Cultural Appropriate Care Planning PDF

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CULTURAL DEVERSITY CARE PLAN...

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Running head: CULTURAL APPROPRIATE CARE PLANNING

Cultural Appropriate Care Planning Quinta Tangoh Ohio University

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CULTURAL APPROPRIATE CARE PLANNING

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Cultural Appropriate Care Planning In the consideration of developing a cultural diverse plan of care, a nurse should consider assessment a patient cultural background to collect subjective and objective data. This paper talk about developing a cultural diverse nursing care plan looking at the key component of a comprehensive cultural assessment, reflecting on two of the component based on the writer’s own cultural background and how it will influence nursing care, and finally creating a nursing diagnosis that reflect cultural diversity. Components of a Comprehensive Cultural Assessment Caring for a patient requires the health history of the patient to come up with a plan of care and a health history is a combination of both subjective and objective data. A complete health assessment requires a nurse to get a holistic picture of the patient which means the nurses will need a complete cultural assessment and its influence on patient health. When a patient comes to the hospital, nurses are supposed to conduct a health history of the patient. To have a comprehensive cultural assessment, the following needs to be addressed: level of ethnic identity and biocultural variation to disease, language and communication process, cultural affiliations, cultural sanctions and restrictions, developmental considerations, economics, educational background, health-related beliefs and practices, kinship and social networks, nutrition, religion and spirituality, and value orientation (Andrews & Boyle, 2016) Cultural Sanctions and Restriction To be a cultural competent nurse, you must be able to assess and recognize your belief and how it influences you and be able to address them before addressing that of another patient. The impact of our cultural norms and tradition can influence us to treat our patient otherwise. This is a situation in which I was influenced by my cultural norm in a negative way. I Cameroon,

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it’s a taboo for a female to smoke and coming to America and working in the nursing home for three years I refused to give my resident smoke break based on my belief that I was misleading them. I made excuses for not giving them smoke breaks like being expose to second hand smoke but it was just that I did not want to be labeled bad influence. Now if I was to work in a nursing home again, I will take my resident out for smoke break because I know my cultural norms only has in impact on me not others. Nutrition The impact of nutrition to your health is very important however how a person view what they eat is even much more important because it influences their general wellbeing. In Bamenda my home land city, drinking tea is consider as welcoming someone home. We drink tea throughout the day and we offer tea to strangers as a form of acceptance to you visit. Also, food in general is something hot and must be cook so we don’t eat raw food except fruits. So, salad will not a consideration for an individual from Bamenda. There is this saying back home that eating salad is like acting animal-like because animals are those who eat green vegetable. This has affected me through the years where I suffered from increased stress, high blood pressure because of sleeplessness due to increase caffeine intake. Because of my knowledge not nutrition I can now help a patient with cultural view of nutrition to make good choices from what is culturally accepted to them and will give a positive influence to their health. Nursing Diagnosis that reflect Cultural Diversity Diagnosis one; impaired verbal communication related to language barrier as evident by patient speaking a non-English language (Ackley & Ladwig, 2010). Patients with language barrier in the hospital can suffer from increasing anxiety and could lead to compromising patient safe and low quality care. In caring for a patient with language barrier the nurse should consider

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using an professional interpreter, understands that high quality care and patient safe depends on effective communication between patient/family and caregivers, recognized that there are cultural linguistic within any language, and to used evidence-based practices such as therapeutic communication skills, showing empathy and implement reliable and sustainable practices when caring for such patients (Douglas et al., 2011). Diagnosis two: ineffective health maintenance related to lack of ability to make good judgement regarding health as evidenced by cultural related nutrition choice that impact heath (Ackley & Ladwig, 2010). When caring for a patient with nutritional habit affecting their health, the nurse’s objective is to find out what cultural impact does nutrition have on them, what does patient considers as health and unhealthy diet, what kind of food do they eat, what religious belief and practices influence their diet. The nurse should assess cultural patterns because there is a marked difference among different cultural group. The nurse should assess patient values and reason for certain nutritional choice and personalize nutritional goals while considering patient likes so as not to cause non-compliance with care plan (Haas et al., 2012). In conclusion, the development of a good nursing diagnosis requires a good assessment of patient culture and its influence on their health and if a nurse implement a comprehensive cultural assessment when assessing patient health history they will develop a quality patient specific plan of care

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References Ackley, B. J., & Ladwig, G. B. (2010). In Nursing diagnosis handbook: An evidence-based guide to planning care. Maryland Heights, MO: Mosby. Andrews, M. M., & Boyle, J. S. (2016). In Transcultural concepts in nursing care (7th ed. Philadelphia PA: Wolters Kluwer. Douglas, M. K., Pierce, J. U., Rosenkoetter, M., Pacquiao, D., Callister, L. C., Hattar-Pollara, M., ... Purnell, L. (2011, September 26). Standards of Practice for Culturally Competent Nursing Care. Journal of Transcultural Nursing. http://dx.doi.org/10.1177/1043659611412965 Haas, L., Maryniuk, M., Beck, J., Cox, C. E., Duker, P., Edwards, L., ... Kent, D. (2012, December 10). National Standards for Diabetes Self-Management Education and Support. Diabetes Care, 36(Suppl 1): S100–S108. http://dx.doi.org/10.2337/dc13-S100...