Clinical Skills Self AssessmentAs an advanced practice nursing student, my journey in the world of healthcare has been rewarding, with each encounter and every experience increasing my skills, knowledge, and clinical acumen. An important part of the path towards becoming a proficient healthcare professional, however, is self-assessment. Women's reproductive health is a focus of my studies and practice, and this paper addresses my self-assessment in this area.Self-Assessment and InsightAfter completing the Clinical Skills and Procedures Self-Assessment, I have gained valuable insights about my current level of proficiency in a range of procedures related to women's reproductive health. My experience as a working nurse in a women's health clinic has also enabled me to develop a solid foundation, particularly in the areas of pap smears and breast examinations. With consistent practice and a high volume of patients, I've grown very confident in these procedures, rating myself a 5 out of 5…...
mlaReferences
Fowler, G. C. (2019). Pfenninger and Fowler’s Procedures for Primary Care (4th ed.). Elsevier.
HealthyPeople 2030. (2020). Healthy People 2030 framework.Links to an external site. https://www.healthypeople.gov/2020/About-Healthy-People/Development-Healthy-People-2030/Framework
Schuiling, K. D., & Likis, F. E. (2022). Gynecologic health care (4th ed.). Jones and Bartlett Learning.
It is never possible to know everything about the world: We each possess a limited perspective. However, the point of research (as opposed to other ways of investigating the world, such as writing poetry) is to maximize the amount of knowledge that one can acquire.
Textual analysis in this case would treat written assessments of the state of reproductive health in Nigeria as a form of narrative about the culture, a form of storytelling. To describe it as storytelling, however, might be construed as implying that the texts in question are somehow fictional, or even intentionally inaccurate. But the point of textual analysis, the fundamental reason that this form of research design and analysis exists to begin with, is that all texts (whether written or verbal) can be analyzed as a form of story.
From this perspective, storytelling is seen as one of the most basic of all human activities, something…...
mlaReferences
Chandler, R. (1994) Retrieved from http://www.aber.ac.uk/media/Documents/S4B/ .
The qualitative vs. quantitative debate, n.d. Retrieved from http://writing.colostate.edu/guides/research/gentrans/pop2f.cfm .
Textual analysis, n.d. Retrieved from http://culturalpolitics.net/popular_culture/textual_analysis
IntroductionThe Social Determinants of Health (SDOH) encompass a range of factors that impact health outcomes, well-being, and quality of life, including aspects such as housing, education, job opportunities, nutrition, environmental conditions, and others. In relation to female reproductive health, SDOH can significantly shape women's health outcomes. Understanding the role these determinants play can provide critical insights into the challenges faced by women, particularly those who belong to vulnerable and marginalized populations. This paper examines the groups most affected by SDOH, identifies key challenges, proposes potential solutions, suggests appropriate risk assessment instruments, and highlights potential health-related risks in the context of female reproductive health.Who is Most Affected?In the context of female reproductive health, SDOH tend to most significantly affect women from disadvantaged socioeconomic backgrounds, women of color, and immigrant women (Vedam et al., 2019). Lower income levels, fewer educational opportunities, substandard housing, and inadequate access to quality healthcare contribute to more…...
mlaReferences
Beavis, A. L., Sanneh, A., Stone, R. L., Vitale, M. R., Levinson, K., Fader, A. N., & Wethington, S. (2019). Utilizing the health leads screening toolkit: a quality improvement initiative to detect and address essential and social resource needs in gynecologic oncology clinic patients. Gynecologic Oncology, 154, 24-25.
Moriarty, D. G., Zack, M. M., & Kobau, R. (2003). The Centers for Disease Control and Prevention\\\\\\'s Healthy Days Measures–Population tracking of perceived physical and mental health over time. Health and quality of life outcomes, 1(1), 1-8.
Vedam, S., Stoll, K., Taiwo, T. K., Rubashkin, N., Cheyney, M., Strauss, N., ... & Declercq, E. (2019). The Giving Voice to Mothers study: inequity and mistreatment during pregnancy and childbirth in the United States. Reproductive health, 16(1), 1-18.
Ideally, the diaphragm is used with contraceptive agents to increase effectiveness. The male condom covers the entire penis to prevent any sperm from entering the female after ejaculation. The female condom works on the same principle, only instead of fitting around the penis, it is designed to line the inside of the vagina where it is intended to perform the same function (Taylor, Lillis, & LeMone, 2005).
Chemical contraception includes oral birth control pills, most of which contain various combinations of estrogen-based hormones designed to inhibit ovulation. Other forms of chemical contraception include skin patches and subcutaneous implants that perform the same essential function as oral contraception except directly through the circulatory system. Similarly, injectable contraceptives such as Depo-Provera eliminate the need for oral pills as well as for estrogen because Depo-Provera uses progestin instead of estrogen, which is safer for many women and associated with fewer side effects. Generally,…...
mlaReferences:
Taylor, C., Lillis, C., LeMone, P. (2005). Fundamentals of Nursing: The Art and Science
of Nursing Care. Philadelphia: Lippincott, Williams, and Wilkins.
Logic
Assessing Research on Bass in the Potomac River
What problem were the researchers investigating?
The research was undertaken to assess whether the location of fish, specifically smallmouth bass and largemouth bass, downstream from wastewater treatment plants, is influencing the biological development of the fish with reference to the presence of cells associated with female reproductive systems developing on the testis of male fish.
Give the background of the problem
In 2003 a study was undertaken which identified that between 33% and 80% of the smallmouth bass in the South Branch of the Potomac river had some developmental abnormalities, with the presence of oocytes on the male fish testis. Oocytes are he cells which will develop into ovum for reproduction in females, and are usually absent in males. With the testicular oocytes observed on fish collected across different areas of the South Branch of the river it would appear that there was a causal factor…...
Journal Entry # - Women eproductive Healtheflection on the three most challenging patient encounters and what was most challenging for each:1. Language and cultural differences: The most challenging patient encounter I experienced in my womens reproductive health assignment involved significant language and cultural barriers. These types of barriers adversely affect effective communication and understanding between the nurse and the patient and interfere with the development of a therapeutic rapport. Moreover, these types of challenges are becoming increasingly commonplace because nurses frequently encounter patients from diverse cultural backgrounds who may have limited proficiency in English or hold fundamentally different cultural beliefs and practices in general and with respect to healthcare in particular. From a nursing perspective, the most challenging aspect with these types of challenges is ensuring accurate and meaningful communication to provide appropriate and timely care.2. Emotional distress and anxiety: Another challenging patient encounter involved a patient who was experiencing…...
mlaReferencesHong, S., & Lee, J. Y. (2022). Evaluation of therapeutic communication education for nursing students based on constructivist learning environments: A systematic review. Nurse Education Today, 119, 105607.Olsen, D. P. (2019). Ethical Considerations When Dismissing Patients for Noncompliance. The American Journal of Nursing, 119(2), 64–66.Squires A. (2017). Evidence-based approaches to breaking down language barriers. Nursing, 47(9), 34–40.
Female eproductive Health - Episodic Case Study: PreeclampsiaPatient Information:Initials: J.D.Age: 32 yearsSex: Femaleace: CaucasianSubjective:CC: Headache and visual disturbancesHPI: Mrs. J.D., a 32-year-old Caucasian female, presents with a headache that started 3 days ago. She describes the pain as pounding, primarily located around her eyes and temples. In addition, her headaches are frequently accompanied by nausea, vomiting, photophobia, and phonophobia. She also reports that the symptoms intensify after spending long hours on the computer for work. Light bothers her eyes, and although taking Naproxen provides some relief, the pain persists at a 7/10 intensity on a pain scale.Current Medications:Naproxen 500mg, taken as needed for headache reliefAllergies:No known medication, food, or environmental allergiesPMHx:No significant past major illnesses or surgeries.Soc & Substance Hx:Occupation: Office administratorNo tobacco or alcohol useShe practices safe driving habits, and her living environment is in good condition.Fam Hx:No family history of genetic or chronic illnesses.Surgical Hx:No prior surgical procedures.Mental…...
mlaReferencesAmerican College of Obstetricians and Gynecologists. (2019). ACOG Practice Bulletin No. 202: Gestational Hypertension and Preeclampsia. Obstetrics and Gynecology, 133(1), e1–e25.Qian, Y. et al. (2023). Literature Overview of Association Between Preeclampsia and Cardiovascular Risk. Anatolian Journal of Cardiology / Anadolu Kardiyoloji Dergisi, 27(4), 179–184.Smith, C., Fought, A. J., Sung, J. F., McKinney, J. R., Metz, T. D., Fetters, K. B., Lazarus, S., Capraro, S., Barr, E., Glenny, C., Buehler, J., & Weinberg, A. (2023). Congenital malformations and preeclampsia associated with integrase inhibitor use in pregnancy: A single-center analysis. PLoS ONE, 17(6), 1–17.
Conclusion
Prejudice and ethical/leadership issues with healthcare are nothing new but the fight to keep those standards and ethics on an even keel and prevent racism, bigotry and predudice of any sort including based on class, money, political ideology, nationalism, and so forth should be stomped out and eviscerated whenever it can be. People are people and should treated with dignity and respect regardless of their race, gender, beliefs and so forth. Even convicted murderers and rapists should not be treated disdain due to their actions because doing otherwise lowers the ethics and standards of the healthcare community that can and should still apply at all times.
eferences
Callahan, M. (2008). Healthcare providers constricted by financial, legislative, and regulatory issues. The Journal of Medical Practice Management: MPM, 24(3),
143-146.
Cobaugh, D., Angner, E., Kiefe, C., ay, M., Lacivita, C., Weissman, N., & ... Allison, J.
(2008). Effect of racial differences on ability to afford prescription medications.
American…...
mlaReferences
Callahan, M. (2008). Healthcare providers constricted by financial, legislative, and regulatory issues. The Journal of Medical Practice Management: MPM, 24(3),
143-146.
Cobaugh, D., Angner, E., Kiefe, C., Ray, M., Lacivita, C., Weissman, N., & ... Allison, J.
(2008). Effect of racial differences on ability to afford prescription medications.
Health Care oles in Communication
Communication is a fundamental piece of health care education and has been shown to improve health outcomes, patient compliance, and patient satisfaction. Quality health care emphasizes knowledge and utilization of communication skills. Health care professionals often express anxiety and lack of confidence and are deficient in a creating a situations that are conducive to open and candid communication with patients (Kameg et. al., 2009).
Effective communication involves gathering information, establishing a relationship or connection with a patient, and supporting the person through words and other non-verbal forms of interactions. Effective communication involves not only the interactions between the staff and the patient but also the interactions between staff and the interactions between the staff in front of the patient. Many times the high demand for services in a health care facility cause the staff to overlook the importance of good communication skills and enables situations to arise…...
mlaReferences
Beer, J.E. (2003). Nonverbal Communication: Communicating across cultures. Cultures at work. Retrieved May 29, 2011 from http://www.culture-at-work.com/nonverbal.html
Coiera, E. (2006, May). Communication systems in healthcarre. Clinical Biochemist Reviews. nursing.Vol. 27, Issue 2, 89-98. Retrieved May 28, 2011 from http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1579411/
Gamble, T.K. & Gamble, M. (2006). Communication works. Burr Ridge, IL: McGraw-Hill.
Health Communication. (2010). Health communication. Healthy people 2010: Objectives for improving reproductive health. Office of Disease Prevention and Health Promotion. Retrieved May 29, 2011 from http://www.hhs.gov/opa/pubs/hp2010/hp2010rh_sec2_healthcomm.pdf
Two elements that are extremely useful in the examination of health care. In this regard therefore, quality is also differentiated along SES. Persons who are higher on the socioeconomic ladder experience better "desired health outcomes."
The access to quality health care also has cultural and SES elements to it. Dressler & Bindon (2000) identify cultural consonance as a factor in determining blood pressure in African-American communities. The implications of this work are that cultural elements play a big role in health care quality and access. Whites tend to have greater access to better health care than minority groups. This access is in terms of the proximity of quality physicians, medical services, and facilities.
The ethical implications of the differential access to health care are troubling (Kulczycki, 2007). This is primarily because a health care discussion is a life and death discussion. Quality health care is the right of every citizen, and…...
mlaReferences
Dressler, W.W., Balieiro, M.C., & Dos Santos, J.E.(1988). Culture, Socioeconomic Status, and Physical and Mental Health in Brazil Medical Anthropology Quarterly, New Series, 12
(4): 424-446.
Dressler W.W., & Bindon, J.R. (2000).The Health Consequences of Cultural Consonance:
Cultural Dimensions of Lifestyle, Social Support, and Arterial Blood Pressure in an African-American Community American Anthropologist, New Series, 102
" (AAF, nd)
The Health Maintenance Organization further should "…negotiate with both public and private payers for adequate reimbursement or direct payment to cover the expenses of interpreter services so that they can establish services without burdening physicians…" and the private industry should be "…engaged by medical organizations, including the AAF, and patient advocacy groups to consider innovative ways to provide interpreter services to both employees and the medically underserved." (AAF, nd)
One example of the community healthcare organization is the CCO model is reported as a community cancer screening center model and is stated to be an effective mechanism for facilitating the linkage of investigators and their institutions with the clinical trials network. It is reported that the minority-based CCO was approved initially by the NCI, Division of Cancer revention Board of Scientific Counselors in January 1989. The implementation began in the fall of 1990 and the program was experiencing success…...
mlaPrinciples for Improving Cultural Proficiency and Care to Minority and Medically-Underserved Communities (Position Paper) (2008) AAFP -- American Academy of Family Physicians http://www.aafp.org/online/en/home/policy/policies/p/princcultuproficcare.html
Volpp, Kevin G.M. (2004) The Effect of Increases in HMO Penetration and Changes in Payer Mix on In-Hospital Mortality and Treatment Patterns for Acute Myocardial Infarction" The American Journal of Managed Care. 30 June 2004. Issue 10 Number 7 Part 2. Onlineavaialble at: http://www.ajmc.com/issue/managed-care/2004/2004-07-vol10-n7Pt2/Jul04-1816p505-512
Darby, Roland B. (2008) Managed Care: Sacruificing Your Health Care for Insurance Industry Profits: Questions You must ask before joning an HMO. Online available at: http://www.rolanddarby.com/br_managedhealth.html
As a woman enters her geriatric years, many unique problems are also faced. Her post-menopausal period leaves a woman with increased risk of osteoporosis, and hormone-replacement therapy may need to be considered or dismissed depending upon the needs and wellness of the individual women. Additionally, increased risk for obesity begins nearly at the adolescent period, when women's hormone loads change and often activity of childhood decreases. The incidence of obesity and overweight among women perpetually increases with every year of life. ("Overweight, Obesity Threaten U.S.," 2002, p. 8)Obesity and overweight, as one of the most significant conditions associated with several chronic diseases, such as type 2 diabetes, heart disease, increased risk of stroke and hypertension should be developed as a lifespan issue, as the needs of intervention and prevention change as women age and go through various stages of life.
While women have functional characteristics that require specialized health care,…...
mlaReferences
Blackwell, Daria, 2002. Women in the Healthcare Industry Reaching for the Top. Medical Marketing & Media, Dec2002, Vol. 37 Issue 12, p44, 8p.
Fleming, Carl, 2004. Healthcare Access: Conflicts of Interest Presented by Managed Care Icu Bedside Rationing and Their Impact on Minorities and Women. Georgetown Journal of Gender & the Law, Spring2004, Vol. 5 Issue 1, p663-676.
Heyman, B., & Henriksen, M. (2001). Risk, Age and Pregnancy: A Case Study of Prenatal Genetic Screening and Testing / . New York: Palgrave.
Lueck, T.L., & Chang, H. (2002). Tribune's 'WomanNews' Gives Voice to Women's Issues. Newspaper Research Journal, 23(1), 59.
Does Socio-economic Status Impact lives of People with HIV and AIDS?
Individuals with a lower socio-economic status are more prone to contracting HIV and AIDS virus. This measure also determines how individual status, relates to proper medical care. Lack of socioeconomic strength associated to the practice of risky sexual behaviors results to HIV contraction. Men engage in sexual intercourse with many partners without using a condom (Will 2000). Women at this lower level engage in riskier sexual behaviors. Homeless people are more vulnerable to infection, women in such situations are prone to rape and, men are most likely drug users. Individuals with low socioeconomic resources are prone to injury, which makes the susceptible to the effects of the virus that affects the central nervous system (Earnshaw, Valerie and Stephenie 2009).
Does HIV Infection Affect the Socio Sconomic Status of Infected Persons?
HIV and AIDS have negative impacts on the productivity of an individual…...
mlaReferences
Semple, S.J., Patterson, T.L., Temoshok, L.R., McCutchan, J.A., Straits-Troster,
K., Chandler, J.A., & Grant, I. 2003. "Identification of psychobiological stressors among HIV-positive women." Women & Health, 20(4), 15-36.
Earnshaw, Valerie a., and Stephenie R. Chaudoir.2009. "From conceptualizing to measuring HIV stigma: a review of HIV stigma mechanism measures." AIDS
and Behavior 13.6 (2009): 1160-1177.
sufficient health care for runaway teenagers is a topic of grave concern to most in the medical and social professions, both nationally and in the state of California. With limited treatment options, higher risks of STD's, HIV, and other diseases, improper prenatal care, and a lack of community care options, runaway teens receive grossly inadequate health care. This paper will address those concerns, specifically in the state of California, as well as offering possible solutions to the problem, and will examine the role of the registered nurse in the solutions presented.
It is important to note that the life of a runaway teenager is filled with health risks and danger. Marie and Cheri are just one example. They were 13 when they ran away from home in an attempt to escape a drug addicted father who sexually abused them. With only $200 between them, their food supply and housing was…...
mlaReferences
Advanced Practice Registered Nurses Council. (2004). Information on APRNs. APRNs. Retrieved from Advanced Practice Registered Nurses Council on March 03, 2003. Web site: http://www.scnurses.org/A_P_Council/aprns.asp
American Civil Liberties Union. (May 14, 2003). Letter to the House Urging Opposition to the Musgrave Amendment to HR 1925, the Runaway, Homeless, and Missing Children Protection Act. Retrieved from American Civil Liberties Union website on March 3, 2004. Web Site: http://www.aclu.org/news/NewsPrint.cfm?ID=12643&c=225
California Board of Registered Nurses. (Fall, 2003). What is the RN Scope of Practice? The BRN Report, 15(2), 7-9.
California Office of the Attorney General. (2002). 2002 Reports of Missing Children by County. Sacramento, CA: California Department of Justice.
Migrant Health Problem
Presently, access to social and health services for most migrants is determined by their legal status. Undocumented migrants have least possible access to health services. Legal status is one of the preconditions for ability involved in receiving adequate care. Further, the availability, acceptability, quality and accessibility of such services is dependent on different influences such as cultural, social, linguistic, structural, gender, geographical and financial factors. From this, different knowledge and beliefs about ill health and healthy status deter migrants from engaging national health services.
Health literacy within such awareness senses entitlements individuals to availability and care services that pose barriers to using similar services (Becker, 2003). The situation also shows dependence on various migrants irrespective of the existing legal or socio-economic statuses. The nature of mobility makes it difficult to establish the available providers of health care service. Temporary and seasonal workers prefer delaying care until there is…...
mlaReferences
Becker, G. (2003). Socioeconomic Status and Dissatisfaction with Health Care among Chronically Ill African-Americans. American Journal of Public Health, 93(5), 742.
Carrasquillo, O., Carrasquillo, A. & Shea, S. (2000). Health Insurance Coverage of Immigrants Living in the United States: Differences by Citizenship Status and Country of Origin. American Journal of Public Health 90 (6): 917 -- 923.
Huang, J., Yu, S. & Ledsky, R. (2006). Health Status and Health Service Access and Use among Children in U.S. Immigrant Families. American Journal of Public Health 96 (4): 634 -- 640.
Okie, S. (2007). Immigrants and Health Care -- At the Intersection of Two broken Systems. The New England Journal of Medicine: 525 -- 529.
Here are some essay topics that explore different aspects of feminism:
1. The history of feminism and its impact on society
2. Intersectionality in feminism: How race, class, and sexuality intersect with gender in feminist movements
3. The portrayal of feminism in popular culture and media
4. The role of men in feminism and the importance of male allies
5. Feminist theory and its relevance in today's political and social climate
6. The challenges facing the feminist movement in the 21st century
7. Feminist perspectives on reproductive rights and bodily autonomy
8. The impact of globalization on women's rights and feminist movements worldwide
9. The relationship between feminism and....
Essay Topics Related to President Trump and President Biden
Domestic Policy
Fiscal Policy Differences: Examine the contrasting approaches to fiscal policy employed by Presidents Trump and Biden, highlighting their impact on the economy and national debt.
Immigration Reform: Analyze the evolution of immigration policies under Presidents Trump and Biden, considering their motivations, implementation, and implications for the nation.
Healthcare Debate: Discuss the heated debate on healthcare under Presidents Trump and Biden, examining the Affordable Care Act, Medicaid expansion, and drug pricing reforms.
Education Reform: Compare the educational initiatives and policies proposed by Presidents Trump and Biden, evaluating their effectiveness and potential....
I. Introduction
A. Introduction to reproductive cancers
B. Importance of addressing reproductive cancers in Malawi
C. Overview of policy statements and national strategies on reproductive cancers in Malawi
II. Policy Statement 1: Reproductive Cancers Prevention and Control Policy
A. Overview of the policy statement
B. Objectives of the policy statement
C. Key strategies and interventions outlined in the policy statement
D. Implementation challenges and opportunities
III. Policy Statement 2: National Cancer Control Strategy
A. Description of the national strategy
B. Goals and objectives of the strategy
C. Key components and focus areas of the strategy
D. Evaluation and monitoring mechanisms for the....
1. The Ethical Implications of Abortion: A Philosophical Analysis
Explore the complex ethical considerations surrounding abortion, considering the rights of the fetus, the moral status of the mother, and the impact on society as a whole.
Analyze different philosophical perspectives on abortion, such as utilitarianism, deontology, and virtue ethics.
2. Legal and Constitutional Issues in Abortion: A Historical and Comparative Review
Trace the history of abortion laws and regulations in the United States, examining landmark court cases and the evolution of legal protections for fetal and maternal rights.
Compare abortion laws and policies in different countries, considering legal frameworks, enforcement mechanisms,....
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