Reflective Summary And Analysis

The United States is constantly changing and with it there are bound to be changes in how we care for our patients. Nurses must be diligent and learn about their patients and the individual’s cultural values. The Health Assessment tool is important in learning about a patients way of life and preferences on how the want to be treated. According to Leininger (1991), “health refers to a state of well-being that is culturally defined, valued, and practiced, and which reflects the ability of individuals (or groups) to perform their daily role activities in culturally expressed, beneficial, and patterned lifeways” (Creasia & Friberg, p. 109). This is essential to avoid conflict and stereotyping, and help with increasing dialog that can help the healing process.

I assessed 71 years old female, Ms. Smith (fake name), who appeared in good physical health. She was alert and oriented because she was able to tell me the correct date and place. She did not seem to be in any distress. Eyes were symmetrical, sclera was white, and pupils were equal, round, reactive to light, and accommodating, and extraocular movements were intact. No hearing deficit was noted because Ms. Smith was able to repeat the words that I whispered into her each ear. I did not note any breathing difficulties as she was able to breathe through both nares equally, lungs were clear bilaterally upon auscultation, and she denied shortness of breath. No swelling or tenderness was noted on palpitation of lymph nodes. Ms. Smith denied heart pain or palpitation, and heart beats were regular upon auscultation. Extremities were symmetrical bilaterally, and muscle strength was strong upon assessment.

D-The patient arrived on time for her session. This writer witnessed the patient at the dosing window. This writer addressed with the patient about her treatment goals, referring to tapering off on the methadone. The patient then requested to decrease her current dose by 1mgs as she wishes to be stabilized on a lower dose. This writer completed the dose change request form and had the patient initial her name on the application as proof that it was done with the patient presence. She stressed that she wants to take it slow and not rush it as she wants her body to adjust to a lower dose each time a dose change request form is submitted, at which this writer agreed with the patient. Furthermore, this writer requested for the patient work schedule

As nurses we know medical professionals more than ever are responsible for treating large diverse populations. Understanding cultural differences in various populations is crucial to produce positive outcomes. Nurses have a major role in health care promotion. Nurses should be treating the patient as a whole in mind, body, and spirit. This should be included in community treatment too. Individual, family, environment, and community assessments are necessary to provide the care and improve health care outcomes in the community as a whole. The World Health Organization’ s (WHO) definition of community is “a group of

To work effectively in a foreign community, it is crucial that short-term nurses have an understanding of culture, belief system, and their lifestyles. Nurses needs to be culturally competence in order to provide patient centered effective healthcare. Culture competence is the ability of healthcare professionals to understand the social, cultural and linguistic needs of patients in order to provide effective health care (Georgetown University Health Policy Institute, 2004).   A lack of culture competence can lead to poor patient outcome. For example, if a nurse has a poor understanding of a diabetic patient's diet, and food preference, that could inhibit the nurse's ability to educate patient to manage the disease.

Community nurse’s role include identifying high-risk populations and closely monitoring their glycaemic levels, blood pressure, lipid levels and renal function. Studies found that Indigenous people have poorer glycaemic control (mean HbA 8.7% versus 7.8% respectively) and much lower rates of insulin use and self-monitoring (Taylor et. al. 2013). This put them in increased risk of diabetes complications.

In this assignment I address the pivotal moment in my development as a writer and how this event is changing me. I reflected on college English class at Azusa Pacific University that I am currently taking. Initially In this essay I will be discussing my driver for this class and explore how English course is a fundamental skill in my nursing career.

D-During the course of the session, the patient appears to be anxious because she cannot make reasonable decision about her treatment whereas the patient expressed she wants to decrease on her dose, even though a dose change request was completed on 03/02/2016 and hasn't been approved. This writer addressed with the patient about the program policy. Furthermore, the patient appears to be ignored by this writer when she addressed about obtaining take home bottles/special bottles if she's unable to come to the clinic and this writer informed the patient about the take home policy/procedure, including special bottle. In addition, the patient is uncertain if she has gotten the full time position as she is currently awaiting on the status today

Furthermore, the study continued to demonstrate how nursing interventions lead to significant patient outcomes in the management of diabetes, hypertension, and dyslipidemia (Peek, Cargil, & Huang, 2007). In like matter it is significant in nursing, because RN case management and clinical management working along with community outreach that led to large reported improvements among minorities. None the less in this research report lied the question wither diabetes health care programs which were culturally centered interventions provided greater patient outcomes (Peek, Cargil, & Huang, 2007). One can come to the understanding the implications that need to be made to create change and prevent further diabetes health

As humans we have the rights to have access to health care. This means that every individual should be able to receive the highest possible standard of mental and physical health care. For instance, housing/ shelter, medical services, sanitation, safe working condition, and clean environment. Unfortunately, there are many people that go without proper health care, due to the judgements that are made based on which populations and which individuals can have access to drugs, and who will be vulnerable to ill health. However, access to health care is an issue, there are more than one factor that influences health, social, economic, and environmental. In addition, one can come to understand health by viewing it through the perspective of human rights. A justice based approach to health, and humans rights as a framework for health development. With this framework health policies, and programs will be created with human rights as

The patient arrived on for the counseling session. The patient asked about the status of his dose change as the patient requested to decrease his methadone of 5mgs. The writer informed the patient that his dose change request is pending at the moment. Today's session was a bit intense as patient shared about his struggles, the lack of support from family, and the inablity to support himself even though he is currently employed at Moe's. The writer was concerned after learning that the patient was eating out of McDonald garbage trash can because he did not have any income to purchase food as the patient self-reported about his aunt not want to provide food to him while he reside in home. However, the writer learned that the patient gets $189 in food stamps but sells it for

Strengths: My experiences in working with children have helped me improve my skills as an educator; I believe one of strengths would be using behaviour reinforcement. According to BF Skinner (2014, Page 64) behaviour reinforcement is used to discourage or promote desired behaviours, to which I have found effective. In my before and after school care workplace, I regularly use verbal and physical reinforcement for example, high-fiving, clapping, and having a prize box. I have discovered how well children respond to positive reinforcement and now rely upon it to guide positive behaviour. Positive reinforcement includes positive language, to which I believe to be another strength of mine. During my previous practicum, I chose to emphasise positive

When therapist checked in regards the client's behavior and symptoms, during the last week, client reported that he feels happy 5-6 times during the last week and up till now because nothing bad happened during the last week and he is enjoying being at college. Client reported that he feels tired because the lack of energy due to transportation from and to the collage four times a week, doing homework and projects, and exercising as well. Client reported that he feels bored during the week as he did not do his weekly activities like before as he got busy with collage. Client reported that he is doing good at collage in regards to the homework, projects, and assignment. Client reported that he feels that he is achieving his dream to become

A review of the literature to critically explore the value and purpose of reflective practice.

This essay will review the literature to critically explore the value and purpose of reflective practice.