NUR 505 530 DISCUSSION
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NUR505wk5dis.pdf
NUR505530Diswk4.pdf
NUR505WK5Assign.pdf
NUR505wk5dis.pdf
Case Study: Vee
Purpo se:
Analyze and apply critical thinking skills in the psychopathology of mental health patients and provide treatment and health promotion while applying evidence-based research.
Scena rio:
Vee is a 26-year-old African-American woman who presents with a history of non-suicidal self-injury, specifically cutting her arms and legs, since she was a teenager. She has made two suicide attempts by overdosing on prescribed medications, one as a teenager and one six months ago; she also reports chronic suicidal ideation, explaining that it gives her relief to think about suicide as a “way out.”
When she is stressed, Vee says that she often “zones out,” even in the middle of conversations or while at work. She states, “I don’t know who Vee really is,” and describes a longstanding pattern of changing her hobbies, style of clothing, and sometimes even her job based on who is in her social group. At times, she thinks that her partner is “the best thing that’s ever happened to me” and will impulsively buy him lavish gifts, send caring text messages, and the like; however, at other times she admits to thinking “I can’t stand him,” and will ignore or lash out at him, including yelling or throwing things. Immediately after doing so, she reports feeling regret and panic at the thought of him leaving her. Vee reports that, before she began dating her current partner, she sometimes engaged in sexual activity with multiple people per week, often with partners whom she did not know.
Questi ons:
Remember to answer these questions from your textbooks and NP guidelines. At all times, explain your answers.
1. Describe the presenting problems. 2. Generate a primary and differential diagnosis
using the DSM5 and ICD 10 codes. 3. Discuss which cluster the primary diagnosis
belongs to. 4. Formulate and prioritize a treatment plan.
NUR505530Diswk4.pdf
Caring for East Indian Hindu, Haitian, & Jewish Populations
After studying Module 5: Lecture Materials & Resources, discuss the following:
A. Describe the family structure of some East Indian Hindu families and the effect the family organization may have on health-seeking behavior.
B. What are the contributing factors that lead to the high birth rate in Haiti and among Haitian immigrants?
C. List religious needs a Jewish client may have while being hospitalized with which nursing staff can assist.
Submission Instructions:
• Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
• You should respond to at least two of your peers by extending, refuting/ correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
• Incorporate a minimum of 2 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles should be referenced according to the current APA style (the online library has an abbreviated version of the APA Manual).
Caring for East Indian Hindu, Haitian, & Jewish Populations
After studying Module 5: Lecture Materials & Resources, discuss the following:
A. Describe the family structure of some East Indian Hindu families and the effect the family organization may have on health-seeking behavior.
B. What are the contributing factors that lead to the high birth rate in Haiti and among Haitian immigrants?
C. List religious needs a Jewish client may have while being hospitalized with which nursing staff can assist.
Submission Instructions:
• Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
• You should respond to at least two of your peers by extending, refuting/ correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
• Incorporate a minimum of 2 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles should be referenced according to the current APA style (the online library has an abbreviated version of the APA Manual).
NUR505WK5Assign.pdf
Cultural Assessment
Choose one cultural group reviewed within this course. Using Giger and Davidhizar's Transcultural Assessment Model, perform a comprehensive assessment of how your selected cultural group’s beliefs and practices might impact healthcare decision- making, treatment adherence, your communication, your interventions, and your education to align with the patient's cultural values and preferences.
Utilize your mind map from module 1 and the textbook’s FIG. 1.1 and FIG. 1.2 in Chapter 1 to thoroughly outline your assessment and expand upon each of the six cultural phenomena for your selected group.
Submission Instructions:
• The paper is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
• The paper should be formatted per current APA and 4-5 pages in length, excluding the title and references page. Incorporate a minimum of 5 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
• This assignment will be assessed through Turnitin.
Cultural Assessment Rubric Criteria
Points Identification of Giger and Davidhizar's Transcultural Assessment Model components
Distinguished Identify and demonstrate a sophisticated understanding of the six cultural phenomena within the
model.
3.1 to 4 pts
Excellent Identifies and demonstrate an accomplished understanding of at least five of the cultural
phenomena within the model.
2.1 to 3 pts
Fair Identifies and demonstrate an acceptable understanding of at least four of the cultural phenomena
within the model.
1.1 to 2 pts
Poor identifies and demonstrate an unacceptable understanding of three or fewer of the cultural
phenomena within the model.
1 pts
/4 pts Analysis and Evaluation of Issues/Problems
Distinguished Presents an insightful, thorough analysis and evaluation of the group’s cultural assessment.
3.1 to 4 pts
Excellent Presents a mostly thorough analysis and evaluation of most of the group's cultural analysis.
2.1 to 3 pts
Fair Presents a superficial or incomplete analysis and evaluation of the group’s cultural assessment.
1.1 to 2 pts
Poor Presents unacceptable analysis and evaluation of the group’s cultural assessment.
1 pts
/4 pts Demonstrates a Conceptual Understanding
Distinguished
Title Page of 2 7
Provides a thorough, competent and interpretive responses to all components of the model, and
shows a high level of conceptual understanding.
3.1 to 4 pts
Excellent Provides a competent and interpretive responses to all components of the model, and shows a
moderate level of conceptual understanding.
2.1 to 3 pts
Fair Provides a competent response to all components of the model, but lacks interpretation and a
moderate level of conceptual understanding.
1.1 to 2 pts
Poor Provides an unacceptable response to the components of the model, and lacks interpretation and a
moderate level of conceptual understanding.
1 pts
/4 pts Use of Citations to Course Readings and Additional Research/Literature
Distinguished Effectively uses the literature and other resources to inform their work. Exceptional use of citations
and extended referencing.
3.1 to 4 pts
Excellent Effectively uses the literature and other resources to inform their work. Moderate use of citations
and extended referencing.
2.1 to 3 pts
Fair Ineffectively uses the literature and other resources to inform their work. Moderate use of citations
and extended referencing.
Title Page of 3 7
1.1 to 2 pts
Poor Ineffectively uses the literature and other resources to inform their work. Unacceptable use of
citations and extended referencing.
1 pts
/4 pts Writing Mechanics and APA Formatting Guidelines
Distinguished Demonstrate a high level of clarity, precision, and attention to detail. APA style is correct and writing
is free of grammar and spelling errors.
3.1 to 4 pts
Excellent Demonstrate a high level of clarity. APA style and writing mechanics need more precision and
attention to detail.
2.1 to 3 pts
Fair Demonstrate a moderate level of clarity. APA style and writing mechanics need more precision and
attention to detail.
1.1 to 2 pts
Poor Demonstrates issues in writing and communicating clearly. APA style and writing mechanics need
serious attention.
1 pts
/4 pts
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Understanding Haitian Cultural Beliefs and Practices in Healthcare: A Transcultural Assessment Approach
Introduc)on A. Capture Reader’s Interest In the United States healthcare providers must integrate diverse cultural backgrounds and beliefs into their care delivery to accommodate patients' varied traditions and behaviors.
B. Build Case Through Logic The Haitian community's healthcare decision-making and adherence reJlects its strong connection to a distinctive mix of African, French, and Caribbean traditions. Effective healthcare delivery can be obstructed by misunderstandings between different cultural perspectives.
C. Topic Sentence/Thesis Statement Healthcare providers who implement Giger and Davidhizar’s Transcultural Assessment Model achieve valuable understanding of Haitian cultural values and health behavior patterns which support patient-centered communication strategies and enable better intervention outcomes along with educational approaches that respect cultural norms.
First Main Point: Communica)on, Space, and Social Organiza)on A. Communication 1. Haitians use Haitian Creole or French for communication while English serves as a secondary language which creates communication challenges.
2. They use indirect communication methods and respect authority while avoiding directness which could be interpreted as disrespectful.
B. Space 1. Haitians typically accept closer personal space with people they know but experience discomfort with physical closeness during medical consultations.
2. The preferences for physical contact differ according to gender and age as women often choose to be touched by other women
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C. Social Organization 1. When making healthcare decisions families participate actively with elder members and male leaders taking primary roles.
2. Religious authorities like pastors and Vodou priests play a signiJicant role in healthcare decision-making when it comes to chronic or terminal illnesses.
Second Main Point: Time Orienta)on, Environmental Control, and Spiritual Beliefs
A. Time Orientation
1. The Haitian preference for present and spiritual timing supersedes punctuality which potentially impacts appointment attendance.
2. Preventive care is less emphasized; patients may seek care primarily when ill or symptoms worsen.
B. Environmental Control 1. Spiritual or supernatural explanations for illness are common among Haitians because of beliefs like those in Vodou.
2. Many Haitians combine healing rituals together with herbal treatments and prayer as alternatives to Western medical approaches
C. Spiritual Beliefs The concept of health involves maintaining a balance between physical and spiritual elements through practices like prayer and faith healing.
2. Haitian community may avoid invasive medical procedures if they believe these actions oppose their spiritual principles.
Third Main Point: Biological Varia)ons and Impact on Treatment Adherence & Educa)on A. Biological Variations 1. Genetic predispositions in the Haitian population include higher risks for conditions like hypertension, diabetes, and sickle cell anemia. 2. Pain expression may differ—some may underreport due to cultural norms around stoicism.
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B. Treatment Adherence 1. Belief in natural healing and distrust of pharmaceuticals may lead to incomplete medication adherence. 2. Patients may stop treatment once symptoms improve without Jinishing prescribed regimens.
C. Education 1. Limited health literacy and language barriers may impact understanding of diagnoses, treatment, and medications. 2. Culturally appropriate education using visuals and interpreters can improve outcomes.
Conclusion Restate Topic Understanding and respecting Haitian cultural beliefs is crucial for delivering equitable, effective care.
B. Summarize Three Main Points 1. Communication styles, family dynamics, and social roles impact care delivery. 2. Time orientation and spiritual beliefs may affect appointment attendance and acceptance of care. 3. Biological factors and cultural approaches to healing affect treatment adherence and education needs.
C. Revisit Introduction or Tie All Ideas Together As nurse practitioners, applying Giger and Davidhizar’s framework enables us to tailor our communication, interventions, and education strategies, ultimately fostering trust and improving care for Haitian patients.
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- Introduction
- First Main Point: Communication, Space, and Social Organization
- Third Main Point: Biological Variations and Impact on Treatment Adherence & Education
- Conclusion