Friday, June 14, 2019

Theory of Culture Care Diversity and Universality Essay

Theory of Culture C ar Diversity and Universality - Essay ExampleA CT scan may also reveal how ofttimes of the colon is inflamed. 2) The second differential diagnosis is Crohns Disease. The data that supports this diagnosis includes bloody diarrhea, weight loss, fatigue, insidious onset, arthritis (painful knee joints), rash (erythema nodosum), fever, and abdominal pain or mouldness. Also, the onset age is between 15 and 25 males argon more likely to develop the disease than females, and people are put more at risk if there is family history of the disease. The lab/diagnostic tests I will need to rule in or out Crohns Disease are CT scan, to look for thickening of the colon CBC, for anemia pANCA, as ASCA in Crohns may differentiate from UC biopsy and an IBD serology 7 panel. 3) The third differential diagnosis is infected colitis/diarrhea/gastroenteritis. The data that supports this diagnosis includes bloody diarrhea, weight loss, anorexia, dehydration, pale skin, abdominal pain o r cramps, fever, elevated WBC in stool, anemia, and hyperactive bowel sounds. This disorder is common in all ages, but especially in individuals who have a long history of stomach problems or have tender arthritis. The lab/diagnostic tests I will need to rule in or out infectious colitis/diarrhea/gastroenteritis are examination stools for WBC/leukocytosis Ova + parasite to exclude amebiasis toxin assay to rule out c diff cultures to rule out salmonella, shigella, e.coli and campylobacter and urinalysis, BUN, specific gravity, and electrolytes. 4) The fourth differential diagnosis is ischaemic colitis. The data that supports this diagnosis includes bloody diarrhea, abdominal pain LLQ tenderness, elevated WBC, and anemia. Ischemic... Theory of Culture Care Diversity and UniversalityPatients often expect slow lecture of service. They have a lack of confidence that providers will really help, especially if the patient is poor. For this reason, patients may feel less confident about U .S. providers who are Latino. Physicians in Mexico are revered What is said is done, no questions asked. Questions are not asked for fear of insulting the provider. This includes questions about the patients prognosis. Patients from Mexico and many underdeveloped countries are habitual to providers who wear white coats. American providers who dress casually may have to prove themselves more. There are exceptions to this.Uninsured and underinsured Latino patients are in pick mode. Maintaining the most basic needs, such as affording food and paying for housing, take over their everyday lives. Most of these people are close to becoming dispossessed and some are already homeless. As such, preventive care is viewed as a luxury, something that only the rich can afford. This attitude is only strengthened by previous experiences in Latin American countries, where treatment was almost nonexistent due to a major lack of financial resources. For most individuals, healthcare in Latin America was unaffordable and unattainable, and most experience the same problem in the U.S.Latinos in the United States are without health insurance. Even though there are a large amount of preventive services available at free or reduced costs, patients and providers do not always know about these services.

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