Personal Advanced Nursing Practice Framework Term Paper

The relationship between the practice framework and the nursing process

The initial interview with the client is critical. All too often, nurses simply ask the patient about immediate symptoms or lifestyle practices. Cultural negotiation requires acting 'why' -- for example, WHY is a client not taking his or her medication, exercising, or eating certain foods. Client's presumptions of health and client health literacy are part of the patient's culture and must affect the treatment process.

The applicability or adaptability to clients of various ages in various health states

The multigenerational nature of nursing care makes cultural negotiation all the more important: first and second generation immigrants will often have a different cultural perspective upon health and wellness than their children. Age is part of the individual's culture, as well as heritage, and every life stage itself is a kind of 'culture.'

Summary

A client's culture is part of his or her state of health: assumptions about...

...

Some of these elements are within patient control, others are not. Like the old adage, the nurse must set goals with the patient in a state of dialogue, and accept what cannot be changed, and seek the strength to change what can and must be altered.

Sources Used in Documents:

References

Bridge, Jean, Sally Cabell, & Brenda Herring. (n.d.). Dorothea Orem's self-care deficit theory.

Troy University. Retrieved April 26, 2010 at http://prism.troy.edu/~scabell/Orem.pdf

Leininger, M. (1991). Excerpted in "The basic concepts of transcultural nursing."

Culture Diversity. 2008. Retrieved April 26, 2010 at http://www.culturediversity.org/basic.htm
http://www.rno.org/journal/index.php/online-journal/article/viewFile/93/89


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