Select one of the future issues presented this week. Examine the issue in terms of cultural diversity, health promotion, and communication methods. Discuss in detail how this issue affects healthcare delivery and advanced nursing. (Please choose from the issues listed below)
In The Future of Nursing, the Institute of Medicine (IOM, 2011) identified five major “health care challenges” facing the U.S. health care system in the 21st century. These are:
Chronic conditions (e.g., diabetes, hypertension, arthritis, cardiovascular disease, and mental health conditions): Prevalence of these conditions is expected to increase and to be exacerbated by growing rates of obesity.
Aging population: The proportion of the U.S. population aged 65 years and older is expected to grow from 12.7% in 2008 to 19.3% in 2030. This will dramatically affect the demand for health care services.
Diverse population: Minority groups are projected to increase from about a third of the U.S. population to 54% by 2042. Diversity involves various ethnic and racial groups, language, immigrant status, socioeconomic status, and other cultural features.
Health disparities: Inequities in the burden of disease, injury, or death experienced by socially disadvantaged groups. Health disparities are not only partially caused by deleterious socioenvironmental conditions and behavior risk factors but may also be influenced by bias that results in unequal, inferior treatment.
Limited English proficiency: Related to the increasingly diverse population is the problem of limited English proficiency. To be effective, health information must be accessible, understandable, and culturally relevant. Limited English proficiency and varying cultural and health practices contribute to the complex challenges that health care providers must address.
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