Reflect on the specific socioeconomic spiritual lifestyle and other cultural factors related to the health of the patient assigned to you

Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information?Explain

 

Discussion: Diversity and Health Assessments

May 2012 Alice Randall wrote an article for The New York Times on the cultural factors that encouraged black women to maintain a weight above what is considered healthy. Randall explained—from her observations and her personal experience as a black woman—that many African-American communities and cultures consider women who are overweight to be more beautiful and desirable than women at a healthier weight. As she put it “Many black women are fat because we want to be” (Randall 2012).

Randall’s statements sparked a great deal of controversy and debate; however they emphasize an underlying reality in the healthcare field: different populations cultures and groups have diverse beliefs and practices that impact their health. Nurses and healthcare professionals should be aware of this reality and adapt their health assessment techniques and recommendations to accommodate diversity.

In this Discussion you will consider different socioeconomic spiritual lifestyle and other cultural factors that should be taken into considerations when building a health history for patients with diverse backgrounds. Your Instructor will assign a case study to you for this Discussion.

To prepare:

Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments.

By Day 1 of this week you will be assigned a case study by your Instructor. Note: Please see the “Course Announcements” section of the classroom for your case study assignment.

Reflect on the specific socioeconomic spiritual lifestyle and other cultural factors related to the health of the patient assigned to you.

Consider how you would build a health history for the patient. What questions would you ask and how would you frame them to be sensitive to the patient’s background lifestyle and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.

Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information?

By Day 3 of Week 2

Post an explanation of the specific socioeconomic spiritual lifestyle and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.

CASE STUDY 5:

AG is a 54-year-old Caucasian male who was referred to your clinic to establish care after a recent hospitalization after having a seizure related to alcohol withdrawal. He has hypertension and a history of alcohol and cocaine abuse. He is homeless and is currently living at a local homeless shelter. He reports that he is out of his amlodipine 10 mg which he takes for hypertension. He reports he is abstaining from alcohol and cocaine but needs to smoke cigarettes to calm down since he is not drinking anymore.

Learning Resources

Required Readings (click to expand/reduce)

Ball J. W. Dains J. E. Flynn J. A. Solomon B. S. & Stewart R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis MO: Elsevier Mosby.

Chapter 1 “The History and Interviewing Process”  (Previously read in Week 1)
This chapter highlights history and interviewing processes. The authors explore a variety of communication techniques professionalism and functional assessment concepts when developing relationships with patients.

Chapter 2 “Cultural Competency”
This chapter highlights the importance of cultural awareness when conducting health assessments. The authors explore the impact of culture on health beliefs and practices.

Dains J. E. Baumann L. C. & Scheibel P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis MO: Elsevier Mosby.
Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care 6th Edition by Dains J.E. Baumann L. C. & Scheibel P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center.

Chapter 2 “Evidenced-Based Clinical Practice Guidelines”

Melton C. Graff C. Holmes G. Brown L. & Bailey J. (2014). Health literacy and asthma management among African-American adults: An interpretative phenomenological analysis. Journal of Asthma 51(7) 703–713. doi:10.3109/02770903.2014.906605
Credit Line: Health literacy and asthma management among African-American adults: An interpretative phenomenological analysis by Melton C. Graff C. Holmes G. Brown L. & Bailey J. in Journal of Asthma Vol. 51/Issue 7. Copyright 2014 by Taylor & Francis Inc. Reprinted by permission of Taylor & Francis Inc. via the Copyright Clearance Center.

The authors of this study discuss the relationship between health literacy and health outcomes in African American patients with asthma.

Centers for Disease Control and Prevention. (2020 October 21). Cultural competence in health and human services. Retrieved from https://npin.cdc.gov/pages/cultural-competence
This website discusses cultural competence as defined by the Centers for Disease Control and Prevention (CDC). Understanding the difference between cultural competence awareness and sensitivity can be obtained on this website.

United States Department of Human & Health Services. Office of Minority Health. (n.d.). A physician’s practical guide to culturally competent care. Retrieved June 10 2019 from https://cccm.thinkculturalhealth.hhs.gov/

From the Office of Minority Health this website offers CME and CEU credit and equips healthcare professionals with awareness knowledge and skills to better treat the increasingly diverse U.S. population they serve.

Coleman D. E. (2019). Evidence based nursing practice: The challenges of health care and cultural diversity. Journal of Hospital Librarianship 19(4) 330–338. https://doi.org/10.1080/15323269.2019.1661734

Young S. & Guo K. L. (2016). Cultural diversity training. The Health Care Manager 35(2) 94–102. https://doi.org/10.1097/hcm.0000000000000100

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