Question

PN 105 Fundamentals of Nursing I Stroke - Cultural Factors NS is a 72 year old woman who immigrated to the United States from Egypt 5 years as She is a widow, has five grown children, and follows Islamic doctrine. She lives with her old daughter. A younger daughter and 3 sons live near her home. NS is currently hospitalized due to a recent cerebral vascular accident. She has left sided paralysis. The physician tells the patient that she should go to a rehabilitation unit for 5 weeks for physical therapy. The oldest daughter is present for the physician's visit. Both the patient and her daughter appear anxious but do not ask the physician questions. 1. What cultural factors could explain the apparent anxiety? 2. List five (5) interventions that could decrease the anxiety. 3. Explain the role of health care in this society; the view of conventional westem medicine and the acceptance of medications the patient may be requested to take. 4. How may the patient view the idea of physical therapy? 5. What should the nurse consider before applying an ointment? Reviewed 9/18

Answer 1

1.The cultural factors of women being protected and safeguarded from other ill eye sight.Their limitation of exposure to outer environment and people can make Islamic women to be anxious when they meet a stranger and get a long term care

2.Some of the intervention which can reduce stress

• Encourage patient to come out with their doubts and queries which can reduce anxiety
• Orient the daughter and mother to the new unit
• Health educate about the disease comditionnto gain knowledge onnthe recovery stage and measures needed to be done to achieve it
• Plan a care after discussion with the patient and daughter
• Treat the patient and relative with respect and dignity to give them a confidence that the healthcare team are there to help

3.The healthcare professionals are responsible to be aware o fvthe cultural variations and their believes and practices to ensure a smoot healthcare services.The conventional western medicine are the widely followed medicine with scientific evidences and can be beneficial in treating most complicated long term diseases effectively. The patient has yo be given a complete detailed history about the line of treatment

4.The patient may view the physiotherapy as a stranger supposed to touch and deliver care.The conflict of opposite gender can be one o fvthe concerning issue forbtye anxiety and fear to express their need.

5.The nurse shoukd explain the procedure, get acceptance from patient, provide privacy,then apply the medication with dignity and respecting the patient feelings.