Dealing with Difference in the Health Care Setting

Dealing with Difference in the Health Care Setting (6-8 Pages double spaced). DUE Beginning 4-5-2017

Your paper will be based on a specific cultural group assigned to you during the first class session. The purpose of this assignment is to help you learn more about another cultural group by gathering information about the cultural group from a variety of sources, including an INTERVIEW with an individual from that group.

Research- Preparing Your Outline and Notes- The following provides an extensive but not exhaustive list of topic areas that might be covered in your paper. While you will not have time to deal with each area, please choose the information that is most relevant to understanding human difference and the responsibility of health care workers for responding to these differences in a health care setting. Please have at least five outside sources in addition to your interview and other course materials.

A. Interview Basic Information

1. Immigration background, language, religious beliefs/practices.

2. Most challenging/difficult aspects of American culture for them.

3. Family patterns, roles, and relationships.

4. Customs and behaviors, food, holidays and celebrations.

5. Recreation and leisure activities.

6. Degree of Assimilation: where do they feel they fit in?

B. What health issues are unique to the cultural group you are researching? What does a health care worker need to be most concerned about when dealing with members of your specific cultural group? In what ways might nursing care be particularly sensitive to those who are members of this cultural group?

C. Discuss three aspects of the cultural group that are the most difficult for you to understand. Explain why characteristics of your culture and that of your cultural group might cause these difficulties.

D. Using ideas from the text, readings, class and outside sources, list steps and/or principles health care workers can use to avoid negative stereotyping, judging, or prejudice against the cultural group.

E. Mention any emotional responses, changes in thinking, or insights you personally gained from your research.

Cultural Group: Culture:

Does Your Presentation. . .

PTS

COMMENTS

1. Briefly introduce your cultural group and provide a “preview” for the audience. (5 points)
2. Discuss background, religious beliefs, family patterns, customs and traditions of cultural group. (10 point

3. Discuss very specifically three aspects about cultural group that you find most difficult to understand. (10 points)

4. Discuss some of the health issues this culture faces, difficulties this cultural group may have in the health care setting, and adjustments that can be made to accommodate someone from this cultural group. Discuss steps and/or principles you and your colleagues can apply to avoid negative stereotyping, judging, or prejudice. (30 points
5. Discuss what you will take with you from your research? (10 points
Do You . . .
6. Use transitions, move smoothly from one point to the next and organize your presentation so that it is easy to follow. (5 points)

7. Have a paper that uses course readings, at least five additional outside sources and they are cited correctly, with a proper reference page. (30 points)

What are the major staffing and human resource issues faced by your chosen facilities?

Choose two long-term care facilities—one from nursing facilities, assisted living, or subacute care and another from adult day care, home health care, or hospice care—on which you would want to base your research work. Research Internet to read about your chosen long-term care facilities.

Assume you are responsible for the management and administration of the two facilities. You have to orient the newly appointed manager by providing an overview on managing long-term care. You also need to discuss the programs of the two facilities. From this perspective and based on your research about the facilities, prepare a Microsoft PowerPoint presentation of 10–15 slides including the following:

What are the various multidisciplinary departments (teams) included in your facilities?

Who comprise the target population being served by the various programs provided by your chosen facilities?

What are the major staffing and human resource issues faced by your chosen facilities?

What are the significant trends in long-term care likely to impact the operation of the various programs provided by your chosen facilities, and what is your plan of action to overcome them?

What are the various forms of cooperation and integration existing in your chosen facilities? Discuss the nature of management, financing, and quality issues related to integration and cooperation in the facilities?

Create a health promotion marketing plan for early bone density screening targeted throughout the Anywhere, USA communities using the 4-Ps.

1. Managerial epidemiology is integrated through general management functions. Explain each of the management functions in terms of the managerial epidemiology, i.e., what are the: a. Planning functions, example(s)? b. Directing functions, example(s)? c. Controlling functions, example(s)? d. Organizing functions, example(s)? e. Financing function, example(s)? 2. Describe the “natural history of disease” and disease progression from its inception to its resolution. 3. What are some of the many epidemiologic contributions to quality assurance in healthcare and public health? 4. Case Study #1 . Food poisoning outbreak at Bluegrass Hospital An outbreak of food poisoning occurred among the 400 staff and patients at Bluegrass Hospital a few hours after eating dinner. Among the 60 people who became ill, the Symptoms were mainly nausea, vomiting and diarrhea. The infection control nurse investigated the outbreak and reported results in Table 2.5 Below ____________________ Questions: 5 pts each 1. How many times more likely are people who consumed specific food items to get sick compared to those who did not consume each item? 2.. Which food item is the most likely cause of this “common source” outbreak? 3.. What are the incubation period and most likely cause of the outbreak? 5. Case Study #2: Osteoporosis Marketing Plan You are the Director of Community Relations, reporting to the Chief Operating Officer (COO) at Allright Memorial Hospital, Anywhere, USA. You have been asked by your COO to spearhead a community council with local public health officials, who will be focused on women over 50 for the prevention of osteoporosis. Your committee’s strategic plan SWOT analyses revealed the following information. _________ Background: The purpose of this project is to create an intervention prevention program that minimizes osteoporosis in women over 50 and with the health risks associated with the condition for Anywhere, USA. Per the Centers for Medicare and Medicaid (CMS), abstracted from medical claims data, “an estimated 10 million Americans have osteoporosis and 34 million Americans have low bone mass, placing them at an increased risk for osteoporosis. An analysis, using the Anywhere, USA state hospital database shows a slightly higher rate of risk than the national average. The report shows that osteoporosis is responsible for more than 1.5 million fractures annually, including 300,000 hip fractures, 700,000 vertebral fractures, 250,000 wrist fractures, and more than 300,000 fractures of other sites. Osteoporosis can be prevented. Early diagnosis and treatment can reduce or prevent fractures from occurring”. (CMS 2007) The Committee Objectives: 1. To research and identify best community partners and interventions for prevention of high risk osteoporosis residents in Anywhere, USA. 2. To use create a health promotion marketing plan for early bone density screening targeted throughout the Anywhere, USA communities. Targets: At Risk Population for Osteoporosis Age: Postmenopausal woman over ˃= 50 years of age Race: Caucasian, Asian, African-American and Hispanic women History: Women who have a family or personal history of fractures after age 50 Health Conditions: Women who have menopause before the age of 45 due to a medical condition or unknown cause. Healh Behaviors: Women who have premature menopause due to anorexia, bulimia, tabacco and alcohol use, or excessive exercise. Nutrient Deficiencies: Calcium and/or vitamin D deficiency Lifestyle: Sedentary, inactive lifestyle Medical Treatements: Steroid (corticosteroids), radiation and/or chemotherapy treatments Source: NIH 2010, Chart: Meyer 2010 ________________ Case Questions: 1. Using reliable primary resources do research and determine who the best community partners, and the most effective interventions for prevention promotion for high risk osteoporosis residents in Anywhere, USA. Your own hospital is one community partner, and it radiology services (bone density machines) are a resource. What other and resources within the community would be appropriate? 2. Create a health promotion marketing plan for early bone density screening targeted throughout the Anywhere, USA communities using the 4-Ps. Your marketing plan also needs a mission statement, a statement of purpose, objectives and timelines of how you will implement the program.

What birth order position best fits your experience in your family of origin? Do you believe his description gives an accurate picture of you and your siblings?

One of the concepts that students most enjoy about Adler’s theory are his ideas about birth order.

For this discussion, carefully read the text and lecture notes on Adler’s birth order and then respond to the following questions:

1. Of the five designated birth order positions Adler identifies (oldest, second child, middle child, youngest and only child), which of these positions do you think has the most challenging developmental task of growing up to become a healthy, mature adult? Explain your rationale in detail taking an objective approach that is not based on your own family experience.

2. If you were an Adlerian therapist, which of the five birth order positions do you think would be most challenging to work with? Support your reasoning with some objective facts about the types of behavior found in that birth order position.

3. What birth order position best fits your experience in your family of origin? Do you believe his description gives an accurate picture of you and your siblings? Explain your response in detail.