Case 63: Pray With Me

You are the Vice President of Nursing Services in a nondenominational community hospital, and you receive a complaint from a patient, who is a Wiccan. The patient and her primary care nurse, Penny Baker, were discussing her religious practices and how she prays, when another nurse, Ruth Goose, walked into the room, stated, “Thou shalt not suffer a witch amongst you,” and told Penny not to discuss the “satanic religion” with the patient any more. The patient demands an apology and threatens to go to the media. She feels she has been discriminated against because she is a Wiccan and that her patient care experience was poor during her hospitalization because of her spiritual beliefs. You convene a meeting with Penny and her immediate supervisor, Ruth Goose.

Ruth Goose is wearing a large gold cross on her neck. Penny wears no jewelry and is dressed in her blue scrubs. When you ask Penny what happened, Ruth answers for her. “She did the right thing. We don’t have to pray with witches. They worship Satan. It’s blasphemy. What’s next? Human sacrifice?” Penny can’t get a word in edgewise. Ruth keeps repeating “Thou shalt not suffer a witch amongst you, it says so in Leviticus!”

What should you do?

USE INFORMATION FROM CASE TO DO A WRITE UP (PLEASE INCLUDE DETAILED EXPLANATION AND COMPLETE ALL 6 STEPS)

1 - Write a background statement

2- What are the major problems and secondary issues?

3- Your Role

4- Organizational Strengths and Weaknesses

5- Alternatives and Recommended Solution

6- Evaluation

THEIR IS AN EXAMPLE BELOW OF HOW THIS SHOULD LOOK!!!!

Case Write-Up

Background Statement

A Wiccan patient who visited a nondenominational community hospital was discussing her religious beliefs with her primary care nurse, Penny Baker, when suddenly another nurse, Ruth Goose, walked into the conversation and rudely stated, “Thou shalt not suffer a witch amongst you.” The Wiccan nurse felt offended and complained that she was discriminated in the hospital because of her religious beliefs.

Major Problems and Secondary Issues

The major problem is that the two nurses, Penny Baker and Ruth Goose, made the patient feel unwelcomed in the nondenominational community hospital because of her Wiccan religious beliefs. The secondary issues that the nondenominational community hospital may face is that the Wiccan patient is threatening to go to the media. This means that there may be news coverage that your hospital engages in religious discrimination. This may make people, especially Wiccans, look down on your medical services.

Your Role

In this case, I am the Vice President of Nursing Services. As stated in the text, it writes, “You are the Vice President of Nursing Services in a nondenominational community hospital, and you receive a complaint from a patient, who is a Wiccan.” The advantages of this role are that I can sit down with Penny and Ruth to let them know that religious discrimination is not to be tolerated while we are caring for the patients. The disadvantages of this role are that I must decide how I am going to discuss this matter with Penny and Ruth because they’re passionate about being against the Wiccan patient. I need to let Penny and Ruth know that our patient’s care matters above everything else, not what religion they practice.

Organizational Strengths and Weaknesses

As the Vice President of Nursing Services, my strengths are that I can hold a training on racial, ethnic, and religious diversity. This training can supplement nurses with the information they need to work in a diverse environment. Nurses need to know that they must treat their patients justly despite their identity. The weaknesses I may face are that the two nurses are very religious themselves. They may not listen to what I have to say about religious discrimination because the two nurses try to justify their act by saying, “She did the right thing. We don’t have to pray with witches. They worship Satan. It’s blasphemy. What’s next? Human sacrifice?”

Alternatives and Recommended Solution

As a solution for this problem, I will make sure to provide all the nurses working in the hospital with diversity training. It is important that I sit down with the nurses and make it clear that discrimination will not be tolerated while they are working in our hospital. I can also offer every patient visiting the hospital with a survey. The patient can fill out the survey to let us know how they felt about their stay. Nurses who’ve been accused of any sort of discrimination, will have to speak with management. We would keep these incidences of discrimination in a file, and it the dilemma does not change, I would have to begin writing up the nurses. Discrimination would not be tolerated while the patient is in the hospital trying to recover from a medical condition. I would also recommend Penny and Ruth write an official letter of apology to the Wiccan patient before she decides to go to the media. Writing the official letter of apology would be my first recommended solution to Penny and Ruth, so that the patient does not feel unwelcomed to our hospital’s services in the future.

Evaluation

If there are enough surveys to prove that our medical treatment is getting better and there are less patients coming from the patients about discrimination, then I would know that the instances of discrimination have stopped. The goal is to aid in the medical recovery of patients. Patients must also feel welcomed to our hospital services despite their identity. By getting fewer, or even better, no discrimination complaints, I would know that my diversity trainings and meetings have worked.

what is meaning of culture is prevention in health?

Introduction to Public Health Read the attached document and view the short video.

Determine why it is related to chapter 3. (Public Health Data and Communications) Explain how health communication influences behavior change (s). Feel free to investigate other resource (citation needed) to expand understanding and explanations.

1. Describe at least one policy shift in access , or the cost of, personal health services that has an effect on the health of families.

2. How can understanding family involvement really make a difference for individuals’ health and illness?

select any project in health care and describe sections like project introduction , WBS, quality management plan,project communication plan, estimate resources required, detailed schedule and risk management plan

2.

Opening Questions

How did the simulated experience of Sara Lin’s case make you feel?

Talk about what went well in the scenario.

Reflecting on Sara Lin’s case, were there any actions you would do differently if you were to repeat this scenario? If so, how would your patient care change?

Scenario Analysis Questions*

EBP/S What priority problem(s) did you identify for Sara Lin?

EBP/S What should be included in Sara Lin’s education plan to assist with her pain control?

EBP/S What should be included in Sara Lin’s education plan related to postoperative incision care?

PCC/I In addition to the above education on pain management and incision care, what discharge teaching should be included specific to home antibiotic therapy (levofloxacin/Levaquin)?

Concluding Questions

Describe how you would apply the knowledge and skills that you acquired in Sara Lin’s case to an actual patient care situation.

check my previous post

Scenario 1: You are working as a waitress in a restaurant. You go to check on your table to see how their food is. As you are walking up to the table, one of the customers begins coughing. They suddenly stop coughing and start clutching their throat. Their lips begin to turn a bluish color and the family around the table begins to panic. You are first aid certified and want to help the victim. (1) What are the initial steps you would take in this situation? (2) Describe in detail how you would help the victim.

Scenario Continued: As you are giving care to the choking victim, they become unresponsive and you determine that they no longer have a pulse. (1) Describe in detail how you would now care for the individual with the new information.

Scenario 2: You are at a family get-together when your aunt starts screaming for help. You run over to your aunt to see her holding her 8-month old baby. She tells you that the baby is choking on a toy from one of the older children and she needs help. She hands you the conscious baby and you notice her lips are turning blue. (1) What are the initial steps you would take in this situation? (2) Explain in detail how you would care for the choking infant.

Scenario Continued: While you are caring for the infant, she becomes unconscious and she no longer has a pulse. (1) With this new information how would your care change? (2) Explain the new steps of care in detail.

do you think that case management for behavioral patients requires more of a team approach than for physically impaired individuals?

Use SPSS to conduct the necessary analysis to answer each of the questions based on the following scenario. If a statistical test is used, you should use .05 as the critical level of significance. You are a Nursing instructor at your institution. You teach Intro to Nursing. You want to know how your students’ final averages compare to institutional average for Intro to Nursing, which is 80. The final averages for your students are listed below. 90, 80, 77, 55, 67, 71, 82, 70, 99, 92, 93, 88, 66, 43, 91, 50, 75, 84, 94, 89, 62, 39, 68, 99, 86, 90.

1. What is the median average for your students?
2. What is the range of your final averages?
3. Was your class average higher or lower than the institutional average? What was the difference?

1. What is your position as a provider or Nurse practitioner of banning unvaccinated patients from visiting clinics and why?
2. What are the logical and reasonable responses to people who refuse being vaccinated?
3. What are the pros and cons of using a revised immunization schedule?