Discussion Week 2 _ NURS 6512
Instructions:
Respond to your colleague who were assigned a different patient than you. Critique your colleague’s targeted questions and explain how the patient might interpret these questions. Explain whether any of the questions would apply to your patient, and why.
**minimum of three (3) scholarly references are required for each reply cited within the body of the reply & at the end**
Reply # 1
Crystal Barnwell
Top of Form
Diversity and Health Assessments
Age, gender, race, ethnic group, and, with these variables, cultural attitudes, regional differences, and socioeconomic status influence the way patients seek medical care and the way clinicians provide care (Ball RN DrPH CPNP, Jane W. et al., 2018, Chapter 2). This scenario for discussion is a 23-year-old Native American male seeking care for anxiety, who smokes pot and drinks alcohol to help his problem. He is concerned about not making into heaven considering his lifestyle, does not take any prescription medications and denies drug use. Family history consist of diabetes, hypertension, and alcoholism. In this post I will discuss socioeconomic, spiritual, lifestyle, and other cultural factors associated with my patient.
Socioeconomic, spiritual, lifestyle, and cultural factors.
Health disparities are differences associated with social and economic disadvantages in relation to race, gender, and more. Compared with other racial/ethnic groups Native Americans have a lower life expectancy, lower quality of life, and are disproportionately affected by many chronic conditions (Adakai et al., 2018, p. 1314). Native Americans have the lowest employment rate of any racial or ethnic group in the United States (Northern Arizona University [NAU], n.d.). American Indians are significantly more likely to report fair or poor health, obesity, diabetes, cardiovascular disease, and mental distress than the overall population (NAU, n.d.). One concern of my patient was that he is afraid that he will not get into heaven if he continues his lifestyle. American Indian tribal and Christian religions play an important part in the lives of Native Americans (Duran, 2002). Assuming my patient lives on a reservation it is believed that man is inherently good and should be respected for his decisions, hence this belief makes Native Americans more reluctant to seek help. They will not seek care outside of the reservation to a non-Indian provider which also puts them at their increased risk of their health disparities. Hospitals on the reservation serve large populations, causing people to hold off on care until it is immediate, and they are also underfunded, causing reduction in care programs (Duran, 2002).
Sensitive issues when interacting with patient.
The patient in this scenario has several issues that need to be dealt with in a sensitive, culturally competent way. The first issue to be addressed is anxiety. It is important when interviewing this patient to avoid overloading the patient with information, pace the conversation, and present a calm demeanor.
Alcoholism is the most widespread and severe problem in the American Indian community (Flowers, 2005). It is the major mental health problem and contributes to unintentional injury, chronic liver disease, cirrhosis, suicide, spouse abuse, fetal alcohol syndrome, teen pregnancy, sexually transmitted diseases, and homicide (Flowers, 2005). The risk for cardiovascular disease, diabetes, renal disease, and gallbladder disease is also increased in this culture.
Spirituality and faith are a key factor in success of a management plan within this culture. They believe that a state of health exists when a person lives in total harmony with nature and that illness is viewed not as an alteration in a person’s physiological state, but as an imbalance between the ill person and natural or supernatural forces (Kahn-John (Diné) & Koithan, 2015).
Five targeted questions
1. Can you tell me more about what is causing your anxiety?
2. How many drinks do you have in a day?
3. Have you ever thought about harming yourself or others?
4. Are you taking any herbal medications?
5. Do you follow any type of diet? What does your meals consist of?
References
Adakai, M., Sandoval-Rosario, M., Xu, F., Aseret-Manygoats, T., Allison, M., Greenlund, K. J., & Barbour, K. E. (2018). Health disparities among american indians/alaska natives — arizona, 2017. MMWR. Morbidity and Mortality Weekly Report, 67(47), 1314–1318. Retrieved September 6, 2021, from https://doi.org/10.15585/mmwr.mm6747a4
Ball RN DrPH CPNP, Jane W., Dains DrPH JD RN FNP-BC FNAP FAANP, Joyce E., Flynn MD MBA MEd, John A., Solomon MD MPH, Barry S., & Stewart MD MS MBA, Rosalyn W. (2018). Seidel's guide to physical examination: An interprofessional approach (mosby's guide to physical examination) (9th ed.). Mosby.
Duran, B. (2002, April 11). American Indian Belief Systems and Traditional Practices. The University of Oklahoma. Retrieved September 6, 2021, from https://www.wellnesscourts.org/files/duran%
Flowers, D. L. (2005). Culturally competent nursing care for american indian clients in a critical care setting. Critical Care Nurse, 25(1), 45–50. Retrieved September 7, 2021, from https://doi.org/10.4037/ccn2005.25.1.45
Kahn-John (Diné), M., & Koithan, M. (2015). Living in health, harmony, and beauty: The diné (navajo) hózhó wellness philosophy. Global Advances in Health and Medicine, 4(3), 24–30. Retrieved September 7, 2021, from https://doi.org/10.7453/gahmj.2015.044
Northern Arizona University. (n.d.). American Indian Health Equity/Disparities. Retrieved September 6, 2021, from https://in.nau.edu/cair/ai-health-equity-and-disparities/
Bottom of Form
Instructions:
Respond
to
your colleague
who we
re assigned a different patient than you. Critique your colleague’s targeted
questions and
explain how the patient might interpret these questions. Explain whether any of the questions
would apply to your patient, and why
.
**minimum of three
(3)
scholarly references are required for each
reply
cited
within the body of the reply & at the end
**
Reply
#
1
Crystal
Barnwell
Diversity
and
Health
Assessment
s
Age,
gender,
race,
ethnic
group,
and,
with
these
variables,
cultural
attitudes,
regional
differences,
and
socioeconomic
status
influence
the
way
patients
seek
medical
care
and
t
he
way
clinicians
provide
care
(Ball
RN
DrPH
CPNP,
Jane
W.
et
al.,
2018,
Chapter
2).
This
scenario
for
discussion
is
a
23
-
year
-
old
Native
American
male
seeking
care
for
anxiety,
who
smokes
pot
and
drinks
alcohol
to
help
his
problem.
He
is
concerned
about
not
making
into
heaven
considering
his
lifestyle,
does
not
take
any
prescription
medications
and
denies
drug
use.
Family
history
consist
of
diabetes,
hypertension,
and
alcoholism.
In
this
post
I
will
discuss
socioeconomic,
spiritual,
lifestyle,
and
other
c
ultural
factors
associated
with
my
patient
.
Socioeconomic,
spiritual,
lifestyle,
and
cultural
factors
.
Health
disparities
are
differences
associated
with
social
and
economic
disadvantages
in
relation
to
race,
gender,
and
more.
Compared
with
oth
er
racial/ethnic
groups
Native
Americans
have
a
lower
life
expectancy,
lower
quality
of
life,
and
are
disproportionately
affected
by
many
chronic
conditions
(Adakai
et
al.,
2018,
p.
1314).
Native
Americans
have
the
lowest
employment
rate
of
any
racial
or
e
thnic
group
in
the
United
States
(Northern
Arizona
University
[NAU],
n.d.).
American
Indians
are
significantly
more
likely
to
report
fair
or
poor
health,
obesity,
diabetes,
cardiovascular
disease,
and
mental
distress
than
the
overall
population
(NAU,
n.d.)
.
One
concern
of
my
patient
was
that
he
is
afraid
that
he
will
not
get
into
heaven
if
he
continues
his
lifestyle.
American
Indian
tribal
and
Christian
religions
play
an
important
part
in
the
lives
of
Native
Americans
(Duran,
2002).
Assuming
my
patient
live
s
on
a
reservation
it
is
believed
that
man
is
inherently
good
and
should
be
respected
for
his
decisions,
hence
this
belief
makes
Native
Americans
more
reluctant
to
seek
help.
They
will
not
seek
care
outside
of
the
reservation
to
a
non
-
Indian
provider
which
also
puts
them
at
their
increased
risk
of
their
health
disparities.
Hospitals
on
the
reservation
serve
large
populations,
causing
people
to
hold
off
on
care
until
it
is
immediate,
and
they
are
also
underfunded,
causing
reduction
in
care
programs
(Duran,
2
002)
.
Sensitive
issues
when
interacting
with
patient
.
The
patient
in
this
scenario
has
several
issues
that
need
to
be
dealt
with
in
a
sensitive,
culturally
competent
way.
The
first
issue
to
be
addressed
is
anxiety.
It
is
important
when
intervie
wing
this
patient
to
avoid
overloading
the
patient
with
information,
pace
the
conversation,
and
present
a
calm
demeanor
.
Alcoholism
is
the
most
widespread
and
severe
problem
in
the
American
Indian
community
(Flowers,
2005).
It
is
the
major
ment
al
health
problem
and
contributes
to
unintentional
injury,
chronic
liver
disease,
cirrhosis,
suicide,
spouse
abuse,
fetal
alcohol
syndrome,
teen
pregnancy,
sexually
transmitted
diseases,
and
homicide
(Flowers,
2005).
The
risk
for
cardiovascular
disease,
di
abetes,
renal
disease,
and
gallbladder
disease
is
also
increased
in
this
culture
.
Spirituality
and
faith
are
a
key
factor
in
success
of
a
management
plan
within
this
culture.
They
believe
that
a
state
of
health
exists
when
a
person
lives
in
tot
al
harmony
with
nature
and
that
illness
is
viewed
not
as
an
alteration
in
a
person’s
physiological
state,
but
as
an
imbalance
between
the
ill
person
and
natural
or
supernatural
forces
(Kahn
-
John
(Diné)
&
Koithan,
2015)
.
Five
targeted
question
s
1
.
Can
you
tell
me
more
about
what
is
causing
your
anxiety
?
Instructions:
Respond to your colleague who were assigned a different patient than you. Critique your colleague’s targeted
questions and explain how the patient might interpret these questions. Explain whether any of the questions
would apply to your patient, and why.
**minimum of three (3) scholarly references are required for each reply cited
within the body of the reply & at the end**
Reply # 1
Crystal Barnwell
Diversity and Health Assessments
Age, gender, race, ethnic group, and, with these variables, cultural attitudes, regional differences, and
socioeconomic status influence the way patients seek medical care and the way clinicians provide care (Ball RN
DrPH CPNP, Jane W. et al., 2018, Chapter 2). This scenario for discussion is a 23-year-old Native American
male seeking care for anxiety, who smokes pot and drinks alcohol to help his problem. He is concerned about
not making into heaven considering his lifestyle, does not take any prescription medications and denies drug
use. Family history consist of diabetes, hypertension, and alcoholism. In this post I will discuss socioeconomic,
spiritual, lifestyle, and other cultural factors associated with my patient.
Socioeconomic, spiritual, lifestyle, and cultural factors.
Health disparities are differences associated with social and economic disadvantages in relation to race,
gender, and more. Compared with other racial/ethnic groups Native Americans have a lower life expectancy,
lower quality of life, and are disproportionately affected by many chronic conditions (Adakai et al., 2018, p.
1314). Native Americans have the lowest employment rate of any racial or ethnic group in the United States
(Northern Arizona University [NAU], n.d.). American Indians are significantly more likely to report fair or poor
health, obesity, diabetes, cardiovascular disease, and mental distress than the overall population (NAU, n.d.). One
concern of my patient was that he is afraid that he will not get into heaven if he continues his lifestyle. American
Indian tribal and Christian religions play an important part in the lives of Native Americans (Duran, 2002).
Assuming my patient lives on a reservation it is believed that man is inherently good and should be respected for
his decisions, hence this belief makes Native Americans more reluctant to seek help. They will not seek care
outside of the reservation to a non-Indian provider which also puts them at their increased risk of their health
disparities. Hospitals on the reservation serve large populations, causing people to hold off on care until it is
immediate, and they are also underfunded, causing reduction in care programs (Duran, 2002).
Sensitive issues when interacting with patient.
The patient in this scenario has several issues that need to be dealt with in a sensitive, culturally
competent way. The first issue to be addressed is anxiety. It is important when interviewing this patient to avoid
overloading the patient with information, pace the conversation, and present a calm demeanor.
Alcoholism is the most widespread and severe problem in the American Indian community (Flowers,
2005). It is the major mental health problem and contributes to unintentional injury, chronic liver disease,
cirrhosis, suicide, spouse abuse, fetal alcohol syndrome, teen pregnancy, sexually transmitted diseases, and
homicide (Flowers, 2005). The risk for cardiovascular disease, diabetes, renal disease, and gallbladder disease is
also increased in this culture.
Spirituality and faith are a key factor in success of a management plan within this culture. They believe
that a state of health exists when a person lives in total harmony with nature and that illness is viewed not as an
alteration in a person’s physiological state, but as an imbalance between the ill person and natural or
supernatural forces (Kahn-John (Diné) & Koithan, 2015).
Five targeted questions
1. Can you tell me more about what is causing your anxiety?