Write for your organization a 3–5-page impact report regarding the  health concerns of a new immigrant population. Describe the population’s  health concerns and issues, explain current pharmacological treatments,  and explain how culture and traditional practices may affect use of  pharmacology. Identify evidence-based strategies for the organization  and nursing staff to use to educate the population and promote health  and wellness.

Imagine the county health department notifies your organization that a  large number of immigrants are expected to be resettled in your area.  The organization, wanting to be prepared to handle any health concerns  of the population, tasks each department with readying for the influx of  immigrants. Your supervisor asks you to prepare an impact report on the  pharmacological needs of the population that can be shared with other  departments.

Preparation

Complete the following as you prepare for your impact report:

1. Choose one of the global areas below as the area from which the population will be coming.      
   • Sub-Saharan Africa.
   • India.
   • China.
   • Dominican Republic.
   • Guatemala.
   • Jamaica.
   • Bangladesh.
   • Saudi Arabia.
   • Pakistan.
   • Mexico.
2. Research the most common health concerns and issues for  immigrants from your chosen global area, the pharmacological treatments  that will likely be prescribed, and any cultural values or traditional  practices that may impact patient outcomes.

Requirements

Once you have identified the population you will be using for this assessment, include the following in your impact report:

• Describe the health concerns and issues for the population.
• Describe current pharmacological treatment regimens for the main health concerns and issues.
• Explain any traditional beliefs and practices associated with the  health concerns and issues. Does the population engage in culturally  based methods of treating the health concern?
• Explain how cultural values and traditional practices might  affect acceptance and use of prescribed pharmacological treatments. Be  sure to consider the relationship between quality patient outcomes,  patient safety, and the appropriate use of pharmacology.
• Identify evidence-based, culturally sensitive strategies the  organization can use to educate the population about the correct use of  the pharmacology treatments.
• Identify evidence-based, culturally sensitive strategies the  nursing staff can employ with the population to promote health and  wellness.

Write this assessment as an impact report formatted as other  reports of a similar nature in your organization or an organization with  which you are familiar. Include a title page and reference page and  follow APA guidelines for your in-text citations and references.

Additional Requirements

• Number of pages: 3–5
• At least 3 current scholarly or professional resources.
• Times New Roman font, 12 point, double-spaced font.

Urinary Obstruction

Case Studies

The 57-year-old patient noted urinary hesitancy and a decrease in the force of his urinary stream for several months. Both had progressively become worse. His physical examination was essentially negative except for an enlarged prostate, which was bulky and soft.

Studies

Results

Routine laboratory studies

Within normal limits (WNL)

Intravenous pyelogram (IVP)

Mild indentation of the interior aspect of the bladder, indicating an enlarged prostate

Uroflowmetry with total voided flow of 225 mL

8 mL/sec (normal: >12 mL/sec)

Cystometry

Resting bladder pressure: 35 cm H2O (normal: <40 cm H2O)

Peak bladder pressure: 50 cm H2O (normal: 40-90 cm H2O)

Electromyography of the pelvic sphincter muscle

Normal resting bladder with a positive tonus limb

Cystoscopy

Benign prostatic hypertrophy (BPH)

Prostatic acid phosphatase (PAP)

0.5 units/L (normal: 0.11-0.60 units/L)

Prostate specific antigen (PSA)

1.0 ng/mL (normal: <4 ng/mL)

Prostate ultrasound

Diffusely enlarged prostate; no localized tumor

Diagnostic Analysis

Because of the patient’s symptoms, bladder outlet obstruction was highly suspected. Physical examination indicated an enlarged prostate. IVP studies corroborated that finding. The reduced urine flow rate indicated an obstruction distal to the urinary bladder. Because the patient was found to have a normal total voided volume, one could not say that the reduced flow rate was the result of an inadequately distended bladder. Rather, the bladder was appropriately distended, yet the flow rate was decreased. This indicated outlet obstruction. The cystogram indicated that the bladder was capable of mounting an effective pressure and was not an atonic bladder compatible with neurologic disease. The tonus limb again indicated the bladder was able to contract. The peak bladder pressure of 50 cm H2O was normal, again indicating appropriate muscular function of the bladder. Based on these studies, the patient was diagnosed with a urinary outlet obstruction. The PAP and PSA indicated benign prostatic hypertrophy (BPH). The ultrasound supported that diagnosis. Cystoscopy documented that finding, and the patient was appropriately treated by transurethral resection of the prostate (TURP). This patient did well postoperatively and had no major problems.

Critical Thinking Questions

1. Does BPH predispose this patient to cancer?

2. Why are patients with BPH at increased risk for urinary tract infections?

3. What would you expect the patient’s PSA level to be after surgery?

4. What is the recommended screening guidelines and treatment for BPH?

5. What are some alternative treatments / natural homeopathic options for treatment?