Ethnographic Analysis

Ethnographic Analysis

 

Precious Teasley

 

Southern New Hampshire University

 

IHP-501-Q2461 Global Health and Diversity

23TW3

 

Professor Carolina Baldwine

 

February 23, 2023

 

Ethnographic Analysis

Ethnicity: Analyze the impact of ethnicity on population identification. What impact does ethnicity have on cultural notions of identity?

Ethnicity is a complex and multifaceted concept that can influence how individuals view themselves and their identities. It is commonly described as a shared cultural heritage and identity based on shared ancestry, language, religion, and traditions. Ethnicity can significantly shape an individual’s identity and impact their beliefs, behaviors, and experiences.

For many individuals, ethnicity is a fundamental aspect of their identity and can be a source of pride and belonging. Ethnic identity can influence how individuals view themselves and their place in society and relate to others from similar or different ethnic backgrounds (Stets& Fares, 2019). When members of various ethnic groups have opposing goals or worldviews, ethnicity can become a divisive factor.

Cultural conceptions of identity can vary widely across different ethnic groups and may be influenced by various factors, including history, geography, language, religion, and political systems. For example, some cultures may put a lot of value on individual success and achievement, while others may put a lot of value on how close people are to their families and communities. In some cultures, a person’s ethnic identity may be closely tied to their religious beliefs, while in others, ethnicity may be primarily based on shared ancestry and cultural traditions.

Ethnic identity can also be influenced by broader social and cultural factors, such as discrimination, prejudice, and stereotyping. For example, individuals from ethnic minorities may experience discrimination based on ethnicity, which can impact how they view themselves and their place in society. On the other hand, individuals from majority ethnic groups may take their ethnic identity for granted and not consider its influence on their worldview and experiences.

Assess the risks associated with the health concern for the patients and their loved ones.

The stakes of a health issue for patients and their loved ones can be incredibly high and may vary depending on the specific health condition and its severity (Wynn, 2020). Health difficulties can generally impact a patient’s physical, mental, and social health and other aspects of their life. Some potential stakes of a health issue for patients and their loved ones may include Physical health: Health issues can have significant impacts on a patient’s physical health, including pain, discomfort, limited mobility, and reduced quality of life. Sometimes, health issues may be life-threatening and require urgent medical intervention.

Emotional well-being: Health issues can also significantly impact a patient’s emotional well-being, including stress, anxiety, depression, and fear. Patients may experience various emotions related to their diagnosis, including shock, disbelief, and anger. Social relationships: Health issues can also impact a patient’s social relationships and support systems. Patients may experience isolation, loneliness, and social stigma related to their health condition. Loved ones may also experience stress and anxiety related to supporting the patient and managing the impact of the health issue on their own lives.

Explain how patients in this population conceptualize sickness.

Patients’ conceptualizing of illness can vary widely based on cultural, social, and personal factors. Patients’ beliefs about illness are generally shaped by their cultural background, religious beliefs, education, socioeconomic status, and previous experiences with healthcare. Understanding how patients in a particular population conceptualize illness is important for healthcare providers to provide effective care.

In some cultures, illness is conceptualized as being caused by supernatural or spiritual factors, such as a curse or divine punishment (Fox et al., 2018). In these cases, patients may seek the help of traditional healers, shamans, or religious leaders, in addition to seeking medical treatment. In other cultures, illness may be viewed as being caused by imbalances in the body’s energy or by environmental factors, such as climate or pollution. Patients in some populations may also have specific beliefs about the causes of certain illnesses and may attribute illness to factors such as diet, lifestyle, genetics, or exposure to toxins. Patients may also have beliefs about the progression of illness and may expect certain symptoms or stages to occur over time.

Determine the social stressors that patients may face due to their condition.

Patients with illnesses may experience a range of social stresses that can impact their overall well-being and quality of life (Alnazly et al., 2021). Some social stresses that patients may experience due to illness include Social isolation: Patients with illnesses may experience social isolation due to physical limitations, the stigma associated with their illness, or a lack of understanding and support from family and friends. Financial stress: Illness can be expensive to manage, and patients may experience financial stress due to medical expenses, lost income, or changes in insurance coverage. Cultural barriers: Patients may also experience cultural barriers when seeking care, including language barriers or a lack of understanding of their cultural beliefs and practices.

Consider the impact of the clinical environment on your interaction with the patient.

The clinical setting can significantly impact the relationship between healthcare providers and patients. Some potential impacts of the clinical setting on the relationship between healthcare providers and patients include Power dynamics: The clinical setting can create a power dynamic between healthcare providers and patients in which the healthcare provider is perceived as having more knowledge and expertise.

This power dynamic can impact the patient’s willingness to share information, ask questions, and actively participate in their care. Time constraints: Healthcare providers in clinical settings are often under time constraints, which can limit the amount of time they spend with each patient. This can impact the quality of the relationship between healthcare providers and patients, as patients may feel rushed or not fully heard. Physical environment: The physical environment of the clinical setting can impact the patient’s comfort and sense of safety. For example, a cold, sterile environment may create a sense of discomfort or anxiety for patients.

 

 

 

 

 

 

 

 

 

 

References

Alnazly, E., Khraisat, O. M., Al-Bashaireh, A. M., & Bryant, C. L. (2021). Anxiety, depression, stress, fear and social support during the COVID-19 pandemic among Jordanian healthcare workers.  Plos one,  16(3), e0247679.

Fox, A. B., Earnshaw, V. A., Taverna, E. C., & Vogt, D. (2018). Conceptualizing and measuring mental illness stigma: The mental illness stigma framework and critical review of measures. Stigma and health, 3(4), 348.

Stets, J. E., & Fares, P. (2019). The effects of race/ethnicity and racial/ethnic identification on general trust.  Social Science Research,  80, 1-14.

Wynn, Franklin. “Burnout or Compassion Fatigue? A Comparative Concept Analysis for Nurses Caring for Patients in High-Stakes Environments.”  International Journal for Human Caring 24.1 (2020).

What are considered the basic human emotions and how do they motivate human behavior?

1-What are considered the basic human emotions and how do they motivate human behavior? For this assignment:

  • Create a SIX -slide PowerPoint presentation.
  • Detail the basic human emotions and how they motivate human behavior.
  • Provide personal examples of how your behavior is motivated in different situations by the basic emotions.
  • Use the SPEAKER Notes section for each slide to fully explain your answers.

This assignment should be in current APA Style with both a title slide and a reference list that includes all of the sources used. At least one scholarly source must be included and cited correctly.

DUE DATE MARCH 11, NO PLAGIO MORE THAN 10 %

6 SLIDES

Develop a comprehensive plan of care/treatment with short and long term goals and include safety needs, special considerations regarding personal needs, cultural/spiritual implications, and needed health restoration, maintenance, and promotion.

In this third and final submission of your Course Project, you will be completing a comprehensive care plan. This written assignment should include the following:

Comprehensive Plan of Care

Develop a comprehensive plan of care/treatment with short and long term goals and include safety needs, special considerations regarding personal needs, cultural/spiritual implications, and needed health restoration, maintenance, and promotion.

 

The patient was selected from a group of adult patients who presented to the clinic complaining of experiencing intermittent chest pains. Most patients who contributed to the clinic with this chief complaint were older adults over 62 with terminal illnesses such as heart attacks, cancers, and lung diseases. As a result, the patient became a perfect candidate for this project. The patient has consented to be involved in the project and has agreed to provide the information required.

The patient identifies himself as Shawn Davis (S.D). The patient is a 47 year old African American male who presents to the clinic complaining of experiencing intermittent chest pains that began two weeks ago when he was trimming grass in his backyard. The patient suggests that he has been feeling generally weak and tired for the past two days after the onset of the symptoms. The patient explains that the pain mainly occurs in the midstream and intermittently twice or thrice in one week. The patient states that he feels like the pressure is being exerted on his chest or a pressing heavy weight. The patient suggests that he has tried self-medication using anti-acids and massaging the chest to relieve the feeling, but there is no relief. He explains that when he ignores the pain, it radiates to the neck. He also suggests that he experienced symptoms such as shortness of breath when he was experiencing pain and reduced pain after rest, coughing, and nausea. The patient appears to be generally strong, and he sits upright. He has clear communication, and he has dressed appropriately for his age. After the assessment, the patient was diagnosed with pneumonia, which affected the lungs, thus causing chest pain.

The patients live with his wife, and he has two sons. He works as a janitor in the city and primarily works in dusty compounds that can cause bacterial infections. His wife works as a teacher in an elementary school; one of his sons is a police officer; the other is in college pursuing a degree in mechanical engineering. The patient’s wife has no health complaints or conditions. The patient’s grandparents are both deceased. The grandfather died at the age of 93 years due to hypertension and obesity, while the grandmother died at 90 due to Alzheimer’s disease. Both parents are alive and live in the countryside, where they work as farmers. The father is 70 years old and has a history of diabetes. The mother is 68 years old, and he has a history of asthma and eczema. The patient explains that he does not smoke tobacco or use illegal drugs but consumes a can of beer daily after work. He also explains that he exercises regularly to stay fit and avoid obesity. The patient denies being allergic to any foods or medication. The patient states that he has been involved in two surgeries. One of the surgeries was on his knee due to an injury he acquired while playing football. He also had back surgery due to an injury received while playing football leading to the end of his career as a football player. The patient is a Christian and appears very religious since he keeps stating that God will help him overcome the pain.

The patient explains he is currently under pneumonia medications, BOTH azithromycin, and erythromycin. Pneumonia is a bacterial infection that affects the air sacs in the lungs, causing fluid or pus to fill in the air sacs and causing difficulty breathing, chest pain coughs, and nausea (Kumar & Raghavendran, 2021). Patients with pneumonia can present different signs and symptoms, such as experiencing chest pains, fatigue, shortness of breath, and coughs. Other germs cause pneumonia, the most common being bacteria and viruses that an individual inhales. Based on the patient assessment, he suggested that he works as a janitor and may have encountered pneumonia germs while working. The patient has been introduced to antibiotic medications to treat pneumonia and relief chest pain and shortness of breath. In the patient’s case, his pneumonia has been caused by a bacterial infection, which makes it possible to treat it using antibiotics. In cases where a virus infection has caused a patient’s pneumonia, the patient cannot receive antibiotic medication since they are ineffective. The patient has been prescribed azithromycin antibiotics since they are most effective in adults. Antibiotics help in killing the bacteria and make them unable to replicate.

As a result of consuming antibiotics, the patient will experience different side and adverse effects. One of the side effects is that they may experience gastrointestinal discomforts such as diarrhea, stomach upset, loss of appetite, and vomiting. Other side effects the patient may experience are skin issues such as allergic reactions, skin swelling, yeast infection, and sensitivity to sunlight. Antibiotics help the body by killing all bacteria in the body. Some of these bacteria are useful in the body since they assist in digesting food and boosting our immune system (Hamao et al., 2019). When one consumes antibiotics, it destroys some beneficial bacteria, which causes some complications in the body. After the patient was prescribed the antibiotics, he was educated on the side effects that he may experience and how to deal with the side effects. He was also educated on the most appropriate lifestyle to help him heal faster and boost his immunity.

 

References

Hamao, N., Ito, I., Konishi, S., Tanabe, N., Oi, I., & Hirai, T. (2019). Frequency of side effects in the antibiotic treatment for pneumonia.

Kumar, A., & Raghavendran, M. (2021). Ventilator-associated pneumonia. RGUHS Journal of Nursing Sciences,  11(2).

 

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Diagnosis

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

A brief medical/health history

Disruptions in one’s standard patterns of thought, perception, emotion, language, and sense of self and behavior define schizophrenia, a long-lasting and plain mental condition that disturbs more than 21 million personalities universally. Hallucinations, most often including inquiry voices or seeing effects that be situated there, and misbeliefs, characterized by firm, incorrect beliefs, are common. A man in his 20s who sought help at a mental health facility said that he had lost weight and heard voices for the last ten months. He also said he wandered throughout the town and was occasionally violent against his mother and sister when he did come home. The patient elaborated that he also felt threatened and believed that others intended to hurt him. The patient said he called in sick to work and requested a replacement, but he never showed up for his shift again. His leave of absence began a month after he earned payment for tasks completed while on the job. He decided to try withdrawing money from many banks by hopping around to each one. After his third unsuccessful effort at a single branch, he was taken in for four days of arbitrary incarceration. He also claimed to have received death intimidations and finished phone calls from unidentified sources (Newbury, 2022). No actual words were verbal, but he understood it to be a sign that his life was about to be stolen. His family background described him as having grown up in the city with his mother and sister. His sweetheart lived in a separate city suburb. He had a history of paranoid delusions, according to his medical records. No family member has ever suffered from a mental or physical disorder. His introverted character existed prior to his sickness. Relevant symptoms also include the physician’s resulting in a reduction history of physical violence towards his mother and sister, as well as his complaints of sleeping problems, lack of food, roaming about town, and trips to the psychiatric unit. Upon admittance to the hospital, the patient was examined and found to be mentally unstable. He or she was also underdressed and seemed to be malnourished. He acted timidly, laughed irrationally, and was hesitant. Hearing hallucinations plagued the sufferer. He spoke to himself in the third person and claimed to be conversing with a male and female voice. The patient also said he had overheard individuals speaking negatively about him, including those he knew. As a result, he became wary of and uncomfortable with new people. Because of this, the patient said he had spent the night with an acquaintance and was scared to return to his parent’s home. He felt like he was the intended victim. Paranoid and referential delusions were evident in the substance of his thoughts. (According to the patient’s sister, he often expressed concern that he was in danger and would be attacked by others (Edwards, 2022).

Summary of laboratory diagnostic results related to the illness/condition and what they mean

As soon as he was hospitalized for his aggressive behavior, the patient was given 10 milligrams (mg) of both intramuscular (IM) haloperidol and intravenous (IV) diazepam for quick tranquilization. After 24 hours, injectable (IM) phenelzine 10 mg and injectable (IM) diazepam 10 mg were administered again, with the same results. Clinical pharmacists intervened, and he was subsequently moved to subcutaneous (IM) midazolam 7.5 mg and intramuscular (IM) haloperidol 5 mg. The patient’s hostile behavior was lessened after taking this combo on the second day at the hospital. On the day of admission, the person was also set olanzapine 10 mg tablets to manage their schizophrenia. The patient experienced mild tremors on the third day of the hospital due to the initiation of olanzapine medication. However, no medicine had been recommended to help with the patient’s little shakiness. Until recently, this has been seen as a non-curable symptom. As a result, under the advice of the clinical pharmacists, he was given a trihexyphenidyl 5 mg pill. The clinical pharmacists also suggested reducing the daily dosage of olanzapine to 5 mg, which was done. Four cycles of electroconvulsive treatment were administered, with 500 mg of IV ketamine and 10 mg of IV haloperidol (Luo, 2021). These were performed on days 2, 13, 16, and 18 of the hospital stay. After starting treatment, the patient showed remarkable improvements in their state of mind, outward demeanor, perceptions, and insights. Sometimes fidgety, but always helpful. The patient’s medicine was given by DOT guidelines. However, the nurses reported that he refused to take his olanzapine 5 mg pill for a few days when he was agitated and difficult. Clinical pharmacists urged nurses to keep patients on their recommended dose of 5 mg olanzapine tablets to reduce the risk of recurrence (Hoffmann, 2018).

Summary of a head-to-toe physical assessment

This is only a brief overview of possible diagnoses, treatments, and medications. The information above is not designed to serve as a substitute for professional medical advice but as a guide in evaluating possible diagnoses and treatments. It does NOT include every possible medical issue, therapy, drug, side effect, or danger in a given patient’s case. This information is not meant to replace the advice, diagnosis, or treatment provided by a physician after a thorough evaluation of a patient’s individual medical history and current condition. Patients should consult with their doctor if they have concerns about their health, symptoms, or treatment choices (including the potential hazards and benefits of any drugs). The patient reported fine tremors after starting olanzapine treatment. But no medicine for controlling the patient’s small tremors had been given. Until recently, this has been seen as a non-curable symptom (Danielson, 2019).

Your nursing diagnosis

In the field of psychiatry, schizophrenia is defined as a condition characterized by persistent or recurring psychosis. Impaired social and vocational functioning is a frequent symptom. According to the World Health Organization, it is one of the top 10 diseases that contribute to the global burden of disease, making it one of the most crippling and economically disastrous medical ailments. Positive symptoms, such as hallucinations or delusions; disordered speech; negative symptoms, such as a flat attitude or speech poverty; and cognitive deficits, including attention, memory, and executive skills, are characteristic of schizophrenia. Schizophrenia is diagnosed when these symptoms persist for at least six months with social or occupational impairment, and no other diagnosis is more appropriate. Schizophrenia’s clinical presentation, evaluation, and diagnosis, as well as the disease’s prognosis, are discussed here. Separate sections are devoted to explaining the causes and effects of schizophrenia, known as epidemiology and pathogenesis. Separate sections address the roles of anxiety, depression, and drug misuse in the development of schizophrenia. Treatment options for schizophrenia and other psychoses are examined independently. A second section examines the nuances of pediatric schizophrenia (Feldman, 2021).

 

 

 

 

 

References

Newbury, J. B., Arseneault, L., Caspi, A., Moffitt, T. E., Odgers, C. L., Belsky, D. W., … & Fisher, H. L. (2022). Association between genetic and socioenvironmental risk for schizophrenia during upbringing in a UK longitudinal cohort.  Psychological medicine,  52(8), 1527–1537.

Edwards, G. G., Uy-Evanado, A., Stecker, E. C., Salvucci, A., Jui, J., Chugh, S. S., & Reinier, K. (2022). Sudden cardiac arrest in patients with schizophrenia: A population-based study of resuscitation outcomes and pre-existing cardiovascular disease.  IJC Heart & Vasculature,  40, 101027.

 

Luo, Y., Xie, Y., & Xiao, Y. (2021). Laboratory diagnostic tools for syphilis: current status and future prospects.  Frontiers in cellular and infection microbiology, p. 10, 574806.

Hoffmann, G., Bietenbeck, A., Lichtinghagen, R., & Klawonn, F. (2018). Using machine learning techniques to generate laboratory diagnostic pathways—a case study.  J Lab Precis Med,  3, 58.

 

Danielson, A. R., Venugopal, S., Mefford, J. M., & Clarke, S. O. (2019). How do novices learn physical examination skills? A systematic review of the literature.  Medical education online,  24(1), 1608142.

Feldman, M., Valeriano‐Marcet, J., Slone, F., Jacovino, C., Aslam, S., Khalil, F., & Kumar, A. (2021). Pre‐clerkship physical examination assessment rubric.  The Clinical Teacher,  18(1), 69-72.

Develop a 3- to 4-page paper, written to to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it impacts your work setting.

Develop a 3- to 4-page paper, written to to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it impacts your work setting. Be sure to address the following: the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization). a summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations. the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

 

Broome, M., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). New York, NY: Springer.

 

Chapter 2, “Transformational Leadership: Complexity, Change, and Strategic Planning” (pp. 34–62)

 

Chapter 3, “Current Challenges in Complex Health Care Organizations and the Quadruple Aim” (pp. 66–97)

 

Read any TWO of the following (plus TWO additional readings on your selected issue):

 

Auerbach, D. I., Staiger, D. O., & Buerhaus, P. I. (2018). Growing ranks of advanced practice clinicians—Implications for the physician workforceLinks to an external site.. New England Journal of Medicine, 378(25), 2358–2360.

 

Gerardi, T., Farmer, P., & Hoffman, B. (2018). Moving closer to the 2020 BSN-prepared workforce goal.Links to an external site. American Journal of Nursing, 118(2), 43–45.

 

Jacobs, B., McGovern, J., Heinmiller, J., & Drenkard, K. (2018). Engaging employees in well-being: Moving from the Triple Aim to the Quadruple AimLinks to an external site.. Nursing Administration Quarterly, 42(3), 231–245.

 

Norful, A. A., de Jacq, K., Carlino, R., & Poghosyan, L. (2018). Nurse practitioner–physician comanagement: A theoretical model to alleviate primary care strainLinks to an external site.. Annals of Family Medicine, 16(3), 250–256.

 

Palumbo, M., Rambur, B., & Hart, V. (2017). Is health care payment reform impacting nurses’ work settings, roles, and education preparation?Links to an external site. Journal of Professional Nursing, 33(6), 400–404.

 

Park, B., Gold, S. B., Bazemore, A., & Liaw, W. (2018). How evolving United States payment models influence primary care and its impact on the Quadruple AimLinks to an external site.. Journal of the American Board of Family Medicine, 31(4), 588–604.

 

Pittman, P., & Scully-Russ, E. (2016). Workforce planning and development in times of delivery system transformationLinks to an external site.. Human Resources for Health, 14(56), 1–15. doi:10.1186/s12960-016-0154-3. Retrieved from

 

https://human-resources-health.biomedcentral.com/track/pdf/10.1186/s12960-016-0154-3

 

Poghosyan, L., Norful, A., & Laugesen, M. (2018). Removing restrictions on nurse practitioners’ scope of practice in New York state: Physicians’ and nurse practitioners’ perspectivesLinks to an external site.. Journal of the American Association of Nurse Practitioners, 30(6), 354–360.

 

Ricketts, T., & Fraher, E. (2013). Reconfiguring health workforce policy so that education, training, and actual delivery of care are closely connectedLinks to an external site.. Health Affairs, 32(11), 1874–1880.

 

NURS 6053 week 2 Assignment: Analysis of a Pertinent Healthcare Issue

Upskilling of the Healthcare Workforce: A Pertinent National Healthcare Issue Affecting Healthcare Organizations in the United States

There are many national healthcare stressors or issues affecting and impacting healthcare organizations all over the United States. All of them require addressing, although some are more urgent than others. The healthcare issue chosen in this case and one of the most significant stressors at the moment is the issue of upskilling of healthcare professionals. In this context, these would be the nurses working within the healthcare organization. According to Ross (2019), upskilling is the process of retraining employees so that they can acquire new skills for them to continue practicing in their field with ease NURS 6053 week 2 Assignment: Analysis of a Pertinent Healthcare Issue. Recent developments (particularly technological) within and around healthcare have necessitated the requirement that workers such as nurses possess skillsets that are upgraded. As a matter of fact, upskilling was identified as one of the six important healthcare issues in 2019 by PwC Health Research Institute (Ross, 2019). Currently, whole healthcare workforces are threatened with redundancy by technologies such as artificial intelligence (AI) if they do not upskill. This includes nurses, who have traditionally not been involved with technology in the course of delivering nursing care (Teague, 2019). NURS 6053 week 2 Assignment: Analysis of a Pertinent Healthcare Issue

The impact to my healthcare organization of upskilling as a healthcare issue is immense. This is because emerging healthcare technologies are becoming more and more mandatory in diagnostics, therapeutics, and nursing care. Nurses are therefore finding themselves short of skills to deliver quality patient care. This makes the organization set aside resources to retrain and upgrade the skills of its nurses so that they can cope with the emerging technological changes. This, however, is an inevitably resource-intensive undertaking fir the organization. In my organization, for instance, the policy makers have already had to set aside funds for training of the nurses and other healthcare staff on the use of the recently introduced EHR. NURS 6053 week 2 Assignment: Analysis of a Pertinent Healthcare Issue. Already, upskilling is happening in the healthcare sector with the now standard requirement for electronic health records or EHR. That said, the hallmark of upskilling in healthcare is predicted to be artificial intelligence-assisted telehealth interventions (Teague, 2019).

Some of the Areas of Concern

Healthcare organizations must invest in the abilities of their workforce if they are to have a competitive advantage over their peers. Not doing so will of course render the organization unable to compete effectively in an ever-changing healthcare marketplace. For instance, AI is more and more used in healthcare at the moment. What this means is that rising sophistication of emerging medical technologies is driving the need for upskilled health workers (Ross, 2019). The advent of digital therapeutics is the other area of concern. This is the treatment of disease using healthcare technologies to complement or replace traditional methods in disease management. The reality is that the clinical validation of these digital therapeutics products and connected medical devices is already being done by the Food and Drug Administration or FDA (Siwicki, 2019). This is an indicator of the urgency with which upskilling of healthcare staff like nurses should be treated. NURS 6053 week 2 Assignment: Analysis of a Pertinent Healthcare Issue.

Two Articles on the Upskilling of Healthcare Workers as a Healthcare Issue of Concern

            Rimmer (2018) has posited that doctors have to undergo additional training in order to be successful at using emerging healthcare technologies. This particular article addresses doctors as the healthcare workers of concern, but it has been chosen because the very same situation is true for the nurses. This article talks of a report that states that training is needed by doctors in areas such as artificial intelligence algorithms, genomics, and digital literacy. As mentioned above, that is the same treatment that nurse practitioners should also receive. The article goes ahead to stress that training is a must for healthcare staff in order to cope with emerging healthcare technologies. NURS 6053 week 2 Assignment: Analysis of a Pertinent Healthcare Issue

Fralic (2013) on her part observes that the American healthcare system is undergoing change that is radical and monumental. She states, correctly, that with change there is need to re-strategise and re-organize to deliver quality healthcare. To do this, upskilling is a must to keep up with healthcare technologies. In other organizations in the healthcare sector, the same situation portends. They, too, are adopting the same approach of retraining to upskill nurses, doctors, and other health workers so that they can cope with the recent technological changes and continue to offer quality and safe patient care.

Strategies to Address the Organizational Impact of Upskilling

Since the reality of upskilling in healthcare organizations is inevitable, it is essential to develop strategies that aim at addressing the organizational impact of this issue. Three strategies are especially helpful. First, the organization needs to introduce new technologies gradually to allow for adaptation and training. Second, upskilling should be made a policy initiative that features in the organization’s goals. Third and last, upskilling should be properly budgeted for like any other expense if it is to succeed (Fralic, 2013; Rimmer, 2018; Teague, 2019). Under no circumstances should upskilling be considered as an afterthought. These strategies impact my organization positively in that they are geared towards giving the organization a competitive advantage. On the negative side, however, budgeting means that this strategy will consume resources that the organization must set aside.

References

Fralic, M.F. (2013). Upskilling for new-era healthcare: Lessons from high impact readings. Nurse Leader, 11(4). http://dx.doi.org/10.1016/j.mnl.2013.05.008

Rimmer, A. (2018). Upskill doctors to make the most of new medical technologies, report says. BMJ, 361(k2861). Doi: 10.1136/bmj.k2861

Ross, J.R. (2019). Upskilling could be an ideal treatment for healthcare’s employment woes. Retrieved 4 March 2020 from https://www.cardiovascularbusiness.com/topics/healthcare-economics/upskilling-could-be-ideal-rx-healthcares-employment-woes

Siwicki, B. (2019). Here are 6 major issues facing healthcare in 2019, according to PwC. Healthcare ITNews. Retrieved 4 March 2020 from https://www.healthcareitnews.com/news/here-are-6-major-issues-facing-healthcare-2019-according-pwc

Teague, T. (2019). Will healthcare employees need to be upskilled or reskilled as technology advances? Retrieved 4 March 2020 from https://www.whatisbluesky.com/blog/will-healthcare-employees-need-to-be-upskilled-or-reskilled-as-technology-advances

 

Assignment: Analysis of a Pertinent Healthcare Issue
The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system. NURS 6053 week 2 Assignment: Analysis of a Pertinent Healthcare Issue

Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.

In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected. NURS 6053 week 2 Assignment: Analysis of a Pertinent Healthcare Issue

To Prepare:

Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.
The Assignment (3-4 Pages):

Analysis of a Pertinent Healthcare Issue

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples. NURS 6053 week 2 Assignment: Analysis of a Pertinent Healthcare Issue

The difference between hypothermia and hyperthermia and the impact to the patient?

Your written assignment for this module is a worksheet that describes the following:

  • The difference between hypothermia and hyperthermia and the impact to the patient?
  • Patient education for client and family in order to avoid extreme temperature variations?

Module 10 – Written Assignment Hypothermia and Hyperthermia Worksheet

 

 

Name:

 

Date:

 

Complete all lesson content and assigned readings. Make sure you are focusing on:

· Differences between hypothermia and hyperthermia

· Patient impacts from hypothermia and hyperthermia

· Patient education for clients and families to avoid extreme temperature variations

Instructions:

· Answer the questions listed below using complete sentences.

· Use correct grammar, spelling and APA format.

· Support your answers using credible sources such as textbooks, course materials, and evidence-based articles ( 1 Point)

Resources:

How do I know if a source is credible?

How do I find evidence-based practice articles? Or nursing best practices?

 

1. What are the differences between and patient impacts of hypothermia and hyperthermia? ( 2 Points)

 

 

2. What education should be provided to patients and families to avoid the extreme temperature variations? ( 2 Points)

Create a concept map for one of the topics from the list below:  Sickle Cell Anemia Cystic Fibrosis

Create a concept map for one of the topics from the list below: 

  • Sickle Cell Anemia
  • Cystic Fibrosis

The content of the concept map must include:

  • pathophysiology
  • definition
  • etiology
  • risk factors (genetic predisposition and environment factors if applicable)
  • causative factors
  • common signs and symptoms for the disease
  • labs & diagnostic tests
  • nursing interventions
  • medical treatment
  • complications of the disease
  • patient & family education
  • 4-6 references using APA 7th ed. format

A 23-year-old female patient attends a nutritional consultation. The patient has been diagnosed with bulimia for eight years. She attended the consultation because she has severe swelling in her throat and wear of her teeth, along with abdominal pain, irritability, and tiredness.

2

Motivational Interviewing

Motivational Interviewing (MI) focuses on patients redirecting their attention, behavior, feelings, and coping strategies. This type of interview prepares patients for the mobilization of their schemes and management of the disease to reinforce or promote change based on the affectation of the disease in their lives. Likewise, it allows patients to access the patient-centered counseling style from the humanistic and professional identification of the health professional. An important aspect is to facilitate in patients the self-disclosure of the problems, acceptance of them, and the approach to a favorable position focused on the resolution and adjustment.

Purposes

Motivate in patients the intention and need for change from self-discovery and disclosure of problems, needs, and resources to achieve change.

Motivate patients to identify the reasons for their problems, maintenance of problems, resistance to change, and intention to change.

Motivate patients to reduce resistance schemes and weaken the maintenance of problems.

Expected outcomes

Promote patient autonomy

Empower patients to make decisions

Reduce feelings of frustration, worry… etc

Increase patient confidence

Plan design with objectives and goals

Strengthen self-determination

Reduce or eliminate resistance

Case

A 23-year-old female patient attends a nutritional consultation. The patient has been diagnosed with bulimia for eight years. She attended the consultation because she has severe swelling in her throat and wear of her teeth, along with abdominal pain, irritability, and tiredness. She attended psychology therapy for the first three years, but after a love breakup, she stopped treatment and did not continue with the medical follow-up proposed by her doctor. She is currently a law student in final exams for university year promotion. The patient has a good weight for her height. However, she reported that the binge eating is so great that she does not have enough energy to vomit all her food. She describes feeling guilt, anxiety, and sadness when she plans to binge eat, but when she eats, she feels very calm, happy, and motivated to continue studying; finally, when she vomits, she feels tired, frustrated, and ashamed of her feeding habits. She tried to exercise and be more active, but her academic load prevented her from continuing, so she dedicated herself to studying. Her final exams cause her anxiety as she believes she does not have enough knowledge and skills to get good grades. However, her grades are above average, and she has a good reputation among her peers and teachers.

Motivational Interviewing

What is the value of studying the humanities in the field of health professions?

  • What is the value of studying the humanities in the field of health professions?
  • How might a topic such as art, literature, music, dance, etc. from other time periods enhance your career and personal life in the present?
  • Select one aspect of the humanities that is meaningful to your personal life and one for career. Explain how is each meaningful.
  • In addition, include a specific example of a work (a specific work of art, literature, theater, or music) that you feel is meaningful to your personal life and/or career. Explain the connection.

Answer

The humanities help us understand and relate to people  a crucial factor in building and maintaining relationships  thus, in providing effective health care. Improving medical practitioners’ abilities to understand and relate to patients is one of the primary issues the emerging interdisciplinary field of medical humanities is trying to address. As the medical profession continues to include humanities in its curriculum, it will have an opportunity to develop practical and valuable skills such as critical and reflective thinking, a professional conscience, and a healthy emotional outlet for the next generations of physicians. Humanities in medical education can foster an active professional conscience in students.  By creating a relationship between humanities and medicine, student doctors and physicians are provided with an outlet to express themselves in a safe and responsible manner. There is also evidence that suggests that humanities may aid in the health of students and practitioners. While practitioners are entrusted with the lives of others which they share in the burden of witnessing the toll of disease. The importance of art in our daily lives is very similar to that of music. Like art, music can make life extremely joyful and can have a huge effect on our mood. According to music in the work place it is something that can help people set the mood for what they are about to do. If you have something hard or difficult to work on or are feeling tired, an energetic song will likely wake you up and add some enthusiasm to the situation. At the same time , when stress is high, many people find that relaxing to calming music is something that eases the mind. The humanities help us understand others through their languages, histories and cultures. The humanities encourage us to think creatively. They teach us to reason about being human and to ask questions about our world. The humanities develop informed and critical citizens. They teach us to deal critically and logically with subjective, complex, imperfect information. It teach empathy.

The unlawful restraint of a patient can be a legal pitfall for the PMHNP.  K.W. was found eating hamburgers out of a Mcdonald’s dumpster and drinking water from an old water hose.  She had not taken a bath in weeks. She refused to live in an apartment because she wants to “live off the fat of the land.”  

The unlawful restraint of a patient can be a legal pitfall for the PMHNP.  K.W. was found eating hamburgers out of a Mcdonald’s dumpster and drinking water from an old water hose.  She had not taken a bath in weeks. She refused to live in an apartment because she wants to “live off the fat of the land.”  

  1. Cite the Baker Act law to defend your position.  
  2. Find one newspaper article written in the last 5 years that supports your position.  Summarize the details of the case and the laws cited 

Submission Instructions:

  • Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 3 academic sources.

One should address ethical considerations related to this topic for adults, one should be on ethical considerations related to this topic for children/adolescents, one should be on legal considerations related to this topic for adults, and one should be on legal considerations related to this topic for children/adolescents.

Select one of the following ethical/legal topics:

Autonomy, Beneficence, Justice, Fidelity, Veracity, Involuntary hospitalization and due process of civil commitment, Informed assent/consent and capacity, Duty to warn, Restraints, HIPPA, Child and elder abuse reporting, Tort law, Negligence/malpractice.

In the Walden library, locate a total of four scholarly, professional, or legal resources related to this topic. One should address ethical considerations related to this topic for adults, one should be on ethical considerations related to this topic for children/adolescents, one should be on legal considerations related to this topic for adults, and one should be on legal considerations related to this topic for children/adolescents.

Briefly identify the topic you selected. Then, summarize the articles you selected, explaining the most salient ethical and legal issues related to the topic as they concern psychiatric-mental health practice for children/adolescents and for adults. Explain how this information could apply to your clinical practice, including specific implications for practice within your state. Attach the PDFs of your articles.

More to note: you select a topic that has both legal and ethical implications for PMHNP practice and then perform a literature review on the topic. Your goal will be to identify the most salient legal and ethical facets of the issue for PMHNP practice, and also how these facets differ in the care of adult patients versus children. Keep in mind as you research your issue, that laws differ by state and your clinical practice will be dictated by the laws that govern your state.