Posted: January 1st, 2023
Cultural Assessment Essay.
Please describe a scenario in which you have needed to do a cultural assessment. What type of assessment did you use? Were generally held beliefs about the person(s)’ culture applicable? If so, how? If not, why not? Refrain from the use
of first person/personal pronouns in your writing (“I”, “we”, “they”, “our”, etc) and use third person (the author).Cultural Assessment Essay.
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I would like to use a Chinese patient that the author was taking care of. The author use Leininger model assesment
Cultural assessments are important approaches of holistically evaluating clients since it purposes to address personal needs which cannot be evidently noticed without a thorough and intense assessment. In nursing practice, assessing and learning about a patient’s culture is vital in determining personal beliefs and understanding the significance of how culture plays a role in healthcare decisions and personal beliefs. In this assignment, the Leininger model assessment was an important tool which provided a better understanding of a Chinese patient who was assessed. The assessment will reveal how general beliefs about the Chinese culture strongly influence living patterns, thinking and healthcare decisions.
Leininger model assessment aims at identifying a client’s values, cultural beliefs and practices and needs both professional and genetic knowledge to integrate ideas into nursing care goals (Lor, Crooks & Tluczek, 2016). It provided three modes of action that were used to bridge and provide care to the Chinese patient irrespective of individual values, beliefs and cultural background namely: maintenance and preservation, accommodation and negotiation and restructuring/repatterning (Lor, Crooks & Tluczek, 2016).Cultural Assessment Essay.
Chinese patient came in and author had to attend to him. He had been diagnosed with a tumor of the brain and also had a craniotomy. Initial assessment of the patient was a great source of information about the patient’s background, health history, and the condition. The author already made presuppositions about the patient based on his medical record. He was an older adult male over 50 years of age and has not lived in the United States for many years. There was an interaction with the patient to collect more information, and this is where differences were apparent, the patient could speak English but was not very fluently. However, it did not limit communication. In this case, dealing with a patient from a Chinese culture is unique because first of all language barrier can greatly hinder the provision of effective care (Communicating with Your Chinese, 2007). This was not a problem because the patient could speak good English even though it was not very fluent.
The author had some familiarity with the Chinese culture, and this included the knowledge of factors such as to Chinese people illnesses are natural elements of death and their perception to chronic conditions, and even death is not as negative as other society (Communicating with Your Chinese, 2007). When asked to explain the possible causes of his illness, the Chinese client simply considered it as nothing unusual but a natural part of life which was created by an imbalance of the body’s and environment ying yang (Yilmazet al., 2017). The patient was, therefore, composed and calm despite having a craniotomy. The Chinese culture also has comfort when it comes to combining their cultures with others and in this case, is the combination of Chinese values and tradition with modern western medicine. The patient was, therefore, comfortable with the processes of diagnosis, treatment and consultation (Understanding Transcultural Nursing, 2005).
Another aspects examined in the cultural assessment of the patient is his perception of taking medication. It is a well-known presupposition that Chinese people rely a lot on alternative medicine which is still used up to this date. It is a tradition and a way of life that has also been adopted by western societies. When asked whether he had taken any medications, it was clear that he had taken several herbs which were not well-known to him purposely to regain his health status. Research reveals that most Asian patients tend to try traditional therapeutic approaches before seeking western medical care. Cultural Assessment Essay.Most commonly, patients tend to delay seeking for care due to concerns related to medical costs and communication barriers (Yilmazet al., 2017). It is for this reason that most patients usually present to care settings when acutely ill.
The Chinese culture often believes that Western medications are very strong. Therefore, the majority fail to take a full dose or even complete the course of treatment whenever they feel better (Yilmazet al., 2017). However, after talking with the patient, and explaining to him the seriousness of his condition, he was up to the task and willing to comply completely with taking medication as needed of him (Communicating with Your Chinese, 2007).
When asked why he decided to seek help from hospital, the patient explained that his health status was gradually deteriorating and the family collectively decided to seek care from the hospital. The Chinese culture lays emphasis to family loyalty and devotes itself to traditions as compared to personal feelings (Yilmazet al., 2017). This explains why it is important for clinicians and nurses to assess the kinship relations of clients and determine the most influential family members in decision making.
It is undeniable that the Chinese religion and philosophies have a strong influence on how Chinese people live and think about healthcare and health. This explains why it is necessary to perform a comprehensive clinical assessment for every patient in the clinical setting. A better way of knowing how culture influences a patient is conducting a cultural assessment using transcultural nursing models. As illustrated, one such model is the Leininger assessment model which aims at identifying a client’s values, cultural beliefs and practices before providing care that is similar to what a client deems suitable based on cultural expectations. It is also worth noting that, when conducting a cultural assessment, nurses should respect patient’s autonomy and choices made.Cultural Assessment Essay.
Introduction
Cultural assessments are important approaches of holistically evaluating clients since it purposes to address personal needs which cannot be evidently noticed without a thorough and intense assessment. In nursing practice, assessing and learning about a patient’s culture is vital in determining personal beliefs and understanding the significance of how culture plays a role in healthcare decisions and personal beliefs. In this assignment, the Leininger model assesment was an important tool which provided a better understanding of a Chinese patient who was assessed. The assessment will reveal how general beliefs about the Chinese culture strongly influence living patterns, thinking and healthcare decisions.
Cultural Assessment Model Used
The Leininger model assesment that was developed by Madeleine Leininger was used. This model aims at identifying a client’s values, cultural beliefs and practices and needs both professional and genetic knowledge to integrate ideas into nursing care goals (Lor, Crooks & Tluczek, 2016). It provided three modes of action that were used to bridge and provide care to the Chinese patient irrespective of individual values, beliefs and cultural background namely: maintenance and preservation, accommodation and negotiation and restructuring/repatterning (Lor, Crooks & Tluczek, 2016). The Leininger model defines the expectations of a nurse-patient relationship since it is a nurse’s role to implement care and tends to be with the patient for most of the time in clinical settings. The objective of using this model was to afterwards implement care that was similar to what the client deemed suitable based on cultural expectations (Lor, Crooks & Tluczek, 2016).
Applicability of General Beliefs about the Person’s Culture
The client who was assessed strictly observed beliefs, values and practices from his culture. For instance, when asked to explain the possible causes of his illness, the Chinese client simply considered it as nothing unusual but a natural part of life which was created by an imbalance of the body’s and environment ying yang (Yilmazet al., 2017). When asked whether he had taken any medications, it was clear that he had taken several herbs which were not well-known to him purposely to regain his health status. Research reveals that most Asian patients ten to try traditional therapeutic approaches before seeking western medical care. Most commonly, patients tend to delay seeking for care due to concerns related to medical costs and communication barriers (Yilmazet al., 2017). It is for this reason that most patients usually present to care settings when acutely ill.Cultural Assessment Essay.
The client also made it clear that he had not taken any form of Western medicine since he considered them to be too strong. The Chinese culture often believes that Western medications are very strong. Therefore, the majority fail to take a full dose or even complete the course of treatment whenever they feel better (Yilmazet al., 2017). When asked why he decided to seek help from hospital, the client explained that his health status was gradually deteriorating and the family collectively decided to seek care from the hospital. The Chinese culture lays emphasis to family loyalty and devotes itself to traditions as compared to personal feelings (Yilmazet al., 2017). This explains why it is important for clinicians to assess the kinship relations of clients and determine the most influential family members in decision making.Cultural Assessment Essay.
Conclusion
It is undeniable that the Chinese religion and philosophies have a strong influence on how Chinese people live and think about healthcare and health. Therefore it is necessary that in order to provide culturally sensitive care, nurses should combine information about a patient’s culture with a comprehensive clinical assessment. A better way of knowing how culture influences a patient is conducting a cultural assessment using transcultural nursing models. As illustrated, one such model is the Leininger assessment model which aims at identifying a client’s values, cultural beliefs and practices and afterwards to provide care that is similar to what a client deems suitable based on cultural expectations. It is also worth noting that, when conducting a cultural assessment, nurses should respect patient’s autonomy and choices made.Cultural Assessment Essay.
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