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A 56-year-old Asian patient comes to the outpatient clinic with complaints of mild chest pain. When...

A 56-year-old Asian patient comes to the outpatient clinic with complaints of mild chest pain. When assessing this patient, the nurse must take into account the cultural characteristics of people of Asian descent. What are three culturally mediated characteristics that are important in caring for adults of various cultures?

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Adult Chest pain is due to coronary artery disease when one of the arteries is completely blocked and a part of the heart does not get blood supply. In this situation patient develops sudden severe chest pain which may radiate to his/her neck or arm. Some patients get sensation of severe compression of the chest. The second scenario is where the artery is only partly blocked and it is able to provide enough blood to heart muscles. However during activities when heart muscles need more blood, because of blockages, it is not able to supply enough blood. In this situation patient gets chest pain as described above. Pain gets better when he/she takes rest.

Culturally mediated characteristics mainly involve emphasis on displaying patient-desires, modifiable provider and staff behaviors and attitudes, implementing health care center policies, and displaying physical health care center environment characteristics and policies that culturally diverse patients identify as indicators of respect for their culture and that enable these patients to feel comfortable with, trusting of, and respected by their health care providers and office staff. It conceptualizes the patient-provider relationship as a partnership that emerges from patient centeredness; and it is patient empowerment oriented. This care is unique in that it is based on views of culturally diverse patients rather than the views of health care professionals (e.g., psychologists, physicians, and health care site administrators) as to the health care provider and staff behaviors and attitudes and the health care characteristics and policies that convey cultural sensitivity.

Empowering patients to share their views concerning culturally sensitive health care is a manifestation of patient-centeredness. Health care providers and staff can be responsive to such views of patients through engaging in behaviors and attitudes and fostering clinic characteristics and policies identified as important by culturally diverse patients.

Nightingale answered 2 years ago
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