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Invitation to lay Down Your Burden: Self-care Health and Wellbeing Practices for Strong Black Superwomen
No full textThe Strong Black Woman/Superwoman (SBW/SW) phenomenon is a cultural norm in the African American/Black community. As Black women prioritize being strong and caring for others, they often neglect their own health and wellbeing, and this neglect of self-care can negatively impact mind-body-soul-spirit health. All advanced practice nurses (APN) should understand the importance of not judging SBW/SW strength, seeing the SBW/SW as whole, and offering holistic nursing care. Woods-Giscombe’s evidence-informed Superwoman Schema (SWS) provided a conceptual framework to which the APN author of this manuscript applied Watson’s Human Caring Theory concepts of transpersonal caring, caring-healing modalities, and Caritas Processes 1, 3, 4, 7, and 8 and planned and developed the DNP scholarly project. The Healthscapes Series project, which was implemented in the Southeastern United States and presented in hybrid form (in-person and online) during six sessions over eight weeks, offered culturally relevant, culturally informed, culturally sensitive, and culturally tailored care to eight Black women who identified as SBW/SW women. Project results included mind-body-soul-spirit growth and healing, knowledge development, and attitude and behavior shifts for project participants and the APN scholar and knowledge development for the project’s community partner. The project demonstrated the importance and impact of offering holistic nursing care to Black women from a SWS-informed, culturally relevant, and culturally sensitive lens, and identified future opportunities for the APN to accompany the SBW/SW on self-caring-healing pathways
An Ethiopian Health Center: a Transcultural Approach to Health for Immigrants Living in Minnesota
Get PDFThe growing cultural diversity and universality in the United States calls for the understanding of all members of society. Health care in the 21st century has become a human rights issue, where every member of the society desires to be treated within the specific culture. To Ethiopians, culture is seen as the embodiment of one’s existence, it influences perceptions and views of varying life dimensions. Culture, as seen in through the lens of individuals, is highly dependent on upbringings, traditions, beliefs and lifeways. Individuals from varying cultures perceive health and wellness from a cultural perspective. For Ethiopians, what it means to have quality of life is embedded in culture. Literature has proven that immigrants from different cultures, including Ethiopians, are prone to health disparities, subjected to biases and stereotypes, and experience mistreatment from health care providers. Using Leininger’s Culture Care Theory and Universality and the vital role it plays in providing culturally congruent and sensitive care, this author proposes to open a culture specific health center, called Siloam Tena Center, dedicated to the Ethiopian Community living in Minneapolis, Minnesota. The health center will provide culture specific and sensitive care to the Ethiopian attendees. To address these issues and improve health, studies have suggested developing health care centers in correlation with individuals’ cultural context, such as the Siloam Tena Center
Practice of Reiki to Decrease Prenatal Anxiety
No full textWomen’s and children’s health is an important measure for the health of a community, state, and nation. Prenatal anxiety has been an under researched complication affecting both a woman’s and an infant’s health. Statistics estimate that 7-20% of pregnant women suffer from prenatal anxiety. Adverse outcomes associated with prenatal anxiety include preterm labor, preterm delivery, decreased milk production, disrupted mother/infant bonding, increased cognitive problems, and altered neurobehavioral development. Currently, there is no universal screening tool, treatment recommendations, or agreement on when to screen pregnant women for the disorder. Treatment options for prenatal anxiety are cognitive behavioral therapy or antidepressants (selective serotonin reuptake inhibitors). The focus of this project is to use Reiki as a treatment option for prenatal anxiety symptoms. Reiki is a form of energy healing, and women can perform it on themselves. Reiki is an easy and cost effective treatment option. Although Reiki has not been studied specifically for prenatal anxiety, it has been shown to decrease anxiety and stress in other patient populations for this project, 10 women diagnosed with anxiety were given a reiki treatment in a clinical setting. They completed a survey before and after the treatment. A Likert scale was used to measure the impact of reiki on prenatal anxiety. Symptoms. Results showed a 40% decrease in anxiety and a 50% reduction in feelings of nervousness. Although this was a small study, Reiki was shown to effectively decreased worry, tension, nervousness, and anxiety while increasing feelings of peace, relaxation, and calmness
Evaluating Physician Assistant Students’ Knowledge and Competence in Lifestyle Medicine: Assessing the Need for Implementing Lifestyle Medicine Curriculum in Physician Assistant Programs
Get PDFThis research study evaluated PA students’ knowledge and competence in educating patients on topics in lifestyle medicine to assess the need for implementation of lifestyle medicine curriculum in physician assistant programs. An anonymous survey was conducted to obtain subjective data on first- and second-year PA students’ knowledge and competence in topics surrounding lifestyle medicine, as well as input on whether additional education on lifestyle medicine would benefit students in practice. A comprehensive literature review was conducted using the American Academy of Physician Assistants, American College of Preventative Medicine, American Journal of Preventive Medicine, Center for Disease Control and Prevention, and PubMed. Search terms included topics regarding the overview of preventative medicine and lifestyle medicine, barriers of patient education in lifestyle medicine, and the implementation of lifestyle medicine curriculum in physician assistant education. Inclusion criteria were studies performed between 2018 and 2023 on topics involving lifestyle medicine education. Exclusion criteria were studies over five years old and studies that did not focus on lifestyle medicine education in medical programs. Overall findings demonstrated second-year students developed increased confidence in topics of lifestyle medicine when compared to first- year students. However, both groups of students expressed they would benefit from additional learning modules and patient simulations focused on topics in lifestyle modification such as smoking/alcohol cessation and diet/exercise
A Systematic Review of the Use of Artificial Intelligence in Early and Accurate Diagnosis for Lung and Breast Cancer
Get PDFBackground: This systematic review examines how the use of artificial intelligence compares to conventional methods in the early detection and accuracy of diagnosing lung and breast cancer. Methods: A comprehensive systematic review was conducted using Google Scholar, ScienceDirect, MDPI Journals, PubMed, JAMA Network, The Lancet Digital Health, Frontiers, Journal of Patient Safety, Thorax, NPJ Breast Cancer, BMC, and Nature Medicine. The inclusion criteria were artificial intelligence models or components of artificial intelligence detecting or classifying breast or lung cancer and articles published within the last five years. The study excluded articles that did not include either breast or lung cancer. The results were compiled into a table based on the key data gathered, such as accuracy, specificity, sensitivity, or P-value. Results: A total of 15 studies were reviewed, eight of the articles were on breast cancer, and seven of the articles were on lung cancer. Each study showed an improvement in their results of accuracy, specificity, and sensitivity. One article gave a confidence score of 63% and two other articles gave a significant P-value \u3c 0.05.
Discussion: The limitations or bias include a small sample size of radiologists, and possible bias due to authors following their own model. Overall, the articles showed improvement, but many articles utilized subsets of artificial intelligence, which mainly consisted of machine learning or deep learning models. Therefore, more research needs to be done, but the current research available has shown a promising future of the use of artificial intelligence
Emergency Department Thoracotomy as an Intervention for Penetrating Trauma to the Thoracic Cavity: A Systematic Review
Get PDFEmergent thoracic surgery involving the heart has been taking place for 126 years. Thoracic penetrating trauma is occurring more and more frequently in the US, and while 90% of patients with penetrating thoracic trauma die en route to hospital, the ones who arrive in extremis have better chances of survival now than ever due to an improving 60+ year practice of emergency department thoracotomy (EDT). This review has a primary objective of comparing the literature and history of EDT as a lifesaving intervention for patients with penetrating thoracic trauma and resulting mortality. It also aims to give context on EDT as an emergent intervention with respect to the pathophysiology occurring in patients requiring this intervention and how EDT fits in with the rest of the treatment received by trauma patients with severe intrathoracic injuries.
This is a systematic review utilizing keywords: “thoracotomy,” “EDT,” “resuscitation,” “penetrating,” “gsw,” “stab,” “emergency,” “thoracic,” and “injury” to search the databases of PubMed, Google Scholar, and Science Direct.
While EDT remains a procedure with low survival to discharge (5-25%), there are cases which are most favorable to the procedure, namely patients who arrive with SOL, have a single penetrating wound to the heart that is not inflicted by a bullet.
EDT is a tried-and-true method for patients who will not otherwise survive. However; only recently have large meta-analyses been put together because this is a very high risk, and an infrequently performed procedure. There is also call for conservative management and temporizing measures such as REBOA, though there is still no ICD code, and too little research to consider this controversial procedure comparable to EDT
Sisyphean Frustrations: The Impetus for Improving Harm Reduction Strategies in Minneapolis, MN
Get PDFBackground: The last decade has seen an alarming rise in deaths attributed to opioid use. Considering the ever-increasing mortality rate contributable to opiate use disorder, it is important to identify and utilize more efficacious public health interventions.
Purpose: The focus of this paper is identifying the current harm reduction strategies being implemented in Minneapolis MN, the history of harm reduction in the US, and opportunities to improve existing systems to better engage current conditions.
Methods: The primary research method for this community assessment was volunteer work with Southside Harm Reduction in Minneapolis, MN. Through community clean-ups the researcher was able to interact with residents in high-intensity drug use areas, safely dispose of harm reduction supplies, and gain a front-line perspective of the intersection of opiate use disorder, houselessness, and injection drug use.
Conclusion: The implementation of harm reduction strategies in the Twin Cities area greatly surpass those in other regions in the country. Access to Naloxone, fentanyl test strips, clean injection equipment, and community resources have been adequately provided by community groups like Southside Harm Reduction Services. It is important to provide more education to primary care and emergency medicine providers to achieve better outcomes when treating these populations. Specifically, improving clinic and hospital buprenorphine protocols and stock and working with community groups to improve the number of patients lost to follow up. Further research on delivery mechanisms or satellite physician dispensing may prove beneficial in improving patient follow up and medication for opioid use disorder compliance
Improving Minnesota’s Access to Opioid Use Disorder Treatment and Naloxone
Get PDFBackground: In 2020, Minnesota recorded 4,920 admissions with associated opioid use for adults 18 years of age and older.1 2021 put Minnesota\u27s Opioid-related overdose mortality number at 1,017 individuals.2 Methadone and Buprenorphine as MOUD is the first line treatment for Opioid Use Disorder and long-time management as the standard of care.3 Naloxone is the drug of choice for opioid reversal and overdose prevention.3
Purpose: This study aims to investigate the barriers that OUD feel when attempting to receive treatment for OUD and access Naloxone. The indication is the number of OUD- related admissions and OUD-related overdose fatalities. In addition, the goal is to discover limitations to care and find solutions that can be met in Minnesota communities.
Methods: A comprehensive literature review was conducted with UpToDate, Jstor, Augsburg University\u27s Lindell Library, Google Scholar, National Institutes of Health (NIH), Center for Disease Control (CDC), Science Direct, Health Affairs, Addiction Science and Clinical Practice, Substance Abuse and Mental Health Services Administration ( SAMHSA), Food and Drug Association (FDA), and more. The Inclusion data ranged from the year 1992 to 2022 published in 2017 or thereafter.
Conclusions: Minnesota the expansion of the ECHO project can lead to an increased OUD treatment with the use of online technology, the increased clinical offices offering initiation of Buprenorphine a MOUD, and treatment of comorbid conditions. Buprenorphine training programs and intensive facility guidance can optimize treatment for OUD patients
Aromatherapy: Alleviating Stress for People With Intellectual Disabilities Receiving Medical Care
No full textPeople with intellectual disabilities encounter many barriers when seeking medical care, which increases their risk for stress and anxiety associated with the care encounter. These barriers originate from a variety of sources. Challenges with receptive and expressive communication and physical and sensory limitations can significantly interfere with providing acute and routine medical care. Health care settings and health care providers may also lack the preparation necessary to navigate care for this population. As a result, care encounters can become stressful events, particularly when associated with past negative experiences. Aromatherapy is gaining increased recognition for its potential applications, including the reduction of stress and anxiety. Lavender and peppermint essential oils have both been demonstrated to reduce stress and promote relaxation through aromatherapy. A project to explore the potential application of lavender and peppermint aromatherapy via a personal diffuser to reduce stress and anxiety for people with intellectual disabilities during medical care was developed. Drawing upon Martha Rogers’ theories of energy, patterns, reciprocity, and synchrony, this project proposes using aromatherapy to influence the environmental energy of the care encounter. The project’s success will be evaluated by the reduction of stress and anxiety during medical care based on patient feedback, provider evaluation of the encounter, and the physiological markers of heart and respiratory rates. If implemented, these data sources will determine the project\u27s success and potential for improvement and advancement of future nursing practice
Home-Based Primary Care in Patients with Dementia: Impact on Cost, Medication Use, and Patient Satisfaction
Get PDFBackground: Individuals living with dementia deserve affordable, accessible, and effective healthcare. These patients often face barriers that make it difficult to consistently access traditional in office primary care. Home-based primary care (HBPC) holds the opportunity to bridge the gap between individuals with dementia and preventative healthcare resources.
Purpose: Dementia rates are increasing as the population ages, and additional research is needed to determine the optimal treatment model for individuals with dementia. This literature review evaluates if patients with dementia receive improved care with HBPC vs in office primary care through examining cost, medication use and compliance, and patient satisfaction.
Methods: A comprehensive literature review was conducted usingPubMed, Google Scholar, and ScienceDirect using the search terms “home-based primary care,” “dementia,” “homebound,” “standard of care,” “primary care,” and “medication”. Virtual interviews were conducted with two physician assistants who work in HBPC settings.
Conclusions: HBPC can offer benefits to patients, caregivers, and healthcare systems through decrease in costs, increase in medication compliance, and increase in patient satisfaction. Adequate funding and resources are required for these advantages to occur. Each patient’s specific situation needs to be considered before choosing HBPC, and more research needs to be conducted in order to further optimize the HBPC model