L.W. is a nurse practitioner in an urban community. Many of her clients recently immigrated to the United States from various countries. She is challenged by the many different cultures she encounters

Case 2

 Cases

L.W. is a nurse practitioner in an urban community. Many of her clients recently immigrated to the United States from various countries. She is challenged by the many different cultures she encounters and the different values and beliefs they hold toward Western medicine.

She is determined to earn her client’s trust. She does this by providing healthcare services that are respectful of each client’s health beliefs and practices and cultural needs. She knows she must set aside her own values and beliefs to focus on what is important to her clients in order for them to have successful outcomes.

Questions for the case

Give at least two examples of emerging populations in the United States and describe their cultural characteristics that might interfere with their healthcare.

Case 2

 Cases

P.Q. is a nurse practitioner in a rural, agricultural community. The community is populated mostly by Hispanic families that work in the fields. Many of the families are migrant workers. They stay in their community during the planting and harvesting seasons and then migrate back to Mexico or to other communities where they can find work.

Many of the families that he helps are struggling to stay together. Many parents must leave their young children behind in Mexico. Husbands and wives are separated frequently, putting additional stress on the family system. As a child of migrant farm workers, P.Q. understands their predicament first-hand and is able to assist the families he serves with viable health promotion plans.

Questions for the case

P.Q. uses the following five measures of family functioning to determine the effectiveness of interventions:

·        changes in interaction patterns

·        effective communication

·        ability to express emotions

·        responsiveness to the needs of members as individuals

·        problem-solving ability

Define each one and give clinical examples.

Case 2

 Cases

C.B. is a student nurse practitioner completing her practicum in an office practice She assists the community with blood pressure and immunization clinics. The primary roles in this setting are education and health prevention.

C.B. has completed a population assessment and determined that the community is lacking in organized physical activities. The community that she is working in has a diverse age group between 56 and 87 years of age, with the majority of the residents being between 70 and 74 years of age. The members of the community are active in the health screenings and clinics and enjoy including the nursing staff in their activities.

Questions for the case

Which are the recommendations according to the Centers for Disease Control and Prevention for older adults regarding type, quantity and quality of exercise per week?

Case 2

 Cases

M.T. is a nurse practitioner in a busy OBGYN clinic. Her clients include women from various socioeconomic and cultural backgrounds. M.T. spends her time educating women about interventions for a healthy pregnancy.

She promotes the physical, mental, and spiritual health of her clients throughout the childbearing years. Although she primarily works with pregnant woman, her ultimate goal is to assist each family to have a healthy pregnancy and birth outcome and lay the foundation for satisfactory parenting and family life.

Questions for the case

M.T. participates in community health fairs educating childbearing-age women about healthy lifestyles that can improve chances for a healthy pregnancy. Women should be made aware that certain preconception interventions may improve not only the outcomes of pregnancy but their overall health as well. Design a plan that fits the needs for the health fair that M.T. is participating. List the recommendations and the rationales.

Case 2

 Cases

E.J. is a nurse in an elementary school setting. Health promotion at the school-age level is a critical time when behaviors can be influenced before unhealthful patterns have become the standard. Healthy behaviors are taught and modeled by the nurse as well as the teachers in the school.

She has a diverse set of roles. She provides direct care to ill or injured students when needed. She also coordinates vision and hearing screenings, tracks immunization compliance, provides referrals, and participates in the care and planning of special needs students. She is aware that she has high rates of students with asthma and allergies, so she monitors the air quality index in her community.

Questions for the case

The prevention of overweight and obesity is critically important during the school-age years. Which educational interventions as a Nurse practitioner you should give to your school-age patients?

Case 2

 Cases

K.Y. is an employee-health nurse practitioner for a large corporation. Her role is to advocate for her clients by helping them improve their quality of life, both for the present and the future, through the identification of risk factors, health promotion, and other nursing interventions. The majority of the employees She sees are middle-aged adults.

Her clients come to see her for a variety of reasons, including stress, mental illness, and on-the-job injuries. K.Y. assists her clients by providing education about healthy lifestyle choices, referrals to community resources, and counseling.

Questions for the case

Make a summary of the typical biological changes in the middle-aged adult.