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Significance of collaboration in healthcare
Racial and ethnic disparities in us health care system
Cultural diversity in the healthcare field
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Background statement: Heritage Valley Medical Center has had a wonderful reputation for providing excellent health care services to their community. Initially, their community was 80% Caucasian, 40% African American, and 5% Hispanic. However, in the last 5 years, the population has changed to more minorities and the whites have moved out to the suburbs. This caused the Center’s occupancy rate to go down 40% because many of their traditional, more affluent, private-pay patients had left the neighborhood. To bring in revenue, they campaigned to bring in more Medicaid patients.
They assess, diagnose and treat acute and chronic illnesses as well as preventative healthcare for individuals and families. As their care is family-centered, they must also be able to understand the relevance of the family’s identified community. In addition to the nine essentials as outlined by the AACN, the FNP must meet competencies in advanced health assessment skills in order to differentiate between normal and abnormal findings. They should able to use screening and diagnostic strategies to develop diagnosis and they must be able to prescribe medications to enable them to work as independent practitioners (Competencies for Nurse Practitioners, 2012). In order to meet these competencies, the Consensus Model for APRN Regulation (2008) requires three separate graduate-level courses in advanced physiology and pathophysiology, health assessment and pharmacology as well as appropriate clinical experiences across the age
Puerto Rican Culture Religion, culture, beliefs, and ethnic customs can influence how patients understand health concepts, how they take care of their health, and how they make decisions related to their health (U.S. Department of Health & Human Services, 2015). As a nurse, it is important to understand that not every patient shares the same healthcare beliefs. A nurse must be able to perform his or her duties without judgement and care for each patient with respect for their own unique set of beliefs and morals. In this paper, the Puerto Rican culture will be discussed, from family units to religious and cultural beliefs, as well as how Western Medicine fits into their healthcare. Explain the culture.
In the United States, Medicare is the program supports people over age 65 with medical care. It also provides support for persons with certain disabilities and people of all ages who have kidney failure. Medicaid is a state administered program that provides medical support for a broad range of people. However, each state administers Medicaid individually and this creates inconsistencies in the program across the country. There are specific rules for judging just how much money someone receiving Medicaid can make and be eligible.
I should be considered for the Kaiser Permanente Health Care Scholarship because I have proved and accomplished more than what I thought I would be capable of in my education, I am passionate for the health industry, and I financially need to be to succeed. I will continue my education by pursuing my goal to become a Registered Nurse. I first considered Registered Nursing when I joined the Health Academy and realized how passionate I was to help others. Throughout my years in the Health Academy, my passion grew drastically. My summer of 2015 was dedicated to two internships; one being a Medical Assistant (200 hours) and another as a Physical Therapy Aide (80 hours).
I am interested in your New Graduate Nurse Residency Program. I graduated with a Bachelor of Science Degree in Nursing from the University of Massachusetts Boston and recently obtained my MA RN license in August 2015. I choose to be an RN because I love learning about the anatomy and physiology of the human body and working with people. When I was a little girl, I would watch the Discovery Health channel instead of watching cartoons. In high school, I became interested in social justice work when I did a month long volunteer service trip to India.
Many children, sadly, are faced with disease and illness every day. Research has shown that with the addition of a Child Life Program to a hospital setting, children in need of care have better outcomes and their hospital experience improves exponentially. My cousin and his family benefitted from the Child Life Program at Penn State Hershey Medical Center Children’s Hospital. My interview with my aunt and cousin demonstrates that Child Life Specialists definitely can make a difference when a family encounters a child’s illness. The support and care of the Child Life Specialists assist not only the child and the parents, but the entire family.
According to the CDC Hispanics of Mexican origin make up approximately 17 percent of the population in the United States. They are the one of the largest cultural populations in U.S. has risen dramatically over last four decades. There are a variety of reason that lead to health disparities for the Hispanic community these reasons then lead to the individuals not obtaining healthcare. First, it was reported by the Center for Disease Control and Prevention in 2012 that 29.1 percent of the Hispanic do not have health insurance. This usually prevents the majority of Hispanic people from receiving health care.
Each morning patients came in for assessment and the treatment team developed or altered existing treatment protocols. I longed to be part of this team, working to stabilize each patient so they could return home to pursue their goals. The nurses stood out to me as the team members at ground zero in the unit, working directly with patients, and advocating for them in meetings. As a Nurse Practitioner, I will provide this same standard of holistic care to my patients, taking into consideration their biological, social, psychological and cultural needs while developing and implementing treatment decisions.
Many Americans were led to believe that the introduction of the Patient Protection and Affordable Care Act in 2009 would put an end to disparities in health care access. While it did improve the situation for a small percentage of the population there are still many Americans who lack access to good quality health care. Health care access in America is determined by money and those in lower socioeconomic groups frequently tend to miss out on adequate care. In a recent health care report by the national health research foundation Kaiser Family Foundation, it was noted “health care disparities remain a persistent problem in the United States, leading to certain groups being at higher risk of being uninsured, having limited access to care, and experiencing poorer quality of care” (Kaiser Family Foundation). The current health care
Introduction People hope and seeks long and healthier lives. Thus, health care is the act of taking preventative or necessary medical procedures to improve people well-being. Improvement or preventative may be done with surgery, the administering of medicine, or other alterations in a person 's lifestyle. These services are usually offered through a health care system made up of hospitals and physicians. Although, the health care system is set up to reduce or to prevent disease etc., there is a gap or disparity in the US health care system.
Daniel & Rosenstein (2008) define collaboration in health care as “health care professionals assuming complementary roles and cooperatively working together, sharing responsibility for problem-solving and making decisions to formulate and carry out plans for patient care.” Finkleman (2006, cited in Ndoro, 2014) states there are many advantages of working in multidisciplinary teams, such as professionals having a greater understanding of one another’s job roles. This permits greater communication between each other. Working within a multidisciplinary team enables collaborative working and improves patient care. Although collaborative person-centred care is vital, it needs improvement.
The guidelines set by the NP’s Core competencies involves educational programs for nurse practitioner and are referred to as essentials behaviors for all NPs (The National Organization of Nurse Practitioner, ([NONPF],2017). As a future NP, this course has echoed the importance to critically examine information given by finding evidence to support and manage care for the individual or the population, which I will apply to my practice. This, in turn, will offer better treatment plan and optimize better patient outcome. Using the differential diagnosis to pinpoint the best possible diagnosis for individuals has helped me to use critical thinking about my patient and to find the appropriate plan of care.
Regarding effective communication, “good interpretation and good translation go a long way toward solving cross-cultural communication problems and language barriers in health care” (Dreachslin, Gilbert & Malone, 2013, p. 289). These services, through interpreters or voice-assisted devices, provide better opportunities to blend cultures and understand the tradition and beliefs of diverse populations. These two topics were just samplings of the information discussed, but they stuck out to me on a personal level, while pushing me to promote cultural competence and understanding beyond this course in all my future workplace
Nurses are critical for promoting health in the society. The profession is highly flexible, since they specialize in diverse operations in the medical field. Registered nurses, for instance, are responsible for the administration of medicine and inoculations to patients (American Nurses ' Association, 2000). Additionally, these professionals observe, record, and enlighten doctors of any changes in a patient’s health. Nurses interpret and evaluate diagnostic examinations to determine an individual’s condition, as well as making the necessary adjustments in patient treatment plans on their health progress.
