course material

1. advanced health assessment discussion response # 2
students paper to resopond to:Marcus YeeWednesdayMar 8 at 7:36pmYee, Week 2, Main
PostMy patient is a 32-year old lesbian who is having vaginal discharge on her annual exam.
She has a family history of diabetes and received sperm from a local sperm bank without
any complications thus far; this is her first pregnancy and has not given birth yet.
Socioeconomic status (SES), spiritual, lifestyle, and other cultural factors all culminate to
help better understand the patient and their history. These factors also provide trends on
the way different populations seek medical care and how physicians treat them (Ball et al.,
2019). Lower SES populations tend to have negative health and medical care, as poverty
and inadequate education disproportionally affects this population (Ball et al., 2019). With
this patient, there is not enough information to determine her SES, but the fact that she is
arriving to her annual exam is positive.The patient’s self-identity is the most important
information to address because she is lesbian. The lesbian, gay, bisexual, and transgender
(LGBT) community is at risk for numerous adverse health outcomes and discrimination
(McEwing, 2020). This community has a higher rate of suicide, depression, HIV, STI, and
mental health issues, which contributes to the many disparities that they may face just
based on their lifestyle choices and self-identification (McEwing, 2020). Ball et al. (2019)
argues that about 10% of patients that providers will see may not be heterosexual and it is
important address them appropriately to gain respect throughout the exam. Respect and
trust are important to gain upon assessments with patients because they must feel
comfortable enough to confide in someone who is caring for them. It is important to be
culturally competent and understand one’s views and feelings about heterosexism and
homophobia that one may possess (Ball et al., 2019). Once one has a full understanding of
their own views, it is important to not let these opinions affect the type of care they are
providing, as this may have a negative effect on the patient’s plan of care.To be culturally
competent, it is important to understand the many facets that make up a patient, such as
their health beliefs and practices, faith, language, communication, family roles, support
systems, and dietary practices (Ball et al., 2019). When addressing the LGBT community, it
is important to use the correct vernacular when addressing them (Aisner et al., 2020). Yes,
this patient identifies as lesbian but they can further identify as asexual, gender fluid,
gender nonconforming, nonbinary, pansexual, and queer (Aisner et al., 2020). Therefore, it
is important to provide follow up questions to fully understand their background. Five
potential questions are listed below.QuestionsHow do you identify as?How does your
partner identify as?Have you had sexual intercourse with more than one partner?Do you

2. have a history of HIV or any STIs?Have you ever had sexual intercourse with an individual
with confirmed HIV or STIs?These five questions can help gain a better understanding of the
patient and their sexual history. Additionally, it may help rule out any causes of the vaginal
discharge the patient is experiencing.Marcus YeeReferenceAisner, A. J., Zappas, M., & Marks,
A. (2020). Primary care for lesbian, gay, bisexual, transgender, and queer/questioning
(LGBTQ) patients. The Journal for Nurse Practitioners, 16(4), 281-285.Ball, J. W., Dains, J. E.,
Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination:
An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.McEwing, E. (2020).
Delivering culturally competent care to the lesbian, gay, bisexual, and transgender (LGBT)
population: Education for nursing students. Nurse education today, 94, 104573.rubric:This
criterion is linked to a Learning OutcomeSecond Response17 to >15.0
ptsExcellent“Response exhibits synthesis, critical thinking, and application to practice
settings. Provides clear, concise opinions and ideas that are supported by at least two
scholarly sources. Demonstrates synthesis and understanding of Learning Objectives.
Communication is professional and respectful to colleagues. Responses to faculty questions
are fully answered, if posed. Response is effectively written in standard, edited
English.descriiption:Respond on or before Day 6 on 2 different days to at least two of your
colleagues who were assigned a different patient than you. Critique your colleague’s
targeted questions, and explain how the patient might interpret these questions. Explain
whether any of the questions would apply to your patient, and why.discussion original
assignment requirements that we are responding to:Post an explanation of the specific
socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you
were assigned. Explain the issues that you would need to be sensitive to when interacting
with the patient, and why. Provide at least five targeted questions you would ask the patient
to build his or her health history and to assess his or her health risks.Reflect on the specific
socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the
patient assigned to you.Consider how you would build a health history for the patient. What
questions would you ask, and how would you frame them to be sensitive to the patient’s
background, lifestyle, and culture? Develop five targeted questions you would ask the
patient to build his or her health history and to assess his or her health risks.Think about
the challenges associated with communicating with patients from a variety of specific
populations. What strategies can you as a nurse employ to be sensitive to different cultural
factors while gathering the pertinent information?