How Does A First-Time Voter Decide For Whom To Vote?
Category: Essays
Cultural Competency in Health Care
Jenny is a White nurse practitioner at a large community hospital. She was educated at one of the best nursing programs in a large urban city and she prides herself on being fair and equal to all her patients. She turned down many jobs at private hospitals because they did not have a diverse clientele. One day Jenny is working with an Hispanic patient who speaks with a heavy accent. Becoming a little frustrated Jenny asked the patient to speak slower and clearer because she does not understand Mexican very well. The patient becomes visibly upset and becomes very short with his answers. When the session is over the patient leaves the room, angrily speaking to himself in Spanish. Jenny didn’t understand why the patient was angry, and from that point on avoided working with Hispanic patients.
What do you think happened here?
Cultural Competency in Health Care
Jenny is a White nurse practitioner at a large community hospital. She was educated at one of the best nursing programs in a large urban city and she prides herself on being fair and equal to all her patients. She turned down many jobs at private hospitals because they did not have a diverse clientele. One day Jenny is working with an Hispanic patient who speaks with a heavy accent. Becoming a little frustrated Jenny asked the patient to speak slower and clearer because she does not understand Mexican very well. The patient becomes visibly upset and becomes very short with his answers. When the session is over the patient leaves the room, angrily speaking to himself in Spanish. Jenny didn’t understand why the patient was angry, and from that point on avoided working with Hispanic patients.
What do you think happened here?
PMH: History of Hypertension and Diabetes Mellitus Type 2
Case Study:
Lou Brown is a 58-year-old white male who comes in with a cough for the past four days. He says that the cough has been intermittent. It started out as a dry cough but over the past two days, he has started coughing up thick pale-yellow phlegm. He thinks he has had a fever but he has not actually taken his temperature. He is a smoker but has not been smoking very much the past few days as that seems to make the cough worse. He has also felt very tired. He has taken Tylenol off and on and it does help slightly. About a week and a half ago, he played poker with some friends and one of them was sick. His wife accompanies him and when you ask them both, they deny that he has had any confusion.
PMH: History of Hypertension and Diabetes Mellitus Type 2. He admits he has not been going to his provider on a regular basis (thinks last time he went was about 7 months ago) but his provider had refilled his meds for a year, so he has not run out of them.
Medications: lisinopril 20 mg daily; metformin 500 mg twice daily
Allergies: Penicillin
Social history: 40 pack year history of tobacco use (cigarettes); no alcohol or drugs.
Vitals: Ht: 5’4”; Wt: 190 lbs; BP: 150/94; P 88 R 26; Temp: 101.0 oral Pulse ox 96%
The questions below need to be answered at the end of the SOAP Note.
Please document the history questions you would ask the patient. What questions would you ask related to the current complaint? What questions would you ask related to his comorbidities?
What Physical assessment would you obtain? Describe what you would be looking for.
What labs/diagnostics would you order?
List your top four differential diagnoses. Explain your rationale for your top diagnosis.
What is a CURB Score?
When his labs come back, his CMP shows that his BUN is 21. Based on that information and on his presentation, what is his CURB score and how did you arrive at that score?
Based on his CURB score, should he be treated on an outpatient or inpatient basis?
His chest x-ray does indeed show infiltrates. What would be your treatment plan for him?
Name 3 health promotion topics that you should discuss with him.
What would your follow-up plan be?
PMH: History of Hypertension and Diabetes Mellitus Type 2
Case Study:
Lou Brown is a 58-year-old white male who comes in with a cough for the past four days. He says that the cough has been intermittent. It started out as a dry cough but over the past two days, he has started coughing up thick pale-yellow phlegm. He thinks he has had a fever but he has not actually taken his temperature. He is a smoker but has not been smoking very much the past few days as that seems to make the cough worse. He has also felt very tired. He has taken Tylenol off and on and it does help slightly. About a week and a half ago, he played poker with some friends and one of them was sick. His wife accompanies him and when you ask them both, they deny that he has had any confusion.
PMH: History of Hypertension and Diabetes Mellitus Type 2. He admits he has not been going to his provider on a regular basis (thinks last time he went was about 7 months ago) but his provider had refilled his meds for a year, so he has not run out of them.
Medications: lisinopril 20 mg daily; metformin 500 mg twice daily
Allergies: Penicillin
Social history: 40 pack year history of tobacco use (cigarettes); no alcohol or drugs.
Vitals: Ht: 5’4”; Wt: 190 lbs; BP: 150/94; P 88 R 26; Temp: 101.0 oral Pulse ox 96%
The questions below need to be answered at the end of the SOAP Note.
Please document the history questions you would ask the patient. What questions would you ask related to the current complaint? What questions would you ask related to his comorbidities?
What Physical assessment would you obtain? Describe what you would be looking for.
What labs/diagnostics would you order?
List your top four differential diagnoses. Explain your rationale for your top diagnosis.
What is a CURB Score?
When his labs come back, his CMP shows that his BUN is 21. Based on that information and on his presentation, what is his CURB score and how did you arrive at that score?
Based on his CURB score, should he be treated on an outpatient or inpatient basis?
His chest x-ray does indeed show infiltrates. What would be your treatment plan for him?
Name 3 health promotion topics that you should discuss with him.
What would your follow-up plan be?
Thematic Unit
Thematic Unit Part A
• NAEYC Standard 1a: Knowing and understanding young children’s
characteristics and needs.
• NAEYC Standard 1c: Using developmental knowledge to create healthy,
respectful, supportive, and challenging learning environments.
• NAEYC Standard 4b: Knowing and understanding effective strategies
and tools for early education, including appropriate uses of technology.
Overview:
In this assignment, you will begin planning a thematic unit appropriate for preschool or
kindergarten children. The children would explore a theme for a minimum of one (1)
week. All curricula for that week would relate to this theme. Using technology, you
will create a “Curriculum Web.” A sample is found on page 78 of your text.
Instructions:
- Select either preschool or kindergarten children for your curriculum.
- Select a theme appropriate for preschool or kindergarten children. You will enter
the theme in the Thematic Unit Plan below.
A list of themes is provided in the textbook (page 76). You may choose one from the list
or create your own theme.
Note: You may not use “All About Me” as your theme. - Create a “Curriculum Web” using an electronic program. You will:
o
Place the theme at the center of the web,
o
Identify at least 3 sub-topics, and
o
Plan 3 to 5 ideas webbed from each topic sub-topic.
Example: A curriculum web is provided in the textbook (page 62).
o
Theme: Magnificent Me
o
Sub-topics: My home, family, friends, and body
o “Family” sub-topic ideas: members, activities, language, and occupations
Strategies & Quality Practice
What strategies might a professional nurse use in his/her work environment to advocate for implementation of nursing theory as a framework for quality practice?
Strategies & Quality Practice
What strategies might a professional nurse use in his/her work environment to advocate for implementation of nursing theory as a framework for quality practice?
How your worldview will impact your decision-making
Discuss how your worldview will impact your decision-making about one of the following:
Taking a daily medication to manage a health condition you wish you didn’t have.
Participating in an advance care planning discussion related to your preferences about life-sustaining treatment following a sudden neurological injury from which you are not likely to recover.
Exploring use of a complementary or alternative medicine treatment.
How your worldview will impact your decision-making
Discuss how your worldview will impact your decision-making about one of the following:
Taking a daily medication to manage a health condition you wish you didn’t have.
Participating in an advance care planning discussion related to your preferences about life-sustaining treatment following a sudden neurological injury from which you are not likely to recover.
Exploring use of a complementary or alternative medicine treatment.