ou are leading a team that includes the Tennessee Department of Health and Vanderbilt University on a CDC-funded effort to reduce obesity among rural youth in the state of Tennessee. You have four (grant) years to achieve results. According to State Health Department figures, obesity levels have always been somewhat high in rural counties, but in recent years they have even been higher, together with corresponding increases in diabetes and heart disease. A recent study by the University of Tennessee has noted a 5% increase in cardiovascular disease (CVD) among rural Black and White men, and urban Black men. The local cancer society has noted a marked increase in the already higher than national rates for rural Black women, and a slower, but steady uptick in late-stage cervical and breast cancer diagnoses among White rural women. The death by stroke of the pastor and local junior high school coach has highlighted a trend in the area among White rural men in two counties. Most public high schools in these areas require only one year of physical education classes. Middle schools have not emphasized this either, with students being able to opt out for various reasons. In addition, most middle and high schools only have part-time school nurses, and very little budget for health education activities. Income levels are generally low in the target rural areas, with jobs primarily in mining (mountain counties), agriculture, and low-paid assembly work. Unemployment is higher among men than women. There are few jobs for youth. The primary centers for youth social and physical activities are through churches. Surveys and focus groups previously done by Vanderbilt University show the following: A large percentage of people eat fast food at least three times per week. 65% of people who had a body mass index of over 30 did not consider themselves “obese” or at any health risk. A “stout body” was viewed as normal, even an indication of “not being hungry.” Eating was also viewed as a major element of social gatherings, and these gatherings featured “meat and potatoes” fare (e.g., ham, potato casserole, sweet potato pie, etc.). These attitudes crossed racial/ethnic lines and were common among both Caucasian and African American respondents. In addition, one of the most popular country singers in the area is himself very large. Previous information campaigns to the public (“It’s right to eat light…”), using bus posters, public service ads on billboards, and information given out at doctor’s offices, have had little or no impact. Create a video using PP slides and an audio voice over to present your responses to the following questions. The video should be no more than 5 minutes. You are mentoring/educating a new person to the healthcare field (medicine, nursing, public health, other), and need to address the obesity issues described above. In your video, discuss how you would describe to the new practitioner/mentee leading this conversation with a patient/client. Use what you have learned in the course to demonstrate cultivating an attitude of culturally competent and sensitive care. (1 – 2 slides) As a healthcare professional and mentor, describe how you conduct a conversation with this patient/client yourself that would help you provide services to them about obesity and co-morbid (accompanying) related health issues. Include discussion on biases, customs, beliefs that you have that you may inadvertently bring to this conversation and how to avoid them. (1 – 2 slides) Discuss the biases, beliefs, and customs that the client/patient/person may easily have about you. Demonstrate an ability to overcome these to reassure them that you as a provider of care or services are sensitive to their culture, ethnicity, race, and holistic health. (1 slide)
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[Verified Answer]: ou are leading a team that…