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Category: Nursing

  • [Solved] refection

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    – Refer to the “Population-Focused Nurse Practitioner Competencies” found in the Week 1 Learning Resources, and consider the quality measures or indicators advanced nursing practice nurses must possess in your specialty of interest. – Refer to your Clinical Skills Self-Assessment Form you submitted …

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    – Refer to the “Population-Focused Nurse Practitioner Competencies” found in the Week 1 Learning Resources, and consider the quality measures or indicators advanced nursing practice nurses must possess in your specialty of interest.
    – Refer to your Clinical Skills Self-Assessment Form you submitted in Week 1, and consider your strengths and opportunities for improvement.
    – Refer to your Patient Log in Meditrek, and consider the patient activities you have experienced in your practicum experience and reflect on your observations and experiences.

    – Revisit the goals and objectives from your Practicum Experience Plan. Explain the degree to which you achieved each during the practicum experience.
    – Reflect on the three (3) most challenging patients you encountered during the practicum experience. What was most challenging about each?
    – What did you learn from this experience?
    – What resources were available?
    – What evidence-based practice did you use for the patients?
    – What would you do differently?
    – How are you managing patient flow and volume?
    – How can you apply your growing skillset to be a social change agent within your community?

    **Communicating and Feedback**

    – Reflect on how you might improve your skills and knowledge, and communicate those efforts to your Preceptor.
    – Answer the questions: How am I doing? What is missing?
    – Reflect on the formal and informal feedback you received from your Preceptor.

    – 2 years ago

  • [Solved] Applied Statistics T2 DQ1

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    Review the terms _**Stratified Sampling**_ from "The Visual Learner: Statistics," ( **https://lc.gcumedia.com/hlt362v/the-visual-learner/the-visual-learner-v2.1.html**). Use the _**Stratified Sampling**_ method to answer the following question: Imagine that you are conducting a patient satisfaction …

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    Review the terms _**Stratified Sampling**_ from "The Visual Learner: Statistics," ( **https://lc.gcumedia.com/hlt362v/the-visual-learner/the-visual-learner-v2.1.html**).

    Use the _**Stratified Sampling**_ method to answer the following question:

    Imagine that you are conducting a patient satisfaction survey at your health care facility. How would the assigned sampling method be applied in this case? What are the strengths and weakness of the assigned sampling method in this scenario?

    Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format.

    – 2 years ago

  • [Solved] DQ4003

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    – 2 years ago **files (1)** – ## APASTYLE.docx **## APASTYLE.docx** **APA STYLE , AT LEAST THREE REFERENCES** 1. What role might nurses play in the phases of disaster management? 2. How is climate change affecting your community? **## APASTYLE.docx** **APA STYLE , AT LEAST THREE REFERENCES** 1. W…

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    – 2 years ago

    **files (1)**

    – ## APASTYLE.docx

    **## APASTYLE.docx**

    **APA STYLE , AT LEAST THREE REFERENCES**

    1. What role might nurses play in the phases of disaster management?

    2. How is climate change affecting your community?

    **## APASTYLE.docx**

    **APA STYLE , AT LEAST THREE REFERENCES**

    1. What role might nurses play in the phases of disaster management?

    2. How is climate change affecting your community?

  • [Solved] Discussion P W5 Reply to peer 2-2

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    Cigarette smoke (CS) poses a significant risk factor for respiratory, vascular, and organ diseases owing to its high content of harmful chemicals and reactive oxygen species (ROS). These substances are known to induce oxidative stress, inflammation, apoptosis, and senescence due to their exposure to…

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    Cigarette smoke (CS) poses a significant risk factor for respiratory, vascular, and organ diseases owing to its high content of harmful chemicals and reactive oxygen species (ROS). These substances are known to induce oxidative stress, inflammation, apoptosis, and senescence due to their exposure to environmental pollutants and the presence of oxidative enzymes. The lung is particularly susceptible to oxidative stress (Cha et al., 2023). Smoking causes damage alveoli where the oxygen exchange occurs. In emphysema the alveoli coalesce to form a large cavity and the surface area available for gas exchange decreases. Chronic obstructive pulmonary disease (COPD) represents the fourth leading cause of morbidity and mortality in North America, in excess of 110,000 yearly deaths (Yoshida & Tuder, 2007).

               β-agonists up-regulate the transport of both sodium and chloride ions through the increase in intracellular cAMP caused by β-adrenoceptor stimulation (Bassford et al., 2012). β2-Agonists are effective bronchodilators due primarily to their ability to relax airway smooth muscle (ASM). They exert their effects via their binding to the active site of β2-adrenoceptors on ASM, which triggers a signaling cascade that results in a number of events, all of which contribute to relaxation of ASM (Rossi et al., 2008). Although β-agonists are bronchodilators some adverse events can occur such as increased heart rate and palpitations, because some of the β-ARs in the atria and ventricles are β2, and thus even selective β2-agonists can provoke direct simulation of the heart. Moreover, stimulation of β2-ARs can result in vasodilation and reflex tachycardia (Cazzola et al., 2013).

               Chronic obstructive pulmonary diseases (COPD), comprised of pulmonary emphysema, chronic bronchitis, and structural and inflammatory changes of small airways, is a leading cause of morbidity and mortality in the world. Smoking cigarettes induces cell death. Cigarette smoke has been associated with various molecular and cellular changes in the lung tissue, it has also been associated with lung and blader cancer as well as cardiac issues and complications. Smoke cessation is imperative to avoid any heart and long complications.

    References

    Cha, S.-R., Jang, J., Park, S.-M., Ryu, S. M., Cho, S.-J., & Yang, S.-R. (2023, June 3). Cigarette smoke-induced respiratory response: Insights into cellular processes and biomarkers. Antioxidants (Basel, Switzerland). [https://pmc.ncbi.nlm.nih.gov/articles/PMC10295620/](https://pmc.ncbi.nlm.nih.gov/articles/PMC10295620/)

    Mannino, D. M. (2015, November). Smoking and emphysema – chest. Smoking and Emphysema. [https://journal.chestnet.org/article/S0012-3692(15)50217-1/fulltext](https://journal.chestnet.org/article/S0012-3692(15)50217-1/fulltext)

    Yoshida, T., & Tuder, R. M. (2007, July 1). Pathobiology of cigarette smoke-induced chronic obstructive pulmonary disease | physiological reviews. [https://journals.physiology.org/doi/full/10.1152/physrev.00048.2006](https://journals.physiology.org/doi/full/10.1152/physrev.00048.2006)

    Bassford, C. R., Thickett, D. R., & Perkins, G. D. (2012, March 20). The rise and fall of β-agonists in the treatment of ARDS – Critical Care. BioMed Central. [https://ccforum.biomedcentral.com/articles/10.1186/cc11221#:~:text=%CE%B2-agonists%20up-regulate%20the%20transport%20of%20both%20sodium%20and,increase%20in%20intrac](https://ccforum.biomedcentral.com/articles/10.1186/cc11221#:~:text=%CE%B2-agonists%20up-regulate%20the%20transport%20of%20both%20sodium%20and,increase%20in%20intrac)

    Rossi, A. M., Khirani, S. M., & Cazzola, M. M. (2008, December 3). Long-acting beta2-agonists (LABA) in chronic obstructive pulmonary disease: Efficacy and safety. International journal of chronic obstructive pulmonary disease. [https://pmc.ncbi.nlm.nih.gov/articles/PMC2650610/](https://pmc.ncbi.nlm.nih.gov/articles/PMC2650610/)

    Cazzola, M., Page, C. P., Rogliani, P., & Matera, M. G. (2013, January 10). Β 2 -agonist therapy in lung disease – ATS journals. β2-Agonist Therapy in Lung Disease. [https://www.atsjournals.org/doi/full/10.1164/rccm.201209-1739PP](https://www.atsjournals.org/doi/full/10.1164/rccm.201209-1739PP)

    – 2 years ago

  • [Solved] Discussion P W5 Reply to peer 2-1

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    Emphysema, a hallmark of chronic obstructive pulmonary disease, is primarily caused by prolonged exposure to cigarette smoke, which leads to irreversible alveolar damage. Smoking initiates an inflammatory response characterized by increased neutrophils and macrophages, which release proteolytic enzy…

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    Emphysema, a hallmark of chronic obstructive pulmonary disease, is primarily caused by prolonged exposure to cigarette smoke, which leads to irreversible alveolar damage. Smoking initiates an inflammatory response characterized by increased neutrophils and macrophages, which release proteolytic enzymes such as elastase and matrix metalloproteinases (Barnes et al., 2020). These enzymes degrade elastin, an essential component of alveolar walls, resulting in the destruction of alveolar septa and the formation of enlarged air spaces. This structural damage reduces alveolar surface area, impairing gas exchange and leading to ventilation-perfusion mismatch. Additionally, smoking-induced oxidative stress further exacerbates lung injury by depleting protective antioxidants like glutathione, amplifying inflammation, and inducing apoptosis in epithelial and endothelial cells (Aghapour et al., 2021). Over time, emphysema results in progressive airflow limitation, hyperinflation, and reduced lung compliance, contributing to dyspnea and decreased exercise tolerance.

         β-Agonists are central to managing diseases with increased airway resistance, such as asthma and COPD. These drugs, primarily short-acting such as, albuterol and long-acting such as, salmeterol and formoterol, stimulate β2-adrenergic receptors on airway smooth muscle cells, leading to cyclic adenosine monophosphate activation and smooth muscle relaxation (Rabe & Celli, 2022). By reducing bronchoconstriction, β-agonists improve airflow and alleviate symptoms of wheezing and dyspnea. In addition to bronchodilation, these agents may modulate airway inflammation by inhibiting the release of pro-inflammatory mediators from mast cells and cytokines from immune cells. Their therapeutic role is particularly crucial in COPD, where chronic inflammation and mucus hypersecretion contribute to airway obstruction. Long-acting β-agonists, often combined with inhaled corticosteroids, enhance symptom control, reduce exacerbations, and improve quality of life for patients with obstructive lung diseases.

    **References**

    Aghapour, M., Raee, P., Moghaddam, S. J., Hiemstra, P. S., & Smit, J. J. (2021). Airway epithelial barrier dysfunction in chronic obstructive pulmonary disease: Role of cigarette smoke exposure. _American Journal of Respiratory Cell and Molecular Biology, 64_(2), 163-174. https://doi.org/10.1165/rcmb.2020-0244TR

    Barnes, P. J., Baker, J., & Donnelly, L. E. (2020). Cellular senescence as a mechanism and target in chronic lung diseases. _Nature Reviews Immunology, 20_(12), 707-721. https://doi.org/10.1038/s41577-020-0370-1

    Rabe, K. F., & Celli, B. R. (2022). Pharmacological treatment of chronic obstructive pulmonary disease: The ABCD revised. _European Respiratory Journal, 59_(2), 2100939. https://doi.org/10.1183/13993003.00939-2021

    – 2 years ago

  • [Solved] Discussion P W5 Reply to peer 1-2

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    Hypertension (HTN) is the leading cause of cardiovascular morbidity and mortality worldwide, and it raises the risk of stroke, heart disease, kidney failure, and other debilitating complications. The two major physiological factors that antihypertensive drugs target are cardiac output (CO) and perip…

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    Hypertension (HTN) is the leading cause of cardiovascular morbidity and mortality worldwide, and it raises the risk of stroke, heart disease, kidney failure, and other debilitating complications. The two major physiological factors that antihypertensive drugs target are cardiac output (CO) and peripheral resistance (PR) both play crucial roles in blood pressure control. By altering these determinants, these medications reduce the heart's workload and prevent the long-term consequences of untreated HTN (Santisteban et al., 2023). Some antihypertensive medications result in reduced cardiac output, that is, the amount of blood expelled by the heart per unit of time. This is done with beta-blockers such as metoprolol or atenolol, which win and compete for beta-adrenergic receptors and thus reduce heart rate and myocardial contractility. It leads to a reduced stroke volume and, therefore, reduced cardiac output. Calcium channel blockers, such as diltiazem and verapamil (Hill et al., 2022), slow the heart rate and reduce contractility by blocking calcium influx into cardiac muscle cells, thus further decreasing cardiac output. Diuretics that have hydrochlorothiazide and furosemide reduce blood volume, resulting in the reduction of CO because they lower blood volume. They decrease preload and overall cardiac output by increasing the amount of sodium and water excreted by the kidneys, decreasing the fluid in the blood. Two additional classes of other antihypertensive drugs reduce peripheral resistance, or the force that opposes blood flow through the arterial system. Blocking the renin-angiotensin-aldosterone system (RAAS) is one of the predominant ways to achieve this (Budiarto et al., 2023). ACE inhibitors, lisinopril, enalapril, and angiotensin receptor blockers (ARBs), losartan, and valsartan prevent the action or formation of angiotensin II, a powerful vasoconstrictor. This causes the blood vessels to be relaxed, the vascular resistance to decrease, and the blood pressure to decrease. Moreover, calcium channel blockers like amlodipine and nifedipine cause direct vasodilation by inhibiting calcium entry into vascular smooth muscle, thereby inducing arterial relaxation and decreasing PR. Prazosin and doxazosin are alpha-blockers, and they work by blocking alpha-adrenergic receptors to stop them from vasoconstriction and maintain these dilated blood vessels. In more serious cases, direct vasodilators, either hydralazine or minoxidil can be given directly to vasodilate the vascular smooth muscle, rapidly decreasing the peripheral resistance and lowering blood pressure.

    Untreated or undertreated hypertension can result in serious complications of multiple organ systems. In particular, the cardiovascular system is particularly vulnerable to these forces that continue for an extended period and take a strain on the heart, which then becomes hypertrophic, and this increases the risk of heart failure (Slone & Commodore-Mensah, 2024). Hypertension, therefore, predisposes to atherosclerosis and, subsequently, to myocardial infarction (heart attack), aortic aneurysm, and peripheral artery disease. With uncontrolled hypertension, there is an increased likelihood of ischemic and hemorrhagic strokes, where blood vessel damage to the brain is due to pressure ruptures or blocks. In addition, chronic hypertension is associated with vascular dementia and cognitive decline, as chronic hypertension induces cerebral perfusion (Yu et al., 2022). Another is the renal system. Suppose the glomeruli in the kidneys are damaged by high blood pressure in the long term. In that case, this may lead to chronic kidney disease (CKD) and, in the worst cases, to end-stage renal disease (ESRD), for which dialysis or transplantation is necessary. As well as the eyes, hypertension can cause hypertensive retinopathy (generated by hypertension that damages the retinal vessels, causing loss of vision or blindness). Furthermore, the peripheral vascular system is also in jeopardy because long-term hypertension can also lead to poor circulation, claudication (pain due to insufficient blood flow), and risk for limb ischemia. Because uncontrolled hypertension carries potentially life-threatening consequences, intervention, either pharmacologically, through meds, or in lifestyle, is essential early on. Prevention of complications and improvement of long-term health outcomes, therefore, requires regular blood pressure monitoring, adherence to antihypertensive medication, and lifestyle changes such as a healthy diet, routine exercise, smoking cessation, and stress reduction.

    **References**

    Budiarto, D., Wijianto, B., & Hariyanto, I. H. (2023). Study of anthocyanin molecule blocking as anti-hypertensive through the pathway of the renin-angiotensin-aldosterone system (RAAS). _Indonesian Journal of Chemical Research_, _11_(1), 49-58. [https://ojs3.unpatti.ac.id/index.php/ijcr/article/download/8131/5778](https://ojs3.unpatti.ac.id/index.php/ijcr/article/download/8131/5778)

    Hill, K., Sucha, E., Rhodes, E., Bota, S., Hundemer, G. L., Clark, E. G., … & Sood, M. M. (2022). Amiodarone, verapamil, or diltiazem use with direct oral anticoagulants and the risk of hemorrhage in older adults. _CJC open_, _4_(3), 315-323. [https://www.sciencedirect.com/science/article/pii/S2589790X21002997](https://www.sciencedirect.com/science/article/pii/S2589790X21002997)

    Santisteban, M. M., Iadecola, C., & Carnevale, D. (2023). Hypertension, neurovascular dysfunction, and cognitive impairment. _Hypertension_, _80_(1), 22-34. [https://www.ahajournals.org/doi/abs/10.1161/HYPERTENSIONAHA.122.18085](https://www.ahajournals.org/doi/abs/10.1161/HYPERTENSIONAHA.122.18085)

    Slone, S. E., & Commodore-Mensah, Y. (2024). Accurate Blood Pressure Measurement Is a Necessary but Insufficient Step to Diagnose and Control Hypertension. _Circulation: Cardiovascular Quality and Outcomes_, _17_(2), e010738. [https://www.ahajournals.org/doi/pdf/10.1161/CIRCOUTCOMES.123.010738](https://www.ahajournals.org/doi/pdf/10.1161/CIRCOUTCOMES.123.010738)

    Yu, W., Li, Y., Hu, J., Wu, J., & Huang, Y. (2022). A study on the pathogenesis of vascular cognitive impairment and dementia: the chronic cerebral hypoperfusion hypothesis. _Journal of Clinical Medicine, 11_(16), 4742. [https://www.mdpi.com/2077-0383/11/16/4742](https://www.mdpi.com/2077-0383/11/16/4742)

    – 2 years ago

  • [Solved] Discussion P W5 Reply to peer 1-1

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    In order to lower arterial blood pressure, antihypertensive drugs decrease cardiac output, total peripheral resistance or both. Diuretics, beta-blockers, and central adrenergic inhibitors decrease cardiac output. ACE inhibitors, angiotensin II antagonists, calcium antagonists, alpha-blockers, centra…

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    In order to lower arterial blood pressure, antihypertensive drugs decrease cardiac output, total peripheral resistance or both. Diuretics, beta-blockers, and central adrenergic inhibitors decrease cardiac output. ACE inhibitors, angiotensin II antagonists, calcium antagonists, alpha-blockers, central adrenergic inhibitors, and after a delay also diuretics and beta-blockers decrease peripheral resistance (P; 2004). The cardiac stats of the hypertensive patient will affect which medication is given and how it will work for such patient. the indications for and criteria of treatment often must be adjusted according to the cardiac status of the patient. Thus, the presence of increased left ventricular (LV) wall thickness and mass in borderline hypertension may decide in favor of early treatment. The importance of systolic, as opposed to diastolic, blood pressure has been repeatedly stressed because of its closer relation to afterload and consequently of its more direct effects on cardiac performance (Adams et al., 2013). There are many cardiac factors that will affect the blood pressure, such as Reflex cardioadrenergic stimulation, which affect the increased output interfering with blood pressure control. Some side-effects that my apply are tachycardia, and coronary insufficiency, thus interfering with adequate therapy. Another sample is cardiac decompensation leading to further fluid retention and enhancing the increase in peripheral resistance. Reflex pressor effects coronary insufficiency leading to recurrent paroxysmal rises in blood pressure hypovolemia leading to orthostatic intolerance and vasovagal faints alterations in LV filling and relaxation, possibly leading to alterations in reflex blood pressure control (Adams et al., 2013). Many patients can become resistant to such medicines and will ultimately need to be reevaluated for cardiac and hemodynamic status.

               Hypertension is termed when the blood pressure is above the normal range, that is 120/80mmHg. In older individuals, the blood pressure tends to be on the higher side usually due to the changes in blood vessel structure. In older individuals, of more than 60 years of age, a blood pressure of more than 140/90mmHg is considered hypertension (Adams et al., 2013). Many patients have hypertension and is goes unnoticed due to the fact they do not visit doctors or follow a poorly regimen with lack of exercise. Often stress can be another stressor to produce hypertension in adults. Renal failure also contributes to cardiac issues and hypertension as it is the second leading cause of renal failure with diabetes falling at number one in the world. Hypertension can damage the body for years producing damage and narrowing arteries, aneurysms. Coronary heart disease, enlarge disease, heart attack, etc. will damage the heart. TIA, and stroked will damage the brain. Kidneys and eyes as well as sexual conditions such as erectile dysfunction can occur due to untreated hypertension (Pruthi, 2023). High blood pressure usually is an ongoing condition that slowly causes damage over years if not treated, thus making yearly doctor visits and trying to live a healthy and less stressful life will always be beneficial to one’s health.

    References

    P; K. U. C. (2004, May 12). [pharmacological basis of antihypertensive drug therapy]. Praxis. [https://pubmed.ncbi.nlm.nih.gov/15195836/](https://pubmed.ncbi.nlm.nih.gov/15195836/)

    Adams, A. S., Uratsu, C., Dyer, W., Magid, D., O’Connor, P., Beck, A., Butler, M., Ho, P. M., & Schmittdiel, J. A. (2013, January 14). Health System factors and antihypertensive adherence in a racially and ethnically diverse cohort of new users. JAMA internal medicine. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5105889/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5105889/)

    Pruthi, S. (2023, November 28). How high blood pressure can affect the body. Mayo Clinic. [https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/in-depth/high-blood-pressure/art-20045868](https://www.mayoclinic.org/diseases-conditions/high-blood-pressure/in-depth/high-blood-pressure/art-20045868)

    – 2 years ago

  • [Solved] Discussion NT W5 Reply to peer 2

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    The theory of cultural marginality explores the lived experiences of individuals who exist between two or more cultural systems without fully identifying with either. This often leads to feelings of isolation, identity conflict, and social displacement. In the healthcare setting, cultural marginalit…

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    The theory of cultural marginality explores the lived experiences of individuals who exist between two or more cultural systems without fully identifying with either. This often leads to feelings of isolation, identity conflict, and social displacement. In the healthcare setting, cultural marginality significantly influences patient care, as individuals living on the margins frequently experience disparities in access, communication barriers, and mistrust toward the healthcare system. Nurses play a pivotal role in mitigating these challenges by adopting culturally competent and compassionate care strategies. Caring, as defined by Watson’s Theory of Human Caring, emphasizes the importance of authentic presence, respect, and individualized attention in fostering trust and healing. Applying this principle to culturally marginalized patients involves recognizing their unique backgrounds, listening to their concerns, and advocating for equitable healthcare.

         An example from practice involves a young immigrant mother from Central America living in a shelter. She spoke limited English, lacked insurance, and hesitated to seek medical care due to fear of deportation. As her nurse, I employed a culturally sensitive approach by using an interpreter, validating her concerns, and providing education about community resources for undocumented individuals. By creating a safe and nonjudgmental space, I was able to establish trust, ensuring she received prenatal care and support. This encounter underscored the importance of integrating cultural competence and humanistic caring to address the vulnerabilities faced by marginalized populations. Culturally marginal individuals require more than clinical interventions; they need holistic care that acknowledges their struggles and affirms their dignity. Nursing, at its core, is about advocacy, understanding, and the promotion of inclusive healthcare.

    **References**

    Leininger, M. (2002). _Culture care theory: A major contribution to advance transcultural nursing knowledge and practices._ Journal of Transcultural Nursing, 13(3), 189-192.

    Watson, J. (2008). _Nursing: The philosophy and science of caring._ University Press of Colorado.

    Sagar, P. L. (2012). _Transcultural nursing theory and models: Application in nursing education, practice, and administration._ Springer Publishing Company.

    – 2 years ago

  • [Solved] Discussion NT W5 Reply to peer 1

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    The theory of cultural marginality corresponds with caring in the human health experience by encouraging nurses to critically examine their own cultural biases and privileges, and by understanding the marginalizing experiences of cultural minority groups (Kwame & Petrucka, 2021).The lack of mutual u…

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    The theory of cultural marginality corresponds with caring in the human health experience by encouraging nurses to critically examine their own cultural biases and privileges, and by understanding the marginalizing experiences of cultural minority groups (Kwame & Petrucka, 2021).The lack of mutual understanding between health care providers and immigrants has increased as more people start to migrate to the United States, an article from 1996 stated that almost 1 in 10 people living in the United States was a foreign-born immigrant and the number of foreign-born in the population exceeded 25 million (H;, 2001), now imagine how that number double or maybe tripled by 2024. Cultural marginality is defined as "situations and feelings of passive betweenness when people exist between two different cultures and do not yet perceive themselves as centrally belonging to either one" (H; 2001).

    Cultural marginality can be seen in cities and in a state with a great migration rate such as Florida, working as a nurse in Miami and now in North Florida I can understand and relate to the patients and their needs to find and identify themselves with a culture. Often migrants tend to embrace the American culture but also keep close their own heritage and culture, thus creating a new mixed culture of both nationalities. Since 1960, Florida’s population has increased 248% to 19,057,542 in 2011, making it the fourth largest state in the nation (Hill, 2014) although this vital statistic is from past years one can see the increase in migration to the state of Florida.

    Years ago, I worked in a dialysis unit that was the closest unit to the Everglades, and I had a many Native Americans although they are the first Americans their culture is very different from the American culture we see now. He was Miccosukee and I had to learn how to interact with them and learn their culture and costumes. At first it was challenging because they see the white man as a threat, I can say I blame them nevertheless I got to know him and his family during the hours he was on treatment, once I showed interest to learn his culture new doors opened, his friends and family were now wanting to treat at our clinic. Their culture is so fascinating and interesting that once I asked to learn more the better, he felt with me caring for him, his wife was Seminole, and both explained to me that although the same tribe they have different names because Miccosukee separated and reminded in the Everglades where he lived in the reservation. I learned about his culture through his stories, and he taught me beliefs as well as I educated myself through research. My patient was very misunderstood by many of the staff there because of his culture, beliefs and traditions. By educating myself and by showing respect to his culture I was able to provide positive care and achieve trust and provide a safe place to treat three times a week. As nurses we must look beyond our beliefs and our culture and immerse our self to live a different culture in order to help our patients succeed in order to provide positive outcomes for everyone.

    References

    Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: barriers, facilitators, and the way forward. BMC nursing, 20(1), 1–10.

    H; C. (2001, July 24). Cultural marginality: A concept analysis with implications for immigrant adolescents. Issues in comprehensive pediatric nursing. [https://pubmed.ncbi.nlm.nih.gov/12141837/](https://pubmed.ncbi.nlm.nih.gov/12141837/)

    Smith, Mary J., & Liehr, P. R. (2013a). Middle range theory for nursing Mary J. Smith; Patricia R. Liehr (ed.). Springer Publ.

    Hill, J. R. (2014). Cultural indicators report – Florida family policy council. STATE OF FLORIDA Cultural Indicators. [https://flfamily.org/wp-content/uploads/2014/03/FFPC-Cultural-Indicators-Report.pdf](https://flfamily.org/wp-content/uploads/2014/03/FFPC-Cultural-Indicators-Report.pdf)

    – 2 years ago

  • [Solved] DB Help-Pulm

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    In-depth study guidance and analytical solution covering DB Help-Pulm.

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    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.