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Chapter 03: Cultural Considerations

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Chapter 03: Cultural Considerations

NS is a 72-year-old woman who immigrated to the United States from Egypt 5 years ago. She is a widow, has five grown children, and follows Islamic doctrine. She lives with her oldest daughter, and a younger daughter and three sons live near her home. NS is currently hospitalized due to a recent cerebral vascular accident. She has left-sided paralysis. The attending physician tells the patient she should go to a rehabilitation unit for 3 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 any questions.

1. What cultural factors could explain the apparent anxiety?

2. Which nursing interventions would help decrease the anxiety?

3. How might the patient view the idea of physical therapy?

4. How can other members of the family be included in the plan of care?

Answer 1

1.The cultural factors like stigmatism,poor social outcomes, perceptions of social norms,gender role ,minority groups,distrust. Very poor or no knowledge on the treatment offered to the patient  would have caused anxiety

2.Some of the nursing intervention to decrease anxiety are

• Encourage the patients to talk
• Pay close attention and listen to them completely to avoid interruption to patient a
• Ensure the patiet develop a trust on nurses
• Identify the needs and concerns of payient and her family members
• Use nonverbal communicaton

3.The physical therapy sometimes considered to be strange in the Islamic women like its long duration,opposite gender ,whether it will work nor not

4.Some of the ways in involving the family members in the plan of care are

• identify the knowledge and understanding level to get the baseline data
• Health educate them and their role in supportive care
• Make them aware that family involvement generally decreases patient anxiety and stress level
• Provide knowledge on the major role of family member in rehabilitation program of a patient