Theory, Research, and Clinical Practice Essay
Theory, Research, and Clinical Practice Essay
This is a case analysis for EB, a 68-year-old African female who is reports of worsening of her vision over the past few days. She reports having glaucoma and hypertension. She is on hydralazine 50mg, Metoprolol 200mg, Lisinopril 40mg, and HCTZ 25mg. It seems she has not been complying with her medication. Her blood pressure is 182/99mmHg and her pulse rate of 84 beats per minute. Theory, Research, and Clinical Practice Essay
How to Build a History
As the certified nurse on duty, I took the patient’s history upon arrival at the hospital. I greeted and welcomed the patient into the consultation room and ensured she was comfortable observing the confidentiality of the conversation. I asked her about the language she was comfortable to communicate with and she proceeds to explain her complaints. During the interview, I was actively listening, maintaining eye contact with the patient, and observing the non-verbal cues to understand what she meant. I did not interrupt her until it was my turn to talk. Barnes, P. A. (2018) interacting with patients from different cultural, spiritual, and socio-economic backgrounds should be in a respectful manner. Theory, Research, and Clinical Practice Essay
The Target Questions
According to (Hultsjö, et al, 2019), I acknowledged the patient about sensitive questions that will help in assess her risks of the diseases. I asked her to explain when did the visual problem start? When was she diagnosed with hypertension? How often does she take her medication, and if she does not take it, I asked the reason. I asked her how many meals she takes in a day and what group of foodstuff she take most of the time. I asked her if she does physical exercise like walking or playing games.
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Social-Economic Spiritual and Cultural Lifestyle
Madu, et al, (2020) interacting with patients from diverse backgrounds is challenging because of the language barrier, differences in beliefs, and norms. She could skip some questions because she could not understand them clearly. The patient was from a well up social-economic background because she could buy her medicine as prescribed by the doctor. However, she could not take the medication because of her spiritual and cultural lifestyle. The patient believes that having total faith in God would heal her from hypertension. As the nurse on duty, I showed empathy and exhibited loyalty by providing the appropriate health education to the patient.
EB is a 68-year-old black female who comes in for follow-up of hypertension. She has glaucoma and her vision has been worsening during the past few years. She lives alone and is prescribed four hypertension medications (Hydralazine 50 mg PO Q8H, Metoprolol XL 200 mg PO Q12H, Lisinopril 40 mg PO daily, and HCTZ 25mg PO daily ). She brings in her medication bottles and she has some medication bottles from the previous year full of medications. She is missing one medication she had been prescribed and says she may have forgotten it at home. Her BP in clinic today is 182/99 with HR of 84.
Week_2_Discussion_Rubric
- Grid View
- List View
| Excellent | Good | Fair | Poor | |||
| Main Posting | 45 (45%) – 50 (50%)
“Answers all parts of the Discussion question(s) with reflective critical analysis and synthesis of knowledge gained from the course readings for the module and current credible sources. Supported by at least three current, credible sources. Written clearly and concisely with no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. |
40 (40%) – 44 (44%)
“Responds to the Discussion question(s) and is reflective with critical analysis and synthesis of knowledge gained from the course readings for the module. At least 75% of post has exceptional depth and breadth. Supported by at least three credible sources. Written clearly and concisely with one or no grammatical or spelling errors and fully adheres to current APA manual writing rules and style. |
35 (35%) – 39 (39%)
“Responds to some of the Discussion question(s). One or two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Post is cited with two credible sources. Written somewhat concisely; may contain more than two spelling or grammatical errors. Contains some APA formatting errors. |
0 (0%) – 34 (34%)
“Does not respond to the Discussion question(s) adequately. Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible sources. Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style. |
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| Main Post: Timeliness | 10 (10%) – 10 (10%)
Posts main post by Day 3. |
0 (0%) – 0 (0%)
N/A |
0 (0%) – 0 (0%)
N/A |
0 (0%) – 0 (0%)
Does not post main post by Day 3. |
||
| First Response | 17 (17%) – 18 (18%)
“Response exhibits synthesis, critical thinking, and application to practice settings. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of Learning Objectives. Communication is professional and respectful to colleagues. Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English. |
15 (15%) – 16 (16%)
“Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English. |
13 (13%) – 14 (14%)
“Response is on topic and may have some depth. Responses posted in the Discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. |
0 (0%) – 12 (12%)
“Response may not be on topic and lacks depth. Responses posted in the Discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited. |
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| Second Response | 16 (16%) – 17 (17%)
“Response exhibits synthesis, critical thinking, and application to practice settings. Provides clear, concise opinions and ideas that are supported by at least two scholarly sources. Demonstrates synthesis and understanding of Learning Objectives. Communication is professional and respectful to colleagues. Responses to faculty questions are fully answered, if posed. Response is effectively written in standard, edited English. |
14 (14%) – 15 (15%)
“Response exhibits critical thinking and application to practice settings. Communication is professional and respectful to colleagues. Responses to faculty questions are answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English. |
12 (12%) – 13 (13%)
“Response is on topic and may have some depth. Responses posted in the Discussion may lack effective professional communication. Responses to faculty questions are somewhat answered, if posed. Response may lack clear, concise opinions and ideas, and a few or no credible sources are cited. |
0 (0%) – 11 (11%)
“Response may not be on topic and lacks depth. Responses posted in the Discussion lack effective professional communication. Responses to faculty questions are missing. No credible sources are cited. |
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| Participation | 5 (5%) – 5 (5%)
Meets requirements for participation by posting on three different days. |
0 (0%) – 0 (0%)
N/A |
0 (0%) – 0 (0%)
N/A |
0 (0%) – 0 (0%)
Does not meet requirements for participation by posting on three different days. |
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| Total Points: 100 | ||||||
Name: NURS_6512_Week_2_Discussion_Rubric
May 2012, Alice Randall wrote an article for The New York Times on the cultural factors that encouraged black women to maintain a weight above what is considered healthy. Randall explained—from her observations and her personal experience as a black woman—that many African-American communities and cultures consider women who are overweight to be more beautiful and desirable than women at a healthier weight. As she put it, “Many black women are fat because we want to be” (Randall, 2012).
Photo Credit: Getty Images
Randall’s statements sparked a great deal of controversy and debate; however, they emphasize an underlying reality in the healthcare field: different populations, cultures, and groups have diverse beliefs and practices that impact their health. Nurses and healthcare professionals should be aware of this reality and adapt their health assessment techniques and recommendations to accommodate diversity.
In this Discussion, you will consider different socioeconomic, spiritual, lifestyle, and other cultural factors that should be taken into considerations when building a health history for patients with diverse backgrounds. Your Instructor will assign a case study to you for this Discussion.
To prepare:
Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments.
By Day 1 of this week, you will be assigned a case study by your Instructor. Note: Please see the “Course Announcements” section of the classroom for your case study assignment.
Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient assigned to you.
Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information?
By Day 3 of Week 2
Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
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Barnes, P. A. (2018). Correlation between Personal Health History and Depression Self-Care Practices and Depression Screening Among African Americans with Chronic Conditions. Preventing Chronic Disease, 15.
Hultsjö, Bachrach-Lindström, Safipour, & Hadziabdic, (2019) “Cultural awareness requires more than theoretical education”-Nursing students’ experiences. Nurse education in practice, 39, 73-79
Madu, Kenst, & Betancourt, (2020) Engaging Patients from Diverse Backgrounds in Healthcare Treatment. The Wiley Handbook of Healthcare Treatment Engagement: Theory, Research, and Clinical Practice, 335-353.
Theory, Research, and Clinical Practice Essay
