All posts by : chebby

Objectives:

Define  Consanguinity 

Identify global prevalence of consanguinity

Describe impact on population health risks

Discuss the cultural and ethical considerations of consanguineous unions. (Links to an external site.)

Note: Remember to check calendar or syllabus’s course summary for Response due date.

Background

As migrants move into western societies, long-held cultural beliefs arrive with them in their new communities, and are often misunderstood. Consanguineous marriage is one such cultural practice.  This social institution of marriage has been common across the globe throughout human history.  Today, it’s rate varies significantly from one population to another, depending on religion, public attitude, culture, legislation, socio-economic condition and geography.  

Over the past 5-10 years, the mapping of the Genome has vastly increased our knowledge of consanguinity’s heredity (autosomal-recessive) risks.  In western cultures, the rate of consanguinity is very low, compared to developing countries where in certain ethnic groups, may account for more than 50% of marriages. (M. Islam. 2017. Consanguineous marriage in Oman:  understanding the community awareness about congenital effects of and attitude towards consanguineous marriage.Annals of Human Biology, Vol 44(3), 273-286.)

For an overview of the health-related risks, review the following 2016 Australian public health Fact Sheet 18 | WHEN PARENTS ARE RELATED – CONSANGUINITY.pdf

Link here for Emory University Department of Human Genetics factsheet of Parents’ Reproductive options: Emory U_Reproductive Options for Carriers of Genetic Diseases_Pt flyer.pdf

 Read the below 2019 review article on cultures who practice consanguineous unions:Link to this article: 2019_A review of the reproductive consequences of consanguinity.pdf(FYI when reading a scholarly article read the sections in this order:

1. Title, abstract
2. Introduction
3. Discussion
4. View tables
5. Conclusion
6. Methods and findings (if you need to know the specific stats.) 

To do:

Primary post: write a 400 word essay using APA discussion qualities (excellent organization, grammar, spelling, citations, introduction, body and conclusion, 3 (or more) references). 

You are a PHN assigned to a district that has a large ethnic population with a high incidence of consanguineous marriages.  The local community health clinic provides primary care to this population.  You are planning a pre-conception genetic education class that respects the users’ rights to informed consent and privacy. The education provided must be culturally sensitive, accurate, and respectful to long-held beliefs. To be informed, you review the 2019 evidence (article linked above).

1. Introduce and define Consanguinity (i.e., consanguineous marriages).  
2. Specify the genetic risks of consanguineous marriages.   
3. Identify global prevalence of consanguinity.  What are the five countries with the highest incidence of consanguineous marriages ( list percentages, too)?  
4. Identify two (2) U.S. communities that are at risk.
5. Discuss three (3) of the social/cultural beliefs that are predisposing or perpetuating factors for these consanguineous practices.
6. Discuss two factors that have reduced consanguinity in some populations.  
7. Discuss confidentiality issues:  Link to the following American Journal of Nursing website: (Links to an external site.) Discuss ethical and privacy issues you, as a PHN, must consider if/whether to disclose genetic information to
   •  a spouse or
   •  to relatives.

8. Conclude with your opinion of weighing the cultural issues and ethical obligations to inform the at-risk party of genetic risks, and, legal requirements to respect and protect the patient’s privacy.

(FYI Here is link to GINA (Genetic Information Nondiscrimination Act) passed in 2008) (Links to an external site.)

(Link here for GINA in pdf for laypersons’ literacy level)

I have been working in the medical field for almost 20 years. Since then I have been trying my best to work upon and improve one of my weakness, and that is my shy nature. I understood that my weakness can be an obstacle in making relationships among my colleagues and clients. I find it very hard to initiate talks with colleagues, patients or relatives other than communication pertaining to work or patient information. I have sought help and have definitely improved than before, but I think I still have a long way to go.

Workplace conflict is inevitable when employees of various backgrounds and different work styles are brought together for a shared business purpose. I once had a conflict with a patient when I tried to comfort him by expressing my views of faith healing, which clearly contrasted with his. The situation had escalated for a while, but me and manager intervened by explaining and understanding his point of view and perspective towards the situation.

I am a foreign medical graduate. I practiced critical care medicine in India for five years before migrating to the USA. As I was unable to obtain residency in spite of all efforts, I chose to do nursing and continue to pursue my passion of serving and healing the needy people. I also love learning and gaining deeper education and knowledge pertaining to medicine, hence I decided to advanced nurse practice studies. I am surely looking forward to do my doctorate in nursing in the future.

References:

Epstein, N., & Stecker, M. M. (2015). Analysis of inter-provider conflicts among healthcare providers. Surgical neurology international, 4(Suppl 5), S375–S382. https://doi.org/10.4103/2152-7806.120781

Post a summary of the psychotherapy that you selected and explain why it resonates with you the most at this time. Then compare the psychotherapy you selected with existential-humanistic therapy. What are the strengths and challenges of each type of psychotherapy? Describe a fictional client that you think would be best suited for the therapy you selected and one fictional client you think would be best suited for existential-humanistic therapy. Explain why.

Capstone Project Change Proposal Presentation for Faculty Review and Feedback. (Fall prevention strategies in hospitals.)

Create a professional presentation of your evidence-based intervention and change proposal to be disseminated to an interprofessional audience of leaders and stakeholders. Include the intervention, evidence-based literature, objectives, resources needed, anticipated measurable outcomes, and how the intervention would be evaluated. Submit the presentation in LoudCloud for feedback from the instructor.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

You are not required to submit this assignment to LopesWrite.

A power point with good argument for a debate pro and con sides with 3 bullet points on both sides and a detailed  explanations in a speaker note. A sample is attached below. the empty part of the powerpoint should be filled with information related to the subject matter using the same way the sample shown. f

Be sure to address each bullet point. Here is the assignment below.

Assignment:

Professional Development Assignment:

• Public health efforts and those of private medicine complement each other and together serve the spectrum of health service needs of American society. Why, then, has their relationship been so contentious?
• The Institute of Medicine report of 1999 cites two major studies that establish medical errors as one of the leading causes of death and disability in the United States. Should the federal government take the necessary steps to monitor the status of this high-risk situation, as it does with other epidemics, or should the government continue to trust the providers of health care to deal forthrightly with the problem?
• Analyze why legislative attempts to address only one of the trio of rising costs, lack of universal access, or variable quality of health care only worsens the remaining two.

Please submit one APA formatted paper between 1000 – 1500 words, not including the title and reference page. The assignment should have a minimum of two (2) scholarly sources, in addition to the textbook.

Assignment Expectations

Length: 1000-1500 words

Structure: Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least two (2) scholarly sources to support your claims.

Format: Save your assignment as a Microsoft Word document (.doc or .docx).

 In the Discussion for this module,  you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined?

Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency.

To Prepare:

• Review the concepts of technology application as presented in the Resources.
• Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

The Assignment: (4-5 pages)

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

• Describe the project you propose.
• Identify the stakeholders impacted by this project.
• Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
• Identify the technologies required to implement this project and explain why.
• Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.

Please answer the 3 objective questions,  the attachment is listed below. NOT THE hypertension topic! Please provide Turninit document Please No plagiarism. References/ guidelines no older than 5 years. 

Tech summary

 The nursing instructor has gathered the obstetrics clinical group together at the end of their clinical day for a board game based on obstetrics. What is the rationale for the use of this activity?