...Cultural Competency during Pediatric Assessment Tina M. Schwartz Worcester State University Cultural Competency during Pediatric Assessment A 3-year old child presented to the Emergency Department after a fall down a four-stair flight of steps. The child’s right arm was swollen and discolored at the wrist. The parents brought the child to the Emergency Department. Information obtained revealed that the family had just recently immigrated to the United States. The mother indicated that they were unfamiliar with “American” medicine. In order to provide patient centered care, it is important to establish a nurse-patient relationship based on trust. The family must be made to feel as equal partners in the care of their child. They must feel valued, respected and important. It is imperative to obtain an interpreter who is fluent in their language so that correct information is exchanged. Asian culture is one of great respect and views physicians and nurses as authority figures. Thus, it is common that Asian patients will not openly disagree with health care recommendations for fear of being disrespectful. (Junkett, et al 2014). Juckett, et al (2014) reminds us that one of the barriers to good health care is limited English proficiency and the availability of interpreters. Interpretation should be sentence by sentence so everyone is able to understand the conversation. As explained by both Junkett, et al (2014) and Camphina-Bacote (2011), by using the mnemonic...
Words: 630 - Pages: 3
...hospital project. This will include a strategic plan, assessment and design. The second stage is to design the development, the schematic design, building permits and the necessary construction documentation. The third stage the financial aspect of planning at the same time licensing, bidding, evaluation and construction are taking place. This paper will outline the need for a new building addition to improving maternal service among some other services that have provided outstanding health care to the resident of the northwest suburbs for over 30 years with a 339 beds and medical staff of more than 1200 physicians in over 60 medical and surgical specialties such as breast, imaging/radiology, pediatrics, laboratory, weight management and women’s health. St Alexius Medical Center has a mission to provide compassion and hope as well to provide exceptional health care to every patient every time. St Alexius Medical Center stakeholder analyze the need to continuously improve the wellness and health of area residents by anticipating the health care needs of the community and delivering value-driven, safety, compassionate care, and high quality service. The care that the Alexian Brother Women and Children’s Hospital will provide a dignify and sensitive, quality service to every person advantaged and disadvantaged alike, with specialties to empathize the services for mother to be as well for specialties pediatrics for children’s. Hospital administrators at...
Words: 747 - Pages: 3
...Decision Making Gone Awry Desiree’ L. Johnson Argosy University Isabel Wan Pediatrician What I Thought I Wanted Doctors are portrayed as one of the most successful professionals in the world. Growing up I was always told that I should become a doctor because they are successful and well off financially. I saw doctors on television, whenever I had an appointment with one and heard about them in school all the time. Becoming a doctor sounded amazing as a child and my parents encouraged me to become a doctor to be successful. I never saw all the work hard that was involved with becoming a doctor, the years of schooling and the tasks that would take place throughout the profession. All I was ever saw and told was doctors were amazing and extremely successful. At the age of eight, I decided I wanted to become a pediatrician just like my doctor, at the time. My mind was set on becoming a pediatrician, so I applied to various universities to become a doctor. I decided to go to California State University of Long Beach to receive a bachelor’s degree in Early Childhood Development. Realization However, two years after attending college I decided I did not want to become a doctor anymore. I learned that after undergraduate school that I still had to attending medical school and would most likely not be out of school until I was approximately thirty years old. I also learned that I did not like blood or needles, so that would not work well with the profession I was trying to...
Words: 1948 - Pages: 8
...Diane Jaynes Why Proper Nutrition? Liberty University Thesis Statement Identifying and treating infants with Non-Organic Failure to Thrive that was brought on by poor adaptation and influencing parent behaviors, results in a more successful remedy with greatly improved outcomes for the child and family. Proper nutrition is essential for appropriate growing and development for infants and will have a substantial influence on the child’s health present and future. Abstract: Proper nutrition early in infancy is very important for the physical and emotional development of a child and issues can follow the individual into their adulthood. Physicians have put into place assessments that can be done on infants around 6-8 weeks and again around 8-9 months that can detect early problems such as failure to thrive. Small kids that have been diagnosed with Autism tend to have issues with proper nutrition because of the sensitivity of foods and end up with a diagnosis of failure to thrive also. A feeding checklist for non-organic failure to thrive patients, is a great tool for helping medical personal observe feeding interactions with the infants and their parents that helps with recognizing feeding issues with the parents or caregivers. Medical professionals have advised that extensive time prior the initial conception, the nutrition of the parents has an impact on the infant’s growth all the way into adulthood and beyond (Shepard, 2009). All females that are at...
Words: 2443 - Pages: 10
...Public health is known for the health services that it provides for the community and do not think often of how these serves same about, Many of the public health pioneers are overlooked for their contributions to the health field that are important to today’s healthcare. Even though some contributions have progressed over time due to new-age technology, there is still the basic concepts from where it started. Dr. Virginia Apgar impacted the advancement of public health with the creation of the Apgar Score, also known as the newborn scoring. The Apgar Score is a quick test that is performed on a baby at 1 and 5 minutes after birth to determine how well the baby tolerated the birthing process (Zieve, 2011). Virginia Apgar was determined to be a doctor right out of high school after having to encounter the deaths of both of her brothers. One which had a chronic illness and the other experienced an early death from tuberculosis (“Changing the face”). She first put herself through school through school at Mt. Holyoke College with a BA in Zoology, she then attended Columbia University’ College of Physicians and Surgeons graduating in 1933, and later attending Johns Hopkins where she earned her Master’s Degree in Public Health ("Fond memories of," 1975). Even though individuals (such as Dr. Alan Whipple, the Chair of Surgery at Columbia University) saw the potential in Virginia, not one believed that she would be able to have a successful career due to the fact that she was a woman...
Words: 853 - Pages: 4
...Peter Blackwell Chapter 2 Test April 30, 2012 (1) Distinguished between the care provided in a/an: a. Hospital treats the acutely ill whereas a SNF cares for those less acutely ill. b. Level of care required is less in ICF c. RCF residents carry out activities of daily living on their own, whereas ICF residents may need some help. d. Trauma center is equipped to handle more severe injuries. (2) Distinguished between: a. Medicare id for people age 65 and older. Medicaid is for the poor. b. Retrospective is upon or after discharge, concurrent is during hospitalization. (3) Describe the type of care provided by a Primary Care Centers. Basic care by an internist, family practice physician, or pediatrician (4) Name : (a) An ancillary service . X-ray, labs test, physical therapy (b) A primary care physician. Internist, family practice physician , or pediatrician (c) Medical ,surgical, newborn, obstetrics (d) AMA (against medical advice (e) 14 (5) State the term for : a. satellite b. hospice care c. swing beds d. observation beds e. respite care f. intrahospital transfer g. incident report (6) Identify the initials AMA as related to discharge. Against Medical Advice (7) Is the adolescent included in adult or children statistics ? Adult (8) Name a list compiled daily in a hospital ? Admission, transfer, death, discharge (9) Name three indexes maintained in a a hospital. MPI, number, disease, procedure/ operation (10)...
Words: 361 - Pages: 2
...Pay Attention or Pay a Lawyer All jobs require alertness and to be constantly on watch while working. One job that requires these qualities more than most jobs would be nursing. Neonatal nursing, specifically, has had more and more cases rise daily revolving around nurses not being alert or focused while working. In general, no matter what the job is there will always be expectations that should be reached and exceeded while working, therefore not being alert can result in serious altercations involving the employee and the company such as the switching or abduction of babies as well as the hospital being sued by an upset or angry family. According to Lori Carangelo, 100,000 to 500,000 babies are switched or stolen at birth while in the care of a neonatal nurse while hospitalized (Carangelo par. 1). This sad truth is something that is occurring daily all over the world for many reasons. The main reason being that the nurses who are working during these altercations are not focused or alert while working, letting strangers into their facility to steal the newborns. Another reason still starts with the nurses not being alert, resulting in the nurses placing the child with the wrong family or in the wrong bed. Although most babies do resemble each other a lot when newly born, this is no excuse for the poor focus seen from many nurses who have been part of any of these unbelievable cases, letting strangers intrude into the facility. We know now that not being alert can be a...
Words: 1083 - Pages: 5
...According to The March of Dimes Global Report on Birth Defects, every year an estimated 8 million children – 6% of total births worldwide – are born with a serious handicap. Of these 8 million children, at least 3.3 million children younger than 5 years of age die annually because of their handicap condition (CITE). Those children who do end up surviving will most likely be mentally and/or physically disabled for the rest of their life. With at least two handicapped newborns being born everyday, the healthcare industry is constantly faced with decisions regarding what the correct ethical treatment options should be for handicapped newborns. Whether or not treatment regimens should even be administered to handicapped newborns has caused a great deal of controversy in our society, and has ultimately come down to two different options: Should there be a law that makes it illegal to withhold treatment from handicapped newborns? Or should the decision of treatment be up to the parents and/or physicians? Since the number of handicapped newborns being born into the United States is only going to increase, this is definitely an ethical topic that needs to be addressed by both the public and lawmakers. Withholding treatment from handicapped newborns has been an ongoing issue since 1973, when the first phase of this ethical controversy occurred. Dr. Raymond Duff and Dr. Ian Campbell, physicians in the newborn intensive care unit at Yale-New Haven Hospital, decided to let the public...
Words: 1926 - Pages: 8
...Fountain Valley Regional Hospital and Medical Center ETH/316 April 26, 2013 Fountain Valley Regional Hospital and Medical Center Fountain Valley Regional Hospital and Medical Center was opened in 1971 and is owned by a group of physicians. Over the years the hospital has expanded in many ways. In the 1980s, the hospital opened with four beds in the neonatal intensive care unit and eight beds in the pediatric intensive care unit. According to www.fountainvalleyhospital.com, as of today Fountain Valley Regional Hospital and Medical Center is a 400-bed, acute care facility with comprehensive services spanning from award-winning heart and stroke care, neonatal, and pediatric intensive care, high-risk obstetrical services, bariatric surgery, orthopedics, spine, and neurosurgery. Social Responsibilities Fountain Valley supports the community by sponsoring and participating in community events. According to www.fountainvalleyhospital.com, “As a healthcare facility, we are committed to providing quality care to our communities.” They are also committed to the growth and development of the City of Fountain Valley. As part of an investor-owned hospital system, they pay more than $2.3 million in local taxes that go toward the improvement of local infrastructure, and community programs. Fountain Valley also hosts an annual charity Golf Tournament in conjunction with the Fountain Valley Firefighters Association to help raise money for local charities. Factors that influence Social...
Words: 648 - Pages: 3
...support from their family and community to make a successful transition into the adult world.4,5Almost two decades of study indicate that young people with disabilities and chronic health conditions do not have the same outcomes as their peers on such important domains as health status, academic achievement, interpersonal relationships, community participation, and employment. During the transition to adulthood, young people with disabilities are transferred from child- and family-centred systems, such as school and pediatric rehabilitation centres, into adult systems6,8 The importance of adequate preparation for young people with chronic health conditions and disabilities as they move towards adulthood has been identified by a joint consensus statement on healthcare transitions released by three American professional bodies representing pediatricians, family physicians, and internists.2 Whereas earlier consensus statements focused on transition from pediatric to adult healthcare institutions,9 recent publications promote a more holistic set of goals highlighting the need for services to maximize lifelong functioning, not just preparation for a new healthcareenvironment. 2,10 Although the idea of a holistic, functional approach to adult transitions for young people with disabilities is now being advocated, there are few guidelines...
Words: 667 - Pages: 3
...Prevention of nosocomial infection of neonates in the NICU Nosocomial bloodstream infections play a big part in infections that affect the very premature low birth weight infants in the Neonatal Intensive Care Units which can cause morbidity and mortality. Numerous attempts have been made to prevent infections and the outcomes have gone both ways with mixed results. The rates have varied from unit to unit and research has been performed to distinguish if the models that are used in each unit have made a difference in the prevention of infection. The population of the NICU is vulnerable and the effects of infection can increase the length of stay and the cost of the hospitalization. Many efforts have been successful but some variances in the rates still exist. Strategies have been attempted to be identified to minimize the risks of nosocomial infection in low-birth-weight infants (Newby, 2008, p. 421). In the NICU population the nosocomial infection rate is the highest in the VLBW (very low birth weight) infants. They are amongst the largest of the groups of infants that require more interventions and support procedures that come along. The smaller, less mature infants are more prone to infection since they have sensitive and immature skin that from any portal of entry, the higher infection rates are almost impossible to overcome. There are several factors to consider such as if the problem exists because of the prematurity of the infant or is it the effect of the environment...
Words: 874 - Pages: 4
...10/27/2011 Arnold Palmer Hospital Is First to Receive New FDA-Approved X-ray Imaging Technology New System Dramatically Cuts Radiation Exposure for Young Patients MEDIA CONTACT Geo Morales, APR 321.841.5766 geo.morales@orlandohealth.com | | |Orlando, FL (October 27, 2011) - Arnold Palmer Hospital for Children is the first hospital in the United States to receive innovative | |new x-ray imaging technology that decreases radiation exposure to young patients and produces high-quality images. The system, | |manufactured by Siemens, is called Luminos Agile and received approval from the Food and Drug Administration in June 2011. | |A key feature on the Luminos Agile system is a large flat-panel detector that enables physicians to examine an image that is up to 117 | |percent larger than images generated by older technology. A larger image allows physicians to examine a wider area of the anatomy | |without repositioning the patient - reducing scan times and radiation dose. | |Luminos Agile delivers a package of features designed to increase patient comfort and enhance efficiency in the exam room. It offers the| |flexibility of a table that adjusts height from 25 inches to 44 inches to easily accommodate children and patients with mobility | |challenges. The adjustable table also has a weight capacity of 600 pounds and a 24-inch wide opening to provide easy...
Words: 2484 - Pages: 10
...Acute Biologic Crisis General Description: This concept in N-302 deal with clients in acute Biologic Crisis. The nurse, utilizing the nursing process, focuses in assisting and giving immediate care and attention to the client to restore life processes to a state of dynamic equilibrium. • Attend to specific needs of patient under ABC • Identify types of data needed for care • Prioritize NCP • Alleviate physiologic stressors specific to patient • Describe and appreciate the role of a critical care nurse The Topics A. Concept of Critical Care Nursing B. Application C. Definition Pre-term Post-term Acute MI Thyroid Storms and Crisis Hepatic Coma ARDS Diabetic Ketoacidosis CVD End Stage Renal Stage The Concept of Critical Care Nursing Delivery of specialized care to critically-ill patients with life-threatening such as major surgery, trauma, infection, and shock as well as prevention of potential life-threatening conditions. The critical care nurse is responsible for ensuring that all critically-ill patients and families receive optimal care. Common Illnesses and Injuries seen in ICU: 1. GSW (Gunshot Wounds) 2. Traumatic Injuries (car collision & falls) 3. CV D/O (heart failure, acute coronary syndrome, unstable angina, MI) 4. Surgeries (abdominal aortic aneurysm repair and endarterectomy) 5. Renal D/O (acute and chronic renal failure) 6. GI and Hepatic D/O (acute pancreatitis, acute UGIB or Upper Gastro Intestinal Bleeding, acute...
Words: 2027 - Pages: 9
... Yazd, Iran c Medical Student, Shahid Sadoughi University of Medical Sciences, Yazd, Iran d Medical Student, Shahid Sadoughi University of Medical Sciences, Yazd, Iran e School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran f School of Medicine, Shahid Sadoughi University of Medical Sciences, Yazd, Iran g School of Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran Abstract Objective: The purpose of the present study was to investigate the relationship between various study skills and academic performance of university students. Materials & Methods: A total of 179 male and female junior and senior medical and dental students participated in the present study. The instrument was "Study Skills Assessment Questionnaire" taken from counseling services of Houston University. The content validity of this questionnaire was approved by ten psychologist and faculty members of Shahid Sadoughi University of Medical Sciences. The data were collected and analyzed using Kruskal-Wallis test. Results: The findings of the study showed that the study skills scores of university students with a grade point average (GPA) of 15 or more (out of 20), were statistically higher than that of those students with a GPA of less than 15 in all of the 7...
Words: 286 - Pages: 2
...Rene Descartes March 24, 2014 Case Study Case: Negligent Sterilization 1. I think I do agree with the court’s decision because Seslar had a very healthy baby. There was no harm done to the baby, the baby doesn’t have any kind of medical conditions. I think Seslar should be a little upset at the fact the she still had a baby even though she had surgery that was suppose to stop her from having children. After reading the case many times, now I get to the point where I don’t know if I agree with the court’s decision. I think it is kind of hard to make a decision because the doctor did not harm or hurt Seslar in any kind of way. I think that she may be emotionally hurt because she is having another child and may not be able to afford the expenses that come with it. But I think after having the surgery and still being able to have a healthy child, if it was me I wouldn’t go so hard on the doctor because even though she conceived a baby and she was not suppose to it’s still healthy. I also feel that she should just be happy with the outcome because the baby is not hurt, and there could have been many things that happen to the child but nothing happen and she should be happy with the outcome. The court can’t offer you money to help you raise a child, that’s her job even though she is not the reason the baby came. 2. I would not agree with the court when it comes to not rewarding money for educating and raising the child. The court doesn’t know if Seslar was mentally ready...
Words: 693 - Pages: 3
