QUESTION-2 

Describe a situation in which you have encountered a culturally-derived communication misunderstanding in a healthcare setting with a patient, physician, colleague; supervisor or administrator and its outcome.  

What actions could you, in an advanced nursing role, implement to prevent culturally-derived miscommunications?

Are there ethical implications for not addressing cultural miscommunications? (Use fictional names and places. Choose a situation from the peer-reviewed literature if needed).

Expectations

Initial Post:

• Due: Thursday, 11:59 pm PT
• Length: A minimum of 250 words, not including references
• Citations: At least one high-level scholarly reference in APA from within the last 5 years

Question -3 

Assignment Prompt

Write a one to two-page summary on key assumptions of Leininger’s Culture Care theory and summarize the implications of this theory for your chosen advanced nursing role.

Expectations

• Due: Monday, 11:59 pm PT
• Length: 1-2 pages, excluding title page and reference page
• Format: APA 6th ed. formatting and citation rules are required for all written assignments in this and all graduate courses.
• Research: A minimum of one, recent (past five years) scholarly, peer-reviewed reference citation is required.

ASSIGNMENTS:

Part A: In the paragraph below there are 3 direct quotes and/or paraphrases, rewrite the paragraph in correct APA format.

The day has come for the patient to see the nurse practitioner prior to his trip abroad. By having a “pretravel assessment at least 6 weeks before departure, the provider may assess the timing, duration, and circumstances of travel. Michelle Zappas Candice Whitely and Sarah Carter p. 548 2019.” When the patient is traveling abroad it depends on what country or countries the patient is visiting as to what if any vaccinations are required. It is necessary for the nurse practitioner to remain current with regards to the latest recommendation from the CDC and WHO for travel advisories. (JNP, 2019, p. 548). Primary care NP’s are uniquely positioned to protect the health and well-being of the patient and local community Zappas, Whitely, & Carter.

Part B: Write the following references in correct APA format:

1. Hosein Karimi and Negin Masoudi Alavi Nurse Midwifery Study June 2015 volume 4 issue 2 Doi: 10.17795/nmsjournal29475 Florence Nightingale: The Mother of Nursing
2. Jean Watson: Theory of Human Caring. Angelo Gonzalo, BSN, RN updated September 12, 2019. Retrieved March 20, 2020 from https://nurseslabs.com/jean-watsons-philosophy-theory-transpersonal-caring
3. Michael B. A. Oldstone. Viruses, Plagues, & History. Published 11/2/2009. Oxford University Press. revised and updated edition 2010. New York, New York. ISBN 978-0-19-532731-1
4. American journal of respiratory and critical care medicine. January 1, 2020. Volume 201 number 1. Clinical fingerprinting: a way to address the complexity and heterogeneity of bronchiectasis in practice. Miguel Angel Martinez-Garcia, Timothy R. Aksamit, and Alvar Agusti. Pages 14-19.
5. Taber’s Cyclopedic Medical Dictionary. Edition 17. F.A. Davis company. Philadelphia, PA. copyright 1993. Page 679.
6. Nurses and the use of computer technology. RNAO. No date. Retrieved November 19, 2019 from https://rnao.ca/sites/rnao-ca/files/Nurses_and_the_use_of_computer_technology.pdf
7. Arabi. F. Rafii. M. A. Cheraghi and Ghiyasvandian, S. (2014). Nurses’ policy influence: A concept analysis. Iranian journal of nursing and midwifery research, (issue 3) volume 19, pp 315–322.
8. Burke, S. (2016). Influence through policy: Nurses have a unique role. Reflections on Nursing Leadership. Retrieved from https://www.reflectionsonnursingleadership.org/commentary/more-commentary/Vol42_2_nurses-have-a-unique-role.
9. Davoodvand, S., Abbaszadeh, A., & Ahmadi, F. 2016 Journal of medical ethics and history of medicine Patient advocacy from the clinical nurses’ viewpoint: a qualitative study volume 5 number 9
10. Volume 6 issue3. Pages 1124-1132. Nsiah, C., Siakwa, M., & Ninnoni, J. P. 2019. Registered Nurses’ description of patient advocacy in the clinical setting. Nursing Open

Post Reply:

Instructions: Respond to this post by extending, refuting/correcting, or adding additional nuance to their posts. The reply must be constructive and use literature. Reply must be in current APA style with at least two academic references.

Hematopoietic and Cardiovascular Case Studies

Based on the presenting complaints and past medical history, factors that may be contributing to J.D.’s increased risk of developing iron-deficiency anemia include intermenstrual vaginal bleeding, along with the consumption and chronic use of ibuprofen.   (Dlugasch et al., 2021) Given the fact that she reports increased urinary frequency and mild incontinence may be contributing factors to the possibility of presenting constipation and dehydration. She is also taking a diuretic which would further put her at risk for both conditions. J.D. might possibly be restricting her water intake to counter and avoid the symptoms of increased urinary frequency and mild incontinence since both can cause social awkwardness.

 In addition to the diuretic, she is taking a centrally acting antihypertensive agent which may also contribute to constipation. Vitamin B12 and folic acid are important in the production of red blood cells because when a person is deficient in either one of these areas, this might cause abnormalities to the red blood cells. When the blood cells are produced abnormally it interferes with their function as well. (Ndem et al., 2021)  For this reason, it is imperative that individuals have adequate amounts of both vitamin B12 and vitamin B9 in their diets.

J.D.’s gynecologists likely suspect that she is experiencing iron deficiency anemia due to the presenting complaints of intermenstrual vaginal bleeding which has been persistent over the past couple of months. In addition to the intermenstrual bleeding, she reports extreme fatigue and weakness, both clinical symptoms of iron deficiency anemia. (Rabbani et al., 2021)

If J.D. is diagnosed with iron deficiency anemia, I would expect to find signs within her lab work that would further support the diagnosis. Such signs would include low hemoglobin and a low hematocrit as well as low ferritin and low uniformity in the size of the red blood cells. These are all signs that are consistent with this diagnosis. J.D.’s lab results are as follows: Hb 10.2 g/dL; Hct 30.8%; Ferritin 9 ng/dL; red blood cells are smaller and paler in color than normal. Are consistent with the diagnosis of iron deficiency anemia. The normal reference ranges for women aged 37 are as follows for these labs: Hemoglobin. 14-18.0g/dL, Hematocrit 42-52%, ferritin 10-120ng/mL. (Dlugasch et al., 2021)

I would recommend further diagnostic testing such as an ultrasound to determine the underlying cause of the intermenstrual bleeding. This patient may have another condition such as uterine fibroids which is consistent as well with the menorrhagia she reports. In addition, an assessment of alternate pain control measures may be needed since her pain isn’t well controlled despite the chronic use of ibuprofen. Ibuprofen puts her at an increased risk for developing an ulcer which can then lead to an additional bleeding source. Furthermore, an assessment of the type of diuretic she is on to control her hypertension should be considered since frequent urination and fatigue may stem from it. Lastly, I would recommend treatment with an iron supplement in addition to dietary changes to include foods that are high in iron, vitamin C to aid in the absorption of iron and exclusion or limitation of milk as it slows the absorption of iron. (Dlugasch et al., 2021)

References

Dlugasch, L., Story, L., & Story, L. (2021). Applied pathophysiology for the advanced practice 

nurse. Jones & Bartlett Learning.

Rabbani, S., Farooq, M., Naeem, S., Naeem, M. A., Uddin, N., & Zubair, M. (2021). Relationship between

Red Blood Cell and Platelet Indices in Iron Deficiency Anemia. Pakistan Armed Forces Medical 

Journal, 71(2), 575–578.

Ndem, B. N., Akwiwu, E. C., Akpan, P. A., Akpotuzor, J. O., Bassey, I. E., Isong, I. K., &

Onukak, E. E. (2021). Timely accessing of antenatal care and prevalence of vitamin B12

and folate deficiencies among pregnant women in a Nigerian population. New 

Journal of Medical Laboratory Science, 75(1), 12–15.

Instructions: Respond to this post by extending, refuting/correcting, or adding additional nuance to their posts. The reply must be constructive and use literature. Reply must be in current APA style with at least two academic references.

 Multiple Sclerosis

Scholarly Written Report of Research 

PowerPoint must be submitted in PDF

Students will be assigned pathology on the 1st week of the course (Check Pathology Assigned List document in the RESEARCH REPORT folder); The same pathology assigned will be used to develop a Research Document Report and PowerPoint by apply required criteria information as title topics to be discussed (Read page 5,6 as the rubric has additional information that is required). 

1. Define the disease, 

2. Demographics of the Disease 

3. Cause of the disease, 

4. Signs & Symptoms of the disease (If apply, include stages, levels, or types of the disease), 

5. Laboratory findings (include, all blood test names, genetic test, urine test, i.e.) Must include all normal versus abnormal levels that will confirm the disease, 

6. Images of the Disease (X-ray, MRI, Ct Scans, PET scans); all images bust be cited in APA format and referred in the reference page of the report and PowerPoint. 

7. Treatment for the disease (this includes name of the medications, dosage, side effects, alternative medications, 

8. Diet for the patient, 

9. Prognosis of the disease, 

10. Photos of the disease throughout the PowerPoint presentation. 

11. All students must apply APA and writing style format. 

12. References must be within the last 5 years and no less than 10 references. All references must be accountable in the in-text citations throughout the document and PowerPoint. In addition, all PowerPoint slides must have citations at the bottom of each slide.