nursing? How can barriers to the use of EBP be overcome? N508 Theory and Research weekly discussions

 

N508 Theory and Research

Module 8 Discussion

Visit an Internet resource devoted to evidence-based practice (Cochrane Collaboration, AHRQ’s National Guideline Clearinghouse, or Bandolier Evidence Based Journal). Review a summary systematic review on a topic of interest. Present your findings to your classmates, and illustrate how this may or may not be used in practice.

Ways of Knowing Essay – N508 Theory and Research Module 1 Assignment

Question

N508 Theory and Research

Module 1 Assignment

Reflect upon a patient care encounter from personal practice in which principles from Barbara Carper’s theory of “Ways of Knowing” were used. Illustrate how each fundamental pattern for nursing knowledge contributed to the care of this patient.

Select a particular area of nursing that is of interest to you. Elaborate on the specifics of nursing research in relation to this area— what can be accomplished by it, and why you believe it to be valuable. Include an explanation of the following questions in your response.

What role does nursing research play in the development of applied medicine?

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What are the best methods for conducting such research? Include specific topics you will cover, and how this relates to your literature review.

How do you know whether a topic qualifies as research worthy? What criteria make a topic acceptable for research?

The assignment should be between 1500 and 2000 words in length and contain at least two scholarly sources, in addition to the textbook and provided material.  Please submit your assignment in one APA formatted document. Ways of Knowing Essay – N508 Theory and Research Module 1 Assignment

concept analysis – N508 Module 2 Assignment

Question

N508 Theory and Research

Module 2 Assignment

Complete a concept analysis on one of the following topics. Utilize the Overcoming concept analysis as an example. This part of the assignment should be at least 1000 words and contain the following parts: Introduction, Definition and Uses of the Concept, Defining Attributes, Antecedents, Consequences, Model Case, Borderline Case, Contrary Case, and Implications for Nursing Practice. Your chosen defining attributes should be clearly identified in each of the three cases.

Hope

Caring

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Trust

Teamwork

Appraise ways in which your nursing practice (patient care, education, research, administration, etc.) has been influenced by nursing (or borrowed) theory.

The assignment should be between 1500 and 2000 words in length and contain at least two scholarly sources, in addition to the textbook and provided material.  Please submit your assignment in one APA formatted document. concept analysis – N508 Module 2 Assignment

N508 Module 3 Assignment – Research Design

Question

N508 Theory and Research

Module 3 Assignment

Visit the Center for Disease Control Emerging Infectious Disease website. Choose one journal, article, or case study and explain the type of research design that was used in this study. Summarize your source, and be sure to include an explanation of the following questions in your response:

Is it evident that primary, secondary, or meta-analysis was used?

What role did surveys play, if any? Explain.

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Were there any flaws or discrepancies in the data? Why or why not?

Locate two journal articles, one that uses descriptive epidemiology, and the other that uses analytic epidemiology. Summarize each article and compare and contrast the research designs.

Review this site: http://www.onlineethics.org/cms/8116.aspx then write a summary of recommendations on Protecting Research Participants.

The assignment should be between 1500 and 2000 words in length and contain at least three scholarly sources, in addition to the textbook and provided material. Please submit your assignment in one APA formatted document. N508 Module 3 Assignment – Research Design

University nurse faculty roles

The university faculty member must demonstrate proficiency in each of the following faculty roles: Teacher, Scholarship, Expert Clinician, and Service (to the nursing program, the college or university, the profession, the community).

Discuss the challenges associated with this multidimensional role.

What are your strengths related to each of these roles?

What are your weaknesses related to each of these roles?

What supports will you need as you enter the academic environment?

University nurse faculty roles

Write 250-350 words

In-text citation

At least 3 references including articles from professional and research journals

APA format

Use the third person such as author not “I”

Rubric

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Well-developed ideas, introduces new ideas, stimulation discussion

Clear evidence of critical thinking-application, analysis, synthesis and evaluation. University nurse faculty roles

My point of view regarding questions which you may use/ add in the paper….I may not answer them correctly !

Weakness:
Environment that is not familiar with.

Public speaking in front of the big group…this will go away with repetitions/practice

Lack of experience in teaching

Strength:
compassion and empathy to others.

                 
Communicate effectively with patients, families, and other medical staff

Time management

Question 4: What support do you need as you ….     I think : orientation of institution, feeling of welcome, team work,etc University nurse faculty roles

 

University faculty roles

Discuss the challenges associated with this multidimensional role.

Nurses play a multidimensional role as faculty members. Firstly, they play different roles across practice contexts to include clinical leadership. This is a challenge since the nurses’ role is plagued with confusion over the lack of clarity as regards appropriateness for purpose and function across different nurse practice contexts. This is especially of concern in the face of changing faculty models that drive the emergency of new roles that further cloud nurse role purpose and positioning. Secondly, there is a challenge on how nurses should address diversity within their practice environments, especially in the face of changing demographic patterns in the workplace. The challenge is in how to understand the different multicultural expectations, beliefs and values that influence their practice as concerns cultural safety and competence. University nurse faculty roles. Finally, integrating technology presents a challenge. This is especially true with regards to assuring that the technology is used in an ethical manner, adequate training is received to enable competent use, benefits and costs are balanced, and human element is balanced with technology (Gaberson, Oermann & Shellenbarger, 2015).

What are your strengths related to each of these roles?

American Nurses Association (2010) identifies the strengths related to faculty roles as the qualities that enhance the faculty experience and improve efficiency and effectiveness in tasks completion. These include compassion and empathy for others, accountability, attention to detail, and willingness to learn. Other strengths include the capacity to communicate effectively with other stakeholders, and good time management (American Nurses Association, 2010) University nurse faculty roles.

What are your weaknesses related to each of these roles?

American Nurses Association (2010) identifies the weaknesses related to the faculty roles as the qualities that compromise the faculty experience and hinder effectiveness and efficiency in tasks completion. These include working in a new and unfamiliar environment, requirement to engage in public speaking and address large populations, diversity and multiculturalism as well as lack of experience in completing some tasks. It is anticipated that these weaknesses will become less of a concern over time as the roles become more familiar (American Nurses Association, 2010).

What supports will you need as you enter the academic environment?

Billings and Halstead identify the supports needed when entering the academic environment as the wide range of school resources, educational services and instructional methods that aid students in efforts to generally succeed in school, meet the learning standards, catch up with other students, and accelerate the learning progress. Three types of support are identified as necessary. The first type is needs-based support that offers intensive/supplemental guidance, practice and instruction to students who either have specialized learning needs or are struggling academically. The second type is skill-based support that offer concentrated guidance, practice and instruction in communicating, writing and reading. For instance, focusing on technological literacy. The third type is relationship-based support that help students understand and build stronger relationships with other students and faculty members (Billings & Halstead, 2016) University nurse faculty roles.

 

References

American Nurses Association (2010).
Scopes and standards of practice nursing
(2
nd
ed.). Silver Spring, MD: Author.

Billings, D. M. & Halstead, J. A. (2016).
Teaching in nursing: a guide for faculty
(5
th
ed.). St. Louis, MO: Elsevier.

Gaberson, K. B., Oermann, M. H. & Shellenbarger, T. (2015).
Clinical teaching strategies in nursing
(4
th
ed.). New York, NY: Springer Publishing Company University nurse faculty roles.