Question

In: Nursing

Mrs. J is a 58 year old Appalachian woman visiting the community wellness clinic. Mrs. J...

Mrs. J is a 58 year old Appalachian woman visiting the community wellness clinic. Mrs. J identifies a desire

     to lose weight. She has a good family support system and health insurance. After completing her health

     history, you note she is morbidly obese, leads a sedentary lifestyle and frequently has joint pain in her knees.

     She treats her arthritis by wearing a copper bracelet and rubbing her knees with a solvent commonly used to

     lubricate metal (WD-40). She states she uses no herbal remedies or supplements, takes no medications and is

     in good health. After speaking with a pharmacist, you know that the copper bracelet is posing no threat. The

     WD-40 contains a solvent which is absorbed through the skin and is potentially harmful. Mrs. J has a green

     discoloration to her skin under the bracelet. Her skin is intact. The skin to her knees is also intact.

            A. Identify three culture specifics of Mrs. J’s culture that will impact the nursing care.

B. Apply Leininger’s theory of cultural competence to this situation. (REF: How should I   

     Respond to a Client’s Cultural Health Practices? Treas   p._______)

               What plan would you recommend to Mrs. J. regarding the solvent and the copper bracelet?

                Use the theory to explain the reason for those actions.

Solutions

Expert Solution

Appalachian is a cultural region in Eastern United States.They are the source of enduring myth and distortions.They believe on "Allow the land to heal" if they are sick.

Here Mrs. J has come for treatment of Morbid Obesity, which lead to joint pain in knees

She treats it with applying Copper bracelet and a WD 40 solvent

A)The three culture specifics which will impact on Nursing care are

  • Culture (Believing in nature for heal )
  • Using solvent(WD 40)
  • Sedentary life style

B) The Transcultural Nursing care or Leninger's thoery describes how to give aefficacy nursing care t apatient without affecting his beliefs,practices ,values

The nurse should provide a Cultural congruent nursing care explaining the effects and benefits of using WD40 which has a property of rusting Metals,where she was using Copper Bracelet on her Knee as aresult her skin turned green,which is harmful. This solvent will penetrate into the skin and cause illness.So a liniment or oinment as per the Doctor's order can be applied.

Using this theory can help Mrs. J to reduce her weight without affecting her culture and belief

Nightingale answered 2 years ago
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