What should be included in a patients care plan in consideration of cultural similarities quizlet?

Gender and Orientation:
What is the gender/gender identity/sexual orientation preference?

Health Beliefs and Practices:
Does the patient prefer a same-gender health care provider?
What about the same ethnicity or racial background?Are there restrictions imposed by modesty that must be respected?
What are the patient's beliefs on health, illness, pain, and death?
Does the patient have any hygiene beliefs (e.g., body odor may not be a sign of poor hygiene and instead may be common to the culture)?
What are the patient's attitudes toward mental illness?
Is there a main family member who is responsible for all health-related decisions?

Faith-Based Influences:
Is there a religion or greater being that the patient follows?
Are there death-related rituals that must be implemented?
Is sharing health-related information with members of the religion approved for spiritual purposes or prayer?
Is fasting a part of the patient's spiritual beliefs?

Communication:
What is the patient's primary language?
How well is English understood, both verbally and written?
Would an interpreter be helpful?

Role of Family Members:
Who makes the decisions?
What is the patient's attitude toward children?
Is physical affection demonstrated to others?

Community Support (Beyond the Family)
Are there any cultural groups that may have an influence on the patient?
Are there friends, coworkers, or others in the social community who may have an influence on the patient?

Dietary Practices
Are there any forbidden foods or cultural rites of preparation required for certain foods?
Are there any foods that hold special meaning associated with special circumstances?
Are there any foods with special healing properties?
If fasting is a part of spiritual beliefs, how often does the patient practice periods of fasting?

Scheduled maintenance: Saturday, September 10 from 11PM to 12AM PDT

Home

Subjects

Expert solutions

Create

Log in

Sign up

Upgrade to remove ads

Only SGD 41.99/year

  • Flashcards

  • Learn

  • Test

  • Match

  • Flashcards

  • Learn

  • Test

  • Match

Terms in this set (34)

Transcultural nursing

-Madeline Leininger-founder of transcultural nursing, died 2012; wanted to make clear that different type of care for different people with cultural
-Addresses differences and similarities between cultures and how they relate to healthcare
-Definitions of culture-
-Ethnicity-relating to large groups of people classified according to racial, religious, linguistic......characteristics

Leininger's definition of culture

having knowledge of a culture before trying to help a client or family is analogous to having knowledge of anatomy and physiology; patient-centered, addresses differences, not impose our own preferences; learned and shared beliefs and lifestyle practices and transmitted lifestyle practices....

Cultural humility

-Critical step!
-Address own cultural knowledge deficit
(1) Explore patient's needs from a cultural perspective
(2) Explore own cultural beliefs
(3) Identify conflict
(4) Examine how we can give care despite conflicts
-Learning how different cultures and subcultures work helps us become better nurses

Subculture examples

-Nurses
-Physicians
-Age (infants, toddlers, adolescents, college kids)
-Gender
-Sexual orientation
-Geographic location
-Disability-based
-Illness-based

Increased Diversity

-Population getting older-increasing faster than any other age group (over 65)
-Age-related changes
--Physical-hearing, vision, chronic conditions, polypharmacy
--Cognitive-dementia, Alzheimer's, social isolation
**May need to modify testing environment-eliminate extraneous noise, eliminate distractions, large print, etc.

Ethnocentrism

Tendency to judge others according to our own cultures and beliefs

Cultural imposition

Tendency of individual to impose their beliefs, patterns, culture on others of a different culture

Cultural blindness

You see all cultures the same

Cultural shock

Shock when being in a different culture for the first time

Cultural competence

To deliver culturally competent care:
-self-knowledge
-need to become culturally sensitive to others and be aware, may vary between ethnic groups and subcultures
-what nurse brings with her and has learned from their own experiences
-different experiences help us with this
-positive change

AACN Essentials

-essentials have made it clear that nursing educators need to integrate cultural competence into the curriculum by providing experiences to interact with different cultures

Joint Commission

requires all healthcare institutions provide evidence that they are trying to procvide culturally competent care

Cultural brokerage

learning to navigate healthcare system in order to advocate for our patient

Approaches to cultural competence

-know person biases and attitudes, prejudices
-build knowledge and cultural competence through experience and asking questions
-tailor nursing care to fit patient's cultural values through cultural assessment
-caution not to stereotype
-address agency policies

Cultural related assessments

-Gender roles-who is dominant figure, what role does family play
-Gender identity-
-Sexual orientation-
-Language and communication-big one! Adult can specify if other person (s/be adult) can act as translator; silence or lack of eye contact can mean sign of respect, discomfort, stubbornness depending on culture
-Orientation to space & time-comfort level with touching and personal space
-Food & nutrition
-Socioeconomic-some cultures will avoid eye contact if of lower socioeconomic status

?'s and conversation starters

"Forgive me, I was wondering if I could ask you a few questions?"

Questions regarding religious/spiritual beliefs

"At times many people draw on spiritual beliefs to help them, is there anything the nurses can do to help you with your spiritual needs? Is there a religious leader I can call for you?"

Questions regarding healthcare team

"We all want to be polite and respectful to you. How would you like to be addressed? Are there certain courtesies you would like us to practice?"

Questions regarding customs

"Are there special beliefs or customs that you would like to keep related to treating this condition?" "How does your family think this illness should be treated?"

Global context of nursing

"What impact does the illness have on your family?"
"With whom should we discuss your care?"
"Is there someone you would like to help you make decisions?"

Questions regarding communication

"What language would you prefer to receive information in?"

Information Disclosure

-Right to information-we feel patient has right to know, but need to take ethical approach and find out who is dominant figure/who we should talk to about patient care
-Promote open dialogue

Models of cultural assessment

-Various models, but throughout all communication is the most important
Ex.: How do we communicate tx may prolong, but won't cure or as a result of this tx you won't be able to have more children

Leininger's Sunrise Model

stresses the importance of providing culturally congruent nursing care (meaningful and beneficial health care tailored to fit the patient's cultural values, beliefs, and lifestyles) through culture care accommodation and culture care restructuring

Explanatory Model

Developed in 1978
-has helped nurses obtain basic information through open-ended questions
-how would you describe the problem that brought you in

The LEARN Model

Listen carefully to what they're saying and observe nonverbals
Explain perception "I understand..."
Acknowledge and discuss similarities and differences
Recommend a plan of action
Negotiate a plan of care that is mutually acceptable

Goal

-Cultural competence-effective individual, respect for dignity, rights, practices
-Cultural safety-can express opinions freely; don't challenge or deny them
-Integrate spiritual needs-ask if they have spiritual needs we can help them with

Causes of illness

-Biomedical/scientific-what most healthcare settings base their practice on
-Naturalistic/holistic-Native Americans, Asians; Ex.: yin yang, cold/hot balance
-Personalistic/Magico-Religious-supernatural forces dominate; Ex.: voodoo, withcraft

Pharmacogenetics

*see article on BB

=field that seeks to unravel the genetic underpinnings of variable drug responses
Ex.: Different ethnic groups respond differently to antiHTN and Beta-blockers (higher dose needed for African Americans); start with lower dose of Warfarin for Asians

Nursing considerations

-Space and distance-personal space differences
-Eye contact-different meanings
-Time-some punctual, some punctuality not important; present-oriented
-Poverty-
-Touch-
-Holiday observances-
-Diet-

Nursing diagnosis
Social interaction impaired r/t knowledge deficit

Spiritual distress

Readiness for enhanced spiritual well-being

Impaired verbal communication r/t difficulty expressing thoughts verbally
Could be due to:
-Aphasia
-Inability to speak language of caregiver
-Side effects of medication
-Cultural differences

American Indian

-Restoring balance and harmony
-Traditional: herbs, plants, healers
-Cause of illness can be spiritual
-Respect for older members
-Diabetes, alcohol and domestic violence are increasing

Asian--Chinese

-Yin and yang: yin female negative energy; yang male positive energy. Must be in harmony for health.
-herbs, acupuncture and acupressure used in addition to or instead of western medicine
-Western: Acute illness, Easter medicine: Chronic illness
-Older members viewed with self-esteem
-Family responsible for care of elders
-Traditional head of household is father

Hispanic

-Fastest growing minority in U.S.
-Good health is God's reward for living good like, treating body with respect and praying
-illness can be punishment from God
-Religious medals work to prevent illness
-Believed in the theory of hot and cold in describing illness
-May use alternative healthcare, folk, healer and home remedies.

Sets with similar terms

Self and Family: Care of Multicultural Families

24 terms

momofnk

Ch 9 Culture and Ethnicity

39 terms

mtanuyan

Chapter 5: Cultural Diversity

39 terms

whitneyjennings

Chapter 9: Culture and Ethnicity (Work Book)

36 terms

gennysay

Sets found in the same folder

Sensory Changes of Aging-Adult Health

30 terms

shanna_lee_barker

Physical Aging

22 terms

shanna_lee_barker

Cognitive Impairment and Older Adults-NU 351

45 terms

shanna_lee_barker

Unit 3: Chapter 2

20 terms

lweber27

Other sets by this creator

TB Unit Rural NU 485 Unit 11

54 terms

shanna_lee_barker

NU 485 Unit 10 Environmental health

16 terms

shanna_lee_barker

Budgeting - Leadership NU 480

29 terms

shanna_lee_barker

Unit 9 part 2 HEPATITIS NU 485

14 terms

shanna_lee_barker

Other Quizlet sets

Managed Products

30 terms

EdHardyGirl97PLUS

Real Estate - Lesson 11

20 terms

eleise_smart

Phil 361 Exam 2

44 terms

sheilamcguinness

Chapter 10 Group Health IN

15 terms

mmhamlin1

Related questions

QUESTION

A parent calls the nurse line, reporting that the child with diabetes is nauseated and vomiting. What is the priority statement the nurse will include in the instructions to the parent?

5 answers

QUESTION

Following a group therapy session, a client approaches the nurse and verbalizes a need for seclusion because of uncontrollable feelings. The nurse reports the findings to the registered nurse (RN) and expects that the RN will take which action?

15 answers

QUESTION

If a visitor asks you a question about the resident's medical condition, it is alright to tell them?

15 answers

QUESTION

A student nurse has completed an initial pharmacology course and tells a nurse that it was difficult. What is the best response by the​ nurse?

8 answers

What are examples of cultural considerations in nursing?

Examples of Cultural Competence in Nursing Speaking in terms that are easy for the patient to follow and understand. Not judging or disregarding a patient's belief and religious background, but encouraging them to do what works best for them. Empathizing with the patient at all times.

What should a nurse do when planning nursing care for a client with a different cultural background from their own?

There are many things nurses can do to provide culturally sensitive care to an increasingly diverse nation:.
Awareness. ... .
Avoid Making Assumptions. ... .
Learn About Other Cultures. ... .
Build Trust and Rapport. ... .
Overcome Language Barriers. ... .
Educate Patients About Medical Practices. ... .
Practice Active Listening..

What interventions should be implemented by a nurse to ensure cultural competence?

Here are 5 ways to help you provide culturally competent nursing care..
Perform a cultural competence self-assessment. ... .
Obtain a certificate in cultural competence. ... .
Improve communication and language barriers. ... .
Directly engage in cross-cultural interactions with patients. ... .
Participate in online chats and networks..

Which is an important consideration when the nurse is providing culturally competent care in a community clinic quizlet?

Which of the following are important considerations when providing culturally competent care in a community clinic? Asking about cultural beliefs related to health, illness, treatments, and dietary practices.