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medical regimen and insists on using their herbal remedy when it clearly isn't working. Educating the patient in a way she can understand and assessing by return feedback if she does truly understand her health situation is important too. Are there cultural barriers that permit her from using certain types of medications?Would it be helpful to suggest alternative medications than the one prescribed? Could it be she doesn't like the way the medication makes her feel and another type would be better? It is important to praise the patient for their efforts and include them in their care so they can feel in control of what is happening. Despite the frustration of having a patient readmitted for the same thing over and over it is still our duty as a nurse to continue to educate the patient, provide
competent and culture based care and remain empathetic to the patient. We never know what barriers they are facing until we dig deeper. Who else could we incorporate to find out why the patient won't be compliant with medications if familymembers are not present? Would pastoral services be helpful if the patient does nothave a support person?Reply| Quote & ReplyOct 29, 2015 12:18 PM0 LikeSubstantive PostSavita Gilbert 4 postsRe:Re:Re:Topic 3 DQ 1Kim,A cheatsheet would be helpful, however, we would need to be careful not to assume even if the patient belongs to a certain culture that they still do all the same things as that culture. It is always necessarty to assess each patient and their culture on an individual basis. It is interesting that you point out "we are all busy keeping our heads above water". I feel this applies when you are at work as well. How often do we come to work and find it is short staffed. We are doing our best to care for one patient to the next by caring for their basic needs and following their complex set of orders and delving into their culture seems to take extra time. For the patient to respect the nurse and establish trust it is necessary to find the time to becoming culturally competent. My hospital has a yearly cultural fair that educates staff on the different cultures and their practices. Staff of different cultures are encouraged to participate and create presentations and dances to show the employees. We also have a cultural competency model on the computer yearly we must complete. This is helpful and encourages me to think further when caring for different cultures. My unit has a large amount of cultural diversity in respect to patients. We have some patients who come from China to have their babies here and then go back home, romanian patients who speak to their family members in a much harsher way than what I see others doing, and Indian and Arab patients who frequently defer all medical questions to their spouse and will not accept any medical education withouttheir spouse present. Would it be helpful to create a spreadsheet of what the nursesand healthcare providers witness with these cultures for education purposes or would that creat biases?