...outcomes (Anderson, 2012). Nurses need to become aware of patients beliefs, values and rituals to ensure competent and safe patient care (Edelman & Greiner, 2010). The heritage assessment is useful because it is an important step in building cultural competency through interviewing the patient and determining the things the patient value and respect most in life (Sankaran, 2007). Heritage assessments give patients an opportunity to express their beliefs, values and rituals. Respect is shown to the patient by respecting their beliefs and rituals as closely as possible without hindering patient care. This paper will discuss the benefits of using a heritage assessment in evaluating the needs of the whole patient, interviews of people from different cultures, identify common health traditions of the three cultures and evaluate how families subscribe to these traditions and practices. Cultural competency involves more than just asking questions, but it opens up the diversity of the patient’s culture. Nurses must become aware of their own cultural biases and focus on the cultural beliefs and values of the patient by performing a heritage assessment (Edelman & Greiner, 2010). This heritage assessment will give the nurse a clearer picture of the patient’s background and in the process will improve the quality of care and patient outcome (Schimdt & Owens, 2012). I had an opportunity to perform a heritage assessment on three people from three different cultures. The three cultures that...
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...Explain the dietary practices that can be used to prevent cardiovascular disease. Cardiovascular disease is a life threatening disease. Some persons may know that eating certain foods can increase their heart disease risk but it is tough to change these eating habits. In this paper I will explain the necessary dietary practices that can be use to prevent cardiovascular disease. Once you know which foods to eat more of and which foods to limit, you will be on your way toward a heart-healthy diet. In order to prevent cardiovascular disease you must first limit unhealthy fats and cholesterol. Limiting how much saturated and Trans fat s you eat is the most important step you can take to reduce your blood cholesterol and lower your risk of coronary artery disease. A high blood cholesterol level can lead to a buildup of plaques in your arteries, called atherosclerosis, which can increase your risk of heart attack and stroke. When reducing saturated fats in your diet the best way is to limit the amount of solid fats such as butter, margarine and shortening you add to food when cooking or serving. You can also reduce the amount of saturated fat in your diet by trimming fat off your meat or choosing leans meats with less than 10 percent of fat. You can also use low-fat substitutions when possible for a heart-healthy diet. For example, top your baked potato with salsa or low-fat yogurt rather than butter, or use low-sugar fruit spread on your toast instead of margarine. Whenever...
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... Approximately 30 minutes. General Information ? ? ? ? Germs are everywhere Germs are so small that you cannot see them Germs can make you sick You can get rid of germs by washing your hands When To Wash Your Hands ? ? ? ? ? After going to the bathroom After coughing, sneezing or blowing your nose After feeding or playing with animals After playing outside Before eating or touching food or drinks How To Wash Your Hands ? Use soap and warm, running water ? Make bubbles by rubbing your hands together ? Scrub your hands and under your fingernails for 20 seconds (sing the “Happy Birthday” song two times) ? Rinse your hands with running water ? Always use a clean towel to dry your hands ? If you use a paper towel, throw it away in the trash Learning Activity “Germ Prints” Use a spray bottle filled with clean water. Spray water on children’s hands. Explain that the water on their hands represents germs that come out of their mouths when they cough or sneeze. Now have the children touc h an object (table or chair). Ask them what happened to the object they touched (it became wet). Explain that this is what happens when we sneeze into our hands and then touch an object (the germs on our hands get on the object). Discuss what might happen if one of their friends touches the object while it is still wet (they might pick up the germs and get sick). Explain that if you wash your hands after coughing or sneezing in them, the germs will...
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...Epidemiology by definition is the study of the distribution and patterns of health-events, health- characteristics and their causes or influences in well-defined populations. It is the cornerstone method of public health research, and helps inform policy decisions and evidence-based by identifying risk factors for disease and targets for preventive medicine. Epidemiologists are involved in the design of studies, collection and statistical analysis of data, and interpretation and dissemination of results (including peer review and occasional systematic review).Major areas of epidemiological study include outbreak investigation, disease surveillance and biomonitoring, and comparisons of treatment effects such as in clinical trials. Epidemiologists rely on a number of other scientific disciplines such as biology (to better understand disease processes), biostatistics (to make efficient use of the data and draw appropriate conclusions), and exposure assessment and social science disciplines (to better understand proximate and distal risk factors, and their measurement). I would like to discuss elderly patients as my vulnerable population. There is no set age at which a person maybe under the care of a geriatric physician. The physician aims to promote health by preventing disease and disabilities in geriatric adults. A gerontologist specializes in the aging process. Adult medicine differs from the geriatric patient because the focus is on the elderly...
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...Heritage Assessment Paper Grand Canyon University NRS-429V United States one of the most cultural diverse nation on earth, People from different part of world have come tougher to create this country. So as healthcare professionals nurses has to deal with patient from diverse cultural background. To provide quality care they should be able to understand the cultural heritage. Culture is that which shapes the person. Heritage is made of practices and tradition example like language, norms, behavior, belief, values that are passed from parent to children. This paper will discuss the importance of applying heritage assessment tool to assess health tradition of culturally diverse population. Based on heritage assessment tool this paper addresses the health maintance, health protection, and health restoration of culturally different families of Indian, Philippines and Pakistani, and evaluate and discuss how the families subscribe to these tradition and practices. The author include her own health tradition based on her cultural heritage. Heritage Assessment tool in Evaluating the Need of Whole Person Treating the person as a whole is extremely important in nursing practice. That means nurse assess the person as a whole. To understand fully the nurse should have the knowledge of their culture and heritage. Culture...
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...2011 Maria Corriveau Final Paper 12/5/2011 2011 Maria Corriveau Final Paper 12/5/2011 Autologous peripheral blood stem cell transplantation for acute myeloid leukemia: an innovate technique Autologous peripheral blood stem cell transplantation for acute myeloid leukemia: an innovate technique Autologous peripheral blood stem cell transplantation for acute myeloid leukemia: an innovate technique 1. Principle of the technique Bone marrow transplantation and peripheral blood stem cell transplantation are procedures that help to restore those stem cells that have been destroyed while going through radiation and/or chemotherapy. There are different types of transplantation: autologous, syngeneic, and allogeneic. Autologous transplantation is defined as the transplantation of owns stem cells. Syngeneic transplantation is when patients received stem cells from an identical twin. Lastly, allogeneic transplantation is when patients received stem cells from a sibling, or a parent, or other individuals not related to the patient as long compatibility is present. Autologous bone marrow transplantation is a technique that was developed for patients with acute myeloid leukemia (AML) as an alternative to allogeneic stem cell transplantation. However, this technique was not very successful. Autologous bone marrow transplantation has been associated with prolonged marrow aplasia resulting in toxicity and mortality. After the failure of this technique, researchers...
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...Organic Chemistry I Research Paper on Pseudoephedrine By: Natalie Roberts Jennifer Dargis Nakeesha Longeley Pseudoephedrine is a phenylethylamine which is utilized as a pharmaceutical product. It has the official IUPAC name of (1S,2S)-2-methylamino-1-phenylpropan-1-ol, and the CAS number of 90-82-4. Psuedoephedrine contains three functional groups: amine, hydroxyl, and ethyl in its ring; it also has one stereogenic carbon. The enantiomer of pseudoephedrine is ephedrine, and this substance can form two other diastereomers as well. Pseudoephedrine contains covalent bonds (both and double) and hydrogen bonds. A two-dimensional and three-dimensional structure are given below. [pic] [pic] Psuedoephedrine is also synthesized in various ways, sometimes with methods that add an amide to its structure in order to alter its medicinal effect. One of the most efficient techniques for synthesizing pseudoephedrine is given below: [pic] Reagents and conditions: (i) (CH2O)n, PTSA, benzene, reflux, 1 h; (ii) 1 equiv. NaBH4, MeOH, 2 h; (iii) PhMgBr, THF, 0°C–rt, 3 h; (iv) (CH2O)n, PTSA, benzene, reflux, 1 h; (v) NaCNBH3/TMSCl, CH3CN, rt, 30 min; (vi) conc. HCl, reflux, 2 h Pseudoephedrine is originally obtained as an alkaloid from the Oriental plant genus of Ephedra; as shown above, however, it can also be prepared artificially. The most common method of creating pseudoephedrine today is from yeast fermentation of dextrose in the presence of benzaldehyde. Typically...
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...Infection and Waste Control in Practice Include: • The importance of infection control Infection control is important to reduce the spread of disease between both humans and animals. In a veterinary practice there is a large number of sick animals with weakened immune systems which means that there is a high risk of cross infection; the purpose of infection control is to reduce this risk to a minimum. • Why you should use personal protective equipment Personal Protective Equipment(PPE) is used to protect against exposure to infectious disease avoiding spreading the infection. Gloves should be used when handling any body fluids or waste, cleaning, dentistry, dirty laundry and lab samples. Gloves should be changed between animals and jobs...
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...are interviewing that they do NOT need to disclose information that they wish to keep confidential. If the interviewee decides not to share information, please write, “Does not want to disclose.” BIOGRAPHICAL DATA (10 pts) | | Date: | 1/22/14 | Initials: | V.H. | Age: | 40 years old | Date of birth: | August 10,1972 at 0801 in the am | Birthplace: | Einstein Hospital in Philadelphia, Pa | Gender: | Male | Marital status: | Married anniversary March 27, 2013 | Race: | African American | Religion: | Baptist all his life, believes in God, prays to God daily, and believes that God sent him his wife. Believes that his body is a temple and does not have any religious practices that effect his health care discussions. | Occupation: | Paper recycler in a factor, his job title is paper filler and 604 pulpier, has been at that job for 12...
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...continues. The American Nurses Association (ANA) states, “knowledge of cultural diversity is vital at all levels of nursing practice…nurses need to understand: how cultural group groups define health and illness; what cultural groups do to maintain wellness; what cultural groups believe to be the causes of illness; and how healers cure and care for members of cultural groups.” (1991). The Heritage Assessment Tool (HAT) is comprised of 29 questions utilized to investigate a given patient’s ethnic, religious and cultural background. The assessment tool assists with building trusting and therapeutic nurse-patient relationships that will ensure care standards are met (Spector, 2009). HAT is a resource that will be most useful in determining the influence the family, ethnic and religious communities play in a patient’s health maintenance, health protection, and health restoration. With adequate knowledge, nurses are able to offer medical care that is complementary to traditional beliefs or treatment (Spector, 2009). The following paper will discuss the usefulness of applying the HAT when evaluating three culturally diverse families. Families from Vietnam, Lebanon, and Sicily were interviewed utilizing the heritage assessment tool and identified differences in health maintenance, health protection, and health restoration will be discussed. Also included in the paper, the author will discuss common health traditions based on cultural heritage and the effect of westernized...
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... The Use of Non-Pharmacological Therapy in Children Children’s pain is multidimensional with psychological, physiological and behavioural domains, which presents unique challenges in the assessment and evaluation. These challenges require close consideration of the child’s age, prior pain experiences, developmental, cognitive and communication levels. As nurses are responsible in the assessment of children’s pain, it is appropriate to know all methods, and techniques of alleviating this uncomfortable stimuli, thus presenting the clinical question; in children, how can non-pharmacological (complementary/ alternative) methods be more beneficial in pain management compared to non-pharmacological/conventional medicines? The purpose of this paper is to explore how non-pharmacological methods can be useful in reducing pain. The different variations of non-pharmacological interventions, adverse effects of pharmacological medication, economic factors and knowledge deficits related to nurse education of pain management will be discussed below. Non-Pharmacological Techniques Non-pharmacological techniques, or complementary therapies are considered as any intervention used for pain alleviation that are non-analgesics or other kinds of medications and can be used with or without pharmacological aid. To better understand how many of these types of procedures are effective on a cellular level, we must look at “The Gate Control Theory”. This theory proposes inhibitory neurons in the spinal...
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...ethics often overlap and sometimes the two conflict. There are also scopes that apply to professional practice, and one must adhere to their scope and not practice outside of that scope. This paper will explore the ethical and legal concerns related to a case of whether or not a licensed practical nurse (LPN)/ certified medical assistant (CMA) should call in a refill for a prescription for a patient/friend of the doctor he works for. Jerry’s medical training does not qualify him to issue an order for a refill on the prescription for Valium because prescribing medications is not listed in the scope of practice for LPN’s/CMA’s in any state. LPN’s may administer medications but prescribing of medication is limited to medical doctors, physician assistants, nurse practitioners and psychiatrists (American Nurses Association, 2015). Jerry could take a verbal order to renew the prescription from the doctor if the doctor were available to give that order as an LPN (Fremgen, 2009). CMA’s are also not able to prescribe medications and are not able to take verbal orders to for medications; therefore Jerry cannot legally call in the refill for the prescription. Drugs that require a prescription require an evaluation from a medical doctor to determine continued need and effectiveness of the medicine. There would be no difference in the legality of Jerry calling in the prescription for high blood pressure pills versus the Valium because both pills require a prescription and Jerry is not medically...
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...that being said, the differences and similarities of each religion’s methods of medical treatment will be discussed below, allowing the reader to better comprehend the complexities and intricacies of each different faith, with special consideration being paid to the way that each religion handles the use and practice of medical care and treatment. Abstract The worshiping of a higher power within the Jehovah Witnesses, Hinduism and Taoism are all very strong. The body is very sacred when death has occurred; many practices take place along with many rituals. The comparison between Christianity and the Baptist sect of the Christian faith is somewhat different, in a myriad of ways. Food is not such a priority within the Baptist religion and our values are prioritized in a different way. In this religion healthcare is respected in a way that the word from a physician is not doubted as much as the other religions. The past of medicine is not really accepted, we now consider what is the new, latest and greatest for our family members, whereas the other three religions value cultural rituals and elder’s knowledge for their own healing purposes. Introduction Within this paper, the primary topics of discussion concern themselves with three different religions, and the different ways they handle medical care and treatment. The three main religions that will be discussed include: Jehovah’s Witnesses, Hinduism, and Taoism. Although each religion contains a myriad of differences, several...
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...Assignment C (Observation of OT Process) The client’s primary diagnoses are carpal tunnel syndrome, trigger finger in the right middle finger. Both primary diagnoses are located in the right wrist and hand. The client’s secondary diagnoses are diabetes type I and II, hearing impairment, and high blood pressure. This client is very compliant and follows directions at all time. Although he is in pain, he constantly tries to perform the activities being assigned by the therapist. He attended therapy three times a week and always on time. His goal is to become independent again to return to his daily occupations. The therapists known him for a while because he recently attended therapy at physiotherapy associates. While assisting the fieldwork...
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...cultural health related beliefs in treatment plans and allows us to bridge any gaps between cultural and ethnic health maintenance, protection and restoration beliefs. Many of these health related beliefs come from a person’s heritage. Culture and heritage are terms that are similar and can be used interchangeably. Culture refers to “the learned and shared beliefs, values, and life ways of a group that are generally transmitted from one generation to the next and influence people's thoughts and actions.” (Smith, 2009, pg. 272) Heritage is defined as “something inherited at birth, such as personal characteristics, status, and possessions or anything that has been transmitted from the past or handed down by tradition.” (Webster, n.d) This paper focuses on the interview and assessment of three families from different ethnic and cultural backgrounds using the Heritage assessment tool. The heritage assessment tool is a resource to gauge the impact of a person’s culture and beliefs, actions and way of living in their day-to-day life. It is a useful tool in helping health care providers meet a patients needs with respect for their cultural beliefs surrounding health promotion, maintenance and restoration. (Spector, 2000) The first family interviewed is the Morgan family...
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