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Fibroids
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Develop a 30-minute presentation, with detailed speaker notes, on Fibroids.
Analyze the etiology, pathophysiology, and general clinical manifestation of symptoms of the disease based on relevant literature.
Consider how age or overall health status might alter the normal clinical manifestation of the disease.
Evaluate the patient’s overall social and medical history, clinical symptoms, and clinical assessment from the perspective of the previously cited literature.
Evaluate the diagnostic work-up and clinical findings, including a rationale for each diagnostic test and expected findings, and recommend a diagnosis based on the findings.
Develop a plan of care based on diagnosis, including age-appropriate modifications of proposed therapy and dose modifications based on clinical guidelines.
Include medications, assistive therapies, and specific limitations of activities.
Address any age-appropriate modifications of proposed therapy or dosage modifications.
Analyze the potential complications of care and any possible side effects of medication based on literature that includes instructions for notification of the clinician.
Create a patient education plan that shows understanding of the patient’s developmental age, sexuality, health literacy, socioeconomic status, cultural sensitivity, and health belief models.
Analyze current condition and how it may relate to underlying health issues, the proposed plan of care, and possible side effects or complications.
Include patient/family engagement in the plan of care using the teach-back method.
Analyze how the principles of Watson’s theory of human caring are integrated into the plan of care and patient education.
Conclude the presentation with a question-and-answer session (8 to 10 questions and answers).
Prepare a one-page summary as a handout for the other students. Reference needs to include UpToDate
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Fibroids
Fibroid are the most common tumors that affect women’s reproductive system. They are benign tumors that made of smooth muscle cells that grow in the uterus. Further, these tumors affect women in their reproductive and almost fifty percent of such women in their child bearing age have fibroids. Generally, thirty to seventy percent of women will develop fibroids at some point in their reproductive age (Stewart, 2017).
However, although fibroids are dangerous and cause disruption in women’s lives, they are not cancerous in nature and their development do not increase the risk of developing cancer. Additionally, the cause of fibroid development in the uterus remains remain unknown. Despite its cause being unknown, women with a family history of tumors, those who are obese, African American women, women who commence their periods early and those who are nulliparous are at risk of developing fibroids (Stewart, 2017).
Generally, the main symptoms indicating the presence of fibroids are heavy and prolonged bleeding, pain and discomfort in the pelvis and abdomen, urinary tract and bowel problems such as frequency in passing urine and incontinence, infertility issues and pain during menses and sexual intercourse. These presence of these symptoms and there severity will depend on the size and location of the fibroid.
When one visits a doctor, a thorough diagnosis has to be so as to exclude the possibility of other tumors, which may even be cancerous (Stewart, Barbieri, Goff, Falcone, & Falk, 2015). A history of the patient is taken including the manifested symptoms, the obstetric history and medical history. After that the patient is subjected to a physical examination which involves palpation of the abdomen. A pelvic ultrasound is the used to image the reproduction structure. This is the basic method used for the diagnosis of fibroids. In other cases, Magnetic Resonance Imaging is done in complex cases (Stewart, 2017)…..
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Diversity in Health Care
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Write a paper (825-1,250 words) that addresses the impact diversity has on health care, and the changes that occur to support diverse populations. Include the following:
Define diversity. Explain how diverse demographics influence the health care industry. Consider culture, gender, religion and spirituality, and social and economic status.
Define the meaning of cultural competence and the role it plays in organizational behavior.
What is meant by the term “diversity management”? How have changes in U.S. demographics impacted the health care industry, diversity of customers, and diversity within the organization itself?
How does understanding diversity support awareness, empathy, and understanding with a community? How does it support a national and global community?
Prepare this assignment according to the APA guidelines
Diversity in Health Care
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Diversity in Health Care
Diversity
Diversity is the essence of a given subject being composed of different elements (Merriam-Webster Online Dictionary, 2017). In healthcare, diversity implies the need for the provision of quality health services to a broad range of populations with varying characters (Betancourt, Green, Carrillo, & Ananeh-Firempong, 2003, p. 296 ). As such, diversity in healthcare implies the meeting of various providers with different backgrounds with a uniform goal that is the provision of quality healthcare services to individuals from as varied backgrounds as they are.
The influence of diversity in demographics on the health care industry
The growing globalization and the interaction of various cultures is an important factor in the efficient delivery of healthcare. The priority given by healthcare providers to diversity is due to these increasing changes. Changes within the global and local demographics and economies of a multicultural setting create more disparities in health statuses and the need for focused attention (Campinha-Bacote, 2003). Such increasing diversity in demographics has a number of effects on the healthcare industry as illustrated below.
Better research on issues related to racial and cultural diversity. Owing to the increased diversity in the target populations of various healthcare facilities, there is a need for better research into the various cultural factors and their influence on health care. Such information helps the industry and providers to identify various diseases and conditions correctly, which has a positive impact on the provision of quality healthcare (Betancourt, Green, Carrillo, & Ananeh-Firempong, 2003).
Improved cultural competence. In order to operate in the culturally diversified world successfully, the healthcare industry needs to develop cultural competence. This phenomenon is a set of attitudes, behaviors, and policy that come together to create a workplace that is ready to operate and compete effectively in a culturally diverse setting. Through various government agencies, the healthcare industry has embarked on programs to enhance cultural competence.
This includes education and training on different cultures, the launch of cultural and linguistically appropriate services the creation of cultural desire, cultural awareness, and cultural skills that enhance the encounters between health care providers and the patients at the facilities (Campinha-Bacote, 2003). The health care facilities replicate the same concept at the organizational level through the creation of various frameworks and models, which allow for wider implementation and impact in the healthcare industry.
Cultural competence
Betancourt, Green, Carrillo, and Ananeh-Firempong provide a definition of cultural competence as the acknowledgement of culture, cross-cultural relations, vigilance in handling the dynamics resulting from cultural differences, expansion of knowledge about culture, and the adoption of services to meet health care needs that are unique to culture (2003, p. 294 ).
The role cultural competence plays in organizational behavior.
The integration of cultural competence in a health care facility enables various changes in organizational behavior. Cultural competence helps to streamline various operations, primarily through the introduction of new efforts. Such efforts promote the inclusion of under-represented minorities as providers and leaders in the healthcare industry (Betancourt, Green, Carrillo, & Ananeh-Firempong, 2003). Through such efforts, change in the healthcare industry is possible through focused and structured changes in the organizational behavior…..
Diversity in Health Care
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Best-practices for providing health care to a nation and why
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Topic: Best-practices for providing health care to a nation and why
Instructions:
What are some of the “best-practices” for providing health care to a nation and why?
Improving quality of care and patient safety practices can strengthen health care delivery systems, improve health sector performance, and accelerate attainment of health-related Sustainability Development Goals.
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Health disparities
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Question 1
What rules or principles would you follow in helping an underdeveloped country address its health disparities?
Health-disparities are preventable differences in the burden of disease, injury, violence, or opportunities to achieve optimal health that are experienced by socially disadvantaged populations.
While the term disparities is often used or interpreted to reflect differences between racial or ethnic groups, disparities can exist across many other dimensions as well, such as gender, sexual orientation, age, disability status, socioeconomic status, and geographic location. Disparities are inequitable and are directly related to the historical and current unequal distribution of social, political, economic, and environmental resources.
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Human experience across the health-illness continuum
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Human experience across the health-illness continuum
The benchmark assesses the following competency:
Benchmark: 5.1. Understand the human experience across the health illness continuum.
Research the health-illness continuum and its relevance to patient care. In a 750-1,000 word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following:
Examine the health illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.
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Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum.
Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.).
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Review The Joint Commission (TJC)
Review The Joint Commission (TJC) National Patient Safety Goal #3 concerning medications via the link. Safety practices concerning medication assessment are provided in the document. Read the continuation of data on Millie Larsen, our unfolding case study patient below. After this, consider the discussion question posted and respond to the discussion. Your discussion postings will be graded according to the AD Nursing Discussion Question Rubric form.
The Joint Commission is a United States-based nonprofit tax-exempt 501 organization that accredits more than 22,000 US health care organizations and programs
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Health Literacy Evaluation
Purpose
The purpose of this assignment is to engage learners in evaluating factors that contribute to effective communication and health literacy in consumer health education materials.
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STEP 2: EVALUATE
Publication Information
Identify the publication title, author(s), year/date of publication, and source location (URL).
Purpose and Intended Audience
In one paragraph, summarize the purpose of the material and the intended audience. Describe the target audience that the authors want to address (e.g., persons who have diabetes, are sexually active, are caregivers to persons with dementia, the general public, etc.).
Category Analysis
Evaluate the material using the 7 categories of the CDC Clear Communication Index: 1) Main Message and Call to Action; 2) Language; 3) Information Design; 4) State of the Science; 5) Behavioral Recommendations; 6) Numbers; and 7) Risk.
This section can be formatted as a list, bullet points, or in paragraph format. Include examples of how clearly the main message is communicated and prominently located within the material, how main ideas and supporting ideas are organized, use of visual cues and headings, language considerations, how graphics, colors reinforce the main message; how or whether scientific evidence or authoritative sources inform the main message or recommendations; how or whether actionable behavioral recommendations are provided; whether and how numbers are used to communicate recommendations or risk, and how the risk associated with the health condition or behavior applies to the target audience or health outcomes.
Health Literacy Evaluation: Strengths and Recommendations for Improvement.
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Urban Emergency Room
You are an acute care nurse practitioner who works in an urban emergency room (ER). You see many people who come to the ER who have overdosed (OD) on heroin. Emergency medical services personnel may administer a drug that might reverse the overdose such as naloxone (Narcan). You may see three ODs during each 12-hour shift; some of these patients are admitted to the hospital, and others are sent home with a consultation for psychiatric follow-up. You are becoming hardened to the issue and have begun to question what you can do to address this epidemic.
You hear that the state health director is convening a task force. List four actions you can take to be invited to participate in this task force.
Which other healthcare professionals should be included in the task force?
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Bloom Taxonomy
The present health care system dictates that delivery processes integrate various interfaces and patient handoff amid myriad health care practitioners with different levels of educational and professional background. During the timeframe of a four-day hospital stay, a patient might come into contact with 50 different personnel, including doctors, clinicians, technicians, and others. Dynamic clinical practice thus includes many cases where essential information should be correctly communicated.
Team cooperation is critical. When health care specialists are not communicating productively, the safety of a patient is at risk for various reasons: insufficient essential information, mix-up of information, ambiguous orders over the telephone, and ignored adjustments in status. Poor communication leads up to circumstances where medical errors can take place. These mistakes have the capacity to amount in severe injury or surprise patient demise. Medical flaws, particularly those caused by lack of communication, are widespread challenge in today’s health care organizations.
Conventional medical education stresses the significance of a practice that is free from errors, using severe peer pressure to accomplish perfection at the time of diagnosis and treatment. Mistakes are thereby conceived normatively as a harbinger of failure. This situation generates an atmosphere that prohibits the fair, honest assessment of errors needed if organizational learning is to occur.
It is significant to stress that nurturing a team cooperation environment may have problems to solve: extra time, conceived loss of independence, lack of confidence, conflicting ideas, amid others. However, many health care personnel are aware of the poor communication and teamwork, as a consequence of a culture of truncated outcomes that has bloomed in many health care situations (Helmreich and Schaefer, 2009).
Bloom Taxonomy
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According to Irwin, McClelland and Love (2006)communication is the core factor in medical care. In essence communication between physicians and patients is amassing a growing amount of attention with the health care in the U.S. In the last few years descriptive and investigational research has attempted to focus on the communication activities during medical consultations. Nevertheless, the knowledge obtained from these endeavors is restricted. This is likely because amid inter-personal relationships, the physician-patient collaboration is one of the most sophisticated ones.
While advanced technologies could be utilized for medical diagnosis and treatments, interpersonal communication is the key apparatus by which the doctor and the patient trade information (Stiles & Putman, 2007). Particular factors of doctor-patient communication appear to have considerable effect on patients’ attitudes and safety, for instance, contentment with care, positive response to treatment, recall and having knowledge about medical information, dealing with disease, qualify of life, and even condition of health.
Cooperation and communication are particularly essential in the case of a chronic disease, such as a cancer (Fallowfield, Maguire & Baum, 2002). Today, specialists of communication have progressively been focusing on psychological features of cancer. Creating a proper inter-personal cooperation between physicians and patients can be interpreted as a significant function of communication.
Furthermore, proper inter-personal relationship forms the basis for optimum medical care. On the other hand, the significance of a good physician-patient relationship relies on its therapeutic qualities. Another key function of medical communication is supporting the exchange of information between the physician and the patient.
Bloom Taxonomy
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Information can be regarded as a resource brought into the verbal exchange between the two parties. From a medical standpoint, physicians need information to determine the correct diagnosis and treatment strategy. From the patient’s standpoint, two needs have to be accomplished when meeting with the physician: the need to know and understand and the need to experience a sense of being known and understood. To be capable of achieving doctor’s and patient’s needs, both alternate between information-transmission and information- hunting.
Patients have to provide details about their symptoms, physicians’ needs to considerably look out relevant information. At times patients may be inclined to ask for as much information as possible, doctors appear to know patients needs for information. For instance, where cancer is involved, the desire for information is most great. A great number of cancer patients’ discontentment with transmission of information emanates from concordance between views of patients and physicians.
When relaying information to cancer patients about their disease (good or bad), doctors might explain medical information more empirically while patients explain it as a matter of individual relevance. As a consequence, the doctor might experience a satisfying sense that he has offered right and relevant information. The patient conversely might feel he has discovered nothing satisfying. Recent research indicates that about 45 percent of cancer patients have reported that no information has been provided relating to dealing with their disease (Fallowfield et al., 2002), however most patients wanted such information. Doctors must thereby first motivate their clients to exchange their key worries without interruption (Ben-Sira, 2008).
Bloom Taxonomy
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Psychological privacy involves a patient’s capacity to be in charge of active and cognitive inputs and outputs, to think and formulate behaviors, values to establish with whom to share information. Nevertheless, asking delicate questions and divulging confidential information is inevitable if the physician desires to find an effective diagnosis and treatment. The degree to which doctors communicate in a more dynamic, high-regulation style, could be conceived by patients as abuse of their psychological privacy. Physicians’ attitudes during patient examinations are regulated by societal values. It seems that at the time of medical interactions limited privacy is needed.
Constant eye contact, for instance, could be viewed by the patient as excessively intimate for the relationship. Conversely physical privacy can be regarded as a relevant aspect of non-verbal communication and can lead to improved quality of the inter-personal interactions between physicians and patients (Stiles and Putman, 2007). Other result gauges utilized to examine the quality of the physician-patient interaction are patients’ recall and understanding information. As it stands, most patients fail to recall or comprehend what the physician has told them.
Patient compliance is also a broadly utilized result variable and is regarded a measure of the productivity of provider-patient communication. Doctor-patient interaction might have significant outcomes for patient’s health outcomes, thus this relationship can be viewed as a type of social support. Lack of information appears to play a vital function in psychological challenge that can come up during the diagnosis and treatment (Irwin, McClelland & Love, 2006).
Bloom Taxonomy
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References
Ben-Sira.Z. (2008). “Affective and instrumental components in the physician patient relationship: an additional dimension of interaction theory.” Journal of Health Sociological Behavior, 170-185.
Fallowfield. L. J., Hall A., Maguire. G. P. and Baum. M. (2002).“Psychological outcomes of different treatment policies in women with early breast cancer outside a clinical trial.” British Medical Journal, 301- 575.
Irwin W. G., McClelland R. and Love.A. H. G. (2006). “Communication skills training for medical students: an integrated approach.” Medical Education, 387-390.
Stiles. W. B. and Putnam. S. M. (2007).Analysis of verbal and non-verbal behavior in doctor-patient encounters: In Communicating with Medical Patients. Newbury Park, CA: Sage Publications.
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Appendix: Interview
I chose to interview a personal acquaintance of mine who happens to be a screenplay enthusiast. I think it is a fantastic occupation path since it balances creativity and professional writing.
1. What are you pursing as an undergraduate student?
I am studying Journalism.
2. How will your undergraduate studies influence your future career?
I am on track to work in the corporate world, probably as an editor
3. When did you first develop interest in screenplay writing?
I like to think when you first write a screen-play and gets positive comments from people who have been in the production scene for some time, you get interest in that moment. It had never occurred to me that this was something I’d be doing as pastime thing.
4. How much experience with screenplay writing do you have?
None as a matter of fact, but I have always been involved with creative writing on the side (for instance, poems and flash stories).
5. What are some of your objectives for the future?
Finishing my undergraduate, find a job, get a job, and see what fate throws my way. I have come to discover in life that whatever you make plans, the big guy above somehow has a totally different idea.
6. Would say that screenwriting you will be engaged in as a side project rather than a full time career?
I don’t want to find myself restricting myself at all. My undergraduate will put me up in the corporate world, but this might as well turn into an amazing gig in the future.
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