Foundation for Health Promotion
University:
St. Thomas University
Foundation for Health Promotion
Paper Instructions
For this Discussion, your instructor will assign you a case number.
- Case 1
- Case 2
- Case 3
Cases
J.R. is a nurse practitioner who serves an urban Chinese community. The challenges she faces daily include coordinating health care for the community members, fostering compliance with treatment regimens, and teaching the community about health prevention and early detection of diseases and conditions.
J.R. has learned that one of the main reasons the community members do not adhere to their treatment regimens is because of mistrust of Western medicine. Many of the patients are older adults who rely on homeopathic treatments they learned in China as children. These patients prefer to take Chinese herbs in lieu of prescription medications. Additionally, these patients do not like to attend health screenings or take part in immunization clinics because they do not believe these measures are beneficial to their health.
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.
D.H. is a nurse administrator at a large primary practice. His duties include maintaining the nurses’ schedules to keep within the facility’s budget; overseeing the hiring and training of nurses; ensuring that the work environment for the nurses is safe; and resolving any employment issues with the nurses that require disciplinary action, termination, or reporting adverse nursing care to the state board.
One of his primary initiatives during the nurses’ orientation is to reiterate the importance of incorporating the goals of Healthy People 2020 into the nurses’ care.
Questions for the case:
- What type of prevention J.R. is trying to achieve when she encourages her patient population to attend the blood pressure screening events?
- Please elaborate your answer; compare prevention types, give examples and share similar challenges you might have faced during your practice.
- Give at least two examples of emerging populations in the United States and describe their cultural characteristics that might interfere with their healthcare.
- How you as a health care professional should proceed if you suspect that a client has finances concerns about being able to afford their health care.
Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case:
- Identify the different roles and responsibilities of the nurse.
- 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.
- Which patient population is most likely to experience health disparities and why?
Submission Instructions
Your instructor will assign you your case number and you will post on the case number you have been assigned. MUST USE CASE NUMBER 3
You will reply to the other two case studies (One of each).
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.
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Sample Answer
Module Week 1 Case Study 3
How as a health care professional I should proceed if I suspect that a client has finances concerns about being able to afford their health care.
Healthcare in the United States of America is costly and for this reason citizens and companies are encouraged to take up the private insurance while individuals are encouraged to take the public insurance (Zieff et al., 2020). Despite these options several individuals cannot afford health care. The dilemma that a practitioner faces when a client cannot afford healthcare raises important issues of social justice.
If faced with sucha scenario I would employ the help of social workers to find out if there are available resources in and outside the hospital that can assist the patient. I might also offer the patient alternative affordable treatment options if available or refer them to a public institution if they are being seen in a private institution or to an institution that will cost them less money.
Role of the Nurses, Challenges Nurses Face and How to Overcome
The nurse should advocate for the rights of this patient i.e. to represent their best interest(Swanson et al., 2020). For this patient, the nurse can advocate for affordable healthcare. It is the responsibility of the nurse to offer any relevant information to the patient about their plan of care and the available choices of management now that they can’t afford care. Nurses are also considered as educators of the patient and their caregivers.
Some of the challenges that I anticipate to face when fulfill my roles as healthcare provider includes cultural differences, religious differences and even language barriers. These differences can hinder communication between a nurse and a patient affecting patient education. Patient advocacy can be hindered by limited knowledge of nurses, lack of support from other stakeholders and external interference (Nsiah et al., 2020).
I have a problem with time management and most of the time I tend to do all the work by myself. To improve on these weaknesses, I can attend seminars workshops on time keeping. I can also learn on the importance of team work and delegate more duties to reduce workload and improve on decision making. One of the most excellent skill that I possess and that has worked in both my favor and that of my patients is my excellent communication skills.
Population Most Likely to Experience Health Disparities
The patient population likely to experience health disparities includes people from minority communities such as African Americans or immigrants. This is linked to high illiteracy levels recorded in this groups, unemployment and even low wages given to them. They also have poor housing and low levels of hygiene(Chang, 2019). This makes them vulnerable to most illnesses such as cardiovascular diseases, diabetes, asthma, diarrheal diseases, HIV/AIDS and even teenage pregnancies and in most cases, they cannot afford healthcare.
References
- Chang, C. D. (2019). Social Determinants of Health and Health Disparities Among Immigrants and their Children. Current Problems in Pediatric and Adolescent Health Care, 49(1), 23–30. https //doi.org/10.1016/j.cppeds.2018.11.009
- Nsiah, C., Siakwa, M., & Ninnoni, J. P. K. (2020). Barriers to practicing patient advocacy in healthcare setting. Nursing Open, 7(2), 650–659. https //doi.org/10.1002/nop2.436
- Swanson, M., Wong, S. T., Martin‐Misener, R., & Browne, A. J. (2020). The role of registered nurses in primary care and public health collaboration A scoping review. Nursing Open, 7(4), 1197–1207. https //doi.org/10.1002/nop2.496
- Zieff, G., Kerr, Z. Y., Moore, J. B., & Stoner, L. (2020). Universal Healthcare in the United States of America A Healthy Debate. Medicina, 56(11), 580. https //doi.org/10.3390/medicina56110580
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