Discussion: Diversity and Health AssessmentsMay 2012, Alice Randall wrote an article for The New York Times on ÿthe cultural factors that encouraged black women to maintain a weight ÿabove what is considered healthy. Randall explained?from her ÿobservations and her personal experience as a black woman?that many ÿAfrican-American communities and cultures consider women who are ÿoverweight to be more beautiful and desirable than women at a healthier ÿweight. As she put it, ?Many black women are fat because we want to be? ÿ(Randall, 2012).Randall?s statements sparked a great deal of controversy and debate; ÿhowever, they emphasize an underlying reality in the healthcare field: ÿdifferent populations, cultures, and groups have diverse beliefs and ÿpractices that impact their health. Nurses and healthcare professionals ÿshould be aware of this reality and adapt their health assessment ÿtechniques and recommendations to accommodate diversity.In this Discussion, you will consider different socioeconomic, ÿspiritual, lifestyle, and other cultural factors that should be taken ÿinto considerations when building a health history for patients with ÿdiverse backgrounds. Your Instructor will assign a case study to you for ÿthis Discussion.CASE STUDY:EB is a 68-year-old black female who comes in for ÿfollow-up of hypertension. She has glaucoma and her vision has been ÿworsening during the past few years. She lives alone and is prescribed ÿfour hypertension medications (Hydralazine 50 mg PO Q8H, Metoprolol XL ÿ200 mg PO Q12H, Lisinopril 40 mg PO daily, and HCTZ 25mg PO daily ). She ÿbrings in her medication bottles and she has some medication bottles ÿfrom the previous year full of medications. She is missing one ÿmedication she had been prescribed and says she may have forgotten it at ÿhome. Her BP in clinic today is 182/99 with HR of 84.To prepare:? Reflect on your experiences as a nurse and on the information ÿprovided in this week?s Learning Resources on diversity issues in health ÿassessments.? By Day 1 of this week, you will be assigned a case study by your ÿInstructor. Note: Please see the ?Course Announcements? section of the ÿclassroom for your case study assignment.? Reflect on the specific socioeconomic, spiritual, lifestyle, and ÿother cultural factors related to the health of the patient assigned to ÿyou.? Consider how you would build a health history for the patient. ÿWhat questions would you ask, and how would you frame them to be ÿsensitive to the patient?s background, lifestyle, and culture? Develop ÿfive targeted questions you would ask the patient to build his or her ÿhealth history and to assess his or her health risks.? Think about the challenges associated with communicating with ÿpatients from a variety of specific populations. What strategies can you ÿas a nurse employ to be sensitive to different cultural factors while ÿgathering the pertinent information?Post an explanation of the specific socioeconomic, spiritual, ÿlifestyle, and other cultural factors associated with the patient you ÿwere assigned.Explain the issues that you would need to be sensitive to ÿwhen interacting with the patient, and why.Provide at least five ÿtargeted questions you would ask the patient to build his or her health ÿhistory and to assess his or her health risks.NOTE: THIS IS THE LINK TO DOWNLOAD THE BOOKhttps://www.sendspace.com/file/wd7quh
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