Question

1.Your patient, Jessie Baer, is a member of the Native American community. It is of critical importance that nurses develop cultural competence. Discuss the key components of cultural competence.

2.The diet of the pregnant woman with diabetes is individualized to account for increased fetal and metabolic requirements. Discuss the factors that should be considered when formulating Jessie Baer's plan of care.

3.A glucose reflectance meter or biosensor monitor is the commonly accepted method for monitoring blood glucose levels at home. Describe the procedure for self-care blood glucose testing.

Answer 1

Answer no 1

CULTURAL COMPETENCE

It refers to an ability to interact effectively with the people of different culturesstatus among .It is the ability to acquire and use knowledge of the health related beliefs,attitude,practice and communication of the patient and their family to improve services,strengthen the programms,increase the community participation and close the gaps in health status among diverse population groups.

Components of cultural competency

• Awareness of once own cultural world view
• Attitudes towards the cultural differences
• Knowledge of different cultural practices and world view
• Cross cultural skills

Answer no 2

GESTATIONAL DIABETES MELLITUS

It is the state of glucose intolerance with the onset or first recognition during pregnancy.

• Plenty of whole fruits and vegitables
• Moderate amount of lean proteins and healthy fats
• Moderate amunt of whole grains such as bread,pasta,rice etc.
• Fewer foos that have lots of sugar eg:pastries,fruit juices
• Avoid large meals on a single diet
• Supplimental calcium and Vitamin D to improve the metabolic profile

Answer no 3

PROCEDURE

• Wash the hands with soap and water and dry well
• Insert the test strip into the glucose meter.
• Insert the lanset into the lancing device
• Prick the end of the device
• Gently squeeze the the end of the finger,if necessary
• Aplly the blood to the test strip
• Wait a few seconds (the time varies by type of meter).
• Read and write down the result in a logbook restore it inthe glucose meter.