Description
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.)
All replies must be constructive and use literature where possible.
1.
Case Study 1
Anthony Pena
St. Thomas University
NUR 601: Health Promotion & Disease Prevention
Dr. Ruth Dassas-Molin, DNP, APRN, FNP-C, RN
March 14, 2024
Case Study 1
What type of prevention is J.R. trying to achieve when she encourages her patient population to attend the blood pressure screening events?
The case study involves J.R., a nurse practitioner who serves an urban Chinese community. She faces a number of daily challenges, including coordinating health care for community members, fostering compliance with treatment regimens, and teaching the community about health prevention and early detection of diseases and conditions. By trying to encourage her patient population to attend blood pressure screening events, J.R. is trying to achieve primary prevention. Primary prevention involves interventions such as vaccinations and screening that are performed before a disease occurs with the goal of preventing individuals from developing the disease (Budreviciute et al., 2020). Because hypertension is a common chronic condition among the elderly, J.R. is trying to prevent her patient population from developing hypertension through early screening. Through early screening, J.R. will be able to provide patient education to her patient population on the importance of adopting healthy lifestyles.
Please elaborate your answer; compare prevention types, give examples
Another type of prevention is secondary prevention, which involves early detection of a disease to prevent or delay disease progression. Examples include early screenings for certain conditions, nutritional programs for those at risk for cardiovascular diseases, and regular blood pressure checkups. While tertiary prevention aims to minimize the impact or severity of a disease after it has developed in order to improve quality of life, such as through rehabilitation programs or support groups.
Share similar challenges you might have faced during your practice.
One example of a challenge I faced in my clinical practice while caring for the elderly population was the language barrier. Most of the patients I cared for were from different ethnic backgrounds, and as such, English was their second language. Even though I tried as much as I could to use simple English and understandable medical terms, the issue of miscommunication still persisted. The clinic where I was stationed had only one interpreter, and it was therefore difficult to have an interpreter for every patient encounter with these diverse elderly patients. However, I made use of well-established translator mobile apps that helped facilitate communication whenever I could not get access to the clinic’s interpreter.
Identify the different roles and responsibilities of the nurse.
The nurse is at the forefront of care and, as such, has various responsibilities towards the patient (Broetje et al., 2020). Different nurses, depending on their level of education and training, have different roles. For instance, an advanced nurse practitioner, due to their higher education and training, has more roles and responsibilities as compared to a registered nurse. Because J.R. is a nurse practitioner, meaning that she has obtained higher education and training beyond that of a registered nurse, she has increased responsibilities towards her patients. Her role includes collecting and documenting her patients’ history, conducting assessments, ordering diagnostic tests, developing treatment plans, prescribing medications and non-pharmacological treatments, monitoring patients’ progress, providing patient education, and promoting health, such as through screenings. She is also responsible for advocating for her patients’ needs and ensuring they receive appropriate and equal, high-quality care.
Please discuss the challenges you anticipate facing when fulfilling the various roles of a nurse practitioner. How would you work to improve your weaknesses? Identify your strengths.
According to research, patients who receive care from an advanced nurse practitioner report higher satisfaction as compared to those who receive care from a physician (Poghosyan et al., 2022). In addition, the services provided by an advanced practice nurse are often equal and comparable to those offered by a physician. Despite the important role that advanced nurse practitioners play in healthcare, they face a number of barriers that prevent them from delivering high-quality care to patients. One barrier I anticipate as a nurse practitioner is the language barrier. The United States population has over the years increased in diversity, and as such, healthcare providers have seen an increase in the number of diverse patients. However, for most of these diverse patients, English is often a second language, making it difficult to effectively communicate. This can lead to miscommunication, which in turn can lead to misdiagnosis and mistreatment. As a nurse practitioner, making use of a medical interpreter is important to reduce the rate of miscommunication. Another barrier that is related to the diverse patient population is cultural beliefs. Many of these patients have strong cultural beliefs and practices and often prefer to integrate their cultural healthcare practices with Western treatment. As a nurse practitioner, it is important to enroll in cultural competence programs that educate and train you on how to effectively provide culturally sensitive and inclusive care to diverse patients.
Despite the challenges I anticipate experiencing as a nurse practitioner, I pride myself on my sharp critical thinking skills. This means that I am effective at critically analyzing information objectively and making sound decisions. This ability is important for a nurse practitioner because it will help in assessing patients’ conditions accurately, developing effective treatment plans, assessing the outcomes of nursing interventions, and effectively collaborating with other healthcare providers in developing treatment plans for patients.
Which patient population is most likely to experience health disparities and why?
One of the populations that is likely to experience health disparities is the LGBTQ+ community. Health disparities are defined by the World Health Organization as the differences in access to and quality of health between different groups (Chan et al., 2022). The LGBTQ+ are at a higher risk of developing certain health conditions, such as HIV/AIDS and depression, have less access to health care, and have worse health outcomes. This is often due to increased stigma and discrimination, with many of these people reporting unfair or unjust treatment even from healthcare providers, which leads to a fear and reluctance to seek medical support even when sick. Another reason is a lack of trained and educated healthcare providers who can effectively provide appropriate and inclusive care to this population.
2.
Case Study 2
Leslie Perez
St. Thomas University
NUR 601: Health Promotion and Disease Prevention
Dr. Ruth Dassas-Molin
March 14, 2024
Case Study 2
L.W. is a nurse practitioner in an urban community. Many of her clients recently immigrated to the United States from various countries. She is challenged by the many different cultures she encounters and the different values and beliefs they hold toward Western medicine.
She is determined to earn her clients’ trust. She does this by providing health care services that are respectful of each client’s health beliefs and practices and cultural needs. She knows she must set aside her own values and beliefs to focus on what is important to her clients in order for them to have successful outcomes.
Give at least two examples of emerging populations in the United States and describe their cultural characteristics that might interfere with their healthcare.
In the United States, there are two emerging populations that providers should become more familiar with, which are refugee, immigrant, and migrant, or RIM, populations and lesbian, gay, bisexual, transgender, and queer, or LGBTQ, populations. These two groups are becoming more prevalent in the United States and both have cultural needs and characteristics that should be considered when attending to their healthcare.
The RIM population struggles with many disparities that interferes with their healthcare. Members of this population come from other countries that may struggle with violence, brutality, and prosecution, leading to fear of the government and thus, fear of seeking out healthcare as it could lead to deportation. This population also struggles with language barriers and financial security, leading to difficulties navigating the system of a foreign country in order to obtain the healthcare they need.
It is important to consider the health issues many patients within the RIM population struggle with. This includes, but is not limited to, communicable diseases such as tuberculosis and hepatitis, anxiety, depression, and post traumatic stress disorder, and diabetes, hypertension, and high cholesterol. These health issues are likely linked to their financial status, the healthcare available in their native country, and the work they are able to do in the United States. In order to bridge the gap and assist this population, providers should ensure patients have access to an interpreter, educational materials in their native language, access to healthcare and community resources to address any disparities related to their finances and housing (Daniels et al., 2022).
The LGBTQ community has always been prevalent, but the visibility of this population has changed drastically as attitudes have shifted to be more accepting. The LGBTQ population has dealt with many health disparities due to discrimination and lack of safe spaces. However, in recent decades, there has been more research done to consider the needs and characteristics of this population in order to provide adequate healthcare to meet their needs. Members of this population often struggle finding healthcare that is unbiased, affirming, and educational in a way that is specific to their needs.
When treating LGBTQ patients, providers must consider the health issues specific to this population. It is important to note that this population is diverse and is comprised of people from all walks of life, therefore, it is key to listen to the patient and get a full understanding of their needs rather than simply putting them into a box based off of their sexual orientation or gender identity. This population struggles with accessing gender affirming care due to laws set in place that will either restrict access or ban it. Additionally, this population tends to live alone and can benefit from support systems within their community. Sexually transmitted diseases, including HIV/AIDs, are also important to consider. Mental health is of utmost importance for this population as many patients struggle with anxiety, depression, and suicidal ideation due to the discrimination they may face. Providers can help this population by offering LGBTQ friendly resources, such as clinics for this population specifically, free and accessible STD testing, and conducting more research. There is a huge gap in what we know about health disparities in the LGBTQ population due to the lack of research within this field (Kuzma et al., 2019).
Identify the different roles and responsibilities of the nurse.
The nurse has many roles and responsibilities including communicating effectively, respecting the patient and their space, fully assessing the patient and their needs, ensuring the patient receives proper care, reducing harm as much as possible, and educating the patient to ensure they are aware about their diagnosis, treatment, and at home care.
Please discuss the challenges you anticipate facing when fulfilling the various roles of a nurse practitioner. How would you work to improve your weaknesses? Identify your strengths.
As a nurse practitioner, the biggest challenge I anticipate facing is diagnosing my patient. I believe this to be a challenge in that I want to ensure I do not overlook something that could lead to harm. I would improve my weakness by consulting with the provider in the event I have any doubts or concerns. I have strong communication skills and I am not afraid to speak up when I feel that something is missing or off.
Which patient population is most likely to experience health disparities and why?
The LGBTQ population is most likely to experience health disparities due to the lack of research we have pertaining to this population. It is also such a wide spectrum which allows for plenty of areas to learn about. Finally, there is still discrimination all around us, including laws banning or preventing affirming care, which deters this population from seeking healthcare as often as they should.
3.
Case Study 1
Anthony Pena
St. Thomas University
NUR 601: Health Promotion & Disease Prevention
Dr. Ruth Dassas-Molin, DNP, APRN, FNP-C, RN
March 14, 2024
Case Study 1
What type of prevention is J.R. trying to achieve when she encourages her patient population to attend the blood pressure screening events?
The case study involves J.R., a nurse practitioner who serves an urban Chinese community. She faces a number of daily challenges, including coordinating health care for community members, fostering compliance with treatment regimens, and teaching the community about health prevention and early detection of diseases and conditions. By trying to encourage her patient population to attend blood pressure screening events, J.R. is trying to achieve primary prevention. Primary prevention involves interventions such as vaccinations and screening that are performed before a disease occurs with the goal of preventing individuals from developing the disease (Budreviciute et al., 2020). Because hypertension is a common chronic condition among the elderly, J.R. is trying to prevent her patient population from developing hypertension through early screening. Through early screening, J.R. will be able to provide patient education to her patient population on the importance of adopting healthy lifestyles.
Please elaborate your answer; compare prevention types, give examples
Another type of prevention is secondary prevention, which involves early detection of a disease to prevent or delay disease progression. Examples include early screenings for certain conditions, nutritional programs for those at risk for cardiovascular diseases, and regular blood pressure checkups. While tertiary prevention aims to minimize the impact or severity of a disease after it has developed in order to improve quality of life, such as through rehabilitation programs or support groups.
Share similar challenges you might have faced during your practice.
One example of a challenge I faced in my clinical practice while caring for the elderly population was the language barrier. Most of the patients I cared for were from different ethnic backgrounds, and as such, English was their second language. Even though I tried as much as I could to use simple English and understandable medical terms, the issue of miscommunication still persisted. The clinic where I was stationed had only one interpreter, and it was therefore difficult to have an interpreter for every patient encounter with these diverse elderly patients. However, I made use of well-established translator mobile apps that helped facilitate communication whenever I could not get access to the clinic’s interpreter.
Identify the different roles and responsibilities of the nurse.
The nurse is at the forefront of care and, as such, has various responsibilities towards the patient (Broetje et al., 2020). Different nurses, depending on their level of education and training, have different roles. For instance, an advanced nurse practitioner, due to their higher education and training, has more roles and responsibilities as compared to a registered nurse. Because J.R. is a nurse practitioner, meaning that she has obtained higher education and training beyond that of a registered nurse, she has increased responsibilities towards her patients. Her role includes collecting and documenting her patients’ history, conducting assessments, ordering diagnostic tests, developing treatment plans, prescribing medications and non-pharmacological treatments, monitoring patients’ progress, providing patient education, and promoting health, such as through screenings. She is also responsible for advocating for her patients’ needs and ensuring they receive appropriate and equal, high-quality care.
Please discuss the challenges you anticipate facing when fulfilling the various roles of a nurse practitioner. How would you work to improve your weaknesses? Identify your strengths.
According to research, patients who receive care from an advanced nurse practitioner report higher satisfaction as compared to those who receive care from a physician (Poghosyan et al., 2022). In addition, the services provided by an advanced practice nurse are often equal and comparable to those offered by a physician. Despite the important role that advanced nurse practitioners play in healthcare, they face a number of barriers that prevent them from delivering high-quality care to patients. One barrier I anticipate as a nurse practitioner is the language barrier. The United States population has over the years increased in diversity, and as such, healthcare providers have seen an increase in the number of diverse patients. However, for most of these diverse patients, English is often a second language, making it difficult to effectively communicate. This can lead to miscommunication, which in turn can lead to misdiagnosis and mistreatment. As a nurse practitioner, making use of a medical interpreter is important to reduce the rate of miscommunication. Another barrier that is related to the diverse patient population is cultural beliefs. Many of these patients have strong cultural beliefs and practices and often prefer to integrate their cultural healthcare practices with Western treatment. As a nurse practitioner, it is important to enroll in cultural competence programs that educate and train you on how to effectively provide culturally sensitive and inclusive care to diverse patients.
Despite the challenges I anticipate experiencing as a nurse practitioner, I pride myself on my sharp critical thinking skills. This means that I am effective at critically analyzing information objectively and making sound decisions. This ability is important for a nurse practitioner because it will help in assessing patients’ conditions accurately, developing effective treatment plans, assessing the outcomes of nursing interventions, and effectively collaborating with other healthcare providers in developing treatment plans for patients.
Which patient population is most likely to experience health disparities and why?
One of the populations that is likely to experience health disparities is the LGBTQ+ community. Health disparities are defined by the World Health Organization as the differences in access to and quality of health between different groups (Chan et al., 2022). The LGBTQ+ are at a higher risk of developing certain health conditions, such as HIV/AIDS and depression, have less access to health care, and have worse health outcomes. This is often due to increased stigma and discrimination, with many of these people reporting unfair or unjust treatment even from healthcare providers, which leads to a fear and reluctance to seek medical support even when sick. Another reason is a lack of trained and educated healthcare providers who can effectively provide appropriate and inclusive care to this population.
4.
Case Study 2
Leslie Perez
St. Thomas University
NUR 601: Health Promotion and Disease Prevention
Dr. Ruth Dassas-Molin
March 14, 2024
Case Study 2
L.W. is a nurse practitioner in an urban community. Many of her clients recently immigrated to the United States from various countries. She is challenged by the many different cultures she encounters and the different values and beliefs they hold toward Western medicine.
She is determined to earn her clients’ trust. She does this by providing health care services that are respectful of each client’s health beliefs and practices and cultural needs. She knows she must set aside her own values and beliefs to focus on what is important to her clients in order for them to have successful outcomes.
Give at least two examples of emerging populations in the United States and describe their cultural characteristics that might interfere with their healthcare.
In the United States, there are two emerging populations that providers should become more familiar with, which are refugee, immigrant, and migrant, or RIM, populations and lesbian, gay, bisexual, transgender, and queer, or LGBTQ, populations. These two groups are becoming more prevalent in the United States and both have cultural needs and characteristics that should be considered when attending to their healthcare.
The RIM population struggles with many disparities that interferes with their healthcare. Members of this population come from other countries that may struggle with violence, brutality, and prosecution, leading to fear of the government and thus, fear of seeking out healthcare as it could lead to deportation. This population also struggles with language barriers and financial security, leading to difficulties navigating the system of a foreign country in order to obtain the healthcare they need.
It is important to consider the health issues many patients within the RIM population struggle with. This includes, but is not limited to, communicable diseases such as tuberculosis and hepatitis, anxiety, depression, and post traumatic stress disorder, and diabetes, hypertension, and high cholesterol. These health issues are likely linked to their financial status, the healthcare available in their native country, and the work they are able to do in the United States. In order to bridge the gap and assist this population, providers should ensure patients have access to an interpreter, educational materials in their native language, access to healthcare and community resources to address any disparities related to their finances and housing (Daniels et al., 2022).
The LGBTQ community has always been prevalent, but the visibility of this population has changed drastically as attitudes have shifted to be more accepting. The LGBTQ population has dealt with many health disparities due to discrimination and lack of safe spaces. However, in recent decades, there has been more research done to consider the needs and characteristics of this population in order to provide adequate healthcare to meet their needs. Members of this population often struggle finding healthcare that is unbiased, affirming, and educational in a way that is specific to their needs.
When treating LGBTQ patients, providers must consider the health issues specific to this population. It is important to note that this population is diverse and is comprised of people from all walks of life, therefore, it is key to listen to the patient and get a full understanding of their needs rather than simply putting them into a box based off of their sexual orientation or gender identity. This population struggles with accessing gender affirming care due to laws set in place that will either restrict access or ban it. Additionally, this population tends to live alone and can benefit from support systems within their community. Sexually transmitted diseases, including HIV/AIDs, are also important to consider. Mental health is of utmost importance for this population as many patients struggle with anxiety, depression, and suicidal ideation due to the discrimination they may face. Providers can help this population by offering LGBTQ friendly resources, such as clinics for this population specifically, free and accessible STD testing, and conducting more research. There is a huge gap in what we know about health disparities in the LGBTQ population due to the lack of research within this field (Kuzma et al., 2019).
Identify the different roles and responsibilities of the nurse.
The nurse has many roles and responsibilities including communicating effectively, respecting the patient and their space, fully assessing the patient and their needs, ensuring the patient receives proper care, reducing harm as much as possible, and educating the patient to ensure they are aware about their diagnosis, treatment, and at home care.
Please discuss the challenges you anticipate facing when fulfilling the various roles of a nurse practitioner. How would you work to improve your weaknesses? Identify your strengths.
As a nurse practitioner, the biggest challenge I anticipate facing is diagnosing my patient. I believe this to be a challenge in that I want to ensure I do not overlook something that could lead to harm. I would improve my weakness by consulting with the provider in the event I have any doubts or concerns. I have strong communication skills and I am not afraid to speak up when I feel that something is missing or off.
Which patient population is most likely to experience health disparities and why?
The LGBTQ population is most likely to experience health disparities due to the lack of research we have pertaining to this population. It is also such a wide spectrum which allows for plenty of areas to learn about. Finally, there is still discrimination all around us, including laws banning or preventing affirming care, which deters this population from seeking healthcare as often as they should.
