Conduct an internet search for hospitals or other healthcare institutions

Conduct an internet search for hospitals or other healthcare institutions and determine whether they incorporate cultural competence in their operations.

Write an essay incorporating the lesson’s material assessing cultural competence for health care systems and any other relevant material from the lesson, articles, or outside reading.

You can compare, at a minimum, two organizations.

Make sure to incorporate the lesson’s content.

Other guiding questions.

As you search, do you think (generally) more institutions/organizations are embracing this concept of providing culturally and appropriate care to patients or not?

What are the challenges and barriers these organizations face as they implement CLAS?

For the organizations that have had success in implementing CLAS, what are some of the reasons for the success?

Submit your one page essay, including citations

Authentic adoption

If Implementation Science is the study of the components necessary to promote the authentic adoption of evidence-based interventions (and thereby increasing their effectiveness), in this week’s forum, discuss your thoughts about the adoption (recommended or required) of the use of wearing a mask during this COVID-19 pandemic environment.

Based on the CDC and the NIH, recommendations, formulate your opinions (and apply Implementation Science) based on the effectiveness of wearing a mask in preventing the spread of the Coronavirus.

The diagnosis and treatment of latent tuberculosis infection

You are a medical assistant at a local hospital. You have been asked to give a presentation on the diagnosis and treatment of latent tuberculosis infection. The presentation will be open to the public so instead of presenting a real patient case, you decide to create a fictional sample case.

make the single case and list the characteristics of the person you will be testing and treating. Describe basic information about the patient including age, sex, lifestyle, and pertinent medical history.

Take the audience through the typical diagnosis and treatment of TB. Describe the person and their experience including their feelings and concerns at this time. Hospital personnel should leave the presentation to understand the physical and psychological consequences for the patient.

Without treatment, what is your patient’s lifetime risk for TB reactivation?

Your case patient has reported or has been diagnosed with another risk factor of developing active TB infection (e.g. – diabetes, HIV, organ transplant). How much does this factor increase their risk? Does it change the recommended treatment for this patient?

The electromagnetic quantum vacuum

Here’s astrophysicist Bernard Haisch: “The electromagnetic quantum vacuum is a form of light. It is an underlying sea of energy that permeates every tiny volume of space, from the emptiest intergalactic void to the depths of the Earth, the Sun, and our own bodies. Our world of matter is like the visible foam atop a very deep ocean of light.” Discuss the significance of this description for human physiology and identity.

The sympathetic and parasympathetic nervous systems

What are the other names used to denote the sympathetic and parasympathetic nervous systems and why? What neurotransmitter is synthesized in the preganglionic fibers of the sympathetic neurons? What neurotransmitter is synthesized in the preganglionic fibers of the parasympathetic neurons? What neurotransmitter is synthesized in the postganglionic fibers of the sympathetic neurons? What neurotransmitter is synthesized in the postganglionic fibers of the parasympathetic neurons? What are the exceptions that I emphasized in the class with regard to ANS? Would you consider somatic nerve as part of the ANS? If not, why?

 

The production of thyroid hormone

Hypothyroidism, a disease characterized by a decrease in the production of thyroid hormone, is hypothesized to increase the risk of cardiovascular disease (CVD).  In a follow-up study of 1,000 men aged 55 years and older, the investigators are interested in the potential impact of subclinical hypothyroidism on the incidence of myocardial infarction. The overall cumulative incidence of CVD in this cohort was 1.8%. The cumulative incidence of CVD was 12.8% among the 47 men with subclinical hypothyroidism and 1.3% among men without hypothyroidism. The overall prevalence of subclinical hypothyroidism in the cohort was 4.7%.

 

Q: Assuming causality, what proportion of CVD in men aged 55 and above with subclinical hypothyroidism can be prevented by treating all men with subclinical hypothyroidism with thyroid hormone replacement therapy? Calculate the etiologic fraction among the exposed.

Important component of community health

The collection, interpretation, and dissemination of data is an important component of community health as highlighted in Chapter 3. We learned of the various ways of collecting data and displaying it for the general public to analyze. In order to implement successful community health programs that will make an impact, we must collect data from various sources to see how extensive the problem is in the community and subsequently design, implement, and evaluate community health programs to address the problem.

For this week’s discussion forum post, I would like you to search for data sets from the County of Orange, the State of California, and the United States health databases for one of the following diseases.

  1. Diabetes
  2. Hypertension (High Blood Pressure)
  3. Mental Health
  4. Cancer
  5. COVID-19

Find the prevalence rate, incidence rate, and mortality rate for your selected disease at the county, state, and federal levels. Also identify who is impacted the most by your selected disease (ethnic group, seniors, children, etc..) Please summarize your findings and provide any charts or other visual aids to present the data you collect.

Healthcare principles

Give at least four examples of cost-cutting measures that students may encounter in the workplace that may present them with ethical conflicts.

44. Give two examples of behaviors that demonstrate how healthcare workers can apply the following eight healthcare principles on the job (a total of sixteen examples).

a.Preserve life.
b.Do good.
c.Respect autonomy.
d.Uphold justice.
e.Be honest.
f.Be discreet.
g.Keep promises.
h.Do no harm.

The Affordable Care Act

The Affordable Care Act allowed for the expansion of the Medicaid program. As the Act passed through the legal system, many states have decided not to expand their respective programs, and many changes associated with Medicaid have occurred over the years. Review some of the articles provided in the supplemental reading materials and consider visiting some of the websites to identify similar information about Medicaid Reform issues such as the Kaiser Family Foundation and CMS.

Provide a discussion on the following questions: How did the Medicaid expansion impact states?  How are the states’ populations impacted? How does the current Medicaid program impact different states? Offer reasoning behind either position and evidence to support it. You can also elect to address specific states, or several states, and/or include information from a federal level in your discussion

 

Chronic HIV-related health issues

  • Review/Listen to the Overview of HIV and Aging webinar by Kathleen Fitch, FNP (recorded/requires free registration at: https://www.nursesinaidscare.org/i4a/pages/index.cfm?pageid=4712
  • Cahill, S., & Valadez, R. (2013). Growing older with HIV/AIDS: New public health challenges. American Journal of Public Health, 103, e7-e15. doi:10.2105/AJPH.2012.301161

 

Please answer the questions below according to the video and text above.

1. What is the identified population health problem/concern?

2. Describe the differences between the normal aging process and chronic HIV-related health issues.

3. What is the significance of this population health concern?

4. Select one common comorbidity experienced by this population and develop an innovative “nudge” to assist with patient care.