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2 pages/β‰ˆ550 words
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2 Sources
Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Essay
Language:
English (U.S.)
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Nursing Assignment: Diversity and Health Assessments

Essay Instructions:

Case 3
Subjective Data
CC: "Annual physical exam"
History of Present Illness (HPI): 23-year-old Native American male comes in to see you because he has been having anxiety and wants something to help him. He has been smoking "pot" and says he drinks to help him too. He tells you he is afraid that he will not get into Heaven if he continues in this lifestyle.
Drug Hx:
Current medication - denied
Allergies: no allergies to food or medications.
Family history: is very positive for diabetes, hypertension, and alcoholism.
Review of Systems (ROS)
General: no recent weight gains of losses, fatigue, fever or chills.
Head, eyes, ears, nose & throat (HEENT):
Neck:
Respiratory:
CV: no chest discomfort or palpitations
GI:
GU:
Integument: history of eczema – not active
MS/Neuro: no syncopal episodes or dizziness, no change in memory or thinking patterns; no twitches or abnormal movements
Psych:
Objective Data
PE: B/P 158/90; Pulse 88; RR 18; Temp 99.2; Ht 5,7; wt 208; BMI 32.6
General: 23 year old male appears well developed and well nourished. He is anxious – pacing in the room and fidgeting, but in no acute distress.
HEENT: Atraumatic, normocephalic, PERRLA, EOMI, sclera with mild icterus, nares patent, ornasopharynx clear, poor dentition – multiple carries.
Lungs: CTA AP&L
Cor: S1S2, +II/VI holosystolic murmur; without rub or gallop
Abd: benign, normoactive bowel sounds x 4; Hepatomegaly 2cm below the costal margin.
Ext: no cyanosis, clubbing or edema
Integument: intact without lesions masses or rashes.
Neuro: No obvious deficits and CN grossly intact II-XII
To prepare:
•Reflect on your experiences as a nurse and on the information provided in this week's Learning Resources on diversity issues in health assessments.
•Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected.
•Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient's background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
•Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information?
By Day 3
Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you selected. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.

Essay Sample Content Preview:

DIVERSITY AND HEALTH ASSESSMENTS
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Instructor:
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This case is about a young patient, 23 years old, who displays a number of things. Not only is he a smoker, but also an alcoholic, a habit that he says, helps him deal with his anxiety. He is quite full of energy from the outside, even though his Body Mass Index (BMI) is above the average measure. He believes that he is not spiritually okay, and doubts whether he would see heaven if he went on with the lifestyle he was practicing. All these just added up to his anxiety. Based on the information provided, the patient doesn’t seem to possess any other weaknesses, apart from his predisposition to diabetes as well as hypertension.
Under any nurse-patient interaction, communication is the backbone. It sets the tone of how care will be given to the patient, and how the nurse will also know and keep track of the entire session. Unlike the general social interaction that can make up a conversation, communicating with a patient for the purposes of coming up with his history is an entirely different activity altogether. It comes with the goals of building trust and understanding, since the patient needs assurance that the information he shares is protected in an unwritten oath of secrecy and privacy. Diction and intonation are therefore, two important elements in the effort to strike a rapport with the patient.
As for the questions to construct the history, they need to be clear and objective. They should be designed in a way that offers the patient room to divulge more information. The following are questions that can be posed to the patient:
* How regularly do you go for physical and medical checkup? When was the last time you we...
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