Question

The home care nurse is seeing a 68-year-old Vietnamese woman on an initial visit. The patient was discharged from the hospital with a diagnosis of congestive heart failure (CHF). The home health nurse notices that the patient’s blood pressure is elevated and that the patient has a productive cough. The patient speaks very little English. However, the patient’s daughter is present and is able to interpret. The nurse completes a full health assessment, including a review of medications, and notes that the patient was prescribed a diuretic and a beta-blocker to regulate blood pressure. The daughter shares with the nurse that her mother does not like taking medications and chooses to take herbal remedies instead. Upon assessment, the patient’s vital signs are T 37° C; P 76; R 20; and BP 160/80, and her oxygen (02) saturation is 94%. The patient’s lungs are positive for scattered rhonchi in the upper bases, but the lower bases are clear, and the rhonchi clear with cough. The patient’s heart rate is regular with no audible mummers, and there is +2 edema bilateral in the lower extremities. The patient denies having pain.

Answer the following questions:

1. What interventions should the nurse incorporate into the plan of care for this patient?

2. What steps does the nurse need to take to become culturally competent?

3. What interventions can the nurse include to provide care that reflects an acceptance of the patient’s health and illness beliefs and practices?

Answer 1

Answer 1: The nurse need to incorporate the nursing intervention in to plan of care such as the cultural assessment. It is important to indulge in the cultural assessment because due to diversity in the population, patient's belief may be different. It is important to provide cultural competence environment. The another important assessment should be done is the development assessment. The nurse need to identify the cognitive as well as social development of the patient. As the patient is 68 years old, various factors my influence her living style.

Answer 2: Sad me of rhe steps that nurse need to take to become culturally competent are:

• Communicate with the patient to understand the requirements and needs of the patient. The use of effective communication can reduce the disparities.
• Encourage patient to ask questions, express their views and problems.
• Build a trust with a patient.
• Ask about the diet and lifestyle of the patient.
• Respect the patient's view and traditional values.

Answer 3: The interventions which can be include to provide care that reflects an acceptance of the patient’s health and illness beliefs and practices such as the rate of recovery of the patient. The understanding of the patient regarding diet and health benefits. The nurse need to intervene about the specific consideration about the education provided to the patient.