Question

1.Identify a culture and its impact on a healthcare issue.

2. Can nurses administer Oxygen without an MD order? Yes, how much and under what circumstance?

Answer 1

1.Cultural differences affect patients‘ attitudes about medical care and their ability to understand, manage, and cope with the course of an illness, the meaning of a diagnosis, and the consequences of medical treatment. Patients and their families bring culture specific ideas and values related to concepts of health and illness, reporting of symptoms, expectations for how health care will be delivered, and beliefs concerning medication and treatments. In addition, culture specific values influence patient roles and expectations, how much information about illness and treatment is desired, how death and dying will be managed, and family roles, and processes for decision making.

For example : The muslim culture faith encompasses several ethnicities with diverse views regarding illness and healthcare. As a result, the care of such patients provides challenges for many other culture healthcare providers. The cultural faith can influence decision-making, family dynamics, health practices, and risks and the use of healthcare.

Impact of culture on healthcare: To deal with cultural beliefs of patient, extra care and understanding of cultural values is to be done by healthcare workers like Patients who plan on fasting should be provided with fasting-focused diabetes education to help them avoid complications. A pre-fasting of patients with diabetes is recommended so they can be made aware of the risks and strategies to avoid problems. The cultural values of the individual, family, and relatives all have an impact on the assessment of patients' needs, as well as on the delivery of medical care.So cultural values of family should be taken in notice to deal with patient more effectively. Due to cultural values, men and women are usually reluctant to expose bodies for a physical checkup. So request permission before uncovering any part of the body, and perform the checkup sequentially, exposing as small an area as possible with each step.

2.Yes and no. Technically No. 02 is considered a medication. But it depends on the area or unit to.

For example, lets say we are in a ICU. The RNAP recognizes that the patient needs oxygen, and recognizes there are no contraindications (like in pediatric cardiac patients) no ICU doc is ever going to question why oxygen wasn't immediately given. It is just assumed. Yes technically an order should exist. But an ICU, people are sick, we can appropriately monitor the effects of oxygen, and titrate the oxygen.In this situation of emergency nurse can give 02 without order and amount depends on of sp02, we can give oxygen to patient till sp02 come in normal value.