Issues in Aging and Longevity Paper

Issues in Aging and Longevity Paper Issues in Aging and Longevity Paper Can you help me understand this Nursing question? SEE RUBRIC PLEASE The population of the United States is made up of people from many different cultures, races and ethnic groups, so it is very important that nurses provide culturally competent health care. Review the case study about Mr. Wong and answer the following questions: Issues in Aging and Longevity Paper Discuss how Ms. Faye applied the knowledge she had learned about Mr. Wong’s culture and health care beliefs to provide individualized nursing care. How did Ms. Faye’s new approach to Mr. Wong make him feel? Discuss a personal or professional experience when you learned more about another’s culture in order to improve your interaction. Choose a different cultural or ethnic group and learn more about this group’s health care beliefs, values and culture. How does this group view illness, how are health care decisions made, what is the meaning of food during illness, who cares for the sick or elderly? Discuss how this case study situation would change if Mr. Wong was a member of the group you chose. How would the nursing care change to convey acceptance of the patient’s health care beliefs? discussion_board_assignments_description__1__fall2019.docx discussion_board_culture_case_study_mr._wong_1___1_.docx discussion_board_grading_rubric_word_1___3_.docx ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS Discussion Board Assignments: 1. Participants must create an initial thread in order to view other posts in this forum. Please think through your post before submitting. Students often write their posts out in a Word document, save it and then “cut and paste” it into the discussion board. It is wise to keep a copy of your work. Students posting a blank thread or an incomplete post will be graded on what is visible. Students will be given a zero (0) for blank or grossly incomplete DB posts. 2. All students are expected to participate in the discussion board assignments. Discussion participation is ongoing and concluded the last day of the module. Participation should be throughout the discussion board session and not be over 1-2 days or all in one session. Discussion Board Session dates are posted in the course schedule. The primary post is due on the Wednesday of the first week of the discussion board. There is a 5 point deduction per day for primary posts submitted after the first Wednesday. 3. Discussion Boards will open on the Monday as stated on the course schedule and close 1 week later on the following Sunday at 11:59 PM EST 4. On-line contributions should be completed during the module time frame indicated, the courses are not self-paced. Late postings-postings outside of the assigned module-will not be accepted and will receive zero points. 5. Each student will make a minimum number of posts as listed on the Discussion Board Rubric. Meeting the minimum requirement earns a score of 85. Students who exceed the minimum number of posts, participate throughout the discussion board session and who demonstrate active engagement in the discussion will receive a higher score. One posting must be in response to the discussion topics for the module. Refer to the Discussion Board Rubric for more detail. 6. The contribution of original thoughts/ideas and the quality of your participation will be considered. Note: Simple “I agree/disagree”, “I found it interesting” or “Way to go” is not an adequate posting and is not acceptable. 7. Review online conduct & ‘netiquette’ in the RN-BSN handbook pages 37-38. 8. Module discussion board response & synchronous online discussions will be evaluated based upon the following criteria. The student is able to: a. Contribute new thoughtful, substantive ideas. b. Clarify, understand and question other student’s contribution to the discussion board. c. Constructively disagree and/or take alternate positions to other student’s contributions. d. Give negative and positive feedback in a respectful, professional manner in response to other student’s contributions. e. Explore the issue, by citing relevant resources from the literature, course readings and reputable online links. f. Clearly and effectively convey their ideas in a succinct cogent and persuasive manner. Nurs 407 Issues in Aging and Longevity Module 2 Discussion Board: Culture Case Study: Mr. Wong Ms. Faye, a nurse on the rehabilitation unit of a nursing home in New York, has been assigned to Mr. Wong, a 78-year-old male from mainland China, who has been admitted for rehabilitation following total hip replacement surgery and is expected to be discharged back to his senior housing community in four weeks. Ms. Faye is concerned about Mr. Wong’s weight loss and reports from the nursing and rehabilitation staff that he is too tired to attend physical therapy. He is not meeting his goals for physical therapy. Ms. Faye reads the nursing assistant’s reports for the past week and sees that he is only eating about 1/3 of his meals. She studies his medical record and learns that Mr. Wong emigrated from China at age 38, worked as a short order cook in a Chinese restaurant, and speaks only Cantonese. He has a son and a daughter-in-law and two grandchildren who live in San Francisco. His wife is deceased. Drexel University Issues in Aging and Longevity Paper Ms. Faye sees that labs were drawn to evaluate his nutritional status and determine physiological causes of weight loss. After reading the health record, she notes that Mr. Wong’s lab values are normal and there is no evidence of an underlying disease process that would explain his weight loss. She speaks with the social worker, Mr. Magioncalda, who has had a chance to interview Mr. Wong in more depth. She wonders aloud why Mr. Wong never learned English after living here so long. Mr. Magioncalda explains that like most Chinese Americans of his age, Mr. Wong lived in an ethnic neighborhood enclave with other Chinese Americans who only spoke Cantonese, and he worked between 10 and 12 hours a day, precluding the opportunity to learn English. This insight into the life of Mr. Wong caused Ms. Faye to think about what other judgments or misconceptions she might have about people from China. “Well,” she thought to herself, “it is hard to figure out what they’re feeling, because they don’t seem to express their emotions the way most people I know do.” She realizes that she has not yet seen Mr. Wong’s son and wonders if perhaps Mr. Wong is depressed because his son is not visiting him and not meeting his expectation that his son will take care of him. Ms. Faye believes that Chinese people are hardworking, they want their children to do well in school, they expect their children to show respect to their parents and they stick together. Ms. Faye requests that the occupational therapy assistant, Ms. Lee, who also serves as the Cantonese translator, accompany her to talk to Mr. Wong. She and Ms. Lee knock and enter his room, where he is lying on the bed. Ms. Faye greets him and asks Ms. Lee to tell Mr. Wong that she would like to ask him a couple of questions. First, Ms. Faye asks Ms. Lee to ask Mr. Wong if he is in pain. Mr. Wong responds softly, “no.” Ms. Faye proceeds to ask Ms. Lee to ask Mr. Wong if he is depressed or anxious. Mr. Wong wonders why such a young woman is looking at him so directly and asking him very personal questions. He is even somewhat annoyed, because he would not allow himself to become depressed, even if he was going through a very difficult time. Without looking at the two women, he responds that he is fine. Ms. Faye asks Ms. Lee to translate that if he needs anything, he should let her know. She walks away with Ms. Lee, thinking, “it is just like I thought. He is not going to tell me what he is feeling.” Ms. Lee, as if reading her mind, says “Elderly Chinese people believe that they must be stoic about pain and there is a stigma about talking about mental health problems.” This explanation had not occurred to Ms. Faye, who decides maybe she should learn a little more about Chinese culture. She realizes that it is important to learn about the Chinese elderly because this is one of the fastest growing subpopulations in the United States. She reads more about the Chinese culture and as she suspected, the Chinese family structure is very important. It is influenced by Confucianism, which emphasizes interdependence and harmonious family relationships. Family relationships are defined by prescribed roles, hierarchy, and traditional obligations. Parents expect their children to take care of them and many sons never leave their families out of a sense of duty. Ms. Faye wondered how living in the United States might have affected traditional relationships. She reads some more articles and is surprised to learn that through the process of acculturation many Chinese elderly in the United States no longer feel quite as strongly that their children are responsible for taking care of them; the Chinese elderly are more self reliant but also rely upon a network of neighbors to help them, particularly when children are far away. Ms. Faye decided to take a different approach with Mr. Wong. Learning that Mr. Wong might be more comfortable talking with another man, Drexel University Issues in Aging and Longevity Paper Ms. Faye asks Mr. Chou, a nurse and trained translator, to speak with Mr. Wong. This time she asks Mr. Chou to ask about Mr. Wong’s family, and if his son was planning on visiting him. Having read that Mr. Wong is not accustomed to communicating with direct eye contact, she keeps her eyes averted. Mr. Wong responds that his son is a very busy cardiac surgeon in San Francisco and has not been able to take time off from work, but he and his family should be arriving in two days. Ms. Faye then asks Mr. Chou to ask Mr. Wong if something is bothering him. Mr. Wong reports that his neighbor, who is his best friend, is in the hospital after having suffered a stroke and he has not been able to visit him. He is very worried about him but was unable to navigate New York’s subway system without someone to accompany him. Since his friend had a stroke three weeks ago, he has lost his appetite and just feels exhausted. Ms. Faye suggests that maybe when his son arrives with his family, they can take him to the hospital to visit his friend. Mr. Wong replies that he does not want to be a bother to his son. Ms. Faye asks Mr. Chou to tell Mr. Wong that she would advise the family that it is important for Mr. Wong’s health to see his friend. Mr. Wong nods in agreement. Encouraged by that response, Ms. Faye decided to learn more about the culture. She learned that illness is viewed holistically and was believed to be caused by an imbalance of yin and yang and a disruption of the flow of vital energy. Certain foods were used during periods of illness, when “hot” or “yang” foods might be preferred because of their healing properties. Because of hot and cold theories of illness, or simply from long-established custom, an elderly Chinese patient might be reluctant to drink cold water and might prefer hot tea. She also learned that many Chinese immigrants experience depression from the stress of adjusting to a new culture, loss of family and traditions, loss of social status, and memories of severe deprivation or political violence in their countries of origin. However, as in many cultures, people may not consider their symptoms of depression to be a mental illness and therefore may express their symptoms of depression in terms of bodily complaints such as pain and fatigue. The next time Ms. Faye went on rounds to give Mr. Wong his medication; she brought hot tea instead of the usual cold water. Mr. Wong was sitting up in bed, speaking animatedly with his family, who has just come for a visit. He is happily eating some Congee, a rice porridge sprinkled with ground pork that his family brought him. She introduces herself to the family in English and greets Mr. Wong with “Ni hao ma?” (“Hello, how are you?”), a phrase that she learned from the translator. Mr. Wong looked at her, surprised, but nodded his head to indicate that he was okay. She handed him his medicine and the hot tea, which he willingly accepted. She then asks if he is experiencing any pain, “Ni xian zai tong ma?” Mr. Wong shakes his head no. His daughter-in-law explained that he does appear to be in pain when he moves, but he does not want to take any pain medication because he believes he will become addicted. Ms. Faye explains that the medication he has been prescribed, ibuprofen, is not addicting. He nods his head in agreement. Ms. Faye gives him the ibuprofen and asks the family if they can take him to see his friend. The family agrees and Ms. Faye leaves the room to make arrangements for his transportation. The next day, Ms. Faye is working the night shift. Neither Mr. Chou nor Ms. Lee is working that shift, so Ms. Faye enters Mr. Wong’s room with his medication and a Chinese pain scale. Mr. Wong points to the numbers on the scale indicating that his pain is well controlled with the ibuprofen. She then opens a Chinese translator that she has downloaded into her cell phone and types “Is there anything else I can help you with?” and she hands him the phone. He types back in Cantonese, “Yes, please play the CD that my family has brought me.” She turns on the CD player and for the first time, he smiles happily as she says good-bye. Caplan, S. (2013). Culture. In Giddens, J.F. (Ed), Concepts for nursing practice (pp. 36-37). St. Louis, Missouri :Mosby Elsevier. The population of the United States is made up of people from many different cultures, races and ethnic groups, so it is very important that nurses provide culturally competent health care. After reviewing the case study, answer the following questions. Drexel University Issues in Aging and Longevity Paper 1. Discuss how Ms. Faye applied the knowledge she had learned about Mr. Wong’s culture and health care beliefs to provide individualized nursing care. How did Ms. Faye’s new approach to Mr. Wong make him feel? 2. Choose a different cultural or ethnic group and learn more about the culture. Discuss how this case study situation would change if Mr. Wong was a member of the group you chose. How would the nursing care change to convey acceptance of the patient’s health care beliefs? Discussion Board Grading Rubric Points Primary Response: 60 points Secondary Responses: 10 points Secondary Responses: 10 points Characterization of Response Primary response is a clear discussion addressing all of the questions and points posted on the discussion board. The student will integrate course readings, personal opinion, original thoughts, questions, and new ideas related to the topic. The student will also include an understanding of the relationship of the topic to nursing. Student presents a logical argument that is organized for easy understanding. Students will post their primary response to the discussion board by the Wednesday of the open discussion week so that others may respond to their discussion. Five points will be deducted each day for posting after Wednesday. The student must post a primary response before being able to view other posts Subsequent Responses: Minimum of two (2) required. Responses may address opposing views or agreement with posted ideas. Response should be backed up with details and evidence to support the response. Students are encouraged to extend the topic to a deeper level with the use of personal experience, new questions, and additional external information linked or attached that adds depth to the discussion. Responses may address opposing views or agreement with posted ideas. Response should be backed up with details and evidence to support the response. Students are encouraged to extend the topic to a deeper level with the use of personal experience, new questions, and additional external information linked or attached that adds depth to the discussion. Participation 10 points Participation throughout the 1 week session. Posts on same day, over 1-2 days or only at the end of the session (-5) 10 points Clear sentence structure and grammatically correct sentences. Attractive and easy to follow formatting including paragraph breaks, bullets, or headings so ideas are easy to follow. Include transitions between ideas creating a nice flow for the reader to follow. Correct spelling. Proper use of APA formatting and citations for material contributed to other authors and references. Total for this discussion board entry 100 points …Drexel University Issues in Aging and Longevity Paper Purchase answer to see full attachment Student has agreed that all tutoring, explanations, and answers provided by the tutor will be used to help in the learning process and in accordance with Studypool’s honor code & terms of service . Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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