NUR 417 PSLO Presentation

KW
by Kaitlin Webb11 views·Updated Nov 7, 2022
Create your own

Chapters

Audio TranscriptAuto-generated

  1. Okay.
  2. Hi,
  3. my name is Caitlin Web and this is my presentation of health disparities
  4. for nurse for 17 ps solo assignment
  5. covering special considerations and emergency care.
  6. So what are health disparities?
  7. The CDC defines health disparities as preventable
  8. differences in the burden of disease,
  9. injury,
  10. violence or opportunities to achieve optimal health
  11. that are experienced by socially disadvantaged populations.
  12. In this definition, population includes age, race, gender, location,
  13. sexual orientation and education.
  14. Health disparities often arise from multiple factors.
  15. This is an image you've likely seen before or a
  16. version of an image you've seen before covering inequality,
  17. equality, equity and justice.
  18. This image displays
  19. inequality where two different people have two very different opportunities.
  20. On the opposite end,
  21. it displays justice where equal access is granted to both people and
  22. they are given tools that allow them access to those opportunities.
  23. Equity is when people are given resources depending on their need.
  24. In this example, it's two different heights
  25. heights of ladders,
  26. inequality is shown when people when two different people are
  27. given the same resources but not the same opportunities.
  28. And the next few slides will cover examples of health disparities and medicine.
  29. First covering O. B. G. Y. N.
  30. The state of Georgia has 159 counties of these counties, 75 do not have an O. B. G Y. N.
  31. And eight do not have any physicians.
  32. The United States Census Bureau found that 33.3% of the
  33. population in Georgia is black and or african american.
  34. In the United States, white women experienced death at a rate of 1,300,000 births.
  35. while black women experienced death at a rate of 42.8 per 100,000 births.
  36. This is an example of how race, gender and location play a role in health disparities
  37. pain management.
  38. A study done by the University of Virginia
  39. found that black people are undertreated for pain.
  40. This under treatment was due to false beliefs and
  41. racial differences held by white medical professionals and students.
  42. This was true even for individuals who believe
  43. they did not harbor any racial prejudice.
  44. Some false beliefs held by medical students,
  45. where that black people have higher pain tolerance and that they have thicker skin
  46. as mentioned,
  47. an interesting finding from the study was that those who identified as
  48. not having any bias towards other races still held these false beliefs.
  49. These beliefs impacted the quality of care that their patients received and
  50. the students were not even aware of the impact of their actions.
  51. In another study focusing on emergency room treatment of pediatric patients,
  52. It was also found that there are disparities and pain management.
  53. It found that black african american hispanic and those
  54. that did not speak english received fewer interventions.
  55. It also found that when they did receive interventions,
  56. those interventions were not as effective as relieving the pain the patient's felt
  57. Equations and equipment.
  58. In 1999.
  59. A coefficient was added to the
  60. equation that calculates glamorously filtration rate.
  61. If the patient identified as black treatment differences for
  62. kidney care resulted in the years after implementation.
  63. This coefficient is in the process of being removed currently
  64. During COVID-19 and increased
  65. use of pokes ox emitters led to the discovery
  66. that they may not be accurate for darker skin.
  67. This caused a decrease in oxygen treatment for those people of color
  68. oxygen saturation levels were being overestimated,
  69. so those with darker skin were not being treated
  70. with oxygen as quickly as people who are white.
  71. This led to a poor prognosis for patients color.
  72. The pulse oximeter is a widely used tool for baseline assessments.
  73. It is important for all nurses, but especially emergency room nurses.
  74. To be aware of the implications of this, finding
  75. access to care.
  76. Those who live in rural areas have a higher death
  77. rate than those that live in urban or suburban areas.
  78. Death from accidents is higher in rural areas,
  79. especially from motor vehicle accidents.
  80. Those living in rural areas are less likely to have
  81. healthcare insurance and hospitals in rural areas are closing,
  82. which these people that rely on those service at increased risks.
  83. Many people in rural areas use emergency
  84. room services as primary health care services.
  85. So this especially puts them at risk.
  86. Telemedicine may be a resource that can be used in the future for rural areas.
  87. However, lack of funding and limited healthcare professional and
  88. professionals in rural areas leads to poor health outcomes for these patients.
  89. So what can we do how er healthcare providers can make a difference.
  90. You can advocate for increased diversity at your facility.
  91. You can amplify the efforts of those working to increase diversity.
  92. You can participate in a cultural competency class and
  93. educate yourself on different cultures and new medical discoveries.
  94. It should be emphasized that people of color are not
  95. obligated to educate you on experiences they have had.
  96. There are plenty of resources on the internet and
  97. in libraries that can give you these resources.
  98. It can be emotionally and mentally draining to have to explain
  99. what they've gone through over and over again to people.
  100. In addition, new medical discoveries are very important. For example the G. F. R.
  101. Rate and the pulse oximetry readings are very new findings.
  102. It would be important to keep up to date on new medical discoveries.
  103. Advocate for patients and listen to what they tell you.
  104. This is especially important for pain
  105. screen for social needs of patients in an emergency room setting.
  106. This may be a bit difficult but if you have
  107. time with the patient you could possibly set them up
  108. with social services so that they can find things that
  109. meet their needs outside of their immediate physical needs.
  110. This map shows the outcomes of increased diversity in health care settings,
  111. all lead to greater health equity for those that experience health disparities.
  112. Currently
  113. this video attached is not working within the
  114. presi but I wanted to include it still because
  115. I thought it was such a great example
  116. of how diversity is important within health care,
  117. even if it's for a somewhat simple or innocuous reason, um,
  118. I will attach it to my submission,
  119. but I wanted to go over what it's about really quickly.
  120. Um There's a nurse who is black and she works with mother baby
  121. and she's getting report from another nurse who is white and the nurse she
  122. was getting a report from so that she had ordered a psych consult
  123. for one of the patients because every time she went into her room,
  124. she was hitting her head.
  125. So the black nurse asked if the patient was also
  126. black and the reporting nurse said that she was.
  127. And so the other nurse said that, oh,
  128. she maybe has a wig or extensions and that's a way
  129. to itch the scalp and not damage the wig or extensions.
  130. And it was just like a very small thing that showed how important it is to have
  131. diversity because this could have really impacted the patient's care, lead to
  132. possibly a traumatic experience for her.
  133. Thank you for watching my presentation.
  134. And these are the references that I used throughout.
  135. Thank you