Diversity and Health Assessments

May 2012, Alice Randall wrote an article for The New York Times on the cultural factors that encouraged black women to maintain a weight above what is considered healthy. Randall explained—from her observations and her personal experience as a black woman—that many African-American communities and cultures consider women who are overweight to be more beautiful and desirable than women at a healthier weight. As she put it, “Many black women are fat because we want to be” (Randall, 2012).

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Randall’s statements sparked a great deal of controversy and debate; however, they emphasize an underlying reality in the healthcare field: different populations, cultures, and groups have diverse beliefs and practices that impact their health. Nurses and healthcare professionals should be aware of this reality and adapt their health assessment techniques and recommendations to accommodate diversity.

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. Your Instructor will assign a case study to you for this Discussion.

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.
By Day 1 of this week, you will be assigned a case study by your Instructor. Note: Please see the “Course Announcements” section of the classroom for your case study assignment.
Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient assigned to you.
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? Visit https://en.wikipedia.org/wiki/Cultural_competence_in_healthcare for more information.

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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.
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 ahx 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.
Resources
https://npin.cdc.gov/pages/cultural-competence
https://cccm.thinkculturalhealth.hhs.gov/
Wannasirikul, P., Termisirikulchai,L., Sujirarat, D., Benjakul, S., &Tanasugarn, C. (2016). Health litracy, Medication adherence, and blood pressure level among hypertension older adults treated at primary health care centers. Southeast Asian Journal of Tropical Medicine and Public health 47(1). 109-120
Note
ahx= a history

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