Question

Styles Paragraph PRN 1555- Case Study for Module 02 Discussion 23-year-old female from El Salvador who migrated to the United States with her sister E.S. 1s a (now 17) in 2011. They fled El Salvador due to crime and gang violence. ES is being admitted to the hospital on a 72-hour-hold E.S. was referred to a psychiatrist by her primary physician for an evaluation of possible Post Traumatic Stress Disorder (PTSD). The symptoms she was experiencing at the time included: trouble falling asleep, frequent awakening, nightmares, awakening in cold sweats, and crying out in the middle of the night that someone was trying to kill her. Her appointment was set for next month. Since the referral, she has become increasingly agitated. She was brought to the ER after trying to run in front of a car. She is accompanied by her sister and 25-year-old boyfriend Her boyfriend speaks and interprets for the sisters. E.S. and her sister do not speak English. Her brother reports that E.S. has had frequent lapses of memory, that she does not "make sense", that the house is a mess and that she has wandered off and gotten lost three times in the last few months. The brother says that he feels that E.S. should be taken care of by his family when he leaves the hospital In the first 24 hours of hospitalizations, E.S. is pacing the room the window. Bruises were noted on her back and arms. When meals are served, E.S. will ignore it or throw the tray on the floor. She refuses to take any medications. She has had three incidents of self-injurious behavior. Her boyfriend would like her restrained during visits and meals for safety. Her boyfriend has requested that she be discharged to the care of an espitista and her boyfriend's family tomorrow. frequently and often looks out

Answer 1

• The following information the nurse should seek in order to receive culturally competent care for this patient are
  • Knowing about their beliefs and practices
  • Their view about modern medicine and its benefits
  • Encouraging the family members to actively involve in the care
• It can be incorporated in the treatment after discussion with the primary doctor because espirita deals with identification of the root cause and treating it from the origin ,something like healing the patient with spirit,non chemical based medications.It can be assessed what type of treatment is offered and how it can interact the modern life and its duration to treat it.The prayers in it can be conducted either in the morning or evening.Certainly restricting causing any harm to the patient physically by beating to remove the evil spirit.
• The following safety measures has to be taken regardless of culture are
  • Restraining only after consent and physician order,strictly when patient is very aggressive and cause injury to self or others
  • Removing any sharps, medications, articles from patient side, when people are in traumatic condition they tend to get negative energy like killing self
  • To meet the patients nutritional needs
  • Administration of medication as per the order