...1) What social gaps exist in the United States when it comes to dental care? Approximately two-thirds of Americans seek regular care from a dentist. However, many of the remaining individuals and families face challenges. The social gap in the United States Dentistry is the remaining one-third of Americans who are not receiving the dental care they need. 2) Who is or is not receiving dental care? Americans that are not receiving proper dental care includes those with racial and ethnic minorities, those with chronic diseases, the elderly, and families that struggle economically. Sometimes people struggle to getting to a dental office, or prioritizing dental care among other needs of living. They may be struggling with financial barriers....
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...challenge is getting clients and families to value the importance of baby teeth and to access dental treatment. In response to my identified challenge, I have handed out hundreds of our programs brochures and posters, I have discussed the value of baby teeth with parents who attend our programs, I have worked at and set up displays for various health promotion events including the annual Welcome to Kindergarten, and I have designed and presented power point presentations to various groups. Reflection: One of the main consequences to my actions is we have no way of measuring behavior change. We can educate families on the importance of oral health, but our program does not have the resources or the capacity to follow up with each family to see if what we are teaching has taken effect. A second consequence is we are having trouble reaching our target population. Our programs target families’ with many adversities who...
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...A 63 y/o African American female presents to the emergency room complaining of shortness of breath worsening over the past week. Patient states she becomes severely short of breath while preforming everyday activities and has noticed that her legs have been “getting bigger”. Patient had been sleeping with 3-4 pillows a night for comfort and occasionally sleeping in a recliner. Patient states this evening she got up to use the restroom and had a sudden onset of severe shortness of breath. Felt as though she wasn’t moving any air. Patient called 911. The paramedics on scene established IV access and medicated patient with 40 of furosemide and Nitroglycerin sublingual 0.4 mg times 3 doses. Patient was placed on CPAP and brought to the ER. Upon arrival CPAP was continued, a nitroglycerin infusion was started at 20mcg/min. Additional IV access was established and labs were obtained. Stat EKG and Chest Xray were completed. Additional dose of furosemide 80mg was administered IV push and patient was provided with an indwelling foley catheter which is draining clear yellow urine. Past Medical History is significant for Hypertension, Diabetes, Congestive Heart failure, and Atrial Fibrillation with two unsuccessful cardioversions. Medications: Patient currently taking Furosemide, Lisinopril, Digoxin, Metformin, and Glyburide. Patient unable to recall dosages. Past Surgical History is significant for cesarian sections x 3 and ORIF...
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...limited by legal and ethical issues; professional codes of practice - internal and national; impact of management and leadership; input from other team members and workers. 4 Define how attitudes of others may influence an individual’s choices around death and dying different models of nursing care; person-centred...
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...Banyankole, Buganda, Acholi, Sebei, Karamajong all have different cultural beliefs for example the Bagisu circumcise men as a cultural belief that shows bravery and recently the President of Uganda H.E. Yoweri Kaguta Museveni attended the Embalu Cultural Ceremony in Mbale. Maternal care covers all aspects of the mother's caretaking activity from her child's birth until it reaches the age of twelve to say fifteen months. However research studies have shown that in most Ugandan cultures men have shown less or no concern at all when it comes to Maternal and child health care which is as a result from number of reasons stated below; The level of education in most cultures is low even some do not know the impacts of poor maternal and child care. Alexander the Poet said “Little Knowledge is very dangerous”. This causes cultures not to attend because the done with the effects of maternal and health care, which may be like diseases through Blood transfers at birth like HIV/AIDS, malnutrition, birth complications etc. Low income earnings; it is said that “Africans are poor because they are poor” Health and maternal care is expensive, i.e. it costs more than what an average Ugandan can afford. Most households/families in Uganda live under the poverty line as stated in the World Bank Statistics, if...
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...nurse has often carried out health promotion interventions. Who is ultimately responsible for maintaining and promoting Mrs. Griffin's health?| A)|The medical nurse| B)|The community health nurse who has also worked with Mrs. Griffin| C)|Mrs. Griffin's primary care provider| D)|Mrs. Griffin| Ans:|D| |Feedback:| |American society places a great importance on health and the responsibility that each of us has to maintain and promote our own health. Therefore, the other options are incorrect.| 2.|An elderly female patient has come to the clinic for a scheduled follow-up appointment. The nurse learns from the patient's daughter that the patient is not following the instructions she received upon discharge from the hospital last month. What is the most likely factor causing the patient not to adhere to her therapeutic regimen?| A)|Ethnic background of health care provider| B)|Costs of the prescribed regimen| C)|Presence of a learning disability| D)|Personality of the physician| Ans:|B| |Feedback:| |Variables that appear to influence the degree of adherence to a prescribed therapeutic regimen include gender, race, education, illness, complexity of the regimen, and the cost of treatments. The ethnic background of the health care provider and the personality of the physician are not considered variables that appear to influence the degree of adherence to a prescribed therapeutic regimen. A learning disability could greatly affect adherence, but cost is a more likely barrier.| 3.|A gerontologic...
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...people from diverse ethnic and cultural backgrounds has challenged health care providers to consider cultural competence as a priority (Capinha-Bacote, 2002). Patients within the hospitals are of every ethnic group and culture, and at times a mix of each. The term melting pot is used to describe the United States, which also has a tight relation to healthcare as well. For nurses, it is vital to maintain a sense of professionalism and unbiased opinions. Within the culture evaluation, a comparison of beliefs about health maintenance, protection, and restoration will be investigated amongst Asian-American, Caucasian, and Hispanic cultures. Cultural Competence Within such an eclectic amount of cultures, keeping cultural awareness, knowledge, skill, and the way culture is encountered maintains the ability to be culturally competent. Cultural awareness is the self examination and in depth exploration of one’s own cultural and professional background (Capinha-Bacote, 2002). Maintaining a sense of empathy and understanding regarding patient’s culture and beliefs assists in the individuals healing process. Cultural knowledge is the process of seeking and obtaining a sound education foundation about diverse cultural and ethnic groups (Capinha-Bacote, 2002). As healthcare officials, maintaining a solid foundation of knowledge pertaining to health, as well as sociological studies assists in approach and delivery of care. Cultural skill is the ability to collect relevant cultural data regarding...
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...by children in the general population, but their issues are exacerbated by the circumstances inherent to their homeless status. B. As touched upon in the skit, some of the health care issues especially prevalent in the homeless youth population are psychosocial issues, nutrition issues, communicable diseases, dermatological disorders, respiratory disorders, dental health issues, sexual health issues, substance abuse issues, and issues related to medication adherence. II. Psychosocial Issues A. Multiple studies have identified the adverse effects of homelessness on children’s psychosocial health. 1. Kern Medical Center Study – In comparison to other poor children who have never been homeless, there is increased risk for depression, anxiety, behavioral problems, and academic problems in homeless children. B. Women who are homeless during pregnancy usually do not have access to prenatal care, are often undernourished, and are often substance abusers – all of which leads to low birth weight babies with neurobehavioral problems predisposing them to lower academic achievement and behavioral issues at higher rates than children who are not homeless. C. Studies such as those carried out by the Health Care for the Homeless Clinician’s Network show that, for children who are homeless with their families, under stimulation by mothers preoccupied with survival concerns for themselves and their homeless children frequently results in developmental delays for children under five years...
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...gov/cancertopics/factsheet/Support/end-of-life-care 2. http://www.loisgreenlearningcommunity.org/ < Compare and Contrast: The National Cancer Institute’s End of Life Care Questions and Answers on their website are written more the for caregiver or patient and describe what end of life care refers to. It’s formally written and describes each step or phase of care from initial diagnoses of end of life approaching or withdrawal of life saving measures such as chemotherapy to knowing when the patient has passed. It describes ways to take care of a patient at the end of life and when to call for professional help. It’s mainly geared toward the caregiver and really addresses all issues in providing care no matter how minor. The priority here is the well being and education of the non-professional care taker and the patient. The Lois Green Learning Community is an online resource for health professionals and a community to share experiences and also take care of yourself by doing so. It’s a place to blog or unwind about an experience, there are many resources listed for certification for palliative care and how to treat patients. It’s written with a very open and warm way and it’s a safe place to share your experiences, not formal and official like the NCI website. Communities like this are very important for health professionals to have a place to talk openly about experience which have a huge impact personally and learn from the experiences of others. The priority here is really the well being...
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...Health Promotion is the provision of information and/or education to individuals, families, and communities that-encourage family unity, community commitment, and traditional spirituality that make positive contributions to their health status. Health Promotion is also the promotion of healthy ideas and concepts to motivate individuals to adopt healthy behaviors. According to the World Health Organization, Health promotion is the process of enabling people to increase control over, and to improve their health. Health promotion represents a comprehensive social and political process, it not only embraces actions directed at strengthening the skills and capabilities of individuals, but also action directed towards changing social, environmental and economic conditions so as to alleviate their impact on public and individual health. Health promotion is the process of enabling people to increase control over the determinants of health and thereby improve their health. Participation is essential to sustain health promotion action. The Ottawa Charter identifies three basic strategies for health promotion. These are advocacy for health to create the essential conditions for health indicated above; enabling all people to achieve their full health potential; and mediating between the different interests in society in the pursuit of health. These strategies are supported by five priority action areas as outlined in the Ottawa Charter for health promotion: * Build healthy public...
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...Nutrition Assignment For all children the provision of good nutrition is of utmost importance. For the majority of children, diet should be a varied and balanced mixture of foods that will provide sufficient energy and nutrients to maintain growth and good health (Holden, C., MacDonald, A., 2000). In order to complete this assignment I will be looking at how the Food and Nutrition Essence of Care Benchmark, is implemented in practice. The health deficit I have chosen is the special dietary requirements of a cystic fibrosis child and how they are encouraged to eat in order to promote health within a general paediatric ward. There are nine benchmarks which all consist of different factors to help achieve best practice. I will concentrate on factor ten of the Food and Nutrition benchmark which is ‘eating to promote health’ and reflect on practice in order to state whether the benchmark is being met for best practice. Confidentiality will be maintained at all times throughout this assignment in order to be in accordance with the Nursing and Midwifery Council Code of Professional Conduct (NMC 2002). Clinical practice benchmarking is a process through which best practice is distinguished and continuous improvement pursued through resemblance and sharing (DOH 1999). The NHS Modernisation Agency (2003) states that ‘Essence of Care’ has been designed to support the measures to improve quality set out in a first class service. Holden et al (1997) states that poor nutrition...
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...Understandably, any imbalance between organizational and personal commitments and the inefficient management of life priorities can lead to serious consequences in each or all of these domains. The consequences may in general, manifest, as diminished job satisfaction, poorer productivity and performance, lower organizational commitment, inferior career ambitions and success, increased absenteeism and intention to leave, as well as employee burnout, job stress, poorer physiological and psychological health, and diminished performance in personal life and family. Thus, Work - Life balance and employee perception of wellbeing have come to be recognized to be vital for the organizational growth and effectiveness. Human resource management practices in modern organizations emphasize effective strategies that ensure employee well being reflected in terms of organizational commitment through initiatives referred to as employee engagement. The importance of Work-Life balance of the employees and the parameters that influence Work-Life balance in modern work and life settings cannot be over emphasized in this era of acutely competitive...
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...2000-2013). With Hispanics making up almost half the population, the remaining Whites, Asians and African Americans, as well as other cultures, lend to a very diverse community. You can be in a very affluent area and drive only a few short miles and be now surrounded by run-down buildings, homeless people on the streets and poverty-stricken neighborhoods. Because of this, our community has many different health concerns that will be addressed in this paper. B.) Assessment of Needs and Risks B1. Population Economic Status In Los Angeles County, of the 10 million residents, 18.9% of households are at or below the poverty level (Los Angeles County, 2015). With the national average being 14.8%, LA County is a community that has to take care of a greater amount of people that are in need (U.S. Census Bureau, 2015). The average household income sits at $54,529 with African Americans being at the lowest median, around $36,609. Concurrently, they are also the population who has the highest percentage of poor, 38.1% (U.S. Census Bureau, 2000-2013). LA County also has a high rate of homeless, which you can commonly see on the streets spread out among different areas of the community. An estimated 254,000 people are homeless at some point during the year and “African Americans make up approximately half of the Los Angeles County homeless population - disproportionately high compared to the percentage of African Americans in the county overall (about 9 percent)” (Institute...
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...CLINICAL ISSUES Acute care management of older people with dementia: a qualitative perspective Wendy Moyle, Sally Borbasi, Marianne Wallis, Rachel Olorenshaw and Natalie Gracia Aim and objectives. This Australian study explored management for older people with dementia in an acute hospital setting. Background. As the population ages, increasing numbers of older people with dementia are placed into an acute care hospital to manage a condition other than dementia. These people require special care that takes into account the unique needs of confused older people. Current nursing and medical literature provides some direction in relation to best practice management; however, few studies have examined this management from the perspective of hospital staff. Design. A descriptive qualitative approach was used. Method. Data were collected using semi-structured audio-taped interviews with a cross section of thirteen staff that worked in acute medical or surgical wards in a large South East Queensland, Australia Hospital. Results. Analysis of data revealed five subthemes with the overarching theme being paradoxical care, in that an inconsistent approach to care emphasised safety at the expense of well-being and dignity. A risk management approach was used rather than one that incorporated injury prevention as one facet of an overall strategy. Conclusion. Using untrained staff to sit and observe people with dementia as a risk management strategy does not encourage an evidence-based approach...
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...immigrant children in the United States (U.S.) who will soon age out of the foster care system. These children accompany their parents to the U.S leaving behind extended family that under normal circumstances would have been a source of support with regard to childcare, financial assistance, etc...Others come to the United States searching for family that, before having left their home country, had played an active part in their rearing. It’s not until they age out of the foster care system that they become aware of their precarious situation. They are unable to pursue secondary education without financial aid. The children are also unable to obtain a drivers license or apply for employment for lack of required documents. They age out of the foster system and immediately enter the welfare system. If we do not help these children they will end up working illegally and will turn to crime and drugs on the street. Why wouldn’t we help them? They are after all citizens of the United States of America. Some of the children came with their parents and some were even born here! They do not have the legal documents to allow them to live here. The parents did not pursue their children’s rights here in this country out of fear or deportation. They are entitled to all of the benefits that this country has to offer. Many of the children have been in the U.S. for most of their lives and have lost touch with the family or culture they were born into. They consider themselves American. Every day...
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