linked to more disruptive life events such as family breakup and unemployment

Linked to more disruptive life events such as family

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linked to more disruptive life events such as family breakup and unemployment as well as fewer financial resources to cope with such events. People who are poorer and who have less education are more likely to suffer from diseases, to experience loss of functioning, to be cognitively and physically impaired, and to experience higher mortality rates (Richardson, Allen, Xiao, and Vallone, 2012). Spiritual The patient reported he is afraid that he "will not get into Heaven if he continues in this lifestyle". Religious and cultural beliefs may have an impact on a patient's overall health. Many Native Americans take a more holistic approach and views our lives as part of a much greater whole that must be in harmony and if the balance is disturbed, illness can result (Ball, Dains, Flynn, and Solomon, 2015). Specific documentation of religious and cultural history includes beliefs related to health and illness, family, symbols, nutrition, special events, spirituality and taboos (Sullivan, 2012, p. 22). Cultural During times of medical needs there comes a need to understand a patient's cultural needs. Improving cultural awareness requires one to develop sensitivity to the differences between one's own culture and the patient's. It also requires one to not stereotype and utilize a template that may be used for cultural assessment of the client and the family (Edwards and Patchell, 2009). What may be acceptable for one cultural group may not be for another. As an
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advanced practice nurse learning cultural or ethnic considerations will assist in providing a higher level of care to a patient. By understanding ones cultural needs you are able to offer a more holistic approach. Five Targeted Questions to Help Build the Patients History:
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  • Summer '15
  • Evaluation methods, initial discussion post, annual physical exam

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