NR 394 Week 7 Discussion: Presentation Of Course Project: Part 3 (Graded) 

NR 394 Week 7 Discussion: Presentation of Course Project: Part 3 (Graded) 

NR 394 Week 7 Discussion: Presentation of Course Project: Part 3 (Graded) 

My focus population is Adult Hispanics.  The Hispanic population in the county I work in is 43.4% compared to the National average of 18.5%.  I care for a large number of Hispanics in my current practice.  Working in ambulatory cardiology I chose a Leading Health Indicator that has a significant impact on cardiac health.  Uncontrolled hypertension and its impact on the Hispanic community.  The LHI goal is 60.8% of those diagnosed with hypertension to be controlled.  The current rate of controlled hypertension is only 48%.

Hypertension is the leading cause of heart disease and stroke in the United States.  Both Hispanics and White non-Hispanic have a similar rate of hypertension, but Hispanics are not well controlled.  Only 20% of Hispanics with known hypertension have blood pressure readings at goal.  Additionally, Hispanics have the highest rate of obesity in the U.S. which causes additional concern about the development of Metabolic Syndrome. 

There are some barriers to care when it comes to my specific community and population.  The level of poverty and lack of health insurance is higher in my community.  This is going to prevent those that want care from seeking care.  There is also a lack of education in addition to cultural beliefs on health that can impact care.  There is a belief in fatalism within the Hispanic culture which essentially means they feel they have no control over their health outcomes.  They are destined to have certain medical conditions and there is nothing that can be done about this.  Education and community outreach are essential in disproving this belief.  Hispanics also are reluctant to seek care due to language barrier and often feel discriminated against.  Best practice when caring for non-English speaking patients is to offer an interpreter without the patient needing to request this as it is not uncommon for Hispanics to feel shame in having to make this request.  Taking this element away will help create a connection with the patient and help them feel they are receiving patient-centered care.  Asking open-ended questions about what barriers each patient may have in their care will help provide culturally competent care.

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Bednarz NR394 Course Project Part 3-1.pptx

  1. Cultural population selected and why?  I chose the Hispanic/Latino population because they are estimated to the second largest group in the country in the next decade and also, where I live there is already a large population with people who identify as Hispanic/Latin being the second largest group.
    1. Health issue selected and why?  The health issue that I chose was hypertension because this issue is the second leading health issue within the group and with the increased population, we will see an increased number of Hispanic/Latin people who get modifiable hypertension based on diet and an increased sedentary lifestyle.
    1. Highlight three or more key points from your poster.  *Hypertension used to be a blood pressure of 140 mm Hg over 90 mm Hg, with new studies the range has been lowered to 130 mm Hg over 90 mm Hg.
    1. *Modifiable hypertension can have a drastic change if changes in diet such as the use of the DASH (Dietary Approaches to Stop Hypertesion) and exercise are included as a change in lifestyle.
    1. *Health issues such as bloody nose, anxiety, and increased heart rate may be signs of hypertesion.

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I enjoyed reading about your topic! I think this is a great to have researched as CKD stems from uncontrolled HTN and DM. I see many individuals within the hospital setting that are newly diagnosed DM with HTN and are in for acute kidney injury. It is imperative to provide the proper teaching to these patients, but more importantly address insurance issues and lack of primary care providers that can provide early diagnosis and prevent progression of further medical conditions. I work in an underserved community with vulnerable patient population such as homeless, substance abuse, minorities, and incarcerated. This population is often overlooked and should be addressed. Thank you for sharing. 

The issue that I am addressing is Drug and Alcohol abuse. More specifically, death by drug overdoses in African American people. Drug and alcohol abuse effect many different people and cultures. In my community, there has been a significant increase in drug overdose deaths in African Americans. According to Franklin County Corners Office (2020), African Americans made up 20.9% of drug overdose deaths in 2018. I have done extensive research and discovered that the Franklin County Corners Office is overwhelmed with drug overdose deaths, they are three years behind on collecting data.

 Studies show that African Americans are having an increase in drug overdose deaths.  Reasons for this vary. The community is developing a generation of children that will be without parents. In order to stop the increase of drug overdose deaths, we must educated and empower. The stigma around addiction must stop. Understanding that addiction is a disease and meeting the addict where they are is important. Not everyone is ready to become sober. By educating clients about safe needle disposal /exchange, offering Narcan, and list of treatment facilities, gives the client the information they need in order to help guide them to sobriety. 

In order to reach out to the African American culture, we as nurses need to come from a place of empathy and not judgement. Asking drug abuse questions with a nonjudgmental approach is imperative to helping the person in need. Educating ourselves and understanding how drugs effect the brain can help us as nurses, and understand why the addict is an addict. To save lives we must stop the stigma and impower the people. 

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