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Impact of Provider Cultural Competency on Latino/Hispanic Patients During End-of-Life and Hospice Care
Get PDFBackground: Cultural competency in healthcare means delivering high quality care to patients with diverse beliefs, attitudes, values, and behaviors. Latinos/Hispanics are one of the fastest growing ethnic group and with an aging population, there is an increased need for providers to deliver culturally sensitive end-of-life and hospice care. Latino/Hispanic patients face many disparities that affect their quality of care which cultural competency aims to address. Purpose: The purpose of this literature review is to identify factors that affect Latino/Hispanic patient’s end-of-life and hospice care and how cultural competency of providers can influence management of their pain and quality of life.
Methods: A comprehensive literature review was conducted using PubMed, MEDLINE, Lindell Library, and Google Scholar databases. Search terms included “Latino patients”, “Hispanic patients”, “end-of-life care”, “hospice care”, “palliative care”, “pain management”, “opioid use”, “quality of life”, and “cultural competency training”. Inclusion criteria included studies published from 2015-2022 that conducted original research with proof of internal validity and participants 18 years old and older. Studies conducted outside of the United States and those specific to cancer patients were excluded.
Conclusions: Providing culturally competent care improves patient-provider communication, increases trust, and enhances patient satisfaction leading to the delivery of equitable patient- centered care to Latino/Hispanic patients. Continued efforts to improve hospice and end-of-life care must integrate the perceptions and experiences Latino/Hispanic patients face as cultural background influences the quality of care they receive and respective outcomes
A Review of Non-Pharmacologic Treatments for Adults Experiencing Suicidality
No full textBackground: Suicidality is a global health crisis effecting hundreds of thousands of people every year. Despite this, there remains mixed data on the best interventions to prescribe to effectively address this diagnosis. This literature review serves to examine the most recent controlled trials regarding suicidality treatment.
Purpose: There is mixed data on best interventions for adults experiencing suicidality. We seek to answer: In adults experiencing suicidality, what non-pharmacologic interventions have been shown to improve patient well-being?
Methods: A comprehensive literature review was conducted using Trip DataBase and PubMed using the search terms “Collaborative Management of Suicidality,” “Dialectical Behavioral Therapy Suicide,” “Cognitive Therapy Suicide,” “ASSIP,” “Non-pharmacologic Suicide Prevention,” “Non-pharmacologic Suicide Treatment,” “ED-SAFE,” “Crisis Response Planning,” and “Brief Contact Interventions.”
Conclusions: CAMS, DBT, CBT, and ASSIP all resulted in decreased suicidal ideation, suicidal attempts, depression, and hopelessness but require more research into increasing feasibility for expanding beyond outpatient settings. ED-SAFE and Project Life Force have promising initial studies but require more research to set a foundation. Brief contact intervention through telephone follow-up and app assisted treatment did not have significant impacts on patient well-being
Does Probiotic Supplementation Improve Depression/Anxiety Outcome Measures?
Get PDFBackground: Depression and anxiety continue to be a healthcare burden worldwide. Current depression and anxiety treatments include medications and psychotherapy; however, for many patients this is not enough. Literature has recently come out detailing the gut-brain axis and its potential impact on mental health.
Purpose: This literature review sought to answer the question if probiotics could play a role in the treatment of depression and anxiety. Specifically, does supplementation with a probiotic improve clinical outcome measures of depression, anxiety, or both? Methods: A comprehensive literature review was conducted using PubMed and Google Scholar using the search terms probiotics, depression, and anxiety. Studies were selected based upon meeting certain inclusion and exclusion criteria. In total eighteen studies met the inclusion criteria and are reviewed in detail.
Conclusions: Among 24 research studies analyzed based on outcomes, 16 of them found significant improvements in depression outcomes. In nine of fifteen studies, anxiety outcome measures showed a significant improvement. It is important to note there a several limitations to these studies such as a small sample size and rigorous inclusion and exclusion criteria which make the results less generalizable to the public. Ultimately, more high-powered studies measuring similar outcome measures are needed to sufficiently answer the question above
Holistic tai chi Practice: a Comprehensive Stress Reduction for Graduate Student Nurses
No full textStress, a shared experience of life, is often overlooked. Prolonged stress can lead to adverse health complications. Graduate nursing students are at high risk of experiencing stress with work, academics, family responsibilities, and personal distress. Integrative healing practice is necessary for the health of graduate nursing students. A holistic Tai Chi program guided by Martha Rogers’ Theory of Unitary Human Beings was developed to help reduce stress in graduate nursing students at a private university in the Midwest. Focusing on healing as a whole, the project’s goal is to increase graduate nursing students’ awareness of their stress levels and integrate Tai Chi into their daily practice as a stress-reducing intervention. The project’s success will be measured through pre and post assessment surveys, evaluating the students’ stress levels and knowledge about Tai Chi. Utilizing Rogers’ postulation of the interrelation between human and their environment, a model was developed to depict the integration of Tai Chi and promote an understanding of holistic healing. The educational program aims to guide graduate nursing students to increase their levels of consciousness to achieve balance and harmony for healing as a whole and to understand that improved self-care can result in better patient care
Heroine of the Peripheral: An Exploration of Feminism and Anti-feminism in the Poetry of Sylvia Plath
Get PDFRecognizing that there are many legitimate ways to view Plath\u27s work, this study doesn\u27t claim a definitive reading or even a glimpse into the \u27real\u27 Sylvia Plath. Instead, the following exploration will focus on feminist and anti-feminist renderings of motherhood in Plath\u27s Crosstng the Water, Ariel, and Winter Trees. This study doesn\u27t set out to prove or disprove these labels as they relate to Plath either. My intention is not to make value judgments about various aspects of the poetry but rather to highlight the contradictions and the co-existence of feminist and anti-feminist qualities in the text
An Analysis of Shylock in The Merchant of Venice
Get PDFBecause he is Jewish and a shrewd businessman, the Venetians consider him to be an outsider in their cofiununity, but his isolation from the community mav be his way of protecting his Jewishneis. In other words, Shylock fears that non-business interactions with Christians will damage the pride he has in his religion because all the Christians ridicule him. Because he mocks the Christians in Venice, most literary critics believe that Shylock is a literary villain. H. B. Charlton says that Shylock is often interpreted as an inhuman scoundrel whose diabolical cunning is bent on gratifying a satanic lust for Christian flesh; however, Shylock bears the brunt of heavy Christian anti-Semitism and must frght to protect a key part of his life: his Jewishness
An Exploration of Aromatherapy and Mindfullness Meditation to Relieve Symptoms of Chronic Stress
No full textChronic stress can be pervasive with a debilitating impact on physical and psychological health. Chronic stress fosters disequilibrium in a person’s whole being and can breed ill health; therefore, managing chronic stress is essential to maintaining a healthy and balanced mind and body. Stress accumulates in marginalized communities and the physical cost of the chronic stress on health can be insurmountable. A plethora of literature supports the use of mindfulness meditation and lavender essential oil in aromatherapy to reduce chronic stress levels. The use of the integrative modalities with a mind-body approach is essential and a cost effective way to help people cope with their experiences of chronic stress. Because marginalized and disenfranchised individuals and communities are bombarded by social and cultural structures that cause chronic stress, they may benefit from use of integrative modalities to manage symptoms. The scholarly project implemented mindfulness meditation and use of lavender essential oil in aromatherapy in 11 residents who live in a Midwest community and self-report chronic stress. Leininger’s Theory of Culture Care Diversity and Universality provided the framework for this project. Her theoretical concepts of culture care, culturally congruent care, environmental context, and worldview guided this project. The use of mindfulness meditation and lavender essential oil in aromatherapy to induce a relaxation response and relieve chronic stress symptoms was effective with all 11 participants
Mindfulness Meditation: Optimizing Mental Health in Hmong Elders
No full textHmong people have double the diagnosis of mental illness as compared to the United States population. Due to the high prevalence of mental illness among Hmong people, there is a need to address mental health among Hmong elders. The prevalence of mental illness among Hmong people suggested a need for alternative measures for stress reduction intervention. Meditation is a non-invasive measure that reduces symptoms of stress, anxiety, and depression. The practice of meditation has been found to have a positive impact on stress reduction and mental illness. Mindfulness meditation creates self-awareness that influences how the individual interacts or becomes mindful of the “self.” Jean Watson’s (2008) Human Caring Theory provides a foundation for the project. The purpose of this scholarly project is to introduce mindfulness meditation to Hmong elders to help reduce stress and anxiety and optimize mental wellness. This scholarly project implemented mindfulness meditation to 11 Hmong elders, resulting in reduced stress, anxiety and optimized mental health through self-awareness. Mindfulness meditation is a noninvasive practice that can be implemented in daily nursing practice as an intervention to reduce symptoms of stress, anxiety, and depression
Effective Pharmacological and Non-pharmacological Treatments for Sleep Disturbances and Fatigue in Patients Who Have Experienced a Mild to Severe Traumatic Brain Injury
Get PDFBackground: In the United States alone, an estimated 1.5 million people sustain a head injury every year.1 With improved recognition of traumatic brain injuries by healthcare providers, the number of patients diagnosed with a traumatic brain injury (TBI) is only increasing. Unfortunately, many patients who sustain a TBI, regardless of the severity, experience sleep disturbances, insomnia, fatigue, and daytime sleepiness.
Purpose: For the purposes of this systematic review, the focus will be primarily on the comparison of nonpharmacological treatments of sleep disturbances or fatigue secondary to a TBI. In addition, the focus will include recent studies on pharmacological treatments of post-TBI fatigue and insomnia.
Methods: A literature review was conducted to critique current evidence on nonpharmacological and pharmacological interventions for the treatment of sleep disturbances, insomnia, and fatigue in adults following a traumatic brain injury. Searches were performed for articles published between 2015-2022, using PubMed, UpToDate, Academic Search Ultimate, APA Psycinfo, and Google Scholar.
Conclusions: As a result of the nuanced pathophysiological processes behind TBIs and subsequent insomnia, a multifaceted, holistic approach to care is the most effective. Many of the included studies are pilot trials or preliminary studies– further research with larger participant quantity is warranted to determine or elaborate specific treatment efficacy. Given the most recent research, providers should consider cognitive behavioral therapy, bright light therapy, sleep hygiene, and melatonin as first-line treatments for sleep disturbances, insomnia, and fatigue after a traumatic brain injury