Tailoring a therapeutic intervention to specific cultural needs of a patient is a critical part of patient centered care. For example if there is a therapy option that is ideal for the patient based of clinical evidence, but the patients refuse due to cultural issues, then it is not the best option for the patient (Engebretson, Mahoney, & Carlson, 2008; Romana, 2006; Purnell, 2008). This is a difficult concept for many health care providers to accept. Numerous health care providers believe that if a treatment plan has the greatest evidence based support there is no question the patient should begin that course of treatment, and at times they may disregard the patients’ opinion. Many will attempt to change the patient’s ideals to fit what the physician has determined as being the optimal health plan.
With the ongoing healthcare demands and shortages, the appropriate role and responsibilities of the advanced practice registered nurse (APRN) will continue to be a controversial debate. There were many points addressed in your post that I agree and don’t agree with. It is most certainly not arguable that physicians do endure a longer, more intense education. I personally believe their role as a hospitalist is valuable and should never be discredited for their knowledge and expertise. However, I also believe that they are doing their patients a disservice if they are being overworked due to provider shortages.
However, a biased opinion does not indicate a false opinion. Experience and observation are depended on each other in order to gain knowledge. To the people who consider looking at to be the best and only option, Lewis states, “If you will only step inside, the things that look to you like instincts and taboos will suddenly reveal their real and transcendental nature” (1). Only considering one point of view can cause someone to be misled which leads to narrowmindedness. One point of view may be inferior depending on the situation but this is not always constant, and both should be considered to develop the most informed understanding.
To some extent, I do believe this claim has some circumstances that are justifiable under D’Cruz and Kalef’s understanding of promising to try, but I don’t think it can be applied towards every type of promise made. Such things as external motivators and internal factors, such as mental health and will power, do certify the idea of promising to try instead of promising. When an agent is aware of some of the complications that could arise, it’s on the promiser to let their promisee be aware of these complications and are given the opportunity to possibly make other arrangements. On the other hand, promising to try in a situation where one is fully aware that they lack the motivation to fulfill that promise, is not a genuine promise to
Wallace argues that actual thinking and education involves gaining a conscious awareness, often that those around us are in reality just as important as we are. So while people are more likely to attribute behavior to another’s personality, especially if it’s negative, this is far from accurate. This is a big piece to Gilbert’s model if people do not use controlled think or thinking that is effortful, conscious, and intentional (textbook, p.65) to see someone’s situational attribution they are misinterpreting information. This occurs automatically and even involuntary, which is why Wallace referred to it as a default setting. However, even if initially people are making attributions to someone’s internal state, they can change this way of thinking and recognize outside situations.
Theories help health educators organize data, facts information, etc. and plan and evaluate programs. Theories help come up with reasons why people are not living a healthy lifestyle, identify information required before developing an intervention, gives insight how to deliver the intervention , and identifies the measurements that are needed to evaluate the impact from the intervention. 2. The Health Belief Model (HBM) was developed by psychologists to help explain why people would or would not use health services.
However, the two clearly portrays their work as an experiment when the nursing paper ending with how “further research is needed regarding the methods.” Kinesiology even implied the need for such when they discussed the faults in their hypothesis. Thus, the two fields favor an attempt to refine their methods that contributed to the
The events of The Crucible are very drastic when compared to a daily event. Due to how drastic The Crucible is, it provides more life or death situations, and whether or not the characters learn the themes can become the determining factor to whether or not they live or die. The fact that these lessons put people closer to death is a strong reason for why these ideas might have stuck in their heads better. When people are afraid, their focus becomes intensified and since most people realize they don’t want to be forced into that situation again, so they try to figure out everything in their power to prevent that event from happening again. This means that people are more susceptible to learning themes when they are afraid.
One of the situations that he/she encounters is that the client may be of a different culture, speak a different language therefore adjustments need to be made in order to facilitate effective patient teaching. Another situation that is come across is that the plan of care needs to be adjusted frequently to reflect the changes, whether they be advances or worsening, in the client condition (“Position Statement: Occupational Therapy in Oncology”, 2015). There are situations that arise in the occupational therapists’ profession that can slow down the ability to effectively provide care for the client which is not uncommon in other professions
I struggled to understand opposing perspectives, particularly since even within the context of an ethical decision-making framework, they did not always appear logical. This experience has allowed me to recognize within myself that consideration and imagination of other people’s perspectives is a weakness for me, and I will need to incorporate strategies into my nursing practice to accommodate this. Specifically, incorporation of lines of questioning that will enlighten me as to other perspectives to consider will help me to develop comfort with this area. Ethical decision-making is an integral part of nursing practice, and the ability to do so is a vitally important to effective nursing practice. Examining Helen’s situation within the context of McDonald’s Framework for Ethical Decision-Making (2001) allowed me further insight into the values and biases that influence my decision-making.
Workaround is another big barrier which occurs when nurses pass the medication without scanning the medication and the patient’s identification (ID) band, to save time and scan them later. Which is dangerous, and a high risk for making an error. The change agent or the nurse leader will need to use the driving forces that will help the project to be successful. Budget is the major barrier. Since the project needs adequate funding, the support from the administration and higher authority will be required.
Pulling on my personal experience working within agencies that provide IOP services or addiction services, most often focus on group work to address issues. Lundahl et al (2010) suggest that in this environment MI could be less effective in promoting change. The environment which clinicians practice has a significant role in the modalities chosen for intervention, with frameworks such as MI, the environment can be counterproductive to the application and success of the intervention, despite best intentions of the
The other main points that he argued is the two main antecedent. One is the individual 's attitude toward the behavior. The other one is the subjective norm with respect to the behavior, attitudes to other people to whom you are oriented about you doing that behavior. For example, you have a positive attitude about going to vote for a particular candidate, but now you are contacted to your significant others ' opinions that matters and are visible to you, and they are telling you that they may disagree, some disagree with you and some agree with you. How do you integrate with these?
The caregivers have to learn cueing strategies to encourage positive interactions styles with their loved ones, as well as using cues to help them access the information that is needed. Although technology is becoming a large involvement in individuals every day lives, they are rarely considered for persons with dementia. Another limitation is that because Alzheimer’s disease is a progressive disease, meaning the individuals abilities are constantly changing, the tools used to facilitate communication one month may not be helpful the next month. This provides a limitation because not only do professionals have to provide continuous follow up on these individuals, but they also have to rely on caregivers to give them pertinent information about their loved ones recent changes and abilities noticed in their daily
Hello Larry, excellent post! Agree that diversity can be challenging in the health care industry, as opposed to other industries. This is because, a more diverse demography requires the health care industry to change and be on their feet in an already stressful static environment. Despite this, it can be very rewarding helping the patients from different backgrounds and learning more about their stories and experiences. Thus, a main question from that portion of the post, in what ways can the health care industry use diversity as a way to enhance their practices regarding treating patients?