Population Cultural Considerations and Genetic Predispositions

Population Cultural Considerations and Genetic Predispositions

Provide a few examples of community resources that should be put in place to assist your population in resolving their health care needs. What gaps in service do you see that affect your population?

The practicum will be conducted in a substance abuse clinic in Lexington, Kentucky. The focus will be on improving efforts to address opioid abuse and addiction among the clinic’s clients as a significant concern for the local population. Three community resources should be put in place to assist this population in resolving their health care needs. Firstly, there is a need for rehab centers that offer inpatient treatment services to include psychotherapy interventions. The centers should be targeted at the different population demographics with a focus on the ability to pay. Secondly, there is a need for a forum that allows the population to exchange ideas on some of their concerns and solutions. Third, there is a need for an information centers that presents facts on the condition to include who is affected, mental health issues, and support services. However, a review of the available community resources reveals that although there are rehab centers and information centers, while there are no forums for the population. There is a need for an official that would mainly focus on opioid abuse and addiction concerns, while allowing the population to exchange ideas on the problems they are facing and effective solutions (Raingruber, 2017).Population Cultural Considerations and Genetic Predispositions

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Are there any cultural considerations that might inform your approach to caring for this population?

The local population presents five cultural issues that have an effect on opioid abuse and addiction among the local population. These cultural factors have been noted to cause and cultivate addiction within the population. The first social factor is bonding experience, especially among young adults and adolescents who struggle to relate to their peers. The stress of socializing with peers can act as a major reason why members of the population to turn to opioids to mellow and relax the users while curbing social anxiety. The second cultural factor is relief from stress. Using opioids presents a sense of relief from the stresses of daily life. The third cultural factor is the sense of community. The use of opioids promotes the feeling of belonging and community, and group solidarity.  The fourth cultural factor is the allure of rebelling. Abusing opioids, by nature, creates a sense of rebellion against societal expectations and norms. This is particularly the case among adolescents who use opioids as a way of acting out against the limitations imposed on them at home and school, and against authority. The final cultural factor is lifestyle appeal as the ‘free lifestyle’ of opioid addicts could appear glamorous and appealing to observers. There is a need to consider the mentioned cultural factors when providing care for the population (Pérez & Luquis, 2014).

Does your population have a genetic predisposition to the health care problem you have identified?

There are genetic predispositions to substance abuse and addiction with genetic studies showing that these behaviors are heritable. Firstly, heritability (genetic variance) is estimated at between 0.4 and 0.6 for addiction. Secondly, there is an eight-fold increase in the odds of drug abuse and addiction among relatives with greater odds for the same substance. Thirdly, heritability for lifetime abuse is estimated at between 0.3 and 0.5. fourthly, dopamine D4 receptor gene is associated with novelty seeking, causing individuals to experiment with opioids. Finally, several single-nucleotide polymorphisms in the dopaminergic system have been linked with opioids addiction. The polymorphisms include rs936462, rs1800498, rs747302, rs1079597, rs1611115, rs1800955, rs1800497, and rs4680 (Wang et al., 2019).

Identify at least one evidence-based, culturally competent behavior change that would promote health for your selected population and for the specific health care problem you are addressing?

A culturally competent behavior change that would promotion health for the population is presenting healthy bonding experiences that do not involve the use of opioids and other substances. This would include sports activities and other socially acceptable activities (Handtke, Schilgen & Mösko, 2019). Population Cultural Considerations and Genetic Predispositions

References

Handtke, O., Schilgen, B., & Mösko, M. (2019). Culturally competent healthcare – A scoping review of strategies implemented in healthcare organizations and a model of culturally competent healthcare provision. PLoS ONE, 14(7), e0219971. https://doi.org/10.1371/journal.pone.0219971

Pérez, M., & Luquis, R. (2014). Cultural Competence in Health Education and Health Promotion. John Wiley & Sons, Inc.

Raingruber, B. (2017). Contemporary Health Promotion in Nursing Practice (2nd ed.). Jones & Bartlett Learning, LLC.

Wang, S., Chen, Y., Lee, C., & Cheng, C. (2019). Opioid Addiction, Genetic Susceptibility, and Medical Treatments: A Review. International Journal of Molecular Sciences, 20(17), 4294. https://doi.org/10.3390/ijms20174294

NURS 4210: Role of the Nurse Leader in Population Health

Practicum Project

Weekly Overview – Practicum Assignments

 Practicum Learning Objectives

  • Develop an intervention plan in collaboration with other professionals that takes into account determinants of health, available resources, and activities that contribute to health and the prevention of illness or injury
  • Provide culturally competent care, i.e., health promotion, disease and injury prevention interventions in collaboration with other health care professionals in a community health care setting
  • Analyze data pertaining to a specific community health issue
  • Evaluate how cultural competence improves nursing practice and health outcomes

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  • Evaluate current evidence-based practices for your selected population
  • Analyze evidence-based practices
  • Evaluate programs aimed at solving health problems
  • Evaluate local disaster plans and contemplate collaborative efforts in problem solving
  • Analyze effectiveness of practicum proposal through practice presentations
  • Present practicum presentation to colleagues
Weekly Practicum Assignments
Practicum Group Discussions Overview
Week 1: Identification of a Population in Your Community

As a community of practice your task for this week is to collaborate with professionals across the health care system and with your community of practice in the discussion in order to find a gap in care or social determinant that often results in poor health care outcomes. You will begin to take the lead in advocating for and collaborating with others to improve the health care outcomes for populations at risk.Population Cultural Considerations and Genetic Predispositions
Week 2: Practicum: Epidemiology: Define Your Population and Selected Problem

 

This week, you will further refine your population and problem and compare your suspicions about this problem to local, state, and national data on the topic. Your practicum project should come into clear focus as you continue to analyze related health data, and you should consider how you, as the nurse, might help them avoid development of the problem in the first place (primary prevention measures).
Week 3: Practicum: Population Cultural Considerations and Genetic Predispositions

This week, you will identify any genetic predisposition your chosen population has to a particular disease and develop primary practice interventions that reflect the cultural considerations of the population. Then, you will develop culturally appropriate, measureable interventions to help your population members maintain an optimal state of health, avoiding the problem that you identified them being at risk for developing.
Week 4:  Evidence-Based Practice and Evaluation of the Project Through Measureable Goals

Dr. Marcia Stanhope (2016) explained that evidence-based public health practice refers to those decisions made by using the best available evidence, data and information systems and program frameworks; engaging community stakeholders in the decision-making process; evaluating the results; and then disseminating that information to those who can use the information.Population Cultural Considerations and Genetic Predispositions
Week 5: Present Your PowerPoint Presentation to Your Community Members

This week, you will be presenting your practicum project to community members, community professionals, or mentors to elicit their opinions about your project and to gather their suggestions for improvement, which you can then incorporate into the PowerPoint before it is due by Day 3 in Week 6
Week 6: Presentations

This week, you will present your PowerPoint presentation to the class incorporating the feedback you received from the presentation to community members in Week 5.  Day 3 of Week 6. (Presentation also needs to be submitted to the Week 6 Assignment link.)

Population Cultural Considerations and Genetic Predispositions