Handling Culturally Diverse Patients
Handling Culturally Diverse Patients
Mrs. Abdul has recently emigrated from the Middle East to live with her daughter and son-in-law. The Abdul family has just started coming to the clinic you work at as a Medical Administrative Assistant for care over the past 3 months. You have noticed that they have arrived late for all of their appointments to date, have arrived again late for their appointment today and seem reluctant to answer many of the questions that are asked. Also, it is observed that Mrs. Abdul allows her daughter to speak for her most of the time. Based on some preliminary testing that was conducted, Dr. Jones is concerned that Mrs. Abdul may have cancer, but must do some further diagnostic testing to be sure.
Based on the above scenario what information should the medical staff be aware of to help them interact effectively with the patient? Are there specific guidelines they should follow in terms of cultural diversity? If so, what would those be?
W3C1: Key Assessment for CLO #4
Utilizing Proper Telephone Techniques: The Angry Patient
You are the Medical Administrative Assistant for your practice. The phone rings and you answer it. It is Mr. Wilson, a patient of the practice. He is very upset because he received an EOB (explanation of benefits) in the mail today indicating the insurance denied his claim for his most recent office visit because it was not considered medically necessary. Your practice has not yet billed Mr. Wilson, but he warns “You better not even think about billing me for that visit, or I’ll sue you”. Mr. Wilson does not want to hear that the office can appeal the denial if he is willing to complete the form that was sent to him. He adds “paperwork is your job, not mine!”
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1. If you were in this situation what would you do? Think about and incorporate applicable PRICE characteristics.
2. Should you alert the physician or office manager or try to handle on your own?
3. Should this incident be documented in the patient’s medical record? Why or why not?
4. Please answer all questions completely. APA format must be used.
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PUBH 6128 – Biological Foundations Of Public Health: Week Two Essay Quizzes
PUBH 6128 – Biological Foundations Of Public Health: Week Two Essay Quizzes
QUIZ QUESTIONS
Question 1
Vector-borne diseases are:
Not able to infect a large number of hosts in a relative short amount of time
Infectious diseases (bacterial or viral) that are transmitted via an arthropod
Only viral infectious diseases transmitted via an arthropod
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Are only found in the tropics
QUESTION 2
Which of the following is not one of four typical dying trajectories associated with comorbidity and patterns of functional decline occurring over the last year of life?
Nocturnal death
Cancer death
Death from organ failure
Frailty
QUESTION#3
Aside from Jenner s use of cowpox to prevent smallpox, the best known example of disease-versus-disease is the modification of ________by genetic red cell disorders such as sickle cell anemia and thalassemia.
human immunodeficiency virus (HIV)
malaria
measles
polio
QUESTION#4
About __________% of breast cancers among women result from inherited mutations in genes known as BRCA1 and BRCA2.
1 5
5 10
15 20
20 25
QUETSION#5Women who carry BRCA1 or BRCA2 have a lifetime risk as high as _____% for breast cancer.
65
75
85
95
QUESTION #6
The raw data collected and then used for public health research is known as:
Primary sources
Secondary sources
Tertiary sources
QUESTION #7
The percentage of information available on the free Web that is considered suitable for academic/professional work is:
20%
7%
15%
2%
QUESTION #8
What proportion of men age 70 years and older still drive?
35%
50%
80%
95%
QUESTION #9
Measles and several other systemic viral infections cause a temporary suppression of cellular immunity, resulting in remission of ________________.
infectious diseases
autoimmune diseases
cancers
alloimmune diseases
Question #10
Dr. Willem-Karel Dicke of the Juliana Children s Hospital observed, during Europe s winter of starvation in 1944 45, that a few children with celiac disease gained weight and vigor on a very restricted diet. Dicke eventually proved that _______ was the offending agent in celiac diseases and that a ______ diet was the treatment of choice for celiac disease.
salt; salt-free
sugar; sugar-free
gluten; gluten-free
lactose; lactose-free
Question #11
Parasites, as well as bacterial and viral infections, can be spread through contaminated water:
A) TRUE;
B) FALSE
Question #12
According to Stiehm, the most significant medical advance of the last two centuries has been __________.
antibiotics
vaccines
birth-control
the heart-lung machine
Question #13
Choose the correct statement about bovine tuberculosis (bTB):
Bovine tuberculosis (bTB) only affects cattle.
“Bovine tuberculosis (bTB) was a problem of the past in the UK, but has since been controlled.”
Bovine tuberculosis (bTB) is currently one of the most difficult animal health problems in the UK.
Bovine tuberculosis (bTB) does not have a natural reservoir.
Question #14
Bias, in the literature, can be minimized by:
Peer-review
Bibliographies
Footnotes
All of the above
Question #15
Which of the following is/are potential cause(s) of medication errors?
I. Lack of access to patient medical history
II. Two medications that look alike
III. Patient non-adherence to medication regimen
I
III
I and II
II and III
“I, II, and III”
Question #16
The following factors influence an individual s response to medications except:
Diet
Other medications being taken
Genetics
All of the above affect a person s response to medications.
Question #17
Biodiversity defines:
The number of different organisms located within an ecosystem
The range of different organisms located within an ecosystem
“The number, variety, and range of genes located within an ecosystem ”
All of the above
Question #18
Which of the following is a recommendation made by the Institute of Medicine (IOM) to reduce medication misadventures?
Minimizing the use of technology
Providing patient education at each of the key points when patient receives medications.
Utilizing only the chemical name when referring to a drug
Making medication information widely available through different websites to patients
Question #19
_____________ have a genetic basis.
“Single gene disorders, like sickle cell disease, ”
“Chromosomal disorders, like Down syndrome, ”
Virtually all diseases
None of the above
Question #20
Choose the group that has all greenhouse gases.
“CO2, N2O, water vapor”
“CO2, N2, O2”
“CH4, CO2, N2”
“O2, N2O, water vapor”
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Assignment: Health Insurance and Quality
Assignment: Health Insurance and Quality
Assignment: Health Insurance and Quality
ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT: Assignment: Health Insurance and Quality
Assignment 2: Health Insurance and QualityDue Week 4 and worth 150 points
Imagine that you are the clinic manager of an urgent care center. Recently, your center has seen an increase in complaints regarding long wait times, inadequate or incomplete information from staff during visits, and the relatively small number of insurance types accepted at the facility.
Assignment: Health Insurance and Quality
Write a 2-3 page paper in which you:
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Examine at least three (3) examples of quality initiatives that could increase patient satisfaction and potentially reduce healthcare cost. Support your response with examples of the successful application your chosen quality initiatives. Defend your position on the decision to accept Medicare or Medicaid as potential pay sources for your urgent care center. Provide support with at least two (2) examples that illustrate your position.
Use at least two (2) quality references. Note: Wikipedia and other Websites do not qualify as academic resources.
Your assignment must follow these formatting requirements:
Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.
The specific course learning outcomes associated with this assignment are:
Analyze the impact of healthcare financing and health insurance on healthcare access, quality, and cost. Determine the factors that affect healthcare quality in healthcare organizations. Use technology and information resources to research issues in healthcare policy, law, and ethics.
Write clearly and concisely about healthcare policy and law using proper writing mechanics.
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
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Hearing Impairment Disability Discussion
Hearing Impairment Disability Discussion
Hearing Impairment Disability Discussion
ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT: Hearing Impairment Disability Discussion
Developed a nursing care plan for a patient with a hearing impairment disability affecting speech de
Developed a nursing care plan for a patient with a hearing impairment disability affecting speech development. Make sure all the steps of the nursing process are included (Assessment, diagnosis, planning, implementation, and evaluation)
Posted: 8 months ago
Due: 27/04/2019
Budget: $3
You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.
Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.
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Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.
The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.
ADDITIONAL INSTRUCTIONS FOR THE CLASS
Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
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PowerPoint Assignment: Transnational Crime
PowerPoint Assignment: Transnational Crime (Follow Directions In Attachment)
Explore a culture that has been linked to criminal behavior. At one time or another all cultures have had some link to criminal behavior, whether that’s organized crime, drug trafficking, terrorism, or civil disobedience. In a 12–15 PowerPoint slide presentation (excluding title and reference slides) complete the following:
Identify one culture or ethnicity that has ties to transnational crime, and describe its links to criminal behavior.
Evaluate its role in transnational crimes.
Analyze and explain how this culture or ethnicity has had an impact on systems of justice.
Be sure to discuss the role that socialization and religion play in shaping the beliefs of this culture. Provide examples determining why these beliefs are formed, and how culture and religion shaped these beliefs. Be sure to use speaker notes as well.
You will need to use a minimum of 3 academic sources. Use Google Scholar, JSTOR, textbooks, and/or .gov websites to keep the true academic sources in your papers. TURNITIN MUST BE UNDER 20% Make sure to write a few sentences discussing how you evaluated the credibility of your sources.
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The Interrelationship Between Theory, Knowledge, and Research and Evidence-Based Practice
The Interrelationship Between Theory, Knowledge, and Research and Evidence-Based Practice
Fawcett and Garity (2009) present an overview of the relationship between theory, knowledge, research, nursing research, and evidence-based practice (see attached file). As you prepare for this Discussion, reflect on your own specialty area and consider how the authors’ definitions of evidence-based practice and of research align with your understanding of these concepts based on your professional experiences and your experiences as a doctoral student embarking on your EBP Project.
To prepare:
Reflect on Fawcett and Garity’s definitions of knowledge, theory, research and evidence-based practice presented in the Learning Resources. How do these definitions align with your understanding of the concepts?
How does this interrelationship support or guide your EBP Project?
By Wednesday 9/19/18 by 1:00 am please write a minimum of 550 words essay in APA format with at least 3 scholarly references from the list of required resources below. Include the level 1 headings as numbered below:
Post a cohesive scholarly response that addresses the following:
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1) How do Fawcett and Garity’s (see attached file)definitions align with your understanding of knowledge, theory, research and evidence-based practice? Support your response with evidence from the literature (quote the literature below in the required readings).
2) Discuss the interrelationship between theory, knowledge, research and evidence-based practice.
3) How does this interrelationship support or guide your EBP Project?
Required Readings
Terry, A. J. (2018). Clinical research for the Doctor of Nursing practice (3rd ed.). Burlington, MA: Jones & Bartlett Learning.
With your EBP project in mind, select and read the chapter that best fits your proposed methodologies: (I can attach the following chapters, let me know if you don’t have them and need me to attach them)
Chapter 6, “Designing a Clinically-Based Quantitative Capstone Research Project”
Chapter 7, “Designing a Clinically-Based Qualitative Capstone Research Project”
Chapter 8, “Designing a Clinically-Based Mixed Method Capstone Research Project”
Fawcett, J., & Garity, J. (2009). Chapter 1: Research and evidence-based nursing practice. In Evaluating Research for Evidence-Based Nursing, (pp. 3-20). Philadelphia, PA: F. A. Davis.
Adams, J.M., & Natarajan, S. (2016). Understanding influence within the context of nursing: Development of the Adams influence model using practice, research, and theory. Advances in Nursing Science, 39(3), E40-E56.
Djulbergovic, B. (2014). A framework to bridge the gaps between evidence-based medicine, health outcomes, and improvement and implementation science. Journal of Oncology Practice, 10(3), 200-202.
Hutchinson, A.M., Bioeth, M., Wilkinson, J.E., Kent, B., & Harrison, M.B. (2012). Using the promoting action on research implementation in health services framework to guide research use in the practice setting. Worldviews on Evidence-Based Nursing, First Quarter, 59-61.
Leung, K., Trevena, L., & Waters, D. (2014). Systematic review of instruments for measuring nurses’ knowledge, skills and attitudes for evidence-based practice. Journal of Advanced Nursing 70(10), 2181–2195.
Leung, K., Trevena, L., & Waters, D. (2016). Development of a competency framework for evidence-based practice in nursing. Nurse Education Today, 39, 189-196.
PIICOT Question
In patients in extended intensive care within an urban acute care facility in Eastern United States, how does early mobilization as recommended by National Institute of Health and Care Excellence clinical guidelines on rehabilitation of patients after critical illness impact early transfers from intensive care as measured 6 months post-implementation when compared to the current standard of care including minimal mobilization of patients?
P: Adult patients
I: in extended intensive care within an urban acute care facility
I: increased mobilization of the patients
C: minimal mobilization of the patients
O: early transfers of the patients from intensive care
T: 6 months
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