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Cultural Expectations and Challenges Read Chapter 5 in Fundamentals of Complementary and Alternative Medicine and the Ayonrinde article. Here is a link to the article: http://www.nigerianpsych.org/downloads/Cultural%20Sensitivity%20in%20Therapeutic%20Transactions.pdf Cassidy (2011) considers cultural relativity and cultural constructs to provide an overview of the potential interactions that can occur when patients seek health care. Ayonrinde discusses cultural sensitivity in therapeutic applications. Using the cultural criteria below, create a patient profile using at least four of these characteristics. Ayonrinde, O. (2003). Importance of Cultural Sensitivity in Therapeutic Transactions: Considerations for Healthcare Providers. Disease Management & Health Outcomes; Apr2003, Vol. 11 Issue 4, p233-248. Retrieved from EBSCOHost Gender Age (18 to 35, 36 to 55, 56 to 70, 70+) Race Ethnicity Nation/place of origin Sexual orientation Religion For example, your patient may be a 22-year-old woman who is a practicing Hindu from India. Consider the patient’s relationship to his or her care provider in the United States based on your chosen profile. Determine the specific needs and expectations the patient would have from the provider. Include the potential challenges the patient may face when visiting a provider of a different cultural group as well as one who represents the biomedical model of health care provision. Also include a substantive discussion on how differing concepts of sickness, disease, and imbalance can thwart the therapeutic encounter. Finally, include a discussion on what your chosen cultural group would expect in terms of the practitioner’s approach to health and disease. Your post must address all five topics (identifying the individual, addressing his or her needs, expectations, and challenges, as well as the practitioner’s approach to health and disease) in detail. Support your position with at least one scholarly or peer-reviewed source, in addition to the textbook and this week’s required/recommended readings. You may use professional Internet sources; however, these sources will not count toward the research requirement. .

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different cultural group as well as one who represents the
biomedical model of health care provision. Also include a
substantive discussion on how differing concepts of sickness,
disease, and imbalance can thwart the therapeutic encounter.
Finally, include a discussion on what your chosen cultural
group would expect in terms of the practitioner’s approach to
health and disease.
Your post must address all five topics (identifying the
individual, addressing his or her needs, expectations, and
challenges, as well as the practitioner’s approach to health and
disease) in detail. Support your position with at least one
scholarly or peer-reviewed source, in addition to the textbook
and this week’s required/recommended readings. You may use
professional Internet sources; however, these sources will not
count toward the research requirement.

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In this Discussion, you will consider different socioeconomic, spiritual, lifestyle, and other cultural factors that should be taken into considerations when building a health history for patients with diverse backgrounds. Case 1 JC, an at-risk 86-year-old Asian male is physically and financially dependent on his daughter, a single mother who has little time or money for her father's health needs. He has a hx of hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency, and chronic prostatitis. He currently takes Lisinopril 10mg QD, Prilosec 20mg QD, B12 injections monthly, and Cipro 100mg QD. He comes to you for an annual exam and states “I came for my annual physical exam, but do not want to be a burden to my daughter." Case 2 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 Tylenol over the counter for aches and pains on occasion. She a strong family history of diabetes. Gravida 1; Para 0; Abortions 0. Case 3 MR, a 23-year-old Native American male comes in to see you because he has been having anxiety and wants something to help him. He has been smoking "pot" and says he drinks to help him too. He tells you he is afraid that he will not get into Heaven if he continues in this lifestyle. He is not taking any prescriptions medications and denies drug use. He has a positive family history of diabetes, hypertension, and alcoholism. To prepare: · Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments. · Select one of the three case studies. Reflect on the provided patient information. · Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected. · Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks. · Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information? Post Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you selected. 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 h ...

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Discussion 2: Cultmpetence Health, illness, and disease mean different things to members of different cultural groups. When viewed in a cultural context, these experiences can have significant ramifications for individual patients and, at times, communities as a whole. It can be helpful for medical social workers to examine the cultural factors that influence a patient’s perception of disease, illness, treatment, caregiving, and death. Doing so can provide insight into a patient’s behavior or thinking during the course of his or her illness. When viewing a patient’s situation in a cultural context, medical social workers must consider the patient’s level of assimilation. For example, a recent Latino immigrant may be skeptical of Western medicine and want to rely on a more culturally sanctioned folk or holistic model of treatment. On the other hand, a second generation Latino-American may wholeheartedly endorse Western treatments and know less about his or her culture’s traditional point of view. In addition, medical social workers may encounter ethical dilemmas resulting from culture-based misunderstandings. Given the profession’s values and ethical standards, medical social workers must analyze and evaluate these dilemmas with careful consideration to cultural context in addition to other relevant information. To prepare for this Discussion , review this week’s resources including the assigned case study. Then, consider the NASW Code of Ethics and Diversity & Cultural Competence statements. Think about your personal multicultural awareness, cultural tolerance, and cultural competence. By Day 4 Post a description of the cultural factors that you might consider in providing service to the individual and family described in the case. Explain the course of action a medical social worker should take to address the cultural issues illustrated in the case. Be sure to support your statement by referring to the National Association of Social Workers standards or recommendations. Explain two cultural factors that might challenge you when working with a patient and his or her family who belong to a different culture than yours. Explain measures you might consider to enhance your cultural competence. By Day 6 Read a selection of your colleagues’ postings. Respond to at least two different colleagues’ postings in one or more of the following ways: Comment or elaborate on the cultural factors and diversity your colleague selected. Offer strategies to improve the cultural competence your colleague chose. Return to this Discussion in a few days to read the responses to your initial posting. Note what you have learned and/or any insights you have gained as a result of your colleagues’ comments. .

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Mainpost Case study: JC, an at-risk 86-year-old Asian male is physically and financially dependent on his daughter, a single mother who has little time or money for her father's health needs. He has a hx of hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency, and chronic prostatitis. He currently takes Lisinopril 10mg QD, Prilosec 20mg QD, B12 injections monthly, and Cipro 100mg QD. He comes to you for an annual exam and states “I came for my annual physical exam, but do not want to be a burden to my daughter." Discussion: Diversity and Health Assessments Introduction Health care providers should exhibit knowledge of population diversity and treat all patients with respect regardless of their culture and belief system. This is essential in understanding patient’s lifestyle, and behavior which may affect their health care. Accepting patient’s culture in a nonjudgmental manner creates a unique relationship between the patient and the healthcare provider. Therefore, APRN’s should be cognizant of patient’s culture, beliefs, lifestyle, and socioeconomic status as it relates to healthcare. A culturally competent healthcare provider accustoms his/herself to the exclusive needs of patients with cultures that are different from his or her own. Being accustomed to the belief’s and values of a patient lays the foundation for a trusting patient-provider relationship (Ball et al., 2019). Socioeconomic, Spiritual, Lifestyle, and Cultural Factors Associated with the Patient The case study presents an 86-year-old Asian male that is physically and financially dependent on his daughter who is a single mother with little money to care for the patient’s healthcare needs. Understanding the Asian culture is relevant to providing care to this elderly patient. I will verify patient’s preferred language, ask about patient’s preference with a healthcare provider regarding race or ethnicity, gender, and age. Ensuring respect for this patient despite his financial and physical dependency will encourage a trusting relationship between the patient and the health care provider. Asian culture is known to teach respect for parents and family is a priority over self. Additionally, in Asian culture adult children are required to make financial, physical, and social sacrifices for their parents that are aging (Miyawaki, 2015). As a healthcare provider, I will welcome this patient, show respect by avoiding eye contact as some Asian countries consider making eye contact as rude. Maintaining eye contact is not done with individuals of East Asian cultural backgrounds. Also, the Japanese culture, teaches against maintaining eye contact with others as it is believed to disrespectful (Uono & Hietanen, 2015). I will make the patient understand that I am familiar with culture of adult children caring for their aged parents. I will explain to the patient that he should not consider himself a burden to his daughter as .

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2 copies Select and describe the characteristics of one vulnerable population from this week’s readings including why this population is considered vulnerable. Discuss selected health practices and beliefs of the chosen population and the types of communication you would use with this population in an advanced nursing role. vulnerable population from this week are: Maternal, Infant and Child Health; Mental Health and Mental Health Disorders; Lesbian, Gay, Bisexual, and Transgender Health; HIV. Expectations Initial Post: Length: A minimum of 250 words, not including references Citations: At least one high-level scholarly reference in APA from within the last 5 years. Required Textbook and Readings de Chesnay, M., & Anderson, B. (2020). Caring for the vulnerable: Perspectives in nursing theory, practice, and research (5th Ed.). Burlington, MA: Jones & Bartlett. ISBN: 9781284146813 The Centers for Disease Control and Prevention (2017). Atlanta, GA: Autho r. HIV in the United States: At a Glance. CDC Fact Sheet (2019, Feb.). HIV Incidence: Estimated Annual Infections in the U.S, 2010-2016. .

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RESPONSE 1 Respond to at least two colleagues who selected a different article from the one you selected. Share any insights you gained from your colleagues’ posts. Colleague 1: Whitney One important article that focuses on mental illness and culture is the article Community Attitudes Towards Culture-Influenced Mental illness: Scrupulosity vs. Nonreligious OCD among Orthodox Jews that was found through the Walden library (Pirutinskiy, Rosmarin, & Parament, 2009). The article focuses on how culture can influence a community’s attitude towards mental illness (Pirutinskiy, Rosmarin, & Parament, 2009). One specific culture the article focuses on is the Orthodox Jewish Community who has OCD (Pirutinskiy, Rosmarin, & Parament, 2009). This article also addresses how Orthodox Jews see their up bring through their culture as casual to their development involving their routines, rituals, and religions (Pirutinskiy, Rosmarin, & Parament, 2009). This then does not affect them as much as those who are from a different culture who are not brought up the same way and this would then affect them through the acculturation process (Pirutinskiy, Rosmarin, & Parament, 2009) It’s important that social workers take in consideration in using the cultural formulation interview to apply cultural competence skills in working with the cultures such as the Orthodox Jews. A cultural formulation interview will focus on a framework that assess for an individual’s cultural features, mental health, and these relate to the individuals social and cultural context and history (American Psychiatric Association, 2013). The scholar will use the cultural formulation interview to assess and apply competence skills to each client’s case. The scholar would first asses the client with four categories that are included in a cultural formulation interview (American Psychiatric Association, 2013). The scholar would first have the client describe their cultural identity such as their as their race, ethnic, or cultural influences (American Psychiatric Association, 2013). Then continue to follow the assessment with the other three categories. Then the scholar would use a set of 16 questions cultural formulation interview to obtain information of the clients mental health and by using this assessment it will identify the clients culture and how it has impacted the clients clinical presentations and care (American Psychiatric Association, 2013).Through this assessment it will assist the social worker and client in understanding how culture affects the individual. Acculturation can affect each cultural client different involving their psychological and sociocultural aspects. Acculturation occurs and affects the individual’s psychological change when two cultures have contact involving cultural groups or cultural members (Berry, n.d.). An individuals experiencing acculturation can also experience behavioral repertoire due to the a ...

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Deliverable Length800 - 1000 wordsDetailsWeekly tasks or ass.docx

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Deliverable Length: 2-4 pages Consider the facts of the following case when answering the questions below: Dale and Mike Parak were twin brothers and best friends. They spent their entire lives looking out for each other's interests. While growing up, the two were inseparable. They played sports together, double-dated frequently, and attended the same university. They grew closer as they aged, they got married at about the same time, and eventually, both were divorced. After they retired from their jobs, they decided to live together to save money, and they still enjoyed each other's company. When he was 70 years old, Mike was diagnosed with cancer. Doctors predicted that he had about 6 months to live. The brothers agreed that Mike should not suffer. Mike and Dale wrote and signed a note stating that they decided to commit suicide. Dale broke 20 tranquilizers into Mike's evening meal and watched as he ate it. Yet, when Dale checked on Mike one hour later, Mike was still alive. Dale panicked. He took a .38-caliber revolver from his desk and shot Mike, killing him instantly. Dale then went into the kitchen and took a handful of tranquilizers. He did not die. He awoke the next morning as somebody pounded on the front door. It was a neighbor who, seeing that Dale was dazed and confused, decided to call an ambulance and the police. The responding police officer conducted an investigation, and Dale was arrested and charged with the premeditated, 1st-degree murder of Mike. The prosecutor, although noting it to be a difficult case, pursued the case because she thought that no citizen had the right to decide when someone should die. Dale Parak pled guilty to 1st-degree manslaughter and was sentenced to 5 years in a maximum-security prison. ( Note: This was the lowest sentence that could be given to a defendant convicted of his crime.) What is your personal definition of “justice”? What is the formal definition of “justice”? Do you believe that “justice” was served in this scenario? What is the state definition of the charge that you would file as the prosecutor against Dale? Did Dale commit each of the components and elements of the crime? The elements for 1st-degree, premeditated murder are 1) the unlawful killing; 2) with malice aforethought; 3) of another human being. Explain how each element was or was not committed. According to the definition of justice you provided, was this sentence just? Why or why not? If you were the prosecutor in this case, would you have charged Dale Parak with any crime? With 1st-degree murder? Why? If you were the judge in this case, how would you have sentenced Dale Parak? Why? Please make sure that you provide academic or real-life samples in criminal justice to support your opinions. NO PLAGIARISM!!!!!! ASSIGNMENT MUST BE DONE IN APA FORMAT. CITE ALL SOURCES AND REFERENCES IN APA FORMAT AS WELL... .

Deliverable Length 2-4 pagesConsider the facts of the follow.docx

ruthannemcmullen

Deliverable Length: 5 slides (body of presentation), with in-depth speaker notes As your organization considers international expansion, one important decision it faces is how to modify its organization structure to accommodate internationalization. You have been asked to research different organization models used by other multinational corporations (MNCs) and prepare a short presentation based on your findings. Your presentation should include the following: A list and brief description of at least 4 different organization structures used by MNCs A more detailed explanation and comparison of 2 of the structures Effective use of at least 1 table, chart, or other visual representation of information Description of a real world example of an MNC that uses one of the models you researched How does this organization coordinate and transfer useful knowledge across borders? Why does the organization structure chosen make sense for this particular firm and/or industry? .

Deliverable Length 5 slides (body of presentation), with in-depth .docx

ruthannemcmullen

Deliverable Length: 800–1,000 words, including a completed table Details: Weekly tasks or assignments (Individual or Group Projects) will be due by Monday and late submissions will be assigned a late penalty in accordance with the late penalty policy found in the syllabus. NOTE: All submission posting times are based on midnight Central Time. As an owner of a visible business that is valued in the community, you are making a final decision regarding the international aspects of a business decision, and you decide to set up a table with the risks and weigh their relative importance against the rate of return you foresee. You also need to put a plan in place to overcome it. Two main considerations are central to the decision: Would the government encourage a decision to expand? How would it affect the reputation of the business? Your assignment is to fill in the table and then provide a brief summary of your decision, highlighting the two above considerations. The following are instructions for completing the table: Choose an industry with which you are familiar or have an interest. For each risk type listed in the table, indicate with an X in the appropriate column whether the risk will affect them as an importer or an exporter. Also, make an assumption of what type of business (large, medium, or small) you will be using for each risk type by marking L, M, or S in the column. Using these factors, provide a brief answer on how to overcome the risk for the industry and the business. Risk Importer Exporter L/M/S How to Overcome It Economic conditions Fluctuations in industry Competition Technological change Change in preferences Costs and expenses Regulations Expropriation Interest rates Government monetary policy Government fiscal policy Internal and external wars Difference in culture and religion Ownership of factories and property Human resource restrictions Intellectual property Discrimination Red tape and corruption Blockage of funds or capital accounts Change in government .

Deliverable Length800–1,000 words, including a completed table.docx

ruthannemcmullen

Deliverable Length: 1-2 pages Sociologists cite the weakening of the family as one of the causes for some of the problems that American society faces today. Do you agree? In your paper, include the following information: Identify important or significant changes in families since 1960. What factors are responsible for this change? On the balance, are families becoming weaker or simply different in society? What evidence can you cite? If you agree that the family has become weaker in American society, what proposals do you have to strengthen the family? If you disagree and believe that the family has become stronger in American culture in recent decades, please explain why. PART 2 Deliverable Length: 3 -5 paragraphs Answer the following questions regarding social change: How do you think life in the United States will change in the next 10 years? How might technology be involved or effect social change in American culture? How do you think sociologists might use the Internet to study culture and social change in the United States? NO PLAGIARISM!!!!!!! PLACE BOTH PARTS ON SEPERATE DOCS AND PLEASE BE SURE TO LIST ALL REFERENCES AND RESOURCES IN APA FORMAT .

Deliverable Length 1-2 pagesSociologists cite the weakening .docx

ruthannemcmullen

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