Peer responses week 2 class 6512
PEER RESPONSES WEEK 2 CLASS 6512
3 hours ago
Week 2 Discussion Initial Post Donald Freeman
COLLAPSE
Week 2 Discussion
Diversity and Health Assessments
Initial Post
Socioeconomic, Spiritual, Lifestyle, and Other Cultural Factors:
The assigned patient is a 54-year-old white male that recently was hospitalized because he had a seizure while withdrawing from alcohol. His socioeconomic status is poor due to the patient being homeless and living in a homeless shelter. There is not enough information from the initial assessment to ascertain the patient’s spiritual, or cultural preferences. The patient admits to a lifestyle of alcohol and cocaine use, although he says that he is abstaining from the drugs. He also states that he smokes for comfort since he stopped drinking and using cocaine. The patient has a history of hypertension and reports that he takes amlodipine 10mg, but is currently out of the medicine.
Sensitive Issues:
A potentially sensitive subject during the assessment would be questioning the scope of the patient’s alcohol abuse. To correctly diagnose the patient, several inquiries must be considered. The patient is homeless and possibly has mental illness. Care must be taken with asking about subjects that may be caused by mental illness such as activity level. There is a direct link between physical activity and quality of life (Vancampfort et al., 2017, para. 9). A questionnaire can be used to alleviate some of the anxiety about answering drug abuse topics (Akici et al., 2017, para 1).
Targeted Questions:
1. 1. Have you had a decrease in activity caused by physical or mental problems that affect your abilities and lower your quality of life (de Fátima Lucena et al., 2020, para 1)?
2. 2. When was the last time you were seen by a doctor regarding your hypertension medicine?
3. 3. Are you involved with a group or organization that specializes in drug and alcohol recovery?
4. 4. Have you ever had a seizure before, whether alcohol related or not?
5. 5. Would you be open to an appointment with a mental health expert to address your psychological state?
References
AKICI, A., MOLLAHALİLOĞLU, S., DÖNERTAŞ, B., ÖZGÜLCÜ, Ş., ALKAN, A., & FİLİZ BAŞARAN, N. (2017). Patients’ attitudes and knowledge about drug use: a survey in Turkish family healthcare centres and state hospitals. Turkish Journal of Medical Sciences, 47(5), 1472–1481. https://doi-org.ezp.waldenulibrary.org/10.3906/sag-1608-29
de Fátima Lucena, A., Argenta, C., de Freitas Luzia, M., de Abreu Almeida, M., Menna Barreto, L. N., & Swanson, E. (2020). Multidimensional model of successful aging and nursing terminologies: similarities for use in the clinical practice. Revista Gaucha de Enfermagem, 41, 1–9. https://doi-org.ezp.waldenulibrary.org/10.1590/1983-1447.2020.20190148
Vancampfort, D., Van Damme, T., Probst, M., Firth, J., Stubbs, B., Basangwa, D., & Mugisha, J. (2017). Physical activity is associated with the physical, psychological, social and environmental quality of life in people with mental health problems in a low resource setting. Psychiatry Research, 258, 250–254. https://doi-org.ezp.waldenulibrary.org/10.1016/j.psychres.2017.08.041
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5 hours ago
Main Response week 2
COLLAPSE
Main Response Week 2
James Brown, Jr
The present healthcare model faces persistent difficulties stemming from racial, cultural, ethnic, and gender disparities. Social Determinants of Health (SDH) such as housing, spirituality, culture, lifestyle, and socioeconomic factors, among others, also determine health (Nair & Adetayo, 2019). In the model case, the 54-year-old Caucasian male referred to our facility following recent hospitalization after an alcohol withdrawal-related seizure has a history of cocaine and alcohol abuse. In assessing his condition, it is crucial to look into socioeconomic status, which is low because of his inability to access prescribed medication and his homeless state. Low socioeconomic status led to poor health behaviors that make him opt for unsafe avenues to manage his condition, thus poor health outcomes. Addiction is often seen as a spiritual problem, where upholding spirituality is a deterrent to risky behaviors such as alcohol and substance abuse (Ghonchepour et al., 2019). However, spirituality varies in practices that could include those that bring peace from within, such as patients smoking cigarettes to calm down. Lifestyle help explain the patient’s condition since the shelter exposes him to unpredictable surroundings (Farhud, 2015). This type of lifestyle may inhibit individual care practices as the patient may fail to access certain needs, further relapse out of frustrations. Finally, cultural factors dwell much on the patient’s decision to stop the prescribed medication, perhaps stemming from fear that he will be judged wrongly for seeking cheaper alternatives to care due to his racial standing.
As a healthcare professional, I ought to be culturally sensitive when communicating with the patient during our interaction since it may limit my ability to communicate effectively. Moreover, by being culturally sensitive, I will be less judgmental about his condition, promote better decision-making to confront the condition at hand, and promote better patient outcomes. Culture-sensitive communication stands to allow the patient to open up about his health history to assess his health risks. The targeted question during the interactions may include;
1. During your experience growing up, did any of family member abuse substances or alcohol?
2. Does your stay at the shelter in any way trigger the seizure?
3. Are you engaged or employed somewhere during the day when outside the shelter? Do you have any problem doing daily activities?
4. Are you willing to use cheaper alternatives to your condition?
5. Are you willing to enter a cigarette cessation program?
References
Farhud, D. D. (2015). Impact of lifestyle on health. Iranian journal of public health, 44(11), 1442.
Ghonchepour, A., Sohrabi, M., Golestani, Z., Biabanaki, F., & Dehghan, M. (2019). Spiritual health: is it a determinant factor for preventing risky behaviors among university students?. International journal of adolescent medicine and health, 1(ahead-of-print).
Nair, L., & Adetayo, O. A. (2019). Cultural competence and ethnic diversity in healthcare. Plastic and Reconstructive Surgery Global Open, 7(5).