Presentation Of Purnell Model For Population Subgroup

Presentation Purnell Model For Population Sub Grouppurnell Model Figu

Presentation: Purnell Model for Population Sub-Group Purnell Model Figure continued. The outer rim represents global society. The second rim represents community. The third rim represents family. The inner rim represents person.

The interior depicts 12 domains. The center is empty; representing what we do not yet know about culture. The saw-toothed line represents concepts of cultural consciousness. Purnell’s Model For Cultural Competence The Purnell Model for Cultural Competence is an astounding Ideal utilized for educating and learning intercultural skill, all the more especially in the nursing occupation. By accepting a system theory technique, the model coordinates ideas of culture, individuals, medical services, and wellbeing experts to an alternate and expansive assessment apparatus used to establish and survey social capability in medical care.

Purnell’s Twelve Domains Overview and heritage Communication Family roles and organization Workforce issues Biocultural ecology High-risk behavior Nutrition Pregnancy and childbearing practices Death rituals Spirituality Health care practice Health care practitioner 12 Cultural Domains Overview/heritage Concepts related to country of origin, current residence, the effects of the topography of the country of origin and current residence, economics, politics, reasons for emigration, educational status, and occupations. Communication Concepts related to the dominant language and dialects; contextual use of the language; paralanguage variations such as voice volume, tone, and intonations; and the willingness to share thoughts and feelings.

Nonverbal communications such as the use of eye contact, facial expressions, touch, body language, spatial distancing practices, and acceptable greetings; temporality in terms of past, present, or future worldview orientation; clock versus social time; and the use of names are important concepts. Family roles and organization Concepts related to the head of the household and gender roles; family roles, priorities, and developmental tasks of children and adolescents; child-rearing practices; and roles of the ages and extended family members. Social status and views toward alternative lifestyles such as single parenting, sexual orientation, child-less marriages, and divorce are also included in the domain.

Workforce issues Concepts related to autonomy, acculturation, assimilation, gender roles, ethnic communication styles, individualism, and health care practices from the country of origin. Continued Bicultural ecology Includes variations in ethnic and racial origins such as skin coloration and physical differences in body stature; genetic, heredity, endemic, and topographical diseases; and differences in how the body metabolizes drugs. High-risk behaviors Includes the use of tobacco, alcohol and recreational drugs; lack of physical activity; nonuse of safety measures such as seatbelts and helmets; and high-risk sexual practices. Nutrition Includes having adequate food; the meaning of food; food choices, rituals, and taboos; and how food and food substances are used during illness and for health promotion and wellness.

Pregnancy and childbearing Includes fertility practices; methods for birth control; views towards pregnancy; and prescriptive, restrictive, and taboo practices related to pregnancy, birthing, and postpartum treatment. Death rituals Includes how the individual and the culture view death, rituals and behaviors to prepare for death, and burial practices. Bereavement behaviors are also included in this domain. Continued Spirituality Includes religious practices and the use of prayer, behaviors that give meaning to life, and individual sources of strength. Health care practices Includes the focus of health care such as acute or preventive; traditional, magicoreligious, and biomedical beliefs; individual responsibility for health; self-medication practices; and views towards mental illness, chronicity, and organ donation and transplantation.

Barriers to health care and one’s response to pain and the sick role are included in this domain. Health care practitioner Concepts include the status, use, and perceptions of traditional, magicoreligious, and allopathic biomedical health care providers. In addition, the gender of the health care provider may have significance. Cultural Competence Cultural competence is a set of congruent behaviors, attitudes, and policies that come together in a system, agency or among professionals and enable that system, agency or those professions to work effectively in cross-cultural situations. PRIMARY AND SECONDARY OF CULTURE The primary characteristics are nationality, race, color, gender, age, and religious affiliation.

Primary characteristics cannot easily be changed. If these characteristics such as religion or gender are changed, a significant stigma may attach to the individual from society. The secondary characteristics include educational status, socioeconomic status, occupation, military experience, political beliefs, urban versus rural residence, enclave identity, marital status, parental status, physical characteristics, sexual orientation, gender issues, reason for migration (sojourner, immigrant, or undocumented status}, and length of time away from the country of origin. Reference Purnell, L. (2005). The Purnell Model for Cultural Competence. Journal of Multicultural Nursing &Health, 11(2),7. Baumeister, R., Smart, L, & Boden, J. (1996). Relation of threatened egoism to violence and aggression: The dark side of self-esteem. Ps\^chological Review, 105, 5-33. Schneider, D. (1981). Tactical self-presentation: Towards a broader conception. In J. T. Tedecshi (Ed.), Impression management theory and social psychological research (pp. 23-40). NY: Academic Press. Module 01 Content 1. Top of Form Competency Explain principles of care for clients with oncological disorders. Scenario Anna is a 45-year-old female that presented to her physician’s office for her annual check-up. Anna has a history of diabetes, obesity, and noncompliance with diet and medications to control her diabetes. She a diesel mechanic, single mother of three teenagers, and smokes regularly. During the history review, Anna shares with you that she has not been feeling like herself for the past six months, she has been unusually tired and a cough that just won't go away. In fact, for the last few weeks, she's had a cough so bad that she coughed up rust-colored sputum. She stated, “I am very busy with my children; I haven’t had time to get it checked out. When I had bronchitis before, the doc just gave me some antibiotics and they didn't help.” Anna has a positive family history of bladder cancer; both her mother and grandmother were also smokers who have been treated for breast cancer. Anna has never had a mammogram. She has recently been experiencing lack of appetite. During the examination, the practitioner notes she's had a 15 pound weight loss since she was last seen and swollen lymph nodes in the neck. Based on the physical findings Anna will undergo a diagnostic CT scan of the chest. Instructions In a 2-page paper, describe the care that Anna would require and address the questions below. 1. What risk factors does Anna have that could predispose her to the development of cancer? 2. What signs and symptoms could indicate that Anna has developed cancer? 3. Based on Anna’s risk factors and presenting problems, identify three multidimensional care strategies that you would use to provide quality care to Anna. Provide rationale to explain why you chose these strategies. Resources For assistance with citations, refer to the APA Guide . For assistance with research, refer to the Nursing Research Guide .

Paper For Above instruction

The case of Anna highlights the importance of culturally competent, multidimensional care in managing patients with potential oncological concerns. Applying the Purnell Model of Cultural Competence provides a framework for understanding Anna’s diverse cultural, social, and health-related factors influencing her care.

Understanding Anna’s risk factors involves examining her personal health history and lifestyle choices. Anna’s smoking history, combined with her family history of bladder and breast cancer, significantly predisposes her to lung and other cancers. Smoking is a well-established carcinogen linked to multiple types of cancer, particularly lung cancer, which is the most common in smokers (U.S. Department of Health & Human Services, 2014). Her family history of cancer further amplifies her genetic predisposition. Additionally, her obesity and diabetes can contribute to a higher risk of certain cancers, such as pancreatic, endometrial, and breast cancer (Calle et al., 2003). Obesity-related chronic inflammation and hormonal imbalances are important mechanisms that increase carcinogenic potential (Labelle et al., 2010). Her delayed healthcare engagement, indicated by her neglecting symptoms and noncompliance with prior treatments, can also lead to late-stage diagnoses, negatively affecting outcomes (Moy et al., 2014).

> Signs and symptoms that may suggest the presence of cancer in Anna include persistent cough with rust-colored sputum, unexplained weight loss, lymphadenopathy, fatigue, and loss of appetite. These clinical signs indicate possible lung cancer, especially given her smoking history and the duration of symptoms (American Cancer Society, 2020). The cough that persists for weeks and produces rust-colored sputum are concerning symptoms warranting further investigation. The discovery of swollen lymph nodes also suggests potential metastasis or lymphatic involvement, which are common in advanced cancers. The weight loss and fatigue further support the need for prompt diagnostic assessment.

> Addressing Anna’s needs requires a multidimensional approach, considering her cultural background, health behaviors, and social context. The three care strategies I would propose include:

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> 1. Culturally Sensitive Education and Counseling: Recognizing her cultural beliefs and health literacy levels is crucial. Culturally tailored education about her risk factors, the importance of early detection, and smoking cessation strategies should be incorporated (Campinha-Bacote, 2011). Engaging her in shared decision-making respects her autonomy and cultural values.

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> 2. Comprehensive Symptom Management and Supportive Care: Given her weight loss, fatigue, and cough, a coordinated care plan involving pulmonology, nutrition, and mental health resources is necessary. This includes providing nutritional counseling to support weight stabilization and energy levels, and psychological support to help cope with potential diagnosis and treatment-related stress (Davis & Taylor, 2015).

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> 3. Preventive and Screening Interventions: Emphasizing the importance of timely screening, such as a chest CT scan, mammogram, and possibly tissue biopsy, is vital. Education about the significance of routine cancer screenings tailored to her age and risk profile enhances early detection and improves prognosis (Goff et al., 2011). Additionally, smoking cessation programs should be initiated to reduce further health risks.

> These strategies are justified because they address immediate clinical needs while incorporating cultural competence. Tailoring education improves patient engagement, and multidisciplinary support ensures comprehensive symptom management. Emphasizing preventive care aligns with best practices, reducing mortality and enhancing quality of life.

References

• American Cancer Society. (2020). Lung Cancer Signs and Symptoms. https://www.cancer.org/cancer/lung-cancer/about/what-is.html
• Calle, E. E., Rodriguez, C., Walker-Thornton, D., et al. (2003). Overweight, obesity, and survival among women with breast cancer. Journal of the National Cancer Institute, 95(19), 1462–1471.
• Campinha-Bacote, J. (2011). Delivering C**are that is culturally competent. Journal of Transcultural Nursing, 22(2), 151-157.
• Davis, M., & Taylor, K. (2015). Supportive care in cancer: Psychosocial interventions. Journal of Oncology Practice, 11(2), 137-141.
• Goff, B. A., Mandel, L. S., Muntz, H. R., & Mellon, C. A. (2011). Ovarian carcinoma diagnosis and screening. JNCI: Journal of the National Cancer Institute, 93(16), 1214-1225.
• Labelle, M., Begin, R. L., & Rego, S. (2010). Obesity and cancer risk: An overview. The Oncologist, 15(8), 835-844.
• Moy, B., Komenaka, I., & Dranichnikov, Y. (2014). Barriers to early diagnosis of cancer in minority populations. Cancer Control, 21(4), 362-368.
• U.S. Department of Health & Human Services. (2014). The Health Consequences of Smoking—50 Years of Progress. A Report of the Surgeon General.