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For this assignment, you will construct a 3-5 page paper outlining the integration of cultural competency in nursing practice.

NUR 230 Integration of Cultural Competency in Practice Paper Rubric Criteria

1. Provide an overview (introduction) of cultural competence in nursing practice in the first paragraph of the paper.

2. Identify how culturally competent care is fundamental to the practice of nursing.

3. Identify and discuss the relationship between cultural competency and diversity, as well as patient- and family-centered care. Provide an example from your experiences in nursing.

4. Analyze and/or identify a barrier(s) to providing culturally competent care to a diverse population (e.g., health disparities, communication, and environment).

5. Recommendations for providing health promotion activities for a selected population. Include conclusion to the paper.

6. Include minimum of three (3) APA formatted in-text citations and references. The course text may only be used as one (1) reference; two (2) additional credible references must also be included.

7. Writing skills, grammar, spelling, style, and adherence to APA format in a 3-5 page paper (excluding title and reference page).

 

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Hello everyone

I need a health family tree

This paper should be in apa style with the body being 3-7 pages

the guidelines is below

Unit 1 focuses on the health status of your core family (parents, brothers, sisters, aunts, uncles, grandparents, nieces and nephews). You will collect relevant health information for each family member. The purpose of this project is to be able become proactive in good health and wellness by becoming knowledgeable about possibly genetic and lifestyle health factors that may be affecting you. All of the health information will be presented on a family health tree, and you are encouraged to be creative. After assembling the health tree, you will examine it for lifestyle risk factors and disease patterns. If particular diseases or disorders run through several members of the family, you will investigate that disease (using textbooks, professional peer-reviewed journals, and Internet sources) to determine what risk factors are associated with the disease and whether or not there is a known genetic or familial predisposition. Based on the analysis of health conditions and risk factors occurring on both sides of your family (maternal and paternal), you will then write a summary of your findings in a research paper and develop personal risk-reduction measures. Read the chapters in Unit 1 so that you can plan your data collection accordingly. This project should be completed over the duration of the course and in conjunction with the other units. It is recommended that you complete the data collection phase of the project by the time you reach unit 6. Following Unit 6, you should assemble your family tree, and then write the research paper.

The family health tree is a major assignment and will take considerable effort throughout the entire course. You should spend the first portion of the course collecting data, followed by assembling your tree, and finally writing the paper during the latter part of the course. You will be graded on the following:

Data

Your family tree should include the information below for you and your children, as well as your parents, siblings, grandparents, aunts, uncles, nieces, and nephews. (Note: Use the data collection forms to help you stay organized.)

 date of birth (year)

 occupation

•  physical description (height and weight: short/average/tall and underweight/normal/overweight/obese)
•  health behaviors
  o smoking/nonsmoking o alcohol consumption
  o diet patterns (high fat, low fat, low fiber) o exercise
  o druguse/abuse/addiction
•  diseases and date of onset/diagnosis
•  other related health conditions (includes surgeries)
•  if deceased, the cause of death and age (if death is caused by disease, also include age of onset). Organization of family tree (200 points) Your family tree should be pedigree style. It should provide information about each family member such as age, alive or decease, diseases, lifestyle, etc, that is meaningfully collected from the interviews with family. It should be displayed in color and symbol form. Some information can be in words but should be minimized. You will be graded on the following:

•  information provide
•  use of symbols
•  use of color
•  explanatory key
•  Easy to read and interpres Summary paper Include the following in your paper:

•  description of the disease
•  risk factors associated with the disease
•  known hereditary links, genetic and/or environmental interactions associated with the disease
•  your level of risk, including the number and type of relatives with the disease (first- or second-degree) and early or late onset (50 points)

 Risk-reduction measures recommended in the professional literature that might be prudent for you to take, based upon your findings. Also discuss the results from your behavior change contract from Unit 1 and how that contributes to your risk-reduction measures.

*Refer the general rubrics found in Appendix A for support in writing. Other requirements

1. Use at least three current references from within the last five years for each health problem.
2. Use references from the following: textbook, professional peer reviewed journals, and credible Internet sources. Please obtain instructor approval first. (5 points)
3. Use citations in the text and have an accurate reference page using APA 6th edition.
4. Be sure your writing is grammatically correct and in complete sentences.
5. Paper be in APA 6th edition style having a title page, abstract, body, summary paragraph, and reference page.

All papers will be analyzed by special software (Safe-Assign) to check for plagiarism. Any papers that are plagiarized will be given a zero.

note that my professor is so serious about plagiarism , so make it clear and professional

 

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Week 2: Respiratory Clinical Case

Patient Setting:

65 year old Caucasian female that was discharged from the hospital 10 weeks ago after a motor vehicle accident presents to the clinic today. States she is having severe wheezing, shortness of breath and coughing at least once daily. She can barely get her words out without taking breaks to catch her breath and states she has taken albuterol once today.

HPI

Frequent asthma attacks for the past 2 months (more than 4 times per week average), serious MVA 10 weeks ago; post traumatic seizure 2 weeks after the accident; anticonvulsant phenytoin started – no seizure activity since initiation of therapy.

PMH

History of periodic asthma attacks since early 20s; mild congestive heart failure diagnosed 3 years ago; placed on sodium restrictive diet and hydrochlorothiazide; last year placed on enalapril due to worsening CHF; symptoms well controlled the last year.

Past Surgical History

None

Family/Social History

Family: Father died age 59 of kidney failure secondary to HTN; Mother died age 62 of CHF

Social: Nonsmoker; no alcohol intake; caffeine use: 4 cups of coffee and 4 diet colas per day.

Medication History

Theophylline SR Capsules 300 mg PO BID

Albuterol inhaler, PRN

Phenytoin SR capsules 300 mg PO QHS

HTCZ 50 mg PO BID

Enalapril 5 mg PO BID

Allergies

NKDA

ROS

Positive for shortness of breath, coughing, wheezing and exercise intolerance. Denies headache, swelling in the extremities and seizures.

Physical exam

BP 171/94, HR 122, RR 31, T 96.7 F, Wt 145, Ht 5’ 3”

VS after Albuterol breathing treatment – BP 134/79, HR 80, RR 18

Gen: Pale, well developed female appearing anxious. HEENT: PERRLA, oral cavity without lesions, TM without signs of inflammation, no nystagmus noted. Cardio: Regular rate and rhythm normal S1 and S2. Chest: Bilateral expiratory wheezes. Abd: soft, non-tender, non-distended no masses. GU: Unremarkable. Rectal: Guaiac negative. EXT: +1 ankle edema, on right, no bruising, normal pulses. NEURO: A&O X3, cranial nerves intact.

Laboratory and Diagnostic Testing

Na – 134

K – 4.9

Cl – 100

BUN – 21

Cr – 1.2

Glu – 110

ALT – 24

AST – 27

Total Chol – 190

CBC – WNL

Theophylline – 6.2

Phenytoin – 17

Chest Xray – Blunting of the right and left costophrenic angles

Peak Flow – 75/min; after albuterol – 102/min

FEV1 – 1.8 L; FVC 3.0 L, FEV1/FVC 60%

Create a holistic care plan for disease prevention, health promotion, and acute care of the patient in the clinical case. Your care plan should be based on current evidence and nursing standards of care.

Visit the South University Online Library and research for current scholarly evidence (no older than 5 years) to support your nursing actions. In addition, consider visiting government sites such as the CDC, WHO, AHRQ, and Healthy People 2020. Provide a detailed scientific rationale justifying the inclusion of this evidence in your plan.

Next determine the ICD-10 classification (diagnoses). The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM) is the official system used in the United States to classify and assign codes to health conditions and related information.

Please use the following template and APA formating.

**Please delete this statement and anything in italics prior to submission to shorten the length of your paper.

Patient Initials ______

Subjective Data: (Information the patient tells you regarding themselves: Biased Information):

Chief Compliant: (In patient’s exact words)

History of Present Illness: (Analysis of current problems in chronologic order using symptom analysis [onset, location, frequency, quality, quantity, aggravating/alleviating factors, associated symptoms and treatments tried]).

PMH/Medical/Surgical History: (Includes medications and why taking, allergies, other major medical problems, immunizations, injuries, hospitalizations, surgeries, psychiatric history, obstetric and history sexual history).

Significant Family History: (Includes family members and specific inheritable diseases).

Social History: (Includes home living situation, marital history, cultural background, health habits, lifestyle/recreation, religious practices, educational background, occupational history, financial security and family history of violence).

Review of Symptoms: (Review each body system – This section you should place POSITIVE for… information in the beginning then state Denies…). – General:; Integumentary:; Head:; Eyes: ; ENT:; Cardiovascular:; Respiratory: ; Gastrointestinal:; Genitourinary:; Musculoskeletal:; Neurological:; Endocrine:; Hematologic:; Psychologic: .

Objective Data:

Vital Signs: BP – ; P ; R ; T ; Wt. ; Ht. ; BMI .

Physical Assessment Findings: (Includes full head to toe review)

HEENT:

Lymph Nodes:

Carotids:

Lungs:

Heart:

Abdomen:

Genital/Pelvic:

Rectum:

Extremities/Pulses:

Neurologic:

Laboratory and Diagnostic Test Results: (Include result and interpretation.)

Assessment: (Include at least 3 priority diagnosis with ICD-10 codes. Please place in order of priority.)

Plan of Care: (Addressing each dx with diagnostic and therapeutic management as well as education and counseling provided).

References

 

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This Unit addresses global issues in health promotion. Read the required reading for Unit 10 including the articles and required websites. Because of the diversity of cultures, and an expanding migratory global population, you as a Masters prepared Registered Nurse may be challenged with patients who are at risk or suffering from various conditions, such as tuberculosis or malnutrition. You may also be involved in natural disaster preparation or response, communicable disease outbreak care or bioterrorism management.

For this discussion, you will address a global health issue of your choice and identify related health risks for a particular group or patient. Include statistics for your choice/s. Include strategies you could utilize to help you incorporate the client’s cultural preferences within the education, prevention, or treatment plan. Consider the roles of interprofessional resources in your post. Avoid other topics present in the discussion as you make your choice so that the discussion is varied and robust. Include 3 references and citations. APA format, at least 350 words.

Articles For Reading

Bryant, R.A., Ekasawin, S., Chakrabhand,S., Suwanmitri,S., Duangchun, O., & Chantaluckwong T. (2011). A randomized controlled effectiveness trial of cognitive behavior therapy for post-traumatic stress disorder in terrorist-affected people in Thailand. World Psychiatry. 10(3), 205–209.

Fekete, T. (2007). Emerging infections: What you need to know, Part 1. Consultant. 47(12), 1013–1016. (Note: This article is not available through the Kaplan Library. It can be found using Google Scholar.)

Amirkhanian, Y.A. (2010) et al.: Male labor migrants in Russia: HIV risk behavior levels, contextual factors, and prevention needs. Journal of Immigrant Minority Health. 13, 918–928.

Web Resources

Centers for Disease Control and Prevention: Protect yourself from MRSA https://www.health.ny.gov/publications/0212.pdf.

 

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Write a paper in which you do the following:

Select an infectious disease and discuss its transmission and control measures. Try to select a disease not already covered or mentioned in the Syllabus. ( Malaria,Tuberclosis) Be sure to identify the reservoir(s) of your selected infectious disease.

Be sure to provide in-text citation(s) and a reference list to support your viewpoints

Support your paper with evidence from the literature.

Assignment Expectations

Length: 2–3 pages

 

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