Question

To prepare: Reflect on your experiences as a nurse and on the information provided in this...

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?

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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.

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.

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Answer #1

Alcohol is the major problem and burden for most of the countries. Alcohol consumption causes more harm to the lower economic status of people than higher economic status. This patient is in poverty which leads to improper pattern of alcohol consumption which increases health risk. Low economic status also results in poor health outcomes. Lifestyle pattern also increases the risk of cigarette smoking which increases the health risk of hypertension. Alcohol and cocaine abuse leads to false cultural patterns which limit his participation in society and familial responsibility. Alcohol abuse increases absenteeism or leads to unemployment. Usually, the person spends most of the time outside the home which denies the spiritual belief.

Withdrawal from alcohol affects the emotional status of patient. The patient will be in a state of more anxiety and depression. So the nurse has to build trust with the patient. Nurses have to support them emotionally while interacting with the patient. The nurse has to be more specific in asking of questions and in caring for patient condition. The nurse should follow direct communication and true statement.

  • Can you able to inform about your family health history?
  • What is your routine lifestyle activities?
  • What about your daily diet and nutritional intake?
  • How many cigarettes do you smoke per day?
  • Did you take any traditional or alternative medicine for hypertension?
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