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Acculturation

 Part A: Explain the differences between the concepts of acculturation, assimilation, and being bicultural. Does the level of acculturation have a positive or negative effect on health? Explain 

  Part B: Based on Health People 2023 objectives, describe at least five strategies you can implement while caring for your patient population that may help reduce or eliminate health disparities.

 Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points 

no plagiarism no AI  need to submit through Turnitin  and needs to be APA 

    Nursing

    Must be at least 500 words with at least 3 scholarly articles within the past five years.

    General Directions: 

    Read the following scenario. In your initial post, respond to each of the questions below.  

    You are preparing to initiate a telepsychiatric videoconferencing session with Jarrett, a 16-year-old client who has recently been diagnosed with major depressive disorder, severe without psychotic features (F32.2)  following a suicide attempt. After a week of inpatient care, Jarrett returned home. He lives in a 2-bedroom apartment in a subsidized affordable housing development with his mother, stepfather, and two younger brothers. His father is currently not involved in his life. He and his siblings attend school virtually.   

    Include the following sections: 

    1. Application of Course Knowledge: Answer all questions/criteria with explanations and detail.  
      1. Describe the ideal setting for your visit. What is or is not suitable to have in your workspace?  
      2. How will you guide Jarrett in preparing his space for the session?
      3. How will you obtain consent? Who must consent to treatment?
      4. What additional requirements apply to adolescent telepsychiatry?
      5. How might you assess the impact of the social determinants of health on Jarrett’s treatment plan?
      6. How will you create a safety plan for Jarrett? Who should be involved in the plan? 

      wk1HA

       

      • 16-year-old white pregnant teenager living in an inner-city neighborhood.
      • 35-year-old transgender white male living in a homeless shelter.

       

        HCM425 DB4

        Write a 400-600 words in APA 7 format 11 pt. Calibri font., with proper in-text citations. Include two to three (2–3) scholarly references published within the last 5 years to substantiate your work. Please provide a copy of all references, A.I., and plagiarism reports.  

        Assignment Details:  

        Using the information from assignments 1–3, complete and submit  OUTLINE for part 1 of the first draft of the Key Assignment.

        You are the Program Manager, and you are trying to decide on the best course of action to decrease incidence and prevalence of the disease chosen in Week 1. 

        You must decide from the data which population is most at-risk and decide on the most appropriate intervention to which you should allocate funds. To do this, you need to see the big picture. 

        In this assignment, you will create outline for proposal to your Chief Executive Officer outlining the following:

        **Using Hypertension, African Americans, and the state of Georgia as the subjects for this assignment. ***

        • History of the disease (show trends and data)
        • Needs assessment for your population:
          • Demographics
          • Social factors that may increase risk (poverty, health insurance, race/ethnicity, etc.)
        • Morbidity and mortality data
        • Incidence and prevalence data
        • Suggested intervention program with cost analysis
        • Justification and explanation for why this is the most appropriate intervention for the target population

        SHORTENED VERSION OF TITLE 1

        HYPERTENSION 1

        Hypertension Among African Americans

        Unit 3 Individual Project

        Carlene Baines

        HCM 425

        Professor Dajana Yoakley

        August 12, 2024

        Risk Factors for Hypertension in African American Communities

        Hypertension, or high blood pressure, is one of the diseases of concern in African American communities in Georgia. Risk factors contributing to the prevalence of this condition are genetic predisposition, lifestyle choices, socioeconomic factors, and chronic stress (Ko et al., 2021). Abnormalities in the gene known as ARMC5 may be linked to high blood pressure in blacks. Lifestyle choices such as poor diet and lack of physical activity increase the risk of developing high blood pressure. Many people in the communities consume diets high in sodium and low in fruits and vegetables, thus increasing hypertension. Income status is usually negatively associated with inadequate health care facilities and healthy diets and would thus naturally cause a higher disease rate among lower income earning individuals. Raising blood pressure is a result of both racism and stress caused by socioeconomic factors.

        Social Determinants of Health in African American Communities

        Social determinants of health are the circumstances into which one is born, grows up, lives, works, and ages that impact their disease or illness outcomes. In African American communities across Georgia, these social determinants affect their health status. Major social determinants include socioeconomic status, which influences the quality of healthcare, education, and healthy environments in which to live. African Americans living in the state of Georgia struggle to afford necessities: good meals, regular doctor visits, and hypertension and other chronic disease medications (Ko et al., 2021). Access to healthcare centers and doctors is another critical factor, and inadequate or late treatment might ensue. Environmental issues like not having access to clean water and poor air quality in unkept neighborhoods without safe, clean recreation worsen this. Thus, lower education and health literacy hinder these people's health decisions and preventive therapy. Health literacy and education affect how well people can make health decisions and get preventive treatment.

        Prevalent Diseases and Health Conditions in the Community

        High blood pressure is a prevalent health condition in the community, with its incidence rates being higher among the Black race than other races (WHO (World Health Organization), 2023). Other diseases related to this include diabetes, cardiovascular diseases, and obesity. These health issues are interrelated. For instance, obesity results in hypertension and germinating diabetes. Limited access to resources for management and preventive care exacerbates the high prevalence of these conditions.

        Difference Between Social Determinants of Health, Health Disparities, and Health Inequities

        Social determinants of health are the broader conditions that influence health outcomes: economic stability, education, social and community context, health care access, and built environment. Health disparities are differences in health outcomes among diverse groups, usually attributable to these social determinants (Maness et al., 2020). Health inequities refer to the differences in health outcomes viewed as unfair and avoidable from these disparities. Inequities result from system-wide issues and inequities in resources and opportunities.

        Observed Health Disparities and Inequities in the Community

        The community witness's health disparities and inequities among African American communities. The inequalities include hypertension, diabetes, and cardiovascular diseases, which are more prevalent in this demographic than in any other population. Disparities exist in access and quality of healthcare services, as African Americans usually have poor access to prompt, effective treatment. Reduced access to healthy diet and preventative treatment due to economic and socioeconomic inequalities worsens these health outcomes. Moreover, systemic racial discrimination and historical injustices have contributed to ongoing health inequities in terms of the quality and availability of care available to such communities.

        Recommendations for Addressing Health Disparities and Inequities

        Increased funding for community health programs focusing on preventing and treating chronic conditions, such as hypertension, can help address the condition earlier. The programs should include education regarding maintaining healthy lifestyle practices and receiving the necessary, affordable, and nutritious food (Rahimi & Nkombua, 2022). Health services can be increased through preventive services as well as routine screening. Supporting community health centers and facilitating the development of mobile clinics in less accessible areas are two ways to achieve the programs. Additionally, implementing policies that address the social determinants of health, such as improving economic opportunities and educational attainment, can have a significant impact. Investing in programs that combat racial discrimination and promote health equity will also be essential in addressing the root causes of health disparities.

        References

        Ko, Y.-A., Shen, J., Kim, J. H., Topel, M., Mujahid, M., Taylor, H., Quyyumi, A., Sims, M., Vaccarino, V., Baltrus, P., & Lewis, T. (2021). Identifying neighborhood and individual resilience profiles for cardiovascular health: a cross-sectional study of blacks in the Atlanta metropolitan area. BMJ Open, 11(7), e041435. https://doi.org/10.1136/bmjopen-2020-041435

        Maness, S. B., Merrell, L., Thompson, E. L., Griner, S. B., Kline, N., & Wheldon, C. (2020). Social determinants of health and health disparities: COVID-19 exposures and mortality among African American people in the United States. Public Health Reports, 136(1), 18–22. https://doi.org/10.1177/0033354920969169

        Rahimi, A., & Nkombua, L. (2022). Hypertensive patients’ knowledge and practices on lifestyle modification in Extension 6, Middelburg. South African Family Practice, 64(1). https://doi.org/10.4102/safp.v64i1.5528

        WHO. (2023). Hypertension Georgia 2023 country profile. Www.who.int. https://www.who.int/publications/m/item/hypertension-geo-2023-country-profile

        ,

        SHORTENED VERSION OF TITLE 1

        HYPERTENSION 1

        Hypertension Among African Americans

        Unit 3 Individual Project

        Carlene Baines

        HCM 425

        Professor Dajana Yoakley

        August 12, 2024

        Risk Factors for Hypertension in African American Communities

        Hypertension, or high blood pressure, is one of the diseases of concern in African American communities in Georgia. Risk factors contributing to the prevalence of this condition are genetic predisposition, lifestyle choices, socioeconomic factors, and chronic stress (Ko et al., 2021). Abnormalities in the gene known as ARMC5 may be linked to high blood pressure in blacks. Lifestyle choices such as poor diet and lack of physical activity increase the risk of developing high blood pressure. Many people in the communities consume diets high in sodium and low in fruits and vegetables, thus increasing hypertension. Income status is usually negatively associated with inadequate health care facilities and healthy diets and would thus naturally cause a higher disease rate among lower income earning individuals. Raising blood pressure is a result of both racism and stress caused by socioeconomic factors.

        Social Determinants of Health in African American Communities

        Social determinants of health are the circumstances into which one is born, grows up, lives, works, and ages that impact their disease or illness outcomes. In African American communities across Georgia, these social determinants affect their health status. Major social determinants include socioeconomic status, which influences the quality of healthcare, education, and healthy environments in which to live. African Americans living in the state of Georgia struggle to afford necessities: good meals, regular doctor visits, and hypertension and other chronic disease medications (Ko et al., 2021). Access to healthcare centers and doctors is another critical factor, and inadequate or late treatment might ensue. Environmental issues like not having access to clean water and poor air quality in unkept neighborhoods without safe, clean recreation worsen this. Thus, lower education and health literacy hinder these people's health decisions and preventive therapy. Health literacy and education affect how well people can make health decisions and get preventive treatment.

        Prevalent Diseases and Health Conditions in the Community

        High blood pressure is a prevalent health condition in the community, with its incidence rates being higher among the Black race than other races (WHO (World Health Organization), 2023). Other diseases related to this include diabetes, cardiovascular diseases, and obesity. These health issues are interrelated. For instance, obesity results in hypertension and germinating diabetes. Limited access to resources for management and preventive care exacerbates the high prevalence of these conditions.

        Difference Between Social Determinants of Health, Health Disparities, and Health Inequities

        Social determinants of health are the broader conditions that influence health outcomes: economic stability, education, social and community context, health care access, and built environment. Health disparities are differences in health outcomes among diverse groups, usually attributable to these social determinants (Maness et al., 2020). Health inequities refer to the differences in health outcomes viewed as unfair and avoidable from these disparities. Inequities result from system-wide issues and inequities in resources and opportunities.

        Observed Health Disparities and Inequities in the Community

        The community witness's health disparities and inequities among African American communities. The inequalities include hypertension, diabetes, and cardiovascular diseases, which are more prevalent in this demographic than in any other population. Disparities exist in access and quality of healthcare services, as African Americans usually have poor access to prompt, effective treatment. Reduced access to healthy diet and preventative treatment due to economic and socioeconomic inequalities worsens these health outcomes. Moreover, systemic racial discrimination and historical injustices have contributed to ongoing health inequities in terms of the quality and availability of care available to such communities.

        Recommendations for Addressing Health Disparities and Inequities

        Increased funding for community health programs focusing on preventing and treating chronic conditions, such as hypertension, can help address the condition earlier. The programs should include education regarding maintaining healthy lifestyle practices and receiving the necessary, affordable, and nutritious food (Rahimi & Nkombua, 2022). Health services can be increased through preventive services as well as routine screening. Supporting community health centers and facilitating the development of mobile clinics in less accessible areas are two ways to achieve the programs. Additionally, implementing policies that address the social determinants of health, such as improving economic opportunities and educational attainment, can have a significant impact. Investing in programs that combat racial discrimination and promote health equity will also be essential in addressing the root causes of health disparities.

        References

        Ko, Y.-A., Shen, J., Kim, J. H., Topel, M., Mujahid, M., Taylor, H., Quyyumi, A., Sims, M., Vaccarino, V., Baltrus, P., & Lewis, T. (2021). Identifying neighborhood and individual resilience profiles for cardiovascular health: a cross-sectional study of blacks in the Atlanta metropolitan area. BMJ Open, 11(7), e041435. https://doi.org/10.1136/bmjopen-2020-041435

        Maness, S. B., Merrell, L., Thompson, E. L., Griner, S. B., Kline, N., & Wheldon, C. (2020). Social determinants of health and health disparities: COVID-19 exposures and mortality among African American people in the United States. Public Health Reports, 136(1), 18–22. https://doi.org/10.1177/0033354920969169

        Rahimi, A., & Nkombua, L. (2022). Hypertensive patients’ knowledge and practices on lifestyle modification in Extension 6, Middelburg. South African Family Practice, 64(1). https://doi.org/10.4102/safp.v64i1.5528

        WHO. (2023). Hypertension Georgia 2023 country profile. Www.who.int. https://www.who.int/publications/m/item/hypertension-geo-2023-country-profile

        ,

        2

        Hypertension of African Americans in Georgia

        Student’s name

        Institutional affiliation

        Course name

        Professor’s name

        Due date

        Risk Factors for Hypertension in African American Communities

        Hypertension or high blood pressure is one of the diseases of concern in African American communities in Georgia. Risk factors contributing to the prevalence of this condition are genetic predisposition, lifestyle choices, socioeconomic factors, and chronic stress (Ko et al., 2021). Abnormalities in the gene known as ARMC5 may be linked to high blood pressure in blacks. Lifestyle choices such as poor diet and lack of physical activity increase the risk of developing high blood pressure. Many people in the communities consume diets high in sodium and low in fruits and vegetables, thus increasing hypertension. Income status is normally negatively associated with inadequate health care facilities and healthy diets and would thus naturally cause a higher disease rate among lower-income earning individuals. Stress caused by socio-economic factors and racism also plays a role in raising blood pressure rates.

        Social Determinants of Health in African American Communities

        Social determinants of health are the circumstances into which one is born, grows up, lives, works, and ages that impact their disease or illness outcomes. In African American communities across Georgia, these social determinants affect their health status. Major social determinants include socioeconomic status, which influences the quality of healthcare, education, and healthy environments in which to live. African Americans in Georgia struggle to afford good meals, regular doctor visits, and hypertension and other chronic disease medications (Ko et al., 2021). Access to health care centers and doctors is another key factor, and inadequate or late treatment might ensue. Environmental issues like living in dirty neighborhoods without recreation worsen this. Thus, lower education and health literacy hinder these people' health decisions and preventive therapy. Health literacy and education affect how well people can make health decisions and get preventive treatment.

        Prevalent Diseases and Health Conditions in the Community

        High blood pressure is a prevalent health conditions in our community with its incidence rates being higher among the Black race than other races (WHO, 2023). Other diseases related to this include diabetes, cardiovascular diseases, and obesity. These health issues are interrelated. For instance, obesity results in hypertension as well as germinating diabetes. The high prevalence of these conditions is compounded by limited access to preventive care and management resources.

        Difference Between Social Determinants of Health, Health Disparities, and Health Inequities

        Social determinants of health are the broader conditions that influence health outcomes: economic stability, education, social and community context, health care access, and built environment. Health disparities are differences in health outcomes among different groups, usually attributable to these social determinants (Maness et al., 2020). Health inequities refer to the differences in health outcomes viewed as unfair and avoidable from these disparities. Inequities result from system-wide issues and inequities in resources and opportunities.

        Observed Health Disparities and Inequities in the Community

        My community still witnesses health disparities and inequities among African American communities. The inequalities include hypertension, diabetes, and cardiovascular diseases, which are more prevalent in this demographic than in any other population. Disparities exist in access and quality of healthcare services as African Americans usually have poor access to prompt, effective treatment. Reduced access to healthy diet and preventative treatment due to economic and educational inequalities worsens these health outcomes. Moreover, systemic racial discrimination and historical injustices have contributed to ongoing health inequities in terms of the quality and availability of care available to such communities.

        Recommendations for Addressing Health Disparities and Inequities

        Increased funding for community health programs focusing on preventing and treating chronic conditions, such as hypertension, can help address the condition earlier. The programs should include education regarding maintaining healthy lifestyle practices and receiving the necessary, affordable, and nutritious food (Rahimi & Nkombua, 2022). Health services can be increased through preventive services as well as routine screening. The programs can be achieved by supporting community health centers and facilitating the development of mobile clinics in less accessible parts. Additionally, implementing policies that address the social determinants of health, such as improving economic opportunities and educational attainment, can have a significant impact. Investing in programs that combat racial discrimination and promote health equity will also be essential in addressing the root causes of health disparities.

        References

        Ko, Y.-A., Shen, J., Kim, J. H., Topel, M., Mujahid, M., Taylor, H., Quyyumi, A., Sims, M., Vaccarino, V., Baltrus, P., & Lewis, T. (2021). Identifying neighborhood and individual resilience profiles for cardiovascular health: a cross-sectional study of blacks in the Atlanta metropolitan area. BMJ Open, 11(7), e041435. https://doi.org/10.1136/bmjopen-2020-041435

        Maness, S. B., Merrell, L., Thompson, E. L., Griner, S. B., Kline, N., & Wheldon, C. (2020). Social determinants of health and health disparities: COVID-19 exposures and mortality among African American people in the United States. Public Health Reports, 136(1), 18–22. https://doi.org/10.1177/0033354920969169

        Rahimi, A., & Nkombua, L. (2022). Hypertensive patients’ knowledge and practices on lifestyle modification in Extension 6, Middelburg. South African Family Practice, 64(1). https://doi.org/10.4102/safp.v64i1.5528

        WHO. (2023). Hypertension Georgia 2023 country profile. Www.who.int. https://www.who.int/publications/m/item/hypertension-geo-2023-country-profile

        Read the scenario and address the discussion question

        Scenario

        Nurse Lope is starting a busy shift in which she was finishing report on Mr. Johnson. During report, Nurse Jim who was finishing his shift also gave Nurse Lope a medicine cup containing three of Mr. Johnson's unopened medications that he reported were recently retrieved from the medication dispenser. Nurse Lope was told that these were supposed to have been given 30 minutes ago and asked if she could give them during bedside hand-off. As Nurse Lope planned to stay in Mr. Johnson's room to complete his vital signs and assessment, she agreed with this plan. 

        When she opened Mr. Johnson's electronic medical record to administer these medications, she noticed that these medications were scheduled to be given 3 hours ago. Additionally, one of the medications had a barcode that was not scanning to Mr. Johnson's chart. Nurse Lope proceeded to administer these medications so that she would not be late on the next round of medications, which included some of the same ones. It was later discovered that the medication that was not scanning was for another patient and should not have been given to Mr. Johnson. 

        Discussion Question

        Outline the concept of professional accountability as it pertains to nursing. Examine the actions of Nurse Jim and Nurse Lope. Discuss how you would approach this scenario if you were in Jim's and Lope's position. Based on your analysis of how nurses demonstrate accountability in clinical practice, the nursing process, and evidence-based practice, explain how you would handle this situation if you were the nurse manager overseeing Jim and Lope. 

        Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to "RN-BSN Discussion Question Rubric" and "RN-BSN Participation Rubric," located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.

          Requires Lopeswrite

          Assessment Description

          The purpose of this assignment is to evaluate personal and professional accountability in the context of social media. Social media plays a significant role in modern society and is now a common tool used by individuals and organizations alike to evaluate a person's values, authenticity, and reputation. Additionally, social media is now considered a mainstream part of the process for recruiting and hiring candidates for employment. Inappropriate or unprofessional conduct on social media can pose legal problems for nurses as well as damage public trust in nursing.

          For this assignment, log-in to each social media platform for which you have an account. Review your profile and most recent activity including pictures and posts. If you do not have a social media account, access one of the following social media platforms in order to view the social media posts and activities of others: Facebook, Instagram, Twitter, YouTube, TikTok. Reflect on the information and content you and others post on a daily basis.

          In 500-750 words, summarize your findings. Include the following in your summary:

          1. Describe the posts, conversations, and images you evaluated.
          2. Does the activity on social media appear to align with your personal values and the professional values of your discipline?
          3. Would family, friends, and colleagues consider the posts, conversations, and images authentic and representative of who you are as unique individuals?
          4. Does the activity on social media respect the human value and dignity of others as reflected in Christian values?
          5. Discuss why nurses have a responsibility to uphold a standard of conduct consistent with professional values, regulatory requirements, and workplace policies in both personal and professional interactions. Include a discussion of how personal conduct can violate the Health Insurance Portability and Accountability Act (HIPAA) of 1996 or be considered unethical and unprofessional. Provide an example to support your answer.

          Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

          This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

          You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

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