Campinha-Bacote’s cultural competency model

Apply a model of cultural competence to personal practice beliefs. For this assignment:

1. Reflect on the 5 constructs of Campinha-Bacote’s model of The Process of Cultural Competence in the Delivery of Healthcare Services: Cultural desire, Cultural Awareness, Cultural Knowledge, Cultural Skill, and Cultural Encounters.
2. Review the Mission statements and values of St. Thomas University and its Nursing programs.
3. Reflect on your learning during this course.
4. Evidence of reflection on Campinha-Bacote’s cultural competency model and/or STU mission and values.
5. Your personal beliefs.
6. Your philosophy statement(s) related to culturally competent nursing care.
7. Implementing your beliefs.
8. Continuing your journey towards cultural competence.

• Your paper should be formatted per current APA and references should be current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions)
• The paper is to be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.
• The paper is to be no shorter than 1 page; nor longer than 2 pages in length, excluding the title, abstract, and references page.

physician employment

https://www.medpagetoday.com/blogs/themethodsman/69237 (link)

Chapter 5 tackles the subject of physician employment.  The employment of hospitalists is a growing trend.  For this assignment, you will read this article, (Links to an external site.) then answer the following questions regarding the use of hospitalists versus primary care physicians as care providers for admitted patients.  Before reading the article, make sure to read the section in Chapter 5 “Employment and Earnings of Physicians“.  After reading the article and the text, answer the following questions in 300 words or more in paragraph format (5 or more sentences, correct spelling a grammar, one or more paragraphs).  Do NOT respond in questions and answer format.  Thoughtfully respond to one or more classmates after you submit your original post.  Remember to use your own words.  There are comments at the end of the article; don’t make the mistake of plagiarizing their words.  I want your opinion, not someone else’s.

• What is a hospitalist?
• What is the difference between a hospitalist and a primary care physician?
• Why is the number of hospitalists growing?
• What did the results of the study indicate?
• Although the study has not been replicated for reliability, what did you learn from the study?  How did the results make you feel?
• If the study is repeated and the results turn out to be reliable, what changes would you recommend?  If you do not recommend changes, explain why.

Jean Watson’s Theory of Human Caring

Holistic care refers to approaches and interventions that address the needs of the whole person: body, mind, emotion, and spirit. Consider the following case study:

You are caring for a first-time mother in a health clinic. While assessing the woman, you notice she is becoming visibly upset. When you ask, she notes that her mother, with whom she was very close, died last year and that she really would have loved to have shared this pregnancy with her. You empathize with the patient, as your own mother just died 6 months ago. She also notes that she and her partner have been bickering a lot lately on top of her feeling generally sore, tired, and overwhelmed.

Define holistic care in your own words. Describe four ways you can implement a holistic nursing approach to care and facilitate healing. In addition, you may consider the intersection of holistic care and caritas principles from Jean Watson’s Theory of Human Caring/Caring Science from Week 1.

• Length: A minimum of 300 words, not including references
• Citations: At least one high-level scholarly reference in APA from within the last 5 years

Case #2 A young woman with Depression

 

SUBJECTIVE

Stefanie is a 32-year-old female from Puerto Rico who presents to your office today with complaints of difficulty sleeping. You learn that Stefanie can go for a few days with minimal sleep (about 3 hours/night), but does not seem to be fatigued the next day. Stefanie explains that after 3 days with minimal sleep, she “crashes” and has a good night’s sleep. She states that sleep will be “alright” for a few days, even a few weeks, and then she will have a similar issue with sleep.

You learn throughout the assessment process that Stefanie has had this problem for years. She noticed that it began in college and thought it was just because of the workload and academic demands. However, she found that it persisted after college. She also notices that she has periods where she will engage in increased amounts of goal-directed activity, states that things will just “pile up” at work and she gets this burst of energy to “make everything right.” She states that these bursts will last most of the day. She states that these periods show up probably every 2 to 3 weeks.

Stefanie also confesses to problems with being “down in the dumps.” She states that when she has her episodes in which she endeavors to “make everything right,” she feels fantastic and on top of the world. However, when these periods of energy end, she reports that she feels “depressed”—but then states: “well, maybe not depressed, but I definitely feel sad and empty.” She also endorses feelings of fatigue and a decreased ability to concentrate when she is feeling sad. She finally tells you: “I have lived with this for so long, I have to admit that it is finally a relief to tell someone how I feel!”

Physical assessment

OBJECTIVE

Stefanie is dressed appropriately to the weather. She has no gait abnormalities. Physical assessment is unremarkable. Gross neurological assessment is within normal limits.

 

MENTAL STATUS EXAM

Stefanie is alert and oriented × 4 spheres. Her speech is clear, coherent, goal directed, and spontaneous. Self-reported mood is “sad.” Affect does appear consistent with dysphoria. Eye contact is normal. Speech is clear, coherent, and goal directed. She denies visual or auditory hallucinations. No overt evidence of paranoid or delusional thought processes noted. She denies suicidal or homicidal ideation and is future oriented.

At this point, please discuss any additional diagnostic tests you would perform on Stefanie.

Decision Point One

BASED ON THE INFORMATION PROVIDED IN THE SCENARIO ABOVE, WHICH OF THE FOLLOWING DIAGNOSES WOULD THE PSYCHIATRIC/MENTAL HEALTH NURSE PRACTITIONER (PMHNP) GIVE TO STEFANIE?

In your write-up of this case, be certain to link specific symptoms presented in the case to DSM–5 criteria to support your diagnosis.

 

Bipolar I, current phase, depressed

 

Bipolar II, current phase, hypomanic

 

Cyclothymic disorder