Nursing
What area(s) of the cultural assessment would you focus on?
Jarvis urges the use of cultural assessment in conjunction with other types of assessment including family and community assessments. An understanding of culture can inform strengths and weaknesses that can be applied to the development of a treatment plan. During the assessment in this case, I would focus on language, lifestyles, and values. Values might include the patient's value of money, relationships, time, health, education, beauty, and spirituality. I would ask about family background and history to ascertain relational issues. Her communication styles would be important to understand. Cultural values related to food and food beliefs could be influencing the client. Furthermore, the client's culture might impact her attitudes towards the healing process.
b. Discuss the rationale for selecting this.
It is important to know if the client's financial condition is precluding her from seeking care. With regards to assessing the client's attitudes...
The patient's neglect of her body could indicate an aversion to the Western medical system. It is important to understand the underlying causes of this aversion. Is it the power hierarchy extant in medicine? Or is it a belief in magic and superstition causing the patient to seek help with a shaman (or equivalent thereof) in her community? Perhaps the client does not value health or well-being, and feels that her condition is brought about by God and should not be changed. Whatever the reason, it is important to focus on the client's values and beliefs towards health and healing during the cultural assessment.
It is also important to focus on the client's linguistic orientation. What language does she use, and how does she like to communicate? The nurse cannot communicate with the patient without knowing this. The patient has been neglecting her appearance. Why? I would want to…
References
Boyle JS, Andrews MM (1989): Transcultural Concepts in Nursing Care. Glenview, IL, Scott, Foresman/Little, Brown College Division, 1989
Jarvis, C. (2000). Physical Examination. Saunders.
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