4 DQ 1

With the increasing cultural and religious diversity to be safe health services need to be culturally appropriate. There has been a proven link between low cultural competence in health care practice and poor quality health outcomes. When admitting a young adult of the Hindu faith, it is important to be aware of their beliefs and practices as Hinduism allows complete freedom of individuals to practice his or her religion as they choose. In the traditional Hindu faith, family, especially the elders play a strong role in healthcare decisions. It is also important to remember that Hindu culture uses herbal medicinal practices, with this knowledge, a complete list of medications and supplements is necessary. Hindus also may want to use alternative medicine such as Ayurveda and homeopathy and feel our culture over medicates, especially with antibiotics. They tend to be modest and may prefer to be examined by a healthcare provider of the same sex and may request a family member be present.

A resource available in the Houston area is the Hindus of greater Houston. The Hindu faith reinforces love and the organizations goal is to carry the Hindu values forward and make this world a better place for all.

It is also mandated that hospitals are required to provide translation if needed. Most provide this by phone and offers many different languages.

Using 250-300 word APA format with references to to support the discussion.

 You are admitting a 19-year old female college student to the hospital for fevers.  Using the patient information provided, choose a culture unfamiliar to you and describe what would be important to remember while you interview this patient. Discuss the health care support systems available in your community for someone of this culture. If no support systems are available in your community, identify a national resource. 

• Choose Topic for the Term Paper (Outcomes 1,2): 2 hours · 
  Build a theoretical frameworks for you research paper. · 
  Chose a research questions, hypotheses and/or clinical question you wish to address. · 
• TERM PAPER INSTRUCTIONSLesson
  Term Paper (Outcomes 1,2,3,4): 6 hours Topic: Evidence Based Practices to Guide Clinical Practices · Explain the interrelationship between the theory, research, and EBP. · Identify and discuss the research questions, sampling and sampling size, research designs, hypothesis, data collection methods, and research findings from each study. · Identify the goals, health outcomes, and implementation strategi
  lthcare setting (EBP) based on the articles. · Discuss the credibility of the sources and the research/researchers findings. · Minimum 5/maximum 7 page paper (the body of the paper), without the references, in APA format. · Minimum of 1 reference per page of the body of the paper (the course textbook must be one of the references), articles must be peer reviewed and must have been published within last 3-5 years. 

 Present your Term Paper in class, minimum 10/maximum 15 slides, including speaker notes, excluding the title and reference slides. • Discuss how it relates to scholarship and EBP nursing practice. 

1) Minimum 20  Slides with speaker notes –  You should include speaker notes on lla slides that expand and deepen the information. Therefore the information must be relevant and complementary.

              Part 1: Minimum 10 Slides with speaker notes
              Part 2: minimum 10 Slides with speaker notes
              

Submit 1 document per part

2)¨******APA norms
          All paragraphs must be narrative and cited in the text- each paragraph
          Don’t write in the first person 
          Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

          Use only bullets on the slides and expand the information in speaker notes.

         Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks) 
********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum  6 references per part not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX
Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:
Part 1.doc 
Part 2.doc 
__________________________________________________________________________________

Part 1: Sickle Cells Disease

You should develop the slides taking into account the patient’s data and possible findings, intervention, examinations, results, and intervention for the patient. Be specific

CC: ” I have had experiences severe chest pains periodic and swelling of my hands and feet.”

HPI:   Hispanic patient DD is 56 YO male; the chief complaint patient is he experiences severe chest pains periodic and swelling of his hands and feet; this makes the fingers and toes very painful. He reports that the last night he felt difficulty breathing. He noted that his skin was ashen and dry now for a month ago.

          Use only bullets on the slides and expand the information in speaker notes.

1. Explain the disease (Sickle Cells Disease)- Include one reference

a. symptoms

b. Signs

2. List possible  3 differential diagnoses you must include 1 reference per each one
a. supporting criteria per each diagnosis
b. excluding criteria per each diagnosis

3. Minimum 3 labs or tests typically ordered concerning this condition (slide) and explain them (Speaker notes).
a. Show the results that should do NP expect to see with this diagnosis per each lab or test (Slide) and explain to them the results (Speaker notes).

4. Explain minimum 4 goal treatment pharmacology (slide) and explain the purpose per each one (Slide)

5. Medications are typically prescribed for this condition and effects

a. Starting doses and dose ranges per each medication
b. Precautions to keep in mind when prescribing these drugs.

6. What are the outcomes expected or unexpected for this specific condition? 
a. What patient outcomes will trigger a referral?

6 Provide patient teaching materials specific to their condition (video, presentations,  brochure …)

Part 2: Peripheral Artery Disease

You should develop the slides taking into account the patient’s data and possible findings, intervention, examinations, results, and intervention for the patient. Be specific

CC: “I have pain in the legs when walking, numbness and weakness. Also, I have had a feeling of coldness in my lower legs.”

HPI: Hispanic patient male is 53 YO comes to consult with complaints of prolonged pain in the legs, weakness, and numbness while walking or conducting any physical activity for the past five days. The patient reports that she has been experiencing sores in her feet while take long to heal, toenails taking long to grow, and always short. 

          Use only bullets on the slides and expand the information in speaker notes.

1. Explain the disease (Peripheral Artery Disease)- Include one reference

a. symptoms

b. Signs

2. List possible  3 differential diagnoses you must include 1 reference per each one
a. supporting criteria per each diagnosis
b. excluding criteria per each diagnosis

3. Minimum 3 labs or tests typically ordered concerning this condition (slide) and explain them (Speaker notes).
a. Show the results that should do NP expect to see with this diagnosis per each lab or test (Slide) and explain to them the results (Speaker notes).

4. Explain minimum 4 goal treatment pharmacology (slide) and explain the purpose per each one (Slide)

5. Medications are typically prescribed for this condition and effects

a. Starting doses and dose ranges per each medication
b. Precautions to keep in mind when prescribing these drugs.

6. What are the outcomes expected or unexpected for this specific condition? 
a. What patient outcomes will trigger a referral?

6 Provide patient teaching materials specific to their condition (video, presentations,  brochure …)

CASE STUDY: Family Member with Alzheimer’s Disease: Mark and Jacqueline 

Mark and Jacqueline have been married for 30 years. They have grown children who live in another state. Jacqueline’s mother has moved in with the couple because she has Alzheimer’s disease. Jacqueline is an only child and always promised her mother that she would care for her in her old age. Her mother is unaware of her surroundings and often calls out for her daughter Jackie when Jacqueline is in the room. Jacqueline reassures her mother that she is there to help, but to no avail. Jacqueline is unable to visit her children on holidays because she must attend to her mother’s daily needs. She is reluctant to visit friends or even go out to a movie because of her mother’s care needs or because she is too tired. Even though she has eliminated most leisure activities with Mark, Jacqueline goes to bed at night with many of her caregiving tasks unfinished. She tries to visit with her mother during the day, but her mother rejects any contact with her daughter. Planning for the upcoming holidays seems impossible to Mark, because of his wife’s inability to focus on anything except her mother’s care. Jacqueline has difficulty sleeping at night and is unable to discuss plans even a few days in advance. She is unable to visit friends and is reluctant to have friends visit because of the unpredictable behavior of her mother and her need to attend to the daily care. 

Reflective Questions 

1. How do you think this situation reflects Jacqueline’s sense of role performance?

 2. How do you think that Jacqueline may be contributing to her own health?