Discussion question and answers

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timer Asked: Jan 20th, 2021

Question Description

NUR370 Discussion question 1

Discussion: The Impact of Global Health

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 this population.

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.

Definition of refugees | Dictionary.com. (2019). Www.Dictionary.Com. https://www.dictionary.com/browse/refugees

Priority Health Conditions | Syrian | Refugee Health Profiles | Immigrant and Refugee Health | CDC. (2019, March 7). Www.Cdc.Gov. https://www.cdc.gov/immigrantrefugeehealth/profile...

Discussion response 2 Elizabeth

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 illnesses.

References

Afghanistan's refugees: forty years of dispossession. (2019). Amnesty International . https://www.amnesty.org/en/latest/news/2019/06/afg...

The world's 5 biggest refugee crises. (2020). Mercy's crops. https://www.mercycorps.org/blog/worlds-5-biggest-r...

What is a refugee? (2021). Unhcr The Un refugee Agency. https://www.unhcr.org/en-us/what-is-a-refugee.html

Yourk, D. J. (2008). Nursing in Afghanistan: A cultural perspective. ANA. https://www.myamericannurse.com/nursing-in-afghani...




NUR400 Discussion question 2

Discussion: PICOT Question and Nursing Theory

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

I 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 infection.

(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.

References

https://www.nursing-theory.org/nursing-theorists/D...

NUR415 Discussion question 3

Discussion

Step 1: Read the vignette below.

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.

  1. Discuss which actions should be taken first.
  2. Identify the community partners that will help with your campaign.
  3. 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.

Response Posts: 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.

  1. 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 plan.

  1. 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.

  1. 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.

Reference:

Health Leads. (2021). Who we are/What we do.Retrieved from:https://www.nyu.edu/c

USDA. Rural Development. (2021). Retrieved from: https://www.rd.usda.gov/node/16827


Discussion response 2 Corbin

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.

References:

Health Resources and Services Administration (HRSA). (January, 2021). "Home Visiting". https://mchb.hrsa.gov/maternal-child-health-initiatives/home-visiting-overview

Please add in-text citations and reference to both your initial and replies to fellow classmates

Requirements: Answer questions

  • Petiprin, A. (2020). Dorothea Orem-nursing theorist. Nursing Theory
  • Student has agreed that all tutoring, explanations, and answers provided by the tutor will be used to help in the learning process and in accordance with Studypool's honor code & terms of service.

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