Culturally Sensitive Care

| February 24, 2015
As you review the scenario, consider the RN’s role to support the patient in this situation. Be sure to consider nursing standards of practice and codes of conduct applicable to the delivery of culturally sensitive care. Scenario: Michael, a 35-year-old was brought via ambulance to the emergency department after collapsing on the street. He was diagnosed with appendicitis and the surgical team was alerted to the potential surgery. The physician prepared to obtain informed consent and began discussing the simple effective surgery and the treatment with the patient. The RN was present at the bedside. The patient stated he did not want surgery. Based upon his beliefs as a Christian Scientist, it is against his practices. He requested a Christian Science practitioner. The patient rated his pain as 9 on 0-10 verbal pain scale so the RN prepared the narcotic analgesic to relieve the patient’s pain. The patient declined the medication. The RN believes the patient should accept the pain medication and have the surgery thinking “If it were me I would proceed with the surgery and treatments proposed by the surgeon.” The surgeon can be heard speaking to a colleague about how to go about changing the patient’s decision. How does the RN support the patient’s decision when the beliefs of the patient are contrary their own? List at least three actions (with supporting rationales) the RN would perform to ensure the delivery of culturally sensitive care. Required Reading Textbooks (Chapter numbers and titles may differ in subsequent editions of a given textbook. If your edition is different, use the Table of Contents in the textbook to locate the appropriate chapters to read): • Hinkle, J., & Cheever, K. (2013). Brunner and Suddarth’s textbook of medical-surgical nursing (13th ed.). Philadelphia, PA: Lippincott Williams & Wilkins. o Chapter 7: Overview of Transcultural Nursing • Hunt, R. (2013). Introduction to community based nursing (5th ed.). Philadelphia, PA: Lippincott, Williams and Wilkins. o Chapter 3: Cultural Care • Kee, J., Hayes, E., & McCuistion, L. (2015). Pharmacology: A patient-centered nursing process approach (8th ed.). St. Louis, MO: Elsevier. o Chapter 3: Cultural and Pharmacogenetic Considerations o Chapter 6: Herbal Therapies • Nursing Diagnosis o Use your chosen Nursing Diagnosis Guidebook to review the nursing diagnoses specific to the content covered in this module. • Taylor, C., Lilis, C., LeMone, P., & Lynn, P. (2011). Fundamentals of nursing: The art and science of nursing care (7th ed.). Philadelphia, PA: Lippincott, Williams and Wilkins. o Chapter 2: Cultural Diversity o Chapter 28: Complementary and Alternative Therapies o Chapter 46: Spirituality Journal Articles • Smith, L. (2013). Reaching for cultural competence. Nursing, 43(6), 30-38.

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Culturally Competent Nursing Care


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