Diversity and Health Assessment Essay

NURS 6512: Advanced Health Assessment – Diversity and Health Assessment Essay

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                                                 Diversity and Health Assessment

Cultural competence is the gradually developed capacity of nurses and healthcare providers to provide safe and quality healthcare to clients of different background (Duan-Ying, 2016). Cultural competence involves recognizing one’s own culture, values, and biases, and using effective patient-centered communication skills (Ball et al., 2015). To be culturally competent, the practitioner must be able to respond to the cultural diversity of her or his patients and adapt to the unique needs of patients from the cultural and spiritual background different from her or his own (Ball et al., 2015). For this forum, the cultural health assessment of MR, the 23-year-old Native American male will be discussed. Diversity and Health Assessment Essay.

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Case 3: Culturally Competent Health Assessment of the 23-year-old Native American Male

MR, a 23-year-old Native American presents with complain of anxiety, history of smoking “pot,” alcoholism, a family history of diabetes, hypertension, and alcoholism. He is afraid of the adverse outcomes of his lifestyle choices. He is not currently on prescription medication and denies drug use. He needs some prescriptions to help him with his anxiety.

According to Espey at al. (2013), “American Indians in the United have long endured a legacy of injustice and discrimination with multiple negative manifestations, including alarming health disparities and inadequate healthcare.” Patterns of mortality among Native Americans are strongly influenced by the high incidence of diabetes, smoking prevalence, problem drinking, and social determinants (Epsey et al., 2013). For many young Native Indian Americans like MR, the problem of poor health, smoking, and alcohol abuse can be explained by poverty, unemployment, and lack of education. Diversity and Health Assessment Essay. Sarche & Spicer (2008) state that more than one-quarter of American Indian and Alaskan Native is living in poverty, a rate that is more than double of that of the general population. The discrepancy in education and employment is also found and overall, there are fewer individuals within the American Indian and Alaska community who possess a high school diploma or GED (71% versus 80%) or a bachelor degree (11% versus 24.4%) (Sarche & Spicer, 2008). The social determinants of health including poor-socioeconomic status, poor education, low income as well as unhealthy lifestyle and poor access to healthcare services play a major role in MR’s anxiety, alcohol use, and “pot” smoking. MR health seeking behavior is related to his spiritual beliefs that he might not “get into heaven” if he continues to have an unhealthy lifestyle. This attitude is an excellent initiative towards a healthier lifestyle Diversity and Health Assessment Essay.

                           Addressing critical issues when interacting with the patient

According to scenario 3, MR has multiple health risks. He has a family history of hypertension, diabetes, and alcoholism. He is a current “pot” smoker, alcohol drinker, and a very anxious young man looking for prescriptions against anxiety. Anxiety is one the withdrawal symptoms and therefore, MR may have drug addiction issue. This patient may need a psychiatric consult for better assessment of his drug addiction status. He is also at risk for cardiovascular diseases and lung cancer related to “pot” smoking, hypertension and diabetes-related to family history and alcoholism. Diversity and Health Assessment Essay.

Targeted Questions

1-    How are you doing today? How can I help you with your visit?

2-    You stated that you have been smoking “pot.” How long have you been smoking?

3-    What do you think is the cause of your anxiety?

4-    You stated that drinking alcohol can help cope with your anxiety. How many drinks do you have in one day?

5-    Have you ever felt you should cut down on your drinking? (CAGE questionnaire)

6-    Have people annoyed you by criticizing your drinking? (CAGE questionnaire)

7-    Have you felt bad or guilty about drinking?  (CAGE questionnaire) (Addiction & Recovery, 2018).

8-    Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hangover? (CAGE questionnaire)

9-    Do you have insurance coverage? Do you have concerns about how to cover your medical expenses?

10-    Before coming to this health center did you seek help from a family member, spiritual leader or a friend? Did they listen to you or provide any support?                                                                                                                                                                                                                                   Reference

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., Stewart, R. W. (2015). Seidel’s Guide to          

          Physical Examination. (8^th E.). Elsevier, Mosby. St. Louis, Missouri.

Addiction and Recovery (2018). CAGE Questionnaire. Addiction Self-Assessment.

Retrieved from https://addictionsandrecovery.org/addiction-self-test.htm

Duan-Ying, C. (2016). A Concept Analysis of Cultural Competence. International Journal of

         Nursing Sciences. Volume 3, Isuue3, pages 268-273. Diversity and Health Assessment Essay

https://doi.org/101016/j.ijnss.2016.08.00 Retrieved from

https://www.sciencedirect.com/science/article/pii/S2352013216300795

Espey, D. K., Jim, M. A., Cobb, N., Bartholomew, M., Becker, T., Haverkamp, D.,

Plescia, M. (2014). Leading Causes of Death and All-Cause Mortality in American

Indians and Alaska Natives. American Public Health Association.

Doi: 10.2105/AJPH.2013.3017.98 Retrieved from

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4035872/

Sarche, M., Spicer, P. (2008). Poverty and Health Disparities for American Indian and Alaska

Native Children: Current Knowledge and Future Prospect. American Indian and Alaska

            Native Programs. Doi: 10.1196/annals.1425.017. Retrieved from

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2567901/pdf/nihms58363.pdf Diversity and Health Assessment Essay