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NUR 139 MODULE D

NUR 139 MODULE D

Ethnicity VS Race

  • Ethnicity: a sense of identification with a collective cultural group
  • Race: Physical characteristics that distinguish a group
  • These are considered antiquated terms
  • These terms are still used because they can be used to identify common health problems that are typically located in a specific group


Examples of Common Health Problems in Specific Racial Groups

Native American

Heart disease

Cirrhosis of the liver

Diabetes mellitus

Fetal alcohol syndrome

African American

Hypertension

Stroke

Sickle cell anemia

Lactose intolerance

Keloids

Asian

Hypertension

Cancer of the liver

Lactose intolerance

Thalassemia

Hispanic

Diabetes mellitus

Lactose intolerance

White

Breast cancer

Heart disease

Hypertension

Diabetes mellitus

Obesity

Eastern European; Jewish

Gaucher's Disease

Spinal muscular atrophy

Tay-Sachs' disease

Cystic fibrosis


Culturally Competent Nursing Care in Action

  1. Communication
    • Language preference
    • Eye contact
    • Active listening
    • Nonverbal cues (Para-language)
    • Health Literacy
  2. Physical Health
    • Determine preferences r/t caregivers.
    • Assess customs/restrictions/preferences r/t direct contact with body/skin and unclothing of body
    • Hair/nail care
    • Hygiene
  3. Understand Client’s Meaning of Health and Illness
    • Spirituality: belief in a higher being
      • (not the same as religion which is an organized set of beliefs that normally have a set practice)
    • Mental Health/Psychological Health
    • Understanding/Interpretation of Pain: pain is subjective!
  1. Understand Client’s meaning of Family and Community                                   
    • Roles: dominant figure, gender roles, community roles        
    • Support systems:  human or non-human, blood family, extended family, non-traditional family, members of the community or no one

(Assess and Consider for Plan of Care below)

  1. Consider Present Socioeconomic Status
    • Ex.) Low income families ("culture of poverty")
  2. Understand Time and Space Perception
    • Is punctuality emphasized in their culture?
    • Do they have a specific preference to personal space?
  3. Food and Nutrition Preferences
    • What is their cultural norms?
    • Do they have preferences in their diet that we can meet?


The Different Types of Family Structures

  • Nuclear family: traditional family, composed of two parents and their children
  • Blended family: parents bring unrelated children from previous relationships together to form a new family
  • Extended family: contemporary family that lives in close proximity to relatives, aunts, uncles, and grandparents


5 areas of family functions (IDEALLY)

  1. Physical
  2. Economic
  3. Reproductive
  4. Coping
  5. Socialization


Client Spirituality

  • In order to provide culturally competent care, the nurse should start by spirituality assessing self!
  • Defining the health care practitioner's parameters of spiritual care
    • Identify your comfort level for sharing/supporting spiritual practices
    • Understand and explore the difference between religion and spirituality


Specific ACTIONS the Nurse Can Implement

  • Be a compassionate presence
  • Assist to find the meaning or purpose in presence of illness or death
  • Foster relationships that nurture the client's spirituality
  • Facilitate the client's expression of spiritual/religious beliefs


Risk factors for altered family health

  • Lifestyle risk factors
  • Psychosocial risk factors
  • Environmental risk factors
  • Developmental risk factors
  • Biological risk factors

NUR 139 MODULE D

Ethnicity VS Race

  • Ethnicity: a sense of identification with a collective cultural group
  • Race: Physical characteristics that distinguish a group
  • These are considered antiquated terms
  • These terms are still used because they can be used to identify common health problems that are typically located in a specific group


Examples of Common Health Problems in Specific Racial Groups

Native American

Heart disease

Cirrhosis of the liver

Diabetes mellitus

Fetal alcohol syndrome

African American

Hypertension

Stroke

Sickle cell anemia

Lactose intolerance

Keloids

Asian

Hypertension

Cancer of the liver

Lactose intolerance

Thalassemia

Hispanic

Diabetes mellitus

Lactose intolerance

White

Breast cancer

Heart disease

Hypertension

Diabetes mellitus

Obesity

Eastern European; Jewish

Gaucher's Disease

Spinal muscular atrophy

Tay-Sachs' disease

Cystic fibrosis


Culturally Competent Nursing Care in Action

  1. Communication
    • Language preference
    • Eye contact
    • Active listening
    • Nonverbal cues (Para-language)
    • Health Literacy
  2. Physical Health
    • Determine preferences r/t caregivers.
    • Assess customs/restrictions/preferences r/t direct contact with body/skin and unclothing of body
    • Hair/nail care
    • Hygiene
  3. Understand Client’s Meaning of Health and Illness
    • Spirituality: belief in a higher being
      • (not the same as religion which is an organized set of beliefs that normally have a set practice)
    • Mental Health/Psychological Health
    • Understanding/Interpretation of Pain: pain is subjective!
  1. Understand Client’s meaning of Family and Community                                   
    • Roles: dominant figure, gender roles, community roles        
    • Support systems:  human or non-human, blood family, extended family, non-traditional family, members of the community or no one

(Assess and Consider for Plan of Care below)

  1. Consider Present Socioeconomic Status
    • Ex.) Low income families ("culture of poverty")
  2. Understand Time and Space Perception
    • Is punctuality emphasized in their culture?
    • Do they have a specific preference to personal space?
  3. Food and Nutrition Preferences
    • What is their cultural norms?
    • Do they have preferences in their diet that we can meet?


The Different Types of Family Structures

  • Nuclear family: traditional family, composed of two parents and their children
  • Blended family: parents bring unrelated children from previous relationships together to form a new family
  • Extended family: contemporary family that lives in close proximity to relatives, aunts, uncles, and grandparents


5 areas of family functions (IDEALLY)

  1. Physical
  2. Economic
  3. Reproductive
  4. Coping
  5. Socialization


Client Spirituality

  • In order to provide culturally competent care, the nurse should start by spirituality assessing self!
  • Defining the health care practitioner's parameters of spiritual care
    • Identify your comfort level for sharing/supporting spiritual practices
    • Understand and explore the difference between religion and spirituality


Specific ACTIONS the Nurse Can Implement

  • Be a compassionate presence
  • Assist to find the meaning or purpose in presence of illness or death
  • Foster relationships that nurture the client's spirituality
  • Facilitate the client's expression of spiritual/religious beliefs


Risk factors for altered family health

  • Lifestyle risk factors
  • Psychosocial risk factors
  • Environmental risk factors
  • Developmental risk factors
  • Biological risk factors