Nursing judgement care policy within a facility and

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nursing judgement? Care policy within a facility and the traditional policy and procedure manuals and computer data bases are what the staff of a building are held to. Feb 08, 2018 03:03 PM 0 Like Substantive Post
Joshua Bethke 6 posts Re:Re:Topic 4 DQ 2 Cultural respect and understanding, and utilization of interpreters and communication devices help greatly. I do believe that they must take an active part in understanding and overcoming communication barriers. The old phrase lead a horse to water, but if they don't drink or take an active part in their own language barriers and work to understand the culture and languages that come in such a huge variety in our country then they are on their own. We must all be sensitive and helpful, but people must engage in the process, we cannot afford or provide the labor for total and complete care, the resources just are not available. Feb 08, 2018 12:21 PM 0 Like Melvin Mattis 4 posts Re:Topic 4 DQ 2 Two theories to be compared are Dorothea Orem’s Self –Care Theory and Madeline Leininger Transcultural Nursing Theory. Dorothea Orem in formulating her self-care theory made several assumptions. Some of the assumptions are: “People should be self reliant are responsible for their own self-care and care for their family members needing care “. “A person’s knowledge of potential health problems is necessary for promoting self-care behaviors”. “Self-care and dependent care are behaviors learnt within a socio-cultural context”. “People are distinct individuals”. “ Self care and dependent care are behaviors learned within a socio-cultural context”. Madeline Leininger identified three nursing decision and action modes to achieve culturally congruent care. They are: Cultural preservation or maintenance. Cultural care accommodation or negotiation. Cultural care repatterning or restructuring. There are similarities in both change theories. Orem focuses on a knowledge base as a necessary component to take care of self and others. When one has knowledge actual or potential problems
can be identified. Whilst each person is an individual, how one cares for self and others depends on what was learnt culturally. Leininger focuses on knowledge of culture as an important in order t deliver care. Cultures determine whether one seeks modern medical intervention, or unconventional treatments practiced within the cultural group. One must be culturally competent to deliver culturally sensitive care. Thus in both models, having a knowledge of the culture of the population will determine how the individual how the needs are identified, what planning takes place to meet those needs, interventions to be used, and what mechanism is used to teach the interventions. In meeting the literacy needs of the elderly Hispanics, both theories can be used. They both use knowledge of cultures as the baseline for change. Knowing the cultures and applying the use effectively can prevent resistance to change. Negotiating use of cultural values which

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