Question

Scenario:

The RN is developing a teaching plan for a male patient with a new diagnosis of peptic ulcer disease related to an H. pylori infection.

The patient immigrated to the United States from Vietnam two years ago with his extended family. He denies any current use of alcohol but has smoked one pack of cigarettes per day for the last 20 years. He reports increased fatigue during exercise, uses Chinese medicine to manage frequent muscle pain and has noted an occasional black bowel movement.

Initial Discussion Post:

Identify three (3) items related to the medical diagnosis that the RN needs to include in the teaching plan for this patient.

How will the RN incorporate cultural considerations into the teaching plan for this patient?

Identify one (1) member of the interprofessional health care team that should be included in this education plan. What is the role of this member?

Answer 1

3 items to be included related to patient diagnosis:
?1,What is peptic ulcer disease and how it is related to an H.pyloric infection.?
?2,What are the causes for this diseases?
?3,Preventive measures?
?    1, Helicobactor pyloric(H.pyloric)is a type of bacteria..This germs can enter into our body and go to digestive system.It will present in the tract for many years and causes sores(ulcer) in a stomach and small intestines..Most of the people will have this H.pylori in his body..They don't realize because they never get sick..when you people have signs ans symptoms like burning and pain in the stomach that increases when the stomach is empty,nausea,loss of appitite.burping,bloating,weight loss.symptoms worse when you have bloody or black tarry stools..
?    2, Exact causes still unknown for this disease..but it can spread through person to person from saliva,vomit or fecal matter and also through contaminated food and water..
?    3, Prevention: H.pylori will be presented from childhood,Living in crowded condition and living without clean water and contaminated dirty water by drinking the risk for H.pylori..when people having advanced stomach ulcer with this infection they may develop with stomach cancer..so early treatment and screening is neccessary..
Cultural consideration:-
? As they shifted from vietnam they will follow lot of cultural beliefs..so assess patient beliefs and attitudes and find out what differnces they feel here culturally..Explain the cultural regulation in america with good eye contact and smile .this should be considered as a response..
? As they going to follow the western treatment explain it will be different from vietnam treatment..In vietnam culture they lived with their entended family..As they moved to america the living style is entirely different independent country..because the patient got this peptic ulcer and H.pyloric infection advice them to avoid over crowded in this situation..Advice as per american culture close contact between people must be avoided to prevent the hihg risk..
Social worker:
? social worker is a person will collaborate with patient and family as a counsellor and they will interact with them for good communication..RN will explain everything about disease and treatement but social worker will fill the gap of service what the RN left with patient..They also be as a direct collaborator and communication person for family and patient..He can explain about socio-economic background for patient and how his smoking habits will affect the patient health and 10% of the american male population experience with peptic ulcer.how unlimited number of people can affected from this disease..social worker acts as a mediater for family and health care personals..