Daily Reflection Journal #2

1. Discuss ways in which culture can affect nursing practice, methods for developing cultural competence, conduct a cultural assessment for a different cultural group, and develop culturally competent interventions to promote positive health outcomes. (SLO # 6)
2. Explain how the environment influences health and disease and which health care disciplines work with nurses in environmental health, and the skills needed by nurses working in environmental health. (SLO # 6)
3. Describe legislative and regulatory policies that have influenced the effect of the environment and health, and identify the structure, functions of key agencies that affect public health and nursing in the US and globally. (SLO # 2)
4. Define key terms and relationships among nursing practice, health policy, and politics. (SLO # 2)
5. Develop and implement a plan to communicate with policymakers and advocate on a chosen public health issue. (SLO #2, #8)
6. Describe the role of government and payers in health care financing and major factors that influence health care spending. (SLO #2)
7. Identify mechanisms for financing public health services, implications of rationing, and evaluate levels of prevention. (SLO # 2)

SAMPLE SOLUTION

I did my first week of clinicals at Villa Siena, 1855 Miramonte Ave, Mountain View. Together with my partner, we were exploring how dementia patients can be managed using non-pharmacological methods. There were several learning objectives for the clinicals. First, we aimed to formulate a communication plan with policymakers and advocates on dementia. Secondly, we aimed at defining key relationships among the different health care stakeholders. Also, we aimed to explore environmental risk factors for dementia. Finally, we also aimed to determine appropriate non-pharmacological interventions for dementia patients.
Our learning goals included recognizing dementia in patients seeking healthcare services at the facility through the assessment of signs during the nursing admission assessment. This was aimed at identifying appropriate non-pharmacological interventions that would result in improved function and independence of the patient for the longest time possible. Other goals included promoting…