Tag: Care Plans

  • [Solved] week 3 ass

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  • [Solved] week 3

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    Legislative efforts in both the Federal and State domains serve as guidelines for all levels of health policy; from Federal regulations that impact all people in the United States, all the way down to the bedside. Bedside nursing practice is regulated by each State via their State Nurse Practice Act…

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    Legislative efforts in both the Federal and State domains serve as guidelines for all levels of health policy; from Federal regulations that impact all people in the United States, all the way down to the bedside.  Bedside nursing practice is regulated by each State via their State Nurse Practice Act (NPA) which often includes a separate _Rules and Regulations_ document.

    In this discussion, you will explore your State's Nurse Practice act.

    Find your state’s NPA using this site: [NCSBN’s Find Your Nurse Practice Act webpageLinks to an external site.](https://www.ncsbn.org/npa)

    In your initial discussion response, please address the following:

    1. Your state
    2. Professions included in your State's NPA.
    3. Compare scope of LPN vs. RN vs. APRN. What are the limitations of each?
    4. Rules for the Board of Nursing
    5. Delegation as described in the NPA
    6. Continuing Education Requirements.
    7. Reflect:
    1. What is something you learned while exploring your State's NPA?
    2. Is the scope, as stated in the NPA, for an RN adequately integrated in your nursing model of care at your institution? If yes, how? If no, what are the steps for aligning the NPA and the nursing structure at your facility?

    https://www.ncsbn.org/npa

    – 2 years ago

  • [Solved] ARTICLE

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    and select a relevant research article. – 2 years ago **files (2)** – ## PADLET_Assignment_One.docx – ## NUR639LGBTQ_PWPOINT.pptx **## PADLET_Assignment_One.docx** **Purpose** **_:_** Review the LGBTQ PowerPoint, select a relevant research article, write a summary, post it on Padlet, and respon…

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    Assignment Prompt & Instructions

    and select a relevant research article.

    – 2 years ago

    **files (2)**

    – ## PADLET_Assignment_One.docx

    – ## NUR639LGBTQ_PWPOINT.pptx

    **## PADLET_Assignment_One.docx**

    **Purpose**
    **_:_** Review the LGBTQ PowerPoint, select a relevant research article, write a summary, post it on Padlet, and respond to at least one classmate's post.

    · Review the LGBTQ PowerPoint and select a research article relevant to the topic.

    ·

    · Write a summary of the article.

    This is just a sample; don’t use these medications. NOTE:
    **Pharmacology interventions MUST BE IN THIS FORMAT**

    Ciprofloxacin (Cipro) 500 mg tablet orally every 12hrs for seven days

    Acetaminophen 650 mg tablet orally every 4-6 hours as needed.

    Ondansetron (Zofran) 8 mg tablet orally every 12 hours as needed for seven days.

    **APA FORMAT, AND REFERENCES, peer review scholarly resource cited in APA format from 2020-2025 only. (Within the last five years)**

    **Please do not solely use a website as your scholarly reference. It is fine to use it as a supplement, but a journal article or text should be referenced.**

    **Please use North American peer-reviewed journals ONLY.**

    **DO NOT use any European Journal**

    Please use reliable medical references such as the Current Medical Diagnosis and Treatment book or UpToDate. Do not use WebMD, Wikipedia, etc., as these are not advanced practice references.

    APA format (if using outside sources).

    **## NUR639LGBTQ_PWPOINT.pptx**

    Culturally Sensitive Care in Women’s Health
    Diane Stonemetz, DNP, WHNP-BC, ANP

    [This Photo](https://www.peoplematters.in/news/compensation-benefits/swiggys-new-childcare-and-parenthood-policy-to-benefit-lgbtq-parents-24603) by Unknown Author is licensed under
    [CC BY-SA-NC](https://creativecommons.org/licenses/by-nc-sa/3.0/)

    Age, Race,
    Appearance, Weight, Religion, sexual orientation, LGBTQ+…

    [This Photo](https://michcafe.blogspot.com/2013/03/march-8-womens-rights-non-negotiable.html) by Unknown Author is licensed under
    [CC BY-SA-NC](https://creativecommons.org/licenses/by-nc-sa/3.0/)

    Implicit Bias

    We have a bias when, rather than being neutral, we have a preference for (or aversion to) a person or group of people. Thus, we use the term “implicit bias” to describe when we have attitudes towards people or associate stereotypes with them without our conscious knowledge.

    Much of this is “learned or inherited” by our own experiences or our parents expressions of these biases. If you grew up hearing that a certain group of individuals were whatever…(insert bias) you may subconsciously carry this bias into adulthood.

    In order to provide culturally sensitive care, we must examine our own feelings toward certain individuals or groups of individuals and work to eliminate these biases. Many such biases result in healthcare disparities.

    Culturally sensitive health care
    begins……with you!

    Every healthcare provider needs to make an effort to understand the population he or she is caring for. Learn about different cultures and lifestyles. You need to identify your implicit biases to provide equitable, comfortable and compassionate care.

    [This Photo](http://tiie.w3.uvm.edu/blog/can-virtual-reality-teach-empathy/) by Unknown Author is licensed under
    [CC BY-SA-NC](https://creativecommons.org/licenses/by-nc-sa/3.0/)

    Things to consider in your
    healthcare setting specific to the LGBTQ+ Community

    Is the setting welcoming and inclusive?

    Offer gender neutral restrooms?

    Are patients being asked their preferred pronouns or names?

    Have you considered what your biases are toward this community?

    Are posters, pamphlets, and other reading materials inclusive?

    Have staff received any specific or general inclusivity training?

    LGBTQ+ population
    Terms and definitions

    Cisgender – A person whose gender identity matches their gender assigned at birth (does not equal heterosexual)

    Sexual Orientation – A person’s sexual identity in relation to the gender to which they are attracted ie: heterosexual (opposite sex), homosexual (same sex) or bisexual (both).

    Gender Identity – A person’s internal sense of self and how they fit into the world (may or may not match gender assigned at birth)

    Lesbian – A woman whose primary sexual and affectional orientation is toward people of the same gender

    Pansexual – Can be attracted to any sex or gender or can be referred to as omnisexuals or as being gender blind

    [This Photo](https://en.wikipedia.org/wiki/Pride_parade) by Unknown Author is licensed under
    [CC BY-SA](https://creativecommons.org/licenses/by-sa/3.0/)

    Terms and definitions (cont.)

    Gay – A sexual and affectional orientation toward people of same gender (includes both male and females)

    Transgender – A person whose gender identity differs from the sex that was assigned at birth

    Transgender female/woman – Someone with female gender identity and a male sex assigned at birth

    Transgender male/man – Someone with male gender identity and a female sex assigned at birth

    Queer – Not a universally accepted term even within the LGBTQ+ community (may be interchangeable with gay)

    [This Photo](http://ux.stackexchange.com/questions/104809/how-to-include-a-visual-for-gender-option-other-without-being-offensive) by Unknown Author is licensed under
    [CC BY-SA](https://creativecommons.org/licenses/by-sa/3.0/)

    Some numbers to think about

    9 million LGBTQ+

    650,000 same sex couples

    Adults who identify as LGBTQ+ =4.5%

    Suicide is leading cause of death

    30% of gay youth attempt suicide

    20% of homeless youth are LGBTQ

    61% of bisexual women report rape

    Mitchell, A. (2021)

    [This Photo](http://myjourneywithdepression.wordpress.com/2013/09/10/world-suicide-prevention-day-dearest-samantha) by Unknown Author is licensed under
    [CC BY-ND](https://creativecommons.org/licenses/by-nd/3.0/)

    Caring for the Individual

    Women who only have sex with women do not need to discuss contraception, but do need STD screening.

    Transgender men who still have female anatomy need the same screening as cisgender females i.e.: pap smears, STD testing, pelvic exams, breast exams but may be reluctant to do so.

    Transgender females who are transitioning may be taking estrogen which increases risks associated with this including DVT, MI, CVA and need a breast exam.

    Asking about the types of sexual activity the individual may be engaging in will direct your screening.

    Why is this important????

    As you enter the workforce as an Advanced Practice Provider, you want to be part of the solution rather than perpetuating the problem of the health care disparities among various populations.

    Regardless of the differences between you and your patient whether it be race, religion, languages spoken, sexual identity and or preferences, you need to educate yourself regarding the patient’s needs to be able to provide the best health care.

    Work to identify and eliminate your own biases.

    Strive to make your healthcare setting a JUDGEMENT FREE ZONE!

    [This Photo](https://www.curationist.org/collection/gay-pride-parade-is-a-protest/) by Unknown Author is licensed under
    [CC BY-SA](https://creativecommons.org/licenses/by-sa/3.0/)

    Your Assignment:

    Find a recent nursing or medical journal article that discusses health care specific to the LGBTQ community. Focus specifically in regard to Women’s Health which may include any number of the previously defined individuals. Write a 1-2 page summary of this article and include your own observations or opinions about what we as APPs can do to be more inclusive and culturally sensitive. Include your reference(s) with your paper.

    [This Photo](https://www.picpedia.org/post-it-note/a/assignment-writing.html) by Unknown Author is licensed under
    [CC BY-SA](https://creativecommons.org/licenses/by-sa/3.0/)

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    **## NUR639LGBTQ_PWPOINT.pptx**

    Culturally Sensitive Care in Women’s Health
    Diane Stonemetz, DNP, WHNP-BC, ANP

    [This Photo](https://www.peoplematters.in/news/compensation-benefits/swiggys-new-childcare-and-parenthood-policy-to-benefit-lgbtq-parents-24603) by Unknown Author is licensed under
    [CC BY-SA-NC](https://creativecommons.org/licenses/by-nc-sa/3.0/)

    Age, Race,
    Appearance, Weight, Religion, sexual orientation, LGBTQ+…

    [This Photo](https://michcafe.blogspot.com/2013/03/march-8-womens-rights-non-negotiable.html) by Unknown Author is licensed under
    [CC BY-SA-NC](https://creativecommons.org/licenses/by-nc-sa/3.0/)

    Implicit Bias

    We have a bias when, rather than being neutral, we have a preference for (or aversion to) a person or group of people. Thus, we use the term “implicit bias” to describe when we have attitudes towards people or associate stereotypes with them without our conscious knowledge.

    Much of this is “learned or inherited” by our own experiences or our parents expressions of these biases. If you grew up hearing that a certain group of individuals were whatever…(insert bias) you may subconsciously carry this bias into adulthood.

    In order to provide culturally sensitive care, we must examine our own feelings toward certain individuals or groups of individuals and work to eliminate these biases. Many such biases result in healthcare disparities.

    Culturally sensitive health care
    begins……with you!

    Every healthcare provider needs to make an effort to understand the population he or she is caring for. Learn about different cultures and lifestyles. You need to identify your implicit biases to provide equitable, comfortable and compassionate care.

    [This Photo](http://tiie.w3.uvm.edu/blog/can-virtual-reality-teach-empathy/) by Unknown Author is licensed under
    [CC BY-SA-NC](https://creativecommons.org/licenses/by-nc-sa/3.0/)

    Things to consider in your
    healthcare setting specific to the LGBTQ+ Community

    Is the setting welcoming and inclusive?

    Offer gender neutral restrooms?

    Are patients being asked their preferred pronouns or names?

    Have you considered what your biases are toward this community?

    Are posters, pamphlets, and other reading materials inclusive?

    Have staff received any specific or general inclusivity training?

    LGBTQ+ population
    Terms and definitions

    Cisgender – A person whose gender identity matches their gender assigned at birth (does not equal heterosexual)

    Sexual Orientation – A person’s sexual identity in relation to the gender to which they are attracted ie: heterosexual (opposite sex), homosexual (same sex) or bisexual (both).

    Gender Identity – A person’s internal sense of self and how they fit into the world (may or may not match gender assigned at birth)

    Lesbian – A woman whose primary sexual and affectional orientation is toward people of the same gender

    Pansexual – Can be attracted to any sex or gender or can be referred to as omnisexuals or as being gender blind

    [This Photo](https://en.wikipedia.org/wiki/Pride_parade) by Unknown Author is licensed under
    [CC BY-SA](https://creativecommons.org/licenses/by-sa/3.0/)

    Terms and definitions (cont.)

    Gay – A sexual and affectional orientation toward people of same gender (includes both male and females)

    Transgender – A person whose gender identity differs from the sex that was assigned at birth

    Transgender female/woman – Someone with female gender identity and a male sex assigned at birth

    Transgender male/man – Someone with male gender identity and a female sex assigned at birth

    Queer – Not a universally accepted term even within the LGBTQ+ community (may be interchangeable with gay)

    [This Photo](http://ux.stackexchange.com/questions/104809/how-to-include-a-visual-for-gender-option-other-without-being-offensive) by Unknown Author is licensed under
    [CC BY-SA](https://creativecommons.org/licenses/by-sa/3.0/)

    Some numbers to think about

    9 million LGBTQ+

    650,000 same sex couples

    Adults who identify as LGBTQ+ =4.5%

    Suicide is leading cause of death

    30% of gay youth attempt suicide

    20% of homeless youth are LGBTQ

    61% of bisexual women report rape

    Mitchell, A. (2021)

    [This Photo](http://myjourneywithdepression.wordpress.com/2013/09/10/world-suicide-prevention-day-dearest-samantha) by Unknown Author is licensed under
    [CC BY-ND](https://creativecommons.org/licenses/by-nd/3.0/)

    Caring for the Individual

    Women who only have sex with women do not need to discuss contraception, but do need STD screening.

    Transgender men who still have female anatomy need the same screening as cisgender females i.e.: pap smears, STD testing, pelvic exams, breast exams but may be reluctant to do so.

    Transgender females who are transitioning may be taking estrogen which increases risks associated with this including DVT, MI, CVA and need a breast exam.

    Asking about the types of sexual activity the individual may be engaging in will direct your screening.

    Why is this important????

    As you enter the workforce as an Advanced Practice Provider, you want to be part of the solution rather than perpetuating the problem of the health care disparities among various populations.

    Regardless of the differences between you and your patient whether it be race, religion, languages spoken, sexual identity and or preferences, you need to educate yourself regarding the patient’s needs to be able to provide the best health care.

    Work to identify and eliminate your own biases.

    Strive to make your healthcare setting a JUDGEMENT FREE ZONE!

    [This Photo](https://www.curationist.org/collection/gay-pride-parade-is-a-protest/) by Unknown Author is licensed under
    [CC BY-SA](https://creativecommons.org/licenses/by-sa/3.0/)

    Your Assignment:

    Find a recent nursing or medical journal article that discusses health care specific to the LGBTQ community. Focus specifically in regard to Women’s Health which may include any number of the previously defined individuals. Write a 1-2 page summary of this article and include your own observations or opinions about what we as APPs can do to be more inclusive and culturally sensitive. Include your reference(s) with your paper.

    [This Photo](https://www.picpedia.org/post-it-note/a/assignment-writing.html) by Unknown Author is licensed under
    [CC BY-SA](https://creativecommons.org/licenses/by-sa/3.0/)

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    **## PADLET_Assignment_One.docx**

    **Purpose**
    **_:_** Review the LGBTQ PowerPoint, select a relevant research article, write a summary, post it on Padlet, and respond to at least one classmate's post.

    · Review the LGBTQ PowerPoint and select a research article relevant to the topic.

    ·

    · Write a summary of the article.

    This is just a sample; don’t use these medications. NOTE:
    **Pharmacology interventions MUST BE IN THIS FORMAT**

    Ciprofloxacin (Cipro) 500 mg tablet orally every 12hrs for seven days

    Acetaminophen 650 mg tablet orally every 4-6 hours as needed.

    Ondansetron (Zofran) 8 mg tablet orally every 12 hours as needed for seven days.

    **APA FORMAT, AND REFERENCES, peer review scholarly resource cited in APA format from 2020-2025 only. (Within the last five years)**

    **Please do not solely use a website as your scholarly reference. It is fine to use it as a supplement, but a journal article or text should be referenced.**

    **Please use North American peer-reviewed journals ONLY.**

    **DO NOT use any European Journal**

    Please use reliable medical references such as the Current Medical Diagnosis and Treatment book or UpToDate. Do not use WebMD, Wikipedia, etc., as these are not advanced practice references.

    APA format (if using outside sources).

    **## NUR639LGBTQ_PWPOINT.pptx**

    Culturally Sensitive Care in Women’s Health
    Diane Stonemetz, DNP, WHNP-BC, ANP

    [This Photo](https://www.peoplematters.in/news/compensation-benefits/swiggys-new-childcare-and-parenthood-policy-to-benefit-lgbtq-parents-24603) by Unknown Author is licensed under
    [CC BY-SA-NC](https://creativecommons.org/licenses/by-nc-sa/3.0/)

    Age, Race,
    Appearance, Weight, Religion, sexual orientation, LGBTQ+…

    [This Photo](https://michcafe.blogspot.com/2013/03/march-8-womens-rights-non-negotiable.html) by Unknown Author is licensed under
    [CC BY-SA-NC](https://creativecommons.org/licenses/by-nc-sa/3.0/)

    Implicit Bias

    We have a bias when, rather than being neutral, we have a preference for (or aversion to) a person or group of people. Thus, we use the term “implicit bias” to describe when we have attitudes towards people or associate stereotypes with them without our conscious knowledge.

    Much of this is “learned or inherited” by our own experiences or our parents expressions of these biases. If you grew up hearing that a certain group of individuals were whatever…(insert bias) you may subconsciously carry this bias into adulthood.

    In order to provide culturally sensitive care, we must examine our own feelings toward certain individuals or groups of individuals and work to eliminate these biases. Many such biases result in healthcare disparities.

    Culturally sensitive health care
    begins……with you!

    Every healthcare provider needs to make an effort to understand the population he or she is caring for. Learn about different cultures and lifestyles. You need to identify your implicit biases to provide equitable, comfortable and compassionate care.

    [This Photo](http://tiie.w3.uvm.edu/blog/can-virtual-reality-teach-empathy/) by Unknown Author is licensed under
    [CC BY-SA-NC](https://creativecommons.org/licenses/by-nc-sa/3.0/)

    Things to consider in your
    healthcare setting specific to the LGBTQ+ Community

    Is the setting welcoming and inclusive?

    Offer gender neutral restrooms?

    Are patients being asked their preferred pronouns or names?

    Have you considered what your biases are toward this community?

    Are posters, pamphlets, and other reading materials inclusive?

    Have staff received any specific or general inclusivity training?

    LGBTQ+ population
    Terms and definitions

    Cisgender – A person whose gender identity matches their gender assigned at birth (does not equal heterosexual)

    Sexual Orientation – A person’s sexual identity in relation to the gender to which they are attracted ie: heterosexual (opposite sex), homosexual (same sex) or bisexual (both).

    Gender Identity – A person’s internal sense of self and how they fit into the world (may or may not match gender assigned at birth)

    Lesbian – A woman whose primary sexual and affectional orientation is toward people of the same gender

    Pansexual – Can be attracted to any sex or gender or can be referred to as omnisexuals or as being gender blind

    [This Photo](https://en.wikipedia.org/wiki/Pride_parade) by Unknown Author is licensed under
    [CC BY-SA](https://creativecommons.org/licenses/by-sa/3.0/)

    Terms and definitions (cont.)

    Gay – A sexual and affectional orientation toward people of same gender (includes both male and females)

    Transgender – A person whose gender identity differs from the sex that was assigned at birth

    Transgender female/woman – Someone with female gender identity and a male sex assigned at birth

    Transgender male/man – Someone with male gender identity and a female sex assigned at birth

    Queer – Not a universally accepted term even within the LGBTQ+ community (may be interchangeable with gay)

    [This Photo](http://ux.stackexchange.com/questions/104809/how-to-include-a-visual-for-gender-option-other-without-being-offensive) by Unknown Author is licensed under
    [CC BY-SA](https://creativecommons.org/licenses/by-sa/3.0/)

    Some numbers to think about

    9 million LGBTQ+

    650,000 same sex couples

    Adults who identify as LGBTQ+ =4.5%

    Suicide is leading cause of death

    30% of gay youth attempt suicide

    20% of homeless youth are LGBTQ

    61% of bisexual women report rape

    Mitchell, A. (2021)

    [This Photo](http://myjourneywithdepression.wordpress.com/2013/09/10/world-suicide-prevention-day-dearest-samantha) by Unknown Author is licensed under
    [CC BY-ND](https://creativecommons.org/licenses/by-nd/3.0/)

    Caring for the Individual

    Women who only have sex with women do not need to discuss contraception, but do need STD screening.

    Transgender men who still have female anatomy need the same screening as cisgender females i.e.: pap smears, STD testing, pelvic exams, breast exams but may be reluctant to do so.

    Transgender females who are transitioning may be taking estrogen which increases risks associated with this including DVT, MI, CVA and need a breast exam.

    Asking about the types of sexual activity the individual may be engaging in will direct your screening.

    Why is this important????

    As you enter the workforce as an Advanced Practice Provider, you want to be part of the solution rather than perpetuating the problem of the health care disparities among various populations.

    Regardless of the differences between you and your patient whether it be race, religion, languages spoken, sexual identity and or preferences, you need to educate yourself regarding the patient’s needs to be able to provide the best health care.

    Work to identify and eliminate your own biases.

    Strive to make your healthcare setting a JUDGEMENT FREE ZONE!

    [This Photo](https://www.curationist.org/collection/gay-pride-parade-is-a-protest/) by Unknown Author is licensed under
    [CC BY-SA](https://creativecommons.org/licenses/by-sa/3.0/)

    Your Assignment:

    Find a recent nursing or medical journal article that discusses health care specific to the LGBTQ community. Focus specifically in regard to Women’s Health which may include any number of the previously defined individuals. Write a 1-2 page summary of this article and include your own observations or opinions about what we as APPs can do to be more inclusive and culturally sensitive. Include your reference(s) with your paper.

    [This Photo](https://www.picpedia.org/post-it-note/a/assignment-writing.html) by Unknown Author is licensed under
    [CC BY-SA](https://creativecommons.org/licenses/by-sa/3.0/)

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    **## PADLET_Assignment_One.docx**

    **Purpose**
    **_:_** Review the LGBTQ PowerPoint, select a relevant research article, write a summary, post it on Padlet, and respond to at least one classmate's post.

    · Review the LGBTQ PowerPoint and select a research article relevant to the topic.

    ·

    · Write a summary of the article.

    This is just a sample; don’t use these medications. NOTE:
    **Pharmacology interventions MUST BE IN THIS FORMAT**

    Ciprofloxacin (Cipro) 500 mg tablet orally every 12hrs for seven days

    Acetaminophen 650 mg tablet orally every 4-6 hours as needed.

    Ondansetron (Zofran) 8 mg tablet orally every 12 hours as needed for seven days.

    **APA FORMAT, AND REFERENCES, peer review scholarly resource cited in APA format from 2020-2025 only. (Within the last five years)**

    **Please do not solely use a website as your scholarly reference. It is fine to use it as a supplement, but a journal article or text should be referenced.**

    **Please use North American peer-reviewed journals ONLY.**

    **DO NOT use any European Journal**

    Please use reliable medical references such as the Current Medical Diagnosis and Treatment book or UpToDate. Do not use WebMD, Wikipedia, etc., as these are not advanced practice references.

    APA format (if using outside sources).

    **## NUR639LGBTQ_PWPOINT.pptx**

    Culturally Sensitive Care in Women’s Health
    Diane Stonemetz, DNP, WHNP-BC, ANP

    [This Photo](https://www.peoplematters.in/news/compensation-benefits/swiggys-new-childcare-and-parenthood-policy-to-benefit-lgbtq-parents-24603) by Unknown Author is licensed under
    [CC BY-SA-NC](https://creativecommons.org/licenses/by-nc-sa/3.0/)

    Age, Race,
    Appearance, Weight, Religion, sexual orientation, LGBTQ+…

    [This Photo](https://michcafe.blogspot.com/2013/03/march-8-womens-rights-non-negotiable.html) by Unknown Author is licensed under
    [CC BY-SA-NC](https://creativecommons.org/licenses/by-nc-sa/3.0/)

    Implicit Bias

    We have a bias when, rather than being neutral, we have a preference for (or aversion to) a person or group of people. Thus, we use the term “implicit bias” to describe when we have attitudes towards people or associate stereotypes with them without our conscious knowledge.

    Much of this is “learned or inherited” by our own experiences or our parents expressions of these biases. If you grew up hearing that a certain group of individuals were whatever…(insert bias) you may subconsciously carry this bias into adulthood.

    In order to provide culturally sensitive care, we must examine our own feelings toward certain individuals or groups of individuals and work to eliminate these biases. Many such biases result in healthcare disparities.

    Culturally sensitive health care
    begins……with you!

    Every healthcare provider needs to make an effort to understand the population he or she is caring for. Learn about different cultures and lifestyles. You need to identify your implicit biases to provide equitable, comfortable and compassionate care.

    [This Photo](http://tiie.w3.uvm.edu/blog/can-virtual-reality-teach-empathy/) by Unknown Author is licensed under
    [CC BY-SA-NC](https://creativecommons.org/licenses/by-nc-sa/3.0/)

    Things to consider in your
    healthcare setting specific to the LGBTQ+ Community

    Is the setting welcoming and inclusive?

    Offer gender neutral restrooms?

    Are patients being asked their preferred pronouns or names?

    Have you considered what your biases are toward this community?

    Are posters, pamphlets, and other reading materials inclusive?

    Have staff received any specific or general inclusivity training?

    LGBTQ+ population
    Terms and definitions

    Cisgender – A person whose gender identity matches their gender assigned at birth (does not equal heterosexual)

    Sexual Orientation – A person’s sexual identity in relation to the gender to which they are attracted ie: heterosexual (opposite sex), homosexual (same sex) or bisexual (both).

    Gender Identity – A person’s internal sense of self and how they fit into the world (may or may not match gender assigned at birth)

    Lesbian – A woman whose primary sexual and affectional orientation is toward people of the same gender

    Pansexual – Can be attracted to any sex or gender or can be referred to as omnisexuals or as being gender blind

    [This Photo](https://en.wikipedia.org/wiki/Pride_parade) by Unknown Author is licensed under
    [CC BY-SA](https://creativecommons.org/licenses/by-sa/3.0/)

    Terms and definitions (cont.)

    Gay – A sexual and affectional orientation toward people of same gender (includes both male and females)

    Transgender – A person whose gender identity differs from the sex that was assigned at birth

    Transgender female/woman – Someone with female gender identity and a male sex assigned at birth

    Transgender male/man – Someone with male gender identity and a female sex assigned at birth

    Queer – Not a universally accepted term even within the LGBTQ+ community (may be interchangeable with gay)

    [This Photo](http://ux.stackexchange.com/questions/104809/how-to-include-a-visual-for-gender-option-other-without-being-offensive) by Unknown Author is licensed under
    [CC BY-SA](https://creativecommons.org/licenses/by-sa/3.0/)

    Some numbers to think about

    9 million LGBTQ+

    650,000 same sex couples

    Adults who identify as LGBTQ+ =4.5%

    Suicide is leading cause of death

    30% of gay youth attempt suicide

    20% of homeless youth are LGBTQ

    61% of bisexual women report rape

    Mitchell, A. (2021)

    [This Photo](http://myjourneywithdepression.wordpress.com/2013/09/10/world-suicide-prevention-day-dearest-samantha) by Unknown Author is licensed under
    [CC BY-ND](https://creativecommons.org/licenses/by-nd/3.0/)

    Caring for the Individual

    Women who only have sex with women do not need to discuss contraception, but do need STD screening.

    Transgender men who still have female anatomy need the same screening as cisgender females i.e.: pap smears, STD testing, pelvic exams, breast exams but may be reluctant to do so.

    Transgender females who are transitioning may be taking estrogen which increases risks associated with this including DVT, MI, CVA and need a breast exam.

    Asking about the types of sexual activity the individual may be engaging in will direct your screening.

    Why is this important????

    As you enter the workforce as an Advanced Practice Provider, you want to be part of the solution rather than perpetuating the problem of the health care disparities among various populations.

    Regardless of the differences between you and your patient whether it be race, religion, languages spoken, sexual identity and or preferences, you need to educate yourself regarding the patient’s needs to be able to provide the best health care.

    Work to identify and eliminate your own biases.

    Strive to make your healthcare setting a JUDGEMENT FREE ZONE!

    [This Photo](https://www.curationist.org/collection/gay-pride-parade-is-a-protest/) by Unknown Author is licensed under
    [CC BY-SA](https://creativecommons.org/licenses/by-sa/3.0/)

    Your Assignment:

    Find a recent nursing or medical journal article that discusses health care specific to the LGBTQ community. Focus specifically in regard to Women’s Health which may include any number of the previously defined individuals. Write a 1-2 page summary of this article and include your own observations or opinions about what we as APPs can do to be more inclusive and culturally sensitive. Include your reference(s) with your paper.

    [This Photo](https://www.picpedia.org/post-it-note/a/assignment-writing.html) by Unknown Author is licensed under
    [CC BY-SA](https://creativecommons.org/licenses/by-sa/3.0/)

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  • [Solved] see below

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  • [Solved] NGR5131 Culture and Advanced Nursing Practice

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    Mrs. Nasser arrived at the urgent-care center with her 16-year-old daughter, who had been experiencing burning upon urination, itching around her genital area, and a high fever. Mrs. Nasser appeared very anxious, explaining to the nurse that her daughter had never had these symptoms before. The nurs…

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    Mrs. Nasser arrived at the urgent-care center with her 16-year-old daughter, who had been experiencing burning upon urination, itching around her genital area, and a high fever. Mrs. Nasser appeared very anxious, explaining to the nurse that her daughter had never had these symptoms before. The nurse tried to calm Mrs. Nasser and asked that her daughter, Samia, get undressed in preparation for a physical examination. Mrs. Nasser appeared concerned and requested that the nurse inform the doctor that she will not allow the doctor to perform a vaginal examination on her daughter.

    The nurse explained to Mrs. Nasser that it will be necessary for the doctor to examine Samia so that she can determine the cause of Samia’s discomfort. Mrs. Nasser became extremely agitated and explained to the nurse that in her culture, young girls are not allowed to have a vaginal examination for fear that their virginity will be compromised. Mrs. Nasser insisted that she would not allow her daughter to be examined by the female doctor on duty. Mrs. Nasser requested that the nurse ask the doctor to write a prescription for her daughter’s infection, or else she would leave the clinic immediately.

    1. How should the nurse respond to Mrs. Nasser’s request? Explain your rationale.
    2. Identify culturally congruent strategies that may be most effective in addressing the needs of Mrs. Nasser.
    3. How might the nurse ensure that Mrs. Nasser’s concerns are addressed appropriately and that Samia has received the appropriate care?

    – 2 years ago

  • [Solved] ASSESSING AND DIAGNOSING PATIENTS WITH ANXIETY DISORDERS, PTSD, AND OCD

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    – 2 years ago **files (1)** – AssessingandDiagnosingPatientsWithAnxietyDisorders.docx **AssessingandDiagnosingPatientsWithAnxietyDisorders.docx** This file is too large to display. [View in new window](https://www.sweetstudy.com/files/assessinganddiagnosingpatientswithanxietydisorders-docx-10229279)…

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    – 2 years ago

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  • [Solved] Create a Reply for a discussion using APA 7 format, and scholarly references no older than 5 years

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    **Please ensure that the reply includes more than 200 words of scholarly articles and that the plagiarism level remains below 20%.** **Introduction** Pain is a complex experience that profoundly affects people's lives and their ability to perform. Theories of pain have developed over time to capture…

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    **Please ensure that the reply includes more than 200 words of scholarly articles and that the plagiarism level remains below 20%.**

    **Introduction**

    Pain is a complex experience that profoundly affects people's lives and their ability to perform. Theories of pain have developed over time to capture more the senses of its mechanisms especially in regard to its sensory, emotional, cognitive, and social dimensions. This assignment discusses recent developments in pain theory, examines the foundational concepts of pain theory, evaluates its clinical practice applications, suggests areas for further research, and summarizes the implications drawn from current studies.

    **Analysis of the Underpinning for the Theory of Pain**

    The understanding of pain has shifted from traditional biomedical models to more complex biopsychosocial frameworks. One of the most influential theories is the Gate Control Theory, established by Melzack and Wall in 1965, aware that the perception of pain is subject to control by psychological and social factors, as well as stimuli variety. Recent studies have reinforced the importance of this theory by showing significant effects for emotions and cognitive appraisal in determining patients' experiences of pain (Pincus et al., 2023).

    Moreover, the Dynamic Vulnerability Model provides an in-depth description of the personal and contextual variables that influence pain responses, highlighting the interplay among biological, psychological, and sociocultural factors (McCracken & Zhao, 2021). The model supports clinicians to think about a broad approach to pain management that is beyond just the symptoms involved, pretty much acknowledging the multiplicity of the pain experience for patients.

    **Applications of the Theory of Pain**

    Theoretical advancements have therefore led to practical applications in pain management strategies. For example, there is an increased use and proven effectiveness of psychological therapies, particularly CBT and mindfulness-based interventions, in alleviating chronic pain symptoms (Vowles & McCracken, 2022). Studies suggest that these therapeutic approaches assist patients in changing their views about pain and developing coping strategies that enhance their quality of life (Baker et al., 2022).

    Furthermore, the biopsychosocial model has also influenced approaches to multidisciplinary pain management: collaborative care that incorporates medical, psychological, and physical interventions specifically tailored to the needs of individual patients (Schmidt et al., 2023). This comprehensive orientation underscores the requirement for several elements influencing the patients' pain experience and thus leads to better clinical results.

    **Suggestions for Additional Research**

    Despite these advancements, much more is needed to be understood about pain. Future studies should target the underlying neurobiological mechanisms of chronic pain, particularly the role of neuroinflammation and altered pain processing (Tracey & Mantyh, 2023). Studies are also needed to demonstrate whether evidence-based clinical practice can be further developed and integrated through longitudinal follow-up studies on the effectiveness of treatment approaches that combine various types of therapies (Batchelor et al., 2022).

    Furthermore, research on social determinants of health and pain experiences will be relevant in developing more inclusive and effective strategies for managing pain, particularly in diverse populations (Jones et al., 2023). Another avenue that could further enrich the field is the role of cultural contexts in shaping perceptions and responses to pain.

    **5. Conclusion**

    The concluding theory of pain shapes not notional but real understanding of pain as complex and influenced by many factors, only some of which are physical. Newer research reinforces the need for integrated approaches to pain management, including psychological and social dimensions. Further research on neurobiological bases and diverse experiences of pain will help develop inclusive treatment approaches that meet the requirements of various patients.

    **References:**

    Baker, J. M., Cummings, T. M., & Wiggins, K. (2022). Efficacy of psychological interventions for chronic pain: A systematic review and meta-analysis. _Pain Management_, 12(4), 239-256.

    Batchelor, M. C., Green, J. M., & Patel, M. S. (2022). Longitudinal effectiveness of multidisciplinary approaches in chronic pain management: A follow-up study. _Journal of Pain Research_, 15, 1231-1240.

    Jones, D. E., Roberts, T., & Smith, A. (2023). The influence of social determinants on pain perception: A review of current literature. _Pain Medicine_, 24(1), 33-45.

    McCracken, L. M., & Zhao, Y. (2021). The dynamic vulnerability model of pain: Implications for understanding and treating pain. _Clinical Psychology Review_, 84, 101962.

    Pincus, T., McCracken, L. M., & Horne, J. (2023). Cognitive and emotional contributions to pain perception: A theoretical update. _Pain Reviews_, 12(2), 101-118.

    Schmidt, M. H., Anis, N. A., & Johnson, M. R. (2023). The role of multidisciplinary care in enhancing pain management outcomes. _Journal of Pain_, 24(3), 455-467.

    – 2 years ago

  • [Solved] Discussion

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    J.C is an 82-year-old white man who was evaluated by GI specialist due to abdominal discomfort, loss of appetite, weight lost, weakness and occasional nausea. **Past Medical History (PMH):** Patient is Diabetic, controlled with Metformin 500 mg by mouth twice a day, Lantus 15 units SC bedtime. Hyper…

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    J.C is an 82-year-old white man who was evaluated by GI specialist due to abdominal discomfort, loss of appetite, weight lost, weakness and occasional nausea.

    **Past Medical History (PMH):**

    Patient is Diabetic, controlled with Metformin 500 mg by mouth twice a day, Lantus 15 units SC bedtime. Hypertensive, controlled with Olmesartan 20 mg by mouth once a day. Atrial Fibrillation, controlled with Rivaroxaban 15 mg by mouth once a day and bisoprolol 10 mg by mouth once a day.

    **Labs:**

    Hb 12.7 g/dl; Hct 38.8% WBC 8.2; Glycemia 74mg/dl; Creatinine 0.8 mg/dl; BUN 9.8 mg/dl; AST 21 U/L ALT 17 U/L; Bil T 1.90 mg/dl; Ind 0.69 mg/dl; Dir 1.21 mg/dl.

    **Diagnostic test:**

    Endoscopic Ultrasound of the Pancreas. Solid mass in the head of pancreas 4 cms, infiltrating Wirsung duct. The solid mass impress to infiltrate the superior mesenteric vein. Perilesional node is detected, 1.5 cms, metastatic aspect. Fine needle aspiration (FNA) biopsy: Ductal adenocarcinoma.

    **Case study questions:**

    1. Please name the potential most common sites for metastasis on J.C and why?
    2. What are tumor cell markers and why tumor cell markers are ordered for a patient with pancreatic cancer?
    3. Based on the case study described, proceed to classify the tumor based on the TNM Stage classification. Why this classification important?
    4. Discussed characteristic of malignant tumors regarding it cells, growth and ability to spread.
    5. Describe the carcinogenesis phase when a tumor metastasizes.
    6. Choose the tissue level that is affected on the patient discussed above: Epithelial, Connective, Muscle or Neural. Support your answer.

    **Submission Instructions:**

    – 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.
    – You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
    – All replies must be constructive and use literature where possible.
    – Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
    – You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date

    – 2 years ago

  • [Solved] Analyzing a Current Healthcare Problem or Issue

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    Can you assist with an assignment? – [\ \ assignment5.html](https://www.sweetstudy.com/files/assignment5-html "assignment5.html") – 2 years ago

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    Can you assist with an assignment?

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    \
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    – 2 years ago

  • [Solved] Nursing

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    – [\ \ 17422322145596151694351908361783.jpg](https://www.sweetstudy.com/files/17422322145596151694351908361783-jpg "17422322145596151694351908361783.jpg") – 2 years ago

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    – [\
    \
    17422322145596151694351908361783.jpg](https://www.sweetstudy.com/files/17422322145596151694351908361783-jpg "17422322145596151694351908361783.jpg")

    – 2 years ago