In this writing assignment, you will reflect on your journey toward cultural competence.Step 1 Write one to two page paper in which you address the following prompts:Describe two significant moments in your professional life that relate to cultural learning.Describe something in this course that impacted you.What stereotypes or biases might you have regarding sociocultural influences on health that could get in the way of being a culturally competent health care provider (please do not say that you don’t have any. We all do. It is important to recognize them.Discuss two specific actions you will take from here forward to enhance your cultural competence.Step 2 Save and submit your assignment. When you have completed your assignment, save a copy for yourself in an easily accessible place and submit a copy to your instructor.Cite any sources in APA format.See the rubric for grading details.

Directions:Initial PostDescribe how you achieved each course competency including at least one example of new knowledge gained related to that competency.Describe how this new knowledge will impact your nursing practice.Course Competencies1. Identify multidimensional nursing care strategies for clients with reproductive system disorders.2. Determine appropriate multidimensional nursing interventions for clients with disorders of the urinary system.3. Apply strategies for safe, effective multidimensional nursing practice when providing care for clients with upper respiratory disorders.4. Compare strategies for safe, effective multidimensional nursing practice when providing care for clients with lower respiratory disorders.5. Prioritize nursing care strategies for clients with cardiovascular disorders.6. Integrate multidimensional nursing interventions when caring for clients with hematological disorders.Reply PostsYou are required to give a minimum of two responses and follow the criteria listed below:Review how your classmates achieved each course competency and transferable skill.Identify new knowledge others gained you had not considered.Describe how this new knowledge could impact your nursing practice.Please make your initial post by midweek, and respond to at least two other students’ posts by the end of the week. Please check the Course Calendar for specific due dates.2 RESPONSE POSTS RESPONSE POST 1 Multidimensional ReflectionIdentify multidimensional nursing care strategies for clients with reproductive system disorders.I achieved this first competency by going for my scheduled classes and doing my personal study at home and in the library. I gained an enhanced knowledge and expertise about providing the best care with patients who have reproductive system disorders (Haugan et al., 2013). First, one should provide a calm and quiet environment to discuss the patient’s issues. The nurse should offer emotional support needed for the patient to gain trust. It also vital to instruct about the reproductive disorder diagnosed and possible interventions available to treat the disease.2.Determine appropriate multidimensional nursing interventions for clients with disorders of the urinary system.The second competency was gained by enquiring more from the lecturer about the best interventions for patients with disorders of the urinary system (Haugan et al., 2013). I got the opportunity to learn about the importance of monitoring the fluid intake and output of the patient to note any improvements on the interventions applied. At the same time, it is vital to constantly monitor the vital signs, asses for pain and give medications as ordered.3.Apply strategies for safe, effective multidimensional nursing practice when providing care for clients with upper respiratory disorders.I gained this competency my attending classes and doing more research from the library. I grasped that the upper respiratory disorders require close monitoring to help the patient with the breathing process. The nurse should put the patient in intravenous hydration and monitor vital signs closely (Haugan et al., 2013). Teach the patient simple breathing exercise and positioning when sleeping and sitting to maintain an open airway.4.Compare strategies for safe, effective multidimensional nursing practice when providing care for clients with lower respiratory disorders. I gained this competency by attending lectures, reading class notes, and attending weekly group discussion help on different online platforms (Rondón García & Ramírez Navarrro, 2018). It is vital to maintain an open airway, auscultate for lung sounds, and monitor for breathing pattern. It is vital to instruct on high level of hygiene, keeping the environment clean and free from possible allergens. Also, the nurse should administer the medication ordered and instruct the patient on medical adherence.5.Prioritize nursing care strategies for clients with cardiovascular disorders.I gained this competency by visiting different websites that offered me a chance to participate in simulation exercises for patients with cardiovascular disorders (Rondón García & Ramírez Navarrro, 2018). It is important to monitor for chest pain, Orthopnea, crackles, JVD, liver engorgement, edema, and Diminished peripheral pulses. These symptoms can indicate a deteriorating heart disorder and possible heart failure. One skill gained is that it is vital to note changes in sensorium: lethargy, confusion, disorientation, anxiety, and depression. These signs shows hypoxia of the brain and the patient go into a coma.6.Integrate multidimensional nursing interventions when caring for clients with hematological disorders.I gained this concept by participating in class discussion about hematological disorders. Among these disorders are sickle cell diseases, anemia, polycythemia Vera, leukemia, and malignant lymphomas among others. Nurses should carry out nursing interventions to include monitoring vital signs, physiologic systems, and diagnostic study results. It is also vital to monitor intake and output as well as monitoring daily weight (Rondón García & Ramírez Navarrro, 2018). One specific knowledge gained is the need to provide awareness about the risk factors of the diseases to promote health seeking behavior, early screening, diagnosis, and treatment of the same.ReferencesHaugan, G., Hanssen, B., & Moksnes, U. K. (2013). Self‐transcendence, nurse–patient interaction and the outcome of multidimensional well‐being in cognitively intact nursing home patients. Scandinavian Journal of Caring Sciences, 27(4), 882-893.Rondón García, L. M., & Ramírez Navarrro, J. M. (2018). The impact of quality of life on the health of older people from a multidimensional perspective. Journal of aging research.RESPONSE POST 2. Identify multidimensional nursing care strategies for clients with reproductive system disorders.1. Uterine fibroids are noncancerous growths in the uterus that can develop during a woman's childbearing years. Risk factors include a family history of fibroids, obesity, or early onset of puberty, and symptoms include heavy menstrual bleeding, prolonged periods, and pelvic pain. Treatments include medications and removal of the fibroid. As a nurse, the goal is to educate the patient on surgery benefits, risks, life changes, and pain management. I will listen to concerns, fears, and perceptions of self-related to anticipated changes and her specific lifestyle. I will provide accurate information, reinforce information previously given and create an open environment for the patient to discuss concerns about sexuality and conception (M.Vera,2019).2. Determine appropriate multidimensional nursing interventions for clients with urinary system disorders.Pathogenic microorganisms cause urinary tract infections (UTI) in the urinary tract, including the kidney, bladder, and urethra. Most UTIs caused by the bacterium Escherichia coli (E. coli) is in the digestive system. The focus for a nursing care plan for urinary tract infections includes interventions to relieve pain and discomfort, increase the client's knowledge about the preventive measures, treatment regimen, and potential complications to report to the PCP (M.Vera,2019).3. Apply safe, effective multidimensional nursing practice strategies when providing care for clients with upper respiratory disorders.Epiglottitis is an acute inflammation of the epiglottis and surrounding laryngeal. Due to the risk of respiratory obstruction, it is an emergency. As a nurse, it is essential to maintain the patient's airway by making sure no examination of the oropharynx gets initiated until emergency equipment and personnel are readily available. I will administer pain medications and IV fluids as ordered, encourage oral intake by offering warm, clear fluids as tolerated, and keep the patient comfortable (P.Martin,2019).4. Compare strategies for safe, effective multidimensional nursing practice when providing care for clients with lower respiratory disorders.Chronic Obstructive Pulmonary Disease (COPD) involves two related diseases — chronic bronchitis and emphysema. The patient experiences chronic dyspnea with expiratory airflow limitation that does not significantly fluctuate with COPD. Nursing care for patients with COPD involves the introduction of a treatment regimen to relieve symptoms and prevent complications. Patients need to develop a teaching plan to help patients comply with the therapy and understand the nature of the disease and ways to prevent exacerbations by keeping the environmental pollution to a minimum, such as dust, smoke, and feather pillows. Teach the patient to demonstrate effective coughing and deep-breathing techniques, the importance of staying physically active, and maintaining a healthy diet (M.Vera,2019)5. Prioritize nursing care strategies for clients with cardiovascular disorders.Hypertension is elevated blood pressure exceeding 140 over 90 mmHg. Hypertension patients plan to lower their blood pressure, teach adherence to the therapeutic regimen, lifestyle modifications, and prevent complications (M.Vera,2019).6. Integrate multidimensional nursing interventions when caring for clients with hematological disorders.Thrombophlebitis is the inflammation of the vein wall resulting in the formation of thrombosis (blood clot) that may interfere with the normal blood flow through the vessel. Blood clots usually occur in the lower extremities and can travel in the bloodstream, life-threatening because they can cause a pulmonary embolism. The patient may be experiencing anxiety. As a nurse, I will provide brief explanations of what is happening and the expected effects of the medical intervention. I will assist with frequent position changes and encourage ambulation as tolerated (P.Martin,2019).ReferencesVera, M. (2020, December 8). Seven chronic obstructive pulmonary diseases (COPD) nursing care plans. Nurseslabs. Retrieved December 15, 2021, from https://nurseslabs.com/chronic-obstructive-pulmona... Martin, P. (2019, April 10). Five epiglottitis nursing care plans. Nurseslabs. Retrieved December 15, 2021, from https://nurseslabs.com/5-epiglottitis-nursing-care... Mayo Foundation for Medical Education and Research. (2021, September 16). Uterine fibroids. Mayo Clinic. Retrieved December 15, 2021, from https://www.mayoclinic.org/diseases-conditions/ute...