Step 1 Review the term refugee and select a population that meets the definition of refugee.
Step 2 Post a response to the discussion board. In your post, address the following prompts:
Identify two common health beliefs for this group.
Explore two common health problems among this population and discuss
how the identified health beliefs may impact healthcare delivery to
Step 3 Read other students' posts and respond to at least two of them
In your response, choose a post that includes either the same
population, health belief, or health problem that you chose. Explore any
similarities or differences among your posts with your peer.
Use your personal experience, if it's relevant, to support or debate
other students' posts. If differences of opinion occur, debate the
issues professionally and provide examples to support opinions.
Cite any sources in APA format.
Discussion response 1 Amber
Refugees are "people who flee a nation, often to escape punishment for their political affiliations or for political dissent" (Definition of refugees | Dictionary.com,
2019). While researching refugees I came across Syrian refugees. In
2011 the Syrian conflict began and resulted in the largest refugee
crisis since WWII. One health belief for Syrian people is to fast during
certain periods of religious observance. During their fast they may
refuse oral medications. They are also less likely to consider a chronic
health condition chronic. Once symptoms get better they may stop taking
medications and often do not follow up.
Common health problems in Syrian refugees are anemia, diabetes, and hypertension. (Priority Health Conditions | Syrian | Refugee Health Profiles | Immigrant and Refugee Health | CDC,
2019) Because of the fact that Syrian people typically do not consider
chronic illnesses to be chronic, their health problems may go
uncontrolled. It sounds like they may seek out care from a doctor when
experiencing problems but usually get lost to follow up, resulting in
uncontrolled illnesses that may end up being life-threatening.
The 1951 Refugee Convention is a key legal document
and defines a refugee as: “someone who is unable or unwilling to return
to their country of origin owing to a well-founded fear of being
persecuted for reasons of race, religion, nationality, membership of a
particular social group, or political opinion (What is a refugee?,
2021).” While researching refugee groups I came across Afghanistan on
the top five refugee (The world's 5 biggest refugee crises, 2020).
Afghanistan has 2.7 million refugees, they began arriving in 1979, in
the months leading up to the Soviet invasion of Afghanistan and became
the one of the top five largest refugees’ crisis (Afghanistan's
refugees: forty years of dispossession, 2019). Most Afghanis who seek
health care at American or Coalition hospitals in Afghanistan are
extremely sick, severely injured, or near death (Yourk, 2008).
Afghanistan’s culture is deeply rooted in Islam. Even in times of
sickness, prayer is an extremely important part of daily life. Inability
to pray can cause much anxiety and stress (Yourk, 2008). Ramadan is the
most significant time of year for those of the Islamic (Muslim) faith.
Lasting 1 month, Ramadan starts on the first new moon of autumn. It’s a
time for inner reflection, devotion to God, and self-control. During
Ramadan, Muslims fast and avoid medications and sexual activity from
sunrise to sunset. When an Afghani patient seeks health care, the
father, the eldest son, or an elderly uncle serves as family
spokesperson (Yourk, 2008). Afghani patients of either sex, keep their
bodies covered as much as possible. Certain Some health problems they
may have are: Afghani cultural beliefs may inhibit self-care and
healing, for example, some patients may not want to ambulate, believing
they need to preserve their energy for healing. Relatively uneducated
and may get confused when physicians and nurses explain medical
information or treatment options. Many would rather defer medical
decisions to the physician. This may impact health delivery system
because there patient don’t have the knowledge to understand their care
so they are not able participate in decision-making of their care. Also
their health problems may go uncontrolled which causes more issues and
Respond to at least two of your fellow students’ posts.
Step 1 Reflect on your area of interest and the hypothesis that you created in week 2.
Week 2: After doing my research, I have come up with my hypothesis, which states
that healthcare development will be affected adversely due to higher
costs and lack of nurses when the nurse to patient ratios are high. This
is because most of them will quit their jobs due to the high amount of
pressure that their job entails. The health care facilities will have to
cope with many sick individuals, yet there are few and inadequate
nurses. This will, in turn, put a lot of pressure on the available
nurses and thus, they will be strained in their duties (Shin et al.
2018). Therefore, to prevent the loss of nurses and improve the quality
of health care provided, the nurse to patient ratios must be lowered
mainly by hiring more nurses to help in the provision of service.
Step 2 Answer the following prompts:
What nursing theory and theorist would you propose to use as a basis for further study into your area of interest?
Create a PICOT question related to your area of interest
Step 3 Read and respond to two other students' posts
Read other students' posts and respond to at least two of them. Use
your personal experience, if it's relevant, to support or debate other
students' posts. If differences of opinion occur, debate the issues
professionally and provide examples to support your opinions.
Cite any sources in APA format.
Discussion response 1 Randy
My interest are is elderly patients and feeding problems. My
hypothesis is that elderly patients who are praised by nursing
personnel for self feeding require less assistance than patients who are
not praised. The nursing theory and theorist I'd propose to use as a
basis for further study into this area would be "The Theory of
Interpersonal Relations" by Hildegard E. Peplau. In this theory nurses
engage in therapeutic relationships with people who are in need of
health services. Ultimately the nurse aids the patient to manage
themselves on their own through teaching and encouragement.
PICOT question- In two weeks can elderly patients who are
praised by nurses for self feeding require less assistance than patients
who are not praised?
Discussion response 2 Nicole
would propose Dorothea Orem as my nursing theorist. Orem's theory was
based on self-care and self-efficacy. She thought that if you were more
self-sufficient and more knowledgeable about your health, you could
better care for yourself (Petiprin, A., 2020). Since I spoke about being
more knowledgeable and educated regarding your health, Orem's theory
fits perfectly. I refer back to wound care and dressing changes. If you
are more informed and knowledgeable, you can decrease your chances of
(P) Patients with acute diverticulitis with
percutaneous drains (I)
who have not had the proper education regarding dressing changes and
site care (C) compared to those who have the appropriate education (O)
have an increase in risk for site infection (T) while the drain is in
place, which is typically 2-4 weeks.
Vignette: You are completing a
clinical rotation in a small community agency that provides services to
pregnant women or women with children under the age of 3. This agency
is located in an urban area of the southern United States. The racial
composition of the community is 78.1% white, 9.6% African American, 8.0%
Hispanic, 0.3% American Indian/Alaska Native, 2.0% Asian, and 2.0%
other. In 2009, 110,800 women of child-bearing age resided in the county
with 5,300 total births.
Recently you and your fellow students
learned that current statistics for the county reveal that from 2006 to
2008, the infant mortality (number of deaths per 1000 live births) rate
was 8.2%; an increase from 6.5% in 2005-2007. For African Americans, the
rates were 10.0% in 2005 to 2007 and increased to 14.4% in 2006 to
2008. The local Healthy Start agency confirms that these data are
accurate for the community. In fact, based on a review of deaths by the
coroner, in the last year, the major causes of neonatal and infant
demise were low birth weight, babies sleeping in bed with an adult (roll
over/unintentional deaths), and SIDS.
Step 2: Post a response to the following questions in the discussion board.
Discuss which actions should be taken first.
Identify the community partners that will help with your campaign.
Using research, what action should you take to move the action forward in the community?
Step 3: Read other students’ posts and respond to at least two of them.
Cite any sources in 7th ed. APA format.
In your responses to your classmates, contribute to the discussion with
your own original opinions or interpretation of the course materials.
Discussion response 1 Holly
Scenario: Infant mortality rate (number of deaths per 1000) in a
rural community has risen. The major causes of neonatal and infant
demise were low birth weight, babies sleeping in bed with an adult
(rollover/unintentional deaths, and SIDS.
Discuss which actions should be taken first.
The first step in this scenario is to offer parents grief
counseling and parenting classes free of charge. This would include
information on healthy grieving, how to grieve the loss of an infant.
Parent coping skills and strategies, safe sleeping positions for
children, safe accommodations for kids, and a checklist for safety
interventions a parent can follow prior to putting their child down for a
nap and for sleep at night. Also, including information on healthy
diets for expecting mothers and prenatal care could be part of the care
Identify the community partners that will help with your campaign.
The community partners that would
possibly be of assistance in these situations are the County Health
Department and the Department of Child Protective Services along with
the Sheriff’s Department. Another avenue to look into is local churches.
The YMCA is yet another facility that promotes the well being of
families. Social workers, case managers, pastors, and grief councilors
would all be of some assistance. One program, in particular, that would
address the basic needs of the families other than medical would be
Health Leads. (Health Leads, NYU.2021) This is a program that uses
volunteers from colleges to be the hands and feet of the physicians who
prescribe groceries, heat, housing, exercise programs, etc so that the
clients basic, life-sustaining needs are met before the medical needs in
order to maintain health and not just treat the sick.
Using research, what action should you take to move the action forward in the community?.
I would begin by writing the state legislators, governor,
and mayor.(USDA, Rural Development Plan.2020). I would call for the
community to put into practice a plan that the Trump administration
placed to aid in rural crisis. It is called the Rural Community Action
Guide. (USDA,2020). It has tools for the issues addressed in the
scenario. In this case, it could help the community with housing and
that is just one of many ways to address the underlying goal of
decreasing SIDS, low birth weight. If families had safe homes and food
that could be a start in the right direction.
I would identify the specific needs of the community in regard to
the staggering statistics mentioned in the above scenario. I would plead
with them and request that they would join me in getting the word out
to the community about these issues. I would humbly and respectfully ask
if they would help promote and market a city-wide Picnic and or
Carnival and invite the whole town. I would ask if we could invite any
local or surrounding hospitals, clinics, churches, the police
department, the health department, schools, libraries, and all the small
buisnesses who would like to be a part of the town’s events to
volunteer food and pamphlets for all the expecting parents and those
families with children under 3 years of age. Maybe even throw a musical
concert with a locally known musician and have a guest speaker come in
and address the issues of low birth weight, proper sleeping
arrangements, and SIDS. I believe if the parents who have suffered these
losses felt like they were heard and seen, changes would follow and the
issues could possibly decrease in numbers.
Based off the excerpt above we see a situation where infant mortality
increased over a period of two years. I do find it interesting that the
statistic on African American infant mortality was included. This
mortality rate (14.4%) was higher than the general average rate (8.2%). I
think it would helpful to see the specified rates across the board of
populations broken down. By having all the rates laid out, you can see
if there is a specific population that is at risk. Should there be an
outlier in the data we would have an area in which to focus. For
instance, if the African American population is the highest infant
mortality rate, we would consider the demographics that would be
negatively impacting this population (economic status, education levels,
health literacy). These are all important factors that contribute to
health of individuals and in this case the infants. Parents who do not
have prenatal care due to a lack of insurance miss out on the valuable
education that can be offered to prevent various issues. Lack of
prenatal care can also prevent the close monitoring and medical
management/interventions that can take place during pregnancy.
Some initial actions that the community should take is offer grief
counseling that focuses on alleviating guilt. Also, create support
groups for those who suffered the loss of infants if there isn't one. I
do believe the next step would be education to parents because
prevention is the only solution to decreasing the problems.
Campaigning could be difficult depending on the location that is
being considered. However, places like hospitals and community health
facilities are prime locations to spread the resources available because
delivery is most commonly done at the hospital. One resource in
particular provided through the Health Resources and Services
Administration (HRSA) is called Maternal, Infant, Early Childhood Home
Visiting Program (MIECHVP). This program assists at risk pregnant women
and families with providing necessary resources to raise children.