LifestyleWhen examining this patient’s lifestyle, it is important to question their definition of druguse. The patient states that he smokes “pot” and drinks but denies drug use. Anxiety is one the withdrawal symptoms of marijuana and alcohol and therefore, MR may have a drug addiction issue. MR may need a psychiatric consult for better assessment of his drug addiction status and may need rehabilitation resources. Integrating traditional Native American healing practices into mainstream treatment interventions is often recommended when working with Native patients and could be beneficial to patients, increase compliance, and provide better patient outcomes (Espey et al, 2014). He should be educated that smoking marijuana is a risk factor for depression,psychosis, and even lung cancer depending on how he smokes it. Explain to him that his lifestylechoices put him at even greater risk for the co-morbidities that is listed in his family history, while still staying sensitive. It is important to establish a rapport with the patient and gain respect by staying professional and sensitive to his cultural beliefs. There is no way to know everything about each culture and subgroups, therefore targeted questions to assess the patients and their heritage is important. No matter what culture providers are working with, showing empathy and compassionwithout judgement is vital. We may not understand their practices or even believe in them but wemust acknowledge them and include them in our treatment plan. ReferencesBall, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel's guide to physical examination(8th ed.). St. Louis, MO: Elsevier Mosby.
Centers for Disease Control and Prevention (2015).Cultural Competence.Retrieved from Espey, D., Jim, M., Cobb, N., Bartholomew, M., Becker, T., Haverkamp, D., & Piescia, M. (2014). Leading causes of death and all-cause mortality in American Indians and Alaska Natives. American Journal of Public Health, 104) S3, S303-S311. doi:10.2105/AJPH.2013.301798Randall, A. (2012, May 05). Black Women and Fat. Retrieved June 4, 2019, from Response #1 toAmber GrangerI think you did an excellent job on this topic! Achieving cultural competence is a learningprocess that requires self-awareness, reflective practice, and knowledge of cultural issues (Ball, Dains, Flynn, Solomon, & Stewart, 2015). I really respect that you included the importance of
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