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SOCIAL CLASS AND FAMILY LIFE

SOCIAL CLASS AND FAMILY LIFE

DISCUSSION 1. The authors state that social class “exerts the greatest overall influence on family life.” In the Discussion, describe one situation in which you have seen how a family’s culture and/or social class have had a major impact on family behavioral patterns related to health care. Discussion Reply 1-tammy reideler As an oncology nurse navigator, I am not only treating the patient but also their family. I recently came across a middle age female newly diagnosed with breast cancer. I attended the first visit to the surgeon with her and the approach to her diagnosis was “I am going to die”. She was not open to any type of treatment, not surgery or chemotherapy. As the surgeon and myself began to dig deeper into why she felt this way we discovered that her sister recently died from breast cancer and she watched her suffer from the ill effect of chemotherapy. My patient did not want to live her last months or years as sick as her sister was. It took a lot of education and multiple visits to medical offices for this lady to trust in the process and understand that not every cancer acts the same way, and just because her sister experienced something doesn’t mean she will as well. The patient has entered treatment, but to this day she remains reluctant and could fall out of the program very easily. As a nurse navigator, it is my job to make she doesn’t get lost in the system, keep her educated on her treatment plan and to help keep things on tract, but I can only do as much as the patient is willing to engage in. Sometimes all the education and hand holding in the world can’t erase fear and patient perception. Discussion Reply 2 “The crucial difference between class is simply economic resources. Due to differences in resources, there is also a positive association between socioeconomic status and physical and mental health meaning that individuals from families who are poor are more likely to have poorer physical and mental health than those who are socioeconomically better off.” (Friedman, 222) I have observed social status affecting illness prevention. A family with seven young children came into the emergency department when one of the children fell and hit her head, leaving a large bruise and knot. Upon observing the condition of the children, the charge nurse opted to be safe and call in social work for a consultation. All of the children were filthy and had human feces on their clothing and feet. When asked about their home, they admitted that they rent a home in a safe area but could not afford furniture, and times did not have running water. Lack of running water alone is enough to cause concern over illness prevention and couple that with human feces and the level or risk for these children increases dramatically. It became apparent as well, after talking with mom, that she was unmotivated and appeared to be suffering from depression. She had also allowed their Medicaid to lapse so the children had received no medical care, vaccinations, or check ups in over a year. A referral was made for assistance through Child Protective Services for vouchers for beds for the children, daycare assistance so mom was able to clean the home, reinstate Medicaid services and look for a part time job. The mom was also referred to a psychiatrist for mental health evaluation and treatment. DISCUSSION 2 Benefits of Nurse-Client Cultural and Religious Congruence In the textbook, the authors make a case for the benefits of nurse–client cultural and religious congruence. From your work as a professional or student nurse, provide one specific example of a challenge you faced in providing care to a patient/family whose background was different from yours. DISCUSSION REPLY-TAMMY REIDELER As a nurse the biggest cultural challenge I face is the language barrier. I live in Jacksonville, Florida and we are a very diverse city. I can have patient’s that speak anywhere from Tagalog to Bosnian to Spanish. Communicating with patients and family members becomes very difficult if you don’t speak their native language. By utilizing the hospitals interpreter phones, we are able to connect the patient with a person that fluently speaks their language and is able to translate to the patient for the nursing staff and doctors. It bridges the otherwise very large gap in patient care for patients that are from different parts of the world. I recently had a Filipino patient in end stage renal disease, with a clogged AV fistula, overdue for diaylsis and with a critical potassium of 6.5. Having access to the translator phones helped me provide safe care to my patient and provided the patient with the appropriate patient teaching regarding his treatment plan. DISCUSSION REPLY 2 Benefit of Nurse-Client Cultural and Religious Congruence After being a firefighter/paramedic for twenty-seven years and a registered nurse, primarily emergency department, of twenty-five years I have come in contact with a multitude of cultures and religions. One specific ER patient comes to mind. During an emergency shift, I had a male patient in his early thirties accompanied by his wife, who was diagnosed with a gastrointestinal bleed. The loss of blood volume was becoming of concern so I addressed this with the patient. During this discussion he informed me that he was a Jehovah Witness and it was against his religion to receive blood products. While I did not agree with his decision, I respected his wishes based upon his religious beliefs and my nursing care was not compromised, nor was the trust I had established with my patient. I proceeded to discuss this dilemma with the physician and we were able to find an acceptable alternative to blood products, which was Dextran, a volume expander. The outcome of my intervention was successful on many levels, my patient became stable enough to be admitted to a room and my relationship with him and his wife was not compromised. His GI bleed was resolved and he was discharged from the hospital two days later. I would not have taken an alternative course of action in this situation because first, there was an alternative to blood products, which did not violate his religious beliefs, and second, I would never try to come between a patient and their faith regardless of my own personal feelings. N3352 Legacy of the Family Discussion – Social Class and Family Life Post your response by 2359 Wednesday Reply to at least two peers by 2359 Saturday Topic On page 222 of Chapter 8 in the textbook, Friedman et al. states, “Social class along with cultural background, exerts the greatest overall influence on family life influencing family values and priorities, family behavioral patterns, socialization practices, family role expectations, and world experiences.” In your professional or personal experiences, describe one situation in which you have seen how a family’s culture and/or social class have had a major impact on family behavioral patterns. This may be related to illness prevention (Stage 1 Health Promotion) and/or compliance with a treatment plan prescribed by the healthcare provider (Stage 5 Acute Response to Illness). 2/2016 Page 1 of 2 N3352 Legacy of the Family Rubric 5 Points will be deducted for EACH DAY late. No credit will be given for late Peer Responses Discussion Response Submitted on time* (20 points) Exceptional Superior Acceptable Response is posted by due date/time for each question Response is posted by due date/time for each question Response is posted by due date/time for each question (20 points) (20 points) (20 points) Unacceptable Response is NOT posted by the due date and time for each question (0 points) Length of Response ( 20 points) IncorporatesKey Concepts (30 points) Response is 101– 200 words. Response is 51–100 words. Response is a minimum of 50 words. Response is less than 50 words. (17-20 points) (14-16 points) (1-13 points) (0 points) Response is substantive and incorporates N3352 key concepts and principles. Response briefly refers to some N3352 key concepts and principles. Response refers to only one N3352 key concept or principle. Response refers to no N3352 key concepts or principles. (1-20 points) (0 points) Response includes specific, personal, or professional examples Response includes a general, personal, or professional example Response does not include a personal or professional example (21-25 points) (1-20 points) (0 points) (21-25 points) (26-30 points) Includes Specific Examples (30 points) Response includes specific, personal, or professional examples (26-30 points) Replies to Peers Quantity of Replies (10 points) Timely Posting of Replies * (10 points) Length of Reply (10 points) Exceptional Substantive replies are posted to 2 o r more peer comments Superior Acceptable Unacceptable Replies are posted to 2 peer comments. Replies are posted to 1 peer comment(s). Reply is NOT posted to a peer’s comments (6-8 points) (1-5 points) (0 points) (9-10 points) Reply is posted on time Reply is posted on time Reply is posted on time (10 points) ( 10 points) (10 points) Reply is NOT posted on time to a peer’s comments. (0 points) Each reply is over 50 words. Each reply is a minimum of 50 words. (8-10 points) (6-7 points) At least one reply is a minimum of 50 words. Replies are of unacceptable length. (1-5 points) 2/2016 Page 2 of 2 N3352 Legacy of the Family Relates to Content ( 20 points) 2/2016 Each reply relate substantively to the peer’s comment and incorporates N3352 key concepts and principles. Each reply relates to the peer’s comment and refers briefly to N3352 key concepts and principles. ( 16-20 points) ( 11-15 points) Reply relates to the peer’s comments. ( 1-10 points) Replies do not relate to the peer’s comments. (0 points) Page 3 of 2 N3352 Legacy of the Family Discussion – Benefits of Nurse-Client Cultural and Religious Congruence Post your response by 2359 Wednesday. Reply to at least 2 peers by 2359 Saturday. Topic Friedman et al. make a case for the benefits of nurse-client cultural, as well as religious congruence (see Chapter 8, pp. 214 – 215). These benefits include opportunities for improved communication and increased empathy. Of course, as nurses, we will provide care to patients and families who have different cultural backgrounds, native languages, and religious beliefs from ours. It is essential that we value diversity, are aware of cultural/religious differences, strive to overcome communication barriers, and learn key information about the cultural/religious beliefs and practices of the patients and families we serve. In your work as a professional or student nurse, provide one specific example of a challenge you faced in providing nursing care to a patient/family whose cultural background or religious beliefs were different than yours. What was the specific challenge? How did these differences impact you and your nursing care? What action(s) did you take to overcome the challenge? Describe the outcome of your interventions. Were you successful or unsuccessful in improving the nurse-patient/family working relationship? Knowing what you know now, would you have taken an alternative course of action? Why or why not? ©2010 University of Texas at Arlington Page 1 of 2 N3352 Legacy of the Family Rubric 5 Points will be deducted for EACH DAY late. Discussion Response Submitted on time* (20points) Exceptional Superior Acceptable Response is posted by due date/time for each question Response is posted by due date/time for each question Response is posted by due date/time for each question (20 points) (20 points) (20 points) Unacceptable Response is NOT posted by the due date and time for each question (0 points) Length of Response (20points) Incorporates Key Concepts (30points) Response is 101– 200 words. Response is 51– 100 words. (17-20points) (14-16 points) Response is a minimum of 50 words. Response briefly refers to some N3352 key concepts and principles. (1-13 points) Response refers to only one N3352 key concept or principle. (21-25points) (1-20points) Response includes specific, personal, or professional examples Response includes a general, personal, or professional example Response does not include a personal or professional example (21-25points) (1-20 points) (0 points) Response is substantive and incorporates N3352 key concepts and principles. Response is less than 50 words. (0 points) Response refers to no N3352 key concepts or principles. (0 points) (26-30points) Includes Specific Examples (30points) Response includes specific, personal, or professional examples (26-30points) Replies to Peers Quantity of Replies (10 points) Timely Posting of Replies * (10 points) Length of Reply (10 points) Exceptional Substantive replies are posted to 2 o r more peer comments Superior Acceptable Unacceptable Replies are posted to 2 peer comments. Replies are posted to 1 peer comment(s). Reply is NOT posted to a peer’s comments (6-8 points) (1-5 points) (0 points) (9-10 points) Reply is posted on time Reply is posted on time Reply is posted on time (10 points) ( 10 points) (10 points) Reply is NOT posted on time to a peer’s comments. (0 points) Each reply is over 50 words. (8-10 points) ©2010 University of Texas at Arlington Each reply is a minimum of 50 words. At least one reply is a minimum of 50 words. (6-7 points) (1-5 points) Replies are of unacceptable length. (0 points) Page 2 of 2 N3352 Legacy of the Family Relates to Content ( 20 points) Each reply relates substantively to the peer’s comment and incorporates N3352 key concepts and principles. ( 16-20 points) Each reply relates to the peer’s comment and refers briefly to N3352 key concepts and principles. Reply relates to the peer’s comments. ( 1-10 points) Replies do not relate to the peer’s comments. (0 points) ( 11-15 points) ©2010 University of Texas at Arlington Page 3 of 2 N3352 Legacy of the Family Discussions: Reading Response and Replies A) Response and B) Replies Headings: For each assignment, please include your name, the title of the assignment, and due date at the top of the Discussion page. Description: Students will engage in an online discussion in response to the textbook readings and Class Notes. The electronic discussion has two parts: A) student’s original response to text and Class Notes, B) student’s replies to peers. Part A: Response– Students will submit to the Group Discussion Board a reading response summarizing and linking the textbook and other assigned readings (as indicated in the schedule) as well as personal reactions to the material. Students should make ONLY ONE posting for each discussion question set no matter how many chapters/articles read. Mark the posting with the following label: Response #1, etc. Part B: Replies– There are NO RESPONSES REQUIRED. (See the grading rubric on the next page.) May 2017 Page 1 of 3 N3352 Legacy of the Family Rubric 5 Points will be deducted for EACH DAY late. No credit will be given for late Peer Responses Discussion Response Submitted on time* (20 points) Length of Response (20 points) Incorporates Key Concepts (30 points) Exceptional Superior Acceptable Unacceptable Response is posted by due date/time for each question Response is posted by due date/time for each question Response is posted by due date/time for each question (20 points) (10 points) (5 points) Response is NOT posted by the due date and time for each question Response is 101–200 words. Response is 51–100 words. Response is a minimum of 50 words. Response is less than 50 words. (11-20 points) (6-10 points) (1-5 points) (0 points) Response is substantive and incorporates N3352 key concepts and principles. Response briefly refers to some N3352 key concepts and principles. Response refers to only one N3352 key concept or principle. Response refers to no N3352 key concepts or principles. (1-15 points) (0 points) Response includes a general, personal, or professional example Response does not include a personal or professional example (16-25 points) (0 points) (26-30 points) Includes Specific Examples (30 points) May 2017 Response includes specific, personal, or professional examples Response includes specific, personal, or professional examples (26-30 points) (16-25 points) (1-15 points) (0 points) Page 2 of 3 N3352 Legacy of the Family Relates to Content ( 20 points) Each reply relates substantively to the peer’s comment and incorporatesN3352 key concepts and principles. (16- 20 points) May 2017 Each reply relates to the peer’s comment and refers briefly to N3352 key concepts and principles. Reply relates to the peer’scomments. Replies do not relate to the peer’s comments. ( 1-10 points) (0 points) ( 11-15 points) Page 3 of

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