Cultural competence

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Directions:

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).

Photo Credit: Getty Images

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
  • 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?

 

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.

 

Patient Assigned: CASE STUDY 1

John Green, 33 year-old Caucasian male, presents
to the office to establish as a new patient. John’s natal sex is female but he
identifies as a male. He transitioned from female to male 2 years ago. He has
made a full transition with family and socially last year. He just moved back
home and is unemployed at this time. He has been obtaining testosterone from
the internet to give to himself. He has not had any health care since he
decided to change other than getting his suppression medications through
Telehealth 3 months ago. His past medical history includes smoking 2 packages
of cigarettes per day for the last 10 years, smokes 3-6 marijuana joints every
weekend (has an active green card), and does suffer from depression episodes.
He is HIV positive for the last 3 years but remains virally suppressed at his
last blood draw 6 months ago. He has been feeling very weak over the last few
weeks which prompted him to move back home with his parents. He takes Biktarvy
once daily that comes in the mail for free, tolerates it well, and 100 mg
Testosterone IM every 7 days. His PMH is non-contributory. No past medical
history. He has never been married. No significant family history. He is
worried since moving back home and unemployed he will be a burden on his
family, and he thinks his health may be declining.

 

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