TJ, a 32-year-old pregnant lesbian NURS 6512
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In May 2012, Alice Randall wrote for The New York Times about the cultural forces that led black women to maintain weights over what was considered healthy. According to Randall’s observations and personal experience as a black woman, many African-American communities and cultures regard fat women as more attractive and desirable than healthy-weight women. As she put it, “many black women are overweight because we want to be” (Randall, 2012).
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Regardless of the shock and criticism sparked by Randall’s words, they illustrate a fundamental truth in the healthcare industry: different people, cultures, and groups have distinct beliefs and behaviors that affect their health. Nurses and other healthcare professionals should be aware of this fact and adjust their recommendations and procedures for conducting health Assessments to accommodate for diversity.
In this topic, you will address different social, spiritual, lifestyle, and other cultural components that should be considered while constructing a health history for people from varied backgrounds. Your instructor will provide you with a case study for this Discussion.
To get ready:
Think on your professional experiences and the details on diversity challenges in health assessments that were presented in this week’s learning resources.
Your instructor will provide you a case study by the first day of this week. Regarding your case study assignment, please refer to the “Course Announcements” area of the classroom.
Consider the unique economical, spiritual, way of life, and other cultural elements that are pertinent to the patient whose health you are responsible for.
Think about how you would compile the patient’s medical history. What inquiries would you make, and how would you phrase them, taking into account the patient’s upbringing, way of life, and culture? Create five specific questions that you would ask the patient to learn more about his or her medical history and determine the hazards to their health.
Consider the difficulties in connecting with patients who belong to various specialized demographics. What techniques may a nurse use to collect the necessary data while being mindful of various cultural factors?
Also Check Out: NURS 6512 Assignments- Week 4, 6, 10 11 Assignments
TJ, a 32-year-old pregnant lesbian, is being seen for an annual physical exam and has been having vaginal discharge. Her pregnancy has been without complication thus far. She has been receiving prenatal care from an obstetrician. She received sperm from a local sperm bank. She is currently taking prenatal vitamins and takes over the counter Tylenol for aches and pains on occasion. She has a strong family history of diabetes. Gravida 1; Para 0; Abortion 0
NURS 6512
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.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link, and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!
Read a selection of your colleagues’ responses. TJ, a 32-year-old pregnant lesbian NURS 6512
By Day 6 of Week 2
Respond on or before Day 6 on 2 different days to at least two of your colleagues who were assigned a different patient than you. Critique your colleague’s targeted questions, and explain how the patient might interpret these questions. Explain whether any of the questions would apply to your patient, and why.
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Sample Answer Guide:
When constructing a health history for a patient, it is important to consider their socioeconomic, spiritual, lifestyle, and cultural factors. These factors can have a significant impact on the patient’s beliefs, attitudes, and behaviors towards their health and healthcare.
For TJ, a 32-year-old pregnant lesbian, some of the cultural factors to consider include her sexual orientation, pregnancy status, and use of Helped reproductive technology. These factors may impact her access to healthcare and her comfort level with discussing certain aspects of her health with healthcare providers.
Here are five targeted questions that could be used to build TJ’s health history and assess her health risks:
Can you tell me about your pregnancy and prenatal care so far?
Have you experienced any symptoms or health concerns during your pregnancy?
Can you tell me about your family medical history, especially regarding diabetes?
How do you generally manage aches and pains?
Are there any spiritual or cultural beliefs or practices that you would like to be taken into consideration during your care?
In regards to collecting the necessary data while being mindful of cultural factors, it is important for healthcare providers to approach the patient with empathy, respect, and cultural competence. This can include using inclusive language, avoiding assumptions, and taking time to understand the patient’s perspective and needs.
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Health Assessment of a Pregnant Lesbian: An Analysis of Socioeconomic, Spiritual, Lifestyle, and Cultural Factors
Healthcare professionals are expected to understand the diverse needs of their patients and be able to provide appropriate care that takes into account the various cultural, spiritual, and lifestyle factors that may impact a patient’s health. In this discussion, we will analyze the case of TJ, a 32-year-old pregnant lesbian, and identify the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with her, the issues that we need to be sensitive to when interacting with her, and the questions that we would ask her to build her health history and assess her health risks.
TJ is a pregnant lesbian, which means that she belongs to a marginalized and stigmatized group. This can affect her mental health and well-being and may impact her willingness to disclose sensitive information to healthcare professionals. As a nurse, we need to be mindful of her sexual orientation and avoid any discriminatory remarks or actions that could make her feel uncomfortable. We should also be aware of the potential difficulties she may have faced in obtaining sperm from a sperm bank and the emotional impact that this process may have had on her.
TJ’s pregnancy has been without complications thus far, and she has been receiving prenatal care from an obstetrician. She is currently taking prenatal vitamins and over-the-counter Tylenol for aches and pains on occasion. She has a strong family history of diabetes, which is a risk factor for her pregnancy. As a nurse, it is important to assess her current health status, her prenatal care, and her family medical history.
Physical Exam:
During the physical exam, it is important to assess TJ’s overall health, including her vital signs, weight, and height. A pelvic exam should also be performed to evaluate the vaginal discharge and determine if there are any signs of infection or other conditions. Additionally, a glucose tolerance test may be performed to assess her risk for developing diabetes.
Diagnosis and Management:
Based on the information gathered from TJ’s medical history and physical exam, the healthcare professional can make a diagnosis and provide an appropriate plan of care. If the vaginal discharge is found to be a result of a yeast infection, she can be treated with over-the-counter antifungal medication. If her glucose levels are elevated, she may need to be monitored closely for diabetes and may need to make lifestyle changes to help manage the condition.
TJ’s case highlights the importance of considering the socioeconomic, spiritual, lifestyle, and cultural factors that can impact a patient’s health. By taking a comprehensive approach to her care, healthcare professionals can provide the best possible care and support for TJ and her growing family. Understanding her unique needs and concerns can help ensure that she has a healthy pregnancy and a successful outcome for both her and her baby.
