Rasmussen College Cultural Considerations In Mental Health Nursing Discussion Submit an evidence-based practice paper about cultural competency in mental h

Rasmussen College Cultural Considerations In Mental Health Nursing Discussion Submit an evidence-based practice paper about cultural competency in mental health nursing. An evidence-based practice paper allows you to explore best practice and help improve client outcomes on a psychiatric unit. Your paper should describe how you, as a nurse, will include – or have included – cultural awareness in a client diagnosed with a mental illness. The person you describe could be someone in your clinical setting, someone you have worked with in the past, or a theoretical client.

Remember that culture can also include gender equality, sexual orientation, and other cultures besides race and religion – including cultures unique to one particular family. Your paper should be at least 3 pages (double-spaced, not including the title or reference pages) in APA Format and include:

Assessment: Discuss what you would assess in regard to a client’s culture. For example, are there specific dietary requirements? Are schedule changes necessary to avoid conflicts with religious practices? Who is the spokesperson for the family? What would you assess?
Diagnosis: List any mental health nursing diagnoses this person has or may be at risk for. Include at least one cultural diagnosis.
Planning: What planning needs to be done to ensure the cultural and emotional safety of the client?
Implementation: What are interventions that would ensure the safety of your client in regard to culture? Include at least two interventions. For example, if your client has religious beliefs that affect the ability to take medications, what interventions would you create to ensure the client’s safety? What can you do to make sure the client’s cultural needs are met?
Evaluation: How will you evaluate whether your implementation was effective? Make sure the parameters are objective and measurable.
In your summary, discuss whether any completed interventions were successful. What could be done differently in the future? If the interventions have not yet been carried out, you might discuss some institutional changes that could be made to ensure cultural safety for all clients in that setting.
References must be evidenced based and within 5 years
Must choose a culture and make up a scenario of a patient (depression, attempted, suicide) of that specific culture. What are their cultural needs? Then you must evaluate the patient by describing how you would assess, choose a nursing diagnosis for that patient, choose a plan, implement, and evaluation.

This is a written assignment but there is an example of the content that is needed Buddhist Culture
Sample Student
My patient is a 60 year-old female, Zen Buddhist nun. As a nun, she is single and without children. She lives and
works as a vegan chef at a temple in South Korea. The temple is located in the mountains, and the area is relatively
free from pollutants. She has come to the hospital with a compound fracture of the right tibia. She was visiting the
United States to give a cooking lecture, when she was hit by a car.
Buddhists primarily believe in accepting their situation. They believe illness
and death are all part of the human experience, and they do not have
restrictions on blood transfusions, organ transplants, the sex of the provider
taking care of them, pain management etc. Their primary concern is not
altering their consciousness. For this reason, some may decline pain
medication or an organ transplant, as this may effect their awareness.
Ultimately, a Buddhist has to decide what is right for their soul, and this is
typically the only limiting factor in their care. For Buddhists, the most
important religious events are Buddha’s day of birth, days of enlightenment
and the entry to Nirvana. These ceremonies typically take place in the summer
(2003). Being a vegan, my patient will certainly require a special diet. As
cooking is such a spiritual experience for her, she will most likely struggle with
being unable to do so for a time.
Nursing Diagnosis
• Acute pain
• Spiritual distress
• Risk for falls
Planning
• Acute pain
• NOC: Comfort Status
• Self-reports pain using 0-10
pain scale
• Guarding behavior
• Increased BP
• Spiritual distress
• NOC: Spiritual health
• Questioning identity
• Connections with others
• Connections with higher
power
• Risk for falls
• NOC: Fall prevention
• History of falls
• Impaired mobility
• Unfamiliar setting (Gulanick,
2017).
Implementation
• Acute pain
• NIC: Pain management
• Encourage patient to change positions every 2 hours or more
• Teach relaxation techniques
• Apply ice packs for 20-30 minutes every 1 to 2 hours
• Spiritual distress
• NIC: Spiritual support
• Encourage verbalization of feelings of anger or loneliness
• Develop an ongoing relationship with patient
• Assist with spiritual rituals. If requested, pray with patient.
• Risk for falls
• NIC: Fall prevention
• Post signs or use wristband identifying patient at risk for falls
• Move patient to a room closer to nurses’ station
• Ensure appropriate room lighting (Gulanick, 2017).
Evaluation
• The patient professes to have a pain level of
3 or less upon discharge.
• The patient is able to meditate at least three
times per day throughout hospital stay.
• The patient has not fallen at time of
discharge.
References
Guidelines for Health Care Providers Interacting with Patients of the Buddhist Religion and their
Families. (2003, April 29). Retrieved April 22, 2017, from
http://www.kyha.com/docs/PreparednessDocs/cg-buddhist-ud.pdf
Gulanick, M., & Myers, J. L. (2017). Nursing care plans: diagnoses, interventions, & outcomes. St.
Louis, MO: Elsevier.
Teo, T., & Jarupunphol, P. (2015). Dhammic Technology Acceptance Model (DTAM): Extending the
TAM using a condition of attachment in Buddhism. Journal Of Educational Computing
Research, 52(1), 136-151. doi:10.1177/0735633114568859

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